AMS / American Shared Hospital Services - Pengajuan SECLaporan Tahunan, Pernyataan Proksi

American Shared Hospital Services
US ˙ NYSEAM ˙ US0295951059

Mga Batayang Estadistika
CIK 744825
SEC Filings
All companies that sell securities in the United States must register with the Securities and Exchange Commission (SEC) and file reports on a regular basis. These reports include company annual reports (10K, 10Q), news updates (8K), investor presentations (found in 8Ks), insider trades (form 4), ownership reports (13D, and 13G), and reports related to the specific securities sold, such as registration statements and prospectus. This page shows recent SEC filings related to American Shared Hospital Services
SEC Filings (Chronological Order)
Halaman ini menyediakan daftar lengkap dan kronologis dari Pengajuan SEC, tidak termasuk pengajuan kepemilikan yang kami sediakan di tempat lain.
August 13, 2025 EX-99.1

American Shared Hospital Services Reports Second Quarter 2025 Financial Results Total Revenue Increased 16% Sequentially Conference Call Scheduled for 1:00 PM ET Today

Exhibit 99.1 American Shared Hospital Services Reports Second Quarter 2025 Financial Results Total Revenue Increased 16% Sequentially Conference Call Scheduled for 1:00 PM ET Today SAN FRANCISCO, CA, August 13, 2025 – American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of stereotactic radiosurgery equipment and advanced radiation therapy cancer treatment serv

August 13, 2025 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): August 13, 2025 AMERICAN SHARED H

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): August 13, 2025 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (

August 13, 2025 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2025 or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

July 2, 2025 8-K/A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K/A Amendment No. 1 CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): April 3, 2025 A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K/A Amendment No. 1 CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): April 3, 2025 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of

July 2, 2025 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): June 26, 2025 AMERICAN SHARED HOS

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): June 26, 2025 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (Co

June 9, 2025 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): June 3, 2025 AMERICAN SHARED HOSP

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): June 3, 2025 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (Com

June 9, 2025 EX-16.1

Moss Adams Letter to the Securities and Exchange Commission dated June 9, 2025

Exhibit 16.1 June 9, 2025 U.S. Securities and Exchange Commission 100 F Street, NE Washington, DC 20549 Ladies and Gentlemen: We have read the statements made by the American Shared Hospital Services included under Item 4.01 of its Current Report on Form 8-K dated June 3, 2025 to be filed with the Securities and Exchange Commission. We agree with the statements concerning our Firm contained therei

May 15, 2025 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): May 15, 2025 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (Com

May 15, 2025 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 2025 or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

May 15, 2025 EX-99.1

American Shared Hospital Services Reports First Quarter 2025 Financial Results Reports 17% Year over Year First Quarter Revenue Growth Conference Call Scheduled for 12:00 PM ET Today

Exhibit 99.1 American Shared Hospital Services Reports First Quarter 2025 Financial Results Reports 17% Year over Year First Quarter Revenue Growth Conference Call Scheduled for 12:00 PM ET Today SAN FRANCISCO, CA, May 15, 2025 – American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of stereotactic radiosurgery equipment and advanced radiation therapy cancer tr

April 30, 2025 DEFA14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. )

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant ☒ Filed by a Party other than the Registrant ☐ Check the appropriate box: ☐ Preliminary Proxy Statement ☐ Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) ☐ Defin

April 30, 2025 DEF 14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. )

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant ☒ Filed by a Party other than the Registrant ☐ Check the appropriate box: ☐ Preliminary Proxy Statement ☐ Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) ☒ Defin

April 4, 2025 EX-19.1

AMERICAN SHARED HOSPITAL SERVICES POLICY ON INSIDE INFORMATION AND INSIDER TRADING Adopted September 7, 2017, as amended and restated June 25, 2021 by the Board of Directors of American Shared Hospital Services

Exhibit 19.1 AMERICAN SHARED HOSPITAL SERVICES POLICY ON INSIDE INFORMATION AND INSIDER TRADING Adopted September 7, 2017, as amended and restated June 25, 2021 by the Board of Directors of American Shared Hospital Services I. Introduction The purpose of this Insider Trading Policy (the “Policy”) is to promote compliance with applicable securities laws by American Shared Hospital Services and its

April 4, 2025 EX-21.1

The subsidiaries of American Shared Hospital Services are

Exhibit 21.1 The subsidiaries of American Shared Hospital Services are: MedLeader.com, Inc. A California corporation OR21, Inc. A California corporation OR21, LLC A Washington limited liability company Long Beach Equipment, LLC A Delaware limited liability company American Shared Radiosurgery Services A California corporation PBRT Orlando LLC A Delaware limited liability company ASHS-Rhode Island

April 4, 2025 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): April 3, 2025 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (Co

April 4, 2025 EX-99.1

American Shared Hospital Services Reports Fourth Quarter and Strong Full Year 2024 Financial Results Appoints Gary Delanois as Chief Executive Officer Conference Call Scheduled for 1:00 PM ET Today

Exhibit 99.1 American Shared Hospital Services Reports Fourth Quarter and Strong Full Year 2024 Financial Results Appoints Gary Delanois as Chief Executive Officer Conference Call Scheduled for 1:00 PM ET Today SAN FRANCISCO, CA, April 4, 2025 – American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of stereotactic radiosurgery equipment and advanced radiation t

April 4, 2025 10-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 10-K

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 10-K (Mark One) ☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED December 31, 2024 or ☐ TRANSITION REPORT PURSUANT To SECTION 13 or 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM TO.

March 31, 2025 NT 10-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 12b-25 NOTIFICATION OF LATE FILING Commission File Number: 001-40793

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 12b-25 NOTIFICATION OF LATE FILING Commission File Number: 001-40793 (Check One): ☒Form 10-K ☐ Form 20-F ☐ Form 11-K ☐Form 10-Q ☐ Form 10-D ☐ Form N-SAR ☐ Form N-CSR For Period Ended: December 31, 2024 ☐ Transition Report on Form 10-K ☐ Transition Report on Form 20-F ☐ Transition Report on Form 11-K ☐ Transition Report on

January 3, 2025 EX-99.1

JOINT FILING AGREEMENT

Exhibit 99.1 JOINT FILING AGREEMENT Pursuant to and in accordance with the Securities Exchange Act of 1934, as amended, and the rules and regulations thereunder (the “Exchange Act”), the undersigned hereby agree to the joint filing on behalf of each of them of any filing required by such party under Section 13 of the Exchange Act or any rule or regulation thereunder (including any amendment, resta

December 26, 2024 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): December 17, 2024 AMERICAN SHARED

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): December 17, 2024 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation)

December 26, 2024 EX-10.2

Transition and Severance Agreement between the Company and Robert Hiatt, dated December 19, 2024.

Exhibit 10.2 TRANSITION AND SEVERANCE AGREEMENT This Transition and Severance Agreement (this “Agreement”) is by and between Robert Hiatt (“Executive”) and American Shared Hospital Services (“the “Company”). Executive and the Company will be collectively referred to as the “Parties.” The terms and conditions of Exhibit A, which is considered a material part of this Agreement, are explicitly includ

December 26, 2024 EX-10.1

Second Amendment to Credit Agreement dated as of December 18, 2024 by and among American Shared Hospital Services, PBRT Orlando, LLC, and GK Financing, LLC as co-borrowers, American Shared Radiosurgery Services as a loan party, and Fifth Third Bank, National Association, as Lender.

Exhibit 10.1 SECOND AMENDMENT TO CREDIT AGREEMENT This SECOND AMENDMENT TO CREDIT AGREEMENT (this “Amendment”) is entered into as of December 18, 2024, by and among AMERICAN SHARED HOSPITAL SERVICES, a California corporation (“ASHS”), PBRT ORLANDO, LLC, a Delaware limited liability company (“PBRT Orlando”), and GK FINANCING, LLC, a California limited liability company and indirect Subsidiary of AS

December 26, 2024 EX-10.3

Offer Letter from the Company to Mr. Scott Frech, dated December 19, 2024.

Exhibit 10.3 AMERICAN SHARED HOSPITAL SERVICES 601 MONTGOMERY STREET, SUITE 1112 SAN FRANCISCO, CALIFORNIA 94111 TEL 415.788.5300 WEB ASHS.COM Scott Frech Address 1 Address 2 Tinley Park, IL Dear Scott, American Shared Hospital Services (“ASHS”) is pleased to offer you full-time employment as our Chief Financial Officer (“CFO”). In this salary exempt position, you will be paid an annual salary of

December 26, 2024 EX-99.1

American Shared Hospital Services Announces Official Notice of Certificate of Need Approval to Acquire the Technology to Construct and Operate a Proton Beam Radiation Therapy Facility in the State of Rhode Island

Exhibit 99.1 American Shared Hospital Services Announces Official Notice of Certificate of Need Approval to Acquire the Technology to Construct and Operate a Proton Beam Radiation Therapy Facility in the State of Rhode Island SAN FRANCISCO, CA, December 17, 2024 - American Shared Hospital Services (NYSE American: AMS) (the “Company” or “AMS”), a leading provider of turnkey technology solutions for

November 20, 2024 SC 13D

AMS / American Shared Hospital Services / Zucker Anita G - SCHEDULE 13D Activist Investment

SC 13D 1 zucker20241120sc13d.htm SCHEDULE 13D UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. ) American Shared Hospital Services (Name of Issuer) Common Stock, No Par Value (Title of Class of Securities) 029595-10-5 (CUSIP Number) TIGH II, LLC Attention: Robert Johnston The InterTech Group, Inc. 4838 Jenk

November 14, 2024 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended September 30, 2024 or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

November 13, 2024 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): November 13, 2024 AMERICAN SHARED

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): November 13, 2024 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation)

November 13, 2024 EX-99.1

American Shared Hospital Services Reports Third Quarter 2024 Financial Results - Revenue increases 36.3% period over period – - Conference Call on November 13th at 1:00 pm ET -

Exhibit 99.1 American Shared Hospital Services Reports Third Quarter 2024 Financial Results - Revenue increases 36.3% period over period – - Conference Call on November 13th at 1:00 pm ET - SAN FRANCISCO, CA, November 13, 2024 ‒ American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for stereotactic radiosurgery and advanced radia

October 18, 2024 EX-10.1

Offer of Employment from the Company to Mr. Gary Delanois dated October 4, 2024

Exhibit 10.1

October 18, 2024 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): October 18, 2024 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation)

October 18, 2024 EX-99.1

American Shared Hospital Services Announces Key Management Appointments Hires Gary Delanois, Seasoned Radiation Oncology Services Executive, as Chief Operating Officer Promotes Ranjit Pradhan to Senior Vice President of Sales and Marketing

Exhibit 99.1 American Shared Hospital Services Announces Key Management Appointments Hires Gary Delanois, Seasoned Radiation Oncology Services Executive, as Chief Operating Officer Promotes Ranjit Pradhan to Senior Vice President of Sales and Marketing SAN FRANCISCO, CA, October 18, 2024 ‒ American Shared Hospital Services (NYSE American: AMS) (the “Company”), a leading provider of turnkey technol

August 14, 2024 EX-10.1

AMENDMENT THREE TO LEKSELL GAMMA KNIFE PERFEXION PURCHASED SERVICES AGREEMENT

Exhibit 10.1 AMENDMENT THREE TO LEKSELL GAMMA KNIFE PERFEXION PURCHASED SERVICES AGREEMENT This AMENDMENT THREE TO LEKSELL GAMMA KNIFE PERFEXION PURCHASED SERVICES AGREEMENT (this "Amendment") is made and entered into as of the date of the last party to sign below, by and between GK FINANCING, LLC, a California limited liability company (''GKF"), and PEACEHEALTH, a Washington non-profit corporatio

August 14, 2024 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2024 or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

August 14, 2024 EX-99.1

American Shared Hospital Services Reports Strong Second Quarter 2024 Financial Results - Revenue increases 27% year over year– - Reports gain of $3.7 million from strategic acquisition of Rhode Island Radiation Therapy Cancer Centers - - Now treating

Exhibit 99.1 American Shared Hospital Services Reports Strong Second Quarter 2024 Financial Results - Revenue increases 27% year over year– - Reports gain of $3.7 million from strategic acquisition of Rhode Island Radiation Therapy Cancer Centers - - Now treating patients at new Puebla, Mexico center - - Conference Call on August 14th at 6:30 pm ET - SAN FRANCISCO, CA, August 14, 2024 ‒ American S

August 14, 2024 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): August 14, 2024 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (

July 23, 2024 8-K

Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d)of the Securities Exchange Act of 1934 Date of Report (Date of the earliest event reported): July 23, 2024 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction (Commission (I.R.S

July 2, 2024 8-K

Submission of Matters to a Vote of Security Holders

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): June 25, 2024 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (Co

May 15, 2024 EX-10.4

FOURTH AMENDMENT TO INVESTMENT AGREEMENT

Exhibit 10.4 FOURTH AMENDMENT TO INVESTMENT AGREEMENT This Fourth Amendment to Investment Agreement dated as of May 7, 2024 (this “Fourth Amendment”) is made by and among (a) American Shared Hospital Services, a California corporation (“Purchaser”), (b) GenesisCare USA, Inc., a Florida corporation (as in existence on the date hereof, as a debtor-in-possession and a reorganized debtor, as applicabl

May 15, 2024 EX-10.3

THIRD AMENDMENT TO INVESTMENT AGREEMENT

Exhibit 10.3 THIRD AMENDMENT TO INVESTMENT AGREEMENT This Third Amendment to Investment Agreement dated as of April 24, 2024 (this “Third Amendment”) is made by and among (a) American Shared Hospital Services, a California corporation (“Purchaser”), (b) GenesisCare USA, Inc., a Florida corporation (as in existence on the date hereof, as a debtor-in-possession and a reorganized debtor, as applicabl

May 15, 2024 EX-10.1

AMENDMENT THREE TO EQUIPMENT LEASE AGREEMENT (ESPRIT UPGRADE)

Exhibit 10.1 [*****] Text Omitted for Confidential Treatment. The redacted information has been excluded because it is both (i) not material and (ii) would be competitively harmful if publicly disclosed. AMENDMENT THREE TO EQUIPMENT LEASE AGREEMENT (ESPRIT UPGRADE) This AMENDMENT THREE TO EQUIPMENT LEASE AGREEMENT (ESPRIT UPGRADE) (“Amendment Three”) is dated effective as of April 24, 2024 (the “E

May 15, 2024 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 2024 or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

May 15, 2024 EX-10.2

SECOND AMENDMENT TO INVESTMENT AGREEMENT

Exhibit 10.2 SECOND AMENDMENT TO INVESTMENT AGREEMENT This Second Amendment to Investment Agreement dated as of April 18, 2024 (this “Second Amendment”) is made by and among (a) American Shared Hospital Services, a California corporation (“Purchaser”), (b) GenesisCare USA, Inc., a Florida corporation (as in existence on the date hereof, as a debtor-in-possession and a reorganized debtor, as applic

May 14, 2024 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): May 14, 2024 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (Com

May 14, 2024 EX-99.1

American Shared Hospital Services Reports First Quarter 2024 Financial Results - Reports Record Projected Revenue Backlog of $210 million more than doubling following the acquisition of Rhode Island Radiation Therapy Cancer Centers in May 2024 - - Re

Exhibit 99.1 American Shared Hospital Services Reports First Quarter 2024 Financial Results - Reports Record Projected Revenue Backlog of $210 million more than doubling following the acquisition of Rhode Island Radiation Therapy Cancer Centers in May 2024 - - Remains on track with opening new Puebla, Mexico center - -Conference Call Today, May 14th at 4:30 pm ET - SAN FRANCISCO, CA, May 14, 2024

May 13, 2024 8-K

Entry into a Material Definitive Agreement, Financial Statements and Exhibits, Completion of Acquisition or Disposition of Assets, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): May 7, 2024 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (Comm

May 13, 2024 EX-99.1

American Shared Hospital Services Announces Closing of Acquisition of 60% Majority Interest in Three Radiation Therapy Cancer Centers in Rhode Island - Adds $9-$10 million in Annual Revenue with Positive Net Income Contribution - - Acquisition more t

Exhibit 99.1 American Shared Hospital Services Announces Closing of Acquisition of 60% Majority Interest in Three Radiation Therapy Cancer Centers in Rhode Island - Adds $9-$10 million in Annual Revenue with Positive Net Income Contribution - - Acquisition more than Doubles Backlog to over $210 million - - Expands U.S. Footprint and Product Offering - SAN FRANCISCO, CA, May 9, 2024 ‒ American Shar

April 29, 2024 DEF 14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. )

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant ☒ Filed by a Party other than the Registrant ☐ Check the appropriate box: ☐ Preliminary Proxy Statement ☐ Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) ☒ Defin

April 29, 2024 DEFA14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. )

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant ☒ Filed by a Party other than the Registrant ☐ Check the appropriate box: ☐ Preliminary Proxy Statement ☐ Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) ☐ Defin

April 18, 2024 EX-99.1

American Shared Hospital Services Announces the Sudden Passing of CEO, Peter Gaccione

Exhibit 99.1 American Shared Hospital Services Announces the Sudden Passing of CEO, Peter Gaccione SAN FRANCISCO, April 12, 2024 (GLOBE NEWSWIRE) - American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for stereotactic radiosurgery and advanced radiation therapy equipment and services, today announces the sudden passing of its Ch

April 18, 2024 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): April 12, 2024 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (C

April 18, 2024 EX-99.2

American Shared Hospital Services Strengthens Senior Management Structure

Exhibit 99.2 American Shared Hospital Services Strengthens Senior Management Structure SAN FRANCISCO, April 18, 2024 (GLOBE NEWSWIRE) - American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for stereotactic radiosurgery and advanced radiation therapy equipment and services, today announces changes to strengthen its senior managem

April 3, 2024 EX-99.1

Joint Filing Agreement by and among the Reporting Persons.

EX-99.1 2 ex649391.htm EXHIBIT 99.1 Exhibit 99.1 JOINT FILING AGREEMENT Pursuant to and in accordance with the Securities Exchange Act of 1934, as amended, and the rules and regulations thereunder (the “Exchange Act”), the undersigned hereby agree to the joint filing on behalf of each of them of any filing required by such party under Section 13 of the Exchange Act or any rule or regulation thereu

April 3, 2024 SC 13D/A

AMS / American Shared Hospital Services / Stachowiak Raymond C - SCHEDULE 13D/A Activist Investment

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D/A Under The Securities Exchange Act Of 1934 (Amendment No. 6)* American Shared Hospital Services (Name of Issuer) Common Stock, no par value (Title of Class of Securities) 029595-10-5 (CUSIP Number) Raymond C. Stachowiak American Shared Hospital Services 601 Montgomery Street Suite 1112 San Francisco, California 9

April 1, 2024 EX-10.20B

AMENDMENT TWO TO LEKSELL GAMMA KNIFE PERFEXION PURCHASED SERVICES AGREEMENT

Exhibit 10.20b AMENDMENT TWO TO LEKSELL GAMMA KNIFE PERFEXION PURCHASED SERVICES AGREEMENT This AMENDMENT TWO TO LEKSELL GAMMA KNIFE PERFEXION PURCHASED SERVICES AGREEMENT (this “Amendment”) is made and entered into as of the date of the last party to sign below, by and between GK FINANCING, LLC, a California limited liability company (“GKF”), and PEACEHEALTH, a Washington non-profit corporation,

April 1, 2024 EX-10.2F

FOURTH AMENDMENT TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT (ESPRIT UPGRADE)

Exhibit 10.2f [*****] Text Omitted for Confidential Treatment. The redacted information has been excluded because it is both (i) not material and (ii) would be competitively harmful if publicly disclosed. FOURTH AMENDMENT TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT (ESPRIT UPGRADE) This FOURTH AMENDMENT TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT (this "Fourth Amendment") is dated effective as of July

April 1, 2024 10-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 10-K

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 10-K (Mark One) ☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED December 31, 2023 or ☐ TRANSITION REPORT PURSUANT To SECTION 13 or 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM TO.

April 1, 2024 EX-10.33B

FIRST AMENDMENT TO INVESTMENT AGREEMENT

Exhibit 10.33b FIRST AMENDMENT TO INVESTMENT AGREEMENT This First Amendment to Investment Agreement dated as of March 1, 2024 (this “Amendment”), is made by and among (a) American Shared Hospital Services, a California corporation (“Purchaser”), (b) GenesisCare USA, Inc., a Florida corporation (as in existence on the date hereof, as a debtor-in-possession and a reorganized debtor, as applicable, “

April 1, 2024 EX-10.13D

AMENDMENT THREE TO EQUIPMENT LEASE AGREEMENT

Exhibit 10.13d [*****] Text Omitted for Confidential Treatment. The redacted information has been excluded because it is both (i) not material and (ii) would be competitively harmful if publicly disclosed. AMENDMENT THREE TO EQUIPMENT LEASE AGREEMENT This AMENDMENT THREE TO EQUIPMENT LEASE AGREEMENT (this “Amendment Three”) is dated effective as of , 2023 (the “Effective Date”), and is entered int

April 1, 2024 EX-21.1

The subsidiaries of American Shared Hospital Services are

Exhibit 21.1 The subsidiaries of American Shared Hospital Services are: MedLeader.com, Inc. A California corporation OR21, Inc. A California corporation OR21, LLC A Washington limited liability company Long Beach Equipment, LLC A Delaware limited liability company American Shared Radiosurgery Services A California corporation PBRT Orlando LLC A Delaware limited liability company ASHS-Rhode Island

April 1, 2024 EX-97

American Shared Hospital Services Compensation Recoupment Policy November 2023

Exhibit 97 American Shared Hospital Services Compensation Recoupment Policy November 2023 This Compensation Recoupment Policy (this “Policy”) is the compensation-recovery policy of American Shared Hospital Services (the “Company”), adopted by the Company in accordance with the provisions of Rule 10D-1 promulgated by the Securities and Exchange Commission (the “SEC”) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and Section 811 of the Company Guide of NYSE American LLC (the “NYSEAMER Exchange”; such section, “NYSEAMER Section 811”).

April 1, 2024 EX-10.23C

SECOND AMENDMENT TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT (COBALT-60 RELOAD)

Exhibit 10.23c SECOND AMENDMENT TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT (COBALT-60 RELOAD) This SECOND AMENDMENT TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT (this "Second Amendment") is dated effective as of the last date signed by the parties (the "Effective Date”) and is entered into by and between GK FINANCING, LLC, a California limited liability company ("GKF"), and THE METHODIST HOSPITALS, IN

April 1, 2024 EX-10.23B

FIRST AMENDMENT TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT (Perfexion on site upgrade to ELEKTA ESPRIT)

Exhibit 10.23b FIRST AMENDMENT TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT (Perfexion on site upgrade to ELEKTA ESPRIT) This FIRST AMENDMENT TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT (this "First Amendment") is dated effective as of April 18, 2023 (the "Effective Date”) and is entered into by and between GK FINANCING, LLC, a California limited liability company ("GKF"), and THE METHODIST HOSPITALS,

March 28, 2024 EX-99.1

American Shared Hospital Services Reports Fourth Quarter 2023 Financial Results - Acquisition of 3 Rhode Island Radiation Therapy Cancer Centers progressing toward closing- - International Cancer Center equipment upgrade completed in Ecuador, Opening

Exhibit 99.1 American Shared Hospital Services Reports Fourth Quarter 2023 Financial Results - Acquisition of 3 Rhode Island Radiation Therapy Cancer Centers progressing toward closing- - International Cancer Center equipment upgrade completed in Ecuador, Opening new Puebla, Mexico Center in Q2- - Lease extensions signed at 4 of 10 Gamma Knife customer sites – -Sales Pipeline continues to advance-

March 28, 2024 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): March 27, 2024 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (C

March 27, 2024 8-K

Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): March 26, 2024 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (C

March 27, 2024 EX-99.1

American Shared Hospital Services Pays Tribute to Ernest A. Bates, M.D., Founder and Former Chairman and CEO Dr. Bates, Pioneering Neurosurgeon and Philanthropist, passed on March 19, 2024

Exhibit 99.1 American Shared Hospital Services Pays Tribute to Ernest A. Bates, M.D., Founder and Former Chairman and CEO Dr. Bates, Pioneering Neurosurgeon and Philanthropist, passed on March 19, 2024 SAN FRANCISCO, CA, March 26, 2024 – American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for stereotactic radiosurgery and advan

January 31, 2024 EX-10.1

First Amendment to Credit Agreement dated as of January 25, 2024 by and among American Shared Hospital Services, PBRT Orlando, LLC, and GK Financing, LLC as co-borrowers, American Shared Radiosurgery Services as a loan party, and Fifth Third Bank, National Association, as Lender.

Exhibit 10.1 FIRST AMENDMENT TO CREDIT AGREEMENT This FIRST AMENDMENT TO CREDIT AGREEMENT (this “Amendment”) is entered into as of January 25, 2024, by and among AMERICAN SHARED HOSPITAL SERVICES, a California corporation (“ASHS”), PBRT ORLANDO, LLC, a Delaware limited liability company (“PBRT Orlando”), and GK FINANCING, LLC, a California limited liability company and indirect Subsidiary of ASHS

January 31, 2024 8-K

Entry into a Material Definitive Agreement, Financial Statements and Exhibits, Creation of a Direct Financial Obligation or an Obligation under an Off-Balance Sheet Arrangement of a Registrant

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): January 25, 2024 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation)

January 9, 2024 S-8

As filed with the Securities and Exchange Commission on January 9, 2024

As filed with the Securities and Exchange Commission on January 9, 2024 Registration No.

January 9, 2024 EX-FILING FEES

Calculation of Filing Fee Tables Form S-8 (Form Type) American Shared Hospital Services (Exact Name of Registrant as Specified in its Charter) Table 1: Newly Registered Securities

Exhibit 107 Calculation of Filing Fee Tables Form S-8 (Form Type) American Shared Hospital Services (Exact Name of Registrant as Specified in its Charter) Table 1: Newly Registered Securities Security Type Security Class Title Fee Calculation Rule Amount Registered Proposed Maximum Offering Price Per Unit Maximum Aggregate Offering Price Fee Rate Amount of Registration Fee Equity Common Stock, no par value(1) Other(2) 950,000(1)(3) $2.

December 18, 2023 SC 13D/A

AMS / American Shared Hospital Services / RUFFLE JOHN F - SCHEDULE 13D/A Activist Investment

SC 13D/A 1 ruffl20231218sc13da.htm SCHEDULE 13D/A UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D/A Under The Securities Exchange Act Of 1934 (Amendment No. 4)* American Shared Hospital Services (Name of Issuer) Common Stock, no par value (Title of Class of Securities) 029595-10-5 (CUSIP Number) John F. Ruffle 603 Mountain Avenue Apartment 231 New Providence, N

November 21, 2023 EX-99.1

American Shared Hospital Services Enters Into Agreement to Acquire 60% Majority Interest in Three Radiation Therapy Cancer Centers in Rhode Island - Accretive Transaction to Expand U.S. Footprint-

Exhibit 99.1 American Shared Hospital Services Enters Into Agreement to Acquire 60% Majority Interest in Three Radiation Therapy Cancer Centers in Rhode Island - Accretive Transaction to Expand U.S. Footprint- SAN FRANCISCO, CA, November 20, 2023 ‒ American Shared Hospital Services (NYSE American: AMS) (“ASHS” or the "Company"), a leading provider of turnkey technology solutions for stereotactic r

November 21, 2023 8-K

Regulation FD Disclosure, Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): November 20, 2023 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation)

November 16, 2023 8-K

Entry into a Material Definitive Agreement, Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): November 10, 2023 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation)

November 16, 2023 EX-10.1

Investment Agreement by and among GenesisCare USA, Inc., GenesisCare USA Holdings, Inc., and American Shared Hospital Services dated as of November 10, 2023

Exhibit 10.1 INVESTMENT AGREEMENT DATED AS OF NOVEMBER 10, 2023, by and among GENESISCARE USA, INC., GENESISCARE USA HOLDINGS, INC., and AMERICAN SHARED HOSPITAL SERVICES TABLE OF CONTENTS Page ARTICLE I PURCHASE AND SALE OF EQUITY INTERESTS AND ACQUIRED CONTRACTS 2 1.1 Purchase and Sale of Equity Interests and Acquired Contracts 2 1.2 Consideration; Payment 2 1.3 Closing 2 1.4 Deposit 3 1.5 Withh

November 14, 2023 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended September 30, 2023 or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

November 13, 2023 EX-99.1

American Shared Hospital Services Reports Third Quarter 2023 Financial Results - Sales Pipeline Continues to Increase, including 2 Existing Lease Extensions- - International Cancer Center Equipment Upgrades Advancing, Expect Start-up of 2 Systems wit

EX-99.1 2 ex595260.htm EXHIBIT 99.1 Exhibit 99.1 American Shared Hospital Services Reports Third Quarter 2023 Financial Results - Sales Pipeline Continues to Increase, including 2 Existing Lease Extensions- - International Cancer Center Equipment Upgrades Advancing, Expect Start-up of 2 Systems within 90 Days- -Conference Call Monday, November 13th at 4:30 pm ET / 1:30 pm PT- SAN FRANCISCO, CA, No

November 13, 2023 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): November 13, 2023 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation)

August 14, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): August 14, 2023 AMERICAN SHARED H

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): August 14, 2023 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (

August 14, 2023 EX-99.1

American Shared Hospital Services Reports Second Quarter 2023 Financial Results -Announced 3rd Order of 2023; Sales Pipeline continues to Increase- -Installations of Upgraded Equipment Underway at International Centers, Start-up of 2 Systems Expected

Exhibit 99.1 American Shared Hospital Services Reports Second Quarter 2023 Financial Results -Announced 3rd Order of 2023; Sales Pipeline continues to Increase- -Installations of Upgraded Equipment Underway at International Centers, Start-up of 2 Systems Expected by Year End- -Conference Call Monday August 14th at 3:00pm ET / 12:00pm PT- SAN FRANCISCO, CA, August 14, 2023 ‒ American Shared Hospita

August 14, 2023 EX-10.1

EX-10.1

Exhibit 10.1

August 14, 2023 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2023 or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

August 14, 2023 EX-10.2

FIFTH AMENDMENT TO PURCHASED SERVICES AGREEMENT

Exhibit 10.2 [*****] Text Omitted for Confidential Treatment. The redacted information has been excluded because it is both (i) not material and (ii) would be competitively harmful if publicly disclosed. FIFTH AMENDMENT TO PURCHASED SERVICES AGREEMENT This FIFTH AMENDMENT TO PURCHASED SERVICES AGREEMENT (this “Amendment”) is dated as of the 1st day of May, 2023, and is entered into between GK FINA

June 23, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): June 20, 2023 AMERICAN SHARED HOS

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): June 20, 2023 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (Co

May 12, 2023 EX-10.2

AMERICAN SHARED HOSPITAL SERVICES RESTRICTED STOCK UNIT ISSUANCE AGREEMENT

Exhibit 10.2 AMERICAN SHARED HOSPITAL SERVICES RESTRICTED STOCK UNIT ISSUANCE AGREEMENT RECITALS A. The Board has adopted American Shared Hospital Services’ Incentive Compensation Plan as Amended and Restated Effective June 25, 2021 (Plan) for the purpose of retaining the services of selected Employees and consultants and other independent advisors who provide services to the Corporation (or any P

May 12, 2023 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 2023 or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

May 12, 2023 EX-10.3

AMERICAN SHARED HOSPITAL SERVICES NOTICE OF GRANT OF INCENTIVE OF STOCK OPTION

Exhibit 10.3 AMERICAN SHARED HOSPITAL SERVICES NOTICE OF GRANT OF INCENTIVE OF STOCK OPTION Notice is hereby given of the following option grant (the “Option”) to purchase shares of the Common Stock of American Shared Hospital Services (the “Corporation”): Optionee: Grant Date: , 20 Exercise Price: $ Number of Option Shares: shares of Common Stock Expiration Date: Type of Option: Incentive Stock O

May 12, 2023 EX-10.4

THIRD AMENDMENT TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT (PERFEXION UPGRADE)

Exhibit 10.4 [*****] Text Omitted for Confidential Treatment. The redacted information has been excluded because it is both (i) not material and (ii) would be competitively harmful if publicly disclosed. THIRD AMENDMENT TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT (PERFEXION UPGRADE) This THIRD AMENDMENT TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT (this "Third Amendment") is dated effective as of June

May 12, 2023 EX-99.1

American Shared Hospital Services Reports First Quarter 2023 Financial Results - Received approvals to place upgraded equipment in Ecuador & at new Cancer Center JV in Mexico; Start up for both systems expected in Q3 2023 - -Announces 2nd Order of 20

Exhibit 99.1 American Shared Hospital Services Reports First Quarter 2023 Financial Results - Received approvals to place upgraded equipment in Ecuador & at new Cancer Center JV in Mexico; Start up for both systems expected in Q3 2023 - -Announces 2nd Order of 2023 and New CFO Robert Hiatt- -Conference Call Friday May 12th at 12:00pm ET / 9:00am PT- SAN FRANCISCO, CA, May 12, 2023 ‒ American Share

May 12, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): March 31, 2023 AMERICAN SHARED HO

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): March 31, 2023 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (C

May 3, 2023 EX-99.1

JOINT FILING AGREEMENT

Exhibit 99.1 JOINT FILING AGREEMENT Pursuant to and in accordance with the Securities Exchange Act of 1934, as amended, and the rules and regulations thereunder (the “Exchange Act”), the undersigned hereby agree to the joint filing on behalf of each of them of any filing required by such party under Section 13 of the Exchange Act or any rule or regulation thereunder (including any amendment, resta

May 3, 2023 SC 13D/A

AMS / American Shared Hospital Services / Stachowiak Raymond C - SCHEDULE 13D/A Activist Investment

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D/A Under The Securities Exchange Act Of 1934 (Amendment No. 5)* American Shared Hospital Services (Name of Issuer) Common Stock, no par value (Title of Class of Securities) 029595-10-5 (CUSIP Number) Raymond C. Stachowiak American Shared Hospital Services 601 Montgomery Street Suite 1112 San Francisco, California 9

May 1, 2023 DEFA14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. )

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant ☒ Filed by a Party other than the Registrant ☐ Check the appropriate box: ☐ Preliminary Proxy Statement ☐ Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) ☐ Defin

May 1, 2023 DEF 14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. )

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant ☒ Filed by a Party other than the Registrant ☐ Check the appropriate box: ☐ Preliminary Proxy Statement ☐ Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) ☒ Defin

April 18, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): April 12, 2023 AMERICAN SHARED HO

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): April 12, 2023 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (C

April 18, 2023 EX-10.1

Offer Letter of Employment, dated April 12, 2023 between Robert Hiatt and American Shared Hospital Services.

EX-10.1 2 ex502247.htm EXHIBIT 10.1 Exhibit 10.1 AMERICAN SHARED HOSPITAL SERVICES 601 MONTGOMERY STREET, SUITE 1112 SAN FRANCISCO, CALIFORNIA 94111 TEL 415.788.5300 FAX 415.788.5660 WEB ASHS.COM April 12, 2023 Robert Hiatt 1008 Longmeadow Lane Western Springs, IL 60558 Dear Bob, American Shared Hospital Services (“ASHS”) is pleased to offer you full-time employment as our Chief Financial Officer.

March 31, 2023 10-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 10-K

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 10-K (Mark One) ☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED December 31, 2022 or ☐ TRANSITION REPORT PURSUANT To SECTION 13 or 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM TO.

March 31, 2023 EX-21.1

You’ve Exceeded the SEC’s Traffic Limit

Exhibit 21.1 The subsidiaries of American Shared Hospital Services are: MedLeader.com, Inc. A California corporation OR21, Inc. A California corporation OR21, LLC A Washington limited liability company Long Beach Equipment, LLC A Delaware limited liability company American Shared Radiosurgery Services A California corporation PBRT Orlando LLC A Delaware limited liability company ASHS-Mexico, S.A.

March 31, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): March 28, 2023 AMERICAN SHARED HO

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): March 28, 2023 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (C

March 24, 2023 EX-99.1

American Shared Hospital Services Reports Fourth Quarter and Year End 2022 Financial Results -Q4 Revenue Exceeds $5 Million for 2nd Time in 2022; Q4 Net Income Increases 12% to $0.25 Million or $0.04 per share- -2022 Revenue Reaches Nearly $20 Millio

Exhibit 99.1 American Shared Hospital Services Reports Fourth Quarter and Year End 2022 Financial Results -Q4 Revenue Exceeds $5 Million for 2nd Time in 2022; Q4 Net Income Increases 12% to $0.25 Million or $0.04 per share- -2022 Revenue Reaches Nearly $20 Million; 2022 Net Income Increases 6-Fold compared to 2021 to $1.3 Million or $0.21 per share- -Conference Call Friday March 24th at 1:00pm ET

March 24, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): March 24, 2023 AMERICAN SHARED HO

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): March 24, 2023 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (C

March 10, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): March 7, 2023 AMERICAN SHARED HOS

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): March 7, 2023 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (Co

March 10, 2023 EX-99.1

American Shared Hospital Services Realigns Management Team -Ray Stachowiak becomes Executive Chairman, Peter Gaccione appointed CEO- -Craig Tagawa remains President, Search underway for CFO- -AMS books First Order of 2023-

Exhibit 99.1 American Shared Hospital Services Realigns Management Team -Ray Stachowiak becomes Executive Chairman, Peter Gaccione appointed CEO- -Craig Tagawa remains President, Search underway for CFO- -AMS books First Order of 2023- SAN FRANCISCO, CA, March 10, 2023 ‒ American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for s

November 10, 2022 EX-99.1

American Shared Hospital Services Reports 18% Period-over-Period Increase in Third Quarter 2022 Revenue to $4.8 Million -Gross Margin Increases 33% to $2.0 Million; Net Income Increases to $0.3 Million or $0.05 per share- -PBRT Revenue and Volume Inc

EX-99.1 2 ex445196.htm EXHIBIT 99.1 Exhibit 99.1 American Shared Hospital Services Reports 18% Period-over-Period Increase in Third Quarter 2022 Revenue to $4.8 Million -Gross Margin Increases 33% to $2.0 Million; Net Income Increases to $0.3 Million or $0.05 per share- -PBRT Revenue and Volume Increases 82% and 40% Respectively- -Conference Call Thursday November 10th at 3:00pm ET / 12:00pm PT- S

November 10, 2022 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ? QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended September 30, 2022 or ? TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

November 10, 2022 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): November 10, 2022 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation)

September 1, 2022 EX-10.1

Offer Letter of Employment, dated August 26, 2022 between Peter Gaccione and American Shared Hospital Services.

Exhibit 10.1 AMERICAN SHARED HOSPITAL SERVICES 601 MONTGOMERY STREET, SUITE 1122 SAN FRANCISCO, CALIFORNIA 94111 TEL 415.788.5300 FAX 415.788.5660 WEB ASHS.COM Peter Gaccione c/o American Shared Hospital Services 601 Montgomery Street, Suite 1112 San Francisco, CA 94111 August 26, 2022 RE: Offer of Employment Dear Peter, We are pleased to offer you employment on the executive team of American Shar

September 1, 2022 EX-99.1

American Shared Hospital Services Strengthens Management Team with Appointment of Peter Gaccione as Chief Operating Officer Gaccione is a Well Known & Respected Radiation Oncology Business Development, Sales & Management Executive

Exhibit 99.1 American Shared Hospital Services Strengthens Management Team with Appointment of Peter Gaccione as Chief Operating Officer Gaccione is a Well Known & Respected Radiation Oncology Business Development, Sales & Management Executive SAN FRANCISCO, CA, September 1, 2022 ? American Shared Hospital Services (NYSE American: AMS) (the ?Company?), a leading provider of turnkey technology solu

September 1, 2022 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): August 26, 2022 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (

August 15, 2022 10-Q/A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q/A Amendment No. 1

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q/A Amendment No.

August 15, 2022 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ? QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2022 or ? TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

August 15, 2022 EX-3.2

AMERICAN SHARED HOSPITAL SERVICES (a California for-profit corporation) Amended and Restated as of June 21, 2022 TABLE OF CONTENTS

Exhibit 3.2 BYLAWS OF AMERICAN SHARED HOSPITAL SERVICES (a California for-profit corporation) Amended and Restated as of June 21, 2022 TABLE OF CONTENTS ARTICLE I Applicability 4 Section 1. Applicability of Bylaws 4 ARTICLE II Offices 4 Section 1. Principal Offices 4 Section 2. Change in Location or Number of Offices 4 ARTICLE III Meetings of Shareholders 4 Section 1. Place of Meetings 4 Section 2

August 15, 2022 EX-3.2

AMERICAN SHARED HOSPITAL SERVICES (a California for-profit corporation) Amended and Restated as of June 21, 2022 TABLE OF CONTENTS

Exhibit 3.2 BYLAWS OF AMERICAN SHARED HOSPITAL SERVICES (a California for-profit corporation) Amended and Restated as of June 21, 2022 TABLE OF CONTENTS ARTICLE I Applicability 4 Section 1. Applicability of Bylaws 4 ARTICLE II Offices 4 Section 1. Principal Offices 4 Section 2. Change in Location or Number of Offices 4 ARTICLE III Meetings of Shareholders 4 Section 1. Place of Meetings 4 Section 2

August 11, 2022 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): August 11, 2022 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (

August 11, 2022 EX-99.1

American Shared Hospital Services Reports 12.5% Period-over-Period Increase in Second Quarter 2022 Revenue -Revenue Reaches Highest Level since Q3 2019; Net Income Highest since Q4 2017- -PBRT Revenue and Volume Increases 49% and 19% Respectively- -C

Exhibit 99.1 American Shared Hospital Services Reports 12.5% Period-over-Period Increase in Second Quarter 2022 Revenue -Revenue Reaches Highest Level since Q3 2019; Net Income Highest since Q4 2017- -PBRT Revenue and Volume Increases 49% and 19% Respectively- -Conference Call Friday August 12th at 12:00pm ET / 9:00am PT- SAN FRANCISCO, CA, August 11, 2022 ? American Shared Hospital Services (NYSE

June 23, 2022 8-K

Submission of Matters to a Vote of Security Holders

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): June 21, 2022 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (Co

May 12, 2022 EX-99.1

American Shared Hospital Services Reports First Quarter 2022 Financial Results Total Revenue Increases 11% Period-over-Period and PBRT Revenue Increases 33%

Exhibit 99.1 American Shared Hospital Services Reports First Quarter 2022 Financial Results Total Revenue Increases 11% Period-over-Period and PBRT Revenue Increases 33% SAN FRANCISCO, CA, May 12, 2022 ? American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for stereotactic radiosurgery and advanced radiation therapy equipment an

May 12, 2022 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ? QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 2022 or ? TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

May 12, 2022 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): May 12, 2022 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (Com

May 6, 2022 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): May 3, 2022 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (Comm

May 6, 2022 EX-99.1

American Shared Hospital Services Expands Sales Team Fills New Senior Sales Management Position with Healthcare Finance Pro, Tim Keel

Exhibit 99.1 American Shared Hospital Services Expands Sales Team Fills New Senior Sales Management Position with Healthcare Finance Pro, Tim Keel SAN FRANCISCO, CA, May 6, 2022 ? American Shared Hospital Services (NYSE American: AMS) (the "Company? or ?AMS"), a leading provider of turnkey technology solutions for stereotactic radiosurgery and advanced radiation therapy equipment and services, tod

April 28, 2022 DEF 14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. )

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant ? Filed by a Party other than the Registrant ? Check the appropriate box: ? Preliminary Proxy Statement ? Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) ? Defin

April 15, 2022 PRE 14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. )

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant ? Filed by a Party other than the Registrant ? Check the appropriate box: ? Preliminary Proxy Statement ? Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) ? Defin

March 30, 2022 EX-21.1

The subsidiaries of American Shared Hospital Services are

Exhibit 21.1 The subsidiaries of American Shared Hospital Services are: MedLeader.com, Inc. A California corporation OR21, Inc. A California corporation OR21, LLC A Washington limited liability company Long Beach Equipment, LLC A Delaware limited liability company American Shared Radiosurgery Services A California corporation PBRT Orlando LLC A Delaware limited liability company Subsidiaries of Am

March 30, 2022 10-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 10-K

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 10-K (Mark One) ? ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED December 31, 2021 or ? TRANSITION REPORT PURSUANT To SECTION 13 or 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM TO.

March 30, 2022 EX-10.1J

TENTH AMENDMENT AGREEMENT

Exhibit 10.1 TENTH AMENDMENT AGREEMENT This Tenth Amendment Agreement (this ?Tenth Amendment?) is made and entered into effective as of March 25, 2021 (the ?Effective Date?), by and between AMERICAN SHARED RADIOSURGERY SERVICES (?ASRS?) and GKV INVESTMENTS, INC. (?GKV?). WHEREAS, ASRS and GKV are parties to that certain Operating Agreement for GK Financing, LLC dated as of October 17, 1995, as ame

March 30, 2022 EX-10.11E

ADDENDUM FIVE TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT

Exhibit 10.11e [*****] Text Omitted for Confidential Treatment. The redacted information has been excluded because it is both (i) not material and (ii) would be competitively harmful if publicly disclosed. ADDENDUM FIVE TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT This ADDENDUM FIVE TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT (this ?Addendum Five?) is dated effective as of April 28, 2021, and is entere

March 24, 2022 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): March 22, 2022 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (C

March 24, 2022 EX-99.1

American Shared Hospital Services Reports Fourth Quarter and Year End 2021 Financial Results Reports Strongest Quarterly Revenue and Operating Income in Q4 2021 Since the Pandemic Began

Exhibit 99.1 American Shared Hospital Services Reports Fourth Quarter and Year End 2021 Financial Results Reports Strongest Quarterly Revenue and Operating Income in Q4 2021 Since the Pandemic Began SAN FRANCISCO, CA, March 24, 2022 ? American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for stereotactic radiosurgery and advanced

February 15, 2022 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): February 15, 2022 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation)

February 15, 2022 EX-99.1

American Shared Hospital Services Announces Preliminary Results for Fourth Quarter and Full Year 2021 Preliminary Q4 Revenue Rebounds to ~$4.7 Million Resulting in Increased Operating Income

Exhibit 99.1 American Shared Hospital Services Announces Preliminary Results for Fourth Quarter and Full Year 2021 Preliminary Q4 Revenue Rebounds to ~$4.7 Million Resulting in Increased Operating Income SAN FRANCISCO, CA, February 15, 2022 ? American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for stereotactic radiosurgery and

December 30, 2021 EX-99.1

American Shared Hospital Services Announces Changes to Board of Directors Ernest A. Bates, M.D., Founder and Former Chairman and CEO of AMS, becomes Consultant

Exhibit 99.1 American Shared Hospital Services Announces Changes to Board of Directors Ernest A. Bates, M.D., Founder and Former Chairman and CEO of AMS, becomes Consultant SAN FRANCISCO, CA, December X, 2021 ? American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for stereotactic radiosurgery and advanced radiation therapy equip

December 30, 2021 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): December 24, 2021 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation)

November 10, 2021 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ? QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended September 30, 2021 or ? TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

November 10, 2021 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of report (Date of earliest event reported): November 10, 2021 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Co

November 10, 2021 EX-10.1

FOURTH AMENDMENT TO PURCHASED SERVICES AGREEMENT

Exhibit 10.1 FOURTH AMENDMENT TO PURCHASED SERVICES AGREEMENT This FOURTH AMENDMENT TO PURCHASED SERVICES AGREEMENT (this ?Fourth Amendment?) is dated effective as of July 28, 2021 (the "Effective Date"), and is entered into by and between GK FINANCING, LLC, a California limited liability company (?GKF?), or its wholly owned subsidiary whose obligations hereunder shall be guaranteed by GKF, and UN

November 10, 2021 EX-99.1

American Shared Hospital Services Reports Third Quarter 2021 Financial Results Reduced Costs & Other Positive Impacts from Financial Restructuring Benefiting Results

Exhibit 99.1 American Shared Hospital Services Reports Third Quarter 2021 Financial Results Reduced Costs & Other Positive Impacts from Financial Restructuring Benefiting Results SAN FRANCISCO, CA, November 10, 2021 ? American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for stereotactic radiosurgery and advanced radiation therap

August 12, 2021 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of report (Date of earliest event reported): August 12, 2021 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Comm

August 12, 2021 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ? QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2021 or ? TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

August 12, 2021 EX-99.1

American Shared Hospital Services Reports Second Quarter 2021 Financial Results Q2 Revenue Increases 12%, Gross Margin Increases 77%

Exhibit 99.1 American Shared Hospital Services Reports Second Quarter 2021 Financial Results Q2 Revenue Increases 12%, Gross Margin Increases 77% SAN FRANCISCO, CA, August 12, 2021 ? American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for stereotactic radiosurgery and advanced radiation therapy equipment and services, today ann

July 1, 2021 EX-10.1

American Shared Hospital Services Incentive Compensation Plan, as amended.

Exhibit 10.1 AMERICAN SHARED HOSPITAL SERVICES INCENTIVE COMPENSATION PLAN AS AMENDED AND RESTATED EFFECTIVE JUNE 25, 2021 ARTICLE ONE GENERAL PROVISIONS I. PURPOSE OF THE PLAN This Incentive Compensation Plan is intended to promote the interests of American Shared Hospital Services, a California corporation, by providing eligible persons in the Corporation?s service with the opportunity to partic

July 1, 2021 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Submission of Matters to a Vote of Security Holders

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): June 25, 2021 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Commis

June 14, 2021 EX-99.1

April 22, 2020

Exhibit 99.1 Raymond C. Stachowiak c/o American Shared Hospital Services Two Embarcadero Center, Suite 410 San Francisco, CA 94111 April 22, 2020 RE: Offer of Employment Dear Ray, We are pleased to offer you employment on the executive team of American Shared Hospital Services, Inc. (the ?Company?). This letter (the ?Offer Letter?) provides the terms of our offer: You will serve as Interim Preside

June 14, 2021 SC 13D/A

SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549

SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D/A Under the Securities Exchange Act of 1934 (Amendment No. 4)* American Shared Hospital Services (Name of Issuer) Common Stock, No Par Value (Title of Class of Securities) 029595-10-5 (CUSIP Number) Raymond C. Stachowiak American Shared Hospital Services Two Embarcadero Center, Suite 4100 San Francisco, California 94111 Tel. No

May 13, 2021 EX-99.1

American Shared Hospital Services Reports First Quarter 2021 Financial Results Company Reports Breakeven Results on Revenue of ~$4.4 Million

American Shared Hospital Services Reports First Quarter 2021 Financial Results Company Reports Breakeven Results on Revenue of ~$4.

May 13, 2021 EX-10.2

AMENDMENT ONE TO LEKSELL GAMMA KNIFE PERFEXION PURCHASED SERVICES AGREEMENT

Exhibit 10.2 AMENDMENT ONE TO LEKSELL GAMMA KNIFE PERFEXION PURCHASED SERVICES AGREEMENT This AMENDMENT ONE TO LEKSELL GAMMA KNIFE PERFEXION PURCHASED SERVICES AGREEMENT (this ?Amendment?) is made and entered into as of the date of the last party to sign below, by and between GK FINANCING, LLC, a California limited liability company (?GKF?), and PEACEHEALTH, a Washington non-profit corporation, do

May 13, 2021 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of report (Date of earliest event reported): May 13, 2021 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Commiss

May 13, 2021 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ? QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 2021 or ? TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

May 13, 2021 EX-10.1

AMENDMENT TWO TO EQUIPMENT LEASE AGREEMENT (RELOAD)

Exhibit 10.1 [*****] Text Omitted for Confidential Treatment. The redacted information has been excluded because it is both (i) not material and (ii) would be competitively harmful if publicly disclosed. AMENDMENT TWO TO EQUIPMENT LEASE AGREEMENT (RELOAD) This AMENDMENT TWO TO EQUIPMENT LEASE AGREEMENT (RELOAD) (?Amendment Two?) is dated effective as of October 7, 2020 (the ?Effective Date?), and

April 30, 2021 EX-1

Appendix A

APPENDIX A AMERICAN SHARED HOSPITAL SERVICES INCENTIVE COMPENSATION PLAN AS AMENDED AND RESTATED EFFECTIVE JUNE 25, 2021 ARTICLE ONE GENERAL PROVISIONS I.

April 30, 2021 DEF 14A

- DEF 14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant ? Filed by a Party other than the Registrant ? Check the appropriate box: ? Preliminary Proxy Statement ? Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) ? Defin

April 15, 2021 EX-10.1

CREDIT AGREEMENT DATED AS OF APRIL 9, 2021 AMERICAN SHARED HOSPITAL SERVICES, PBRT O, LLC, and GK FINANCING, LLC as the initial co-Borrowers, AMERICAN SHARED RADIOSURGERY SERVICES, as the initial additional Loan Party FIFTH THIRD BANK, NATIONAL ASSOC

Execution Version CREDIT AGREEMENT DATED AS OF APRIL 9, 2021 AMONG AMERICAN SHARED HOSPITAL SERVICES, PBRT O, 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 SMRH:4817-4287-9956.

April 15, 2021 EX-99.1

American Shared Hospital Services Announces $22 Million Debt Refinancing and New Strategic Banking Relationship with Fifth Third Bank Transaction Includes Establishment of Revolving Line of Credit

American Shared Hospital Services Announces $22 Million Debt Refinancing and New Strategic Banking Relationship with Fifth Third Bank Transaction Includes Establishment of Revolving Line of Credit SAN FRANCISCO, CA, April 13, 2021 - American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for stereotactic radiosurgery and advanced radiation therapy equipment and services, today announced the signing of a $22 million credit agreement with Fifth Third Bank, N.

April 15, 2021 8-K

Regulation FD Disclosure, Entry into a Material Definitive Agreement, Creation of a Direct Financial Obligation or an Obligation under an Off-Balance Sheet Arrangement of a Registrant

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): April 9, 2021 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (Co

April 6, 2021 EX-21.1

The subsidiaries of American Shared Hospital Services are

Exhibit 21.1 The subsidiaries of American Shared Hospital Services are: MedLeader.com, Inc. A California corporation OR21, Inc. A California corporation OR21, LLC A Washington limited liability company Long Beach Equipment, LLC A Delaware limited liability company American Shared Radiosurgery Services A California corporation PBRT Orlando LLC A Delaware limited liability company Subsidiaries of Am

April 6, 2021 10-K

Annual Report - 10-K

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 10-K (Mark One) ? ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED DECEMBER 31, 2020 or ? TRANSITION REPORT PURSUANT To SECTION 13 or 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM TO.

April 6, 2021 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of report (Date of earliest event reported): April 6, 2021 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Commis

April 6, 2021 EX-10.1

EX-10.1

April 6, 2021 EX-4.1

Description of Securities Registered Pursuant to Section 12 of the Securities Exchange Act of 1934

Exhibit 4.1 Description of Securities Registered Pursuant to Section 12 of the Securities Exchange Act of 1934 As of December 31, 2020, American Shared Hospital Services, a California corporation (?ASHS?), had one class of securities registered under Section 12 of the Securities Exchange Act of 1934, as amended: common stock, no par value (?common stock?). The following contains a description of o

April 6, 2021 EX-9.01

Exhibit 99.1

EX-9.01 2 amsq4fy2020earningsrelease.htm EX-9.01 American Shared Hospital Services Reports Fourth Quarter and Year End 2020 Financial Results SAN FRANCISCO, CA, April 6, 2021- American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for stereotactic radiosurgery and advanced radiation therapy equipment and services, today announced

April 1, 2021 NT 10-K

- NT 10-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 12b-25 NOTIFICATION OF LATE FILING (Check one): ? Form 10-K ? Form 20-F ? Form 11-K ? Form 10-Q ? Form 10-D ? Form N-CEN ? Form N-CSR For Period Ended: December 31, 2020 ? Transition Report on Form 10-K ? Transition Report on Form 20-F ? Transition Report on Form 11-K ? Transition Report on Form 10-Q For the Transition Pe

February 2, 2021 EX-1

120942.000002 4847-5193-8266.1 1/19 Exhibit 3.1 BYLAWS OF AMERICAN SHARED HOSPITAL SERVICES (a California for-profit corporation) Amended and Restated as of January 27, 2021 TABLE OF CONTENTS ARTICLE I Applicability ..................................

a4847-5193x82661xamerica 120942.000002 4847-5193-8266.1 1/19 Exhibit 3.1 BYLAWS OF AMERICAN SHARED HOSPITAL SERVICES (a California for-profit corporation) Amended and Restated as of January 27, 2021 TABLE OF CONTENTS ARTICLE I Applicability ................................................................................................................4 Section 1. Applicability of Bylaws ..........

February 2, 2021 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Amendments to Articles of Incorporation or Bylaws; Change in Fiscal Year, Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) January 27, 2021 AMERICAN SHARED HOSPITAL SERVICES (Exact Name of Registrant as Specified in Its Charter) California 1-08789 94-2918118 (State or Other Jurisdiction of Incorporation) (

November 13, 2020 10-Q

Quarterly Report - 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended September 30, 2020 or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

November 13, 2020 EX-10.2

THIRD AMENDMENT TO PURCHASED SERVICES AGREEMENT

Exhibit 10.2 THIRD AMENDMENT TO PURCHASED SERVICES AGREEMENT This THIRD AMENDMENT TO PURCHASED SERVICES AGREEMENT (this “Third Amendment”) is dated effective as of October 10, 2019 (the "Effective Date"), and is entered into by and between GK FINANCING, LLC, a California limited liability company (“GKF”), or its wholly owned subsidiary whose obligations hereunder shall be guaranteed by GKF, and UN

November 13, 2020 EX-10.1

ICON UPGRADE AND AMENDMENT TWO TO EQUIPMENT LEASE AGREEMENT

Exhibit 10.1 [*****] Text Omitted for Confidential Treatment. The redacted information has been excluded because it is both (i) not material and (ii) would be competitively harmful if publicly disclosed. ICON UPGRADE AND AMENDMENT TWO TO EQUIPMENT LEASE AGREEMENT This ICON UPGRADE AND AMENDMENT TWO TO EQUIPMENT LEASE AGREEMENT (this “Amendment Two”) is dated effective as of October 15, 2019 (the “

November 12, 2020 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): November 12, 2020 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Co

November 12, 2020 EX-99.1

American Shared Hospital Services Reports Third Quarter 2020 Financial Results Q3 Volumes Bounced Back Significantly from Q2 Pandemic-Related Lows

American Shared Hospital Services Reports Third Quarter 2020 Financial Results Q3 Volumes Bounced Back Significantly from Q2 Pandemic-Related Lows SAN FRANCISCO, CA, November 12, 2020 - American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for advanced radiosurgical and radiation therapy services, today announced financial results for the third quarter ended September 30, 2020.

September 16, 2020 EX-99.1

American Shared Hospital Services Announces Appointment of Raymond C. Stachowiak as CEO and Other Management Realignments Stachowiak, Board Director since 2009, has been serving as Interim President and CEO

Exhibit-99.1 American Shared Hospital Services Announces Appointment of Raymond C. Stachowiak as CEO and Other Management Realignments Stachowiak, Board Director since 2009, has been serving as Interim President and CEO SAN FRANCISCO, CA, September 16, 2020 - American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for advanced radi

September 16, 2020 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Financial Statements and Exhibits, Other Events - 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): September 16, 2020 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (C

August 14, 2020 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): May 11, 2020 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Commiss

August 14, 2020 EX-10.1

FIRST AMENDMENT TO Lease AGREEMENT for a gamma knife unit (perfexion upgrade)

Exhibit 10.1 [*****] Text Omitted for Confidential Treatment. The redacted information has been excluded because it is both (i) not material and (ii) would be competitively harmful if publicly disclosed. FIRST AMENDMENT TO Lease AGREEMENT for a gamma knife unit (perfexion upgrade) This First Amendment to the Lease Agreement for a Gamma Knife Unit (Perfexion Upgrade) (“First Amendment”) is made and

August 14, 2020 10-Q

Quarterly Report - 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2020 or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

August 14, 2020 EX-99.1

American Shared Hospital Services Reports Second Quarter 2020 Financial Results COVID-19 Pandemic Had Significant Impact on Q2 Volumes

American Shared Hospital Services Reports Second Quarter 2020 Financial Results COVID-19 Pandemic Had Significant Impact on Q2 Volumes SAN FRANCISCO, CA, August 14, 2020 ‒ American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for advanced radiosurgical and radiation therapy services, today announced financial results for the second quarter ended June 30, 2020.

June 30, 2020 8-K

Submission of Matters to a Vote of Security Holders

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): June 26, 2020 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrantas specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Commiss

June 18, 2020 EX-99.1

American Shared Hospital Services Announces Acquisition of Gamma Knife Center, Ecuador S.A. The Gamma Knife Center S.A. Operates the Only Gamma Knife Facility in Ecuador

Ex 99.1 American Shared Hospital Services Announces Acquisition of Gamma Knife Center, Ecuador S.A. The Gamma Knife Center S.A. Operates the Only Gamma Knife Facility in Ecuador San Francisco, CA, June 18, 2020 - American Shared Hospital Services (NYSE American: AMS) ("AMS"), a leading provider of turnkey technology solutions for advanced radiosurgical and radiation therapy services, today announc

June 18, 2020 8-K

Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): June 18, 2020 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in its charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Co

June 11, 2020 10-Q/A

Quarterly Report - 10-Q/A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q/A Amendment No.

June 11, 2020 EX-10.1

THIRD AMENDMENT TO PURCHASED SERVICES AGREEMENT

Exhibit 10.1 [*****] Text Omitted for Confidential Treatment. The redacted information has been excluded because it is both (i) not material and (ii) would be competitively harmful if publicly disclosed. THIRD AMENDMENT TO PURCHASED SERVICES AGREEMENT This THIRD AMENDMENT TO PURCHASED SERVICES AGREEMENT (this “Amendment”) is dated as of the 28th day of March, 2019, and is entered into between GK F

June 3, 2020 DEFA14A

- DEFA14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A PROXY STATEMENT PURSUANT TO SECTION 14(A) OF THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. ) Filed by the Registrant  Filed by a Party other than the Registrant  Check the appropriate box:  Preliminary Proxy Statement  Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2))  Defin

May 11, 2020 EX-99.1

American Shared Hospital Services Reports First Quarter 2020 Results COVID-19 Pandemic Had Modest Impact on Gamma Knife Volumes

Exhibit 99.1 American Shared Hospital Services Reports First Quarter 2020 Results COVID-19 Pandemic Had Modest Impact on Gamma Knife Volumes SAN FRANCISCO, May 11, 2020 - American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for advanced radiosurgical and radiation therapy services, today announced financial results for the first

May 11, 2020 EX-10.1

EX-10.1

exhibit101cmmceqleaseadd

May 11, 2020 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): May 11, 2020 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Commiss

May 11, 2020 10-Q

Quarterly Report - 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ý QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 2020 or ¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

April 29, 2020 DEF 14A

- DEF 14A

SCHEDULE 14A (Rule 14a-101) INFORMATION REQUIRED IN PROXY STATEMENT SCHEDULE 14A INFORMATION Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 Filed by the Registrant [X] Filed by a Party other than the Registrant [ ] Check the appropriate box: [ ] Preliminary Proxy Statement [ ] Confidential, For Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) [X] Defi

April 22, 2020 EX-99.2

American Shared Hospital Services Announces Retirement of Ernest A. Bates and Appointment of Raymond C. Stachowiak

Exhibit 99.2 American Shared Hospital Services Announces Retirement of Ernest A. Bates and Appointment of Raymond C. Stachowiak San Francisco, CA – April 22, 2020 – American Shared Hospital Services (NYSE American: AMS) (the “Company”), a leading provider of turnkey technology solutions for advanced radiosurgical and radiation therapy services, today announced that effective on May 4, 2020, Ernest

April 22, 2020 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): April 17, 2020 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Commi

April 22, 2020 EX-99.1

April 22, 2020

Exhibit 99.1 Raymond C. Stachowiak c/o American Shared Hospital Services Two Embarcadero Center, Suite 410 San Francisco, CA 94111 April 22, 2020 RE: Offer of Employment Dear Ray, We are pleased to offer you employment on the executive team of American Shared Hospital Services, Inc. (the “Company”). This letter (the “Offer Letter”) provides the terms of our offer: You will serve as Interim Preside

April 3, 2020 EX-21.1

The subsidiaries of American Shared Hospital Services are

Exhibit 21.1 The subsidiaries of American Shared Hospital Services are: MedLeader.com, Inc. A California corporation OR21, Inc. A California corporation OR21, LLC A Washington limited liability company Long Beach Equipment, LLC A Delaware limited liability company American Shared Radiosurgery Services A California corporation PBRT Orlando LLC A Delaware limited liability company Subsidiaries of Am

April 3, 2020 10-K

Annual Report - 10-K

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 10-K (Mark One) ý ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED DECEMBER 31, 2019 or ¨ TRANSITION REPORT PURSUANT To SECTION 13 or 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM TO.

April 2, 2020 EX-99.1

American Shared Hospital ServicesStatement of Operations(Unaudited)

American Shared Hospital Services Reports Fourth Quarter and Year End 2019 Results San Francisco, CA, April 2, 2020 - American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for advanced radiosurgical and radiation therapy services, today announced financial results for the fourth quarter and twelve months ended December 31, 2019.

April 2, 2020 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of report (Date of earliest event reported): April 2, 2020 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Commis

March 30, 2020 EX-99.1

American Shared Hospital Services Announces Fourth Quarter and Year End 2019 Earnings Conference Call Conference Call on Thursday, April 2, 2020 at [3:00pm ET / 12:00pm PT]

American Shared Hospital Services Announces Fourth Quarter and Year End 2019 Earnings Conference Call Conference Call on Thursday, April 2, 2020 at [3:00pm ET / 12:00pm PT] San Francisco, CA, March 30, 2020 - American Shared Hospital Services (NYSE American: AMS), a leading provider of turnkey technology solutions for advanced radiosurgical and radiation therapy solutions, today announced that the Company will hold its quarterly conference call to discuss fourth quarter and year end 2019 financial results on Thursday, April 2, 2020 at [3:00pm Eastern Time / 12:00pm Pacific Time].

March 30, 2020 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of report (Date of earliest event reported): March 30, 2020 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Commi

December 10, 2019 8-K

Regulation FD Disclosure, Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): December 9, 2019 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Com

December 10, 2019 EX-99.1

American Shared Hospital Services Making the Best Healthcare Technology Accessible NYSE American: AMS December 2019 Safe Harbor Statement This presentation may be deemed to contain certain forward-looking statements with respect to the financial cond

finalashsldmicropresenta American Shared Hospital Services Making the Best Healthcare Technology Accessible NYSE American: AMS December 2019 Safe Harbor Statement This presentation may be deemed to contain certain forward-looking statements with respect to the financial condition, results of operations and future plans of American Shared Hospital Services (including statements regarding the expect

November 7, 2019 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): November 7, 2019 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Com

November 7, 2019 EX-10.1

THIRD AMENDMENT TO PURCHASED SERVICES AGREEMENT

Exhibit 10.1 [*****] Text Omitted for Confidential Treatment. The redacted information has been excluded because it is both (i) not material and (ii) would be competitively harmful if publicly disclosed. THIRD AMENDMENT TO PURCHASED SERVICES AGREEMENT This THIRD AMENDMENT TO PURCHASED SERVICES AGREEMENT (this “Amendment”) is dated as of the 28th day of March, 2019, and is entered into between GK F

November 7, 2019 10-Q

Quarterly Report - 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ý QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended September 30, 2019 or ¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

November 7, 2019 EX-99.1

American Shared Hospital Services Reports Third Quarter 2019 Results

American Shared Hospital Services Reports Third Quarter 2019 Results San Francisco, CA – November 7, 2019 – American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for advanced radiosurgical and radiation therapy services, today announced financial results for the third quarter and nine months ended September 30, 2019.

September 24, 2019 EX-99.1

American Shared Hospital Services Making the Best Healthcare Technology Accessible September 2019 NYSE American: AMS

Exhibit 99.1 American Shared Hospital Services Making the Best Healthcare Technology Accessible September 2019 NYSE American: AMS Safe Harbor Statement This presentation may be deemed to contain certain forward - looking statements with respect to the financial condition, results of operations and future plans of American Shared Hospital Services (including statements regarding the expected contin

September 24, 2019 8-K

Regulation FD Disclosure, Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): September 24, 2019 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (C

August 13, 2019 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): August 13, 2019 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Comm

August 13, 2019 EX-99.1

American Shared Hospital Services Reports Second Quarter 2019 Results

American Shared Hospital Services Reports Second Quarter 2019 Results San Francisco, CA – August 13, 2019 – American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for advanced radiosurgical and radiation therapy services, today announced financial results for the second quarter and six months ended June 30, 2019.

August 13, 2019 10-Q

Quarterly Report - 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) ý QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2019 or ¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

August 13, 2019 EX-10.1

AMERICAN SHARED HOSPITAL SERVICES INCENTIVE COMPENSATION PLAN AS AMENDED AND RESTATED EFFECTIVE JUNE 21, 2019 ARTICLE ONE GENERAL PROVISIONS

AMERICAN SHARED HOSPITAL SERVICES INCENTIVE COMPENSATION PLAN AS AMENDED AND RESTATED EFFECTIVE JUNE 21, 2019 ARTICLE ONE GENERAL PROVISIONS I.

June 26, 2019 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Submission of Matters to a Vote of Security Holders

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): June 21, 2019 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Commis

May 21, 2019 SC 13D/A

AMS / American Shared Hospital Services / Stachowiak Raymond C - SC 13D/A Activist Investment

SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D/A Under the Securities Exchange Act of 1934 (Amendment No. 3)* American Shared Hospital Services (Name of Issuer) Common Stock, No Par Value (Title of Class of Securities) 029595-10-5 (CUSIP Number) Raymond C. Stachowiak American Shared Hospital Services Two Embarcadero Center, Suite 410 San Francisco, California 94111-4107 Tel

May 13, 2019 EX-10.1

Equipment Lease Agreement (for a Gamma Knife Unit) dated as of May 8, 2018 between The Methodist Hospitals, Inc. and GK Financing, LLC

Exhibit 10.1 [*****] Text Omitted for Confidential Treatment. The redacted information has been excluded because it is both (i) not material and (ii) would be competitively harmful if publicly disclosed. EQUIPMENT LEASE AGREEMENT THIS EQUIPMENT LEASE AGREEMENT (“Agreement”) is made and entered into on May 8, 2018, by and between GK FINANCING, LLC, a California limited liability company (“GKF”), at

May 13, 2019 10-Q

AMS / American Shared Hospital Services 10-Q Quarterly Report FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 2019 or ¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

May 9, 2019 8-K

Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): May 9, 2019 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Commissi

May 9, 2019 EX-99.1

American Shared Hospital Services Reports First Quarter 2019 Results Proton Revenue Increased 34.8%

Exhibit 99.1 American Shared Hospital Services Reports First Quarter 2019 Results Proton Revenue Increased 34.8% San Francisco, CA – May 9, 2019 – American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for advanced radiosurgical and radiation therapy services, today announced financial results for the first quarter of 2019. Recent

April 30, 2019 DEF 14A

AMS / American Shared Hospital Services DEF 14A DEF 14A

SCHEDULE 14A (Rule 14a-101) INFORMATION REQUIRED IN PROXY STATEMENT SCHEDULE 14A INFORMATION Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 Filed by the Registrant ☒ Filed by a Party other than the Registrant ☐ Check the appropriate box: ☐ Preliminary Proxy Statement ☐ Confidential, For Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) ☒ Definitive Pro

March 29, 2019 10-K

AMS / American Shared Hospital Services FORM 10-K (Annual Report)

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 10-K (Mark One) x Annual Report Pursuant To Section 13 or 15(d) Of The Securities Exchange Act of 1934 For The Fiscal Year Ended December 31, 2018 or ¨ Transition Report Pursuant To Section 13 or 15(d) Of The Securities Exchange Act of 1934 For The Transition Period From to .

March 29, 2019 EX-21.1

Subsidiaries of American Shared Hospital Services

Exhibit 21.1 The subsidiaries of American Shared Hospital Services are: MedLeader.com, Inc. A California corporation OR21, Inc. A California corporation OR21, LLC A Washington limited liability company Long Beach Equipment, LLC A Delaware limited liability company American Shared Radiosurgery Services A California corporation Subsidiaries of American Shared Radiosurgery Services GK Financing, LLC

March 28, 2019 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): March 28, 2019 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Commi

March 28, 2019 EX-99.1

American Shared Hospital Services Reports Fourth Quarter and Year End 2018 Results Proton Revenue Increased 21.5%

Exhibit 99.1 American Shared Hospital Services Reports Fourth Quarter and Year End 2018 Results Proton Revenue Increased 21.5% San Francisco, CA – March 28, 2019 – American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for advanced radiosurgical and radiation therapy services, today announced financial results for the fourth quart

November 9, 2018 10-Q

AMS / American Shared Hospital Services FORM 10-Q (Quarterly Report)

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended September 30, 2018 or ¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

November 8, 2018 EX-99.1

American Shared Hospital Services Reports Third Quarter 2018 Results Proton Revenue Increased 11.3%; Net Income Increased 69.7%

Exhibit 99.1 American Shared Hospital Services Reports Third Quarter 2018 Results Proton Revenue Increased 11.3%; Net Income Increased 69.7% San Francisco, CA – November 8, 2018 – American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for advanced radiosurgical and radiation therapy services, today announced financial results for

November 8, 2018 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): November 8, 2018 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Com

September 27, 2018 8-K

Regulation FD Disclosure, Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): September 27, 2018 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (C

September 27, 2018 EX-99.1

September 2018 Making the Best Healthcare Technology Accessible

Exhibit 99.1 September 2018 Making the Best Healthcare Technology Accessible + This presentation may be deemed to contain certain forward - looking statements with respect to the financial condition, results of operations and future plans of American Shared Hospital Services (including statements regarding the expected continued growt h i n volume of the MEVION S250 system, the expansion of the Co

August 9, 2018 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): August 9, 2018 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Commi

August 9, 2018 EX-99.1

American Shared Hospital Services Reports Second Quarter 2018 Results Revenue Increased 4.5% and Net Income Increased 154%

Exhibit 99.1 American Shared Hospital Services Reports Second Quarter 2018 Results Revenue Increased 4.5% and Net Income Increased 154% San Francisco, CA – August 9, 2018 – American Shared Hospital Services (NYSE American: AMS) (the "Company"), a leading provider of turnkey technology solutions for advanced radiosurgical and radiation therapy services, today announced financial results for the sec

August 9, 2018 10-Q

AMS / American Shared Hospital Services FORM 10-Q (Quarterly Report)

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2018 or ¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

August 9, 2018 EX-10.2

American Shared Hospital Services Incentive Compensation Plan as amended and restated effective June 27, 2017

Exhibit 10.2 AMERICAN SHARED HOSPITAL SERVICES INCENTIVE COMPENSATION PLAN AS AMENDED AND RESTATED EFFECTIVE JUNE 27. 2017 article One GENERAL PROVISIONS I. PURPOSE OF THE PLAN This Incentive Compensation Plan is intended to promote the interests of American Shared Hospital Services, a California corporation, by providing eligible persons in the Corporation’s service with the opportunity to partic

August 9, 2018 EX-10.1

Addendum Five to Lease Agreement for a Gamma Knife Unit dated as of April 25, 2017 between the Community Hospital Group, Inc. dba JFK Medical Center and GK Financing, LLC

Exhibit 10.1 ADDENDUM FIVE TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT This ADDENDUM FIVE TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT (this “Addendum Five”) is dated effective as of April 25, 2017 and is entered into between The Community Hospital Group, Inc., dba JFK Medical Center, a New Jersey corporation (“JFK”), and GK Financing, LLC, a California limited liability company (“GKF”). RECITALS WHERE

June 18, 2018 8-K

Submission of Matters to a Vote of Security Holders

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): June 14, 2018 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Commis

May 10, 2018 EX-99.1

AMERICAN SHARED HOSPITAL SERVICES FIRST QUARTER NET INCOME INCREASED 33.1%

Exhibit 99.1 AMERICAN SHARED HOSPITAL SERVICES FIRST QUARTER NET INCOME INCREASED 33.1% San Francisco, CA – May 10, 2018 - AMERICAN SHARED HOSPITAL SERVICES (NYSE AMERICAN:AMS) (the "Company"), a leading provider of turnkey technology solutions for advanced radiosurgical and radiation therapy services, today announced financial results for the first quarter of 2018. First Quarter Results For the t

May 10, 2018 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): May 10, 2018 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Commiss

May 10, 2018 10-Q

AMS / American Shared Hospital Services FORM 10-Q (Quarterly Report)

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 2018 or ¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

May 10, 2018 EX-10.1

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

Exhibit 10.1 FIRST AMENDMENT TO EQUIPMENT LEASE AGREEMENT This FIRST AMENDMENT TO EQUIPMENT LEASE AGREEMENT (this “First Amendment”) is dated effective as of February 14, 2018 (the “Effective Date”) and is entered into by and between Bryan Medical Center, a Nebraska non-profit corporation (“Hospital”) and GK Financing, LLC, a California limited liability company (“GKF”). Recitals: WHEREAS, GKF and

April 30, 2018 DEF 14A

AMS / American Shared Hospital Services DEF 14A

SCHEDULE 14A (Rule 14a-101) INFORMATION REQUIRED IN PROXY STATEMENT SCHEDULE 14A INFORMATION Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 Filed by the Registrant x Filed by a Party other than the Registrant o Check the appropriate box: o Preliminary Proxy Statement o Confidential, For Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) x Definitive Pro

March 28, 2018 10-K

AMS / American Shared Hospital Services FORM 10-K (Annual Report)

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 10-K (Mark One) x Annual Report Pursuant To Section 13 or 15(d) Of The Securities Exchange Act of 1934 For The Fiscal Year Ended December 31, 2017 or ¨ Transition Report Pursuant To Section 13 or 15(d) Of The Securities Exchange Act of 1934 For The Transition Period From to .

March 28, 2018 EX-21.1

Subsidiaries of American Shared Hospital Services

Exhibit 21.1 The subsidiaries of American Shared Hospital Services are: MedLeader.com, Inc. A California corporation OR21, Inc. A California corporation OR21, LLC A Washington limited liability company Long Beach Equipment, LLC A Delaware limited liability company American Shared Radiosurgery Services A California corporation Subsidiaries of American Shared Radiosurgery Services GK Financing, LLC

March 26, 2018 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): March 26, 2018 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Commi

March 26, 2018 EX-99.1

AMERICAN SHARED HOSPITAL SERVICES FOURTH QUARTER NET INCOME IS $0.24 PER SHARE AFTER INCOME TAX BENEFIT FROM NEW TAX LAW

Exhibit 99.1 AMERICAN SHARED HOSPITAL SERVICES FOURTH QUARTER NET INCOME IS $0.24 PER SHARE AFTER INCOME TAX BENEFIT FROM NEW TAX LAW San Francisco, CA – March 26, 2018 - AMERICAN SHARED HOSPITAL SERVICES (NYSE AMERICAN:AMS) (the "Company"), a leading provider of turnkey technology solutions for advanced radiosurgical and radiation therapy services, today announced financial results for the fourth

November 13, 2017 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): November 13, 2017 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Co

November 13, 2017 EX-99.1

AMERICAN SHARED HOSPITAL SERVICES REPORTS THIRD QUARTER RESULTS

Exhibit 99.1 AMERICAN SHARED HOSPITAL SERVICES REPORTS THIRD QUARTER RESULTS San Francisco, CA ? November 13, 2017 ? AMERICAN SHARED HOSPITAL SERVICES (NYSE AMERICAN:AMS) (the ?Company?), a leading provider of turnkey technology solutions for advanced radiosurgical and radiation therapy services, today announced financial results for the third quarter and first nine months of 2017. Third Quarter R

November 13, 2017 EX-10.2

Second Amendment to Lease Agreement for a Gamma Knife Unit (Perfexion Upgrade) dated as of May 15, 2009 between Yale-New Haven Hospital, Inc. a/k/a Yale-New Haven Hospital and GK Financing, LLC.

Exhibit 10.2 SECOND AMENDMENT TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT (PERFEXION UPGRADE) This SECOND AMENDMENT TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT (this “Second Amendment”) is dated effective as of May 15, 2009 (the “Effective Date”) and is entered into by and between Yale-New Haven Hospital, Inc. a/k/a Yale-New Haven Hospital, a Connecticut corporation (“YNHH”) and GK Financing, LLC, a C

November 13, 2017 EX-10.1

Equipment Lease Agreement (for a Gamma Knife Unit) dated as of February 21, 2017 between Bryan Medical Center, and GK Financing, LLC.

Exhibit 10.1 CONFIDENTIAL TREATMENT REQUESTED UNDER 17 C.F.R. SECTIONS 200.80(b)(4) AND 240.24b-2. [*****] INDICATES OMITTED MATERIAL THAT IS THE SUBJECT OF A CONFIDENTIAL TREATMENT REQUEST FILED SEPARATELY WITH THE COMMISSION. THE OMITTED MATERIAL HAS BEEN FILED SEPARATELY WITH THE COMMISSION. EQUIPMENT LEASE AGREEMENT THIS EQUIPMENT LEASE AGREEMENT (“Agreement”) is made and entered into on Febru

November 13, 2017 10-Q

AMS / American Shared Hospital Services FORM 10-Q (Quarterly Report)

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended September 30, 2017 or ¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

September 15, 2017 EX-24

You’ve Exceeded the SEC’s Traffic Limit

Exhibit 24 POWER OF ATTORNEY Know all by these presents, that the undersigned hereby constitutes and appoints each of Craig Tagawa and Chloe Tagawa as the undersigned?s true and lawful attorneys-in-fact to: (1) execute for and on behalf of the undersigned, in the undersigned?s capacity as a reporting person pursuant to Section 16 of the Securities Exchange Act of 1934, as amended (the ?Exchange Ac

September 13, 2017 8-K

Amendment to Registrant's Code of Ethics, or Waiver of a Provision of the Code of Ethics, Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): September 7, 2017 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Co

September 13, 2017 EX-14.01

Exhibit 14.01 Amended Code of Business Conduct and Ethics

Exhibit 14.01 AMERICAN SHARED HOSPITAL SERVICES Code of Business Conduct and Ethics Adopted May 28, 2004 Amended as of September 2017 1. 1. Introduction This Code of Business Conduct and Ethics (?Code?) has been adopted by our the Board of Directors (the ?Board?) of American Shared Hospital Services (together with its subsidiaries, the ?Company?), and summarizes the standards that must guide our a

September 13, 2017 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): September 7, 2017 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Co

August 10, 2017 EX-99.1

AMERICAN SHARED HOSPITAL SERVICES REPORTS SECOND QUARTER RESULTS

Exhibit 99.1 AMERICAN SHARED HOSPITAL SERVICES REPORTS SECOND QUARTER RESULTS San Francisco, CA ? August 10, 2017 - AMERICAN SHARED HOSPITAL SERVICES (NYSE AMERICAN: AMS) (the "Company"), a leading provider of turnkey technology solutions for advanced radiosurgical and radiation therapy services, today announced financial results for the second quarter and first six months of 2017. Second Quarter

August 10, 2017 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of report (Date of earliest event reported): August 10, 2017 AMERICAN SHARED HOSPITAL SERVICES (Exact name of registrant as specified in charter) California 1-08789 94-2918118 (State or other jurisdiction of incorporation) (Comm

August 10, 2017 10-Q

AMS / American Shared Hospital Services FORM 10-Q (Quarterly Report)

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q (Mark One) x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2017 or ¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to .

August 10, 2017 EX-10.2

Second Amendment to Equipment Lease Agreement (for a Gamma Knife Unit) dated as of June 1, 2017 between GK Financing, LLC and Fort Sanders Regional Medical Center

Exhibit 10.2 SECOND AMENDMENT TO EQUIPMENT LEASE AGREEMENT This SECOND AMENDMENT TO EQUIPMENT LEASE AGREEMENT (this “Amendment”) is made and entered into effective as of the 1st day of June, 2017 (the “Effective Date”), by and between GK FINANCING, LLC, a California limited liability company (“GKF”), and FORT SANDERS REGIONAL MEDICAL CENTER, a Tennessee not for profit corporation (“Medical Center”

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