Revenue: As of FY2026 Q1, the actual value is USD 7.084 M.

EPS: As of FY2026 Q1, the actual value is USD -0.09.

EBIT: As of FY2026 Q1, the actual value is USD -621 K.

Segment Revenue

• Total Revenue: American Shared Hospital Services reported total revenue of $7.1 million for the first quarter of 2026, an increase of 15.9% compared to $6.1 million in the prior year period.
• Direct Patient Services Revenue: Revenue from direct patient services increased by 30.2% to $4.1 million in the first quarter of 2026, up from $3.1 million in the prior year period.
• Leasing Revenue: Leasing revenue remained consistent year-over-year at $3.0 million.

Operational Metrics

• Gross Margin: Gross margin increased by 36.7% to $1.3 million, or 18.2% of revenue, in the first quarter of 2026, compared to $0.9 million, or 15.4%, in the prior year period.
• Operating Loss: The operating loss improved to - $0.9 million in the first quarter of 2026, compared to - $1.3 million in the prior year period.
• Net Loss Attributable to American Shared Hospital Services: The net loss attributable to American Shared Hospital Services was - $0.6 million in both the first quarter of 2026 and the prior year period.
• Adjusted EBITDA: Adjusted EBITDA increased by 18.4% to $1.1 million, compared to $0.9 million in the prior year period.
• Total Cost of Revenue: Total cost of revenue increased by $0.6 million to $5.8 million, up from $5.2 million in the prior year period.
• Selling and Administrative Expenses: Selling and administrative expenses increased modestly to $1.9 million from $1.8 million in the prior year period.
• Interest Expense: Interest expense decreased to $0.3 million from $0.4 million in the prior year period.

Cash Flow

• Cash, Cash Equivalents, and Restricted Cash: As of March 31, 2026, cash, cash equivalents, and restricted cash totaled $5.2 million, an increase from $3.7 million at December 31, 2025.

Unique Metrics

• Gamma Knife Procedures: Gamma Knife procedures increased by 10.1% year-over-year, with 229 procedures performed.
• PBRT Treatments: Proton Beam Radiation Therapy (PBRT) treatments increased by 20.7% year-over-year to 1,003.

Outlook / Guidance

American Shared Hospital Services anticipates continued higher volumes into the second quarter of 2026, especially for proton therapy. The company expects this increased utilization to drive further margin expansion and profitability. Management is also focused on enhancing its capital structure and discussing a potential extension of certain debt obligations.