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Item 1.01. Entry into a Material Definitive Agreement. Third Amendment to Credit Agreement and Forbearance Agreement On July 22, 2026 (the “Third Amendment Effective Date”), American Shared Hospital Services (the “Company”), along with certain of its domestic subsidiaries, entered into a Third Amendment to Credit Agreement and Forbearance Agreement (the “Third Amendment”) with Fifth Third Bank, National Association (the “Lender”), amending that certain Credit Agreement dated April 9, 2021 by and among the Company, certain of its domestic subsidiaries and the Lender, as amended by the First Amendment to Credit Agreement dated January 25, 2024, and the Second Amendment to Credit Agreement dated December 18, 2024 (the “Credit Agreement”). Capitalized terms that are used but not defined in this Current Report on Form 8-K (this “Form 8-K”) have the meanings given to them in the Credit Agreement. As previously disclosed in the Company’s Current Reports on Form 8-K originally filed on December 16, 2025 and June 4, 2026, the Loan Parties received a notice from the Lender (the “Notice”) asserting that certain Events of Default had occurred under the Credit Agreement. After delivering the Notice, the Lender did not take further actions to enforce its rights under the Credit Agreement, and, instead continued to negotiate with the Company with respect to certain amendments to the Credit Agreement. The Third Amendment is intended, in part, to address certain of the assertions made by the Lender in the Notice, and to set forth the accommodations and understandings of the parties with respect to the Credit Agreement and the Company’s plans to satisfy the obligations owed under the Credit Agreement, and provide additional security to the Lender. In the Third Amendment, the Lender agreed to forbear from exercising certain rights and remedies in respect of certain Events of Default under the Credit Agreement (the “Designated Events of Default”), including the Events of Default identified in the Notice, beginning on the Third Amendment Effective Date until June 30, 2027 (the “Standstill Period”), subject to certain forbearance termination events. The Lender also agreed that the Minimum Unrestricted Cash, Fixed Charge Coverage Ratio and Total Funded Debt covenants would not be applicable during the Standstill Period. In turn, the Third Amendment imposes certain obligations and