American Shared Hospital Services Reports First Quarter 2025 Financial Results
- Revenue grew 17% year-over-year to $6.1 million in Q1 2025
- Direct patient services segment revenue increased 224% compared to Q1 2024
- New radiation therapy revenue stream generated $2.4 million in Q1 2025
- Strong cash position of $11.5 million, up from $11.3 million in December 2024
- Strategic expansion through new facilities and potential acquisitions in pipeline
- Net loss of $625,000 in Q1 2025 compared to net income of $119,000 in Q1 2024
- Medical equipment leasing revenue declined to $3.0 million from $4.3 million
- Proton beam radiation therapy revenue decreased to $1.6 million from $2.6 million
- Gross margin decreased to $942,000 from $2.1 million in Q1 2024
- Lower treatment volumes affecting overall performance
Insights
AMS reports 17% revenue growth but swings to net loss as gross margins declined despite strategic expansion into direct patient services.
American Shared Hospital Services (AMS) presents a mixed financial picture in Q1 2025. While top-line revenue increased
The revenue growth story is primarily driven by the company's strategic pivot to direct patient services, which surged
Most concerning is the severe compression in gross margin, which fell to
The balance sheet remains relatively stable with
Management's commentary suggests treatment volumes began improving in April, with expectations for continued recovery in the latter half of 2025. The company appears focused on growth through strategic acquisitions and new facilities, including an anticipated radiation therapy center and proton beam facility in Rhode Island, plus potential additional acquisitions this fiscal year.
Reports
Conference Call Scheduled for 12:00 PM ET Today
SAN FRANCISCO, May 15, 2025 (GLOBE NEWSWIRE) -- American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of stereotactic radiosurgery equipment and advanced radiation therapy cancer treatment services through its leasing and direct patient care services segments, today announced financial results for the first quarter ended March 31, 2025.
Key Financial Highlights
- Q1 2025 Revenue Increased
17% Compared to Q1 2024 Driven by Strategic Expansion and Operational Strength - Q1 2025 Direct Patient Services Revenue Increased
224% Compared to Q1 2024 Due to the Acquisition of Rhode Island Centers and new Puebla, Mexico Facility
Ray Stachowiak, Executive Chairman of American Shared Hospital Services, stated: “Our first quarter of 2025 was highlighted by double digit revenue growth stemming from the strength of our business model while mitigating lower treatment volumes and some seasonality. Additionally, I am happy to report that we have already begun to see an increase in treatment volumes in April and expect to see further recovery into the back half of this year. Our long-term vision remains strong, and we are on a path of sustained success.”
Mr. Stachowiak continued, “We are very pleased with our successful acquisition of the Rhode Island radiation therapy treatment centers and the opening of our Puebla, Mexico facility. We are looking forward to further long-term growth from the new Esprit installed in Guadalajara, Mexico that is expected to startup in late 2025 and from our recent Certificate of Need approvals for the first radiation therapy treatment center in Bristol, Rhode Island and a proton beam radiation therapy treatment center in Johnston, Rhode Island, which will further expand our Rhode Island footprint. We are also exploring additional tuck in acquisition opportunities and are anticipating closing on one this fiscal year. These new business development opportunities will drive continued business growth and together with our focus on improved operational efficiencies and cost controls, positions us well for future profitability.”
Gary Delanois, Chief Executive Officer, added: “Despite treatment volume declines in the overall business this past quarter, we continue to see positive momentum building as our growth strategy takes hold and we focus beyond our traditional leasing model to a direct provider of radiation therapy treatment services to cancer patients. The growth of our linear accelerator business is an excellent example of our diversification strategy where we reported
Mr. Delanois continued, “Cancer treatment volumes can ebb and flow due to changes in such factors as diagnoses mix, patient staging, referring physician consults and physician staffing. We remain focused on expanding our business model, increasing patient volumes, which we have started to see in April, operational enhancements, and we are well positioned for robust long-term growth. We also continue to focus on targeted strategic initiatives to further improve efficiency, reduce operating costs and maximize profitability across our expanding network. Our new business development pipeline, strong balance sheet, and focus on innovation ensures that we are well positioned for our next phase of growth.”
Financial Results for the Three Months Ended March 31, 2025
For the three months ended March 31, 2025, revenue increased
Revenue from the Company’s direct patient services segment was
Revenue from the medical equipment leasing segment, was
Radiation therapy revenue was
Gross margin in Q1 2025 was
Net loss attributable to American Shared Hospital Services for Q1 2025 was
Adjusted EBITDA was
Balance Sheet Highlights
At March 31, 2025: Cash, cash equivalents, and restricted cash totaled
American Shared Hospital Services’ shareholders' equity (excluding non-controlling interests) was
About American Shared Hospital Services (NYSE American: AMS)
American Shared Hospital Services (AMS) is a leading provider of turnkey solutions to cancer treatment centers, health systems, and cancer networks in North and South America. The Company works closely with its partners to develop and grow their cancer service lines and provide integrated cancer care to patients in a convenient local setting close to home. For centers under health system partnerships, the Company and its health system partners share in the capital investment cost and profitability of the operations based on their respective ownership interests. For more information, please visit: www.ashs.com
Safe Harbor Statement
This press release may be deemed to contain certain forward-looking statements with respect to the financial condition, results of operations and future plans of American Shared Hospital Services including statements regarding the expected continued growth of the Company and the expansion of the Company’s Gamma Knife, proton therapy and direct patient care services business, which involve risks and uncertainties including, but not limited to, the risks of economic and market conditions, the risks of variability of financial results between quarters, the risks of the Gamma Knife and proton therapy and direct patient care services businesses, the risks of changes to CMS reimbursement rates or reimbursement methodology, the risks of the timing, financing, and operations of the Company’s Gamma Knife, proton therapy, and direct patient care services businesses, the risk of expanding within or into new markets, the risk that the integration or continued operation of acquired businesses could adversely affect financial results and the risk that current and future acquisitions may negatively affect the Company’s financial position. Further information on potential factors that could affect the financial condition, results of operations and future plans of American Shared Hospital Services is included in the filings of the Company with the Securities and Exchange Commission, including the Company's Annual Report on Form 10-K for the year ended December 31, 2024.
Non-GAAP Financial Measure
Adjusted EBITDA, the non-GAAP measure presented in this press release and supplementary information, is not a measure of performance under the accounting principles generally accepted in the United States ("GAAP"). This non-GAAP financial measure has limitations as an analytical tool, including that it does not have a standardized meaning. When assessing our operating performance, this non-GAAP financial measure should not be considered a substitute for, and investors should also consider, income before income taxes, income from operations, net income attributable to the Company, earnings per share and other measures of performance as defined by GAAP as indicators of the Company's performance or profitability.
EBITDA is a non-GAAP financial measure representing our earnings before interest expense, interest income, income tax expense, depreciation, and amortization. We define Adjusted EBITDA as net income (loss) before interest expense, interest income, income tax expense, depreciation and amortization expense, and stock-based compensation expense.
We use this non-GAAP financial measure as a means to evaluate period-to-period comparisons. Our management believes that this non-GAAP financial measure provides meaningful supplemental information regarding our performance by excluding certain expenses and charges that may not be indicative of the operating results of our recurring core business, such as stock-based compensation expense. We believe that both management and investors benefit from referring to this non-GAAP financial measure in assessing our performance.
Contacts
American Shared Hospital Services
Ray Stachowiak, Executive Chairman
rstachowiak@ashs.com
Investor Relations
Kirin Smith, President
PCG Advisory, Inc.
ksmith@pcgadvisory.com
| American Shared Hospital Services | ||||||||
| Condensed Consolidated Statements of Operations | ||||||||
| Summary of Operations Data | ||||||||
| (Unaudited) | ||||||||
| Three months ended March 31, | ||||||||
| 2025 | 2024 | |||||||
| Revenues | ||||||||
| Costs of revenue | 5,170,000 | 3,073,000 | ||||||
| Gross margin | 942,000 | 2,143,000 | ||||||
| Selling and administrative expense | 1,808,000 | 1,879,000 | ||||||
| Interest expense | 433,000 | 349,000 | ||||||
| Operating loss | (1,299,000 | ) | (85,000 | ) | ||||
| Interest and other income, net | 64,000 | 106,000 | ||||||
| (Loss) income before income taxes | (1,235,000 | ) | 21,000 | |||||
| Income tax benefit | (323,000 | ) | (44,000 | ) | ||||
| Net (loss) income | (912,000 | ) | 65,000 | |||||
| Plus: Net loss attributable to non-controlling interest | 287,000 | 54,000 | ||||||
| Net (loss) income attributable to American Shared Hospital Services | ( | ) | ||||||
| (Loss) earnings per common share: | ||||||||
| Basic | ( | ) | ||||||
| Diluted | ( | ) | ||||||
| Weighted Average Shares Outstanding: | ||||||||
| Basic | 6,572,000 | 6,452,000 | ||||||
| Diluted | 6,572,000 | 6,576,000 | ||||||
| American Shared Hospital Services | ||||||||
| Balance Sheet Data | ||||||||
| Balance Sheet Data | ||||||||
| (Unaudited) | ||||||||
| 3/31/2025 | 12/31/2024 | |||||||
| Cash, cash equivalents, and restricted cash | ||||||||
| Current assets | ||||||||
| Total assets | ||||||||
| Current liabilities | ||||||||
| Shareholders' equity, excluding non-controlling interests | ||||||||
| Outstanding shares | 6,450,000 | 6,420,000 | ||||||
| American Shared Hospital Services | ||||||||
| Adjusted EBITDA | ||||||||
| Reconciliation of GAAP to Non-GAAP Adjusted Results | ||||||||
| (Unaudited) | ||||||||
| Three months ended March 31, | ||||||||
| 2025 | 2024 | |||||||
| Net (loss) income attributable to American Shared Hospital Services | $ | (625,000 | ) | $ | 119,000 | |||
| Plus (less): | Income tax benefit | (323,000 | ) | (44,000 | ) | |||
| Interest expense | 433,000 | 349,000 | ||||||
| Interest income | (74,000 | ) | (111,000 | ) | ||||
| Depreciation and amortization expense | 1,449,000 | 1,334,000 | ||||||
| Stock-based compensation expense | 89,000 | 98,000 | ||||||
| Adjusted EBITDA | $ | 949,000 | $ | 1,745,000 | ||||
FAQ
What was AMS's revenue growth in Q1 2025?
How did AMS perform in terms of net income for Q1 2025?
What was the performance of AMS's direct patient services segment?
What is AMS's cash position as of March 31, 2025?
What are AMS's expansion plans for 2025?
