---
schema_version: "secwatch.filing_event.v1"
accession: "0001437749-24-009725"
form_type: "8-K"
ticker: "AMS"
cik: "0000744825"
company_name: "AMERICAN SHARED HOSPITAL SERVICES"
filed_at: "2024-03-28T23:59:59+00:00"
generated_at: "2026-06-04T06:46:39.624146+00:00"
event_type: "earnings"
sentiment: "neutral"
materiality_score: 0.7
calibrated_materiality_score: 0.7
confidence: "high"
source: SEC EDGAR
---

# AMS Q4 2023 revenue up 13% to $5.7M; net income $0.06 vs $0.04; acquisition progress

## Summary
- Q4 revenue $5.698M (+13.1% YoY); gross margin 49.4%; adjusted EBITDA $2.679M vs $2.161M.
- Full-year net income $610K ($0.10) vs $1.328M ($0.21) in 2022; included $1.86M pretax charges.
- Acquisition of 60% stake in three Rhode Island cancer centers progressing; international center in Puebla, Mexico opening Q2 2024.
- Lease extensions signed at 4 of 10 Gamma Knife sites; sales pipeline strongest in years.
- Cash $13.8M ($2.19/share) at Dec 31, 2023; no debt maturities mentioned.

## SEC filing metadata
- accession: 0001437749-24-009725
- form_type: 8-K
- ticker: AMS
- cik: 0000744825
- company_name: AMERICAN SHARED HOSPITAL SERVICES
- filed_at: 2024-03-28T23:59:59+00:00
- event_type: earnings
- sentiment: neutral
- materiality_score: 0.7
- calibrated_materiality_score: 0.7
- confidence: high
- sec_items: 2.02, 9.01
- EDGAR index: https://www.sec.gov/Archives/edgar/data/744825/000143774924009725/0001437749-24-009725-index.htm
- EDGAR primary document: https://www.sec.gov/Archives/edgar/data/744825/000143774924009725/asha20240327_8k.htm

## Machine-readable alternates
- HTML: https://secwatch.observer/filing/0001437749-24-009725
- JSON: https://secwatch.observer/filing/0001437749-24-009725.json
- Plain text: https://secwatch.observer/filing/0001437749-24-009725.txt

## Key facts
- Earnings Releases
  AMERICAN SHARED HOSPITAL SERVICES reported the fourth quarter ended December 31, 2023 results: revenue $5,698,000, EPS $0.06 per share.
  - Period: the fourth quarter ended December 31, 2023
  - Revenue: $5,698,000
  - EPS: $0.06 per share
  - Result: reported results
  source text: SAN FRANCISCO, CA, March 27, 2024 ‒ American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for stereotactic radiosurgery and advanced radiation therapy cancer treatment systems and services, today announced financial results for the fourth quarter ended December 31, 2023. Fourth Quarter 2023 Highlights ● Total revenue in the fourth quarter was $5,698,000, an increase of 13.1% from the comparable period in 2022. Total proton therapy revenue increased 36.0% period-over-period; fractions increased 30.0%. Gamma Knife revenue decreased 5.3% period-over-period; procedures decreased 15.8% due to the expiration of two customer agreements and downtime at two sites for the installation of upgraded equipment. ● Gross margin was $2,816,000, a period-over-period increase of 24.1%. The gross margin percentage was 49.4% of revenue. ● Operating income for the fourth quarter of 2023 was $407,000 compared to operating income of $590,000
  evidence_url: https://www.sec.gov/Archives/edgar/data/744825/000143774924009725/0001437749-24-009725-index.htm

This AI-assisted summary is a reading aid. Review the linked SEC EDGAR filing before relying on any specific claim.