American Shared Hospital Services (AMS) risk factors, FY2024 10-K

Other

1. 01If the Company is not successful at diversifying its business model, its revenues and profitability may decline
2. 02The Federal reimbursement rate for Gamma Knife treatments may not provide the Company with an adequate return on its investment
3. 03The Company's revenue sharing is subject to payor mix variability which could negatively impact the Company's revenue and financial results
4. 04The Company’s capital investment at each site is substantial and the Company may not be able to fully recover its costs or capital investment which could have a material negative impact on its revenues and financial results
5. 05The market for the Gamma Knife is limited and the Company may not be able to place additional Gamma Knife units which could negatively impact the Company's revenue and financial results
6. 06The Company has incurred debt and may incur additional debt to finance its operations and if the Company is unable to secure additional credit in the future its operations and profits will be negatively impacted
7. 07The Company’s debt agreements contain restrictions that limit its flexibility in operating its business, and the Company may be required to repay the outstanding indebtedness in an event of default, which would have an adverse effect on our business
8. 08The Company’s failure to file certain financial statements in connection with the RI Acquisition pursuant to Rules 8-04 and 8-05 of Regulation S-X and Item 9.01 of Form 8-K will limit the Company’s ability to raise capital
9. 09If the Company is not successful in addressing these risks effectively, the Company’s business and operations could be impaired
10. 10The Company’s cash flow could become insufficient to service its debt due to financial, business, and other factors
11. 11A small number of customers account for a major portion of our revenues and the loss of any one of these significant customers could have a material adverse effect on the Company's business and results of operations
12. 12The Company occupies many of its facilities under long-term leases and the Company may not be able to renew its leases at the end of their terms
13. 13The market for the Company’s services is competitive and if the Company is not able to compete its business and results of operations could be negatively impacted
14. 14There are alternatives to the Gamma Knife and medical centers could choose to use other radiosurgery devices instead of the Gamma Knife
15. 15International operations make the Company vulnerable to risks associated with doing business in foreign countries that can affect its business, financial condition, results of operations and cash flows
16. 16Flaws in the Company’s due-diligence assessment in connection with the equity interests and payor contracts acquired in the RI Acquisition could have a significant negative effect on the Company’s financial condition and results of operations
17. 17New technology and products could result in making the Company's equipment obsolete which could have a material adverse impact on its business and results of operations
18. 18Macroeconomic conditions could have a material adverse effect on our business, results of operations, and financial condition
19. 19We are subject to risks associated with foreign operations, including political, economic, and regulatory uncertainties
20. 20The potential impairment of our Gamma Knife portfolio and its salvage value could adversely impact our financial condition and results of operations

Stock Ownership Risk

1. 21The trading volume of the Company’s common stock is low
2. 22Our officers, directors and principal shareholders collectively own a substantial portion of our common stock
3. 23our corporate financing activities
4. 24We do not anticipate paying dividends on our common stock