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Side-by-side financial comparison of AMERICAN SHARED HOSPITAL SERVICES (AMS) and Guardant Health, Inc. (GH). Click either name above to swap in a different company.

Guardant Health, Inc. is the larger business by last-quarter revenue ($281.3M vs $7.7M, roughly 36.4× AMERICAN SHARED HOSPITAL SERVICES). AMERICAN SHARED HOSPITAL SERVICES runs the higher net margin — -8.2% vs -45.7%, a 37.5% gap on every dollar of revenue. On growth, Guardant Health, Inc. posted the faster year-over-year revenue change (39.4% vs -14.8%). AMERICAN SHARED HOSPITAL SERVICES produced more free cash flow last quarter ($-2.7M vs $-54.2M). Over the past eight quarters, Guardant Health, Inc.'s revenue compounded faster (29.2% CAGR vs 21.7%).

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.

Guardant Health, Inc. is an American biotechnology company based in Palo Alto, California. Co-founders Helmy Eltoukhy and AmirAli Talasaz serve as co-chief executive officers.

AMS vs GH — Head-to-Head

Bigger by revenue
GH
GH
36.4× larger
GH
$281.3M
$7.7M
AMS
Growing faster (revenue YoY)
GH
GH
+54.2% gap
GH
39.4%
-14.8%
AMS
Higher net margin
AMS
AMS
37.5% more per $
AMS
-8.2%
-45.7%
GH
More free cash flow
AMS
AMS
$51.5M more FCF
AMS
$-2.7M
$-54.2M
GH
Faster 2-yr revenue CAGR
GH
GH
Annualised
GH
29.2%
21.7%
AMS

Income Statement — Q4 2025 vs Q4 2025

Metric
AMS
AMS
GH
GH
Revenue
$7.7M
$281.3M
Net Profit
$-631.0K
$-128.5M
Gross Margin
11.7%
64.6%
Operating Margin
-18.1%
-43.0%
Net Margin
-8.2%
-45.7%
Revenue YoY
-14.8%
39.4%
Net Profit YoY
52.5%
-15.8%
EPS (diluted)
$-0.09
$-1.01

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
GH
GH
Q4 25
$7.7M
$281.3M
Q3 25
$7.2M
$265.2M
Q2 25
$7.1M
$232.1M
Q1 25
$6.1M
$203.5M
Q4 24
$9.1M
$201.8M
Q3 24
$7.0M
$191.5M
Q2 24
$7.1M
$177.2M
Q1 24
$5.2M
$168.5M
Net Profit
AMS
AMS
GH
GH
Q4 25
$-631.0K
$-128.5M
Q3 25
$-17.0K
$-92.7M
Q2 25
$-280.0K
$-99.9M
Q1 25
$-625.0K
$-95.2M
Q4 24
$-1.3M
$-111.0M
Q3 24
$-207.0K
$-107.8M
Q2 24
$3.6M
$-102.6M
Q1 24
$119.0K
$-115.0M
Gross Margin
AMS
AMS
GH
GH
Q4 25
11.7%
64.6%
Q3 25
22.1%
64.7%
Q2 25
23.1%
65.0%
Q1 25
15.4%
63.3%
Q4 24
35.3%
61.6%
Q3 24
19.6%
61.1%
Q2 24
35.0%
59.1%
Q1 24
41.1%
61.2%
Operating Margin
AMS
AMS
GH
GH
Q4 25
-18.1%
-43.0%
Q3 25
-4.8%
-37.3%
Q2 25
-7.7%
-45.9%
Q1 25
-21.3%
-54.6%
Q4 24
-20.2%
-62.4%
Q3 24
-12.7%
-61.3%
Q2 24
-0.0%
-56.8%
Q1 24
-1.6%
-59.2%
Net Margin
AMS
AMS
GH
GH
Q4 25
-8.2%
-45.7%
Q3 25
-0.2%
-35.0%
Q2 25
-4.0%
-43.0%
Q1 25
-10.2%
-46.8%
Q4 24
-14.6%
-55.0%
Q3 24
-3.0%
-56.3%
Q2 24
51.0%
-57.9%
Q1 24
2.3%
-68.2%
EPS (diluted)
AMS
AMS
GH
GH
Q4 25
$-0.09
$-1.01
Q3 25
$0.00
$-0.74
Q2 25
$-0.04
$-0.80
Q1 25
$-0.10
$-0.77
Q4 24
$-0.21
$-0.90
Q3 24
$-0.03
$-0.88
Q2 24
$0.55
$-0.84
Q1 24
$0.02
$-0.94

Balance Sheet & Financial Strength

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

Metric
AMS
AMS
GH
GH
Cash + ST InvestmentsLiquidity on hand
$3.5M
$378.2M
Total DebtLower is stronger
$17.4M
$1.5B
Stockholders' EquityBook value
$24.0M
$-99.3M
Total Assets
$55.5M
$2.0B
Debt / EquityLower = less leverage
0.72×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AMS
AMS
GH
GH
Q4 25
$3.5M
$378.2M
Q3 25
$5.1M
$580.0M
Q2 25
$11.1M
$629.1M
Q1 25
$11.2M
$698.6M
Q4 24
$11.0M
$525.5M
Q3 24
$13.8M
$585.0M
Q2 24
$14.2M
$933.7M
Q1 24
$12.8M
$1.0B
Total Debt
AMS
AMS
GH
GH
Q4 25
$17.4M
$1.5B
Q3 25
$18.2M
$1.1B
Q2 25
$19.1M
$1.1B
Q1 25
$19.9M
$1.1B
Q4 24
$20.4M
$1.1B
Q3 24
$14.4M
Q2 24
$15.1M
Q1 24
$15.6M
Stockholders' Equity
AMS
AMS
GH
GH
Q4 25
$24.0M
$-99.3M
Q3 25
$24.6M
$-354.5M
Q2 25
$24.5M
$-305.5M
Q1 25
$24.6M
$-250.8M
Q4 24
$25.2M
$-139.6M
Q3 24
$26.4M
$-60.1M
Q2 24
$26.5M
$-1.6M
Q1 24
$22.8M
$68.3M
Total Assets
AMS
AMS
GH
GH
Q4 25
$55.5M
$2.0B
Q3 25
$59.6M
$1.3B
Q2 25
$63.5M
$1.3B
Q1 25
$63.3M
$1.3B
Q4 24
$60.2M
$1.5B
Q3 24
$63.3M
$1.5B
Q2 24
$60.8M
$1.6B
Q1 24
$50.1M
$1.7B
Debt / Equity
AMS
AMS
GH
GH
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
GH
GH
Operating Cash FlowLast quarter
$-704.0K
$-26.4M
Free Cash FlowOCF − Capex
$-2.7M
$-54.2M
FCF MarginFCF / Revenue
-34.8%
-19.3%
Capex IntensityCapex / Revenue
25.7%
9.9%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$-8.5M
$-233.1M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AMS
AMS
GH
GH
Q4 25
$-704.0K
$-26.4M
Q3 25
$1.7M
$-35.4M
Q2 25
$-372.0K
$-60.3M
Q1 25
$2.5M
$-62.7M
Q4 24
$274.0K
$-64.5M
Q3 24
$472.0K
$-51.1M
Q2 24
$1.3M
$-94.0M
Q1 24
$-1.9M
$-30.3M
Free Cash Flow
AMS
AMS
GH
GH
Q4 25
$-2.7M
$-54.2M
Q3 25
$-2.0M
$-45.8M
Q2 25
$-2.3M
$-65.9M
Q1 25
$-1.5M
$-67.1M
Q4 24
$-4.4M
$-83.4M
Q3 24
$-407.0K
$-55.3M
Q2 24
$70.0K
$-99.1M
Q1 24
$-3.0M
$-37.2M
FCF Margin
AMS
AMS
GH
GH
Q4 25
-34.8%
-19.3%
Q3 25
-28.3%
-17.3%
Q2 25
-32.1%
-28.4%
Q1 25
-24.7%
-33.0%
Q4 24
-48.4%
-41.3%
Q3 24
-5.8%
-28.9%
Q2 24
1.0%
-55.9%
Q1 24
-58.4%
-22.1%
Capex Intensity
AMS
AMS
GH
GH
Q4 25
25.7%
9.9%
Q3 25
51.6%
3.9%
Q2 25
26.9%
2.4%
Q1 25
65.7%
2.2%
Q4 24
51.4%
9.4%
Q3 24
12.6%
2.2%
Q2 24
17.2%
2.9%
Q1 24
22.7%
4.1%
Cash Conversion
AMS
AMS
GH
GH
Q4 25
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
0.36×
Q1 24
-15.67×

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%

GH
GH

Oncology$189.9M68%
Biopharma Data$54.0M19%
Screening$35.1M12%
Licensing Other$2.2M1%

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