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Side-by-side financial comparison of AMERICAN SHARED HOSPITAL SERVICES (AMS) and CSP INC (CSPI). Click either name above to swap in a different company.

CSP INC is the larger business by last-quarter revenue ($12.0M vs $7.7M, roughly 1.6× AMERICAN SHARED HOSPITAL SERVICES). CSP INC runs the higher net margin — 0.8% vs -8.2%, a 8.9% gap on every dollar of revenue. On growth, AMERICAN SHARED HOSPITAL SERVICES posted the faster year-over-year revenue change (-14.8% vs -23.2%). AMERICAN SHARED HOSPITAL SERVICES produced more free cash flow last quarter ($-2.7M vs $-3.0M). Over the past eight quarters, AMERICAN SHARED HOSPITAL SERVICES's revenue compounded faster (21.7% CAGR vs -6.3%).

American Shared Hospital Services offers turnkey outsourced solutions for advanced radiotherapy, stereotactic radiosurgery and diagnostic imaging equipment to healthcare facilities. It eliminates high upfront capital costs for hospitals, operates primarily across North America, and also serves Latin America and select Asia-Pacific markets, catering to both public and private hospital segments.

CSP Inc. is a U.S.-based technology firm offering cybersecurity solutions, managed IT services, high-performance computing systems, and IT consulting support. It serves enterprises across healthcare, finance, manufacturing, and public sectors in North America and select global markets.

AMS vs CSPI — Head-to-Head

Bigger by revenue
CSPI
CSPI
1.6× larger
CSPI
$12.0M
$7.7M
AMS
Growing faster (revenue YoY)
AMS
AMS
+8.4% gap
AMS
-14.8%
-23.2%
CSPI
Higher net margin
CSPI
CSPI
8.9% more per $
CSPI
0.8%
-8.2%
AMS
More free cash flow
AMS
AMS
$333.0K more FCF
AMS
$-2.7M
$-3.0M
CSPI
Faster 2-yr revenue CAGR
AMS
AMS
Annualised
AMS
21.7%
-6.3%
CSPI

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
AMS
AMS
CSPI
CSPI
Revenue
$7.7M
$12.0M
Net Profit
$-631.0K
$91.0K
Gross Margin
11.7%
39.3%
Operating Margin
-18.1%
-0.9%
Net Margin
-8.2%
0.8%
Revenue YoY
-14.8%
-23.2%
Net Profit YoY
52.5%
-80.7%
EPS (diluted)
$-0.09
$0.01

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
AMS
AMS
CSPI
CSPI
Q4 25
$7.7M
$12.0M
Q3 25
$7.2M
$14.5M
Q2 25
$7.1M
$15.4M
Q1 25
$6.1M
$13.1M
Q4 24
$9.1M
$15.7M
Q3 24
$7.0M
$13.0M
Q2 24
$7.1M
$13.1M
Q1 24
$5.2M
$13.7M
Net Profit
AMS
AMS
CSPI
CSPI
Q4 25
$-631.0K
$91.0K
Q3 25
$-17.0K
$-191.0K
Q2 25
$-280.0K
$-264.0K
Q1 25
$-625.0K
$-108.0K
Q4 24
$-1.3M
$472.0K
Q3 24
$-207.0K
$-1.7M
Q2 24
$3.6M
$-185.0K
Q1 24
$119.0K
$1.6M
Gross Margin
AMS
AMS
CSPI
CSPI
Q4 25
11.7%
39.3%
Q3 25
22.1%
36.6%
Q2 25
23.1%
28.8%
Q1 25
15.4%
32.0%
Q4 24
35.3%
29.1%
Q3 24
19.6%
28.4%
Q2 24
35.0%
35.0%
Q1 24
41.1%
47.3%
Operating Margin
AMS
AMS
CSPI
CSPI
Q4 25
-18.1%
-0.9%
Q3 25
-4.8%
-3.7%
Q2 25
-7.7%
-7.9%
Q1 25
-21.3%
-7.6%
Q4 24
-20.2%
-2.3%
Q3 24
-12.7%
-15.7%
Q2 24
-0.0%
-5.5%
Q1 24
-1.6%
9.0%
Net Margin
AMS
AMS
CSPI
CSPI
Q4 25
-8.2%
0.8%
Q3 25
-0.2%
-1.3%
Q2 25
-4.0%
-1.7%
Q1 25
-10.2%
-0.8%
Q4 24
-14.6%
3.0%
Q3 24
-3.0%
-12.7%
Q2 24
51.0%
-1.4%
Q1 24
2.3%
11.6%
EPS (diluted)
AMS
AMS
CSPI
CSPI
Q4 25
$-0.09
$0.01
Q3 25
$0.00
$-0.02
Q2 25
$-0.04
$-0.03
Q1 25
$-0.10
$-0.01
Q4 24
$-0.21
$0.05
Q3 24
$-0.03
$-0.17
Q2 24
$0.55
$-0.02
Q1 24
$0.02
$0.16

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
AMS
AMS
CSPI
CSPI
Cash + ST InvestmentsLiquidity on hand
$3.5M
$24.9M
Total DebtLower is stronger
$17.4M
Stockholders' EquityBook value
$24.0M
$44.8M
Total Assets
$55.5M
$69.2M
Debt / EquityLower = less leverage
0.72×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AMS
AMS
CSPI
CSPI
Q4 25
$3.5M
$24.9M
Q3 25
$5.1M
$27.4M
Q2 25
$11.1M
$26.3M
Q1 25
$11.2M
$29.5M
Q4 24
$11.0M
$30.7M
Q3 24
$13.8M
$30.6M
Q2 24
$14.2M
$28.9M
Q1 24
$12.8M
$27.1M
Total Debt
AMS
AMS
CSPI
CSPI
Q4 25
$17.4M
Q3 25
$18.2M
Q2 25
$19.1M
Q1 25
$19.9M
Q4 24
$20.4M
Q3 24
$14.4M
Q2 24
$15.1M
Q1 24
$15.6M
Stockholders' Equity
AMS
AMS
CSPI
CSPI
Q4 25
$24.0M
$44.8M
Q3 25
$24.6M
$44.6M
Q2 25
$24.5M
$47.5M
Q1 25
$24.6M
$47.5M
Q4 24
$25.2M
$47.5M
Q3 24
$26.4M
$47.3M
Q2 24
$26.5M
$48.1M
Q1 24
$22.8M
$48.2M
Total Assets
AMS
AMS
CSPI
CSPI
Q4 25
$55.5M
$69.2M
Q3 25
$59.6M
$71.2M
Q2 25
$63.5M
$66.8M
Q1 25
$63.3M
$67.1M
Q4 24
$60.2M
$67.5M
Q3 24
$63.3M
$69.4M
Q2 24
$60.8M
$66.8M
Q1 24
$50.1M
$64.2M
Debt / Equity
AMS
AMS
CSPI
CSPI
Q4 25
0.72×
Q3 25
0.74×
Q2 25
0.78×
Q1 25
0.81×
Q4 24
0.81×
Q3 24
0.54×
Q2 24
0.57×
Q1 24
0.68×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
AMS
AMS
CSPI
CSPI
Operating Cash FlowLast quarter
$-704.0K
$-2.9M
Free Cash FlowOCF − Capex
$-2.7M
$-3.0M
FCF MarginFCF / Revenue
-34.8%
-25.1%
Capex IntensityCapex / Revenue
25.7%
0.9%
Cash ConversionOCF / Net Profit
-32.04×
TTM Free Cash FlowTrailing 4 quarters
$-8.5M
$-2.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AMS
AMS
CSPI
CSPI
Q4 25
$-704.0K
$-2.9M
Q3 25
$1.7M
$1.9M
Q2 25
$-372.0K
$-3.3M
Q1 25
$2.5M
$1.9M
Q4 24
$274.0K
$1.7M
Q3 24
$472.0K
$-1.5M
Q2 24
$1.3M
$2.4M
Q1 24
$-1.9M
$1.7M
Free Cash Flow
AMS
AMS
CSPI
CSPI
Q4 25
$-2.7M
$-3.0M
Q3 25
$-2.0M
$1.7M
Q2 25
$-2.3M
$-3.3M
Q1 25
$-1.5M
$1.9M
Q4 24
$-4.4M
$1.7M
Q3 24
$-407.0K
$-1.5M
Q2 24
$70.0K
$2.4M
Q1 24
$-3.0M
$1.6M
FCF Margin
AMS
AMS
CSPI
CSPI
Q4 25
-34.8%
-25.1%
Q3 25
-28.3%
11.5%
Q2 25
-32.1%
-21.7%
Q1 25
-24.7%
14.5%
Q4 24
-48.4%
10.8%
Q3 24
-5.8%
-11.7%
Q2 24
1.0%
17.9%
Q1 24
-58.4%
11.9%
Capex Intensity
AMS
AMS
CSPI
CSPI
Q4 25
25.7%
0.9%
Q3 25
51.6%
1.6%
Q2 25
26.9%
0.4%
Q1 25
65.7%
0.1%
Q4 24
51.4%
0.3%
Q3 24
12.6%
0.1%
Q2 24
17.2%
0.3%
Q1 24
22.7%
0.1%
Cash Conversion
AMS
AMS
CSPI
CSPI
Q4 25
-32.04×
Q3 25
Q2 25
Q1 25
Q4 24
3.69×
Q3 24
Q2 24
0.36×
Q1 24
-15.67×
1.04×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

AMS
AMS

Direct Patient Services$4.0M51%
Rental Income From Medical Services$2.7M35%
Pbrt Services$1.2M15%

CSPI
CSPI

Products$6.7M56%
Services$5.3M44%

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