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Milestone Scientific (MLSS) AI Stock Analysis

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MLSS

Milestone Scientific

(NYSE MKT:MLSS)

Select Model
Rating:51Neutral
Price Target:$0.29â–¼(-5.50% Downside)
Action:reiterated
Date:10/03/26

MLSS scores in the low-50s primarily due to weak financial performance (ongoing losses and negative free cash flow) and bearish-to-weak technicals. Offsetting this, the earnings call showed meaningful operating momentum (revenue growth, reimbursement progress, clinical validation, and reaffirmed guidance), while valuation is constrained by negative earnings and corporate actions add flexibility but increase dilution risk.

Positive Factors
Revenue GrowthRising revenue and reaffirmed full-year guidance indicate that commercial momentum is developing beyond a single quarter. Continued growth, particularly from CompuFlo, could expand the revenue base, improve operating leverage, and support a clearer path toward sustainable profitability.
Negative Factors
Persistent UnprofitabilityThe company remains materially unprofitable and does not yet generate positive free cash flow, so revenue growth has not translated into self-funding operations. Continued losses can constrain investment flexibility and keep the business dependent on execution improvements or external capital.

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

-40%-20%0%20%40%60%80%MLSS-6.36%SPY+14.28%Dec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26Nov '26
Market Cap
$26.45M
Dividend Yield
―
Average Volume (3M)
113.36K
Price to Earnings (P/E)
-6.5
Beta (1Y)
1.00
Revenue Growth
3.72%
EPS Growth
43.78%
Country
US
Employees
15
Sector
Healthcare
Sector Strength
51
Industry
Medical - Instruments & Supplies

Milestone Scientific Business Overview & Revenue Model

Company Description

Milestone Scientific Inc. is dedicated to the innovation, refinement, and global distribution of advanced diagnostic and therapeutic injection technologies and devices. These solutions cater to the medical, dental, and cosmetic industries, with a pre...

Milestone Scientific Earnings Call Summary

Earnings Call Date:Aug 14, 2026(Q2-2026)|% Change Since:-44.12%|Next Earnings Date:May 15, 2019
Earnings Call SentimentPositive

The call presented multiple clear operational and commercial wins — robust revenue growth, a large percentage increase in medical segment revenue, important Medicare reimbursement milestones, strong third-party clinical validation (91% reduction in complication odds), new federal distribution access, and improved expense discipline that reduced net loss. Offsetting these positives are margin pressure from increased product/import costs, a non-recurring ~ $500K international order that tempers near-term sequential revenue (Q3 guide below Q2), medical revenue still coming from a small base, staffing capacity constraints for lead and reimbursement follow-up, and a modest cash balance that could require monitoring. On balance the call emphasized measurable commercial progress and validation and management provided a path to scale reimbursement and federal channels, while acknowledging operational headwinds to be managed.

Positive Updates

Quarterly and Year-to-Date Revenue Growth
Total revenue for Q2 FY2026 was $2.8M, an increase of 22% (+$518K) versus Q2 2025. First half revenue was $5.0M, up 9.8% YoY (+$447K).

Negative Updates

Gross Margin Compression
Gross margin declined to 67.2% in Q2 from 69.6% prior-year (down 2.4 percentage points), driven by product/customer mix and increased product costs including tariffs, tolls and certain import components.

Company Guidance

Management reaffirmed 2026 revenue guidance of $9.8M–$10.2M and said CompuFlo should grow faster than the overall business, after reporting Q2 revenue of $2.8M (up 22% YoY) and H1 revenue of $5.0M (up ~9.8% YoY), with the base business contributing $2.4M and roughly $500K of upside from international orders; Medical segment revenue grew 231% YoY in Q2, supported by a $325 payment established under Novitas and First Coast covering 3 jurisdictions and 13 states (≈30–35% of the U.S. population), while the company noted a UTMB study showing a 91% reduction in odds of composite complications and CompuFlo use at >40 academic centers; Q2 gross profit was $1.9M (67.2% margin), operating expenses were ≈$3.0M (down ~$0.5M or 4.2%), Q2 net loss was $1.1M (vs $1.5M prior), six‑month gross profit was $3.5M (69.4%), six‑month OpEx was $5.4M (down ~$1.4M or 20%), cash was $2.1M with $3.7M working capital and $466K convertible debt (plus a $2.51M private placement in April), the company expects Q3 to be seasonally slower and guided Q3 revenue to roughly $2.3M–$2.5M (noting two large Q2 international orders are not expected to recur), and highlighted commercial traction with 150–200 leads/month (150–200), >40 qualified ASPN leads, a Red One distribution channel reaching ~18M veterans/military beneficiaries, and a plan to take government orders in Q4.

Milestone Scientific Financial Statement Overview

Summary

Revenue is improving and gross margins are strong (~70%), but profitability and cash generation remain major issues (TTM net margin roughly -44% and negative operating/free cash flow around -$0.64M). Leverage is modest (debt-to-equity ~0.18), yet equity has eroded materially over time, keeping the financial profile high-risk until sustained profitability and positive cash flow are achieved.

Income Statement

24Negative

Balance Sheet

53Neutral

Cash Flow

18Very Negative
Financial statement breakdown
BreakdownTTMMar 2026Mar 2025Mar 2024Mar 2023Mar 2022
Income Statement
Total Revenue9.42M8.97M8.63M9.83M8.81M10.30M
Gross Profit6.56M6.33M6.43M6.79M4.90M6.31M
EBITDA-3.92M-5.51M-4.58M-6.83M-8.63M-6.79M
Net Income-4.14M-5.72M-4.71M-6.93M-8.71M-6.82M
Balance Sheet
Total Assets8.35M7.81M9.80M11.37M13.70M19.81M
Cash, Cash Equivalents and Short-Term Investments2.07M1.11M3.26M5.95M8.72M14.76M
Total Debt615.70K1.02M349.05K395.98K497.04K586.59K
Total Liabilities4.88M4.99M3.96M3.36M3.70M3.59M
Stockholders Equity3.47M2.81M5.83M8.01M10.23M16.37M
Cash Flow
Free Cash Flow-642.63K-2.93M-2.93M-5.33M-6.04M-4.03M
Operating Cash Flow-642.64K-2.92M-2.92M-5.33M-6.03M-4.02M
Investing Cash Flow-15.12K-15.12K2.97M-2.97M-8,527-15.19K
Financing Cash Flow1.45M786.34K233.77K2.56M-8,5444.57M

Milestone Scientific Technical Analysis

Technical Analysis SentimentNegative
Last Price0.31

Price Trends

50DMA0.37Negative
100DMA0.39Negative
200DMA0.35Negative

Market Momentum

MACD-0.02Negative
RSI36.97Neutral
STOCH11.11Positive

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 0.31 is below the 20-day moving average (MA) of 0.31, below the 50-day MA of 0.37, and below the 200-day MA of 0.35, indicating a bearish trend. The MACD of -0.02 indicates Negative momentum. The RSI at 36.97 is Neutral, neither overbought nor oversold. The STOCH value of 11.11 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 49 risk factors in its most recent earnings report. Milestone Scientific reported the most risks in the "Finance & Corporate" category.

Higher RiskSector Avg.Lower RiskFinance & CorporateTech & InnovationLegal & RegulatoryProductionAbility to SellMacro & Political
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy

Latest Risks Added

3 New Risks
1.Our April 2026 private placement and outstanding convertible instruments create significant dilution risk for existing stockholders.Q2, 2026
2.Our ability to continue as a going concern may adversely affect our businessQ2, 2026
3.Our medical product commercialization efforts may not achieve the expected adoptionQ2, 2026

Milestone Scientific Peers Comparison

Overall Rating

UnderperformOutperform
Sector (51)

Financial Indicators

MLSS against its peers
NameOverall RatingMarket CapP/E RatioROEDividend YieldRevenue GrowthEPS Growth
NEPHNEPH64Neutral$34.24M17.1616.83%―20.36%26.09%
Sector *51Neutral$7.86B-0.30-43.30%2.27%22.53%-2.21%
POCIPOCI51Neutral$55.74M-10.90-23.92%―65.16%45.07%
MLSSMLSS51Neutral$26.46M-6.49-149.08%―3.72%43.78%
FEMYFEMY45Neutral$11.98M-0.33-225.98%―21.86%73.27%
RVPRVP44Neutral$16.59M-4.61-4.59%―-11.16%59.85%
NXGLNXGL39Underperform$11.00M-0.29-133.10%―3.38%-78.48%

* Healthcare Sector Average

Performance Comparison

-50%0%MLSSRVPPOCINEPHFEMYNXGLDec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26Nov '26
MLSS and its peers over the selected period
Show on chartTickerCompany NamePriceChange% Change
MLSSMilestone Scientific Inc0.31-0.07-18.47%
RVPRetractable Technologies0.55-0.26-31.60%
POCIPrecision Optics Corporation, Inc.5.050.224.55%
NEPHNephros, Inc.3.07-1.35-30.54%
FEMYFemasys, Inc.1.50-15.03-90.93%
NXGLNexgel, Inc.4.24-33.76-88.84%
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: Oct 03, 2026