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AMERICAN SHARED HOSPITAL SERVICES REPORTS HIGHER REVENUE AND PRE-TAX INCOME FOR THE FOURTH QUARTER AND 2006 VERSUS PRIOR YEAR Fourth Quarter Operating Income Increased Over Prior Year For The 24 th Consecutive Quarter Sa

Key Takeaway: AMERICAN SHARED HOSPITAL SERVICES REPORTS HIGHER REVENUE AND PRE-TAX INCOME FOR THE FOURTH QUARTER AND 2006 VERSUS PRIOR YEAR Fourth Quarter Operating Income Increased Over Prior Year For The 24th Consecutive Quarter San Francisco, CA, March 6, 2007 AMERICAN SHARED HOSPITAL

Full Press Release Details

AMERICAN SHARED HOSPITAL SERVICES REPORTS
HIGHER REVENUE AND PRE-TAX INCOME FOR THE
FOURTH QUARTER AND 2006 VERSUS PRIOR YEAR
Fourth Quarter Operating Income Increased Over Prior Year
For The 24th Consecutive Quarter
San Francisco, CA, March 6, 2007 AMERICAN SHARED HOSPITAL SERVICES (AMEX:AMS), a leading
provider of turnkey technology solutions for advanced radiosurgical and radiation therapy services,
today announced higher revenue, operating income and pre-tax income for the fourth quarter and 2006
compared to the same periods of 2005.
By delivering continued modest growth from our existing portfolio of radiosurgical assets, and
setting the foundation for more rapid growth in the future, we achieved our most important goals
for 2006, said Chairman and Chief Executive Officer Ernest A. Bates, M.D.
The increase in revenue, operating income and pre-tax income for the fourth quarter and 2006
reflected the maturation of the two Gamma Knife centers that began treating patients in mid-2005,
higher patient volumes at several of our older centers, and effective cost control. We also made
great strides in our plan to use AMS creative financing solutions to dramatically expand our
growth potential by offering our clinical partners the latest technology solutions for radiation
We expect our innovative agreement with Tufts-New England Medical Center to provide
state-of-the-art equipment as part of a complete radiation therapy department upgrade to contribute
to our operating results beginning in mid-2007. Under this agreement, which is a model for
additional agreements we hope to complete in the future, AMS will provide Tufts-NEMC an
image-guided radiation therapy (IGRT) system, a CT Simulator, and related service, support and
maintenance services.
Last month the Commonwealth of Massachusetts issued a Determination of Need for the Clinatron-250
proton beam radiation therapy (PBRT) system that AMS separately agreed to provide Tufts-NEMC. We
also recently announced an agreement to provide a Clinatron-250 to M. D. Anderson Cancer Center
Orlando, part of Orlando Regional Healthcare, one of Florida s most comprehensive private,
not-for-profit healthcare networks. Subject to the receipt of FDA approval for the Clinatron-250,
we anticipate commencing our lease agreements with Tufts-NEMC and M. D. Anderson Cancer Center
Orlando for the PBRT system in 2009. Interest is high among potential clinical partners in this
exciting new technology, and we are actively evaluating additional PBRT opportunities, Dr. Bates
Currently under development by Still River Systems, the Clinatron-250 is a single-treatment-room
PBRT system incorporating proprietary technology that Still River believes may dramatically reduce
the cost of implementing proton beam radiation therapy. In April 2006, AMS invested $2 million for
an equity interest in Still River Systems and acquired an option to purchase two PBRT systems. AMS
exercised this purchase option in February 2007.
We also continue to pursue opportunities for current-generation radiation therapy devices. The
success of this effort was underscored by our recently announced order for four Leksell Gamma Knife
Perfexion systems from Elekta AB for planned upgrades of clinical partner sites in the United
States beginning this spring.
With our many accomplishments this past year, we are increasingly optimistic about AMS future as
we expand our reach in radiation oncology, Dr. Bates concluded.
For the three months ended December 31, 2006, revenue increased to $4,793,000 from $4,650,000 for
the fourth quarter of 2005. Operating income increased to $922,000 from $914,000 a year earlier,
the 24th consecutive year-over-year gain in this important financial measure, and
pre-tax income increased to $696,000 for the fourth quarter of 2006 from $685,000 for the fourth
quarter of 2005. Net income for the fourth quarter of 2006 decreased to $347,000, or $0.07 per
diluted share, compared to $479,000, or $0.09 per diluted share, for the fourth quarter of 2005,
the result of an increase in the effective income tax rate to 50% from 30% a year earlier.
For the twelve months ended December 31, 2006, revenue increased 12% to $20,385,000 from
$18,231,000 for 2005. Operating income increased 11% to $3,864,000 from $3,471,000, and pre-tax
income increased 12% to $2,858,000 from $2,547,000 for the prior year. Net income for 2006
decreased to $1,656,000, or $0.33 per diluted share, reflecting a 42% effective income tax rate.
This compares to net income for 2005 of $1,767,000, or $0.35 per diluted share, reflecting a 31%
effective income tax rate.
At December 31, 2006, AMS reported cash, cash equivalents and short-term securities of $5,526,000
and long-term securities of $3,380,000. At December 31, 2005, cash, cash equivalents and
short-term securities were $5,835,000 and long-term securities were $2,797,000. Shareholders
equity at December 31, 2006 increased to $19,009,000 compared to $18,320,000 at December 31, 2005.
Earnings Conference Call
American Shared has scheduled a conference call at 12:00 p.m. PST (3:00 p.m. EST) today. To
participate in the live call, dial (800) 446-2782 at least 5 minutes prior to the scheduled start
time. A simultaneous WebCast of the call may be accessed through the Company s website,
www.ashs.com, or through CCBN, www.earnings.com (individual investors) or
www.streetevents.com (institutional investors). A replay will be available for 30 days at
these same internet addresses, or by calling (888) 843-8996, pass code 17226313.
American Shared Hospital Services provides turnkey technology solutions for advanced radiosurgical
and radiation therapy services. AMS is the world leader in providing Gamma Knife radiosurgery
services, a non-invasive treatment for malignant and benign brain tumors, vascular malformations
and trigeminal neuralgia (facial pain). The Company also offers the latest IGRT and IMRT systems,
as well as its proprietary Operating Room for the 21st Century concept. Through its equity investment in Still River Systems, AMS also plans to complement these
services with the Clinatron-250 proton beam radiation therapy (PBRT) system, which has not yet
been approved by the FDA.
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,
which involve risks and uncertainties including, but not limited to, the risks of the Gamma Knife
business, the risks of developing its IMRT and The Operating Room for the 21st Century
programs, and the risks of investing in a development-stage company, Still River Systems, Inc.,
without a proven product. 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, 2005, the Form 10-Q for the three months
ended March 31, 2006, June 30, 2006 and September 30, 2006 and the definitive Proxy Statement for
the Annual Meeting of Shareholders on June 28, 2006.
Contacts: American Shared Hospital Services
Ernest A. Bates, M.D., (415) 788-5300
Chairman and Chief Executive Officer
e.bates@ashs.com
Berkman Associates
Neil Berkman, (310) 826-5051
President
info@berkmanassociates.com
AMERICAN SHARED HOSPITAL SERVICES
PRESS RELEASE March 6, 2007
Fourth Quarter 2006 Financial Results
Selected Financial Data
Summary of Operations Data
Three months ended Dec. 31, Twelve months ended Dec. 31,
2006 2005 2006 2005
Revenue $ 4,793,000 $ 4,650,000 $ 20,385,000 $ 18,231,000
Costs of revenue 2,479,000 2,273,000 10,365,000 9,072,000
Gross margin 2,314,000 2,377,000 10,020,000 9,159,000
Selling administrative expense 894,000 965,000 3,995,000 3,613,000
Interest expense 498,000 498,000 2,161,000 2,075,000
Operating income 922,000 914,000 3,864,000 3,471,000
Interest other income 63,000 73,000 308,000 202,000
Minority interest expense (289,000 ) (302,000 ) (1,314,000 ) (1,126,000 )
Income before income taxes 696,000 685,000 2,858,000 2,547,000
Income tax expense 349,000 206,000 1,202,000 780,000
Net income $ 347,000 $ 479,000 $ 1,656,000 $ 1,767,000
Earnings per common share:
Basic $ 0.07 $ 0.10 $ 0.33 $ 0.36
Assuming dilution $ 0.07 $ 0.09 $ 0.33 $ 0.35
Balance Sheet Data
12/31/2006 12/31/2005
Cash and cash equivalents $ 3,952,000 $ 1,298,000
Securities-current maturities $ 1,574,000 $ 4,537,000
Current assets $ 11,125,000 $ 10,709,000
Securities-long term $ 3,380,000 $ 2,797,000
Total assets $ 50,905,000 $ 48,668,000
Current liabilities $ 11,666,000 $ 8,286,000
Shareholders equity $ 19,009,000 $ 18,320,000
Last updated: Mar 6, 2007