ITRMF (Iterum Therapeutics) Debt-to-EBITDA : -1.05 (As of Sep. 2025)

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What is Iterum Therapeutics Debt-to-EBITDA?

Iterum Therapeutics ITRMF Debt-to-EBITDA is -1.05 as of Sep. 2025. The stock has 4 warning signs investors should review. Among 296 Biotechnology companies, Iterum Therapeutics ranks worse than 337837.5% on this metric.

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

Iterum Therapeutics's Short-Term Debt & Capital Lease Obligation for the quarter that ended in Sep. 2025 was $0.28 Mil. Iterum Therapeutics's Long-Term Debt & Capital Lease Obligation for the quarter that ended in Sep. 2025 was $33.45 Mil. Iterum Therapeutics's annualized EBITDA for the quarter that ended in Sep. 2025 was $-32.20 Mil. Iterum Therapeutics's annualized Debt-to-EBITDA for the quarter that ended in Sep. 2025 was -1.05.

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 Iterum Therapeutics's Debt-to-EBITDA or its related term are showing as below:

ITRMF' s Debt-to-EBITDA Range Over the Past 10 Years
Min: -2.1   Med: -0.55   Max: -0.13
Current: -1.45

During the past 9 years, the highest Debt-to-EBITDA Ratio of Iterum Therapeutics was -0.13. The lowest was -2.10. And the median was -0.55.

ITRMF's Debt-to-EBITDA is ranked worse than
100% of 296 companies
in the Biotechnology industry
Industry Median: 1.15 vs ITRMF: -1.45

Iterum Therapeutics  (OTCPK:ITRMF) 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.


Iterum Therapeutics Debt-to-EBITDA Related Terms


Iterum Therapeutics Debt-to-EBITDA Historical Data

* Premium members only.

The historical data trend for Iterum Therapeutics'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.

Iterum Therapeutics Debt-to-EBITDA Chart

Iterum Therapeutics Annual Data
Trend Dec16 Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24
Debt-to-EBITDA
Get a 7-Day Free Trial Premium Member Only -1.18 -0.32 -0.71 -0.55 -2.10

Iterum Therapeutics Quarterly Data
Dec20 Mar21 Jun21 Sep21 Dec21 Mar22 Jun22 Sep22 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24 Sep24 Dec24 Mar25 Jun25 Sep25
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 -1.05 -2.10 -2.03 -1.41 -1.05

ITRMF vs HEPA, MTNB, VIVS: Debt-to-EBITDA Comparison

For the Biotechnology subindustry, Iterum Therapeutics'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.


Iterum Therapeutics Debt-to-EBITDA vs Biotechnology Industry

For the Biotechnology industry and Healthcare sector, Iterum Therapeutics's Debt-to-EBITDA distribution charts can be found below:

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



Iterum Therapeutics Debt-to-EBITDA Calculation

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

Iterum Therapeutics's Debt-to-EBITDA for the fiscal year that ended in Dec. 2024 is calculated as

Debt-to-EBITDA=Total Debt / EBITDA
=(Short-Term Debt & Capital Lease Obligation + Long-Term Debt & Capital Lease Obligation) / EBITDA
=(14.463 + 31.071) / -21.728
=-2.10

Iterum Therapeutics's annualized Debt-to-EBITDA for the quarter that ended in Sep. 2025 is calculated as

Debt-to-EBITDA=Total Debt / EBITDA
=(Short-Term Debt & Capital Lease Obligation + Long-Term Debt & Capital Lease Obligation) / EBITDA
=(0.281 + 33.454) / -32.204
=-1.05

* 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.

Frequently Asked Questions Learn more about Debt-to-EBITDA →
What does a Debt-to-EBITDA of -1.05 mean?
Iterum Therapeutics (ITRMF) has a Debt-to-EBITDA of -1.05 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 Iterum Therapeutics. According to the industry distribution chart, Iterum Therapeutics ranks #999999 out of 296 companies in the Biotechnology industry.
Is Iterum Therapeutics' Debt-to-EBITDA too high?
Iterum Therapeutics' current Debt-to-EBITDA is -1.05. Based on the distribution chart, Iterum Therapeutics ranks #999999 out of 296 companies in the Biotechnology industry, which is in the bottom quartile relative to peers.
How does Iterum Therapeutics' Debt-to-EBITDA compare to HEPA and MTNB?
According to the Biotechnology industry distribution chart, Iterum Therapeutics ranks #999999 out of 296 companies for Debt-to-EBITDA. This places Iterum Therapeutics in the lower half of its industry. The industry median Debt-to-EBITDA is 1.15. 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 Biotechnology company?
The median Debt-to-EBITDA among Biotechnology companies is 1.15, based on 296 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 Iterum Therapeutics. For the Biotechnology industry, the median Debt-to-EBITDA is 1.15 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Iterum Therapeutics's current Debt-to-EBITDA is -1.05. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Iterum Therapeutics stock overvalued right now?
Iterum Therapeutics (ITRMF) has a current Debt-to-EBITDA of -1.05. The current Debt-to-EBITDA is -1.05. 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 Iterum Therapeutics (ITRMF), the current Debt-to-EBITDA is -1.05 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.

Iterum Therapeutics Business Description

Address 3 Dublin Landings, North Wall Quay, Dublin 1, Dublin, IRL, D01 C4E0
Iterum Therapeutics PLC is a pharmaceutical company dedicated to maximizing the commercial potential of Orlynvah, an oral-branded penem available in the United States and potentially the first and only oral and intravenous (IV) branded penem available globally. Its product Orlynvah has the potential to be a treatment for complicated urinary tract infections caused by the designated microorganisms, without the presence of known toxicities of some other antibiotics. The company operates in a single business segment, which is the development and commercialization of treatments for drug-resistant bacterial infections.