Assure Holdings's Competitiveness
A competitive positioning analysis and financial ratio benchmarking of Assure Holdings (IONM) against its publicly traded competitors: sales growth, net income, profitability, valuation and market share, plus each peer's market capitalization, revenue, income and employees. Free below: the top 5 peers. Subscriber access adds the full competitor list and CSV downloads.
Key Findings: Assure Holdings vs Its Competitors
- TTM: Trailing 12-month revenue of 6M vs 39,530M combined for tracked competitors (0.0% combined share).
- Peer differentiation: Revenue per employee of $0.40M compares with $0.40M for the peer group (1.0x).
Every figure above is sourced and cited in detail further down this page (Market Structure, Profitability & Cost Structure, Productivity vs Peers).
Assure Holdings vs. its Competitors, Q2 2024
TTM net margin
TTM = trailing twelve months. Run-rate annualizes the latest quarter (×4) and compares it to TTM. In millions of $. High-Confidence Competitors are named as a competitor directly in an SEC filing; Similar-Size Competitors are the closest peers by market-cap rank within the same industry; Similar Growth & Profitability Competitors are the closest peers by combined revenue growth, operating margin and ROIC, all independent of the competitor list.
TTM revenue, latest-quarter run-rate and net income/margin benchmarked across Assure Holdings and its 4 competitor groupings. Available under Commercial License.
| Entity | TTM Revenue | Rev Run-rate vs TTM |
|---|---|---|
| Assure Holdings Corp | $12,345M | +12.3% · Accelerating |
| Competitors combined | $12,345M | +12.3% · Accelerating |
TTM revenue, run-rate and net margin benchmarking across Assure Holdings's competitor groups requires a Commercial License.
Assure Holdings's Competitor Quality Breadth
Share of each group, trailing 12 months: profitable (net margin > 0), expanding (revenue growth > 0), growing faster than the industry's own median, and financially distressed (Piotroski F-Score of 2 or below).
| Entity | Profitable | Expanding | Above Industry Growth | Distressed |
|---|---|---|---|---|
| Assure Holdings Corp | - | - | - | Yes |
| Competitors combined (6) |
Source: CSIMarket API, trailing 12 months. Altman Z-Score is not shown here: it is not populated in the underlying data for any company. Percentages are of companies in each group that report the relevant metric, not of the full group size.
IONM Stock Performance relative to its Competitors
5 Best-Performing Tracked Competitors, Trailing 12 Months
| # | Competitor | TTM Share Price Return | vs U.S.A. 500 |
|---|---|---|---|
| 1 | Masimo Corp | 282.9% | Outperformed |
| 2 | Medtronic Plc | 282.9% | Outperformed |
| 3 | American Shared Hospital Services | 282.9% | Outperformed |
| 4 | Accuray Incorporated | 282.9% | Outperformed |
TTM share price return and U.S.A. 500 outperformance for Assure Holdings's best-performing tracked competitors requires a Commercial License.
Source: CSIMarket API, trailing 12 months.
Assure Holdings's Comment on Competition and Industry Peers
Publicly Traded Peers of Assure Holdings Corp
Revenue and income for trailing 12 months, in millions of $, except employees| Company | Market Cap | Revenues |
|---|---|---|
| Assure Holdings Corp | 0.00 | 6.35 |
| Medtronic Plc | 111,919.36 | 37,542.00 |
| Masimo Corp | 9,465.37 | 1,557.00 |
| Accuray Incorporated | 36.24 | 400.83 |
| Non Invasive Monitoring Systems Inc | 11.88 | - |
| American Shared Hospital Services | 9.90 | 30.21 |
| SUBTOTAL | 121,447.30 | 39,642.25 |
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Sources: Assure Holdings Corp's official press releases and regulatory filings; CSIMarket.com's market research; and the financial filings and press releases of the other companies cited.
Updated on:
Focus of this report: publicly traded companies. Ten additional tables on Assure Holdings Corp versus competitors, including market share analysis, are in the navigation menu under Competition. To download the tables, please subscribe.
Assure Holdings's Business Segment Mix vs Peers
Revenue by operating segment or division, as named and reported by each company. Segment names are the filer's own and are not standardized across companies. Do not assume a same-named or similarly-named segment is defined identically between two companies. Shares are of each company's own total revenue and are not required to sum to 100% (intersegment revenue, unallocated items).| Company | Largest Segment |
|---|---|
| Medtronic Plc | CARDIOVASCULAR 38.34 % |
| Masimo Corp | Health Care 99.95 % |
| American Shared Hospital Services | Direct Patient Services 64.63 % |
Source: operating segment revenue as reported in each company's SEC filings (10-K/10-Q), via the CSIMarket API, leaf-level reportable segments only (parent roll-up segments are excluded where sub-segments are separately disclosed).
Assure Holdings's Productivity vs Peers Comparison
Revenue and income per employee, trailing 12 months, in $; market cap in millions of $| Company | Market Cap | Revenue / Employee | Income / Employee |
|---|---|---|---|
| Assure Holdings Corp | 0 | 396,625 | -1,282,375 |
| Medtronic Plc | 111,919 | 395,179 | 55,463 |
| Masimo Corp | 9,465 | 707,727 | 34,682 |
| Accuray Incorporated | 36 | 495,467 | -60,808 |
| Non Invasive Monitoring Systems Inc | 12 | - | -50,000 |
| American Shared Hospital Services | 10 | 347,241 | -37,897 |
| PEERS TOTAL | 121,447 | 403,128 | 52,703 |
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Assure Holdings's Geographic Revenue Exposure vs Peers
Revenue by country/region as reported in each company's most recent filing. Disclosure granularity varies by filer (some report by country, others by broad region) and is shown as disclosed.| Company | Largest Market |
|---|---|
| Medtronic Plc | United States 49.83 % |
| Accuray Incorporated | Americas 23.44 % |
| Viewray Inc | Non-US 79.43 % |
Source: revenue geography as reported in each company's SEC filings (10-K/10-Q), via the CSIMarket API. Percentages are of that company's own total consolidated revenue for its most recent reported period.
Assure Holdings's Position in Industry Market Structure
Market-capitalization share and concentration across all 222 companies in Assure Holdings's industry classification, broader than the peer set above. Market cap in millions of $.Assure Holdings ranks #0 of 222 companies by market capitalization in its industry, holding 0.00 % of total industry market cap. The industry's Herfindahl-Hirschman Index (HHI) is 586, indicating a unconcentrated market structure (U.S. antitrust guidance: below 1,500 unconcentrated, 1,500 to 2,500 moderately concentrated, above 2,500 highly concentrated).
| Rank | Company | Market Cap | Industry Share |
|---|---|---|---|
| 1 | Intuitive Surgical Inc | 147,272 | 13.43 % |
| 2 | Medtronic Plc | 111,919 | 10.21 % |
| 3 | Stryker Corp | 107,636 | 9.82 % |
| 4 | 3m Company | 88,019 | 8.03 % |
| 5 | Boston Scientific Corporation | 1,234 | 5.2% |
| 6 | Edwards Lifesciences Corporation | 1,234 | 5.2% |
| 7 | Becton Dickinson And Company | 1,234 | 5.2% |
| 8 | Dexcom Inc | 1,234 | 5.2% |
| 9 | Resmed Inc | 1,234 | 5.2% |
| 10 | Alcon inc | 1,234 | 5.2% |
| 0 | Assure Holdings Corp | 0 | 0.00 % |
Market cap and industry share for the rest of Assure Holdings's industry peers requires a Commercial License.
Source: CSIMarket API (daily market-structure computation) across CSIMarket's industry classification, market capitalization as of 2026-09-28.
Assure Holdings's Valuation vs Competitive Position
Valuation multiples vs the Medical Equipment & Supplies industry average (288 companies, excluding loss-making/negative-equity outliers), alongside returns on capital for context on whether a premium or discount lines up with measurably stronger or weaker returns. See the full Medical Equipment & Supplies industry valuation benchmarks.| Metric | Company | Industry Average | Difference |
|---|---|---|---|
| P/E | - | 34.6x | - |
| EV / EBITDA | - | 19.7x | - |
| P/B | 0.0x | 4.7x | -4.8x |
| Return on Equity | 139.91 % | industry aggregate | 132.60 % |
| Return on Invested Capital | 64.54 % | -2.30 % (avg) | 66.84 % |
Source: CSIMarket API, trailing 12 months. A valuation premium or discount is not, by itself, a judgment of over- or under-valuation. Compare it against the return and growth context shown elsewhere on this page.
Assure Holdings's Multi-Year Financial Trajectory
Fiscal-year revenue growth, operating margin, return on invested capital and P/E, as reported in SEC filings.| Metric | 2021 | 2022 | 2023 |
|---|---|---|---|
| Revenue Growth | - | - | - |
| Operating Margin | - | -253.50 % | - |
| Return on Invested Capital | - | -51.22 % | 25,663.90 % |
| P/E | - | - | - |
Source: CSIMarket API, fiscal-year figures. P/E is this company's own historical ratio at each fiscal year end and can swing sharply around an earnings trough: that is real, not a data error.
Assure Holdings's Competitive Forces (Porter's Five Forces)
Only the forces this data can support honestly are shown; the other three are marked as such rather than guessed.| Force | Assessment | Basis |
|---|---|---|
| Competitive Rivalry | High | Industry HHI of 586 (see Industry Market Structure & Concentration above) |
| Supplier Power | Not covered on this page | See Assure Holdings's dedicated suppliers page for concentration and dependency data |
| Buyer Power | Not covered on this page | See Assure Holdings's dedicated customers page for concentration and dependency data |
| Threat of Substitutes | - | No systematic data source for cross-product substitution exists in this system; not estimated |
Note: this is a partial, data-grounded application of the framework, not a complete strategic assessment. Rivalry and barriers-to-entry readings are mechanical translations of the HHI and capital-intensity figures shown elsewhere on this page, not independent judgments.
Assure Holdings's SWOT
Every point below is a fixed rule applied to a metric already shown elsewhere on this page (Market Structure, Profitability, Valuation, Run-Rate, Stock Performance, Quality Breadth) not an independent strategic assessment. A blank quadrant means no rule was met, not that none apply.Strengths
- Return on equity 132.6 points above the industry aggregate.
Weaknesses
- Piotroski F-Score of 2 or below, the standard financial-distress signal.
Opportunities
- A meaningful share of tracked competitors (33.30 %) show financial-distress signals, a possible opening to gain share.
Threats
- Tracked peer group's revenue run-rate is broadly decelerating (-13.5% annualized).
Methodology: mechanical, rule-based SWOT. Each bullet reuses a figure already sourced and cited elsewhere on this page; nothing here is generated narrative or independent analyst judgment.
Assure Holdings's Financial Strength vs Peers Comparison
Quick ratio, working capital, debt to equity and asset turnover, trailing 12 months| Company | Quick Ratio | Working Capital | Debt / Equity |
|---|---|---|---|
| Assure Holdings Corp | 0.02 | 0.38 | - |
| Medtronic Plc | 0.15 | 2.10 | 0.57 |
| Masimo Corp | 0.45 | 2.48 | 0.63 |
| Accuray Incorporated | 0.25 | 1.53 | 2.52 |
| Non Invasive Monitoring Systems Inc | 0.04 | 0.04 | - |
| American Shared Hospital Services | 0.22 | 0.78 | 0.86 |
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Quick ratio = cash / current liabilities; working capital ratio = current assets / current liabilities; asset turnover = revenue / total assets. Peers in the Blank Checks industry are excluded.
Assure Holdings's Revenue and Income Growth vs Peers
Quarterly revenue and net income growth, year over year and quarter over quarter| Company | Period | Revenue Y/Y | Income Y/Y |
|---|---|---|---|
| Assure Holdings Corp | Q2 2024 | - | - |
| Medtronic Plc | Q2 2026 | +13.7 % | +41.3 % |
| Masimo Corp | Q1 2026 | +8.3 % | - |
| Accuray Incorporated | Q2 2026 | -21.1 % | - |
| Non Invasive Monitoring Systems Inc | Q2 2026 | - | - |
| American Shared Hospital Services | Q2 2026 | +27.1 % | - |
| PEERS TOTAL | +13.0 % | +77.9 % |
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Growth is shown only where both periods are positive. Peers in the Blank Checks industry are excluded.
Assure Holdings's Peers' Costs of Sales and Capital Expenditures
Context for revenue growth: peer costs and capex, year over year and quarter over quarter| Company | Period | Costs Y/Y | Capex Y/Y |
|---|---|---|---|
| Assure Holdings Corp | Q2 2024 | -67.3 % | - |
| Medtronic Plc | Q2 2026 | +13.8 % | -0.2 % |
| Masimo Corp | Q1 2026 | +10.1 % | +29.3 % |
| Accuray Incorporated | Q2 2026 | -26.5 % | -65.1 % |
| Non Invasive Monitoring Systems Inc | Q2 2026 | - | - |
| American Shared Hospital Services | Q2 2026 | +39.9 % | -96.9 % |
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Assure Holdings's Returns and Turnover vs Peers
ROA, ROI and ROE (trailing 12 months), receivables and inventory turnover| Company | ROA | ROI | ROE |
|---|---|---|---|
| Assure Holdings Corp | - | - | - |
| Medtronic Plc | 5.71% | 6.46% | 10.64% |
| Masimo Corp | 4.04% | 5.17% | 9.08% |
| Accuray Incorporated | - | - | - |
| Non Invasive Monitoring Systems Inc | - | - | - |
| American Shared Hospital Services | - | - | - |
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ROA = net income / total assets; ROI = net income / investments; ROE = net income / equity; turnover ratios use trailing 12 month revenue (receivables) and cost of sales (inventory).
Assure Holdings's Valuation vs Peers
P/E, price to sales, PEG, price to cash flow and price to book| Company | P/E | Price / Sales |
|---|---|---|
| Assure Holdings Corp | - | 0.00 |
| Medtronic Plc | 256.15 | 2.98 |
| Masimo Corp | 124.10 | 6.08 |
| Accuray Incorporated | - | 0.09 |
| Non Invasive Monitoring Systems Inc | - | - |
| American Shared Hospital Services | - | 0.33 |
| PEERS AVERAGE | 23.53 | 3.06 |
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P/E = price / diluted EPS (trailing 12 months); PEG = P/E divided by EPS growth; the average row divides the peers' combined market cap by their combined income, sales, cash flow and equity.