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BUSINESS AND BASIS OF PRESENTATION
12 Months Ended
Dec. 31, 2013
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]
Note 1 – Business and Basis of Presentation
 
Business These financial statements include the accounts of American Shared Hospital Services (the “Company”) and its subsidiaries as follows: The Company wholly-owns the subsidiaries OR21, Inc. (“OR21”); MedLeader.com, Inc. (“MedLeader”), American Shared Radiosurgery Services (“ASRS”), ASHSDB#1, LLC (“ASHSDB1”), and ASHSDB#2 LLC (“ASHSDB2”); ASHSDB1 and ASHSDB2 each own 50% of the subsidiary ASHS do Brasil Equipamentos Medicos LTDA (“ASHS do Brasil”). The Company is also the majority owner of Long Beach Equipment, LLC (“LBE”). ASRS is the majority-owner of GK Financing, LLC (“GKF”) which wholly-owns the subsidiaries GK Financing U.K., Limited (“GKUK”), Instituto de Gamma Knife del Pacifico S.A.C. (“GKPeru”), GKFDB#1, LLC (“GKFDB1”), and GKFDB#2, LLC (“GKFDB2”). GKFDB1 and GKFDB2 each own 50% of the subsidiary GKF do Brasil Equipamentos Medicos LTDA (“GKF do Brasil”). GKF is also the majority-owner of the subsidiaries Albuquerque GK Equipment, LLC (“AGKE”), Jacksonville GK Equipment, LLC (“JGKE”) and EWRS, LLC (“EWRS”), which wholly-owns the subsidiary, EWRS Tibbi Cihazlar Ticaret Ltd Sti (“EWRS Turkey”).
 
The Company (through ASRS) and Elekta AB, the manufacturer of the Gamma Knife (through its wholly-owned United States subsidiary, GKV Investments, Inc.), entered into an operating agreement and formed GK Financing, LLC. During 2012 GKF provided Gamma Knife units to seventeen medical centers in the United States 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 two medical centers in Turkey, in the cities of Adana and Istanbul.
 
The Company also provides radiation therapy and related equipment directly to a medical center in Massachusetts and through GKF to a medical center in Adana, Turkey.
 
The Company has formed the subsidiaries GKUK, GKPeru, EWRS, EWRS Turkey, ASHSDB1, ASHSDB2, ASHS do Brasil, GKFDB1, GKFDB2, and GKF do Brasil for the purposes of expanding its business internationally into the United Kingdom, Peru, Turkey and Brazil; 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, JGKE and EWRS Turkey all began operation in 2011. GKPeru and LBE are under development, GKUK is inactive, and the Company is in the final stages of liquidating GKF do Brazil and ASHS do Brazil.
 
OR21 will provide the product “The Operating Room for the 21st CenturySM”, which is currently under development.
 
MedLeader was formed to provide continuing medical education online and through videos for doctors, nurses and other healthcare workers. This subsidiary is not operational at this time.
 
All significant intercompany accounts and transactions have been eliminated in consolidation.