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1. Company Snapshot

1.a. Company Description

electroCore, Inc., a commercial stage medical device company, engages in the development and commercialization of a range of non-invasive vagus nerve stimulation (nVNS) therapies.The company is developing gammaCore, a prescription-only nVNS therapy for the acute treatment of pain associated with migraine and episodic cluster headache in adults.Its lead product is gammaCore Sapphire, a rechargeable and reloadable handheld device for regular or intermittent use over many years.


The company was incorporated in 2005 and is headquartered in Rockaway, New Jersey.

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1.b. Last Insights on ECOR

The recent 3-month performance of electroCore, Inc. was driven by several positive factors. The company's first-quarter 2025 earnings release reported net sales of $6.7 million, a 23% increase over the same period in 2024. Additionally, electroCore closed the acquisition of NeuroMetrix, Inc., expanding its bioelectronic technology portfolio and accelerating growth in chronic pain and wellness markets. The company also announced that its flagship wellness product, Truvaga Plus, now works with the Apple Health app, enhancing user experience. Furthermore, gammaCore non-invasive vagus nerve stimulation (nVNS) was shown to be effective in treating concussive symptoms associated with mild traumatic brain injuries, highlighting the product's therapeutic potential.

1.c. Company Highlights

2. electroCore's Q3 2025 Earnings: Strong Revenue Growth and Strategic Expansion

electroCore reported a record revenue of $8.7 million in the third quarter, representing a 33% year-over-year increase and an 18% sequential growth. Gross margins remained robust at 86%, driven by a 19% year-over-year growth in prescription device revenue to $6.8 million. The company's GAAP net loss was $3.4 million, or a loss of $0.40 per share, compared to a net loss of $2.5 million or a loss of $0.31 per share in the same period last year. The actual EPS of -$0.4 missed estimates of -$0.36.

Publication Date: Nov -26

📋 Highlights
  • Record Q3 Revenue Growth:: Revenue reached $8.7 million, up 33% YoY and 18% sequentially, driven by prescription device revenue growth of 19% to $6.8 million.
  • Quell Fibromyalgia Acquisition Impact:: Acquisition of NeuroMetrix's Quell portfolio contributed $595,000 in Q3 revenue, with strong VA hospital system traction.
  • Strong Cash Position:: Cash balance stood at $13.2 million as of September 30, 2025, with a projected $10.5 million by year-end despite increased operating expenses of $10.4 million (28% YoY rise).
  • Revised 2025 Revenue Guidance:: Full-year revenue guidance raised to $31.5–32.5 million, reflecting confidence in prescription device and Truvaga brand growth ($1.674 million in Q3 Truvaga sales).

Revenue Diversification and Growth

The company's revenue growth was driven by the strong performance of its prescription devices, including gammaCore and Quell Fibromyalgia. The acquisition of NeuroMetrix's Quell portfolio has diversified electroCore's offerings within the VA channel, and the company has seen strong early traction in the VA hospital system. Health and wellness product revenue also showed significant growth, reaching $1.9 million, a 54% sequential increase and a 121% year-over-year growth.

Operating Expenses and Cash Position

The company's total operating expenses increased by 28% to approximately $10.4 million in the third quarter, primarily due to greater investment in selling and marketing costs. Despite this, electroCore's cash, cash equivalents, restricted cash, and marketable securities totaled approximately $13.2 million as of September 30, 2025. The company secured a term debt facility with Avenue Capital, providing approximately $7.2 million of net cash at closing, and also closed a small private placement with certain institutional investors.

Guidance and Valuation

electroCore increased its revenue guidance for 2025 to $31.5 million to $32.5 million and expects to achieve positive adjusted EBITDA in the second half of 2026, with quarterly revenue of approximately $12 million. With a P/S Ratio of 1.42, the market is pricing in moderate growth expectations. However, analysts estimate next year's revenue growth at 40.8%, suggesting potential upside. The company's EV/EBITDA ratio is -3.26, indicating that the market is pricing in significant losses in the near term.

Growth Prospects and Clinical Development

The company is poised to accelerate growth, driven by the expansion of its prescription device sales and the potential for its Truvaga brand to become a significant player in the health and wellness space. electroCore is also making progress in its clinical development pipeline, including trials for PTSD, mild traumatic brain injury, and low back pain. As Dr. Errico expressed enthusiasm about the company's future prospects, citing the growth of prescription device sales and the potential for Truvaga.

3. NewsRoom

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TAC-STIM Demonstrates Significant Performance Improvements in Active-Duty United States Air Force Airmen

Dec -02

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Ecora Resources boosted by 'best' drill results yet at Patterson Corridor East uranium project

Dec -02

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electroCore to Participate at the Canaccord Genuity MedTech, Diagnostics and Digital Health & Services Forum

Nov -10

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electroCore, Inc. (ECOR) Q3 2025 Earnings Call Transcript

Nov -06

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electroCore, Inc. (ECOR) Reports Q3 Loss, Beats Revenue Estimates

Nov -06

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electroCore Announces Third Quarter 2025 Financial Results

Nov -05

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Ecora sees strong Q3 base metals performance - ICYMI

Nov -01

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Analysts Estimate electroCore, Inc. (ECOR) to Report a Decline in Earnings: What to Look Out for

Oct -29

4. Business Breakdown

4.a. Revenues by Country

4.b. Revenues by Segment

5. Expected revenues mid-term growth (10.27%)

6. Segments

Rx GammaCore

Expected Growth: 10.27%

Rx GammaCore's 10.27% growth is driven by increasing adoption in episodic cluster headache treatment, expansion into new markets, and growing awareness of non-invasive vagus nerve stimulation therapy. Additionally, electroCore's strategic partnerships and investments in clinical trials have contributed to the product's rising popularity.

TAC-STIM

Expected Growth: 10.27%

TAC-STIM's 10.27% growth driven by increasing adoption in pain management, expanding prescription base, and growing awareness of non-invasive vagus nerve stimulation therapy. Strong sales execution, strategic partnerships, and favorable reimbursement environment also contribute to growth.

Truvaga

Expected Growth: 10.27%

Truvaga's 10.27% growth is driven by increasing adoption in the migraine treatment market, fueled by its non-invasive, easy-to-use design and growing awareness of electroCore's gammaCore technology. Expanding prescription rates, positive word-of-mouth, and strategic partnerships also contribute to its growth momentum.

7. Detailed Products

gammaCore

A non-invasive vagus nerve stimulator (nVNS) device that is used to treat various conditions such as episodic cluster headache, migraine, and paroxysmal hemicrania.

gammaCore Sapphire

A next-generation nVNS device that offers advanced features and improved usability for patients and healthcare providers.

gammaCore nVNS Therapy

A non-pharmacological treatment approach that utilizes gentle electrical stimulation of the vagus nerve to prevent and treat various conditions.

8. electroCore, Inc.'s Porter Forces

Forces Ranking

Threat Of Substitutes

electroCore, Inc. has a moderate threat of substitutes due to the availability of alternative treatments for migraines and other conditions, but its gammaCore nVNS device has a unique mechanism of action that differentiates it from other treatments.

Bargaining Power Of Customers

electroCore, Inc.'s customers, primarily patients and healthcare providers, have limited bargaining power due to the company's innovative product and limited competition in the non-invasive vagus nerve stimulation market.

Bargaining Power Of Suppliers

electroCore, Inc. has a diversified supply chain, and its suppliers have limited bargaining power due to the company's ability to switch to alternative suppliers if needed.

Threat Of New Entrants

The threat of new entrants in the non-invasive vagus nerve stimulation market is high due to the growing interest in neuromodulation and the potential for new companies to enter the market with innovative products.

Intensity Of Rivalry

The intensity of rivalry in the non-invasive vagus nerve stimulation market is moderate, with electroCore, Inc. facing competition from other companies developing similar products, but the company's innovative product and strong intellectual property position help to differentiate it from competitors.

9. SWOT Analysis

10. Capital Structure

10.a. Balance Sheet

10.b. Weighted Average Cost of capital

Value
Debt Weight 7.76%
Debt Cost 3.95%
Equity Weight 92.24%
Equity Cost 8.52%
WACC 8.17%
Leverage 8.41%

11. Quality Control: electroCore, Inc. passed 3 out of 9 key points

12.a Historical Valuation

12.b Price/Earnings Ratio

12.c Margin Valuation

12.d Peers Valuation

Peers Group Analysis

Stock-Card
IRadimed

A-Score: 5.7/10

Value: 0.3

Growth: 8.1

Quality: 7.9

Yield: 3.0

Momentum: 9.0

Volatility: 5.7

1-Year Total Return ->

Stock-Card
Fonar

A-Score: 4.9/10

Value: 7.7

Growth: 2.3

Quality: 6.1

Yield: 0.0

Momentum: 6.0

Volatility: 7.3

1-Year Total Return ->

Stock-Card
Electromed

A-Score: 4.8/10

Value: 2.9

Growth: 8.7

Quality: 7.8

Yield: 0.0

Momentum: 6.5

Volatility: 3.0

1-Year Total Return ->

Stock-Card
UFP Technologies

A-Score: 4.0/10

Value: 3.1

Growth: 9.2

Quality: 6.6

Yield: 0.0

Momentum: 1.0

Volatility: 4.3

1-Year Total Return ->

Stock-Card
Sensus Healthcare

A-Score: 3.4/10

Value: 7.5

Growth: 6.6

Quality: 4.2

Yield: 0.0

Momentum: 0.5

Volatility: 1.7

1-Year Total Return ->

Stock-Card
electroCore

A-Score: 3.3/10

Value: 7.2

Growth: 7.2

Quality: 3.6

Yield: 0.0

Momentum: 0.5

Volatility: 1.0

1-Year Total Return ->

Peers Metrics

12.e Scoring Insights

12.f DCF BETA

Parameters

Short Term Growth

Short term Time

Long-Term Growth

WACC

Target Price

4.82$

Current Price

4.82$

Potential

-0.00%

Expected Cash-Flows