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IMAC HoldingsIMACW +11.11%19 Debt-to-EBITDA is -0.38 as of Sep. 2025. GuruFocus rates IMACW with a GF Score™ of 19/100. The stock has 7 warning signs investors should review. Among 478 Healthcare Providers & Services companies, IMAC Holdings ranks worse than 209204.81% on this metric.
Debt-to-EBITDA measures a company's ability to pay off its debt.
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 IMAC Holdings's Debt-to-EBITDA or its related term are showing as below:
IMACW'
s Debt-to-EBITDA Range Over the Past 10 Years
Min: -2.81 Med: -1.56 Max: -0.46
Current: -0.46
During the past 9 years, the highest Debt-to-EBITDA Ratio of IMAC Holdings was -0.46. The lowest was -2.81. And the median was -1.56.
IMACW's Debt-to-EBITDA is ranked worse than 100% of 478
companies
in the Healthcare Providers & Services industry
Industry Median: 2.25
vs IMACW: -0.46
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.
IMAC Holdings Debt-to-EBITDA Related Terms
IMAC Holdings Debt-to-EBITDA Historical Data
* Premium members only.
The historical data trend for IMAC Holdings'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.
IMACW vs FCHS, NHLG, PAIYY: Debt-to-EBITDA Comparison
For the Medical Care Facilities subindustry, IMAC Holdings'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.
IMAC Holdings Debt-to-EBITDA vs Healthcare Providers & Services Industry
For the Healthcare Providers & Services industry and Healthcare sector, IMAC Holdings's Debt-to-EBITDA distribution charts can be found below:
* The bar in red indicates where IMAC Holdings's Debt-to-EBITDA falls into.
* 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 (Sep. 2025) EBITDA data.
IMAC Holdings (IMACW) has a Debt-to-EBITDA of -0.38 as of Sep. 2025. Debt-to-EBITDA ratio represents the ratio of total debt to total earnings before interest, taxes, depreciation and amortization. View historical data on IMAC Holdings. According to the industry distribution chart, IMAC Holdings ranks #999999 out of 478 companies in the Healthcare Providers & Services industry.
Is IMAC Holdings' Debt-to-EBITDA too high?
IMAC Holdings' current Debt-to-EBITDA is -0.38. Based on the distribution chart, IMAC Holdings ranks #999999 out of 478 companies in the Healthcare Providers & Services industry, which is in the bottom quartile relative to peers. Overall, IMAC Holdings has a GF Score™ of 19/100, reflecting its overall financial health beyond just this single metric.
How does IMAC Holdings' Debt-to-EBITDA compare to FCHS and NHLG?
According to the Healthcare Providers & Services industry distribution chart, IMAC Holdings ranks #999999 out of 478 companies for Debt-to-EBITDA. This places IMAC Holdings in the lower half of its industry. The industry median Debt-to-EBITDA is 2.25. 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 2.25, based on 478 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 IMAC Holdings. For the Healthcare Providers & Services industry, the median Debt-to-EBITDA is 2.25 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. IMAC Holdings's current Debt-to-EBITDA is -0.38. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is IMAC Holdings stock overvalued right now?
IMAC Holdings (IMACW) has a current Debt-to-EBITDA of -0.38. The current Debt-to-EBITDA is -0.38. IMAC Holdings' overall GF Score™ is 19/100 with 7 warning signs to review. 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 IMAC Holdings (IMACW), the current Debt-to-EBITDA is -0.38 as of Sep. 2025. 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.
IMAC Holdings Inc is engaged in providing services related to proteomic products that identify and support oncology clinical treatment decisions and biopharmaceutical drug development. The Company has determined that it currently operates in a single segment, precision medicine in cancer treatment, located in a single geographic location, the United States.
19GF Score
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