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Milestone Scientific (MLSS)
:MLSS
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Milestone Scientific (MLSS) AI Stock Analysis

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MLSS

Milestone Scientific

(NYSE MKT:MLSS)

Rating:41Neutral
Price Target:
$0.50
▲(0.00%Upside)
The overall stock score is primarily impacted by financial performance challenges, including persistent losses and negative cash flows. Technical indicators suggest bearish momentum, while valuation metrics are concerning due to the negative P/E ratio. Positive corporate events provide a minor offset.
Positive Factors
Financial Health
Milestone Scientific ended with $2.2 million in cash and no debt, indicating strong financial health.
Market Expansion
The company plans to seek reimbursement from private payors, expanding the total available market to nine million procedures.
Technology and Innovation
Milestone Scientific's proprietary, computer-controlled injection system for epidural steroid injections is being introduced into the pain management market, offering an attractive value proposition.
Negative Factors
Dependency on Medicare
Milestone has obtained formal reimbursement from 3 of the 12 Medicare Administrative Contractors, covering about one-third of the Medicare market.
Market Coverage
Milestone Scientific continues to make progress in the Medicare market segment for pain management with its CompuFlo System, having won coverage from three of the 12 Medicare Administrative Contractors.

Milestone Scientific (MLSS) vs. SPDR S&P 500 ETF (SPY)

Milestone Scientific Business Overview & Revenue Model

Company DescriptionMilestone Scientific Inc. (MLSS) is a medical technology company specializing in innovative computer-controlled drug delivery instruments. It operates primarily in the healthcare and dental sectors, where it develops and commercializes advanced injection technologies that enhance the safety and effectiveness of drug delivery. The company's core products include the CompuFlo Epidural System, a revolutionary instrument for administering epidural anesthesia, and the Wand STA System, designed to provide painless dental injections.
How the Company Makes MoneyMilestone Scientific generates revenue primarily through the sale and leasing of its proprietary medical and dental drug delivery systems. The company sells its products directly to healthcare professionals and institutions, as well as through distribution partners. Revenue is also derived from recurring sales of disposable components that are compatible with its systems, creating a continuous income stream. Strategic partnerships with medical device distributors and manufacturers further enhance its market reach and revenue potential. Additionally, Milestone Scientific invests in research and development to expand its product offerings and improve existing technologies, thereby driving future revenue growth.

Milestone Scientific Earnings Call Summary

Earnings Call Date:May 15, 2025
(Q3-2024)
|
% Change Since: -46.24%|
Next Earnings Date:Aug 19, 2025
Earnings Call Sentiment Positive
The earnings call presented a generally positive outlook with significant revenue growth in the third quarter, strong gross margins, and strategic progress in the medical division with Medicare Part B alignment. However, concerns remain with the lack of revenue from China and an overall revenue decline over the nine-month period. Despite these challenges, the company seems well-positioned for future growth, particularly in international markets.
Q3-2024 Updates
Positive Updates
Significant Revenue Growth
Milestone Scientific achieved a 22% increase in year-over-year revenue, reaching $2.5 million, driven by strong growth in the Dental division and a 57% increase in international dental sales.
Strong Gross Margin
Gross margins remained high at 73%, indicating strong profitability from operations.
Medicare Part B Assignment for CompuFlo
The CompuFlo Epidural System received a Medicare Part B physician payment rate assignment, increasing its adoption in clinics such as Hudson Specialty Care and iHealPain Center.
Expansion into International Markets
Regulatory approval was secured in Brazil for the CompuFlo system, opening a significant market opportunity with over 2.8 million births annually.
Improvement in Operating Loss
Operating loss decreased by $38,000 compared to the previous year, showing financial management improvements.
Negative Updates
No Revenue from China
The company recorded no revenue from China for the three months ending September 30, 2024, indicating challenges in that market.
Overall Revenue Decline for Nine Months
Revenue for the nine months ending September 30, 2024, was $6.6 million, down from $7.6 million for the same period in 2023.
International Revenue Decrease Over Nine Months
International revenue decreased by $0.6 million for the nine months ending September 30, 2024, compared to the same period in 2023, due to freight forward carrier issues.
Company Guidance
In the Q3 2024 earnings call for Milestone Scientific (MLSS), the company reported a 22% year-over-year revenue increase to $2.5 million, driven by a 57% rise in international dental sales and a successful shift to an e-commerce sales model domestically. Gross margins remained high at 73%. The medical division made progress with the CompuFlo Epidural System, benefiting from a Medicare Part B payment rate assignment across several regions, including New Jersey, Texas, and Florida. The company highlighted a significant market opportunity with 3 million epidural procedures annually in these regions, representing a $250 million market potential. Additionally, the company secured regulatory approval in Brazil, targeting over 2.8 million annual births and a substantial population with chronic back pain, marking a promising growth avenue for the company. Internationally, MLSS is expanding its reach through partnerships with distributors in key markets. The call also noted a 11.4% growth in the U.S. e-commerce dental business over nine months, and the company maintained a strong balance sheet with $4.8 million in cash and no long-term debt.

Milestone Scientific Financial Statement Overview

Summary
Milestone Scientific shows strong gross profit margins and low leverage, but faces ongoing financial challenges due to persistent net losses and negative cash flows. The company requires revenue growth and operational efficiency improvements to enhance profitability.
Income Statement
45
Neutral
Milestone Scientific shows a declining revenue trend with a steep drop of 34.52% from 2023 to 2024. Gross profit margins are strong at 100% for 2024, indicating effective cost control. However, the net profit margin remains negative due to consistent operating losses, despite slight improvements in EBIT and EBITDA margins.
Balance Sheet
50
Neutral
The company's debt-to-equity ratio is low at 0.06, indicating minimal leverage, a positive sign of financial stability. However, the return on equity remains negative, reflecting ongoing losses. Equity ratio remains robust, showcasing a solid foundation of equity in its asset base.
Cash Flow
40
Negative
Operating cash flow has improved from a severe deficit but remains negative, showing challenges in generating cash from core operations. Free cash flow is also negative, indicating a strain on liquidity. Positive investing cash flow suggests asset divestment or reduced investment, which could impact future growth.
BreakdownDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue8.63M9.83M8.81M10.30M5.44M
Gross Profit6.43M6.79M4.90M6.31M3.62M
EBITDA-6.72M-6.96M-8.68M-7.30M-7.36M
Net Income-4.71M-6.93M-8.71M-7.12M-7.49M
Balance Sheet
Total Assets9.80M11.37M13.70M19.81M19.57M
Cash, Cash Equivalents and Short-Term Investments3.26M5.95M8.72M14.76M14.22M
Total Debt349.05K395.98K497.04K586.59K942.60K
Total Liabilities3.96M3.36M3.70M3.59M3.46M
Stockholders Equity5.83M8.01M10.23M16.37M16.20M
Cash Flow
Free Cash Flow-2.93M-5.33M-6.04M-4.03M-7.01M
Operating Cash Flow-2.92M-5.33M-6.03M-4.02M-6.98M
Investing Cash Flow2.97M-2.97M-8.53K-15.19K-21.44K
Financing Cash Flow233.77K2.56M-8.54K4.57M19.71M

Milestone Scientific Technical Analysis

Technical Analysis Sentiment
Negative
Last Price0.50
Price Trends
50DMA
0.78
Negative
100DMA
0.87
Negative
200DMA
0.91
Negative
Market Momentum
MACD
-0.07
Positive
RSI
22.75
Positive
STOCH
9.80
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For MLSS, the sentiment is Negative. The current price of 0.5 is below the 20-day moving average (MA) of 0.62, below the 50-day MA of 0.78, and below the 200-day MA of 0.91, indicating a bearish trend. The MACD of -0.07 indicates Positive momentum. The RSI at 22.75 is Positive, neither overbought nor oversold. The STOCH value of 9.80 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for MLSS.

Milestone Scientific Risk Analysis

Milestone Scientific disclosed 34 risk factors in its most recent earnings report. Milestone Scientific reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Milestone Scientific Peers Comparison

Overall Rating
UnderperformOutperform
Sector (52)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
71
Outperform
$122.92M38.905.94%7.98%3304.55%
62
Neutral
$157.34M-29.87%19.65%60.28%
52
Neutral
$7.47B0.53-62.70%2.38%14.92%0.82%
51
Neutral
$23.40M-138.80%-14.41%-549.88%
41
Neutral
$38.23M-88.36%-9.13%30.04%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
MLSS
Milestone Scientific
0.49
-0.48
-49.48%
HBIO
Harvard Bioscience
0.48
-2.60
-84.42%
INFU
InfuSystem Holdings
5.71
-0.90
-13.62%
KRMD
REPRO-MED Systems
3.49
1.17
50.43%

Milestone Scientific Corporate Events

Executive/Board Changes
Milestone Scientific Appoints New Independent Director
Positive
May 19, 2025

On May 14, 2025, Milestone Scientific Inc. appointed Shanth Thiyagalingam as an independent director. Thiyagalingam, currently CEO of PainTEQ, has extensive experience in the medical device industry, having held leadership roles at Abbott Laboratories and Nevro Corporation. The appointment, announced on May 19, 2025, is expected to strengthen the company’s board with Thiyagalingam’s expertise in medical equipment and healthcare.

The most recent analyst rating on (MLSS) stock is a Buy with a $1.25 price target. To see the full list of analyst forecasts on Milestone Scientific stock, see the MLSS Stock Forecast page.

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: Jul 29, 2025