Tearsheet

American Shared Hospital Services (AMS)


Market Price (5/11/2026): $1.87 | Market Cap: $12.5 Mil
Sector: Health Care | Industry: Health Care Facilities

American Shared Hospital Services (AMS)


Market Price (5/11/2026): $1.87
Market Cap: $12.5 Mil
Sector: Health Care
Industry: Health Care Facilities

Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.

0

Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 11%

Megatrend and thematic drivers
Megatrends include Precision Medicine, and Aging Population & Chronic Disease. Themes include Targeted Therapies, and Oncology Treatments.

Weak multi-year price returns
2Y Excs Rtn is -81%, 3Y Excs Rtn is -114%

Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -2.0 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -7.2%

Debt is significant
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is 152%

Weak revenue growth
Rev Chg QQuarterly Revenue Change % is -15%

Not cash flow generative
FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -23%

Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -16%

Key risks
AMS key risks include [1] a lender default threatening its immediate liquidity, Show more.

0 Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 11%
1 Megatrend and thematic drivers
Megatrends include Precision Medicine, and Aging Population & Chronic Disease. Themes include Targeted Therapies, and Oncology Treatments.
2 Weak multi-year price returns
2Y Excs Rtn is -81%, 3Y Excs Rtn is -114%
3 Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -2.0 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -7.2%
4 Debt is significant
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is 152%
5 Weak revenue growth
Rev Chg QQuarterly Revenue Change % is -15%
6 Not cash flow generative
FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -23%
7 Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -16%
8 Key risks
AMS key risks include [1] a lender default threatening its immediate liquidity, Show more.

Valuation, Metrics & Events

Price Chart

Why The Stock Moved

Qualitative Assessment

AI Analysis | Feedback

American Shared Hospital Services (AMS) stock has lost about 10% since 1/31/2026 because of the following key factors:

1. Significant Miss in Q4 2025 Earnings and Revenue. American Shared Hospital Services reported a net loss of $0.09 per diluted share for Q4 2025, missing analysts' consensus estimates of a $0.02 EPS by $0.11. Additionally, quarterly revenue came in at $7.73 million, falling below analysts' expectations of $8.78 million and representing a 14.8% decrease from the prior period. This performance significantly impacted investor sentiment.

2. Decline in Medical Equipment Leasing Revenue Due to Contract Expirations. A core reason for the revenue decline was a 33.9% decrease in revenue from the medical equipment leasing segment in Q4 2025, primarily driven by the expiration of three Gamma Knife contracts and lower proton beam radiation therapy (PBRT) volumes. This highlights challenges in retaining and securing new leasing agreements.

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Stock Movement Drivers

Fundamental Drivers

The -11.8% change in AMS stock from 1/31/2026 to 5/11/2026 was primarily driven by a -6.8% change in the company's P/S Multiple.
(LTM values as of)13120265112026Change
Stock Price ($)2.121.87-11.8%
Change Contribution By: 
Total Revenues ($ Mil)2928-4.6%
P/S Multiple0.50.4-6.8%
Shares Outstanding (Mil)77-0.8%
Cumulative Contribution-11.8%

LTM = Last Twelve Months as of date shown

Market Drivers

1/31/2026 to 5/11/2026
ReturnCorrelation
AMS-10.8% 
Market (SPY)3.6%-22.2%
Sector (XLV)-7.2%-11.0%

Fundamental Drivers

The -17.3% change in AMS stock from 10/31/2025 to 5/11/2026 was primarily driven by a -12.5% change in the company's P/S Multiple.
(LTM values as of)103120255112026Change
Stock Price ($)2.261.87-17.3%
Change Contribution By: 
Total Revenues ($ Mil)2928-4.0%
P/S Multiple0.50.4-12.5%
Shares Outstanding (Mil)77-1.5%
Cumulative Contribution-17.3%

LTM = Last Twelve Months as of date shown

Market Drivers

10/31/2025 to 5/11/2026
ReturnCorrelation
AMS-16.4% 
Market (SPY)5.5%-14.6%
Sector (XLV)-0.0%-3.0%

Fundamental Drivers

The -30.7% change in AMS stock from 4/30/2025 to 5/11/2026 was primarily driven by a -28.6% change in the company's P/S Multiple.
(LTM values as of)43020255112026Change
Stock Price ($)2.701.87-30.7%
Change Contribution By: 
Total Revenues ($ Mil)2828-0.9%
P/S Multiple0.60.4-28.6%
Shares Outstanding (Mil)77-2.1%
Cumulative Contribution-30.7%

LTM = Last Twelve Months as of date shown

Market Drivers

4/30/2025 to 5/11/2026
ReturnCorrelation
AMS-30.0% 
Market (SPY)30.4%-4.5%
Sector (XLV)3.6%-13.9%

Fundamental Drivers

The -32.7% change in AMS stock from 4/30/2023 to 5/11/2026 was primarily driven by a -51.5% change in the company's P/S Multiple.
(LTM values as of)43020235112026Change
Stock Price ($)2.781.87-32.7%
Change Contribution By: 
Total Revenues ($ Mil)202842.2%
P/S Multiple0.90.4-51.5%
Shares Outstanding (Mil)77-2.5%
Cumulative Contribution-32.7%

LTM = Last Twelve Months as of date shown

Market Drivers

4/30/2023 to 5/11/2026
ReturnCorrelation
AMS-32.0% 
Market (SPY)78.7%1.6%
Sector (XLV)12.6%-6.2%

Return vs. Risk

Price Returns Compared

 202120222023202420252026Total [1]
Returns
AMS Return7%24%-19%34%-34%-4%-9%
Peers Return39%2%18%13%21%9%149%
S&P 500 Return27%-19%24%23%16%8%97%

Monthly Win Rates [3]
AMS Win Rate50%58%50%67%17%40% 
Peers Win Rate63%53%57%53%62%40% 
S&P 500 Win Rate75%42%67%75%67%60% 

Max Drawdowns [4]
AMS Max Drawdown-3%-11%-25%0%-36%-39% 
Peers Max Drawdown-6%-31%-10%-11%-20%-13% 
S&P 500 Max Drawdown-1%-25%-1%-2%-15%-7% 


[1] Cumulative total returns since the beginning of 2021
[2] Peers: ACHC, HCA, THC, ENSG, UHS.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2026 data is for the year up to 5/11/2026 (YTD)

How Low Can It Go

EventAMSS&P 500
2025 US Tariff Shock
  % Loss-18.4%-18.8%
  % Gain to Breakeven22.6%23.1%
  Time to Breakeven126 days79 days
2024 Yen Carry Trade Unwind
  % Loss-11.3%-7.8%
  % Gain to Breakeven12.7%8.5%
  Time to Breakeven6 days18 days
Summer-Fall 2023 Five Percent Yield Shock
  % Loss-19.1%-9.5%
  % Gain to Breakeven23.6%10.5%
  Time to Breakeven71 days24 days
2023 SVB Regional Banking Crisis
  % Loss-23.7%-6.7%
  % Gain to Breakeven31.0%7.1%
  Time to Breakeven298 days31 days
2022 Inflation Shock & Fed Tightening
  % Loss-12.1%-24.5%
  % Gain to Breakeven13.7%32.4%
  Time to Breakeven1 days427 days
2020 COVID-19 Crash
  % Loss-47.7%-33.7%
  % Gain to Breakeven91.3%50.9%
  Time to Breakeven90 days140 days

Compare to ACHC, HCA, THC, ENSG, UHS

In The Past

American Shared Hospital Services's stock fell -18.4% during the 2025 US Tariff Shock. Such a loss loss requires a 22.6% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

EventAMSS&P 500
2023 SVB Regional Banking Crisis
  % Loss-23.7%-6.7%
  % Gain to Breakeven31.0%7.1%
  Time to Breakeven298 days31 days
2020 COVID-19 Crash
  % Loss-47.7%-33.7%
  % Gain to Breakeven91.3%50.9%
  Time to Breakeven90 days140 days
Q4 2018 Fed Policy Error / Growth Scare
  % Loss-40.2%-19.2%
  % Gain to Breakeven67.1%23.7%
  Time to Breakeven860 days105 days
2015-2016 China Devaluation / Global Growth Scare
  % Loss-39.6%-12.2%
  % Gain to Breakeven65.6%13.9%
  Time to Breakeven104 days62 days
2014-2016 Oil Price Collapse
  % Loss-34.3%-6.8%
  % Gain to Breakeven52.1%7.3%
  Time to Breakeven99 days15 days
2011 US Debt Ceiling Crisis & European Contagion
  % Loss-20.3%-17.9%
  % Gain to Breakeven25.5%21.8%
  Time to Breakeven161 days123 days
2008-2009 Global Financial Crisis
  % Loss-54.8%-53.4%
  % Gain to Breakeven121.1%114.4%
  Time to Breakeven86 days1085 days

Compare to ACHC, HCA, THC, ENSG, UHS

In The Past

American Shared Hospital Services's stock fell -18.4% during the 2025 US Tariff Shock. Such a loss loss requires a 22.6% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About American Shared Hospital Services (AMS)

American Shared Hospital Services leases radiosurgery and radiation therapy equipment to health care providers. The company offers radiosurgery equipment for the Gamma Knife stereotactic radiosurgery, a non-invasive procedure to treat malignant and benign brain tumors, and arteriovenous malformations, as well as for trigeminal neuralgia. It also provides financing services for Leksell Gamma Knife units. In addition, the company offers proton beam radiation therapy services in Orlando, Florida and Long Beach, California, as well as offers planning, installation, reimbursement, and marketing support services to its customers. As of December 31, 2021, it had 115 operating Gamma Knife units located in the United States, as well as two in South America in Lima, Peru and Guayaquil, Ecuador. The company also operates one PBRT system. American Shared Hospital Services was founded in 1980 and is based in San Francisco, California.

AI Analysis | Feedback

Like Xerox, but instead of office copiers, they lease extremely advanced radiosurgery and radiation therapy equipment to hospitals.

A "Netflix for advanced cancer treatment equipment," providing hospitals with access to cutting-edge radiosurgery and radiation therapy machines without the massive upfront purchase.

AI Analysis | Feedback

  • Gamma Knife Equipment Leasing: Leases radiosurgery equipment, specifically Gamma Knife units, to healthcare providers for non-invasive brain treatments.
  • Gamma Knife Unit Financing: Provides financing services specifically for Leksell Gamma Knife units.
  • Proton Beam Radiation Therapy (PBRT) Services: Offers direct proton beam radiation therapy services at facilities in Orlando, Florida, and Long Beach, California.
  • Customer Support Services: Provides planning, installation, reimbursement, and marketing support to its healthcare provider customers.

AI Analysis | Feedback

American Shared Hospital Services (AMS) primarily sells to other companies, specifically various types of health care providers.

Its major customers are:

  • Hospitals: Large medical institutions that utilize AMS's radiosurgery and radiation therapy equipment, such as Gamma Knife units and Proton Beam Radiation Therapy (PBRT) systems, to provide advanced treatments to their patients.
  • Medical Centers/Clinics: Specialized medical facilities that offer radiation oncology or neurosurgery services and lease equipment from AMS to expand their treatment capabilities.

AI Analysis | Feedback

  • Elekta AB (STO: EKTA B)
  • Mevion Medical Systems, Inc.

AI Analysis | Feedback

Ray Stachowiak, Executive Chairman and Chief Executive Officer Ray Stachowiak assumed the role of Executive Chairman and Chief Executive Officer of American Shared Hospital Services in April 2024, following the passing of the previous CEO. He previously served as CEO from October 2020 and as Interim President and CEO from May 2020. Mr. Stachowiak has been a Director of the company since 2009. He is also noted as the founder and owner of Shared Imaging. Bob Hiatt, Chief Financial Officer Bob Hiatt serves as the Chief Financial Officer for American Shared Hospital Services, a role he continued in as of April 2024. Gary Delanois, Executive Vice President and Chief Operating Officer Gary Delanois was appointed Executive Vice President and Chief Operating Officer in October 2024. He brings over 28 years of progressive healthcare management experience, providing solutions to Physician Groups, Health Systems, ACO's, and Health Plans. Mr. Delanois's background includes deep experience with physician and payor relationships, as well as billing and collection policies. He previously served as CEO of HCA Physician Services of SWFL and is a Certified Public Accountant (inactive). Craig K. Tagawa, President Craig K. Tagawa was promoted to President and Chief Operating Officer in April 2024. Given Gary Delanois's appointment as EVP and COO in October 2024, Mr. Tagawa is likely currently serving as President. He has been with American Shared Hospital Services since 1988 and served as CFO since 1992. Ranjit Pradhan, Senior Vice President of Sales and Marketing Ranjit Pradhan was promoted to Senior Vice President of Sales and Marketing in October 2024. He previously held the title of Head of Marketing and Customer Advocacy, and Vice President of Customer Advocacy and Global Marketing. Mr. Pradhan has 30 years of experience in healthcare, with roles spanning product management, marketing, technology, and general management at Fortune 100 and global companies such as GE, Abbott, Elekta, Sysmex, and Philips. He also has senior leadership and advisor positions with startups.

AI Analysis | Feedback

The key risks to American Shared Hospital Services (AMS) are primarily related to external regulatory and market dynamics, the inherent nature of leasing advanced medical technology, and its financial health.
  1. Changes to CMS Reimbursement Rates or Methodology: A significant portion of the company's revenue and the demand for its equipment leasing and direct patient care services are dependent on reimbursement rates from government programs like Medicare (Centers for Medicare & Medicaid Services - CMS) and private insurers. Unfavorable changes to these rates or the methodologies used for reimbursement for Gamma Knife, proton therapy, and other advanced radiation therapy services could directly and adversely impact the profitability of American Shared Hospital Services and its healthcare provider partners, thereby affecting AMS's business model and financial results.
  2. Technological Obsolescence and Intense Competition: American Shared Hospital Services leases state-of-the-art radiosurgery and radiation therapy equipment, such as Gamma Knife and Proton Beam Radiation Therapy (PBRT) systems. The rapid pace of technological advancements in the medical equipment industry poses a risk that the company's existing equipment could become outdated or less competitive. While American Shared Hospital Services' business model often transfers the risk of technological obsolescence from the medical center to the company, this means AMS itself bears the burden of ensuring its offerings remain current and competitive. The market for these advanced therapies is also subject to intense competition from other equipment providers and alternative treatment modalities, which could impact demand for AMS's services.
  3. Financing and Liquidity Risks: American Shared Hospital Services operates in a capital-intensive industry, requiring substantial investment in medical equipment. The company's ability to maintain and expand its equipment fleet, as well as its overall operations, is dependent on access to financing and maintaining sufficient liquidity. A notable risk in this area is evidenced by the company receiving a notice of default from its lender in December 2025 due to failing to maintain required minimum unrestricted cash and cash equivalents. This highlights the criticality of managing debt obligations and maintaining adequate financial resources.

AI Analysis | Feedback

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AI Analysis | Feedback

American Shared Hospital Services (AMS) operates in two primary addressable markets: radiosurgery equipment leasing, specifically for Gamma Knife stereotactic radiosurgery, and proton beam radiation therapy (PBRT) services.

Gamma Knife Stereotactic Radiosurgery Market

The global market for Gamma Knife is valued at several hundred million U.S. dollars. In 2024, the global Gamma Knife market size was approximately USD 468.22 million and is projected to reach USD 691.78 million by 2032, exhibiting a compound annual growth rate (CAGR) of 5.00%. Another report estimated the global Gamma Knife market at USD 470.3 million in 2023, with a projection to reach USD 742.3 million by 2033 at a CAGR of 5.2%.

North America is a significant region in the global Gamma Knife market, expected to hold the largest market share, with the U.S. being a leading contributor due to advanced neurosurgical infrastructure and high healthcare spending.

Proton Beam Radiation Therapy Market

The global market for proton therapy, including systems and services, is considerably larger, valued in the billions of U.S. dollars. The global proton therapy systems market size was US$ 1.52 billion in 2024 and is forecast to rise to US$ 1.66 billion by 2025. It is expected to surpass US$ 3.72 billion by 2034, growing at a CAGR of 9.44%. Other estimates place the global proton therapy market at approximately USD 572.5 million in 2024, projected to reach around USD 1,995.62 million by 2034 with a CAGR of 13.30%. Additionally, the global proton therapy market was valued at USD 1.57 billion in 2023 and is predicted to grow to around USD 5.86 billion by 2032.

North America is a dominant region in the proton therapy market. In 2024, North America held approximately 40% of the proton therapy systems market revenue share. The North America proton therapy market size was calculated at USD 246.18 million in 2024 and is expected to grow at a CAGR of 13.42%. North America's leadership in this market is attributed to rising cancer cases and technological advancements.

AI Analysis | Feedback

American Shared Hospital Services (AMS) is expected to drive future revenue growth over the next 2-3 years through several strategic initiatives focused on expanding its direct patient care services, technological advancements, and geographical footprint.

  1. Expansion into Direct Patient Care Services through Strategic Acquisitions: American Shared Hospital Services is actively transitioning from primarily leasing equipment to becoming a direct provider of radiation therapy treatment services. This shift is a significant revenue driver, exemplified by the acquisition of a 60% majority interest in three Rhode Island radiation therapy centers in May 2024. This acquisition led to substantial revenue growth in the direct patient services segment, with a 253% increase in fiscal year 2024 and a 224% increase in the first quarter of 2025. The company continues to focus on business development and operational efficiencies within this segment.
  2. Growth in Proton Beam Radiation Therapy (PBRT): The company is investing in the expansion of its Proton Beam Radiation Therapy offerings. A notable driver is the Certificate of Need (CON) approval received in December 2024 for a subsidiary to construct and operate a freestanding PBRT system in Johnston, Rhode Island. This facility is anticipated to begin treating patients in 36-39 months and represents a significant technological advancement in cancer care, creating greater access to this specialized treatment in the Northeast.
  3. International Expansion, Particularly in Latin America: American Shared Hospital Services is expanding its international presence as a key revenue growth strategy. This includes the launch of new radiation therapy operations in Puebla, Mexico, which contributed to significant growth in the direct patient services segment in 2024. Additionally, the company expects long-term growth from a new Esprit Gamma Knife center being installed in Guadalajara, Mexico, with operations projected to start in late 2025 or the second quarter of 2026. The company also noted revenue growth in Peru and Ecuador in fiscal year 2024.
  4. Modernization and Strategic Placement of Gamma Knife Systems: While the equipment leasing segment, including Gamma Knife operations, has seen some fluctuations, the company is focused on upgrading existing Gamma Knife systems and securing long-term lease extensions with health systems. For instance, a 10-year extension for an upgraded Gamma Knife system has been signed. This strategy aims to sustain and enhance revenue from its core Gamma Knife business through modern technology and strategic placements like the new Esprit in Guadalajara.

AI Analysis | Feedback

Share Repurchases

American Shared Hospital Services has shown minimal to no significant share repurchases over the last 3-5 years. The trailing twelve months (TTM) Buyback Yield stands at 0%. Over the past five years, the median Buyback Yield for the company was 0%, with the highest recorded at 0% and the lowest at -0.04% in March 2022.

Share Issuance

The number of shares outstanding for American Shared Hospital Services increased by 1.57% in one year. As of December 30, 2024, the company had 6.54 million shares outstanding.

Capital Expenditures

American Shared Hospital Services reported capital expenditures of -$14.28 million in the last 12 months. The latest trailing twelve months (TTM) Capital Expenditure to Operating Cash Flow (CapEx/OCF) stands at 343.06%. Over the past five years, the average CapEx/OCF was 345.43%, reaching a high of 4576.65% on December 31, 2024. These capital expenditures are primarily focused on acquiring and maintaining radiosurgery and radiation therapy equipment, such as Gamma Knife and proton beam radiation therapy systems, which are central to the company's leasing business.

Better Bets vs. American Shared Hospital Services (AMS)

Latest Trefis Analyses

TitleDate
0DASHBOARDS 
1American Shared Hospital Services Earnings Notes12/16/2025
2null10/17/2025
Title
0ARTICLES

Trade Ideas

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ABT_4302026_Dip_Buyer_ValueBuy04302026ABTAbbott LaboratoriesDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
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ZBIO_4302026_Insider_Buying_45D_2Buy_200K04302026ZBIOZenas BioPharmaInsiderInsider Buys 45DStrong Insider Buying
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Recent Active Movers

Peer Comparisons

Peers to compare with:

Financials

AMSACHCHCATHCENSGUHSMedian
NameAmerican.Acadia H.HCA Heal.Tenet He.Ensign Universa. 
Mkt Price1.8725.01426.30189.25167.01168.21167.61
Mkt Cap0.02.395.316.49.610.310.0
Rev LTM283,37176,38821,8685,27417,76011,517
Op Inc LTM-239311,9733,8334492,0421,245
FCF LTM-7-2927,9273,349216883550
FCF 3Y Avg-5-3186,1022,172200843522
CFO LTM318212,9994,3665921,9061,249
CFO 3Y Avg324710,9313,0514471,7701,108

Growth & Margins

AMSACHCHCATHCENSGUHSMedian
NameAmerican.Acadia H.HCA Heal.Tenet He.Ensign Universa. 
Rev Chg LTM-0.9%6.8%6.7%6.5%19.2%10.4%6.8%
Rev Chg 3Y Avg13.3%7.7%7.9%4.1%18.2%9.4%8.6%
Rev Chg Q-14.8%7.6%4.3%10.7%18.4%9.6%8.6%
QoQ Delta Rev Chg LTM-4.6%1.8%1.0%2.6%4.3%2.3%2.0%
Op Inc Chg LTM-213.3%-16.6%10.4%25.2%18.9%16.8%13.6%
Op Inc Chg 3Y Avg-88.3%-5.8%8.9%18.0%16.5%25.1%12.7%
Op Mgn LTM-7.2%11.7%15.7%17.5%8.5%11.5%11.6%
Op Mgn 3Y Avg3.3%14.8%15.1%15.0%8.0%10.4%12.6%
QoQ Delta Op Mgn LTM-9.1%-0.0%-0.2%1.4%0.1%0.0%-0.0%
CFO/Rev LTM11.0%5.4%17.0%20.0%11.2%10.7%11.1%
CFO/Rev 3Y Avg12.8%7.8%15.2%14.4%9.8%10.9%11.9%
FCF/Rev LTM-23.2%-8.7%10.4%15.3%4.1%5.0%4.5%
FCF/Rev 3Y Avg-17.7%-10.1%8.5%10.2%4.5%5.2%4.9%

Valuation

AMSACHCHCATHCENSGUHSMedian
NameAmerican.Acadia H.HCA Heal.Tenet He.Ensign Universa. 
Mkt Cap0.02.395.316.49.610.310.0
P/S0.40.71.20.81.80.60.7
P/Op Inc-6.25.88.04.321.55.05.4
P/EBIT-7.6-2.57.94.119.94.74.4
P/E-8.0-2.014.09.626.66.88.2
P/CFO4.012.47.33.816.35.46.4
Total Yield-12.3%-48.9%7.8%10.2%3.9%15.3%5.9%
Dividend Yield0.0%0.0%0.7%0.0%0.1%0.5%0.1%
FCF Yield 3Y Avg-37.6%-9.6%6.5%16.1%2.4%7.2%4.4%
D/E1.81.20.50.80.20.50.7
Net D/E1.51.10.50.60.20.50.6

Returns

AMSACHCHCATHCENSGUHSMedian
NameAmerican.Acadia H.HCA Heal.Tenet He.Ensign Universa. 
1M Rtn38.5%-3.6%-14.0%-3.1%-16.1%-7.0%-5.3%
3M Rtn-13.4%85.4%-14.2%-1.9%-16.2%-20.9%-13.8%
6M Rtn-9.2%37.6%-6.9%-2.8%-7.9%-24.3%-7.4%
12M Rtn-33.2%4.9%21.3%27.2%22.4%-7.1%13.1%
3Y Rtn-32.2%-64.9%58.2%171.9%82.8%22.2%40.2%
1M Excs Rtn29.9%-12.3%-22.7%-11.7%-24.7%-15.7%-14.0%
3M Excs Rtn-19.8%79.0%-20.6%-8.3%-22.5%-27.4%-20.2%
6M Excs Rtn-21.6%13.1%-19.6%-17.5%-18.8%-35.9%-19.2%
12M Excs Rtn-64.6%-27.6%-9.6%-3.5%-7.7%-39.0%-18.6%
3Y Excs Rtn-113.9%-145.9%-25.3%95.0%0.4%-61.7%-43.5%

Comparison Analyses

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Financials

Price Behavior

Price Behavior
Market Price$1.89 
Market Cap ($ Bil)0.0 
First Trading Date09/07/1984 
Distance from 52W High-37.8% 
   50 Days200 Days
DMA Price$1.73$2.16
DMA Trenddowndown
Distance from DMA9.2%-12.5%
 3M1YR
Volatility81.7%57.8%
Downside Capture-0.310.00
Upside Capture-113.24-46.74
Correlation (SPY)-17.3%-5.4%
AMS Betas & Captures as of 4/30/2026

 1M2M3M6M1Y3Y
Beta-3.47-1.14-0.95-0.58-0.190.04
Up Beta-5.87-5.19-4.35-2.89-1.30-0.01
Down Beta0.100.140.640.130.550.09
Up Capture-111%-97%-83%-45%-22%-2%
Bmk +ve Days15223166141428
Stock +ve Days712214296319
Down Capture995%174%107%71%67%41%
Bmk -ve Days4183056108321
Stock -ve Days12243561126373

[1] Upside and downside betas calculated using positive and negative benchmark daily returns respectively
Based On 1-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with AMS
AMS-35.2%57.6%-0.54-
Sector ETF (XLV)8.6%15.4%0.34-12.3%
Equity (SPY)28.1%12.5%1.78-4.8%
Gold (GLD)42.9%26.9%1.30-5.4%
Commodities (DBC)48.6%18.0%2.14-0.5%
Real Estate (VNQ)13.6%13.5%0.70-3.4%
Bitcoin (BTCUSD)-22.4%41.7%-0.503.0%

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Based On 5-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with AMS
AMS-7.1%49.6%0.02-
Sector ETF (XLV)4.8%14.6%0.151.7%
Equity (SPY)12.9%17.1%0.5910.7%
Gold (GLD)21.2%17.9%0.96-2.3%
Commodities (DBC)13.5%19.1%0.585.4%
Real Estate (VNQ)3.6%18.8%0.097.2%
Bitcoin (BTCUSD)8.5%56.0%0.3610.2%

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Based On 10-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with AMS
AMS-0.6%60.2%0.23-
Sector ETF (XLV)9.2%16.5%0.4511.1%
Equity (SPY)15.0%17.9%0.7214.4%
Gold (GLD)13.4%15.9%0.702.3%
Commodities (DBC)9.5%17.7%0.457.1%
Real Estate (VNQ)5.6%20.7%0.2412.2%
Bitcoin (BTCUSD)68.1%66.9%1.076.3%

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Short Interest

Short Interest: As Of Date4302026
Short Interest: Shares Quantity0.1 Mil
Short Interest: % Change Since 41520265482.1%
Average Daily Volume0.3 Mil
Days-to-Cover Short Interest1
Basic Shares Quantity6.7 Mil
Short % of Basic Shares1.6%

Earnings Returns History

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 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
3/31/2026-19.9%-23.8%-26.0%
11/13/2025-1.8%-7.6%-4.9%
8/13/20250.2%-4.7%-3.5%
4/4/2025-5.3%-9.7%-7.7%
11/13/20248.4%6.0%21.1%
8/14/2024-3.2%-2.3%-2.8%
3/28/20249.7%9.3%17.8%
11/13/20236.1%11.1%8.2%
...
SUMMARY STATS   
# Positive13119
# Negative6810
Median Positive2.3%5.5%8.2%
Median Negative-2.9%-5.2%-4.2%
Max Positive12.5%13.2%35.5%
Max Negative-19.9%-23.8%-26.0%

SEC Filings

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Report DateFiling DateFiling
12/31/202503/31/202610-K
09/30/202511/14/202510-Q
06/30/202508/13/202510-Q
03/31/202505/15/202510-Q
12/31/202404/04/202510-K
09/30/202411/14/202410-Q
06/30/202408/14/202410-Q
03/31/202405/15/202410-Q
12/31/202304/01/202410-K
09/30/202311/14/202310-Q
06/30/202308/14/202310-Q
03/31/202305/12/202310-Q
12/31/202203/31/202310-K
09/30/202211/10/202210-Q
06/30/202208/15/202210-Q
03/31/202205/12/202210-Q