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Condensed Consolidated Statements of Operations (Unaudited) - USD ($)
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Revenues:        
Revenues $ 7,171,000 $ 6,999,000 $ 20,354,000 $ 19,271,000
Costs of revenue:        
Maintenance and supplies 650,000 613,000 1,916,000 1,671,000
Depreciation and amortization 1,441,000 1,666,000 4,383,000 4,418,000
Other direct operating costs 3,216,000 3,180,000 9,168,000 6,691,000
Other direct operating costs, related party 278,000 170,000 729,000 510,000
Cost of Revenue 5,585,000 5,629,000 16,196,000 13,290,000
Gross margin 1,586,000 1,370,000 4,158,000 5,981,000
Selling and administrative expense 1,538,000 1,923,000 5,092,000 5,698,000
Interest expense 392,000 336,000 1,253,000 1,070,000
Loss on write down of impaired assets and associated removal costs, net 0 0 0 188,000
Operating loss (344,000) (889,000) (2,187,000) (975,000)
Bargain purchase gain RI Acquisition, net of deferred income taxes     (0) 3,942,000
Interest and other income, net 63,000 47,000 172,000 212,000
(Loss) income before income taxes (281,000) (579,000) (2,015,000) 3,179,000
Income tax expense 48,000 (169,000) (296,000) (244,000)
Net (loss) income (329,000) (410,000) (1,719,000) 3,423,000
(Less): net loss attributable to non-controlling interests 312,000 203,000 797,000 91,000
Net (loss) income attributable to American Shared Hospital Services $ (17,000) $ (207,000) $ (922,000) $ 3,514,000
Net (loss) income per share:        
Basic earnings (loss) per share (in dollars per share) $ (0) $ (0.03) $ (0.14) $ 0.54
Diluted earnings (loss) per share (in dollars per share) $ (0) $ (0.03) $ (0.14) $ 0.54
Weighted average common shares for basic (loss) earnings per share (in shares) 6,632,000 6,482,000 6,593,000 6,482,000
Weighted average common shares for diluted (loss) earnings per share (in shares) 6,632,000 6,482,000 6,593,000 6,520,000
RI Companies [Member]        
Costs of revenue:        
Bargain purchase gain RI Acquisition, net of deferred income taxes $ 0 $ 263,000 $ 0 $ 3,942,000
Rental Income from Medical Services [Member]        
Revenues:        
Revenues 3,137,000 3,312,000 9,699,000 11,464,000
Patient Income [Member]        
Revenues:        
Revenues $ 4,034,000 $ 3,687,000 $ 10,655,000 $ 7,807,000