AMS (American Shared Hospital Services) Debt-to-EBITDA : 7.73 (As of Mar. 2026) — 235% Above Median

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AMS American Shared Hospital Services AMS
51 GF Score
Price $1.45
GF Value $3.41
Valuation Possible Value Trap
! 7 Warning Signs
View Full Analysis

What is American Shared Hospital Services Debt-to-EBITDA?

American Shared Hospital Services AMS +4.32% 51 Debt-to-EBITDA is 7.73 as of Mar. 2026, which is 235% above its 10-year median of 2.31. GuruFocus rates AMS with a GF Score™ of 51/100 and a GF Value™ of $3.41 (Possible Value Trap). The stock has 7 warning signs investors should review. Among 478 Healthcare Providers & Services companies, American Shared Hospital Services ranks worse than 77.41% on this metric.

Debt-to-EBITDA measures a company's ability to pay off its debt.

American Shared Hospital Services's Short-Term Debt & Capital Lease Obligation for the quarter that ended in Mar. 2026 was $18.26 Mil. American Shared Hospital Services's Long-Term Debt & Capital Lease Obligation for the quarter that ended in Mar. 2026 was $4.19 Mil. American Shared Hospital Services's annualized EBITDA for the quarter that ended in Mar. 2026 was $2.90 Mil. American Shared Hospital Services's annualized Debt-to-EBITDA for the quarter that ended in Mar. 2026 was 7.73.

A high Debt-to-EBITDA ratio generally means that a company may spend more time to paying off its debt. According to Joel Tillinghast's BIG MONEY THINKS SMALL: Biases, Blind Spots, and Smarter Investing, a ratio of Debt-to-EBITDA exceeding four is usually considered scary unless tangible assets cover the debt.

The historical rank and industry rank for American Shared Hospital Services's Debt-to-EBITDA or its related term are showing as below:

AMS' s Debt-to-EBITDA Range Over the Past 10 Years
Min: -10.1   Med: 2.31   Max: 5.56
Current: 5.41

During the past 13 years, the highest Debt-to-EBITDA Ratio of American Shared Hospital Services was 5.56. The lowest was -10.10. And the median was 2.31.

AMS's Debt-to-EBITDA is ranked worse than
77.41% of 478 companies
in the Healthcare Providers & Services industry
Industry Median: 2.25 vs AMS: 5.41

American Shared Hospital Services  (AMEX:AMS) Debt-to-EBITDA Explanation

In the calculation of Debt-to-EBITDA, we use the total of Short-Term Debt & Capital Lease Obligation and Long-Term Debt & Capital Lease Obligation divided by EBITDA. In some calculations, Total Liabilities is used to for calculation.


Be Aware

A high Debt-to-EBITDA ratio generally means that a company may spend more time to paying off its debt.

According to Joel Tillinghast's BIG MONEY THINKS SMALL: Biases, Blind Spots, and Smarter Investing, a ratio of Debt-to-EBITDA exceeding four is usually considered scary unless tangible assets cover the debt.


American Shared Hospital Services Debt-to-EBITDA Related Terms


American Shared Hospital Services Debt-to-EBITDA Historical Data

* Premium members only.

The historical data trend for American Shared Hospital Services's Debt-to-EBITDA can be seen below:

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

American Shared Hospital Services Debt-to-EBITDA Chart

American Shared Hospital Services Annual Data
Trend Dec16 Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
Debt-to-EBITDA
Get a 7-Day Free Trial Premium Member Only Premium Member Only 2.62 1.77 2.53 2.61 5.56

American Shared Hospital Services Quarterly Data
Jun21 Sep21 Dec21 Mar22 Jun22 Sep22 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24 Sep24 Dec24 Mar25 Jun25 Sep25 Dec25 Mar26
Debt-to-EBITDA Get a 7-Day Free Trial Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only 10.84 5.00 4.02 13.49 7.73

AMS vs BMGL, HLYK, BICX: Debt-to-EBITDA Comparison

For the Medical Care Facilities subindustry, American Shared Hospital Services's Debt-to-EBITDA, along with its competitors' market caps and Debt-to-EBITDA data, can be viewed below:

* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.


American Shared Hospital Services Debt-to-EBITDA vs Healthcare Providers & Services Industry

For the Healthcare Providers & Services industry and Healthcare sector, American Shared Hospital Services's Debt-to-EBITDA distribution charts can be found below:

* The bar in red indicates where American Shared Hospital Services's Debt-to-EBITDA falls into.


AMS
51GF Score
American Shared Hospital Services AMS
Debt-to-EBITDA is just one metric. See GF Score™, valuation, warning signs, and more.
View Full Analysis

American Shared Hospital Services Debt-to-EBITDA Calculation

Debt-to-EBITDA measures a company's ability to pay off its debt.

American Shared Hospital Services's Debt-to-EBITDA for the fiscal year that ended in Dec. 2025 is calculated as

Debt-to-EBITDA=Total Debt / EBITDA
=(Short-Term Debt & Capital Lease Obligation + Long-Term Debt & Capital Lease Obligation) / EBITDA
=(18.381 + 4.229) / 4.068
=5.56

American Shared Hospital Services's annualized Debt-to-EBITDA for the quarter that ended in Mar. 2026 is calculated as

Debt-to-EBITDA=Total Debt / EBITDA
=(Short-Term Debt & Capital Lease Obligation + Long-Term Debt & Capital Lease Obligation) / EBITDA
=(18.255 + 4.187) / 2.904
=7.73

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

In the calculation of annual Debt-to-EBITDA, the EBITDA of the last fiscal year is used. In calculating the annualized quarterly data, the EBITDA data used here is four times the quarterly (Mar. 2026) EBITDA data.

Frequently Asked Questions Learn more about Debt-to-EBITDA →
What does a Debt-to-EBITDA of 7.73 mean?
American Shared Hospital Services (AMS) has a Debt-to-EBITDA of 7.73 as of Mar. 2026. Debt-to-EBITDA ratio represents the ratio of total debt to total earnings before interest, taxes, depreciation and amortization. View historical data on American Shared Hospital Services. This is 235% above median its historical median of 2.31. According to the industry distribution chart, American Shared Hospital Services ranks #370 out of 478 companies in the Healthcare Providers & Services industry, placing it in the top 77.4%.
Is American Shared Hospital Services' Debt-to-EBITDA too high?
American Shared Hospital Services' current Debt-to-EBITDA of 7.73 is 235% above median its 10-year median of 2.31. The Healthcare Providers & Services industry median Debt-to-EBITDA is 2.25. American Shared Hospital Services' value of 7.73 is 243.6% above this industry median. Based on the distribution chart, American Shared Hospital Services ranks #370 out of 478 companies in the Healthcare Providers & Services industry, which is in the bottom quartile relative to peers. Overall, American Shared Hospital Services has a GF Score™ of 51/100 and is considered Possible Value Trap, reflecting its overall financial health beyond just this single metric.
How does American Shared Hospital Services' Debt-to-EBITDA compare to BMGL and HLYK?
According to the Healthcare Providers & Services industry distribution chart, American Shared Hospital Services ranks #370 out of 478 companies for Debt-to-EBITDA. This places American Shared Hospital Services in the lower half of its industry. The industry median Debt-to-EBITDA is 2.25. American Shared Hospital Services' value of 7.73 is 243.6% above this benchmark. While the company's 10-year median is 2.31 vs. the industry median of 2.25, American Shared Hospital Services has consistently been above the industry average. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Debt-to-EBITDA for a Healthcare Providers & Services company?
The median Debt-to-EBITDA among Healthcare Providers & Services companies is 2.25, based on 478 companies in the industry. Companies in the top quartile (top 25%) have a Debt-to-EBITDA significantly above this median, while those in the bottom quartile fall well below. However, Debt-to-EBITDA should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. American Shared Hospital Services's current Debt-to-EBITDA of 7.73 is 243.6% above the industry median. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Debt-to-EBITDA mean?
A high Debt-to-EBITDA can signal that a stock is expensive relative to its fundamentals. Debt-to-EBITDA ratio represents the ratio of total debt to total earnings before interest, taxes, depreciation and amortization. View historical data on American Shared Hospital Services. For the Healthcare Providers & Services industry, the median Debt-to-EBITDA is 2.25 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. American Shared Hospital Services's current Debt-to-EBITDA is 7.73, which is 235% above median its own 10-year median of 2.31. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is American Shared Hospital Services stock overvalued right now?
Based on GuruFocus' analysis, American Shared Hospital Services (AMS) is currently considered Possible Value Trap. The stock's GF Value™ is $3.41, compared to a current price of $1.45 — trading 57.5% below its estimated fair value. The current Debt-to-EBITDA is 7.73, which is 235% above median its 10-year median of 2.31 and 243.6% above the Healthcare Providers & Services industry median of 2.25. American Shared Hospital Services' overall GF Score™ is 51/100 with 7 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Debt-to-EBITDA calculated?
Debt-to-EBITDA is calculated from a company's financial statements. For American Shared Hospital Services (AMS), the current Debt-to-EBITDA is 7.73 as of Mar. 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.

Is American Shared Hospital Services (AMS) Overvalued in 2026?

Based on GuruFocus' analysis, American Shared Hospital Services stock appears to be undervalued. The current stock price of $1.45 is trading 57.5% below its estimated GF Value™ of $3.41. GuruFocus considers American Shared Hospital Services to be Possible Value Trap.

Key valuation signals for AMS:

  • Debt-to-EBITDA: 7.73 (235% above median its 10-year median of 2.31)
  • GF Value™: $3.41 vs. price of $1.45 (57.5% below fair value)
  • GF Score™: 51/100 with 7 warning signs
  • Industry Position: 243.6% above the Healthcare Providers & Services median (#370 of 478)

No single metric tells the full story. See the AMS stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.


American Shared Hospital Services Business Description

Address 601 Montgomery Street, Suite 850, San Francisco, CA, USA, 94111-2619
American Shared Hospital Services provides stereotactic radiosurgery equipment, Advanced radiation therapy, and related equipment. It currently provides Gamma Knife units to medical centers and stand-alone facilities. Company operates in two segments, the medical equipment leasing segment where a contract exists between the hospital and the Company and the direct patient services segment, where a contract exists between the Company facilities and the individual treated at the facility. The company, along with its subsidiaries, operates through the following operations: Gamma Knife, Advanced Radiation Therapy Equipment and Services, and Proton Beam Radiation Therapy Operations. It generates it's key revenue from the domestic market.
51GF Score

Get the complete analysis for AMS

Debt-to-EBITDA is just one metric. See GF Value™, 30-year financials, guru trades, warning signs, and more.

$1.45
Price
$3.41
GF Value