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FORM10-K (Mark One) ☒A R P T S 13 15( )O T S E A O 1934 FOR THE FISCAL YEAR ENDEDDECEMBER 31, 2024 or ☐T R P T S 13 15(D) O T S E A O 1934F T T P F _______________T _______________. Commission file number1-08789 American Shared Hospital Services(Exact name of registrant as specified in its charter)California94-2918118(State or other jurisdiction ofincorporation or organization)(IRS EmployerIdentification No.) 601MontgomerySuite850,SanFrancisco,(Address ofPrincipalExecutiveOffices)(ZipCode) Registrant’s telephone number, including area code: (415)788-5300 Securities registered pursuant to Section 12(b) of the Act: Title of each classTrading Symbol(s)Name of each exchange on which registeredCommon Stock No Par ValueAMSNYSEAMER Securities registered pursuant to Section 12(g) of the Act: None Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes☐No☒ Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Act. Yes☐No☒ Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15 (d) of the Securities ExchangeAct of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has beensubject to such filing requirements for the past 90 days. Yes☐No☒ Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant toRule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant wasrequired to submit such files). Yes☐No☒ Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reportingcompany, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,”and “emerging growth company” in Rule 12b-2 of the Exchange Act: Large Accelerated Filer☐Accelerated Filer☐Non-Accelerated Filer☒Smaller reporting company☒Emerging Growth Company☐ If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complyingwith any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.☐ Table of Contents Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of itsinternal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by registered public accountingfirm that prepared or issued its audit report. Yes☐No☒ If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrantincluded in the filing reflect the correction of an error to previously issued financial statements.☐ Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-basedcompensation received by any of the registrant’s executive officers during the relevant recovery period pursuant to § 240.10D-1(b).☐ Indicate by check mark if the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes☐No☒ As of June 30, 2024, the aggregate market value of the common stock held by non-affiliates of the registrant was approximately $15,497,000. Number of shares of common stock of the registrant outstanding as of March 25, 2025:6,450,000. DOCUMENTS INCORPORATED BY REFERENCE Portions of the registrant’s definitive Proxy Statement for the2025Annual Meeting of Shareholders are incorporated by reference into Part II,Item 5 and Part III of this report. Table of Contents TABLE OF CONTENTS FORWARD-LOOKING STATEMENTS PART I: Item 1Business4Item 1ARisk Factors11Item 1BUnresolved Staff Comments16Item 1CCybersecurity16Item 2Properties17Item 3Legal Proceedings17Item 4Mine Safety Disclosures17 PART II: Item 5Market for the Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities18Item 6[Reserved]18Item 7Management’s Discussion and Analysis of Financial Condition and Results of Operations18Item 7AQuantitative And Qualitative Disclosures About Market Risk26Item 8Financial Statements and Supplementary Data26Item 9Changes in and Disagreements with Accountants on Accounting and Financial Disclosure26Item 9AControls and Procedures26Item 9BOther Information27Item 9CDisclosure Regarding Foreign Jurisdictions that Prevent Inspections27 PART III: Item 10Directors, Executive Officers and Corporate Governance27Item 11Executive Compensation27Item 12Security Ownership of Certain Beneficial Owners and Managementand Related Stockholder M