AMERICAN SHARED HOSPITAL SERVICES
For the period ended Dec 31, 2023. Filed Apr 1, 2024.
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A company's yearly report to the SEC, with audited financial statements. It is the fullest account a company gives of its business, its finances and the risks it sees.
FY2023 · Filed Apr 1, 2024
AMS$1.18-3.3%Stored close · as of Nov 10, 2026
Extracted filing text, with the paragraph anchors used by the comparison.
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Item 15. Exhibits and Financial Statement Schedules
| (a) | Financial Statements and Schedules. | |
|---|---|---|
| The following Financial Statements and Schedules are filed with this Report: | ||
| Report of Independent Registered Public Accounting Firm | ||
| Audited Consolidated Financial Statements | ||
| Consolidated Balance Sheets | ||
| Consolidated Statements of Operations | ||
| Consolidated Statement of Shareholders' Equity | ||
| Consolidated Statements of Cash Flows | ||
| Notes to Consolidated Financial Statements | ||
| Financial Statement Schedules- no schedules are included since the required information is not present or is not present in amounts sufficient to require submission of the schedule, or because the information required is included in the financial statements and notes thereto. | ||
| (b) | Exhibits. |
|---|---|
| The following Exhibits are filed with this Report. |
| Exhibit · Incorporated by reference herein | ||||
|---|---|---|---|---|
| Number | Description | Form | Exhibit | Date |
| 3.1 | Articles of Incorporation of the Company. | 10-Q 001-08789 | 3.1 | 5/15/2017 |
| 3.1a | Certificate of Amendment to Articles of Incorporation of the Company. | 10-K 001-08789 | 3.1 | 3/27/2017 |
| 3.2 | By-laws of the Company, as amended to date. | 10-Q 001-08789 | 3.2 | 8/15/2022 |
| 4.1 | Description of Securities Registered Pursuant to Section 12 of the Securities Exchange Act of 1934 | 10-K 001-08789 | 4.1 | 4/6/2021 |
| 10.1 | Operating Agreement for GK Financing, LLC dated as of October 17, 1995 between American Shared Radiosurgery Services, Inc. and GKV Investments, Inc. | S-1 033-63721 | 10.12 | 10/26/1995 |
| 10.1a | Amendment Agreement dated as of October 26, 1995 to the GK Financing, LLC Operating Agreement between American Shared Radiosurgery Services, Inc. and GKV Investments, Inc. | S-1/A 033-63721 | 10.13 | 3/29/1996 |
| 10.1b | Second Amendment Agreement dated as of December 20, 1995 to the GK Financing, LLC Operating Agreement between American Shared Radiosurgery Services, Inc. and GKV Investments, Inc. | S-1/A 033-63721 | 10.13 | 3/29/1996 |
| 10.1c | Third Amendment Agreement dated as of October 16, 1996 to the GK Financing, LLC Operating Agreement between American Shared Radiosurgery Services, Inc. and GKV Investments, Inc. | 10-K 001-08789 | 10.13b | 3/31/1998 |
| 10.1d | Amendment Four Agreement dated as of March 31, 1998 to the GK Financing, LLC Operating Agreement between American Shared Radiosurgery Services, Inc. and GKV Investments, Inc. | 10-K 001-08789 | 10.8 | 3/31/1999 |
| 10.1e | Fifth Amendment Agreement dated as of March 31, 1998 to the GK Financing, LLC Operating Agreement between American Shared Radiosurgery Services, Inc. and GKV Investments, Inc. | 10-K 001-08789 | 10.9 | 3/31/1999 |
| 10.1f | Sixth Amendment Agreement dated as of June 5, 1998 to the GK Financing, LLC Operating Agreement between American Shared Radiosurgery Services, Inc. and GKV Investments, Inc. | 10-K 001-08789 | 10.10 | 3/31/1999 |
| 10.1g | Seventh Amendment Agreement dated as of October 18, 2006 to the GK Financing, LLC Operating Agreement between American Shared Radiosurgery Services, Inc. and GKV Investments, Inc. | 10-K 001-08789 | 10.52 | 4/2/2007 |
| 10.1h | Eighth Amendment Agreement dated as of April 28, 2010 to the GK Financing, LLC Operating Agreement between American Shared Radiosurgery Services, Inc. and GKV Investments, Inc. | 10-K 001-08789 | 10.1h | 3/30/2016 |
| 10.1i | Ninth Amendment Agreement dated as of May 16, 2011 to the GK Financing, LLC Operating Agreement between American Shared Radiosurgery Services, Inc. and GKV Investments, Inc. | 10-K 001-08789 | 10.1i | 3/30/2016 |
| 10.1j | Tenth Amendment Agreement dated as of March 25, 2021 to the GK Financing, LLC Operating Agreement between American Shared Radiosurgery Services, Inc. and GKV Investments, Inc. | 10-K 001-08789 | 10.1j | 3/30/2022 |
| 10.2 | Lease Agreement for a Gamma Knife Unit dated as of October 29, 1996 between GK Financing, LLC and Methodist Healthcare Systems of San Antonio, Ltd., dba Southwest Texas Methodist Hospital. | 10-K 001-08789 | 10.2 | 3/30/2016 | |
| 10.2a | Addendum to Lease Agreement for a Gamma Knife Unit dated as of October 31, 1996 between GK Financing, LLC and Methodist Healthcare System of San Antonio, Ltd., dba Southwest Texas Methodist Hospital. | 10-K 001-08789 | 10.2a | 3/30/2016 | |
| 10.2b | Addendum Two to Lease Agreement for a Gamma Knife Unit dated as of October 16, 1997 between Methodist Healthcare System of San Antonio, Ltd., d.b.a. Southwest Texas Methodist Hospital and GK Financing, LLC. | 10-K 001-08789 | 10.2b | 3/30/2016 | |
| 10.2c | Amendment to Lease Agreement for a Gamma Knife Unit dated as of December 13, 2003 between Methodist Healthcare Systems of San Antonio, Ltd., d/b/a Southwest Texas Methodist Hospital and GK Financing, LLC. | 10-K 001-08789 | 10.2c | 3/30/2016 | |
| 10.2d | # | Second Amendment to Lease Agreement for a Gamma Knife Unit (Perfexion Upgrade) dated as of December 23, 2009 between GK Financing, LLC and Methodist Healthcare Systems of San Antonio, Ltd., d/b/a Southwest Texas Methodist Hospital. | 10-Q 001-08789 | 10.18b | 11/15/2010 |
| 10.2e | Third Amendment to Lease Agreement for a Gamma Knife Unit (Perfexion Upgrade) dated June 1, 2020 between GK Financing, LLC and Methodist Healthcare System of San Antonio, Ltd., d/b/a Southwest Texas Methodist Hospital | 10-Q 001-08789 | 10.4 | 5/12/2023 | |
| 10.2f | * | Fourth Amendment to Lease Agreement for a Gamma Knife Unit (Esprit Upgrade) dated July 28, 2023 between GK Financing, LLC and Methodist Healthcare System of San Antonio, Ltd., L.L.P. (f/k/a Methodist Healthcare System of San Antonio, Ltd.) d/b/a Southwest Texas Methodist Hospital. | |||
| 10.4 | Purchased Services Agreement (for a Gamma Knife Unit) dated as of November 19, 2008 between GK Financing, LLC and Kettering Medical Center. | 10-Q 001-08789 | 10.1 | 8/11/2016 | |
| 10.4a | First Amendment to Purchased Services Agreement (for a Gamma Knife Unit) dated as of June 11, 2009 between GK Financing, LLC and Kettering Medical Center. | 10-Q 001-08789 | 10.1a | 8/11/2016 | |
| 10.4b | # | Second Amendment to Purchased Services Agreement (for a Gamma Knife Unit) dated as of February 27, 2014 between GK Financing, LLC and Kettering Medical Center. | 10-K 001-08789 | 10.21c | 4/1/2015 |
| 10.4c | # | Third Amendment to Purchased Services Agreement (for a Gamma Knife Unit) dated as of March 28, 2019 between GK Financing, LLC and Kettering Medical Center | 10-Q 001-08789 | 10.1 | 11/7/2019 |
| 10.4d | # | Fourth Amendment to Purchased Services Agreement dated April 20, 2021 between GK Financing, LLC and Kettering Medical Center. | 10-Q 001-08789 | 10.1 | 8/14/2023 |
| 10.4e | Fifth Amendment to Purchased Services Agreement dated May 1, 2023 between GK Financing, LLC and Kettering Medical Center. | 10-Q 001-08789 | 10.2 | 8/14/2023 | |
| 10.10 | Lease Agreement for a Gamma Knife Unit dated as of November 1, 1999 between GK Financing, LLC and Jackson HMA, Inc. d/b/a Central Mississippi Medical Center. | 10-K 001-08789 | 10.10 | 3/30/2016 | |
| 10.10a | Addendum to Lease Agreement for a Gamma Knife Unit dated as of November 1, 1999 between Jackson HMA, Inc. dba Central Mississippi Medical Center and GK Financing, LLC. | 10-Q 001-08789 | 10.34 | 8/10/2001 | |
| 10.10b | # | Addendum Two to Lease Agreement for a Gamma Knife Unit dated as of November 6, 2006 between GK Financing, LLC and Jackson HMA, Inc. d/b/a Central Mississippi Medical Center. | 10-K 001-08789 | 10.51 | 4/2/2007 |
| 10.10c · Amendment Three to Lease Agreement for a Gamma Knife Unit dated as of February 23, 2010 between GK Financing, LLC and Jackson HMA, LLC d/b/a Central Mississippi Medical Center. · 10-K 001-08789 · 10.10c · 3/30/2016 | |||||
|---|---|---|---|---|---|
| 10.10d | Amendment Four to Lease Agreement for a Gamma Knife Unit dated as of May 1, 2019 between GK Financing, LLC and Jackson HMA, LLC d/b/a Central Mississippi Medical Center. | 10-Q 001-08789 | 10.1 | 5/11/2020 | |
| 10.11 | Lease Agreement for a Gamma Knife Unit dated as of February 18, 2000 between GK Financing, LLC and OSF HealthCare System. | 10-K 001-08789 | 10.11 | 3/30/2016 | |
| 10.11a | Addendum to Lease Agreement for a Gamma Knife Unit dated as of April 13, 2007, between GK Financing, LLC and OSF Healthcare System. | 10-Q 001-08789 | 10.2 | 8/11/2016 | |
| 10.11b | Addendum Two to Lease Agreement for a Gamma Knife Unit dated as of October 31, 2012 between GK Financing, LLC and OSF Healthcare System. | 10-Q 001-08789 | 10.2a | 8/11/2016 | |
| 10.11c | # | Addendum Three to Lease Agreement for a Gamma Knife Unit dated as of June 7, 2016 between GK Financing, LLC and OSF Healthcare System. | 10-Q 001-08789 | 10.2b | 8/11/2016 |
| 10.11d | Addendum Four to Lease Agreement for a Gamma Knife Unit dated as of February 6, 2020 between GK Financing, LLC and OSF Healthcare System. | 10-K 001-08789 | 10.11d | 4/6/2021 | |
| 10.11e | # | Addendum Five to Lease Agreement for a Gamma Knife Unit dated as of April 28, 2021 between GK Financing, LLC and OSF Healthcare System. | 10-K 001-08789 | 10.11e | 3/30/2022 |
| 10.13 | Equipment Lease Agreement (for a Gamma Knife Unit) dated as of February 13, 2003 between GK Financing, LLC and AHS Albuquerque Regional Medical Center, LLC. | 10-K 001-08789 | 10.13 | 3/30/2016 | |
| 10.13a | # | Amendment to Equipment Lease Agreement (Perfexion Upgrade) dated as of April 8, 2011 between GK Financing, LLC and Lovelace Health System, Inc., d/b/a Lovelace Medical Center. | 10-Q 001-08789 | 10.62 | 8/15/2011 |
| 10.13b | Assignment and Assumption of Purchase and License Agreement dated as of February 2, 2011 between Elekta, Inc., GK Financing, LLC and Albuquerque GK Equipment, LLC. | 10-Q 001-08789 | 10.62a | 8/15/2011 | |
| 10.13c | # | Icon Upgrade and Amendment Two to Equipment Lease Agreement for a Gamma Knife Unit dated as of October 15, 2019 between GK Financing, LLC and Lovelace Health System, Inc., d/b/a Lovelace Medical Center. | 10-Q 001-08789 | 10.1 | 11/13/2020 |
| 10.13d | * | Amendment Three to Equipment Lease Agreement dated as of November 9, 2023 between GK Financing, LLC and Lovelace Health System, LLC d/b/a Lovelace Medical Center. | |||
| 10.14 | Equipment Lease Agreement (for a Gamma Knife Unit) dated as of March 21, 2003 between GK Financing, LLC and Northern Westchester Hospital Center. | 10-K 001-08789 | 10.14 | 3/30/2016 | |
| 10.14a | # | Amendment to Equipment Lease Agreement (Perfexion Upgrade) dated as of June 8, 2012 between GK Financing, LLC and Northern Westchester Hospital Center. | 10-Q 001-08789 | 10.46a | 8/14/2013 |
| 10.14b | # | Amendment Two to Equipment Lease Agreement (Reload) dated as of October 7, 2020 between GK Financing, LLC and Northern Westchester Hospital Association. | 10-Q 001-08789 | 10.1 | 5/13/2021 |
| 10.16 | # | Purchased Services Agreement (for a Gamma Knife Unit) dated as of March 5, 2008 between GK Financing, LLC and USC University Hospital, Inc. | 10-Q 001-08789 | 10.57 | 5/14/2008 |
| 10.16a | # | First Amendment to Purchased Services Agreement (for a Gamma Knife Unit) dated as of April 1, 2009 between GK Financing, LLC and University of Southern California. | 10-Q 001-08789 | 10.57a | 8/14/2009 |
| 10.16b | # | Second Amendment to Purchased Services Agreement (for a Gamma Knife Unit) dated as of October 1, 2013 between GK Financing, LLC and University of Southern California. | 10-Q 001-08789 | 10.57b | 8/14/2014 |
| 10.16c | Third Amendment to Purchased Services Agreement dated as June 30, 2020 between GK Financing, LLC and University of Southern California. | 10-Q 001-08789 | 10.2 | 11/13/2020 | |
| 10.16d | Fourth Amendment to Purchased Services Agreement dated as of July 28, 2021 between GK Financing, LLC and University of Southern California. | 10-Q 001-08789 | 10.1 | 11/10/2021 | |
| 10.18 | # | Leksell Gamma Knife Perfexion Purchased Services Agreement dated as of August 5, 2011 between Jacksonville GK Equipment, LLC and St. Vincent’s Medical Center, Inc. | 10-K 001-08789 | 10.63 | 3/30/2012 |
| 10.18a | # | First Amendment to the Leksell Gamma Knife Perfexion Purchased Services Agreement dated as of October 10, 2011 between Jacksonville GK Equipment, LLC and St. Vincent’s Medical Center, Inc. | 10-K 001-08789 | 10.63a | 3/30/2012 |
| 10.19 | # | Leksell Gamma Knife Perfexion Purchased Services Agreement dated as of January 19, 2012 between GK Financing, LLC and Sacred Heart Health System, Inc. | 10-Q 001-08789 | 10.65 | 5/15/2013 |
| 10.20 | # | Leksell Gamma Knife Perfexion Purchased Services Agreement dated as of March 27, 2014 between GK Financing, LLC and PeaceHealth doing business through its operating division PeaceHealth Sacred Heart Medical Center at RiverBend. | 10-K 001-08789 | 10.67 | 4/1/2015 |
| 10.20a | Amendment One to Leksell Gamma Knife Perfexion Purchased Services Agreement dated as of March 27, 2014 between GKF Financing, LLC and PeaceHealth Sacred Heart Medical Center at Riverbend. | 10-Q 001-08789 | 10.2 | 5/13/2021 | |
| 10.20b | * | Amendment Two to Leksell Gamma Knife Perfexion Purchased Services Agreement dated as of January 19, 2024 between GKF Financing, LLC and PeaceHealth Sacred Heart Medical Center at RiverBend, | |||
| 10.21 | # | Equipment Lease Agreement (for a Gamma Knife Unit) dated as of February 21, 2017 between Bryan Medical Center, and GK Financing, LLC. | 10-Q 001-08789 | 10.1 | 11/13/2017 |
| 10.21a | # | First Amendment to Equipment Lease Agreement (for a Gamma Knife unit) dated as of February 14, 2018 between Bryan Medical Center and GK Financing, LLC | 10-Q 001-08789 | 10.1 | 5/10/2018 |
| 10.22 | # | Proton Beam Radiation Therapy Lease Agreement dated as of October 18, 2006 between American Shared Hospital Services and Orlando Regional Healthcare System, Inc. | 10-Q 001-08789 | 10.3 | 8/11/2016 |
| 10.22a | # | Amendment One to Proton Beam Radiation Therapy Lease Agreement dated as of August 12, 2012 between American Shared Hospital Services and Orlando Health, Inc., formerly known as Orlando Regional Healthcare System, Inc. | 10-Q 001-08789 | 10.3a | 8/11/2016 |
| 10.23a | # | Equipment Lease Agreement (for a Gamma Knife Unit) dated as of May 8, 2018 between The Methodist Hospitals, Inc. and GK Financing, LLC | 10-Q 001-08789 | 10.1 | 5/13/2019 |
| 10.23b | * | First Amendment to Lease Agreement for a Gamma Knife Unit (Perfexion on site upgrade to Elekta Esprit) dated as of April 18, 2023 between The Methodist Hospitals, Inc. and GK Financing, LLC. | |||
| 10.23c | * | Second Amendment to Lease Agreement for a Gamma Knife Unit (Cobalt-60 Reload) dated as of June 13, 2023 between The Methodist Hospitals, Inc. and GK Financing, LLC. | |||
| 10.24 | • | American Shared Hospital Services Incentive Compensation Plan as Amended and Restated effective June 25, 2021 | 8-K 001-08789 | 10.1 | 7/1/2021 |
| 10.25 | • | Form of Indemnification Agreement between American Shared Hospital Services and members of its Board of Directors. | 10-K 001-08789 | 10.26 | 3/30/2016 |
| 10.26 | • | Form of American Shared Hospital Services Incentive Compensation Plan Performance Share Award Agreement. | 10-K 001-08789 | 10.25 | 3/27/2017 |
| 10.27 | • | Form of American Shared Hospital Services Incentive Compensation Plan Restricted Stock Unit Issuance Agreement. | 10-Q 001-08789 | 10.2 | 5/12/2023 |
| 10.28 | • | Form of American Shared Hospital Services Incentive Compensation Plan Notice of Grant of Incentive Stock Option. | 10-Q 001-08789 | 10.3 | 5/12/2023 |
| 10.29 | • | Offer Letter between the Company and Mr. Raymond C. Stachowiak dated April 22, 2020 | 8-K 001-08789 | 99.1 | 4/22/2020 |
| 10.30 | • | Offer Letter between the Company and Peter Gaccione dated August 26, 2022. | 8-K 001-08789 | 10.1 | 9/1/2022 |
| 10.31 | • | Offer Letter between the Company and Robert Hiatt dated April 12, 2023. | 8-K 001-08789 | 10.1 | 4/18/2023 |
| 10.32a | Credit Agreement dated as of April 9, 2021 among the Company, PBRT Orlando, LLC and GK Financing, LLC as the initial co-Borrowers, and American Shared Radiosurgery Services as the initial additional Loan Party and Fifth Third Bank, National Association, as Lender. | 8-K 001-08789 | 10.1 | 4/15/2021 | |
| 10.32b | First Amendment to Credit Agreement dated as of January 25, 2024 among the Company, PBRT Orlando, LLC and GK Financing, LLC as the Borrowers, American Shared Radiosurgery Services as a Loan Party and Fifth Third Bank, National Association, as Lender. | 8-K 001-08789 | 10.1 | 1/31/2024 | |
| 10.33a | Investment Agreement dated as of November 10, 2023 between GenesisCare USA, Inc., GenesisCare USA Holdings, Inc., and the Company. | 8-K 001-08789 | 10.1 | 11/16/2023 | |
| 10.33b | * | First Amendment to Investment Agreement dated as of March 1, 2024 between the Company, GenesisCare USA, Inc., and GenesisCare USA Holdings, Inc. | |||
| 21.1 | * | Subsidiaries of the Company | |||
| 23.1 | * | Consent of Independent Registered Public Accounting Firm | |||
| 31.1 | * | Certification of Principal Executive Officer pursuant to Rule 13a-14a/15d-14a, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 |
| 31.2 | * | Certification of Principal Financial Officer pursuant to Rule 13a-14a/15d-14a, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 |
| 32.1 | ǂ | Certifications of Principal Executive Officer and Principal Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 |
| 97 | * | American Shared Hospital Services Compensation Recoupment Policy, effective October 2, 2023. |
| 101.INS | * | Inline XBRL Instance Document |
| 101.SCH | * | Inline XBRL Taxonomy Extension Schema Document |
| 101.CAL | * | Inline XBRL Taxonomy Calculation Linkbase Document |
| 101.DEF | * | Inline XBRL Taxonomy Definition Linkbase Document |
| 101.LAB | * | Inline XBRL Taxonomy Label Linkbase Document |
| 101.PRE | * | Inline XBRL Taxonomy Extension Presentation Linkbase Document |
| 104 | * | Cover Page Interactive Data File - the cover page XBRL tags are embedded within the Inline Instance XBRL contained in Exhibit 101 |
| * | Filed herewith. | |
| ǂ | Furnished herewith. | |
| # | As permitted by Regulation S-K, Item 601(b)(10)(iv) of the Securities Exchange Act of 1934, as amended, certain confidential portions of this exhibit have been redacted from the publicly filed document. The Company agrees to furnish supplementally an unredacted copy of the exhibit to the Securities and Exchange Commission upon its request. Omitted information has been replaced with asterisks. | |
| • | Indicates management compensatory plan, contract, or arrangement. |
The text of this filing, as the company filed it with the SEC, without its images or exhibits. This is not investment advice.