BACK (IMAC Holdings) EV-to-OCF: -0.79 (As of Jul. 18, 2026)

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What is IMAC Holdings EV-to-OCF?

IMAC Holdings BACK -15.14% EV-to-OCF is -0.79 as of Jul. 18, 2026. The stock has 7 warning signs investors should review. Among 686 Healthcare Providers & Services companies, IMAC Holdings ranks better than 72.74% on this metric.

EV-to-OCF is calculated as enterprise value divided by its cash flow from operations. As of today, IMAC Holdings's Enterprise Value is $3.85 Mil. IMAC Holdings's Cash Flow from Operations for the trailing twelve months (TTM) ended in Sep. 2025 was $-4.90 Mil. Therefore, IMAC Holdings's EV-to-OCF for today is -0.79.

The historical rank and industry rank for IMAC Holdings's EV-to-OCF or its related term are showing as below:

BACK' s EV-to-OCF Range Over the Past 10 Years
Min: -22.2   Med: -1.71   Max: 0.13
Current: -0.79

During the past 9 years, the highest EV-to-OCF of IMAC Holdings was 0.13. The lowest was -22.20. And the median was -1.71.

BACK's EV-to-OCF is ranked better than
72.74% of 686 companies
in the Healthcare Providers & Services industry
Industry Median: 8.695 vs BACK: -0.79

EV-to-OCF is a valuation multiple that allows analysts and investors to compare stocks, preferably in the same sector or industry. This important multiple is often used in conjunction with, or as an alternative to, the PE Ratio (TTM) to determine the fair market value of a company.

As of today (2026-07-18), IMAC Holdings's stock price is $0.0185. IMAC Holdings's Earnings per Share (Diluted) for the trailing twelve months (TTM) ended in Sep. 2025 was $-6.720. Therefore, IMAC Holdings's PE Ratio (TTM) for today is At Loss.


IMAC Holdings  (OTCPK:BACK) EV-to-OCF Explanation

EV-to-OCF is a valuation multiple that allows analysts and investors to compare stocks, preferably in the same sector or industry. This important multiple is often used in conjunction with, or as an alternative to, the PE Ratio (TTM) to determine the fair market value of a company.

IMAC Holdings's PE Ratio (TTM) for today is calculated as:

PE Ratio (TTM)=Share Price (Today)/Earnings per Share (Diluted) (TTM)
=0.0185/-6.720
=At Loss

IMAC Holdings's share price for today is $0.0185.
IMAC Holdings's Earnings per Share (Diluted) for the trailing twelve months (TTM) ended in Sep. 2025 adds up the quarterly data reported by the company within the most recent 12 months, which was $-6.720.

* 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.

Enterprise Value is used because it is a more complete measure in reflecting how much an investor pays when buying a company. Cash Flow from Operations is an important financial metric because it represents the cash generated from operating activities at a company's disposal. Companies with a low EV-to-OCF ratio, combined with a strong balance sheet are generally considered as undervalued.


IMAC Holdings EV-to-OCF Related Terms


IMAC Holdings EV-to-OCF Historical Data

* Premium members only.

The historical data trend for IMAC Holdings's EV-to-OCF 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.

IMAC Holdings EV-to-OCF Chart

IMAC Holdings Annual Data
Trend Dec16 Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24
EV-to-OCF
Get a 7-Day Free Trial Premium Member Only -4.34 -3.78 -0.56 -0.83 -0.66

IMAC Holdings Quarterly Data
Dec20 Mar21 Jun21 Sep21 Dec21 Mar22 Jun22 Sep22 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24 Sep24 Dec24 Mar25 Jun25 Sep25
EV-to-OCF 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 -1.93 -0.66 -0.18 -0.45 -0.83

BACK vs FCHS, NHLG, PAIYY: EV-to-OCF Comparison

For the Medical Care Facilities subindustry, IMAC Holdings's EV-to-OCF, along with its competitors' market caps and EV-to-OCF 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.


IMAC Holdings EV-to-OCF vs Healthcare Providers & Services Industry

For the Healthcare Providers & Services industry and Healthcare sector, IMAC Holdings's EV-to-OCF distribution charts can be found below:

* The bar in red indicates where IMAC Holdings's EV-to-OCF falls into.



IMAC Holdings EV-to-OCF Calculation

IMAC Holdings's EV-to-OCF for today is calculated as:

EV-to-OCF=Enterprise Value (Today)/Cash Flow from Operations (TTM)
=3.854/-4.899
=-0.79

IMAC Holdings's current Enterprise Value is $3.85 Mil.
IMAC Holdings's Cash Flow from Operations for the trailing twelve months (TTM) ended in Sep. 2025 adds up the quarterly data reported by the company within the most recent 12 months, which was $-4.90 Mil.

* 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.

Frequently Asked Questions Learn more about EV-to-OCF →
What does a EV-to-OCF of -0.79 mean?
IMAC Holdings (BACK) has a EV-to-OCF of -0.79 as of Jul. 18, 2026. According to the industry distribution chart, IMAC Holdings ranks #187 out of 686 companies in the Healthcare Providers & Services industry, placing it in the top 27.3%.
Is IMAC Holdings' EV-to-OCF too high?
IMAC Holdings' current EV-to-OCF is -0.79. Based on the distribution chart, IMAC Holdings ranks #187 out of 686 companies in the Healthcare Providers & Services industry, which is above the industry midpoint.
How does IMAC Holdings' EV-to-OCF compare to FCHS and NHLG?
According to the Healthcare Providers & Services industry distribution chart, IMAC Holdings ranks #187 out of 686 companies for EV-to-OCF. This puts IMAC Holdings in the upper half of its industry. The industry median EV-to-OCF is 8.70. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good EV-to-OCF for a Healthcare Providers & Services company?
The median EV-to-OCF among Healthcare Providers & Services companies is 8.70, based on 686 companies in the industry. Companies in the top quartile (top 25%) have a EV-to-OCF significantly above this median, while those in the bottom quartile fall well below. However, EV-to-OCF 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 EV-to-OCF mean?
A high EV-to-OCF can signal that a stock is expensive relative to its fundamentals. For the Healthcare Providers & Services industry, the median EV-to-OCF is 8.70 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. IMAC Holdings's current EV-to-OCF is -0.79. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is IMAC Holdings stock overvalued right now?
IMAC Holdings (BACK) has a current EV-to-OCF of -0.79. The current EV-to-OCF is -0.79. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is EV-to-OCF calculated?
EV-to-OCF is calculated from a company's financial statements. For IMAC Holdings (BACK), the current EV-to-OCF is -0.79 as of Jul. 18, 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.

IMAC Holdings Business Description

Address 3401 Mallory Lane, Suite 100, Franklin, TN, USA, 37067
IMAC Holdings Inc is engaged in providing services related to proteomic products that identify and support oncology clinical treatment decisions and biopharmaceutical drug development. The Company has determined that it currently operates in a single segment, precision medicine in cancer treatment, located in a single geographic location, the United States.