On a fundamental basis it would seem to require a few handfuls of new ApneaRX equipment rental contracts and a few new Encore staffing offices.
Execution by management and Honest Discussion about the outlook for improving business metrics (revenues, profitability, P/E, etc., like you have mentioned before) is what this company needs if it is to grow its investor base (add buyers to the mix).
Currently, and over the last two years, SHOM appears to have gotten stuck in a situation where the staff gets paid, so the company is stable, but there is nothing obviously going on that will build momentum and increase cashflow and profitability.
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