FCHS (First Choice Healthcare Solutions) Debt-to-EBITDA : -10.72 (As of Mar. 2026)

Author: Vera Yuan Vera Yuan
Vera Yuan
Vera Yuan
Director of Data and Quant Analytics at GuruFocus
Focused on building reliable datasets, financial models, and research tools for value-minded investors. Committed to turning complex data into practical guidance for value-investing and long-term wealth.
Reviewed by: Charlie Tian Charlie Tian
Charlie Tian
Charlie Tian
Founder & CEO of GuruFocus
Dr. Charlie Tian is the founder and CEO of GuruFocus.com, a leading global investment research platform established in 2004. With a Ph.D. in physics, Dr. Tian transitioned from science to finance, applying a data-driven, disciplined approach to value investing.

What is First Choice Healthcare Solutions Debt-to-EBITDA?

First Choice Healthcare Solutions FCHS Debt-to-EBITDA is -10.72 as of Mar. 2026. The stock has 5 warning signs investors should review. Among 477 Healthcare Providers & Services companies, First Choice Healthcare Solutions ranks worse than 209643.4% on this metric.

Debt-to-EBITDA measures a company's ability to pay off its debt.

First Choice Healthcare Solutions's Short-Term Debt & Capital Lease Obligation for the quarter that ended in Mar. 2026 was $28.41 Mil. First Choice Healthcare Solutions's Long-Term Debt & Capital Lease Obligation for the quarter that ended in Mar. 2026 was $2.80 Mil. First Choice Healthcare Solutions's annualized EBITDA for the quarter that ended in Mar. 2026 was $-2.91 Mil. First Choice Healthcare Solutions's annualized Debt-to-EBITDA for the quarter that ended in Mar. 2026 was -10.72.

A high Debt-to-EBITDA ratio generally means that a company may spend more time to paying off its debt. According to Joel Tillinghast's BIG MONEY THINKS SMALL: Biases, Blind Spots, and Smarter Investing, a ratio of Debt-to-EBITDA exceeding four is usually considered scary unless tangible assets cover the debt.

The historical rank and industry rank for First Choice Healthcare Solutions's Debt-to-EBITDA or its related term are showing as below:

FCHS' s Debt-to-EBITDA Range Over the Past 10 Years
Min: -1290   Med: -10.47   Max: 11.85
Current: -13.27

During the past 13 years, the highest Debt-to-EBITDA Ratio of First Choice Healthcare Solutions was 11.85. The lowest was -1290.00. And the median was -10.47.

FCHS's Debt-to-EBITDA is ranked worse than
100% of 477 companies
in the Healthcare Providers & Services industry
Industry Median: 2.21 vs FCHS: -13.27

First Choice Healthcare Solutions  (OTCPK:FCHS) Debt-to-EBITDA Explanation

In the calculation of Debt-to-EBITDA, we use the total of Short-Term Debt & Capital Lease Obligation and Long-Term Debt & Capital Lease Obligation divided by EBITDA. In some calculations, Total Liabilities is used to for calculation.


Be Aware

A high Debt-to-EBITDA ratio generally means that a company may spend more time to paying off its debt.

According to Joel Tillinghast's BIG MONEY THINKS SMALL: Biases, Blind Spots, and Smarter Investing, a ratio of Debt-to-EBITDA exceeding four is usually considered scary unless tangible assets cover the debt.


First Choice Healthcare Solutions Debt-to-EBITDA Related Terms


First Choice Healthcare Solutions Debt-to-EBITDA Historical Data

* Premium members only.

The historical data trend for First Choice Healthcare Solutions's Debt-to-EBITDA can be seen below:

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

First Choice Healthcare Solutions Debt-to-EBITDA Chart

First Choice Healthcare Solutions Annual Data
Trend Dec12 Dec13 Dec14 Dec15 Dec16 Dec17 Dec22 Dec23 Dec24 Dec25
Debt-to-EBITDA
Get a 7-Day Free Trial Premium Member Only Premium Member Only -0.49 -2.75 -10.53 -80.08 -13.65

First Choice Healthcare Solutions Quarterly Data
Jun17 Sep17 Dec17 Mar18 Jun18 Sep18 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24 Sep24 Dec24 Mar25 Jun25 Sep25 Dec25 Mar26
Debt-to-EBITDA Get a 7-Day Free Trial Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only -11.87 -59.25 -11.77 -8.59 -10.72

FCHS vs GRST, PAIYY, FOXOD: Debt-to-EBITDA Comparison

For the Medical Care Facilities subindustry, First Choice Healthcare Solutions's Debt-to-EBITDA, along with its competitors' market caps and Debt-to-EBITDA data, can be viewed below:

* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.


First Choice Healthcare Solutions Debt-to-EBITDA vs Healthcare Providers & Services Industry

For the Healthcare Providers & Services industry and Healthcare sector, First Choice Healthcare Solutions's Debt-to-EBITDA distribution charts can be found below:

* The bar in red indicates where First Choice Healthcare Solutions's Debt-to-EBITDA falls into.



First Choice Healthcare Solutions Debt-to-EBITDA Calculation

Debt-to-EBITDA measures a company's ability to pay off its debt.

First Choice Healthcare Solutions's Debt-to-EBITDA for the fiscal year that ended in Dec. 2025 is calculated as

Debt-to-EBITDA=Total Debt / EBITDA
=(Short-Term Debt & Capital Lease Obligation + Long-Term Debt & Capital Lease Obligation) / EBITDA
=(27.56 + 2.901) / -2.231
=-13.65

First Choice Healthcare Solutions's annualized Debt-to-EBITDA for the quarter that ended in Mar. 2026 is calculated as

Debt-to-EBITDA=Total Debt / EBITDA
=(Short-Term Debt & Capital Lease Obligation + Long-Term Debt & Capital Lease Obligation) / EBITDA
=(28.405 + 2.804) / -2.912
=-10.72

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

In the calculation of annual Debt-to-EBITDA, the EBITDA of the last fiscal year is used. In calculating the annualized quarterly data, the EBITDA data used here is four times the quarterly (Mar. 2026) EBITDA data.

Frequently Asked Questions Learn more about Debt-to-EBITDA →
What does a Debt-to-EBITDA of -10.72 mean?
First Choice Healthcare Solutions (FCHS) has a Debt-to-EBITDA of -10.72 as of Mar. 2026. Debt-to-EBITDA ratio represents the ratio of total debt to total earnings before interest, taxes, depreciation and amortization. View historical data on First Choice Healthcare Solutions. According to the industry distribution chart, First Choice Healthcare Solutions ranks #999999 out of 477 companies in the Healthcare Providers & Services industry.
Is First Choice Healthcare Solutions' Debt-to-EBITDA too high?
First Choice Healthcare Solutions' current Debt-to-EBITDA is -10.72. Based on the distribution chart, First Choice Healthcare Solutions ranks #999999 out of 477 companies in the Healthcare Providers & Services industry, which is in the bottom quartile relative to peers.
How does First Choice Healthcare Solutions' Debt-to-EBITDA compare to GRST and PAIYY?
According to the Healthcare Providers & Services industry distribution chart, First Choice Healthcare Solutions ranks #999999 out of 477 companies for Debt-to-EBITDA. This places First Choice Healthcare Solutions in the lower half of its industry. The industry median Debt-to-EBITDA is 2.21. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Debt-to-EBITDA for a Healthcare Providers & Services company?
The median Debt-to-EBITDA among Healthcare Providers & Services companies is 2.21, based on 477 companies in the industry. Companies in the top quartile (top 25%) have a Debt-to-EBITDA significantly above this median, while those in the bottom quartile fall well below. However, Debt-to-EBITDA should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Debt-to-EBITDA mean?
A high Debt-to-EBITDA can signal that a stock is expensive relative to its fundamentals. Debt-to-EBITDA ratio represents the ratio of total debt to total earnings before interest, taxes, depreciation and amortization. View historical data on First Choice Healthcare Solutions. For the Healthcare Providers & Services industry, the median Debt-to-EBITDA is 2.21 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. First Choice Healthcare Solutions's current Debt-to-EBITDA is -10.72. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is First Choice Healthcare Solutions stock overvalued right now?
First Choice Healthcare Solutions (FCHS) has a current Debt-to-EBITDA of -10.72. The current Debt-to-EBITDA is -10.72. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Debt-to-EBITDA calculated?
Debt-to-EBITDA is calculated from a company's financial statements. For First Choice Healthcare Solutions (FCHS), the current Debt-to-EBITDA is -10.72 as of Mar. 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.

First Choice Healthcare Solutions Business Description

Address 95 Bulldog Boulevard, Suite 202, Melbourne, FL, USA, 32901
First Choice Healthcare Solutions Inc is engaged in pivoting away from its historic orthopedic business model toward developing a national chain of medical functional health and wellness clinics. These clinics focus on providing life improvement services, including anti-aging, weight management, hormone replacement, and pharmacy services, in key high-growth markets throughout the U.S. However, the Company continues to provide rehabilitative services on a limited basis, such as physical therapy. It plans to terminate all remaining legacy orthopedic and physical therapy services and focus its resources on building and operating medical functional health and wellness clinics.