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Electrocore (ECOR)
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Electrocore (ECOR) AI Stock Analysis

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ECOR

Electrocore

(NASDAQ:ECOR)

Rating:51Neutral
Price Target:
$5.00
▼(-4.03% Downside)
Electrocore's strong revenue growth is overshadowed by persistent profitability challenges and a weak technical outlook. The company's strategic focus on growth may delay profitability, and the stock's valuation is unattractive due to negative earnings. These factors contribute to a below-average overall stock score.
Positive Factors
Market Opportunities
A premium is justified due to ECOR's substantial growth opportunities across its prescription and over-the-counter business segments, as well as on the potential for the company to expand indications for its flagship gammaCore device.
Product Launch
The company reported its first sales from Quell, tracking ahead of initial expectations, indicating a positive signal for the product.
Revenue Growth
ElectroCore reported a 20% YoY increase in total revenue for 2Q25, signaling a return to growth in the VA segment.
Negative Factors
Profitability
The stock is down mainly due to the delayed company-wide profitability.
Revenue Guidance
Lower-than-expected 2025 revenue guidance introduced, with the company expecting $30M, representing 19.1% y/y growth, below prior consensus and estimates.
Sales Variability
Analyst is lowering estimates and the 12-month price target to $12 from $25 due to quarterly TAC-STIM sales variability and updated outlook on Quell's commercial pathway.

Electrocore (ECOR) vs. SPDR S&P 500 ETF (SPY)

Electrocore Business Overview & Revenue Model

Company DescriptionElectrocore, Inc. (ECOR) is a medical technology company focused on the development and commercialization of non-invasive electroceutical therapies for the treatment of neurological and other disorders. The company specializes in its proprietary transcutaneous vagus nerve stimulation (tVNS) technology, which aims to provide patients with effective treatment options for conditions such as cluster headaches, migraines, and other chronic pain disorders. Electrocore operates primarily in the healthcare sector, leveraging its innovative technology to enhance patient care and outcomes.
How the Company Makes MoneyElectrocore generates revenue primarily through the sales of its gammaCore devices, which are FDA-cleared for the acute and preventive treatment of cluster headaches and migraines. The company operates a direct sales model, selling its products to healthcare providers and patients, and also explores partnerships with health insurance providers to facilitate patient access and reimbursement for its therapies. Additionally, Electrocore may benefit from strategic collaborations and research agreements that enhance its product offerings and market reach, contributing to its overall earnings.

Electrocore Earnings Call Summary

Earnings Call Date:Aug 06, 2025
(Q2-2025)
|
% Change Since: -24.82%|
Next Earnings Date:Nov 13, 2025
Earnings Call Sentiment Neutral
The earnings call presented a mixed picture with strong revenue growth and successful acquisitions on the positive side, but also highlighted challenges such as declining prescription revenues and increased operating expenses leading to a higher net loss. The strategy to invest in growth postpones profitability but aims for long-term value creation.
Q2-2025 Updates
Positive Updates
Record Revenue Achievement
ElectroCore posted record revenue of $7.4 million in Q2 2025, marking a 20% year-over-year increase and 10% sequential growth, with strong gross margins at 87%.
Successful Integration of NeuroMetrix
The acquisition of NeuroMetrix was completed ahead of schedule, bringing additional talent and expanding electroCore's product offerings.
VA Hospital System Growth
Revenue from the VA hospital system grew 12% sequentially, with 188 VA facilities now purchasing gammaCore products, up from 175 a year ago.
Truvaga Sales Growth
Truvaga posted $1 million in Q2 sales, a 74% year-over-year increase, and has sold over 16,000 handsets since launch.
Term Debt Facility Secured
ElectroCore secured a term debt facility with Avenue Capital, providing $7.2 million in additional net cash with potential access to another $4.5 million.
Negative Updates
Decline in U.S. Prescription Channel
U.S. prescription revenue was $394,000 in Q2 2025, down 17% year-over-year as cash pay prescription customers transitioned to Truvaga.
International Revenue Decline
Revenue from outside the United States was $465,000, down 9% from the same period last year, with flat revenue expected going forward.
Increase in Operating Expenses
Total operating expenses increased to approximately $9.9 million in Q2 2025, up from $7.9 million in Q2 2024, due to higher selling, marketing, and professional fees.
Increased Net Loss
GAAP net loss increased to $3.7 million in Q2 2025 from $2.7 million in Q2 2024, with adjusted EBITDA net loss rising to $2.4 million from $1.9 million.
Delayed Profitability
The strategic decision to prioritize growth and long-term investments is expected to delay company-wide profitability, now requiring $11.5 million to $12 million of quarterly revenue to be cash positive.
Company Guidance
During the second quarter of 2025, electroCore reported record revenue of $7.4 million, marking a 20% increase year-over-year and a 10% sequential rise. The company achieved a strong gross margin of 87%, up from 86% the previous year. The VA hospital system remained a significant contributor, with revenue growing 12% sequentially, from $4.7 million in Q1 to $5.3 million in Q2. ElectroCore's U.S. prescription channel generated $394,000 in revenue, although it experienced a 17% decline year-over-year. Meanwhile, the Truvaga brand achieved $1 million in Q2 sales, representing 74% year-over-year growth. Despite a sequential decline in Truvaga sales, the brand's revenue return on advertising spend was approximately 2.0, with return rates across e-commerce platforms ranging from 10% to 11%. The company's cash balance stood at $7.4 million as of June 30, 2025, and electroCore secured a term debt facility with Avenue Capital, providing approximately $7.2 million in additional net cash. Operating expenses increased to $9.9 million from $7.9 million the previous year, primarily due to investments in sales and marketing. Despite a GAAP net loss of $3.7 million, the company remains focused on long-term growth, planning to increase investments in people, marketing, and product development. ElectroCore anticipates reaching cash-positive status when quarterly revenue reaches between $11.5 million and $12 million, with the potential to achieve this by 2026.

Electrocore Financial Statement Overview

Summary
Electrocore has shown strong revenue growth, but significant challenges remain in achieving profitability and maintaining a healthy balance sheet. The reliance on external financing and high operating losses highlight the need for strategic improvements in cost management and operational efficiencies.
Income Statement
65
Positive
Electrocore has shown a consistent growth in revenue over the years, with a notable increase from $2.39 million in 2019 to $25.18 million in 2024. However, the company is still facing significant profitability challenges, as evidenced by negative net income and EBIT margins across the years. Despite the revenue growth, the company has not yet achieved positive net profit margins or EBIT margins, indicating that cost control and operational efficiency are areas for improvement.
Balance Sheet
60
Neutral
The company's balance sheet reflects a relatively high level of liabilities compared to its equity, with a debt-to-equity ratio of 0.55 in 2024. Stockholders' equity has remained relatively stable from 2023 to 2024, but the equity ratio has decreased due to a rise in total liabilities. The company maintains a reasonable cash position, which provides some liquidity cushion. However, the consistent negative net income impacts the overall return on equity.
Cash Flow
55
Neutral
Electrocore's cash flow situation shows significant negative operating cash flows, indicating that the company has not yet reached a sustainable cash-generating position from its core operations. Free cash flow has improved slightly but remains negative, suggesting that the company is still reliant on external financing to support its operations and growth. The operating cash flow to net income ratio is poor due to persistent negative earnings.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue27.70M25.18M16.03M8.59M5.45M3.50M
Gross Profit23.69M21.40M13.23M6.98M4.07M1.76M
EBITDA-12.28M-10.90M-17.76M-22.33M-19.66M-24.18M
Net Income-13.25M-11.89M-18.83M-22.16M-17.22M-23.51M
Balance Sheet
Total Assets14.56M20.47M16.10M24.76M42.83M31.52M
Cash, Cash Equivalents and Short-Term Investments7.39M11.97M10.33M17.71M34.69M22.63M
Total Debt4.23M4.14M626.00K699.00K760.87K2.99M
Total Liabilities13.45M12.93M8.66M7.67M6.18M7.87M
Stockholders Equity1.11M7.54M7.44M17.09M36.65M23.64M
Cash Flow
Free Cash Flow-7.60M-6.95M-14.87M-16.64M-13.63M-20.10M
Operating Cash Flow-7.60M-6.95M-14.67M-16.64M-13.63M-20.10M
Investing Cash Flow94.00K-8.52M-206.00K0.0018.22M-7.96M
Financing Cash Flow502.00K8.44M7.49M0.0025.68M18.95M

Electrocore Technical Analysis

Technical Analysis Sentiment
Negative
Last Price5.21
Price Trends
50DMA
6.10
Negative
100DMA
5.98
Negative
200DMA
9.95
Negative
Market Momentum
MACD
-0.43
Positive
RSI
42.30
Neutral
STOCH
52.98
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ECOR, the sentiment is Negative. The current price of 5.21 is below the 20-day moving average (MA) of 6.03, below the 50-day MA of 6.10, and below the 200-day MA of 9.95, indicating a bearish trend. The MACD of -0.43 indicates Positive momentum. The RSI at 42.30 is Neutral, neither overbought nor oversold. The STOCH value of 52.98 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for ECOR.

Electrocore Risk Analysis

Electrocore disclosed 127 risk factors in its most recent earnings report. Electrocore reported the most risks in the "Tech & Innovation" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Electrocore Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
58
Neutral
$96.14M-64.55%15.60%
51
Neutral
$7.77B-0.12-39.07%2.21%22.68%-1.42%
51
Neutral
$37.69M-210.58%30.16%22.51%
48
Neutral
$68.93M-676.41%16.34%34.86%
44
Neutral
$74.50M-156.90%-5.14%44.86%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ECOR
Electrocore
5.21
-0.79
-13.17%
APYX
Apyx Medical
2.03
0.73
56.15%
NVNO
enVVeno Medical
1.17
-4.22
-78.29%
TELA
TELA Bio
1.69
-1.19
-41.32%

Electrocore Corporate Events

Delistings and Listing ChangesM&A Transactions
Electrocore Completes Merger with NeuroMetrix
Positive
May 2, 2025

On May 2, 2025, electroCore, Inc. announced the completion of its merger with NeuroMetrix, Inc., which positions electroCore as a diversified leader in non-invasive health and wellness solutions. The acquisition of NeuroMetrix’s Quell Fibromyalgia Solution expands electroCore’s portfolio of non-invasive bioelectronic therapies, enhances its commercial reach, particularly within the VA Hospital System, and is expected to significantly increase its addressable market for chronic pain and wellness conditions. As a result of the merger, NeuroMetrix became an indirect wholly-owned subsidiary of electroCore, and its shares will be de-listed from the Nasdaq Capital Market.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Aug 14, 2025