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olivLaw · US equity research

Milestone Scientific Inc. MLSS

Orthopedic, Prosthetic & Surgical Appliances & Supplies · SIC 3842 · Vertical: Orthopedic, Prosthetic & Surgical Appliances & Supplies (SIC 3842)

0.33USD+9.67% · 1 dayClose 04 Nov 2026

Milestone Scientific develops and sells computer-controlled injection systems built on its proprietary Dynamic Pressure Sensing technology, used in dental procedures and increasingly in epidural anesthesia. It posted an operating loss of 5.7 million USD in fiscal 2025, while product sales in the second quarter of 2026 rose to about 2.8 million USD, showing the medical segment is starting to matter but the company remains financially fragile.

At the close of 04 Nov 2026, Milestone Scientific Inc. (MLSS) stock was 0.33 USD (+9.67% on the day), with market capitalisation 29.2 m USD, beta 1.10, 52-week range 0.25–0.55 USD. Latest reported quarter (Q2 2026): revenue of 2.8 m USD (+22.3% YoY), net income of -1.1 m USD, diluted EPS -0.01 USD.

Data as of · AI analysis dated · Source: SEC filings and closing prices, computed by olivLaw.

Market cap
29.2 m USD
shares as of 11 Aug 2026
P/E (TTM)
unavailable
Diluted EPS TTM -0.04 · TTM to 30 Jun 2026
E/P (TTM)
-13.15%
TTM to 30 Jun 2026
Dividend yield
unavailable
Beta (2y)
1.10
Volatility (1y) 86%
52-week range
0.250.55

Price history

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Technical reading

RSI (14)
46.3
neutral
Bollinger (20, 2)
0.29 – 0.36
in the upper half of the band · %B 0.56 · band width 22.2%
SMA 50 / 200
0.39 / 0.35
mixed trend
MACD (12, 26, 9)
-0.02 / -0.02
MACD above signal

Indicators describe past prices; on their own they do not predict direction. On our history the RSI ≤ 40 filter added no return (see the signals methodology).

Performance

CompanyS&P 500vs S&P 500Vertical median
1 month−8.6%−2.0%−6.6 pp—
3 months−30.0%−2.2%−27.8 pp—
6 months−17.8%+4.3%−22.0 pp—
Year to date+21.9%+10.6%+11.3 pp—
1 year−13.4%+10.5%−23.9 pp−2.5%
3 years−61.3%+73.7%−135.0 pp−0.2%
5 years−85.9%+61.7%−147.6 pp—
Max drawdown (1y)
−45.5%
13 Aug 2026 → 26 Oct 2026
Max drawdown (5y)
−90.8%
17 Nov 2021 → 04 Feb 2026
Compound annual growth (5y)
−32.4%
S&P 500 +10.1%

Price returns, dividends excluded.

Quarterly results

Latest quarter: Q2 2026 · 30 Jun 2026

Revenue
2.8 m USD
+22.3% YoY
Net income
-1.1 m USD
unavailable YoY
Diluted EPS
-0.01
unavailable YoY
net / operating
-37.3% / -37.4%

Quarterly margins

Quarterly statements · USD

Fiscal yearQ3 '24Q4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26Q2 '26
Revenue2.5 m2.0 m2.2 m2.3 m2.4 m2.1 m2.2 m2.8 m
Cost of revenue677.6 k502.5 k585.0 k705.9 k719.2 k556.3 k598.0 k930.9 k
Gross profit1.8 m1.5 m1.6 m1.6 m1.6 m1.5 m1.6 m1.9 m
Research & development232.1 k217.5 k369.1 k51.8 k16.2 k12.3 k—6.6 k
SG&A3.1 m3.3 m3.3 m3.0 m2.7 m2.5 m2.4 m2.9 m
Operating income-1.5 m-2.0 m-2.0 m-1.5 m-1.1 m-1.1 m-828.1 k-1.1 m
Depreciation & amortisation8.6 k8.7 k19.4 k19.5 k20.1 k19.2 k19.5 k19.6 k
Pre-tax income-1.5 m-2.0 m-2.0 m-1.5 m-1.2 m-1.1 m-839.9 k-1.1 m
Income tax———0————
Net income-1.5 m-2.0 m-2.0 m-1.5 m-1.2 m-1.1 m-839.9 k-1.1 m
Diluted EPS-0.02-0.03 ≈-0.02-0.02-0.01-0.01 ≈-0.01-0.01
Operating cash flow-973.9 k ≈-1.5 m-1.0 m-1.8 m ≈81.8 k ≈-226.1 k86.8 k-585.1 k ≈
Capex—3.5 k1.3 k4.5 k ≈6.2 k ≈3.1 k1.6 k4.1 k ≈

≈ derived quarter (cumulative difference / share-days average)

E/P over time

E/P = trailing-12-month diluted EPS / price at quarter end. E/P is the inverse of P/E and stays defined when earnings are negative.

Fiscal years

Fiscal year20182019202020212022202320242025
Revenue9.6 m8.4 m5.4 m10.3 m8.8 m9.8 m8.6 m9.0 m
Revenue YoY−14.7%−13.0%−35.1%+89.5%−14.5%+11.6%−12.2%+4.0%
Net income-7.4 m-7.5 m-7.3 m-6.8 m-8.7 m-6.9 m-4.7 m-5.7 m
Net income YoYunavailableunavailableunavailableunavailableunavailableunavailableunavailableunavailable
Diluted EPS-0.21-0.16-0.12-0.10-0.12-0.10-0.06-0.07
Diluted EPS YoYunavailableunavailableunavailableunavailableunavailableunavailableunavailableunavailable
net %-77.2%-89.8%-134.9%-66.2%-98.9%-70.5%-54.6%-63.8%
Free cash flow-1.6 m-1.8 m-7.0 m-4.0 m-6.0 munavailable-2.9 m-2.9 m

Reported results vs expectations

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Balance sheet & financial health

Fiscal year 2025 · 31 Dec 2025

Cash
1.1 m USD
Financial debt
unavailable USD
Net debt
unavailable USD
Equity
2.8 m USD
Total assets
7.8 m USD
Debt / equity
unavailable
Current ratio
1.81x
ROE
-132.4%
ROA
-65.0%
FCF margin
-32.7%

Financial statements (source on every figure)

Revenue and net income (USD)

Margins

Income statement · USD

Revenue
2023
9.8 m
2024
8.6 m
2025
9.0 m

SEC (XBRL)· 31 Mar 2026verified

Cost of revenue
2023
3.0 m
2024
2.2 m
2025
2.6 m

SEC (XBRL)· 31 Mar 2026verified

Gross profit
2023
6.8 m
2024
6.4 m
2025
6.4 m

SEC (XBRL)· 31 Mar 2026verified

Research & development
2023
701.4 k
2024
858.8 k
2025
449.5 k

SEC (XBRL)· 31 Mar 2026verified

SG&A
2023
13.1 m
2024
12.3 m
2025
11.6 m

SEC (XBRL)· 31 Mar 2026verified

Operating income
2023
-7.1 m
2024
-6.8 m
2025
-5.7 m

SEC (XBRL)· 31 Mar 2026verified

Depreciation & amortisation
2023
61.9 k
2024
37.4 k
2025
78.2 k

SEC (XBRL)· 31 Mar 2026verified

EBITDA
2023
-7.0 m ≈
2024
-6.7 m ≈
2025
-5.6 m ≈

SEC (XBRL)· 31 Mar 2026derived

Pre-tax income
2023
-7.0 m
2024
-4.7 m
2025
-5.7 m

SEC (XBRL)· 31 Mar 2026verified

Income tax
2023
0
2024
—
2025
—

SEC (XBRL)· 29 Mar 2024verified

Net income
2023
-6.9 m
2024
-4.7 m
2025
-5.7 m

SEC (XBRL)· 31 Mar 2026verified

Diluted EPS
2023
-0.10
2024
-0.06
2025
-0.07

SEC (XBRL)· 31 Mar 2026verified

Weighted average diluted shares
2023
—
2024
79.8 m
2025
82.1 m

SEC (XBRL)· 31 Mar 2026verified

Balance sheet · USD

Cash
2023
3.0 m
2024
3.3 m
2025
1.1 m

SEC (XBRL)· 13 May 2026verified

Receivables
2023
312.7 k
2024
475.4 k
2025
—

SEC (XBRL)· 15 Apr 2025verified

Inventories
2023
2.6 m
2024
3.7 m
2025
3.8 m

SEC (XBRL)· 31 Mar 2026verified

Current assets
2023
10.8 m
2024
9.3 m
2025
7.5 m

SEC (XBRL)· 31 Mar 2026verified

Property, plant & equipment, net
2023
10.0 k
2024
12.9 k
2025
19.2 k

SEC (XBRL)· 31 Mar 2026verified

Intangibles (excl. goodwill)
2023
178.6 k
2024
148.4 k
2025
79.1 k

SEC (XBRL)· 31 Mar 2026verified

Total assets
2023
11.4 m
2024
9.8 m
2025
7.8 m

SEC (XBRL)· 31 Mar 2026verified

Accounts payable
2023
—
2024
—
2025
—

SEC (XBRL)· 30 Mar 2023verified

Current liabilities
2023
3.1 m
2024
3.7 m
2025
4.1 m

SEC (XBRL)· 31 Mar 2026verified

Total liabilities
2023
3.4 m
2024
4.0 m
2025
5.0 m

SEC (XBRL)· 31 Mar 2026verified

Equity
2023
8.0 m
2024
5.8 m
2025
2.8 m †

SEC (XBRL)· 31 Mar 2026verified

Cash flow · USD

Operating cash flow
2023
-5.3 m
2024
-2.9 m
2025
-2.9 m

SEC (XBRL)· 31 Mar 2026verified

Capex
2023
—
2024
10.1 k
2025
15.1 k

SEC (XBRL)· 31 Mar 2026verified

Free cash flow
2023
—
2024
-2.9 m ≈
2025
-2.9 m ≈

SEC (XBRL)· 31 Mar 2026derived

Investing cash flow
2023
-3.0 m
2024
3.0 m
2025
-15.1 k

SEC (XBRL)· 31 Mar 2026verified

Financing cash flow
2023
2.6 m
2024
233.8 k
2025
786.3 k

SEC (XBRL)· 31 Mar 2026verified

Computed indicators

Growth

Revenue growth (YoY)
4.0%
computed by olivLawFY 2025
Revenue CAGR 3Y
0.6%
computed by olivLawFY 2022 → FY 2025
Revenue CAGR 5Y
10.5%
computed by olivLawFY 2020 → FY 2025
EBIT growth (YoY)
unavailable
the base of the ratio is not positive
Net income growth (YoY)
unavailable
the base of the ratio is not positive
Net income CAGR 3Y
unavailable
the base of the ratio is not positive
Net income CAGR 5Y
unavailable
the base of the ratio is not positive
EPS growth (YoY)
unavailable
the base of the ratio is not positive
EPS CAGR 3Y
unavailable
the base of the ratio is not positive
EPS CAGR 5Y
unavailable
the base of the ratio is not positive
FCF growth (YoY)
unavailable
the base of the ratio is not positive

Profitability

Gross margin
70.2%
computed by olivLawTTM to 30 Jun 2026
EBITDA margin
-42.7%
computed by olivLawTTM to 30 Jun 2026
EBIT margin
-43.6%
computed by olivLawTTM to 30 Jun 2026
Net margin
-44.0%
computed by olivLawTTM to 30 Jun 2026
FCF margin
-7.0%
computed by olivLawTTM to 30 Jun 2026

Returns

ROE
-121.7%
computed by olivLawTTM to 30 Jun 2026 · balance sheet at 30 Jun 2026
ROA
-50.5%
computed by olivLawTTM to 30 Jun 2026 · balance sheet at 30 Jun 2026
ROIC
unavailable
input data missing
ROCE
-103.9%
computed by olivLawTTM to 30 Jun 2026 · balance sheet at 30 Jun 2026
Payout ratio (EPS)
unavailable
input data missing
Payout ratio (FCF)
unavailable
input data missing

Balance sheet

Net debt
unavailable
input data missing
Net debt / EBITDA
unavailable
input data missing
Debt / equity
unavailable
input data missing
Interest coverage
unavailable
the reported interest expense is far older than the latest period (the filer changed its XBRL tag): a stale figure is not used

Liquidity

Current ratio
1.8x
computed by olivLawbalance sheet at 30 Jun 2026
Quick ratio
1.1x
computed by olivLawbalance sheet at 30 Jun 2026
Cash ratio
unavailable
input data missing

Cash

Operating cash flow
-642.6 k USD
computed by olivLawTTM to 30 Jun 2026
Capital expenditure
15.1 k USD
computed by olivLawTTM to 30 Jun 2026
Free cash flow
-657.8 k USD
computed by olivLawTTM to 30 Jun 2026
FCF conversion
unavailable
insufficient data
Cash conversion
unavailable
insufficient data

Efficiency

Days sales outstanding
unavailable
input data missing
Days inventory outstanding
454 days
computed by olivLawTTM to 30 Jun 2026 · balance sheet at 30 Jun 2026
Days payables outstanding
unavailable
input data missing
Cash conversion cycle
unavailable
input data missing

Market and valuation

Market capitalisation
29.2 m USD
computed by olivLawbalance sheet at 30 Jun 2026
Enterprise value
unavailable
input data missing
Market cap / net income TTM
unavailable
insufficient data
P/E (TTM)
unavailable
insufficient data
Earnings yield
-13.1%
computed by olivLawTTM to 30 Jun 2026
P/B
8.4x
computed by olivLawbalance sheet at 30 Jun 2026
P/S
3.1x
computed by olivLawTTM to 30 Jun 2026 · balance sheet at 30 Jun 2026
EV/EBITDA
unavailable
input data missing
EV/EBIT
unavailable
input data missing
EV/Sales
unavailable
input data missing
P/FCF
unavailable
the base of the ratio is not positive
FCF yield
-2.3%
computed by olivLawTTM to 30 Jun 2026 · balance sheet at 30 Jun 2026
Dividend yield
unavailable
no dividend in the structured statements; a missing line is not a confirmed zero
Shareholder yield (distributions)
unavailable
input data missing

1 indicators that do not apply to the sector.

Valuation

olivLaw classification

Insufficient data
What is missing
  • indicators available: 4 of at least 6
  • score weight coverage: 27.1% of at least 60%
  • valuation methods computed: 0 of at least 1

A scoring methodology on indicators and valuation, not investment advice.

Closing price

0.33 USD

04 Nov 2026Source: olivLaw, closing series

Market cap: 29.2 m USD

Key indicators

Market capitalisation
29.2 m USD
computed by olivLawbalance sheet at 30 Jun 2026
P/E (TTM)
unavailable
insufficient data
P/B
8.4x
computed by olivLawbalance sheet at 30 Jun 2026
EV/EBITDA
unavailable
input data missing
ROE
-121.7%
computed by olivLawTTM to 30 Jun 2026 · balance sheet at 30 Jun 2026
Net margin
-44.0%
computed by olivLawTTM to 30 Jun 2026
Revenue growth (YoY)
4.0%
computed by olivLawFY 2025
Dividend yield
unavailable
no dividend in the structured statements; a missing line is not a confirmed zero

Coverage and freshness

29/37 reporting lines present
Latest full fiscal year: 2025
Latest reported period: 30 Jun 2026
Latest balance sheet date: 30 Jun 2026
Share count (cover of the latest filing), as of: 11 Aug 2026
Source: SEC (XBRL)published 13 Aug 2026
verified 2322derived 209

Score by group

27% · Insufficient data

Estimated value range

unavailable — no valuation method could be computed

Valuation assumptions are editorial choices, not measured; beta is not measured.

Valuation methods

  • DCF (discounted cash flow)unavailable · the reported interest expense is far older than the latest period (the filer changed its XBRL tag): a stale figure is not used
  • Peers: EV/EBITDAunavailable · net debt missing: EV cannot be bridged to equity (missing debt is not zero)
  • Peers: P/Eunavailable · the base of the ratio is not positive
  • Dividend discount (DDM)unavailable · the company pays no dividend: a dividend model needs an explicit initiation assumption

no valuation method could be computed

Multiple comparisons use the SIC vertical: Orthopedic, Prosthetic & Surgical Appliances & Supplies (SIC 3842)

Classification (SIC) comparables group by industry code, not by economic activity; the direct group is an editorial selection by activity. Members' multiples are on their own trailing twelve months, at their own latest close.

Assumptions (illustrative, editorial)

Risk-free rate
4.3%
Equity risk premium
5.0%
Beta (default)
1.00
Cost of equity
9.3%
Terminal growth
2.5%

Factor scorecard

Insufficient data

Minimum-evidence gate: indicators available: 4 of at least 6; score weight coverage: 27.1% of at least 60%; valuation methods computed: 0 of at least 1

FactorValueScoreWeight used
ROIC · Qualityunavailableunavailable—
Net margin · Quality-44.0%32 (vs peers)23%
FCF conversion · Qualityunavailableunavailable—
Revenue CAGR 3Y · Growth0.6%5 (on a fixed band)31%
EPS CAGR 3Y · Growthunavailableunavailable—
Net debt / EBITDA · Balance sheetunavailableunavailable—
Interest coverage · Balance sheetunavailableunavailable—
Current ratio · Balance sheet1.8x87 (on a fixed band)15%
P/E (TTM) · Valuationunavailableunavailable—
EV/EBITDA · Valuationunavailableunavailable—
FCF yield · Valuation-2.3%0 (on a fixed band)31%
Shareholder yield (distributions) · Returnsunavailableunavailable—
Payout ratio (FCF) · Returnsunavailableunavailable—

Factors without a value were dropped; the remaining weights were renormalised.

Score groups

  • Balance sheet· partial87/100 · 1/3 factors with a value
  • Growth· partial5/100 · 1/2 factors with a value
  • Quality· partial32/100 · 1/3 factors with a value
  • Returns· partialunavailable · 0/2 factors with a value
  • Valuation· partial0/100 · 1/3 factors with a value

A «partial» group is computed from under half of its weight or from one factor: it is not a full assessment of the group.

Memo

MILESTONE SCIENTIFIC INC. (MLSS). Latest full fiscal year: 2025; data up to 2026-06-30.

Figures computed from the financial statements: revenue 9.0 m USD in 2025; YoY growth 4.0%; net margin -44.0%; ROE -121.7%.

Valuation cannot be computed from the available data.

Insufficient data for a verdict (indicators available: 4 of at least 6; score weight coverage: 27.1% of at least 60%; valuation methods computed: 0 of at least 1).

Text generated deterministically from the figures shown; no language model. Not investment advice.

What supports the thesis

  • Current ratio: 1.8x

What contradicts it

  • Revenue CAGR 3Y: 0.6%
  • FCF yield: -2.3%

Not assessed (insufficient data or a ratio without meaning): ROIC, FCF conversion, EPS CAGR 3Y, Net debt / EBITDA, Interest coverage, P/E (TTM), EV/EBITDA, Shareholder yield (distributions), Payout ratio (FCF).

Versus the vertical median

Orthopedic, Prosthetic & Surgical Appliances & Supplies (SIC 3842) · same industry (4-digit SIC) · compared with 23 companies

Multiples and returns vs the median

P/E
—
vertical median 33.3x
EV/EBITDA
—
vertical median 17.0x
P/S
3.1x
vertical median 3.6x
below median (−13.1%)
P/B
8.4x
vertical median 3.8x
above median (+120.9%)
ROE
-121.7%
vertical median -16.4%
below median
Net margin
-44.0%
vertical median -10.5%
below median
EBIT margin
-43.6%
vertical median -0.6%
below median
Revenue YoY
4.0%
vertical median 7.1%
below median (−43.9%)
Net debt/EBITDA
—
vertical median 3.0x
Dividend yield
—
vertical median 1.1%

Price rebased to 100 (monthly, 5 years)

Companies in the vertical

Market capP/EROENet marginRevenue YoY1A / 3A
ISRGIntuitive Surgical, Inc.152.8 bn53.318.0%25.5%+20.5%−23% / +42%
EWEdwards Lifesciences Corporation54.9 bn54.89.5%15.4%+11.5%+10% / +41%
SNNSmith & Nephew plc28.5 bn45.311.8%10.1%+6.1%−2% / +25%
STESTERIS plc22.6 bn28.011.4%13.3%+8.7%−13% / +15%
ZBHZimmer Biomet Holdings, Inc.18.5 bn23.66.4%9.5%+7.2%−0% / −17%
ALGNAlign Technology, Inc.11.7 bn28.710.2%10.0%+0.9%+12% / −23%
MSAMsa Safety Inc6.8 bn22.822.1%15.0%+3.7%+10% / +2%
ESTAEstablishment Labs Holdings Inc.2.0 bn—-175.3%-15.8%+27.1%−3% / +161%
ENOVEnovis Corp1.4 bn—-54.3%-48.0%+6.7%−19% / −51%
CDRECadre Holdings, Inc.1.3 bn38.010.6%5.3%+7.5%−28% / −4%
AVRAnteris Technologies Global Corp.596.4 m—-75.1%-4,619.3%−29.2%+49% / unavailable
COCHEnvoy Medical, Inc.549.6 m——-11,304.8%+7.1%+749% / +216%
ZJYLJin Medical International Ltd.483.7 m309.04.1%5.8%−12.0%−39% / −87%
SMTISanara Medtech Inc.297.0 m—-147.7%-29.2%+19.0%+55% / −0%
INGNInogen, Inc.191.6 m—-13.1%-6.9%+3.9%+2% / +24%
LAKELakeland Industries, Inc.88.7 m—-19.6%-14.0%+15.2%−41% / −39%
NTRBNutriband Inc.73.9 m—-100.7%-430.4%−4.8%+23% / +140%
APTAlpha Pro Tech, Ltd.58.6 m14.16.6%6.8%+2.3%+25% / +17%
CLGNCollPlant Biotechnologies Ltd54.2 m—-117.6%-484.6%+360.4%−81% / −92%
MYOMyomo, Inc.51.5 m—-123.8%-33.5%+25.7%+46% / −58%
MLSSMilestone Scientific Inc.29.2 m—-121.7%-44.0%+4.0%−13% / −61%
LFWDLifeward Ltd.17.2 m—-225.6%-141.3%−14.1%−13% / −90%
CUPRCuprina Holdings (Cayman) Limited14.1 m—-1,115.0%-9,366.7%+9.2%−64% / unavailable
BBLGBone Biologics Corporation1.2 m—-47.5%—0.0%−77% / −98%

1- and 3-year price returns: for MLSS from daily closes (the same as the performance table), for the other companies from month-end closes.

olivLaw engine forecast

The world engine ran after the company's latest material disclosure. Probabilities are of TOUCHING a level within the horizon (not closing there) and sit next to the random walk (p_rw), the no-information benchmark.

The engine has no published run for this company yet.

Valuation scenarios (editable assumptions)

Illustrative scenarios

Illustrative: not forecasts and without probabilities. Each case is one coherent set of assumptions, computed on today's figures.

Bear
Allowed range: -50 … 50%
Allowed range: -100 … 100%
Allowed range: 0 … 100
Allowed range: -10 … 20%
Allowed range: 0 … 100%
Base
Allowed range: -50 … 50%
Allowed range: -100 … 100%
Allowed range: 0 … 100
Allowed range: -10 … 20%
Allowed range: 0 … 100%
Bull
Allowed range: -50 … 50%
Allowed range: -100 … 100%
Allowed range: 0 … 100
Allowed range: -10 … 20%
Allowed range: 0 … 100%
Nothing is saved.

Estimated price (USD)

Estimated priceBearBaseBull
1 years
insufficient data
Total return unavailable · Per year unavailable
insufficient data
Total return unavailable · Per year unavailable
insufficient data
Total return unavailable · Per year unavailable
3 years
insufficient data
Total return unavailable · Per year unavailable
insufficient data
Total return unavailable · Per year unavailable
insufficient data
Total return unavailable · Per year unavailable
5 years
insufficient data
Total return unavailable · Per year unavailable
insufficient data
Total return unavailable · Per year unavailable
insufficient data
Total return unavailable · Per year unavailable
What moves the 3-year price the most

    AI analysis

    AI-generatedAI-generated analysis (Claude) from cited public sources; it may contain errors. Not investment advice. As of 27 Oct 2026 · Model: claude-haiku-5-5.

    In brief

    Milestone Scientific develops and sells computer-controlled injection systems built on its proprietary Dynamic Pressure Sensing technology, used in dental procedures and increasingly in epidural anesthesia. It posted an operating loss of 5.7 million USD in fiscal 2025, while product sales in the second quarter of 2026 rose to about 2.8 million USD 12, showing the medical segment is starting to matter but the company remains financially fragile.

    SWOT

    Strengths

    • The proprietary Dynamic Pressure Sensing technology is protected by a large patent portfolio and has published clinical studies behind it.
    • The dental segment has an established customer base and recurring consumable sales, giving relatively predictable revenue.
    • The epidural product holds FDA clearance and reimbursement codes, which lowers entry barriers in the medical market.

    Weaknesses

    • The company has reported losses in every period since inception and depends on new capital to continue operating.
    • Medical sales are still small, and a large share of revenue depends on a single product.
    • The company has delayed development of its next-generation instrument because of cash management constraints.

    Opportunities

    • Wider reimbursement and clearances for additional anatomical uses could open further markets for the epidural system.
    • International markets, including orders from China, could add revenue if they become more consistent.
    • The technology could be applied to self-injection therapies at home, if that development succeeds.

    Threats

    • Competitors with much greater financial resources could develop alternative systems that are more effective or cheaper.
    • Payer pressure and reduced reimbursement could limit pricing and adoption of the products.
    • Tariffs and supply disruptions, particularly at the manufacturer in China, could raise costs.

    Risks

    • Going concernhigh

      The cash position and recurring losses raise substantial doubt about the company's ability to continue as a going concern without new capital.

    • Dependence on the epidural producthigh

      If the CompuFlo Epidural System fails to win physician acceptance, the medical segment could remain very small.

    • Dilution riskmedium

      Raising capital by issuing shares could dilute existing shareholders and restrict operations.

    • Supplier dependencemedium

      Production relies on a few suppliers, and interruptions or price changes could affect deliveries.

    • Listing riskmedium

      If the company does not regain compliance with NYSE American listing requirements, it could be delisted, which would reduce liquidity.

    Investment thesis

    What would need to be true (bull case)

    • Sales growth in the second quarter of 2026 and a recovering contribution from the medical line could show the business can sustain growth.
    • If reimbursement for the epidural procedure expands, the medical segment could become a real growth engine.
    • Its patented technology and dental customer base give it a niche position that competitors would find hard to replicate.

    What would break the thesis

    • Continuing operating losses and doubts about going concern could force significant dilution or cutbacks.
    • Recent growth partly came from one customer group in China, which could prove a temporary peak rather than a trend.
    • Larger competitors could erode market share if they develop cheaper or more effective solutions.

    What to watch

    • Whether China orders in dental sales recurQ3 2026
    • Gross margin trend after tariffs and production cost increasesQ3 2026
    • Medical segment revenue and adoption of the CompuFlo Epidural System2027
    • New financing, shareholder dilution and any going concern disclosuresnext 10-K

    Products, market & competition

    AI-generatedAI-generated analysis (Claude) from cited public sources; it may contain errors. Not investment advice. As of 27 Oct 2026 · Model: claude-haiku-5-5.

    The business

    Incorporated in Delaware in 1989, the company develops computer-controlled drug delivery systems that regulate flow rate and measure pressure at the needle tip in real time 1. Its core technology, Dynamic Pressure Sensing, underlies the CompuDent and STA dental products and the CompuFlo Epidural System, which holds FDA 510(k) clearance 1. The company says it holds about 305 issued patents and roughly ten registered trademarks 1.

    Segments

    Dental

    The dental segment is the main source of revenue, driven by instrument sales and recurring disposable handpieces 2. In the second quarter of 2026, dental sales were about 2.7 million USD, with growth supported by orders from China worth about 498,000 USD 2.

    Medical

    The medical segment, centred on the CompuFlo Epidural System, is described as a strategic growth area still in early adoption 2. Sales rose in the second quarter of 2026 to about 106,000 USD from 32,000 USD a year earlier 2. The company stresses that reimbursement for the associated procedure is an important factor 1.

    Market context

    The company competes in controlled injection, where its devices face traditional syringes and other computer-controlled systems, mainly in dentistry and epidural anesthesia. Exports are a large part of the business, with sales outside the United States at about 45% of total sales in fiscal 2025 1. Market development depends on physician acceptance and on payer reimbursement policies.

    Trends

    • Reimbursement for the epidural proceduretailwind

      The Category III CPT code and Medicare payment determinations for the epidural procedure could support adoption of the medical system if these conditions hold 1.

    • Pricing pressure from payersheadwind

      Healthcare payers increasingly try to limit costs, which could reduce prices or reimbursement levels for the company's products 1.

    • Tariffs and production costsheadwind

      Higher costs, including tariffs on imported products and components, pressured gross margin in the second quarter of 2026 even as sales grew 2.

    • International sales and China ordersmixed

      Revenue from China added a notable boost in one quarter, but variability in international markets remains a risk and the effect could prove temporary 2.

    Competitive position

    In dentistry the company competes with other computer-controlled local anesthesia systems from Dental Hi Tec, Septodont, Aseptico and Dentsply Sirona 1. In epidural placement, competition comes from syringes and devices such as EpiFaith, Episure, Epidrum and EpiFinder, the last cleared by the FDA in 2023 1.

    • Dental Hi Tec

      Maker of the Soan, Quicksleeper and SleeperOne systems, in direct competition in dentistry.

    • Septodont

      Offers the Dentapen and Anaeject systems in the computerized dental market.

    • Dentsply SironaXRAY

      Sells the Comfort Control Syringe within a much broader dental portfolio.

    • EpiFinder system producer

      Device cleared by the FDA in 2023 for identifying the epidural space, active in the medical segment.

    News & filings

    In the press

    SEC filings

    • Quarterly report13 Aug 2026
    • Current report31 Jul 2026
      Departure or appointment of officers · Shareholder vote
    • Current report29 Jul 2026
      Other events · Financial statements and exhibits
    • Current report25 Jun 2026
      Material agreement · Departure or appointment of officers · Regulation FD disclosure · Financial statements and exhibits
    • Proxy statement22 Jun 2026
    • Quarterly report13 May 2026
    • Current report06 May 2026
      Item 4.01 · Financial statements and exhibits
    • Current report06 May 2026
      Departure or appointment of officers · Financial statements and exhibits
    • Current report21 Apr 2026
      Material agreement · Item 3.02 · Financial statements and exhibits
    • Current report02 Apr 2026
      Material agreement · Financial statements and exhibits

    Sources

    1. [1] Form 10-K, fiscal year ended 2025-12-31 · SEC / Milestone Scientific Inc. · 31 Mar 2026
    2. [2] Form 10-Q, quarter ended 2026-06-30 · SEC / Milestone Scientific Inc. · 13 Aug 2026
    3. [3] Form 8-K, results release (exhibit 99.1) · SEC / Milestone Scientific Inc. · 05 Apr 2005

    Figures computed by olivLaw from SEC filings and closing prices; the qualitative analysis is AI-generated from cited sources. Not investment advice.