Cowealth Medical Holding Co (ROCO:4745) Debt-to-EBITDA : -7.67 (As of Mar. 2026)

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ROCO:4745 Cowealth Medical Holding Co Ltd ROCO:4745
55 GF Score
Price NT$11.90
GF Value NT$13.04
Valuation Fairly Valued
! 5 Warning Signs
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What is Cowealth Medical Holding Co Debt-to-EBITDA?

Cowealth Medical Holding Co ROCO:4745 +0.85% 55 Debt-to-EBITDA is -7.67 as of Mar. 2026. GuruFocus rates ROCO:4745 with a GF Score™ of 55/100 and a GF Value™ of NT$13.04 (Fairly Valued). The stock has 5 warning signs investors should review. Among 475 Medical Devices & Instruments companies, Cowealth Medical Holding Co ranks worse than 210526.11% on this metric.

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

Cowealth Medical Holding Co's Short-Term Debt & Capital Lease Obligation for the quarter that ended in Mar. 2026 was NT$1,221 Mil. Cowealth Medical Holding Co's Long-Term Debt & Capital Lease Obligation for the quarter that ended in Mar. 2026 was NT$23 Mil. Cowealth Medical Holding Co's annualized EBITDA for the quarter that ended in Mar. 2026 was NT$-162 Mil. Cowealth Medical Holding Co's annualized Debt-to-EBITDA for the quarter that ended in Mar. 2026 was -7.67.

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 Cowealth Medical Holding Co's Debt-to-EBITDA or its related term are showing as below:

ROCO:4745' s Debt-to-EBITDA Range Over the Past 10 Years
Min: -5.7   Med: 2.14   Max: 5.17
Current: -5.7

During the past 13 years, the highest Debt-to-EBITDA Ratio of Cowealth Medical Holding Co was 5.17. The lowest was -5.70. And the median was 2.14.

ROCO:4745's Debt-to-EBITDA is ranked worse than
100% of 475 companies
in the Medical Devices & Instruments industry
Industry Median: 1.61 vs ROCO:4745: -5.70

Cowealth Medical Holding Co  (ROCO:4745) 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.


Cowealth Medical Holding Co Debt-to-EBITDA Related Terms


Cowealth Medical Holding Co Debt-to-EBITDA Historical Data

* Premium members only.

The historical data trend for Cowealth Medical Holding Co'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.

Cowealth Medical Holding Co Debt-to-EBITDA Chart

Cowealth Medical Holding Co Annual Data
Trend Dec16 Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
Debt-to-EBITDA
Get a 7-Day Free Trial Premium Member Only Premium Member Only 2.13 2.03 1.86 5.17 -4.74

Cowealth Medical Holding Co 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 -9.79 -20.89 -9.82 -1.96 -7.67

ROCO:4745 vs ABT, SYK, MDT: Debt-to-EBITDA Comparison

For the Medical Devices subindustry, Cowealth Medical Holding Co'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.


Cowealth Medical Holding Co Debt-to-EBITDA vs Medical Devices & Instruments Industry

For the Medical Devices & Instruments industry and Healthcare sector, Cowealth Medical Holding Co's Debt-to-EBITDA distribution charts can be found below:

* The bar in red indicates where Cowealth Medical Holding Co's Debt-to-EBITDA falls into.


ROCO:4745
55GF Score
Cowealth Medical Holding Co Ltd ROCO:4745
Debt-to-EBITDA is just one metric. See GF Score™, valuation, warning signs, and more.
View Full Analysis

Cowealth Medical Holding Co Debt-to-EBITDA Calculation

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

Cowealth Medical Holding Co'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
=(999.093 + 9.069) / -212.497
=-4.74

Cowealth Medical Holding Co'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
=(1220.933 + 23.365) / -162.136
=-7.67

* 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 -7.67 mean?
Cowealth Medical Holding Co (ROCO:4745) has a Debt-to-EBITDA of -7.67 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 Cowealth Medical Holding Co. According to the industry distribution chart, Cowealth Medical Holding Co ranks #999999 out of 475 companies in the Medical Devices & Instruments industry.
Is Cowealth Medical Holding Co's Debt-to-EBITDA too high?
Cowealth Medical Holding Co's current Debt-to-EBITDA is -7.67. Based on the distribution chart, Cowealth Medical Holding Co ranks #999999 out of 475 companies in the Medical Devices & Instruments industry, which is in the bottom quartile relative to peers. Overall, Cowealth Medical Holding Co has a GF Score™ of 55/100 and is considered Fairly Valued, reflecting its overall financial health beyond just this single metric.
How does Cowealth Medical Holding Co's Debt-to-EBITDA compare to ABT and SYK?
According to the Medical Devices & Instruments industry distribution chart, Cowealth Medical Holding Co ranks #999999 out of 475 companies for Debt-to-EBITDA. This places Cowealth Medical Holding Co in the lower half of its industry. The industry median Debt-to-EBITDA is 1.61. 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 Medical Devices & Instruments company?
The median Debt-to-EBITDA among Medical Devices & Instruments companies is 1.61, based on 475 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 Cowealth Medical Holding Co. For the Medical Devices & Instruments industry, the median Debt-to-EBITDA is 1.61 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Cowealth Medical Holding Co's current Debt-to-EBITDA is -7.67. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Cowealth Medical Holding Co stock overvalued right now?
Based on GuruFocus' analysis, Cowealth Medical Holding Co (ROCO:4745) is currently considered Fairly Valued. The stock's GF Value™ is NT$13.04, compared to a current price of NT$11.90 — trading 8.7% below its estimated fair value. The current Debt-to-EBITDA is -7.67. Cowealth Medical Holding Co's overall GF Score™ is 55/100 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 Cowealth Medical Holding Co (ROCO:4745), the current Debt-to-EBITDA is -7.67 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.

Is Cowealth Medical Holding Co (ROCO:4745) Overvalued in 2026?

Based on GuruFocus' analysis, Cowealth Medical Holding Co stock appears to be undervalued. The current stock price of NT$11.90 is trading 8.7% below its estimated GF Value™ of NT$13.04. GuruFocus considers Cowealth Medical Holding Co to be Fairly Valued.

Key valuation signals for ROCO:4745:

  • Debt-to-EBITDA: -7.67
  • GF Value™: NT$13.04 vs. price of NT$11.90 (8.7% below fair value)
  • GF Score™: 55/100 with 5 warning signs

No single metric tells the full story. See the ROCO:4745 stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.


Cowealth Medical Holding Co Business Description

Address North Sound Road, Suite 102, Cannon Place, P.O. Box 712, George Town, Grand Cayman, CYM, KY1-9006
Cowealth Medical Holding Co Ltd is mainly involved in trading medical equipment, reagents, and spare parts. Its wide range of solutions includes refined management services tailored for in-vitro diagnostic products, reagents, and consumables, an integrated platform designed for decision-making and analysis, commercialization of achievements in medical science and technology, a Multi-Channel Coaxial Time Audio Video Imaging Platform (MCCTAVIP), and an AI-assisted system for clinical diagnosis. The Group has two reportable segments: Segment A, which generates maximum revenue and sells equipment, and Segment B, which sells reagents and others. Geographically, it generates maximum revenue from China and Hong Kong, and the rest from Taiwan.
55GF Score

Get the complete analysis for ROCO:4745

Debt-to-EBITDA is just one metric. See GF Value™, 30-year financials, guru trades, warning signs, and more.

NT$11.90
Price
NT$13.04
GF Value