UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, DC 20549










FORM 10-Q



(Mark One)

| | x | QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
| | - | ---------------------------------------------------------------------------------------



For the quarterly period ended June
30, 2012 or



| |  ̈ | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
| | - | ----------------------------------------------------------------------------------------



For the transition period from _______________
to _______________.



Commission file number 1-08789










American Shared Hospital Services

(Exact name of registrant as specified
in its charter)



|California                      |  | 94-2918118         
|------------------------------- |  | -------------------
|(State or other jurisdiction of |  | (IRS Employer      
|Incorporation or organization)  |  | Identification No.)



|Four Embarcadero Center, Suite 3700, San Francisco, California |  | 94111     
|-------------------------------------------------------------- |  | ----------
|(Address of Principal Executive Offices)                       |  | (Zip Code)



Registrant’s telephone number,
including area code: (415) 788-5300



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 Exchange
Act of 1934 during the preceding 12 months (or for such shorter period that the Registrant was required to file such reports),
and (2) has been subject to such filing requirements for the past 90 days. Yes x No
 ̈



Indicate
by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive
Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such
shorter period that the registrant was required to submit and post such files). Yes x
No  ̈



Indicate
by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting
company. See definition of “large accelerated filer”, “accelerated filer”, and “smaller reporting
company” in Rule 12b-2 of the Exchange Act. (Check one):

Large
Accelerated Filer  ̈    Accelerated Filer  ̈    Non-Accelerated
Filer  ̈    Smaller reporting company x



As of
August 1, 2012, there are outstanding 4,605,870 shares of the Registrant’s common stock.











PART I - FINANCIAL INFORMATION



ITEM 1.    FINANCIAL STATEMENTS



AMERICAN SHARED HOSPITAL SERVICES

CONDENSED CONSOLIDATED BALANCE SHEETS



|                                                                                                     |  | (unaudited)   |             |   |                   |  
|---------------------------------------------------------------------------------------------------- |  | ------------- | ----------- | - | ----------------- | -
|ASSETS                                                                                               |  | June 30, 2012 |             |   | December 31, 2011 |  
|                                                                                                     |  |               |             |   |                   |  
|Current assets:                                                                                      |  |               |             |   |                   |  
|Cash and cash equivalents                                                                            |  | $             | 997,000     |   |                   | $
|Restricted cash                                                                                      |  |               | 50,000      |   |                   |  
|Certificate of deposit                                                                               |  |               | 9,000,000   |   |                   |  
|Accounts receivable, net of allowance for doubtful accounts of $100,000 in 2012 and $100,000 in 2011 |  |               | 4,385,000   |   |                   |  
|Other receivables                                                                                    |  |               | 156,000     |   |                   |  
|Prepaid expenses and other current assets                                                            |  |               | 1,314,000   |   |                   |  
|Current deferred tax assets                                                                          |  |               | 490,000     |   |                   |  
|                                                                                                     |  |               |             |   |                   |  
|Total current assets                                                                                 |  |               | 16,392,000  |   |                   |  
|                                                                                                     |  |               |             |   |                   |  
|Property and equipment:                                                                              |  |               |             |   |                   |  
|Medical equipment and facilities                                                                     |  |               | 85,059,000  |   |                   |  
|Office equipment                                                                                     |  |               | 691,000     |   |                   |  
|Deposits and construction in progress                                                                |  |               | 6,822,000   |   |                   |  
|                                                                                                     |  |               | 92,572,000  |   |                   |  
|Accumulated depreciation and amortization                                                            |  |               | (38,303,000 | ) |                   |  
|Net property and equipment                                                                           |  |               | 54,269,000  |   |                   |  
|                                                                                                     |  |               |             |   |                   |  
|Investment in preferred stock                                                                        |  |               | 2,687,000   |   |                   |  
|Other assets                                                                                         |  |               | 1,017,000   |   |                   |  
|                                                                                                     |  |               |             |   |                   |  
|Total assets                                                                                         |  | $             | 74,365,000  |   |                   | $



|LIABILITIES AND                                                                            |  | (unaudited)   |            |  |                   |  
|------------------------------------------------------------------------------------------ |  | ------------- | ---------- |  | ----------------- | -
|SHAREHOLDERS' EQUITY                                                                       |  | June 30, 2012 |            |  | December 31, 2011 |  
|                                                                                           |  |               |            |  |                   |  
|Current liabilities:                                                                       |  |               |            |  |                   |  
|Accounts payable                                                                           |  | $             | 211,000    |  |                   | $
|Employee compensation and benefits                                                         |  |               | 227,000    |  |                   |  
|Customer deposits/deferred revenue                                                         |  |               | 472,000    |  |                   |  
|                                                                                           |  |               |            |  |                   |  
|Other accrued liabilities                                                                  |  |               | 1,067,000  |  |                   |  
|Current portion of long-term debt                                                          |  |               | 4,485,000  |  |                   |  
|Current portion of obligations under capital leases                                        |  |               | 3,668,000  |  |                   |  
|                                                                                           |  |               |            |  |                   |  
|Total current liabilities                                                                  |  |               | 10,130,000 |  |                   |  
|                                                                                           |  |               |            |  |                   |  
|Long-term debt, less current portion                                                       |  |               | 12,858,000 |  |                   |  
|Long-term capital leases, less current portion                                             |  |               | 15,146,000 |  |                   |  
|Advances on line of credit                                                                 |  |               | 7,600,000  |  |                   |  
|                                                                                           |  |               |            |  |                   |  
|Deferred income taxes                                                                      |  |               | 3,435,000  |  |                   |  
|                                                                                           |  |               |            |  |                   |  
|Shareholders' equity:                                                                      |  |               |            |  |                   |  
|Common stock (4,606,000 shares at June 30, 2012 and 4,611,000 shares at December 31, 2011) |  |               | 8,577,000  |  |                   |  
|Additional paid-in capital                                                                 |  |               | 4,887,000  |  |                   |  
|Retained earnings                                                                          |  |               | 6,792,000  |  |                   |  
|Total equity-American Shared Hospital Services                                             |  |               | 20,256,000 |  |                   |  
|Non-controlling interest in subsidiary                                                     |  |               | 4,940,000  |  |                   |  
|Total shareholders' equity                                                                 |  |               | 25,196,000 |  |                   |  
|                                                                                           |  |               |            |  |                   |  
|Total liabilities and shareholders' equity                                                 |  | $             | 74,365,000 |  |                   | $



See accompanying notes



2







AMERICAN SHARED HOSPITAL SERVICES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited)



|                                                             |  | Three months ended June 30, |           |   | Six months ended June 30, |  
|------------------------------------------------------------ |  | --------------------------- | --------- | - | ------------------------- | -
|                                                             |  | 2012                        |           |   | 2011                      |  
|                                                             |  |                             |           |   |                           |  
|Medical services revenue                                     |  | $                           | 4,284,000 |   |                           | $
|                                                             |  |                             |           |   |                           |  
|Costs of revenue:                                            |  |                             |           |   |                           |  
|                                                             |  |                             |           |   |                           |  
|Maintenance and supplies                                     |  |                             | 329,000   |   |                           |  
|                                                             |  |                             |           |   |                           |  
|Depreciation and amortization                                |  |                             | 1,404,000 |   |                           |  
|                                                             |  |                             |           |   |                           |  
|Other direct operating costs                                 |  |                             | 678,000   |   |                           |  
|                                                             |  |                             |           |   |                           |  
|                                                             |  |                             | 2,411,000 |   |                           |  
|                                                             |  |                             |           |   |                           |  
|Gross Margin                                                 |  |                             | 1,873,000 |   |                           |  
|                                                             |  |                             |           |   |                           |  
|Selling and administrative expense                           |  |                             | 1,109,000 |   |                           |  
|                                                             |  |                             |           |   |                           |  
|Interest expense                                             |  |                             | 539,000   |   |                           |  
|                                                             |  |                             |           |   |                           |  
|Operating income                                             |  |                             | 225,000   |   |                           |  
|                                                             |  |                             |           |   |                           |  
|Interest and other income                                    |  |                             | 14,000    |   |                           |  
|                                                             |  |                             |           |   |                           |  
|Income before income taxes                                   |  |                             | 239,000   |   |                           |  
|                                                             |  |                             |           |   |                           |  
|Income tax expense                                           |  |                             | 13,000    |   |                           |  
|                                                             |  |                             |           |   |                           |  
|Net income                                                   |  |                             | 226,000   |   |                           |  
|                                                             |  |                             |           |   |                           |  
|Less: Net income attributable to non-controlling interests   |  |                             | (211,000  | ) |                           |  
|                                                             |  |                             |           |   |                           |  
|Net income attributable to American Shared Hospital Services |  | $                           | 15,000    |   |                           | $
|                                                             |  |                             |           |   |                           |  
|Net income per share:                                        |  |                             |           |   |                           |  
|                                                             |  |                             |           |   |                           |  
|Earnings per common share - basic                            |  | $                           | -         |   |                           | $
|                                                             |  |                             |           |   |                           |  
|Earnings per common share - assuming dilution                |  | $                           | -         |   |                           | $



See accompanying notes



3







AMERICAN SHARED HOSPITAL SERVICES

CONDENSED CONSOLIDATED STATEMENT OF SHAREHOLDERS'
EQUITY



|                                                        |  | PERIODS ENDED DECEMBER 31, 2010 AND 2011 AND JUNE 30, 2012 |          
|------------------------------------------------------- |  | ---------------------------------------------------------- | ---------
|                                                        |  |                                                            |          
|                                                        |  | Common                                                     |          
|                                                        |  | Shares                                                     |          
|                                                        |  |                                                            |          
|Balances at January 1, 2010                             |  |                                                            | 4,595,000
|                                                        |  |                                                            |          
|Stock based compensation expense                        |  |                                                            | 2,000    
|                                                        |  |                                                            |          
|Cash distributions to non-controlling interests         |  |                                                            | -        
|                                                        |  |                                                            |          
|Net income                                              |  |                                                            | -        
|                                                        |  |                                                            |          
|Balances at December 31, 2010                           |  |                                                            | 4,597,000
|                                                        |  |                                                            |          
|Stock based compensation expense                        |  |                                                            | 14,000   
|                                                        |  |                                                            |          
|Investment in subsidiaries by non-controlling interests |  |                                                            | -        
|                                                        |  |                                                            |          
|Cash distributions to non-controlling interests         |  |                                                            | -        
|                                                        |  |                                                            |          
|Net income                                              |  |                                                            | -        
|                                                        |  |                                                            |          
|Balances at December 31, 2011                           |  |                                                            | 4,611,000
|                                                        |  |                                                            |          
|Stock based compensation expense                        |  |                                                            | 4,000    
|                                                        |  |                                                            |          
|Repurchase of common stock                              |  |                                                            | (9,000   
|                                                        |  |                                                            |          
|Investment in subsidiaries by non-controlling interests |  |                                                            | -        
|                                                        |  |                                                            |          
|Cash distributions to non-controlling interests         |  |                                                            | -        
|                                                        |  |                                                            |          
|Net income                                              |  |                                                            | -        
|                                                        |  |                                                            |          
|Balances at June 30, 2012 (unaudited)                   |  |                                                            | 4,606,000



See accompanying notes



4







AMERICAN SHARED HOSPITAL SERVICES

CONDENSED CONSOLIDATED STATEMENTS OF CASH
FLOWS

(Unaudited)



|                                                                           |  | Six Months ended June 30, |           
|-------------------------------------------------------------------------- |  | ------------------------- | ----------
|                                                                           |  | 2012                      |           
|Operating activities:                                                      |  |                           |           
|Net income                                                                 |  | $                         | 455,000   
|Adjustments to reconcile net income to net cash from operating activities: |  |                           |           
|Depreciation and amortization                                              |  |                           | 2,995,000 
|Stock based compensation expense                                           |  |                           | 59,000    
|Loss (Gain) on sale of assets                                              |  |                           | 3,000     
|Changes in operating assets and liabilities:                               |  |                           |           
|Receivables                                                                |  |                           | 174,000   
|Prepaid expenses and other assets                                          |  |                           | (581,000  
|Customer deposits/deferred revenue                                         |  |                           | (25,000   
|Accounts payable and accrued liabilities                                   |  |                           | (326,000  
|Net cash from operating activities                                         |  |                           | 2,754,000 
|                                                                           |  |                           |           
|Investing activities:                                                      |  |                           |           
|Payment for purchase of property and equipment                             |  |                           | (3,709,000
|Investment in subsidiaries by non-controlling interests                    |  |                           | 79,000    
|Payment for repurchase of common stock                                     |  |                           | (29,000   
|Investment in convertible preferred stock                                  |  |                           | (31,000   
|Proceeds received towards equipment held for sale                          |  |                           | -         
|Net cash from investing activities                                         |  |                           | (3,690,000
|                                                                           |  |                           |           
|Financing activities:                                                      |  |                           |           
|Principal payments on long-term debt                                       |  |                           | (1,950,000
|Principal payments on capital leases                                       |  |                           | (1,833,000
|Long term debt financing on property and equipment                         |  |                           | 3,925,000 
|Advances on line of credit                                                 |  |                           | 350,000   
|Payments on line of credit                                                 |  |                           | (600,000  
|Distributions to non-controlling interests                                 |  |                           | (539,000  
|Net cash from financing activities                                         |  |                           | (647,000  
|Net change in cash and cash equivalents                                    |  |                           | (1,583,000
|Cash and cash equivalents at beginning of period                           |  |                           | 2,580,000 
|Cash and cash equivalents at end of period                                 |  | $                         | 997,000   
|                                                                           |  |                           |           
|Supplemental cash flow disclosure:                                         |  |                           |           
|Cash paid during the period for:                                           |  |                           |           
|Interest                                                                   |  | $                         | 1,204,000 
|Income taxes                                                               |  | $                         | 86,000    
|                                                                           |  |                           |           
|Schedule of non-cash investing and financing activities                    |  |                           |           
|Acquisition of equipment with capital lease financing                      |  | $                         | 264,000   



See accompanying notes



5







AMERICAN
SHARED HOSPITAL SERVICES

NOTES
TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)



| | Note 1. | Basis of Presentation
| | ------- | ---------------------



In
the opinion of management, the accompanying unaudited condensed consolidated financial statements contain all adjustments (consisting
of only normal recurring accruals) necessary to present fairly American Shared Hospital Services’ consolidated financial
position as of June 30, 2012 and the results of its operations for the three and six month periods ended June 30, 2012 and 2011,
which results are not necessarily indicative of results on an annualized basis. Consolidated balance sheet amounts as of December
31, 2011 have been derived from audited financial statements.



These
unaudited consolidated financial statements should be read in conjunction with the audited financial statements for the year ended
December 31, 2011 included in the Company’s 10-K filed with the Securities and Exchange Commission.



These
financial statements include the accounts of American Shared Hospital Services (the “Company”) and its wholly-owned
subsidiaries: OR21, Inc. (“OR21”); MedLeader.com, Inc. (“MedLeader”); and American Shared Radiosurgery
Services (“ASRS”); ASRS’ majority-owned subsidiary, GK Financing, LLC (“GKF”); GKF’s wholly-owned
subsidiaries, GK Financing U.K., Limited (“GKUK”) and Instituto de Gamma Knife del Pacifico S.A.C. (“GKPeru”);
ASHS’ majority owned subsidiary, Long Beach Equipment, LLC (“LBE”), GKF’s majority owned subsidiaries,
Albuquerque GK Equipment, LLC (“AGKE”), Jacksonville GK Equipment, LLC (“JGKE”) and EWRS, LLC (“EWRS”),
and EWRS’ wholly owned subsidiary, EWRS Tibbi Cihazlar Ticaret Ltd Sti (“EWRS Turkey”).



The
Company through its majority-owned subsidiary, GKF, provided Gamma Knife units to nineteen medical centers as of June 30, 2012
in the states of Arkansas, California, Connecticut, Florida, Illinois, Massachusetts, Mississippi, Nevada, New Jersey, New Mexico,
New York, Tennessee, Oklahoma, Ohio, Texas and Wisconsin, and in Turkey.



GKF
also provides radiation therapy equipment to the radiation therapy department at the Gamma Knife site in Turkey. The Company also
directly provides radiation therapy and related equipment, including Intensity Modulated Radiation Therapy (“IMRT”),
Image Guided Radiation Therapy (“IGRT”) and a CT Simulator to the radiation therapy department at an existing Gamma
Knife site in the United States.



The
Company formed the subsidiaries GKUK, GKPeru, EWRS and EWRS Turkey for the purposes of expanding its business internationally into
the United Kingdom, Peru and Turkey; LBE to provide proton beam therapy services in Long Beach, California; and AGKE and JGKE to
provide Gamma Knife services in Albuquerque, New Mexico and Jacksonville, Florida. AGKE and EWRS Turkey began operation in the
second quarter 2011 and JGKE began operation in the fourth quarter 2011. GKPeru, GKUK and LBE are not expected to begin operations
in 2012.



6







During
2011 and 2012, the Company’s partner in its Turkey operation, its partners in the Albuquerque Gamma Knife operation, and
its partners in the Jacksonville Gamma Knife operations have made investments in EWRS, AGKE and JGKE, respectively. These investments
are included in the line item “Non-controlling interests in subsidiaries” in the Company’s financial statements.



The
Company has only one operating segment. All significant intercompany accounts and transactions have been eliminated in consolidation.



| | Note 2. | Per Share Amounts
| | ------- | -----------------



Per
share information has been computed based on the weighted average number of common shares and dilutive common share equivalents
outstanding. For the three and six months ended June 30, 2012 basic earnings per share was computed using 4,612,000 common shares,
and diluted earnings per share was computed using 4,640,000 and 4,639,000 common shares and equivalents, respectively. For the
three and six months ended June 30, 2011 basic earnings per share was computed using 4,607,000 and 4,602,000 common shares, respectively,
and diluted earnings per share was computed using 4,613,000 and 4,610,000 common shares and equivalents, respectively.



The
computation for the three and six month periods ended June 30, 2012 excluded approximately 310,000 of the Company’s stock
options because the exercise price of the options was higher than the average market price during those periods. The computation
for the three and six month periods ended June 30, 2011 excluded approximately 155,000 of the Company’s stock options because
the exercise price of the options was higher than the average market price during the periods.



| | Note 3. | Stock-based Compensation
| | ------- | ------------------------



On
June 2, 2010, the Company’s shareholders approved an amendment and restatement of the 2006 Stock Incentive Plan (the “2006
Plan”). Among other things, the amendment and restatement renamed the 2006 Plan to the Incentive Compensation Plan (the “Plan”)
and increased the number of shares of the Company’s common stock reserved for issuance under the Plan by an additional 880,000
shares from 750,000 shares to 1,630,000 shares. The shares are reserved for issuance to officers of the Company, other key employees,
non-employee directors, and advisors. The Plan serves as successor to the Company’s previous two stock-based employee compensation
plans, the 1995 and 2001 Stock Option Plans. The shares reserved under those two plans, including the shares of common stock subject
to currently outstanding options under the plans, were transferred to the Plan, and no further grants or share issuances will be
made under the 1995 and 2001 Plans. Under the Plan, there have been 84,000 restricted stock units granted, consisting primarily
of annual automatic grants and deferred compensation to non-employee directors, and there are 596,000 options granted, of which
528,000 options are vested as of June 30, 2012.



7







Compensation
expense associated with the Company’s stock-based awards to employees is calculated using the Black-Scholes valuation model.
The Company’s stock-based awards have characteristics significantly different from those of traded options, and changes in
the subjective input assumptions can materially affect the fair value estimates. The estimated fair value of the Company’s
option grants is estimated using assumptions for expected life, volatility, dividend yield, and risk-free interest rate which are
specific to each award. The estimated fair value of the Company’s options is amortized over the period during which an employee
is required to provide service in exchange for the award, usually the vesting period. Accordingly, stock-based compensation cost
before income tax effect in the amount of $27,000 and $59,000 is reflected in net income for the three and six month periods ended
June 30, 2012, compared to $39,000 and $77,000 in the same periods in the prior year, respectively. There were 21,000 options issued
and no options exercised during both the three and six month periods ended June 30, 2012. There were no excess income tax benefits
to report.



| | Note 4. | Convertible Preferred Stock Investment
| | ------- | --------------------------------------



As
of June 30, 2012 the Company has a $2,687,000 investment in the convertible preferred stock (“Preferred Stock”) of
Mevion Medical Systems, Inc. (“Mevion”), formerly Still River Systems, Inc., representing an approximate 1.0% interest
in Mevion. The Company’s investment in Mevion was $2,656,000 as of December 31, 2011. The Company accounts for this investment
under the cost method.



The
Preferred Stock is convertible at any time at the option of the holder into shares of common stock of Mevion at a conversion price,
subject to certain adjustments, but initially set at the original purchase price. The Preferred Stock has voting rights equivalent
to the number of common stock shares into which it is convertible, and holders of the Preferred Stock, subject to certain exceptions,
have a pro-rata right to participate in subsequent stock offerings. In the event of liquidation, dissolution, or winding up of
Mevion, the Preferred Stock holders have preference to the holders of common stock, and any other class or series of stock that
is junior to the Preferred Stock. The Company does not have the right to appoint a member
of the Board of Directors of Mevion.



The
Company carries its investment in Mevion at cost and reviews it for impairment on a quarterly basis, or as events or circumstances
might indicate that the carrying value of the investment may not be recoverable. The Company evaluated this investment for impairment
at December 31, 2011 and reviewed it at June 30, 2012 in light of both current market conditions and the ongoing needs of Mevion
to raise cash to continue its development of the first compact, single room PBRT system. Based on its analysis, the Company estimates
that there is currently an unrealized loss (impairment) of approximately $1.3 million.



In assessing whether
the impairment is other than temporary, we evaluated the length of time and extent to which market value has been below cost, the
financial condition and near term prospects of Mevion and our ability and intent to retain our investment for a period sufficient
to allow for an anticipated recovery in the market value. Although the investment is not without certain risk, and the manufacture
of the first unit has taken longer than originally anticipated, the Company believes that the current market value is a temporary
situation brought on solely due to the continuing downturn of the economy, and is not a reflection on the progress or viability
of Mevion or its PBRT design.



8







During the second quarter
of 2012, Mevion announced that it had received FDA 510(k) clearance for its MEVION S250 system, which enables users of the system
to treat patients immediately upon completion of system installation. Mevion had previously announced that it had received the
CE Mark certification which enables Mevion to market, sell and install these systems through the European Union and any country
that recognizes the CE Mark. Based on the continuing progress being made by Mevion toward the manufacture and installation of the
first single room PBRT system, the Company believes that our investment in Mevion is not other than temporarily impaired, and the
fair value will increase so that the carrying value will be recovered.



| | Note 5. | Line of Credit
| | ------- | --------------



The
Company has a $9,000,000 renewable line of credit with the Bank of America (the “Bank”) that has been in place since
June 2004 and has a maturity date of August 1, 2013. The line of credit is drawn on from time to time as needed for equipment purchases
and working capital. Amounts drawn against the line of credit are at an interest rate per year equal to the Bank’s prime
rate minus 0.5 percentage point, or alternately, at the Company’s discretion, the LIBOR rate plus 1.0 percentage point, and
are secured by the Company’s cash invested with the Bank. The Company is in compliance with all debt covenants required.
The weighted average interest rate during the first three months of 2012 was 1.15%. At June 30, 2012, $7,600,000 was borrowed against
the line of credit, compared to $7,850,000 at December 31, 2011.



| | Note 6. | Fair Value of Financial Instruments
| | ------- | -----------------------------------



The Company’s
disclosures of the fair value of financial instruments is based on a fair value hierarchy which prioritizes the inputs to the valuation
techniques used to measure fair value into three levels. Level 1 inputs are unadjusted quoted market prices in active markets for
identical assets and liabilities that the Company has the ability to access at the measurement date. Level 2 inputs are inputs
other than quoted prices within Level 1 that are observable for the asset or liability, either directly or indirectly. Level 3
inputs are unobservable inputs for assets or liabilities, and reflect the Company’s own assumptions about the assumptions
that market participants would use in pricing the asset or liability.



The
carrying value of financial instruments including cash and cash equivalents, restricted cash, accounts receivable, accounts payable,
and other accrued liabilities approximated their fair value as of June 30, 2012 and December 31, 2011 because of the relatively
short maturity of these instruments. The fair value of the Company’s investment in preferred stock is estimated to be $1,383,000
at both June 30, 2012 and December 31, 2011. The Company used the offering price in private placements of Mevion’s preferred
stock during 2011 to estimate the fair value under Level 2 of the hierarchy. The fair value of the Company’s various debt
obligations, discounted at currently available interest rates was approximately $36,196,000 and $35,743,000 at June 30, 2012 and
December 31, 2011, respectively. The fair value of the Company’s debt was estimated using Level 3 inputs.



9







| | Note 7. | Repurchase of Common Stock
| | ------- | --------------------------



In
1999 and 2001, the Board of Directors approved resolutions authorizing the Company to repurchase up to a total of 1,000,000 shares
of its own stock on the open market, which the Board reaffirmed in 2008. The Company repurchased approximately 9,000 shares of
its stock during the second quarter of 2012 at an average price of $3.26 per share. The Company did not repurchase any of its stock
during 2011 or the first quarter of 2012. There are approximately 72,000 shares remaining under this repurchase authorization.



| | Item 8. | Management’s Discussion and Analysis of Financial Condition and Results of Operations
| | ------- | -------------------------------------------------------------------------------------



This
quarterly report to the Securities and Exchange Commission 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 and radiation therapy businesses, the risks of developing
The Operating Room for the 21st Century® program, and the risks of investing in a development-stage company, Mevion
Medical Systems, Inc. (“Mevion”), 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, 2011 and the definitive Proxy Statement for the Annual Meeting of Shareholders held on June 7, 2012.



The
Company had nineteen Gamma Knife units in operation at June 30, 2012 compared to twenty Gamma Knife units at June 30, 2011. Three
of the Company’s customer contracts are through subsidiaries where GKF or its subsidiary is the majority owner and managing
partner. Twelve of the Company’s nineteen current Gamma Knife customers are under fee-per-use contracts, and seven customers
are under retail arrangements. The Company’s two contracts to provide radiation therapy and related equipment services to
existing Gamma Knife customers are considered retail arrangements. Retail arrangements are further classified as either turn-key
or revenue sharing. Revenue from fee per use contracts is recorded on a gross basis as determined by each hospital’s contracted
rate. Under turn-key arrangements, the Company receives payment from the hospital in the amount of its reimbursement from third
party payors, and is responsible for paying all the operating costs of the equipment. Revenue is recorded on a gross basis and
estimated based on historical experience of that hospital’s contracts with third party payors. For revenue sharing arrangements
the Company receives a contracted percentage of the reimbursement received by the hospital. The gross amount the Company expects
to receive is recorded as revenue and estimated based on historical experience.



10







Medical
services revenue increased by $78,000 and $114,000 to $4,284,000 and $8,687,000 for the three and six month periods ended June
30, 2012 from $4,206,000 and $8,573,000 for the three and six month periods ended June 30, 2011, respectively. The increases for
both the three and six month periods are primarily due to an increase in revenue from the Company’s radiation therapy sites,
partially offset by a decrease in revenue from its Gamma Knife sites compared to the same periods in the prior year. The increase
in radiation therapy revenue was due to a new contract that began operation in the fourth quarter 2011, and increased volume at
its existing radiation therapy site. The decrease in Gamma Knife revenue for both the three and six month periods compared to the
same periods in the prior year was primarily due to lost revenue from one unit that was sold to the customer in the third quarter
2011. For the three month period the decrease was also partially due to one site where the contract ended in the second quarter
2012 at the end of its term. For the six month period the revenue decrease was also partially due to a site that was out of service
for one month for a cobalt reload during the first quarter 2012.



The
number of Gamma Knife procedures increased by 77 and increased by 102 to 527 and 1,041 for the three and six month periods ended
June 30, 2012 from 450 and 939 in the same periods in the prior year, respectively. For both the three and six month periods, the
primary reason for the increase is the addition of a new Gamma Knife unit that began operation in Turkey in late second quarter
2011. For both the three and six month periods, volume at the Company’s sites where Perfexion units have been installed increased
by 4% compared to the prior year. The increase in the second quarter was offset by the loss of volume from a Gamma Knife site where
the contract ended in the second quarter 2012.



Total
costs of revenue increased by $41,000 and $164,000 to $2,411,000 and $4,977,000 for the three and six month periods ended June
30, 2012 from $2,370,000 and $4,813,000 for the three and six month periods ended June 30, 2011, respectively. Maintenance and
supplies decreased by $8,000 and increased by $38,000 for the three and six month periods ended June 30, 2012 compared to the same
periods in the prior year. The variance for the three month period was due to lower costs for maintenance contracts, offset by
higher costs for maintenance and repairs not covered under maintenance contracts. For the six month period the increase was due
to higher maintenance contract expense because the warranty period ended for three Gamma Knife units and higher costs for maintenance
and repairs not covered under maintenance contracts, partially offset by lower contract maintenance at several other sites. Depreciation
and amortization increased by $1,000 and $119,000 for the three and six month periods ended June 30, 2012 compared to the same
periods in the prior year, primarily because depreciation started on four new sites that began operation since the first quarter
2011. This was partially offset by a reduction in depreciation for three sites where depreciation was stopped because the remaining
value of the equipment had reached its salvage value, and one site where the depreciable life was extended due to a customer contract
extension. Other direct operating costs increased by $48,000 and $7,000 for the three and six month periods ended June 30, 2012
compared to the same periods in the prior year. For both the three and six month periods, the increase is primarily due to higher
operating costs in connection with the Company’s retail sites, partially offset by lower marketing costs.



Selling
and administrative costs increased by $68,000 and decreased by $30,000 to $1,109,000 and $2,133,000 for the three and six month
periods ended June 30, 2012 from $1,041,000 and $2,163,000 for the same periods in the prior year, respectively. For the three
month period, the increase was due to higher payroll related costs and travel expense. The decrease for the six month period was
primarily due to lower payroll related costs.



11







Interest
expense decreased by $31,000 and $33,000 to $539,000 and $1,113,000 for the three and six month periods ended June 30, 2012 from
$570,000 and $1,146,000 for the three and six month periods ended June 30, 2011, respectively. For both the three and six month
periods, this was primarily due to lower interest expense on borrowing under the Company's line of credit with a bank. Higher interest
expense on financing from three new Gamma Knife units and one radiation therapy unit was offset by lower interest expense on debt
relating to the more mature units. The mature units have lower interest expense because interest expense decreases as the outstanding
principal balance of each loan is reduced.



Interest
and other income decreased by $54,000 and $69,000 to $14,000 and $15,000 for the three and six month periods ended June 30, 2012
from $68,000 and $84,000 for the three and six month periods ended June 30, 2011, respectively. For both the three and six month
periods, the decrease was primarily due to a gain on the sale of equipment of $53,000 in second quarter 2011.



The
Company had income tax expense of $13,000 and $24,000 for the three and six month periods ended June 30, 2012 compared to income
tax expense of $22,000 and $45,000 for the three and six month periods ended June 30, 2011, respectively. The reduction in income
tax expense for both the three and six month periods is primarily due to lower taxable income attributable to American Shared Hospital
Services. In addition, the Company is estimating a lower effective annual income tax rate for 2012 of 46% and 50% for the three
and six month periods ended June 30, 2012, based on income attributable to American Shared Hospital Services, compared to an estimated
52% income tax rate used for the same periods in the prior year.



Net
income attributable to non-controlling interest decreased by $39,000 and $17,000 to $211,000 and $431,000 for the three and six
month periods ended June 30, 2012 from $250,000 and $448,000 for the three and six month periods ended June 30, 2011. Non-controlling
interest primarily represents the 19% interest of GK Financing owned by a third party, as well as non-controlling interests in
subsidiaries of GK Financing owned by third parties that began operations in 2011. Variances in net income attributable to non-controlling
interest represents the relative increase or decrease in profitability of GKF and these ventures.



The
Company had net income of $15,000, or $0.00 per diluted share, and $24,000, or $0.01 per diluted share, for the three and six month
periods ended June 30, 2012, compared to net income of $21,000, or $0.00 per diluted share, and $42,000, or $0.01 per diluted share,
in the same periods in the prior year, respectively. The decrease in net income for the three month period was primarily due to
higher selling and administrative costs and a decrease in interest and other income, partially offset by a higher gross margin
and lower interest expense. The decrease in net income for the six month period was primarily due to a decrease in interest and
other income and reduced gross margin, partially offset by lower selling and administrative costs and interest expense.



12







Liquidity and Capital Resources



The
Company had cash and cash equivalents of $997,000 at June 30, 2012 compared to $2,580,000 at December 31, 2011. The Company’s
cash position decreased by $1,583,000 due to payments for the purchase of property and equipment of $3,709,000, principal payments
on long term debt and capital leases of $3,783,000, net pay downs on the Company’s line of credit with a bank of $250,000,
distributions to non-controlling interests of $539,000, investment in convertible preferred stock of $31,000 and the repurchase
of the Company’s common stock of $29,000. These decreases were offset by net cash from operating activities of $2,754,000,
long term debt financing on the purchase of equipment of $3,925,000, and an investment by a non-controlling interest of $79,000.



As
of June 30, 2012, the Company has a $9,000,000 principal investment in a certificate of deposit with a bank at an interest rate
of 0.45% and a maturity date in August 2012.



The
Company has a two year renewable $9,000,000 line of credit with a bank, available as needed for equipment purchases and working
capital. Amounts drawn against the line of credit are secured by the Company’s cash invested with the bank. At June 30, 2012
there was $7,600,000 drawn against the line of credit, compared to $7,850,000 at December 31, 2011.



The
Company has scheduled interest and principal payments under its debt obligations of approximately $5,228,000 and scheduled capital
lease payments of approximately $5,149,000 during the next 12 months. The Company believes that its cash flow from operations and
cash resources are adequate to meet its scheduled debt and capital lease obligations during the next 12 months.



The
Company as of June 30, 2012 had shareholders’ equity of $25,196,000, working capital of $6,262,000 and total assets of $74,365,000.



Commitments



The Company has a $2,687,000
preferred stock investment in Mevion Medical Systems, Inc., a development stage company, which is considered a long-term investment
on the balance sheet and is recorded at cost.As of June 30, 2012, the Company also has $2,500,000 in non-refundable deposits
toward the purchase of three MEVION S250 proton beam radiation therapy (PBRT) systems from Mevion. The Company has entered into
an agreement with a radiation oncology physician group which has contributed $100,000 towards the deposit on one of these PRBT
systems. The three PRBT systems have anticipated delivery dates beginning in mid-2013.



The Company has made
non-refundable deposits totaling $2,924,000 towards the purchase of a LGK Model 4 Gamma Knife unit to be installed at a site in
Peru, a radiation therapy unit to be installed in Brazil, a Perfexion unit scheduled to be installed at a new customer site in
Florida, a Perfexion unit to be installed at an existing customer, and another Perfexion unit scheduled to be installed at a site
yet to be determined.



13







Including
the commitments for the three MEVION S250 systems, the three Perfexion units, the LGK Model 4 Gamma Knife unit and the radiation
therapy unit, the Company has total remaining commitments to purchase equipment in the amount of approximately $46,000,000. It
is the Company’s intent to finance the remaining purchase commitments as needed, and financing has been obtained for the
units in Florida and Peru. However, due to the current economic and credit market conditions it has been more difficult to obtain
financing for some of the Company’s projects. The Company expects that it will be able to obtain financing on the commitments
for the remaining Perfexion units and the radiation therapy unit. The Company also expects that it will be able to obtain financing
commitments from lenders for its PBRT systems now that Mevion has obtained FDA approval on the MEVION S250. However, there can
be no assurance that financing will be available for the Company’s current or future projects, or at terms that are acceptable
to the Company.



| | Item 3. | Quantitative and Qualitative Disclosures About Market Risk
| | ------- | ----------------------------------------------------------



The
Company does not hold or issue derivative instruments for trading purposes and is not a party to any instruments with leverage
or prepayment features. The Company does not have affiliation with partnerships, trust or other entities whose purpose is to facilitate
off-balance sheet financial transactions or similar arrangements, and therefore has no
exposure to the financing, liquidity, market or credit risks associated with such entities. At June 30, 2012 the Company had no
significant long-term, market-sensitive investments.



| | Item 4. | Controls and Procedures
| | ------- | -----------------------



Under
the supervision and with the participation of our management, including our chief executive officer and our chief financial officer,
we have evaluated the effectiveness of the design and operation of our disclosure controls and procedures as defined in Rule 13a-15(e)
of the Securities Exchange Act of 1934. These controls and procedures are designed to ensure that material information relating
to the company and its subsidiaries is communicated to the chief executive officer and the chief financial officer. Based on that
evaluation, our chief executive officer and our chief financial officer concluded that, as of June 30, 2012, our disclosure controls
and procedures are effective to ensure that information required to be disclosed by us in reports that we file or submit under
the Securities Exchange Act of 1934 is accumulated and communicated to the chief executive officer and the chief financial officer,
and recorded, processed, summarized and reported within the time periods specified in Securities and Exchange Commission rules
and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information
required to be disclosed by an issuer in the reports that it files or submits under the Act is accumulated and communicated to
the issuer’s management, including its principal executive and principal financial officers, or persons performing similar
functions, as appropriate to allow timely decisions regarding required disclosure.



There
were no changes in our internal control over financial reporting during the three months ended June 30, 2012 that have materially
affected, or are reasonably likely to materially affect, our internal control over financial reporting.



14







PART II - OTHER INFORMATION



| | Item 1. | Legal Proceedings.
| | ------- | ------------------

None.



| | Item 1A. | Risk Factors.
| | -------- | -------------

There
are no changes from those listed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2011.



| | Item 2. | Unregistered Sales of Equity Securities and Use of Proceeds.
| | ------- | ------------------------------------------------------------

None.



| | Item 3. | Defaults Upon Senior Securities.
| | ------- | --------------------------------

None.



| | Item 4. | [Removed and Reserved.]
| | ------- | -----------------------



| | Item 5. | Other Information.
| | ------- | ------------------

None.



| | Item 6. | Exhibits.
| | ------- | ---------

| | (a) | Exhibits
| | --- | --------

The following exhibits are filed
herewith:



| | 10.49a | Addendum One to Lease Agreement dated effective as of December
23, 2011, between GK Financing, LLC and Mercy Health Center (Confidential material appearing in this document has been omitted
and filed separately with the Securities and Exchange Commission in accordance with Rule 24b-2, promulgated under the Securities
and Exchange Act of 1934, as amended. Omitted information has been replaced with asterisks).
| | ------ | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 10.64 | Lease Agreement dated November 16, 2011 between EWRS
TIBBİ CİHAZLAR LTD. TURKEY, a limited liability company andFLORENCE NIGHTINGALE HASTANESİ (Confidential
material appearing in this document has been omitted and filed separately with the Securities and Exchange Commission in accordance
with Rule 24b-2, promulgated under the Securities and Exchange Act of 1934, as amended. Omitted information has been replaced with
asterisks).
| | ----- | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| | 31.1 | Certification Pursuant to 18 U.S.C. Section 1350, as Adopted
Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
| | ---- | -----------------------------------------------------------------------------------------------------------------------



15







| | 31.2 | Certification Pursuant to 18 U.S.C. Section 1350, as Adopted
Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
| | ---- | -----------------------------------------------------------------------------------------------------------------------



| | 32.1 | Certification Pursuant to 18 U.S.C. Section 1350, as Adopted
Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
| | ---- | -----------------------------------------------------------------------------------------------------------------------



SIGNATURES



Pursuant
to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf
by the undersigned thereunto duly authorized.



AMERICAN
SHARED HOSPITAL SERVICES

Registrant



|Date: | August 14, 2012 | /s/ Ernest A. Bates, M.D.                        
|----- | --------------- | -------------------------------------------------
|      |                 | Ernest A. Bates, M.D.                            
|      |                 | Chairman of the Board and Chief Executive Officer
|      |                 |                                                  
|Date: | August 14, 2012 | /s/ Craig K. Tagawa                              
|      |                 | Craig K. Tagawa                                  
|      |                 | Senior Vice President                            
|      |                 | Chief Operating and Financial Officer            





16