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American Shared Hospital Services (AMS) investor relations material
American Shared Hospital Services Q2 2025 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Q2 2025 earnings summary13 Aug, 2025
Executive summary
Q2 2025 revenue rose 16% sequentially and slightly year-over-year to $7.1M, driven by expansion in direct patient services and international business, offsetting declines in equipment leasing.
Direct patient services revenue increased due to the Rhode Island acquisition and Puebla, Mexico facility, while leasing revenue declined from contract expirations and lower procedure volumes.
Net loss attributable to shareholders was $280K ($0.04/share) for Q2 2025, compared to net income of $3.6M in Q2 2024, which included a $3.7M bargain purchase gain from the Rhode Island acquisition.
Four consecutive years of significant revenue growth, nearly doubling since 2021, and three years of profitability.
Strategic focus on long-term growth, operational efficiency, and shareholder value creation.
Financial highlights
Q2 2025 total revenue: $7.1M, up 16% sequentially and slightly up year-over-year; six-month 2025 revenue: $13.2M, up 7% year-over-year.
Direct patient services revenue: $3.5M in Q2 2025, up 11–12% year-over-year; equipment leasing revenue: $3.6M, down 8% year-over-year.
Gross margin for Q2 2025: $1.6M–$1.63M, down from $2.5M–$2.47M year-over-year.
Q2 2025 operating loss: $544K, improved from Q1 2025; net loss Q2 2025: $280K ($0.04/share), improved from $625K loss in Q1 2025.
Adjusted EBITDA Q2 2025: $1.7M, down from $2M in Q2 2024; six-month net loss: $905K ($0.14/share) vs. net income of $3.7M in 2024.
Outlook and guidance
Management expects continued growth in direct patient services and international expansion, with new centers in Mexico and Rhode Island expected to start up in late 2025.
Anticipation of revenue from the new Gamma Knife center in Guadalajara by year-end.
Confidence in long-term revenue growth and profitability, despite short-term fluctuations.
Ongoing investments in new equipment and facility upgrades, with $8.4M in equipment and $11.9M in service commitments.
Cash on hand, operations, and credit line are expected to cover debt and working capital needs for the next 12 months.
Discuss pre-opening activities for new RI locations.
Elaborate on international growth expectations.
Explain the decline in Gamma Knife procedures.
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Next American Shared Hospital Services earnings date
Q3 202512 Nov, 2025
Next American Shared Hospital Services earnings date
Q3 202512 Nov, 2025
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Frequently asked questions
American Shared Hospital Services (AMS) provides advanced radiosurgical and radiation therapy equipment to hospitals and medical centers. The company is a leader in offering Gamma Knife radiosurgery, a non-invasive treatment for conditions like brain tumors and trigeminal neuralgia. In addition to Gamma Knife systems, AMS also supports other radiation technologies such as Proton Beam Radiation Therapy (PBRT) and Intensity Modulated Radiation Therapy (IMRT). AMS operates through medical equipment leasing, allowing hospitals access to state-of-the-art equipment without heavy capital investment. The company is headquartered in San Francisco, California, and its shares are listed on the NYSE.
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