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Vital KSK HoldingsTSE:3151 -1.93%64 Debt-to-EBITDA is 0.27 as of Mar. 2026, which is 80% below its 10-year median of 1.33. GuruFocus rates TSE:3151 with a GF Score™ of 64/100 and a GF Value™ of 円1,328.98 (Modestly Overvalued). The stock has 6 warning signs investors should review. Among 91 Medical Distribution companies, Vital KSK Holdings ranks better than 85.71% 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 Vital KSK Holdings's Debt-to-EBITDA or its related term are showing as below:
TSE:3151'
s Debt-to-EBITDA Range Over the Past 10 Years
Min: 0.43 Med: 1.33 Max: 2.94
Current: 0.43
During the past 13 years, the highest Debt-to-EBITDA Ratio of Vital KSK Holdings was 2.94. The lowest was 0.43. And the median was 1.33.
TSE:3151's Debt-to-EBITDA is ranked better than 85.71% of 91
companies
in the Medical Distribution industry
Industry Median: 2.29
vs TSE:3151: 0.43
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.
Vital KSK Holdings Debt-to-EBITDA Related Terms
Vital KSK Holdings Debt-to-EBITDA Historical Data
* Premium members only.
The historical data trend for Vital KSK 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.
TSE:3151 vs MCK, COR, CAH: Debt-to-EBITDA Comparison
For the Medical Distribution subindustry, Vital KSK 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.
Vital KSK Holdings Debt-to-EBITDA vs Medical Distribution Industry
For the Medical Distribution industry and Healthcare sector, Vital KSK Holdings's Debt-to-EBITDA distribution charts can be found below:
* The bar in red indicates where Vital KSK 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 (Mar. 2026) EBITDA data.
Vital KSK Holdings (TSE:3151) has a Debt-to-EBITDA of 0.27 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 Vital KSK Holdings. This is 80% below median its historical median of 1.33. Over the past decade, Vital KSK Holdings' Debt-to-EBITDA has ranged from 0.43 to 2.94. According to the industry distribution chart, Vital KSK Holdings ranks #13 out of 91 companies in the Medical Distribution industry, placing it in the top 14.3%.
Is Vital KSK Holdings' Debt-to-EBITDA too high?
Vital KSK Holdings' current Debt-to-EBITDA of 0.27 is 80% below median its 10-year median of 1.33. Over the past 10 years, this metric has ranged from a low of 0.43 to a high of 2.94. The Medical Distribution industry median Debt-to-EBITDA is 2.29. Vital KSK Holdings' value of 0.27 is 88.2% below this industry median. Based on the distribution chart, Vital KSK Holdings ranks #13 out of 91 companies in the Medical Distribution industry, which is in the top quartile — a strong position relative to peers. Overall, Vital KSK Holdings has a GF Score™ of 64/100 and is considered Modestly Overvalued, reflecting its overall financial health beyond just this single metric.
How does Vital KSK Holdings' Debt-to-EBITDA compare to MCK and COR?
According to the Medical Distribution industry distribution chart, Vital KSK Holdings ranks #13 out of 91 companies for Debt-to-EBITDA. This places Vital KSK Holdings in the top 14% of its industry — outperforming the majority of peers. The industry median Debt-to-EBITDA is 2.29. Vital KSK Holdings' value of 0.27 is 88.2% below this benchmark. Historically, Vital KSK Holdings' own Debt-to-EBITDA has ranged from 0.43 to 2.94 over the past decade. While the company's 10-year median is 1.33 vs. the industry median of 2.29, Vital KSK Holdings has consistently been below the industry average. 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 Distribution company?
The median Debt-to-EBITDA among Medical Distribution companies is 2.29, based on 91 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. Vital KSK Holdings's current Debt-to-EBITDA of 0.27 is 88.2% below the industry median. 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 Vital KSK Holdings. For the Medical Distribution industry, the median Debt-to-EBITDA is 2.29 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Vital KSK Holdings's current Debt-to-EBITDA is 0.27, which is 80% below median its own 10-year median of 1.33. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Vital KSK Holdings stock overvalued right now?
Based on GuruFocus' analysis, Vital KSK Holdings (TSE:3151) is currently considered Modestly Overvalued. The stock's GF Value™ is 円1,328.98, compared to a current price of 円1,573.00 — trading 18.4% above its estimated fair value. The current Debt-to-EBITDA is 0.27, which is 80% below median its 10-year median of 1.33 and 88.2% below the Medical Distribution industry median of 2.29. Vital KSK Holdings' overall GF Score™ is 64/100 with 6 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 Vital KSK Holdings (TSE:3151), the current Debt-to-EBITDA is 0.27 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 Vital KSK Holdings (TSE:3151) Overvalued in 2026?
Based on GuruFocus' analysis, Vital KSK Holdings stock appears to be overvalued.
The current stock price of 円1,573.00 is trading 18.4% above its estimated GF Value™ of 円1,328.98.
GuruFocus considers Vital KSK Holdings to be Modestly Overvalued.
Key valuation signals for TSE:3151:
Debt-to-EBITDA: 0.27 (80% below median its 10-year median of 1.33)
GF Value™: 円1,328.98 vs. price of 円1,573.00 (18.4% above fair value)
Industry Position: 88.2% below the Medical Distribution median (#13 of 91)
No single metric tells the full story. See the TSE:3151 stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.
Vital KSK Holdings Inc engaged in the wholesale and retail of pharmaceutical products. It operates through the Pharmaceutical Wholesale and Other segments. The Pharmaceutical Wholesale segment sells medicines, diagnostics, and medical devices to hospitals, medical institutions, and health practitioners. The Other segment includes retail of pharmaceutical products, wholesale of agrochemical and veterinary drugs, transportation, nursing care services, and medical consultancies. All the business activity of the group is primarily functioned through Japan and distributes its product within the Korean and to overseas market.
64GF Score
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