– Revenue Increases by 46% to $6.0 Million, Net Income Increases to $3.3 Million –

– Management to Discuss Second Quarter Results via Conference Call on Thursday, August 30, 2018, at 11:00 A.M. Eastern Time –

DENVER, Aug. 29, 2018 (GLOBE NEWSWIRE) -- Assure Holdings Corp. (the “Company” or “Assure”) (TSXV: IOM; OTCQB: ARHH), a provider of intraoperative neuromonitoring services, reported financial results for the three and six months ended June 30, 2018, and revised results for the three and six months ended June 30, 2017.

Second Quarter 2018 Financial Highlights vs. Revised Second Quarter 2017

-- Total revenue grew 46% to $6.0 million versus a revised $4.1 million. -- Managed cases increased 97% to 677 versus 344. -- Gross margin was 82.1% versus a revised 82.3%. -- Earnings from equity method of investment in Physician Network Entities (PNEs) grew 18% to $0.7 million from a revised $0.6 million. -- Net income increased to $3.3 million compared to a revised $0.2 million. Revised net income in 2017 was not burdened by tax expense as the Company modified its tax provision methodology at the end of 2017. -- Diluted earnings per share was $0.07 compared to a revised $0.01 per share. The 2018 number reflects the full impact of the shares issued in conjunction with the Company’s reverse take-over transaction to become a public company on the TSXV and the performance shares. -- Adjusted EBITDA grew 50% to $4.2 million versus a revised $2.8 million.

Six Months Ended June 2018 Financial Highlights vs. Revised Same Period in 2017

-- Total revenue grew 63% to $11.7 million versus a revised $7.2 million. -- Gross margin increased 80 basis points to 82.8% versus a revised 82.0%. -- Net income increased 42% to $6.2 million, or $0.14 per diluted share, compared to a revised $2.5 million, or $0.08 per diluted share. -- Adjusted EBITDA grew 64% to $8.4 million versus a revised $5.2 million.

Management Commentary

“During the second quarter, we continued to experience strong results driven by a 97% increase in managed case volume,” said John A. Farlinger, Assure’s Executive Chairman and Interim CEO. “This was due to strong growth in our new markets of Louisiana and Texas, while continuing to grow organically in Colorado. Looking to the second half of 2018, we remain well positioned to further penetrate new and existing markets with our unique neuromonitoring platform.”

Second Quarter 2018 Financial Results

Total revenue increased 46% to $6.0 million compared to a revised $4.1 million in the second quarter of 2017. The significant improvement was due to the continued increase in cases generated from the Company’s existing surgeon network, the onboarding of additional surgeons, and the continued expansion in new states. In fact, revenue generated outside Colorado was 35% of total revenue in the second quarter of 2018. Managed cases increased 97% to 677 versus 344 in the second quarter of 2017, primarily driven by the expansion into Louisiana, Texas and Utah.

Gross margin was 82.1% compared to a revised 82.3% in the same quarter last year as the fundamentals of the business sustained the strong revenue growth.

Total operating expenses increased to $1.4 million compared to $1.2 million in the same quarter in 2017 due to expenses associated with growing the business, costs of being a public company and one-time legal expenses related to the Company’s 2018 forensic audit.

Net income increased to $3.3 million or $0.07 per diluted share, compared to net income of $0.2 million or $0.01 per diluted share in the second quarter of 2017. The 2018 per diluted share amount reflects 6.0 million of incremental diluted shares relating to performance shares.

Adjusted EBITDA increased 50% to $4.2 million compared to $2.8 million in the same quarter in 2017 due to the continued increase in cases managed, resulting in improved revenue and earnings from the equity method of investment in Assure’s PNEs.

Six Months Ended June 2018 Financial Results

Total revenue in the first six months of 2018 increased 63% to $11.7 million compared to $7.2 million in the same period in 2017. The increase was primarily driven by the increase in cases managed resulting from the growing number of relationships in Colorado and the continued expansion into new states.

Gross margin increased 80 basis points to 82.8% compared to 82.0% in the year-ago period. The increase was due to the strong year-over-year growth in revenue.

Total operating expenses in the first six months increased to $3.1 million compared to $1.8 million in the year-ago period. The increase was attributed to costs associated with multi-state expansion initiatives and the ongoing corporate expenses of becoming a public company.

Net income in the first six months of 2018 was $6.2 million or $0.14 per diluted share, compared to $2.5 million or $0.08 per diluted share in the year-ago period. The 2018 per diluted share amount reflects 6.0 million of incremental diluted shares relating to performance shares.

Adjusted EBITDA increased 64% to $8.4 million compared to $5.2 million in the first six months of 2017.

Collected $3.5 million of cash from accounts receivable compared to $1.6 million in the prior year period. Cash distributions from PNE entities totaled $0.5 million in the six months ended June 30, 2018, compared to $0.1 million in the same prior year period. Total cash inflows from collections and distributions increased 252% year over year.

Assure has also filed its unaudited condensed interim financial statements and management discussion & analysis (MD&A) with SEDAR. This information can be found at www.sedar.com.

Conference Call

The Company will hold a conference call Thursday, August 30, 2018, at 11:00 a.m. Eastern time to discuss its second quarter 2018 results.

Date: Thursday, August 30, 2018Time: 11:00 a.m. Eastern time Toll-free dial-in number: 1-877-407-0792International dial-in number: 1-201-689-8263Conference ID: 13683006

Please call the conference telephone number 5-10 minutes prior to the start time. An operator will register your name and organization. If you have any difficulty connecting with the conference call, please contact Liolios Group at 1-949-574-3860.

The conference call will be broadcast live and available for replay here.

A replay of the conference call will be available after 2:00 p.m. Eastern time on the same day through September 13, 2018.

Toll-free replay number: 1-844-512-2921International replay number: 1-412-317-6671Replay ID: 13683006

About Assure Holdings

Assure Holdings Corp. is a Colorado-based company that works with neurosurgeons and orthopedic spine surgeons to provide a turnkey suite of services that support intraoperative neuromonitoring activities during invasive surgeries. Assure employs its own staff of technologists and uses its own state-of-the-art monitoring equipment, handles 100% of intraoperative neuromonitoring scheduling and setup, and bills for all technical services provided. While Assure focuses primarily on supporting spinal and vascular surgeries, plans are in place to support other classes of medicine that rely on the standard of care that intraoperative neuromonitoring provides. For more information, visit the company’s website at assureIOM.com.

Non-IFRS Measures

Adjusted EBITDA is defined as net income/(loss) excluding interest, taxes, depreciation, share-based compensation, performance share compensation, provision for broker warrant fair value, provision for stock option fair value and deemed shares costs related to the reverse takeover merger

Forward-Looking Statements

This news release contains certain statements that may constitute forward-looking information under applicable securities laws. All statements, other than those of historical fact, which address activities, events, outcomes, results, developments, performance or achievements that Assure anticipates or expects may or will occur in the future (in whole or in part) should be considered forward-looking information. Such information may involve, but is not limited to, comments with respect to strategies, expectations, planned operations and future actions of the Company, including but not limited to the Company obtaining regulatory approval to commence trading. Often, but not always, forward-looking information can be identified by the use of words such as "plans", "expects", "is expected", "budget", "scheduled", "estimates", "forecasts", "intends", "anticipates", or "believes" or variations (including negative variations) of such words and phrases, or statements formed in the future tense or indicating that certain actions, events or results "may", "could", "would", "might" or "will" (or other variations of the forgoing) be taken, occur, be achieved, or come to pass. Forward-looking statements in this news release include but are not limited to: Looking to the back half of 2018, we remain well positioned to further penetrate new and existing markets with our unique neuromonitoring platform. Forward-looking information is based on currently available competitive, financial and economic data and operating plans, strategies or beliefs as of the date of this news release, but involve known and unknown risks, uncertainties, assumptions and other factors that may cause the actual results, performance or achievements of Assure to be materially different from any future results, performance or achievements expressed or implied by the forward-looking information. Such factors may be based on information currently available to Assure, including information obtained from third-party industry analysts and other third-party sources, and are based on management's current expectations or beliefs regarding future growth, results of operations, future capital (including the amount, nature and sources of funding thereof) and expenditures. Any and all forward-looking information contained in this press release is expressly qualified by this cautionary statement.

Investors are cautioned that, except as disclosed in the Filing Statement any information released or received with respect to the reverse take-over may not be accurate or complete and should not be relied upon. Trading in the securities of the Corporation should be considered highly speculative.

Neither the TSX Venture Exchange nor its Regulation Services Provider (as that term is defined in the policies of the TSX Venture Exchange) accepts responsibility for the adequacy or accuracy of this release.

The securities of the Corporation have not been and will not be registered under the United States Securities Act of 1933, as amended and may not be offered or sold in the United States absent registration or an applicable exemption from the registration requirement. This press release shall not constitute an offer to sell or the solicitation of an offer to buy nor shall there be any sale of the securities in any jurisdiction in which such offer, solicitation or sale would be unlawful.

Contact

Cody Slach, Managing DirectorLiolios Investor Relations1-949-574-3860 IOM@Liolios.com

ASSURE HOLDINGS INC. CONSOLIDATED STATEMENT OF FINANCIAL POSITION (in United States Dollars) June 30, December 31, 2018 2017 (unaudited) ------------------------------------------- ------------ -------------- ASSETS Current assets Cash $ 440,008 $ 215,326 Accounts receivable, net 24,784,275 16,624,006 Prepaid expenses 170,983 130,060 Due from related parties 2,110,911 2,256,117 Total current assets 27,506,177 19,225,509 Equity method investments 3,328,868 2,259,663 Equipment and furniture, net 481,766 499,123 - ---------- - ---------- - Total assets $ 31,316,811 $ 21,984,295 - ---------- - ---------- - LIABILITIES AND SHAREHOLDERS' EQUITY LIABILITIES Current liabilities Accounts payable and accrued liabilities $ 3,049,346 $ 2,504,519 Current portion of finance leases 230,969 181,787 Income taxes payable 2,095,460 22,475 Line of credit 500,000 - Total current liabilities 5,875,775 2,708,781 Finance leases, net of current portion 317,678 291,063 Provision for fair value of stock options 214,415 325,515 Provision for performance share issuance 16,011,500 16,011,500 Provision for fair value of broker warrants 59,751 128,062 Deferred tax liability, net 92,276 92,276 - ---------- - ---------- - Total liabilities 22,571,395 19,557,197 - ---------- - ---------- - SHAREHOLDERS' EQUITY Capital stock 35,555 35,505 Additional paid-in capital 6,155,742 6,079,115 Retained earnings/(accumulated deficit) 2,554,119 (3,687,522 ) - ---------- - ---------- - Total shareholders' equity 8,745,416 2,427,098 - ---------- - ---------- - Total liabilities and shareholders' equity $ 31,316,811 $ 21,984,295 ------------------------------------------- - ---------- - ---------- -

ASSURE HOLDINGS INC. CONSOLIDATED STATEMENT OF INCOME (in United States Dollars) Three months Three months Six Months Six Months ended June 30, ended June 30, Ended June 30, Ended June 30, 2018 2017 (revised) 2018 2017 (revised) -------------- -------------- -------------- -------------- Revenue Out-of-Network fees $ 5,895,319 $ 4,006,183 $ 11,484,160 $ 6,994,689 Contract fees 138,689 112,818 250,999 190,883 Total revenue 6,034,008 4,119,001 11,735,159 7,185,572 Cost of revenues (1,082,926 ) (727,792 ) (2,021,804 ) (1,290,426 ) Gross margin 4,951,082 3,391,209 9,713,355 5,895,146 Operating expenses General and administrative 1,100,392 1,103,892 2,454,541 1,638,519 Depreciation and amortization 99,494 46,352 186,423 91,910 Sales and marketing 151,475 83,503 446,630 148,336 - ---------- - - ---------- - - ---------- - - ---------- - Total operating expenses 1,351,361 1,233,747 3,087,594 1,878,765 - ---------- - - ---------- - - ---------- - - ---------- - Income from operations 3,599,721 2,157,462 6,625,761 4,016,381 Other income/(expenses) Earnings from equity method investments 665,599 565,633 1,561,900 995,262 Provision for broker warrant fair value - (930,189 ) 68,311 (930,189 ) Provision for stock option fair value - (36,589 ) 111,100 (36,589 ) Deemed share costs related to RTO - (1,551,126 ) - (1,551,126 ) Interest, net (26,711 ) (5,586 ) (52,446 ) (21,802 ) - ---------- - - ---------- - - ---------- - - ---------- - Total other income/(expenses) 638,888 (1,957,857 ) 1,688,865 (1,544,444 ) - ---------- - - ---------- - - ---------- - - ---------- - Income before income taxes 4,238,609 199,605 8,314,626 2,471,937 Income tax expense 961,799 - 2,072,985 - - ---------- - - ---------- - - ---------- - - ---------- - Net income $ 3,276,810 $ 199,605 $ 6,241,641 $ 2,471,937 - ---------- - - ---------- - - ---------- - - ---------- - Basic income per common share $ 0.09 $ 0.01 $ 0.18 $ 0.09 - ---------- - - ---------- - - ---------- - - ---------- - Fully diluted income per common share $ 0.07 $ 0.01 $ 0.14 $ 0.08 - ---------- - - ---------- - - ---------- - - ---------- -

ASSURE HOLDINGS CORP. ADJUSTED EBITDA (in United States Dollars) Three Six Months Three Months Months Six Months Ended June Ended June Ended June Ended June 30, 2017 30, 2018 30, 2017 30, 2018 (revised) (revised) ------------- ----------- ------------- ----------- Reported net income $ 3,276,810 $ 199,605 $ 6,241,641 $ 2,471,937 Interest 26,711 5,586 52,446 21,802 Depreciation 99,494 46,352 186,423 91,910 Share based compensation (126,387 ) 50,609 74,177 50,609 Income tax expense 961,799 - 2,072,985 - Deemed share costs related to RTO - 1,551,126 - 1,551,126 Provision for broker warrant fair value - 930,189 (68,311 ) 930,189 Provision for stock option fair value - 36,589 (111,100 ) 36,589 $ 4,238,427 $ 2,820,056 $ 8,448,261 $ 5,154,162 - --------- - - --------- - --------- - - ---------

ASSURE HOLDINGS CORP. EARNINGS PER SHARE (in United States Dollars) Three Months Three Months Six Months Six Months Ended June Ended June Ended June Ended June 30, 2018 30, 2017 30, 2018 30, 2017 (revised) (revised) ------------ ------------ ------------ ------------ Income attributable to common shareholders Basic $ 3,276,810 $ 199,605 $ 6,241,641 $ 2,471,937 Weighted average common share outstanding 35,555,105 34,953,213 35,527,571 27,617,716 Basic earnings per common share $ 0.09 $ 0.01 $ 0.18 $ 0.09 Income attributable to common shareholders Basic $ 3,276,810 $ 199,605 $ 6,241,641 $ 2,471,937 Weighted average common shares outstanding 35,555,105 34,953,213 35,527,571 27,617,716 Dilutive effect of stock options, warrants, and 9,341,000 3,655,364 9,341,000 3,655,364 performance shares Weighted average common shares outstanding assuming 44,896,105 38,608,577 44,868,571 31,273,080 dilution Fully diluted earnings per common share $ 0.07 $ 0.01 $ 0.14 $ 0.08