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Also traded in: Germany

GuruFocus Financial Strength Rank measures how strong a company’s financial situation is. It is based on these factors

1. The debt burden that the company has as measured by its Interest coverage (current year).
2. Debt to revenue ratio. The lower, the better
3. Altman Z-score.

A company ranks high with financial strength is likely to withstand any business slowdowns and recessions.

Financial Strength : 4/10

vs
industry
vs
history
Cash to Debt 0.07
AMS's Cash to Debt is ranked lower than
78% of the 250 Companies
in the Global Medical Care industry.

( Industry Median: 0.28 vs. AMS: 0.07 )
Ranked among companies with meaningful Cash to Debt only.
AMS' s Cash to Debt Range Over the Past 10 Years
Min: 0  Med: 0.27 Max: 1.04
Current: 0.07
0
1.04
Equity to Asset 0.35
AMS's Equity to Asset is ranked lower than
68% of the 248 Companies
in the Global Medical Care industry.

( Industry Median: 0.50 vs. AMS: 0.35 )
Ranked among companies with meaningful Equity to Asset only.
AMS' s Equity to Asset Range Over the Past 10 Years
Min: -0.33  Med: 0.32 Max: 0.43
Current: 0.35
-0.33
0.43
Interest Coverage 1.65
AMS's Interest Coverage is ranked lower than
86% of the 212 Companies
in the Global Medical Care industry.

( Industry Median: 7.64 vs. AMS: 1.65 )
Ranked among companies with meaningful Interest Coverage only.
AMS' s Interest Coverage Range Over the Past 10 Years
Min: 0.32  Med: 0.62 Max: 1.79
Current: 1.65
0.32
1.79
F-Score: 7
Z-Score: 0.94
M-Score: -2.93
WACC vs ROIC
9.80%
4.07%
WACC
ROIC
GuruFocus Profitability Rank ranks how profitable a company is and how likely the company’s business will stay that way. It is based on these factors:

1. Operating Margin
2. Trend of the Operating Margin (5-year average). The company with an uptrend profit margin has a higher rank.
••3. Consistency of the profitability
4. Piotroski F-Score
5. Predictability Rank•

The maximum rank is 10. A rank of 7 or higher means a higher profitability and may stay that way. A rank of 3 or lower indicates that the company has had trouble to make a profit.

Profitability Rank is not directly related to the Financial Strength Rank. But if a company is consistently profitable, its financial strength will be stronger.

Profitability & Growth : 5/10

vs
industry
vs
history
Operating margin (%) 14.43
AMS's Operating margin (%) is ranked higher than
74% of the 251 Companies
in the Global Medical Care industry.

( Industry Median: 7.23 vs. AMS: 14.43 )
Ranked among companies with meaningful Operating margin (%) only.
AMS' s Operating margin (%) Range Over the Past 10 Years
Min: -0.32  Med: 6.76 Max: 18.96
Current: 14.43
-0.32
18.96
Net-margin (%) 4.24
AMS's Net-margin (%) is ranked lower than
53% of the 251 Companies
in the Global Medical Care industry.

( Industry Median: 4.83 vs. AMS: 4.24 )
Ranked among companies with meaningful Net-margin (%) only.
AMS' s Net-margin (%) Range Over the Past 10 Years
Min: -9.2  Med: 0.28 Max: 8.12
Current: 4.24
-9.2
8.12
ROE (%) 3.73
AMS's ROE (%) is ranked lower than
73% of the 234 Companies
in the Global Medical Care industry.

( Industry Median: 9.80 vs. AMS: 3.73 )
Ranked among companies with meaningful ROE (%) only.
AMS' s ROE (%) Range Over the Past 10 Years
Min: -7.33  Med: 0.24 Max: 8.87
Current: 3.73
-7.33
8.87
ROA (%) 1.31
AMS's ROA (%) is ranked lower than
70% of the 253 Companies
in the Global Medical Care industry.

( Industry Median: 4.14 vs. AMS: 1.31 )
Ranked among companies with meaningful ROA (%) only.
AMS' s ROA (%) Range Over the Past 10 Years
Min: -2.5  Med: 0.07 Max: 3.33
Current: 1.31
-2.5
3.33
ROC (Joel Greenblatt) (%) 7.57
AMS's ROC (Joel Greenblatt) (%) is ranked lower than
71% of the 252 Companies
in the Global Medical Care industry.

( Industry Median: 19.67 vs. AMS: 7.57 )
Ranked among companies with meaningful ROC (Joel Greenblatt) (%) only.
AMS' s ROC (Joel Greenblatt) (%) Range Over the Past 10 Years
Min: 1.97  Med: 5.59 Max: 13.22
Current: 7.57
1.97
13.22
Revenue Growth (3Y)(%) -6.60
AMS's Revenue Growth (3Y)(%) is ranked lower than
85% of the 180 Companies
in the Global Medical Care industry.

( Industry Median: 8.40 vs. AMS: -6.60 )
Ranked among companies with meaningful Revenue Growth (3Y)(%) only.
AMS' s Revenue Growth (3Y)(%) Range Over the Past 10 Years
Min: -37.4  Med: 0.8 Max: 15
Current: -6.6
-37.4
15
EBITDA Growth (3Y)(%) -12.70
AMS's EBITDA Growth (3Y)(%) is ranked lower than
85% of the 155 Companies
in the Global Medical Care industry.

( Industry Median: 7.30 vs. AMS: -12.70 )
Ranked among companies with meaningful EBITDA Growth (3Y)(%) only.
AMS' s EBITDA Growth (3Y)(%) Range Over the Past 10 Years
Min: -32.9  Med: -0.3 Max: 9
Current: -12.7
-32.9
9
GuruFocus has detected 5 Warning Signs with American Shared Hospital Services $AMS.
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» AMS's 10-Y Financials

Financials (Next Earnings Date: 2017-03-29)


Revenue & Net Income
Cash & Debt
Oprt. Cash Flow & Free Cash Flow
Oprt. Cash Flow & Net Income

» Details

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Business Description

Industry: Health Care Providers » Medical Care    NAICS: 621999    SIC: 8071
Compare:OTCPK:CVHIF, OTCPK:CCEL, AMEX:SSY, OTCPK:BNKL, NAS:JYNT, OTCPK:FCHS, OTCPK:FDNH, OTCPK:PFHO, OTCPK:CPAI, AMEX:HH, OTCPK:QNIIF, OTCPK:WNDM, OTCPK:BICX, OTCPK:SPIN, OTCPK:LMNK, OTCPK:GRST, OTCPK:USNU, OTCPK:CAMDF, OTCPK:GNOW, OTCPK:AMEH » details
Traded in other countries:AZS.Germany,
American Shared Hospital Services provides Gamma Knife stereotactic radiosurgery equipment and radiation therapy and related equipment to seventeen (17) medical centers in sixteen (16) states in the United States and two medical centers in Turkey.

American Shared Hospital Services was incorporated in the State of California in 1983 and its predecessor, Ernest A. Bates, M.D., Ltd. (d/b/a American Shared Hospital Services), a California limited partnership, was formed in June 1980. It provides Gamma Knife stereotactic radiosurgery equipment and radiation therapy and related equipment to seventeen (17) medical centers in sixteen (16) states in the United States and two medical centers in Turkey, as of March 1, 2013. The Gamma Knife stereotactic radiosurgery is a non-invasive procedure and an alternative to conventional brain surgery or can be an adjunct to conventional brain surgery, radiation therapy, or chemotherapy. Compared to conventional surgery, Gamma Knife radiosurgery usually involves shorter patient hospitalization, lower risk of complications and can be provided at a lower cost. Typically, Gamma Knife patients resume their pre-surgical activities one or two days after treatment. The Gamma Knife treats patients with 201 single doses of gamma rays that are focused with great precision on small and medium sized, well circumscribed and critically located structures in the brain. During 2006 Elekta introduced a new Gamma Knife model, the Perfexion unit, which treats patients with 192 single doses of gamma rays and will also provide the ability to perform procedures on areas of the upper cervical spine. The Gamma Knife delivers a concentrated dose of gamma rays from Cobalt-60 sources housed in the Gamma Knife. The Cobalt-60 sources converge at the target area and deliver a dose that is high enough to destroy the diseased tissue without damaging surrounding healthy tissue. The Gamma Knife treats selected malignant and benign brain tumors, arteriovenous malformations, and functional disorders including trigeminal neuralgia (facial pain). Research is being conducted to determine whether the Gamma Knife can be effective in the treatment of epilepsy and other functional disorders. Conventional neurosurgery, radiation therapy and other radiosurgery devices are the primary competitors of Gamma Knife radiosurgery. The Medicare program is administered by the Centers for Medicare and Medicaid Services of the U.S. Department of Health and Human Services.

Ratios

vs
industry
vs
history
P/E(ttm) 30.57
AMS's P/E(ttm) is ranked lower than
60% of the 195 Companies
in the Global Medical Care industry.

( Industry Median: 26.17 vs. AMS: 30.57 )
Ranked among companies with meaningful P/E(ttm) only.
AMS' s P/E(ttm) Range Over the Past 10 Years
Min: 9.11  Med: 23.93 Max: 406.25
Current: 30.57
9.11
406.25
PE(NRI) 30.57
AMS's PE(NRI) is ranked lower than
58% of the 195 Companies
in the Global Medical Care industry.

( Industry Median: 26.51 vs. AMS: 30.57 )
Ranked among companies with meaningful PE(NRI) only.
AMS' s PE(NRI) Range Over the Past 10 Years
Min: 9.11  Med: 23.93 Max: 400
Current: 30.57
9.11
400
Price/Owner Earnings (ttm) 8.63
AMS's Price/Owner Earnings (ttm) is ranked higher than
88% of the 91 Companies
in the Global Medical Care industry.

( Industry Median: 26.85 vs. AMS: 8.63 )
Ranked among companies with meaningful Price/Owner Earnings (ttm) only.
AMS' s Price/Owner Earnings (ttm) Range Over the Past 10 Years
Min: 2.09  Med: 6.55 Max: 114.58
Current: 8.63
2.09
114.58
P/B 1.11
AMS's P/B is ranked higher than
84% of the 231 Companies
in the Global Medical Care industry.

( Industry Median: 2.50 vs. AMS: 1.11 )
Ranked among companies with meaningful P/B only.
AMS' s P/B Range Over the Past 10 Years
Min: 0.26  Med: 0.66 Max: 1.95
Current: 1.11
0.26
1.95
P/S 1.34
AMS's P/S is ranked higher than
54% of the 237 Companies
in the Global Medical Care industry.

( Industry Median: 1.45 vs. AMS: 1.34 )
Ranked among companies with meaningful P/S only.
AMS' s P/S Range Over the Past 10 Years
Min: 0.24  Med: 0.76 Max: 1.92
Current: 1.34
0.24
1.92
PFCF 3.58
AMS's PFCF is ranked higher than
97% of the 105 Companies
in the Global Medical Care industry.

( Industry Median: 23.25 vs. AMS: 3.58 )
Ranked among companies with meaningful PFCF only.
AMS' s PFCF Range Over the Past 10 Years
Min: 0.87  Med: 2.35 Max: 56
Current: 3.58
0.87
56
POCF 2.94
AMS's POCF is ranked higher than
95% of the 153 Companies
in the Global Medical Care industry.

( Industry Median: 14.44 vs. AMS: 2.94 )
Ranked among companies with meaningful POCF only.
AMS' s POCF Range Over the Past 10 Years
Min: 0.59  Med: 1.76 Max: 4.5
Current: 2.94
0.59
4.5
EV-to-EBIT 13.33
AMS's EV-to-EBIT is ranked higher than
74% of the 188 Companies
in the Global Medical Care industry.

( Industry Median: 20.40 vs. AMS: 13.33 )
Ranked among companies with meaningful EV-to-EBIT only.
AMS' s EV-to-EBIT Range Over the Past 10 Years
Min: 7  Med: 13.65 Max: 75.6
Current: 13.33
7
75.6
EV-to-EBITDA 5.10
AMS's EV-to-EBITDA is ranked higher than
97% of the 201 Companies
in the Global Medical Care industry.

( Industry Median: 14.49 vs. AMS: 5.10 )
Ranked among companies with meaningful EV-to-EBITDA only.
AMS' s EV-to-EBITDA Range Over the Past 10 Years
Min: 2.9  Med: 5 Max: 7.2
Current: 5.1
2.9
7.2
Shiller P/E 1318.73
AMS's Shiller P/E is ranked lower than
98% of the 45 Companies
in the Global Medical Care industry.

( Industry Median: 28.63 vs. AMS: 1318.73 )
Ranked among companies with meaningful Shiller P/E only.
AMS' s Shiller P/E Range Over the Past 10 Years
Min: 2.44  Med: 12.44 Max: 1318.73
Current: 1318.73
2.44
1318.73
Current Ratio 0.78
AMS's Current Ratio is ranked lower than
78% of the 252 Companies
in the Global Medical Care industry.

( Industry Median: 1.27 vs. AMS: 0.78 )
Ranked among companies with meaningful Current Ratio only.
AMS' s Current Ratio Range Over the Past 10 Years
Min: 0.36  Med: 1.5 Max: 4.13
Current: 0.78
0.36
4.13
Quick Ratio 0.78
AMS's Quick Ratio is ranked lower than
73% of the 252 Companies
in the Global Medical Care industry.

( Industry Median: 1.14 vs. AMS: 0.78 )
Ranked among companies with meaningful Quick Ratio only.
AMS' s Quick Ratio Range Over the Past 10 Years
Min: 0.36  Med: 1.5 Max: 4.13
Current: 0.78
0.36
4.13
Days Sales Outstanding 88.31
AMS's Days Sales Outstanding is ranked lower than
88% of the 208 Companies
in the Global Medical Care industry.

( Industry Median: 42.10 vs. AMS: 88.31 )
Ranked among companies with meaningful Days Sales Outstanding only.
AMS' s Days Sales Outstanding Range Over the Past 10 Years
Min: 67.01  Med: 79.09 Max: 93.87
Current: 88.31
67.01
93.87
Days Payable 10.87
AMS's Days Payable is ranked lower than
86% of the 160 Companies
in the Global Medical Care industry.

( Industry Median: 38.65 vs. AMS: 10.87 )
Ranked among companies with meaningful Days Payable only.
AMS' s Days Payable Range Over the Past 10 Years
Min: 7.13  Med: 13.46 Max: 27.58
Current: 10.87
7.13
27.58

Buy Back

vs
industry
vs
history
3-Year Average Share Buyback Ratio -5.20
AMS's 3-Year Average Share Buyback Ratio is ranked lower than
61% of the 125 Companies
in the Global Medical Care industry.

( Industry Median: -2.50 vs. AMS: -5.20 )
Ranked among companies with meaningful 3-Year Average Share Buyback Ratio only.
AMS' s 3-Year Average Share Buyback Ratio Range Over the Past 10 Years
Min: -10.6  Med: -0.1 Max: 8
Current: -5.2
-10.6
8

Valuation & Return

vs
industry
vs
history
Price/Tangible Book 1.11
AMS's Price/Tangible Book is ranked higher than
89% of the 180 Companies
in the Global Medical Care industry.

( Industry Median: 3.58 vs. AMS: 1.11 )
Ranked among companies with meaningful Price/Tangible Book only.
AMS' s Price/Tangible Book Range Over the Past 10 Years
Min: 0.27  Med: 0.74 Max: 1.83
Current: 1.11
0.27
1.83
Price/Projected FCF 0.45
AMS's Price/Projected FCF is ranked higher than
95% of the 99 Companies
in the Global Medical Care industry.

( Industry Median: 1.72 vs. AMS: 0.45 )
Ranked among companies with meaningful Price/Projected FCF only.
AMS' s Price/Projected FCF Range Over the Past 10 Years
Min: 0.11  Med: 0.31 Max: 0.54
Current: 0.45
0.11
0.54
Price/Median PS Value 1.76
AMS's Price/Median PS Value is ranked lower than
85% of the 207 Companies
in the Global Medical Care industry.

( Industry Median: 1.02 vs. AMS: 1.76 )
Ranked among companies with meaningful Price/Median PS Value only.
AMS' s Price/Median PS Value Range Over the Past 10 Years
Min: 0.15  Med: 1.11 Max: 3.08
Current: 1.76
0.15
3.08
Price/Graham Number 1.23
AMS's Price/Graham Number is ranked higher than
80% of the 128 Companies
in the Global Medical Care industry.

( Industry Median: 2.41 vs. AMS: 1.23 )
Ranked among companies with meaningful Price/Graham Number only.
AMS' s Price/Graham Number Range Over the Past 10 Years
Min: 0.09  Med: 0.95 Max: 3.29
Current: 1.23
0.09
3.29
Earnings Yield (Greenblatt) (%) 7.50
AMS's Earnings Yield (Greenblatt) (%) is ranked higher than
81% of the 238 Companies
in the Global Medical Care industry.

( Industry Median: 3.80 vs. AMS: 7.50 )
Ranked among companies with meaningful Earnings Yield (Greenblatt) (%) only.
AMS' s Earnings Yield (Greenblatt) (%) Range Over the Past 10 Years
Min: 1.3  Med: 7.3 Max: 14.4
Current: 7.5
1.3
14.4
Forward Rate of Return (Yacktman) (%) 7.53
AMS's Forward Rate of Return (Yacktman) (%) is ranked lower than
57% of the 114 Companies
in the Global Medical Care industry.

( Industry Median: 9.76 vs. AMS: 7.53 )
Ranked among companies with meaningful Forward Rate of Return (Yacktman) (%) only.
AMS' s Forward Rate of Return (Yacktman) (%) Range Over the Past 10 Years
Min: 7.5  Med: 20.25 Max: 52.9
Current: 7.53
7.5
52.9

More Statistics

Revenue (TTM) (Mil) $17.80
EPS (TTM) $ 0.14
Beta0.74
Short Percentage of Float0.55%
52-Week Range $1.51 - 4.40
Shares Outstanding (Mil)5.37
» More Articles for AMS

Headlines

Articles On GuruFocus.com
American Shared Hospital Services: Can a Gamma Knife Generate Alpha? Apr 30 2012 
American Shared Hospital Services Reports Operating Results (10-Q) Nov 15 2010 
American Shared Hospital Services (AMS) CHAIRMAN AND CEO, 10% Owner Shared Hospital Services America Sep 14 2010 
American Shared Hospital Services Reports Operating Results (10-Q) Aug 16 2010 
American Shared Hospital Services Reports Operating Results (10-Q) May 17 2010 
American Shared Hospital Services Reports Operating Results (10-Q) Nov 16 2009 
American Shared Hospital Services Reports Operating Results (10-Q) Aug 14 2009 
American Shared Hospital Services Reports Operating Results (10-Q) May 15 2009 

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