Focused on building reliable datasets, financial models, and research tools for value-minded investors. Committed to turning complex data into practical guidance for value-investing and long-term wealth.
Dr. Charlie Tian is the founder and CEO of GuruFocus.com, a leading global investment research platform established in 2004. With a Ph.D. in physics, Dr. Tian transitioned from science to finance, applying a data-driven, disciplined approach to value investing.
Intuitive SurgicalFRA:IUI -0.91%76 EV-to-OCF is 32.59 as of Aug. 01, 2026, which is 37% below its 10-year median of 51.50. GuruFocus rates FRA:IUI with a GF Score™ of 76/100 and a GF Value™ of €19.01 (Significantly Undervalued). The stock has 1 warning sign investors should review. Among 852 Medical Devices & Instruments companies, Intuitive Surgical ranks worse than 85.56% on this metric.
EV-to-OCF is calculated as enterprise value divided by its cash flow from operations. As of today, Intuitive Surgical's Enterprise Value is €103,911 Mil.
Intuitive Surgical's Cash Flow from Operations for the trailing twelve months (TTM) ended in Jun. 2026 was €3,188 Mil. Therefore, Intuitive Surgical's EV-to-OCF for today is 32.59.
The historical rank and industry rank for Intuitive Surgical's EV-to-OCF or its related term are showing as below:
FRA:IUI'
s EV-to-OCF Range Over the Past 10 Years
Min: 20.82 Med: 51.5 Max: 107.37
Current: 32.31
During the past 13 years, the highest EV-to-OCF of Intuitive Surgical was 107.37. The lowest was 20.82. And the median was 51.50.
FRA:IUI's EV-to-OCF is ranked worse than 85.56% of 852
companies
in the Medical Devices & Instruments industry
Industry Median: 7.985
vs FRA:IUI: 32.31
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.
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.
Intuitive Surgical's PE Ratio (TTM) for today is calculated as:
Intuitive Surgical's share price for today is €10.90.
Intuitive Surgical's Earnings per Share (Diluted) for the trailing twelve months (TTM) ended in Jun. 2026 adds up the quarterly data reported by the company within the most recent 12 months, which was €0.283.
* 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.
Intuitive Surgical EV-to-OCF Related Terms
Intuitive Surgical EV-to-OCF Historical Data
* Premium members only.
The historical data trend for Intuitive Surgical'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.
For the Medical Instruments & Supplies subindustry, Intuitive Surgical'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.
Intuitive Surgical EV-to-OCF vs Medical Devices & Instruments Industry
For the Medical Devices & Instruments industry and Healthcare sector, Intuitive Surgical's EV-to-OCF distribution charts can be found below:
* The bar in red indicates where Intuitive Surgical's EV-to-OCF falls into.
Intuitive Surgical's current Enterprise Value is €103,911 Mil.
Intuitive Surgical's Cash Flow from Operations for the trailing twelve months (TTM) ended in Jun. 2026 adds up the quarterly data reported by the company within the most recent 12 months, which was €3,188 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.
Intuitive Surgical (FRA:IUI) has a EV-to-OCF of 32.59 as of Aug. 01, 2026. This is 37% below median its historical median of 51.50. Over the past decade, Intuitive Surgical's EV-to-OCF has ranged from 20.82 to 107.37. According to the industry distribution chart, Intuitive Surgical ranks #729 out of 852 companies in the Medical Devices & Instruments industry, placing it in the top 85.6%.
Is Intuitive Surgical's EV-to-OCF too high?
Intuitive Surgical's current EV-to-OCF of 32.59 is 37% below median its 10-year median of 51.50. Over the past 10 years, this metric has ranged from a low of 20.82 to a high of 107.37. The Medical Devices & Instruments industry median EV-to-OCF is 7.99. Intuitive Surgical's value of 32.59 is 308.1% above this industry median. Based on the distribution chart, Intuitive Surgical ranks #729 out of 852 companies in the Medical Devices & Instruments industry, which is in the bottom quartile relative to peers. Overall, Intuitive Surgical has a GF Score™ of 76/100 and is considered Significantly Undervalued, reflecting its overall financial health beyond just this single metric.
How does Intuitive Surgical's EV-to-OCF compare to BDX and MDLN?
According to the Medical Devices & Instruments industry distribution chart, Intuitive Surgical ranks #729 out of 852 companies for EV-to-OCF. This places Intuitive Surgical in the lower half of its industry. The industry median EV-to-OCF is 7.99. Intuitive Surgical's value of 32.59 is 308.1% above this benchmark. Historically, Intuitive Surgical's own EV-to-OCF has ranged from 20.82 to 107.37 over the past decade. While the company's 10-year median is 51.50 vs. the industry median of 7.99, Intuitive Surgical has consistently been above 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 EV-to-OCF for a Medical Devices & Instruments company?
The median EV-to-OCF among Medical Devices & Instruments companies is 7.99, based on 852 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. Intuitive Surgical's current EV-to-OCF of 32.59 is 308.1% above 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 EV-to-OCF mean?
A high EV-to-OCF can signal that a stock is expensive relative to its fundamentals. For the Medical Devices & Instruments industry, the median EV-to-OCF is 7.99 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Intuitive Surgical's current EV-to-OCF is 32.59, which is 37% below median its own 10-year median of 51.50. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Intuitive Surgical stock overvalued right now?
Based on GuruFocus' analysis, Intuitive Surgical (FRA:IUI) is currently considered Significantly Undervalued. The stock's GF Value™ is €19.01, compared to a current price of €10.90 — trading 42.7% below its estimated fair value. The current EV-to-OCF is 32.59, which is 37% below median its 10-year median of 51.50 and 308.1% above the Medical Devices & Instruments industry median of 7.99. Intuitive Surgical's overall GF Score™ is 76/100 with 1 warning sign to review. 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 Intuitive Surgical (FRA:IUI), the current EV-to-OCF is 32.59 as of Aug. 01, 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 Intuitive Surgical (FRA:IUI) Overvalued in 2026?
Based on GuruFocus' analysis, Intuitive Surgical stock appears to be undervalued.
The current stock price of €10.90 is trading 42.7% below its estimated GF Value™ of €19.01.
GuruFocus considers Intuitive Surgical to be Significantly Undervalued.
Key valuation signals for FRA:IUI:
EV-to-OCF: 32.59 (37% below median its 10-year median of 51.50)
GF Value™: €19.01 vs. price of €10.90 (42.7% below fair value)
Industry Position: 308.1% above the Medical Devices & Instruments median (#729 of 852)
No single metric tells the full story. See the FRA:IUI stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.
Intuitive develops, produces, and markets a robotic system for assisting minimally invasive surgery. It also provides the instrumentation, disposable accessories, and warranty services for the system. The company has placed more than 10,000 da Vinci systems in hospitals worldwide, with more than 6,000 installations in the US and a growing number in emerging markets.
76GF Score
Get the complete analysis for FRA:IUI
EV-to-OCF is just one metric. See GF Value™, 30-year financials, guru trades, warning signs, and more.
Quick Browse
Personalize
Premium Gurus 
Create New Portfolio
FRA:IUI has been successfully added to your 
