American Shared Hospital Services Reports Second Quarter 2020 Financial Results
American Shared Hospital Services (AMS) reported significant financial impacts from the COVID-19 pandemic for Q2 2020. Total revenue fell by 23.2% to $3,991,000 compared to Q2 2019. While proton therapy revenue remained stable at $1,401,000, Gamma Knife revenue plummeted by 28.1% to $2,590,000. The company suffered a net loss of $483,000 versus net income of $31,000 in the previous year. Adjusted EBITDA also declined to $1,437,000. Despite challenges, AMS is seeing early signs of volume recovery in July.
- Revenue from proton therapy stable at $1,401,000.
- Early signs of volume recovery observed in July.
- Total revenue decreased by 23.2% to $3,991,000.
- Gamma Knife revenue decreased by 28.1% to $2,590,000.
- Net loss of $483,000 compared to net income of $31,000 in Q2 2019.
- Gross margin decreased to 22.7% of revenue.
COVID-19 Pandemic Had Significant Impact on Q2 Volumes
SAN FRANCISCO, CA, Aug. 14, 2020 (GLOBE NEWSWIRE) -- via NEWMEDIAWIRE -- 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.
Second Quarter Financial Highlights
- The Company completed its acquisition of Gamma Knife Center Ecuador S. A.
- Total revenue in the second quarter was
$3,991,000 , a decline of23.2% from the comparable period in 2019. Proton therapy revenue of$1,401,000 was consistent with the second quarter of 2019. Gamma Knife revenue of$2,590,000 declined28.1% compared to the second quarter of 2019 due to the impact of the COVID-19 pandemic on volumes, as well as lower average reimbursement at the Company’s retail sites. - Total proton therapy fractions in the second quarter decreased
4.1% compared to the second quarter of 2019. The decrease for the second quarter resulted from the impact of the COVID-19 pandemic. Gamma Knife volumes for centers in operation decreased8.9% from Gamma Knife volumes for those same centers during the same period of the prior year, also primarily as a result of the COVID-19 pandemic. - Net loss in the second quarter was
$483,000 compared to net income of$31,000 for the second quarter of 2019. The decrease in net income was due to lower Gamma Knife revenue, and higher expenses, including, but not limited to, the COVID-19 pandemic, the switch to a virtual annual meeting and transaction costs from the June acquisition of the Gamma Knife Center in Ecuador.
Ray Stachowiak, Interim President and Chief Executive Officer, commented, “In the second quarter, the COVID-19 pandemic impacted our financial results more than expected, with many patients delaying their treatments during the early months of this unprecedented health crisis. Lower volumes for both proton beam therapy and Gamma Knife procedures, as well as lower total reimbursement for Gamma Knife procedures, combined with a high level of fixed costs, reduced our gross margin. This was further negatively impacted by other pandemic related costs, such as the expense required to switch to a virtual format for the annual meeting of shareholders. The Company’s purchase of Gamma Knife Center, Ecuador S.A. in June also resulted in additional expenses related to the costs of completing the acquisition. As a result of these economic issues and activities, AMS reported a loss for the second quarter.
“Volumes on both sides of our business began to pick up in early July, despite typical seasonal headwinds. PBRT volume in particular rebounded especially well during the month. However, with COVID-19 hot spots rearing up again around the U.S., we remain uncertain as to when volumes will return to a sustained normalcy. In the third quarter we expect to expense the remaining transaction costs related to our acquisition in Ecuador, where volumes have also been impacted by the virus. We remain on track to upgrade the Gamma Knife Perfexion to the Icon platform at the Lovelace Medical Center in September and continue to advance discussions with prospective partners to develop new PBRT, MR/LINAC, Gamma Knife and LINAC projects, as we’ve previously disclosed,” concluded Mr. Stachowiak.
Financial Results for the Three Months Ended June 30, 2020
For the three months ended June 30, 2020, revenues decreased
Second quarter revenue for the Company's proton therapy system installed at Orlando Health in Florida decreased
Revenue for the Company's Gamma Knife operations decreased
Gross margin for the second quarter of 2020 decreased to
Net loss for the second quarter of 2020 was
Adjusted EBITDA, a non-GAAP financial measure, was
Financial Results for the Six Months Ended June 30, 2020
For the six months ended June 30, 2020, revenue decreased
Net loss for the first six months of 2020 was
Balance Sheet Highlights
At June 30, 2020, cash, cash equivalents, and restricted cash was
Conference Call and Webcast Information
AMS has scheduled a conference call at 12:00 p.m. PDT (3:00 p.m. EDT) today. To participate, please call 1 (800) 774-6070 at least 5 minutes prior to the start of the call and enter passcode number: 7610094#. A simultaneous Webcast of the call may be accessed through the Company's website, www.ashs.com, or at www.streetevents.com for institutional investors.
A replay of the call will be available at the following link through August 28, 2020: https://onlinexperiences.com/Launch/QReg/ShowUUID=941ED238-DFC5-4A86-8B87-49596816D143&LangLocaleID=1033. Passcode: 49891409.
About American Shared Hospital Services (NYSE American: AMS)
American Shared Hospital Services provides turnkey technology solutions for advanced radiosurgical and radiation therapy services. AMS is a world leader in providing Gamma Knife radiosurgery equipment, a non-invasive treatment for malignant and benign brain tumors, vascular malformations, and trigeminal neuralgia (facial pain). The Company also offers proton therapy, and the latest IGRT, IMRT and MR/LINAC systems. For more information, please visit: www.ashs.com.
Earnings Disclosure
The outbreak of the novel coronavirus COVID-19, is now a pandemic as declared by the World Health Organization and has led to adverse impacts on the U.S. and global economies and will likely continue to impact business activity, including the Company’s. The pandemic has impacted and could further impact the Company’s operations and the operations of its customers as a result of quarantines, facility closures, and travel and logistics restrictions. While the disruption caused by the pandemic is currently expected to be temporary, there is uncertainty regarding its duration. Therefore, while the COVID-19 pandemic has impacted the Company’s results of operations, financial position, and liquidity, the duration and intensity of the impact of the COVID-19 pandemic and resulting disruption to the Company’s operations is uncertain. The Company will continue to monitor the situation closely and assess the impact on its operations and financial results for the remainder of the year.
In July 2019, the Centers for Medicare and Medicaid Services (“CMS”) announced a proposed new mandatory payment model for radiation oncology services intended to test an episodic payment structure across certain radiation therapy providers and suppliers. CMS projects that approximately
Safe Harbor Statement
This press release 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 growth of the Company and the expansion of the Company’s Gamma Knife, proton therapy and MR/LINAC business, which involve risks and uncertainties including, but not limited to, the risks of economic and market conditions, the risks of variability of financial results between quarters, the risks of the Gamma Knife and proton therapy businesses, the risks of developing The Operating Room for the 21st Century program, the risks of changes to CMS reimbursement rates or reimbursement methodology, the risks of the timing, financing, and operations of the Company’s Gamma Knife, proton therapy, and MR/LINAC businesses, the risks of the COVID-19 pandemic and its effect on the Company’s business operations and financial condition, the risk that the Company will be unable to conduct an effective executive search, the risk that the Company will be unable to identify and attract a permanent successor to the Company’s President and Chief Executive Officer, the risk of expanding within or into new markets, the risk that the integration or continued operation of acquired businesses could adversely affect financial results and the risk that current and future acquisitions may negatively affect the Company’s financial position. Further information on potential factors that could affect the financial condition, results of operations and future plans of American Shared Hospital Services is included in the filings of the Company with the Securities and Exchange Commission, including the Company's Annual Report on Form 10-K for the year ended December 31, 2019, its Quarterly Report on Form 10-Q for the three months ended March 31, 2020 and the definitive Proxy Statement for the Annual Meeting of Shareholders that was held on June 26, 2020.
Non-GAAP Financial Measure
Adjusted EBITDA, the non-GAAP measure presented in this press release and supplementary information, is not a measure of performance under the accounting principles generally accepted in the United States ("GAAP"). This non-GAAP financial measure has limitations as an analytical tool, including that it does not have a standardized meaning. When assessing our operating performance, this non-GAAP financial measure should not be considered a substitute for, and investors should also consider, income (loss) before income taxes, income (loss) from operations, net income (loss) attributable to the Company, earnings (loss) per share and other measures of performance as defined by GAAP as indicators of the Company's performance or profitability.
Adjusted EBITDA is a non-GAAP financial measure representing our (loss) earnings before interest, taxes, depreciation, and amortization. We define Adjusted EBITDA as net (loss) income before interest expense, income tax (benefit) expense, depreciation and amortization expense, stock-based compensation expense, and acquisition transaction costs.
We use this non-GAAP financial measure as a means to evaluate period-to-period comparisons. Our management believes that this non-GAAP financial measure provides meaningful supplemental information regarding our performance by excluding certain expenses and charges that may not be indicative of the operating results of our recurring core business, such as stock-based compensation expense. We believe that both management and investors benefit from referring to this non-GAAP financial measure in assessing our performance.
Contacts:
American Shared Hospital Services
Ray Stachowiak
Interim President and Chief Executive Officer
rstachowiak@ashs.com
Investor Relations
PCG Advisory
Stephanie Prince
P: (646) 762-4518
sprince@pcgadvisory.com
| American Shared Hospital Services | ||||||||
| Statement of Operations | ||||||||
| Three months ended June 30, | Six months ended June 30, | |||||||
| 2020 | 2019 | 2020 | 2019 | |||||
| Revenues | ||||||||
| Costs of revenue | 3,084,000 | 3,468,000 | 6,258,000 | 6,852,000 | ||||
| Gross margin | 907,000 | 1,729,000 | 2,301,000 | 3,666,000 | ||||
| Selling & administrative expense | 1,210,000 | 1,081,000 | 2,421,000 | 2,136,000 | ||||
| Interest expense | 267,000 | 346,000 | 549,000 | 713,000 | ||||
| Operating (loss) income | (570,000) | 302,000 | (669,000) | 817,000 | ||||
| Other income | 1,000 | 4,000 | 4,000 | 8,000 | ||||
| (Loss) income before income taxes | (569,000) | 306,000 | (665,000) | 825,000 | ||||
| Income tax (benefit) expense | (130,000) | 27,000 | (158,000) | 151,000 | ||||
| Net (loss) income | (439,000) | 279,000 | (507,000) | 674,000 | ||||
| Less: Net (income) attributable to non-controlling interest | (44,000) | (248,000) | (111,000) | (373,000) | ||||
| Net (loss) income attributable to American Shared Hospital Services | ( | ( | ||||||
| (Loss) income per common share: | ||||||||
| Basic | ( | ( | ||||||
| Assuming dilution | ( | ( | ||||||
| American Shared Hospital Services | ||||||||
| Balance Sheet Data | ||||||||
| 6/30/2020 | 12/31/2019 | |||||||
| Cash, cash equivalents and restricted cash | ||||||||
| Current assets | ||||||||
| Total assets | ||||||||
| Current liabilities | ||||||||
| Shareholders' equity | ||||||||
| American Shared Hospital Services | ||||||
| Adjusted EBITDA | ||||||
| Q2 | Q2 | YTD | YTD | |||
| 2020 | 2019 | 2020 | 2019 | |||
| Net (Loss) Income | $ (483,000) | $ 31,000 | $ (618,000) | 301,000 | ||
| Plus: | Income Tax (Benefit) Expense | (130,000) | 27,000 | (158,000) | 151,000 | |
| Interest Expense | 267,000 | 346,000 | 549,000 | 713,000 | ||
| Depreciation and Amortization Expense | 1,637,000 | 2,008,000 | 3,284,000 | 3,902,000 | ||
| Stock-Based Compensation Expense | 53,000 | 53,000 | 109,000 | 108,000 | ||
| Acquisition Transaction Costs | 93,000 | - | 93,000 | - | ||
| Adjusted EBITDA | $ 1,437,000 | $ 2,465,000 | $ 3,259,000 | $ 5,175,000 | ||
FAQ
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