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electroCore

ECOR
27
Medical - Devices · Healthcare
Price
$5.88
+0.10 (+1.73%)
Market Cap
$48.8M
Exchange
NASDAQ
Winston Score
27
Winston is worried
Below-average fundamentals — multiple weak pillars.

Share count rising — dilution

+115.0% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 3.9M (2021) → 8.5M (2025)

electroCore is a small medical device company that makes a handheld device called gammaCore. The device sends gentle electrical signals through the skin on the neck to stimulate the vagus nerve — a major nerve that runs from the brain to the body. Doctors prescribe it to treat conditions like migraines and cluster headaches without surgery or pills.

The company earns revenue by selling gammaCore devices and the cartridges patients need to keep using them, which creates some repeat purchasing. It operates mainly in the United States and the United Kingdom, where it has received regulatory clearance, and it also sells into some military and veterans' health systems. The 87% gross margin shows the product itself is profitable, but the company is still spending far more than it earns, reflected in its deeply negative operating margin. The biggest risk is that electroCore remains a very small, cash-burning company that depends on convincing doctors and insurers to adopt a treatment that competes with established migraine medications.

Winston Score History

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+42.6% YoY

YoY Growth Rate

Revenue accelerating

EPS Growth

-25.5% YoY

YoY Growth Rate

Earnings declining

R&D Spend

$3M/ year

Rising (+16% vs prior year)

8.5% of revenue

Below sector average (18%)

R&D investment increasing — building for the future

Insider Activity

37.3%ownership

Rising

Insiders increasing their stake — aligned with shareholders

Cash Runway

~5 months

$5M cash & investments

Quarterly Free Cash Flow

→ Burn rate stable

Short runway — potential dilution ahead through share issuance

Revenue accelerating

electroCore grew revenue 43% year-over-year and the growth rate is speeding up. That's the kind of momentum growth investors look for — the question is whether margins can follow.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Gross Margin
87.3%
Premium pricing power — 87.3% gross margin
Operating Margin
-55.5%
Losing money on operations — -55.5%
ROCE
-140.0%
Weak — -140.0% return on capital

Negative ROIC means the business is losing money on every dollar invested in it.

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Growth

Sales YoY
+31.9%
Fast-growing sales (31.9% YoY)
EPS YoY
N/A
Data not available
EPS Consistency
0/8 quarters
Earnings rarely grow — volatile business

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Cash Flow

Cash Conversion
N/A
Data not available
FCF Margin
-19.7%
Burning cash (-19.7%)

Free cash flow is negative. They are burning cash, not generating it.

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Stability

Debt / Equity
N/A
Data not available
Interest Cover
N/A
Data not available

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Valuation

P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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