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Assure Holdings's Competitiveness

Name: Assure Holdings Competitors and Peer Comparison
Creator: CSIMarket
License: https://csimarket.com/help/terms-of-use

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.

Peer Data As of Q2 2024

Competitors

Named by the company

Peer Group Market Share

vs 0.01 % a year ago

Revenue Growth Y/Y

Peers: 3.27 %

Net Margin

Peers: 12.54 %

Key Findings: Assure Holdings vs Its Competitors

TTM: Trailing 12-month revenue of 6M vs 39,530M combined for its 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).

API endpoints for this dataset

https://api.csimarket.com/api/v1/companies/IONM/competitors

https://api.csimarket.com/api/v1/companies/IONM/relationships

https://api.csimarket.com/api/v1/companies/IONM/similar

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Assure Holdings vs. its Competitors, Q2 2024

TTM net margin

Assure Holdings -323.3 %

Competitors combined +13.4 %

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 Assure Holdings reports; 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.

Competitor Financial Benchmarking - TTM Commercial

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	Latest Q ×4	Rev Run-rate vs TTM	TTM Net Income	TTM Net Margin
Assure Holdings Corp	$12,345M	$12,345M	+12.3% · Accelerating	$1,234M	12.3%
Competitors combined	$12,345M	$12,345M	+12.3% · Accelerating	$1,234M	12.3%

Competitor Financial Benchmarking

TTM revenue, run-rate and net margin benchmarking across Assure Holdings's competitor groups requires a Commercial License.

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Assure Holdings's Competitor Quality Breadth

Group definitions: see Methodology: Performance Group Definitions.

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

IONM Competitors (weighted) Percent change over the selected range

Assure Holdings's Share Price Performance vs Peer Groups

Trailing 12-month total share price return, and the share of each group that outperformed the U.S.A. 500 over the same period. Similar Growth & Profitability Competitors are the closest peers by combined revenue growth, operating margin and ROIC.

Competitors Combined
(1 of 4)

Entity	TTM Share Price Return (group: median)	vs U.S.A. 500
Assure Holdings Corp	-	-
Competitors combined (4)	40.4%	63.2%
High-Confidence Competitors (0)	40.4%	63.2%
Similar-Size Competitors (0)	40.4%	63.2%
Similar Growth & Profitability (0)	40.4%	63.2%

Peer Group Share Price Returns

TTM share price return and U.S.A. 500 outperformance for Assure Holdings's competitor groups requires a Commercial License.

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Source: CSIMarket API (daily market-structure computation). Outperformance is trailing-12-month total return vs the U.S.A. 500 over the same window, not risk-adjusted.

5 Best-Performing Tracked Competitors, Trailing 12 Months

#	Competitor	TTM Share Price Return	vs U.S.A. 500
1	Medtronic Plc	282.9%	Outperformed
2	Masimo Corp	282.9%	Outperformed
3	American Shared Hospital Services	282.9%	Outperformed
4	Accuray Incorporated	282.9%	Outperformed

Best-Performing Competitor Returns

TTM share price return and U.S.A. 500 outperformance for Assure Holdings's best-performing competitors requires a Commercial License.

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Source: CSIMarket API, trailing 12 months.

Assure Holdings's Comment on Competition and Industry Peers

The intraoperative neurophysiological monitoring (IONM) industry is highly competitive, with some competitors being larger and having well-established relationships with physicians and third-party payors. The company competes with other healthcare providers to hire and retain experienced professionals and has historically encountered challenges in attracting or retaining key personnel and securing clinical resources. Some competitors include hospitals that provide IONM services for surgeries within their facilities. Assure faces significantly larger competitors with greater marketing, financial, and other resources, which may affect its ability to compete effectively against current and future competitors.

Publicly Traded Peers of Assure Holdings Corp

Revenue and income for trailing 12 months, in millions of $, except employees

Company	Market Cap	Revenues	Income	Employees
Assure Holdings Corp	0.00	6.35	-20.52	16
Medtronic Plc	130,823.18	37,542.00	5,269.00	95,000
Masimo Corp	9,465.37	1,557.00	76.30	2,200
Accuray Incorporated	13.49	400.83	-49.19	809
Non Invasive Monitoring Systems Inc	11.16	-	-0.55	11
American Shared Hospital Services	7.97	30.21	-3.30	87
SUBTOTAL	140,325.73	39,642.25	5,161.33	98,337

1 more competitors available

Sources: see Methodology: Peer & Competitor Identification, Sourcing.
Updated on: November 7, 2026
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 Competitors Named by the Company

Competitive relationships identified from Assure Holdings reports and corroborating sources, each with a basis and confidence.

Competitor	Basis	Confidence	Active	Sources
Medtronic Plc	Company report	85%	2022 to 2026	3
Masimo Corp	Company report	85%	2022 to 2026	3

Competitor Evidence Detail

Company report basis, confidence, active dates and source counts for Assure Holdings's named competitors require a Commercial License.

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Methodology: see Methodology: Peer & Competitor Identification, Sourcing.

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	2nd Segment	3rd Segment
Medtronic Plc	CARDIOVASCULAR 38.34 %	Neuroscience Group 28.37 %	Medical Surgical 24.10 %
Masimo Corp	Health Care 99.95 %	-	-
American Shared Hospital Services	Direct Patient Services 64.63 %	Medical Equipment Leasing 48.03 %	-

Source: operating segment revenue as reported in each company's reports (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	130,823	395,179	55,463
Masimo Corp	9,465	707,727	34,682
Accuray Incorporated	13	495,467	-60,808
Non Invasive Monitoring Systems Inc	11	-	-50,000
American Shared Hospital Services	8	347,241	-37,897
PEERS TOTAL	140,326	403,128	52,703

1 more Peers available

Assure Holdings's Geographic Revenue Exposure vs Peers

Revenue by country/region as reported in each company's most recent report. Disclosure granularity varies by filer (some report by country, others by broad region) and is shown as disclosed.

Company	Largest Market	2nd Market	3rd Market
Medtronic Plc	United States 49.83 %	Total Other Countries, Excluding United States and Ireland 49.77 %	Ireland 0.40 %
Accuray Incorporated	EIMEA 43.03 %	Americas 18.16 %	CN 15.56 %
Viewray Inc	Non-US 79.43 %	United States 20.57 %	-

Source: revenue geography as reported in each company's reports (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 218 companies in Assure Holdings's industry classification, broader than the peer set above. Market cap in millions of $.

Assure Holdings ranks #0 of 218 companies by market capitalization in its industry, holding 0.00 % of total industry market cap. The industry's Herfindahl-Hirschman Index (HHI) is 616, indicating a unconcentrated market structure (see Methodology: Market Structure & Concentration).

Rank	Company	Market Cap	Industry Share
1	Intuitive Surgical Inc	161,785	13.52 %
2	Medtronic Plc	130,823	10.94 %
3	Stryker Corp	125,786	10.51 %
4	3m Company	96,722	8.09 %
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	Alcon inc	1,234	5.2%
9	Resmed Inc	1,234	5.2%
10	Medline Inc	1,234	5.2%
0	Assure Holdings Corp	0	0.00 %

Full Industry Market Structure

Market cap and industry share for the rest of Assure Holdings's industry peers requires a Commercial License.

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Source: CSIMarket API (daily market-structure computation) across CSIMarket's industry classification, market capitalization as of 2026-11-05.

Assure Holdings's Valuation vs Competitive Position

Valuation multiples vs the Medical Equipment & Supplies industry average (342 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	-	38.2x	-
EV / EBITDA	-	18.1x	-
P/B	0.0x	4.6x	-4.6x
Return on Equity	-	industry aggregate	-
Return on Invested Capital	-	-6.82 % (avg)	-

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 company reports.

Metric	2021	2022	2023
Revenue Growth	-	-	-
Operating Margin	-	-	-
Return on Invested Capital	-8.57 %	-55.90 %	-3,642.03 %
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 616 (see Industry Market Structure & Concentration above)

Note: see Methodology: Porter's Five Forces. Supplier power and buyer power are covered on Assure Holdings's dedicated Suppliers and Customers pages, not here.

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

No rule matched.

Weaknesses

Piotroski F-Score of 2 or below, the standard financial-distress signal.

Opportunities

A meaningful share of 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: see Methodology: SWOT Analysis.

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	Asset Turnover
Assure Holdings Corp	0.02	0.38	-	0.78
Medtronic Plc	0.15	2.10	0.57	0.41
Masimo Corp	0.45	2.48	0.63	0.82
Accuray Incorporated	0.25	1.53	2.52	0.88
Non Invasive Monitoring Systems Inc	0.04	0.04	-	-
American Shared Hospital Services	0.22	0.78	0.86	0.54

1 more Peers available

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	Revenue Q/Q	Income Y/Y	Income Q/Q
Assure Holdings Corp	Q2 2024	-	-	-	-
Medtronic Plc	Q2 2026	+13.7 %	-0.5 %	+41.3 %	+17.5 %
Masimo Corp	Q1 2026	+8.3 %	-2.5 %	-	-16.4 %
Accuray Incorporated	Q2 2026	-21.1 %	-3.2 %	-	-
Non Invasive Monitoring Systems Inc	Q2 2026	-	-	-	-
American Shared Hospital Services	Q2 2026	+27.1 %	+34.1 %	-	-
PEERS TOTAL		+13.0 %	-0.7 %	+77.9 %	+17.2 %

1 more Peers available

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	Costs Q/Q	Capex Y/Y	Capex Q/Q
Assure Holdings Corp	Q2 2024	-67.3 %	-51.1 %	-	-
Medtronic Plc	Q2 2026	+13.8 %	+0.5 %	-0.2 %	+1,017.8 %
Masimo Corp	Q1 2026	+10.1 %	-8.4 %	+29.3 %	-38.4 %
Accuray Incorporated	Q2 2026	-26.5 %	-17.2 %	-65.1 %	-59.1 %
Non Invasive Monitoring Systems Inc	Q2 2026	-	-	-	-
American Shared Hospital Services	Q2 2026	+39.9 %	+39.9 %	-96.9 %	+41.5 %

1 more Peers available

Assure Holdings's Returns and Turnover vs Peers

ROA, ROI and ROE (trailing 12 months), receivables and inventory turnover

Company	ROA	ROI	ROE	Receivables Turnover	Inventory Turnover
Assure Holdings Corp	-	-	-	-	-
Medtronic Plc	5.71%	6.46%	10.64%	5.80	2.21
Masimo Corp	4.04%	5.17%	9.08%	5.80	1.66
Accuray Incorporated	-	-	-	5.95	1.93
Non Invasive Monitoring Systems Inc	-	-	-	-	-
American Shared Hospital Services	-	-	-	2.93	-

1 more Peers available

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	PEG	P/CF	Price / Book
Assure Holdings Corp	-	0.00	-	-	-
Medtronic Plc	299.41	3.48	-	312.97	2.57
Masimo Corp	124.10	6.08	-	-	12.00
Accuray Incorporated	-	0.03	-	-	0.32
Non Invasive Monitoring Systems Inc	-	-	-	84.57	-
American Shared Hospital Services	-	0.26	-	-	0.31
PEERS AVERAGE	27.19	3.54		570.27	2.71

1 more Peers available

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.