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ICU MedicalICUI -0.10%81 EV-to-OCF is 23.41 as of Aug. 21, 2026, which is 6% below its 10-year median of 25.02. GuruFocus rates ICUI with a GF Score™ of 81/100 and a GF Value™ of $120.63 (Significantly Overvalued). The stock has 8 warning signs investors should review. Among 851 Medical Devices & Instruments companies, ICU Medical ranks worse than 79.44% on this metric.
EV-to-OCF is calculated as enterprise value divided by its cash flow from operations. As of today, ICU Medical's Enterprise Value is $5,533 Mil.
ICU Medical's Cash Flow from Operations for the trailing twelve months (TTM) ended in Jun. 2026 was $236 Mil. Therefore, ICU Medical's EV-to-OCF for today is 23.41.
The historical rank and industry rank for ICU Medical's EV-to-OCF or its related term are showing as below:
ICUI'
s EV-to-OCF Range Over the Past 10 Years
Min: -817.43 Med: 25.02 Max: 245.41
Current: 23.41
During the past 13 years, the highest EV-to-OCF of ICU Medical was 245.41. The lowest was -817.43. And the median was 25.02.
ICUI's EV-to-OCF is ranked worse than 79.44% of 851
companies
in the Medical Devices & Instruments industry
Industry Median: 7.54
vs ICUI: 23.41
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.
ICU Medical's PE Ratio (TTM) for today is calculated as:
ICU Medical's share price for today is $182.34.
ICU Medical'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 $1.180.
* 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.
ICU Medical EV-to-OCF Related Terms
ICU Medical EV-to-OCF Historical Data
* Premium members only.
The historical data trend for ICU Medical'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, ICU Medical'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.
ICU Medical EV-to-OCF vs Medical Devices & Instruments Industry
For the Medical Devices & Instruments industry and Healthcare sector, ICU Medical's EV-to-OCF distribution charts can be found below:
* The bar in red indicates where ICU Medical's EV-to-OCF falls into.
ICU Medical's current Enterprise Value is $5,533 Mil.
ICU Medical'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 $236 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.
ICU Medical (ICUI) has a EV-to-OCF of 23.41 as of Aug. 21, 2026. This is near median its historical median of 25.02. According to the industry distribution chart, ICU Medical ranks #676 out of 851 companies in the Medical Devices & Instruments industry, placing it in the top 79.4%.
Is ICU Medical's EV-to-OCF too high?
ICU Medical's current EV-to-OCF of 23.41 is near median its 10-year median of 25.02. The Medical Devices & Instruments industry median EV-to-OCF is 7.54. ICU Medical's value of 23.41 is 210.5% above this industry median. Based on the distribution chart, ICU Medical ranks #676 out of 851 companies in the Medical Devices & Instruments industry, which is in the bottom quartile relative to peers. Overall, ICU Medical has a GF Score™ of 81/100 and is considered Significantly Overvalued, reflecting its overall financial health beyond just this single metric.
How does ICU Medical's EV-to-OCF compare to NVST and MMSI?
According to the Medical Devices & Instruments industry distribution chart, ICU Medical ranks #676 out of 851 companies for EV-to-OCF. This places ICU Medical in the lower half of its industry. The industry median EV-to-OCF is 7.54. ICU Medical's value of 23.41 is 210.5% above this benchmark. While the company's 10-year median is 25.02 vs. the industry median of 7.54, ICU Medical 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 7.54, based on 851 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. ICU Medical's current EV-to-OCF of 23.41 is 210.5% 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 7.54 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. ICU Medical's current EV-to-OCF is 23.41, which is near median its own 10-year median of 25.02. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is ICU Medical stock overvalued right now?
Based on GuruFocus' analysis, ICU Medical (ICUI) is currently considered Significantly Overvalued. The stock's GF Value™ is $120.63, compared to a current price of $182.34 — trading 51.2% above its estimated fair value. The current EV-to-OCF is 23.41, which is near median its 10-year median of 25.02 and 210.5% above the Medical Devices & Instruments industry median of 7.54. ICU Medical's overall GF Score™ is 81/100 with 8 warning signs 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 ICU Medical (ICUI), the current EV-to-OCF is 23.41 as of Aug. 21, 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 ICU Medical (ICUI) Overvalued in 2026?
Based on GuruFocus' analysis, ICU Medical stock appears to be overvalued.
The current stock price of $182.34 is trading 51.2% above its estimated GF Value™ of $120.63.
GuruFocus considers ICU Medical to be Significantly Overvalued.
Key valuation signals for ICUI:
EV-to-OCF: 23.41 (near median its 10-year median of 25.02)
GF Value™: $120.63 vs. price of $182.34 (51.2% above fair value)
Industry Position: 210.5% above the Medical Devices & Instruments median (#676 of 851)
No single metric tells the full story. See the ICUI stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.
ICU Medical is a California-based pure-play infusion therapy company that provides consumables, systems, and services for virtually every component of the IV continuum of care. ICU has become one of the largest players in its industry following its acquisition of Hospira Infusion Systems from Pfizer in 2017 and Smiths Medical from Smiths Group in 2022. It holds top-tier positions across its three reporting segments: consumables (50% of consolidated revenue), infusion systems (30%), and vital care (20%). The combined entity remains primarily US-focused, generating over 60% of its sales domestically.
81GF Score
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