MIST (Milestone Pharmaceuticals) Debt-to-EBITDA : -0.68 (As of Mar. 2026)

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MIST Milestone Pharmaceuticals Inc MIST
26 GF Score
Price $1.24
! 5 Warning Signs
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What is Milestone Pharmaceuticals Debt-to-EBITDA?

Milestone Pharmaceuticals MIST -2.36% 26 Debt-to-EBITDA is -0.68 as of Mar. 2026. GuruFocus rates MIST with a GF Score™ of 26/100. The stock has 5 warning signs investors should review. Among 291 Biotechnology companies, Milestone Pharmaceuticals ranks worse than 343642.27% on this metric.

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

Milestone Pharmaceuticals's Short-Term Debt & Capital Lease Obligation for the quarter that ended in Mar. 2026 was $0.66 Mil. Milestone Pharmaceuticals's Long-Term Debt & Capital Lease Obligation for the quarter that ended in Mar. 2026 was $58.56 Mil. Milestone Pharmaceuticals's annualized EBITDA for the quarter that ended in Mar. 2026 was $-87.50 Mil. Milestone Pharmaceuticals's annualized Debt-to-EBITDA for the quarter that ended in Mar. 2026 was -0.68.

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 Milestone Pharmaceuticals's Debt-to-EBITDA or its related term are showing as below:

MIST' s Debt-to-EBITDA Range Over the Past 10 Years
Min: -1.45   Med: -0.04   Max: -0.01
Current: -0.97

During the past 9 years, the highest Debt-to-EBITDA Ratio of Milestone Pharmaceuticals was -0.01. The lowest was -1.45. And the median was -0.04.

MIST's Debt-to-EBITDA is ranked worse than
100% of 291 companies
in the Biotechnology industry
Industry Median: 1.14 vs MIST: -0.97

Milestone Pharmaceuticals  (NAS:MIST) 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.


Milestone Pharmaceuticals Debt-to-EBITDA Related Terms


Milestone Pharmaceuticals Debt-to-EBITDA Historical Data

* Premium members only.

The historical data trend for Milestone Pharmaceuticals'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.

Milestone Pharmaceuticals Debt-to-EBITDA Chart

Milestone Pharmaceuticals Annual Data
Trend Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
Debt-to-EBITDA
Get a 7-Day Free Trial Premium Member Only -0.02 -0.04 -0.91 -1.45 -0.99

Milestone Pharmaceuticals Quarterly Data
Jun21 Sep21 Dec21 Mar22 Jun22 Sep22 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 -0.70 -1.18 -1.31 -0.89 -0.68

MIST vs TNYA, TLSA, NRXP: Debt-to-EBITDA Comparison

For the Biotechnology subindustry, Milestone Pharmaceuticals'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.


Milestone Pharmaceuticals Debt-to-EBITDA vs Biotechnology Industry

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

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


MIST
26GF Score
Milestone Pharmaceuticals Inc MIST
Debt-to-EBITDA is just one metric. See GF Score™, valuation, warning signs, and more.
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Milestone Pharmaceuticals Debt-to-EBITDA Calculation

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

Milestone Pharmaceuticals'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
=(0.647 + 57.73) / -59.106
=-0.99

Milestone Pharmaceuticals'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
=(0.659 + 58.558) / -87.5
=-0.68

* 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 -0.68 mean?
Milestone Pharmaceuticals (MIST) has a Debt-to-EBITDA of -0.68 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 Milestone Pharmaceuticals. According to the industry distribution chart, Milestone Pharmaceuticals ranks #999999 out of 291 companies in the Biotechnology industry.
Is Milestone Pharmaceuticals' Debt-to-EBITDA too high?
Milestone Pharmaceuticals' current Debt-to-EBITDA is -0.68. Based on the distribution chart, Milestone Pharmaceuticals ranks #999999 out of 291 companies in the Biotechnology industry, which is in the bottom quartile relative to peers. Overall, Milestone Pharmaceuticals has a GF Score™ of 26/100, reflecting its overall financial health beyond just this single metric.
How does Milestone Pharmaceuticals' Debt-to-EBITDA compare to TNYA and TLSA?
According to the Biotechnology industry distribution chart, Milestone Pharmaceuticals ranks #999999 out of 291 companies for Debt-to-EBITDA. This places Milestone Pharmaceuticals in the lower half of its industry. The industry median Debt-to-EBITDA is 1.14. 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 1.14, based on 291 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 Milestone Pharmaceuticals. For the Biotechnology industry, the median Debt-to-EBITDA is 1.14 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Milestone Pharmaceuticals's current Debt-to-EBITDA is -0.68. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Milestone Pharmaceuticals stock overvalued right now?
Milestone Pharmaceuticals (MIST) has a current Debt-to-EBITDA of -0.68. The current Debt-to-EBITDA is -0.68. Milestone Pharmaceuticals' overall GF Score™ is 26/100 with 5 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 Milestone Pharmaceuticals (MIST), the current Debt-to-EBITDA is -0.68 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.

Milestone Pharmaceuticals Business Description

Address 1111 Dr. Frederik-Phillips Boulevard, Suite 420, Montreal, QC, CAN, H4M 2X6
Milestone Pharmaceuticals Inc is a biopharmaceutical company focused on the development and commercialization of cardiovascular medicines. Its approved product CARDAMYST (etripamil) nasal spray is available in the United States and is the self-administered treatment for use by patients anywhere, anytime an attack of PSVT occurs. It operates in single segment.
26GF Score

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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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