Assure Holdings (IONM) AI Stock Analysis

• Market Cap: $1.84K
• Dividend Yield: N/A
• Average Volume (3M): 0.00
• Price to Earnings (P/E): ―
• Beta (1Y): -32892.76
• Revenue Growth: N/A
• EPS Growth: N/A
• Country: US
• Employees: 95
• Sector: Healthcare
• Sector Strength: 45
• Industry: Medical - Care Facilities
• EPS (TTM): N/A
• Shares Outstanding: 3,674,492
• 10 Day Avg. Volume: 0
• 30 Day Avg. Volume: 0
• PEG Ratio: <0.01
• Price to Book (P/B): -1.28
• Price to Sales (P/S): 76.98
• P/FCF Ratio: -3.89
• Enterprise Value/Market Cap: 7.99K
• Enterprise Value/Revenue: 168.78
• Enterprise Value/Gross Profit: -8.69
• Enterprise Value/Ebitda: -0.72
• 1Y Price Target: N/A
• Price Target Upside: N/A
• Rating Consensus: N/A
• Number of Analyst Covering: 0
• EPS Forecast (FY): N/A
• Revenue Forecast (FY): N/A

• Rating: 29 Underperform
• Price Target: ―

Assure Holdings receives a low overall stock score due to significant financial difficulties, including declining revenues and consistent losses. Negative technical indicators and poor valuation metrics further weigh down the stock's prospects. The absence of recent earnings call data and corporate events limits the assessment of potential recovery or strategic shifts.

Positive Factors

Service Demand

The demand for intraoperative neuromonitoring services is likely to remain stable or grow, as these services are crucial for patient safety during surgeries involving the nervous system.

Revenue Model

The company's revenue model, based on service fees and insurance reimbursements, provides a steady income stream, assuming stable partnerships with healthcare facilities and insurers.

Merger Dispute Resolution

Resolving merger disputes can allow the company to focus on core operations and strategic initiatives without the distraction of legal issues.

Negative Factors

Financial Instability

Negative equity and high debt levels indicate financial instability, limiting the company's ability to invest in growth and potentially leading to solvency issues.

Revenue Decline

A significant decline in revenue suggests challenges in maintaining market share or operational efficiency, impacting long-term growth prospects.

Negative Cash Flow

Negative cash flow indicates the company is not generating enough cash from operations to sustain itself, relying on external financing, which is unsustainable long-term.

Assure Holdings Business Overview & Revenue Model

Company Description

Assure Holdings Corp., through its subsidiaries, provides technical and professional intraoperative neuromonitoring surgical support services primarily associated with spine and head surgeries. It delivers various clinical and operational services, including scheduling of the interoperative neurophysiologist and supervising practitioner, real time monitoring, patient advocacy, and billing services to support surgeons and medical facilities during invasive procedures. The company has operations in Arizona, Colorado, Kansas, Louisiana, Michigan, Missouri, Nebraska, Nevada, Pennsylvania, South Carolina, Texas, and Utah, the United States. Assure Holdings Corp. is based in Englewood, Colorado.

How the Company Makes Money

Assure Holdings generates revenue primarily by providing intraoperative neuromonitoring services to hospitals and surgical centers. The company employs technologists who work in the operating room and neurologists who monitor the procedures remotely. Revenue is earned through service fees charged to healthcare facilities and insurance reimbursements for the monitoring services provided. Key factors contributing to its earnings include partnerships with hospitals, surgical centers, and insurance companies to facilitate the delivery and reimbursement of these essential medical services.

Assure Holdings Financial Statement Overview

Summary

Overall, Assure Holdings is facing severe financial challenges, evidenced by declining revenues, consistent losses, negative margins, and a strained balance sheet. The company has a high debt burden relative to its assets and is reliant on external financing to maintain operations. These factors suggest potential risks and uncertainties in the company's financial health and future prospects.

Income Statement

Assure Holdings has experienced a significant decline in revenue over recent years, with the latest annual revenue being just 255,000 compared to 29.2 million in 2021. The gross profit margin is negative due to higher costs than revenue, and net income has consistently been negative, indicating sustained losses. The company also shows negative EBIT and EBITDA margins, highlighting operational challenges and a lack of profitability.

Balance Sheet

The balance sheet reflects financial instability, with shareholders' equity turning negative in the latest period, indicating liabilities exceed assets. The debt-to-equity ratio is not calculable due to negative equity, but the high level of debt relative to total assets suggests significant leverage. The return on equity is negative, further emphasizing the company's struggles to generate returns for shareholders.

Cash Flow

Assure Holdings has faced consistent negative free cash flow, although there was a slight improvement in operating cash flow in 2023 compared to 2022. The operating cash flow to net income ratio suggests that cash outflows from operations exceed net losses, and financing activities have been necessary to sustain operations, indicating reliance on external funding.

Breakdown	TTM	Dec 2023	Dec 2022	Dec 2021	Dec 2020	Dec 2019
Income Statement
Total Revenue	87.00K	255.00K	471.00K	29.19M	3.52M	17.73M
Gross Profit	-1.69M	-2.19M	-2.07M	14.87M	-4.39M	12.77M
EBITDA	-20.35M	-19.21M	-20.02M	-1.39M	-14.48M	4.31M
Net Income	-20.52M	-26.08M	-30.11M	-2.76M	-15.04M	2.72M
Balance Sheet
Total Assets	5.28M	7.51M	24.25M	48.41M	33.64M	44.38M
Cash, Cash Equivalents and Short-Term Investments	45.00K	123.00K	905.00K	4.02M	4.39M	59.00K
Total Debt	15.60M	14.80M	14.35M	15.87M	7.64M	6.21M
Total Liabilities	23.92M	22.85M	18.78M	19.45M	14.43M	34.49M
Stockholders Equity	-18.64M	-15.34M	5.46M	28.96M	19.21M	9.89M
Cash Flow
Free Cash Flow	-3.43M	-5.04M	-8.11M	-12.94M	-2.85M	-4.28M
Operating Cash Flow	-3.43M	-5.04M	-8.03M	-13.37M	-2.53M	-4.23M
Investing Cash Flow	1.86M	-471.00K	-280.00K	1.00K	-7.50M	465.00K
Financing Cash Flow	-1.55M	4.73M	4.30M	13.01M	14.36M	2.99M

Assure Holdings Technical Analysis

• Technical Analysis Sentiment: Positive
• Last Price: 0.05
• 50DMA: Positive
• 100DMA: Positive
• MACD: Positive
• RSI: Neutral
• STOCH: Positive

Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For IONM, the sentiment is Positive. The current price of 0.05 is below the 20-day moving average (MA) of 0.05, above the 50-day MA of 0.05, and equal to the 200-day MA of ―, indicating a neutral trend. The MACD of <0.01 indicates Positive momentum. The RSI at 56.36 is Neutral, neither overbought nor oversold. The STOCH value of 0.00 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for IONM.

Assure Holdings Peers Comparison

Name	Overall Rating	Market Cap	P/E Ratio	ROE	Dividend Yield	Revenue Growth	EPS Growth
Sector *	51 Neutral	$7.86B	-0.30	-43.30%	2.27%	22.53%	-2.21%
AMS	51 Neutral	$13.92M	-6.23	-8.75%	―	17.84%	-156.13%
DCGO	47 Neutral	$74.98M	-1.47	-17.32%	―	-47.03%	-274.41%
PIII	45 Neutral	$13.83M	-0.04	-257.39%	―	-2.15%	-6.72%
CCM	44 Neutral	$17.63M	-0.78	―	―	-22.38%	56.66%
IONM	29 Underperform	$1.84K	―	―	―	―	―