MDAI (Spectral AI) EV-to-OCF: -4.28 (As of Aug. 17, 2026)

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MDAI Spectral AI Inc MDAI
6 GF Score
Price $1.64
GF Value $0.83
Valuation Significantly Overvalued
! 4 Warning Signs
View Full Analysis

What is Spectral AI EV-to-OCF?

Spectral AI MDAI -2.96% 6 EV-to-OCF is -4.28 as of Aug. 17, 2026. GuruFocus rates MDAI with a GF Score™ of 6/100 and a GF Value™ of $0.83 (Significantly Overvalued). The stock has 4 warning signs investors should review. Among 851 Medical Devices & Instruments companies, Spectral AI ranks better than 71.68% on this metric.

EV-to-OCF is calculated as enterprise value divided by its cash flow from operations. As of today, Spectral AI's Enterprise Value is $55.06 Mil. Spectral AI's Cash Flow from Operations for the trailing twelve months (TTM) ended in Jun. 2026 was $-12.88 Mil. Therefore, Spectral AI's EV-to-OCF for today is -4.28.

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

MDAI' s EV-to-OCF Range Over the Past 10 Years
Min: -11.92   Med: -3.68   Max: -1.39
Current: -4.28

During the past 5 years, the highest EV-to-OCF of Spectral AI was -1.39. The lowest was -11.92. And the median was -3.68.

MDAI's EV-to-OCF is ranked better than
71.68% of 851 companies
in the Medical Devices & Instruments industry
Industry Median: 7.82 vs MDAI: -4.28

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 (2026-08-17), Spectral AI's stock price is $1.64. Spectral AI's Earnings per Share (Diluted) for the trailing twelve months (TTM) ended in Jun. 2026 was $-0.350. Therefore, Spectral AI's PE Ratio (TTM) for today is At Loss.


Spectral AI  (NAS:MDAI) 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.

Spectral AI's PE Ratio (TTM) for today is calculated as:

PE Ratio (TTM)=Share Price (Today)/Earnings per Share (Diluted) (TTM)
=1.64/-0.350
=At Loss

Spectral AI's share price for today is $1.64.
Spectral AI'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 $-0.350.

* 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.


Spectral AI EV-to-OCF Related Terms


Spectral AI EV-to-OCF Historical Data

* Premium members only.

The historical data trend for Spectral AI'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.

Spectral AI EV-to-OCF Chart

Spectral AI Annual Data
Trend Dec21 Dec22 Dec23 Dec24 Dec25
EV-to-OCF
0.00 0.00 -2.76 -6.90 -3.86

Spectral AI Quarterly Data
Dec21 Mar22 Sep22 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24 Sep24 Dec24 Mar25 Jun25 Sep25 Dec25 Mar26 Jun26
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 -10.45 -8.89 -3.86 -3.71 -4.50

MDAI vs ECOR, COCH, SNWV: EV-to-OCF Comparison

For the Medical Devices subindustry, Spectral AI'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.


Spectral AI EV-to-OCF vs Medical Devices & Instruments Industry

For the Medical Devices & Instruments industry and Healthcare sector, Spectral AI's EV-to-OCF distribution charts can be found below:

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


MDAI
6GF Score
Spectral AI Inc MDAI
EV-to-OCF is just one metric. See GF Score™, valuation, warning signs, and more.
View Full Analysis

Spectral AI EV-to-OCF Calculation

Spectral AI's EV-to-OCF for today is calculated as:

EV-to-OCF=Enterprise Value (Today)/Cash Flow from Operations (TTM)
=55.061/-12.878
=-4.28

Spectral AI's current Enterprise Value is $55.06 Mil.
Spectral AI'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 $-12.88 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 -4.28 mean?
Spectral AI (MDAI) has a EV-to-OCF of -4.28 as of Aug. 17, 2026. According to the industry distribution chart, Spectral AI ranks #241 out of 851 companies in the Medical Devices & Instruments industry, placing it in the top 28.3%.
Is Spectral AI's EV-to-OCF too high?
Spectral AI's current EV-to-OCF is -4.28. Based on the distribution chart, Spectral AI ranks #241 out of 851 companies in the Medical Devices & Instruments industry, which is above the industry midpoint. Overall, Spectral AI has a GF Score™ of 6/100 and is considered Significantly Overvalued, reflecting its overall financial health beyond just this single metric.
How does Spectral AI's EV-to-OCF compare to ECOR and COCH?
According to the Medical Devices & Instruments industry distribution chart, Spectral AI ranks #241 out of 851 companies for EV-to-OCF. This puts Spectral AI in the upper half of its industry. The industry median EV-to-OCF is 7.82. 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 7.82, 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. 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 7.82 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Spectral AI's current EV-to-OCF is -4.28. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Spectral AI stock overvalued right now?
Based on GuruFocus' analysis, Spectral AI (MDAI) is currently considered Significantly Overvalued. The stock's GF Value™ is $0.83, compared to a current price of $1.64 — trading 97.6% above its estimated fair value. The current EV-to-OCF is -4.28. Spectral AI's overall GF Score™ is 6/100 with 4 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 Spectral AI (MDAI), the current EV-to-OCF is -4.28 as of Aug. 17, 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 Spectral AI (MDAI) Overvalued in 2026?

Based on GuruFocus' analysis, Spectral AI stock appears to be overvalued. The current stock price of $1.64 is trading 97.6% above its estimated GF Value™ of $0.83. GuruFocus considers Spectral AI to be Significantly Overvalued.

Key valuation signals for MDAI:

  • EV-to-OCF: -4.28
  • GF Value™: $0.83 vs. price of $1.64 (97.6% above fair value)
  • GF Score™: 6/100 with 4 warning signs

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


Spectral AI Business Description

Address 2515 McKinney Avenue, Suite 1000, Dallas, TX, USA, 75201
Spectral AI Inc is an AI company focused on predictive medical diagnostics. Its DeepView System uses proprietary AI algorithms to distinguish between fully damaged, partially damaged and healthy human tissue characters invisible to the naked eye, at the initial time point of wound presentation. The DeepView System delivers a binary prediction on the wound's capacity to heal or not-heal by a specified time point in the future. The company focuses on the burn indication which is supported by the BARDA PBS contract.
6GF Score

Get the complete analysis for MDAI

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

$1.64
Price
$0.83
GF Value