IONM (Assure Holdings) Debt-to-EBITDA : -1.23 (As of Jun. 2024)


IONM Assure Holdings Corp IONM
12 GF Score
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What is Assure Holdings Debt-to-EBITDA?

Assure Holdings IONM 12 Debt-to-EBITDA is -1.23 as of Jun. 2024. GuruFocus rates IONM with a GF Score™ of 12/100.

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

Assure Holdings's Short-Term Debt & Capital Lease Obligation for the quarter that ended in Jun. 2024 was $15.47 Mil. Assure Holdings's Long-Term Debt & Capital Lease Obligation for the quarter that ended in Jun. 2024 was $0.14 Mil. Assure Holdings's annualized EBITDA for the quarter that ended in Jun. 2024 was $-12.73 Mil. Assure Holdings's annualized Debt-to-EBITDA for the quarter that ended in Jun. 2024 was -1.23.

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 Assure Holdings's Debt-to-EBITDA or its related term are showing as below:

IONM's Debt-to-EBITDA is not ranked *
in the Healthcare Providers & Services industry.
Industry Median: 2.215
* Ranked among companies with meaningful Debt-to-EBITDA only.

Assure Holdings  (OTCPK:IONM) 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.


Assure Holdings Debt-to-EBITDA Related Terms


Assure Holdings Debt-to-EBITDA Historical Data

* Premium members only.

The historical data trend for Assure 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.

Assure Holdings Debt-to-EBITDA Chart

Assure Holdings Annual Data
Trend Dec14 Dec15 Dec16 Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23
Debt-to-EBITDA
Get a 7-Day Free Trial Premium Member Only Premium Member Only 2.61 -0.49 -11.42 -0.86 -0.76

Assure Holdings Quarterly Data
Sep19 Dec19 Mar20 Jun20 Sep20 Dec20 Mar21 Jun21 Sep21 Dec21 Mar22 Jun22 Sep22 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24
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 -1.04 -0.87 -0.47 -0.91 -1.23

IONM vs NHLG, HCA, DVA: Debt-to-EBITDA Comparison

For the Medical Care Facilities subindustry, Assure 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.


Assure Holdings Debt-to-EBITDA vs Healthcare Providers & Services Industry

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

* The bar in red indicates where Assure Holdings's Debt-to-EBITDA falls into.


IONM
12GF Score
Assure Holdings Corp IONM
Debt-to-EBITDA is just one metric. See GF Score™, valuation, warning signs, and more.
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Assure Holdings Debt-to-EBITDA Calculation

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

Assure Holdings's Debt-to-EBITDA for the fiscal year that ended in Dec. 2023 is calculated as

Debt-to-EBITDA=Total Debt / EBITDA
=(Short-Term Debt & Capital Lease Obligation + Long-Term Debt & Capital Lease Obligation) / EBITDA
=(14.3 + 0.505) / -19.465
=-0.76

Assure Holdings's annualized Debt-to-EBITDA for the quarter that ended in Jun. 2024 is calculated as

Debt-to-EBITDA=Total Debt / EBITDA
=(Short-Term Debt & Capital Lease Obligation + Long-Term Debt & Capital Lease Obligation) / EBITDA
=(15.468 + 0.135) / -12.728
=-1.23

* 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 (Jun. 2024) EBITDA data.

Frequently Asked Questions Learn more about Debt-to-EBITDA →
What does a Debt-to-EBITDA of -1.23 mean?
Assure Holdings (IONM) has a Debt-to-EBITDA of -1.23 as of Jun. 2024. Debt-to-EBITDA ratio represents the ratio of total debt to total earnings before interest, taxes, depreciation and amortization. View historical data on Assure Holdings.
Is Assure Holdings' Debt-to-EBITDA too high?
Assure Holdings' current Debt-to-EBITDA is -1.23. Overall, Assure Holdings has a GF Score™ of 12/100, reflecting its overall financial health beyond just this single metric.
How does Assure Holdings' Debt-to-EBITDA compare to NHLG and HCA?
Assure Holdings' Debt-to-EBITDA of -1.23 can be compared against companies in the Healthcare Providers & Services industry. The industry median Debt-to-EBITDA is 2.22. 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 2.22, based on 476 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 Assure Holdings. For the Healthcare Providers & Services industry, the median Debt-to-EBITDA is 2.22 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Assure Holdings's current Debt-to-EBITDA is -1.23. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Assure Holdings stock overvalued right now?
Assure Holdings (IONM) has a current Debt-to-EBITDA of -1.23. The current Debt-to-EBITDA is -1.23. Assure Holdings' overall GF Score™ is 12/100. 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 Assure Holdings (IONM), the current Debt-to-EBITDA is -1.23 as of Jun. 2024. 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.

Assure Holdings Business Description

Address 7887 East Belleview Avenue, Suite 240, Denver, CO, USA, 80111
Assure Holdings Corp provides technical and professional intraoperative neuromonitoring (IONM) surgical support services for neurosurgery, spine, cardiovascular, orthopedic, ear, nose, and throat, and other surgical procedures that place the nervous system at risk.
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Debt-to-EBITDA is just one metric. See GF Value™, 30-year financials, guru trades, warning signs, and more.

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