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Milestone Scientific Reports Financial Results for Second Quarter 2026

(Very High)
(Positive)
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Milestone Scientific (NYSE: MLSS) reported second quarter 2026 revenue of $2.84 million, up 22% year-over-year, with medical segment revenue rising approximately 231% on strong CompuFlo adoption. Six-month revenue grew 9.8% to $5.0 million.

Q2 gross margin was 67.2% versus 69.6% a year ago, reflecting product mix and higher costs, including tariffs. Operating expenses fell 4.2% to $3.0 million, narrowing the net loss to $1.06 million ($0.01 per share) from $1.48 million. For the first half, operating expenses declined 20.5% and net loss improved to $1.9 million ($0.02 per share).

As of June 30, 2026, cash and cash equivalents were $2.07 million, with working capital of $3.7 million and $466,000 in convertible debt. The company reaffirmed 2026 revenue guidance of $9.8–$10.2 million, expecting double-digit growth and faster expansion in CompuFlo sales.

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Positive

  • Q2 2026 revenue up 22.3% year-over-year to $2.84 million
  • Medical segment revenue grew about 231% year-over-year, led by CompuFlo
  • Net loss Q2 improved to $1.06 million from $1.48 million
  • Operating expenses (H1) decreased 20.5% to $5.36 million
  • Cash and equivalents increased to $2.07 million from $1.11 million year-end 2025
  • 2026 revenue guidance reaffirmed at $9.8–$10.2 million, implying double-digit growth

Negative

  • Q2 gross margin declined to 67.2% from 69.6% year-over-year
  • H1 gross margin fell to 69.4% from 71.7% in 2025
  • Net loss H1 2026 remains $1.9 million despite improvements
  • Cost pressures include higher product costs and tariffs on certain imported components
  • Q2 revenue benefited from two large international orders not expected to recur in Q3 2026

News Explained

The new federal distribution route is the material change; June 30 reporting lists 88,756,989 common shares outstanding.

After quarter-end, Milestone Scientific entered a strategic distribution agreement with Red One Medical to market and support CompuFlo across the Department of Veterans Affairs, Department of Defense, Defense Health Agency, Indian Health Service and other federal organizations, adding a federal route to customers served by those systems.

The arrangement is described as an agreement to market and support the system, and the release says those organizations together serve more than 18 million enrolled veterans and military beneficiaries.

The release’s June 30 balance sheet reports 88,756,989 common shares outstanding, versus 80,453,116 common shares outstanding on December 31, 2025.

The next specified checkpoint is additional detail alongside third-quarter results in November 2026, when management says it will discuss medical-segment initiatives and their federal, Medicare and commercial payer channels.

Market Context

Across four tag-specific earnings events, the recorded average move was -2.22%. This quarter’s reven...
Analysis

Across four tag-specific earnings events, the recorded average move was -2.22%. This quarter’s revenue growth and reaffirmed outlook sit alongside persistent losses, lower margins, and $2.1 million cash; the active S-3 is a resale registration without company proceeds from resales.

Key Figures

Q2 revenue: $2.8 million Six-month revenue: $5.0 million CompuFlo revenue growth: 230% +5 more
8 metrics
Q2 revenue $2.8 million Three months ended June 30, 2026; up 22% year over year
Six-month revenue $5.0 million Six months ended June 30, 2026; up 10% year over year
CompuFlo revenue growth 230% Second quarter 2026 versus second quarter 2025
Medicare reimbursement Approximately $325 per procedure CompuFlo under CPT® 0777T through Novitas and First Coast
Reduction in complication odds 91% CompuFlo-guided epidural access study
Q2 net loss $1.1 million or ($0.01) per share Three months ended June 30, 2026
Cash and cash equivalents $2.1 million As of June 30, 2026
2026 revenue outlook $9.8 million to $10.2 million Year ending December 31, 2026

Previous Earnings Reports

4 past events · Latest: May 14 (Neutral)
Same Type Pattern 4 events
Date Event Sentiment 24h Move Catalyst
May 14 Q1 earnings report Neutral -4.3% Revenue declined while operating losses and expenses improved year over year.
Mar 31 FY earnings report Positive +3.7% Improved losses and 2026 revenue guidance accompanied the annual results.
Apr 15 FY earnings report Negative -5.4% Revenue and gross profit declined despite improved operating and net losses.
Aug 15 Q2 earnings report Neutral -3.0% Lower revenue contrasted with improved profitability and expanded reimbursement developments.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Tag-specific earnings history showed three divergent reactions and one aligned reaction, with an average move of -2.22%.

Key Terms

medicare administrative contractor, convertible debt
2 terms
medicare administrative contractor regulatory
"additional claims submitted across multiple Medicare Administrative Contractor jurisdictions"
A Medicare Administrative Contractor is a private company hired to handle billing, payments, provider enrollment, and routine audits for Medicare in a specific region, acting like a local claims processor for a large government health plan. Investors care because these contractors influence how quickly and accurately healthcare providers get reimbursed, which affects providers’ cash flow, revenue timing and audit risk—key drivers of financial stability for companies that rely on Medicare payments.
convertible debt financial
"and $466,000 in convertible debt outstanding"
A convertible debt is a loan a company takes that gives the lender the option to swap the owed money for a set number of the company’s shares instead of getting cash back. It matters to investors because it can change who owns the company and how much their shares are worth: if lenders convert, existing shareholders can be diluted, but conversion can also signal confidence and reduce a company’s cash pressure — like getting a coupon that can be redeemed for store ownership rather than a refund.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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Medical Segment Revenue Grows 231% Year-Over-Year

Enters Strategic Distribution Agreement to Expand CompuFlo® Access Across VA and Department of Defense Health Systems

Reaffirms 2026 Outlook for Double-Digit Revenue Growth, Including Significant Growth in CompuFlo® Sales

ROSELAND, N.J., Aug. 14, 2026 (GLOBE NEWSWIRE) --  Milestone Scientific Inc. (MLSS), a leading developer of computerized drug delivery instruments that provide painless and precise injections, today provided a business update and announced financial results for the three and six months ended June 30, 2026.

“Our second quarter results reflect continued execution on the strategy we laid out at the start of the year,” said Eric Hines, Chief Executive Officer of Milestone Scientific. “Total revenue grew 22% year-over-year to $2.8 million, and for the six months ended June 30, 2026, total revenue grew 10% to $5.0 million. Our base business performed well, contributing $2.4 million in the quarter, further supported by approximately $500,000 in upside from international orders. Importantly, our medical business continued to build momentum, with CompuFlo® revenue growing 230% compared to the second quarter of last year, reflecting continued physician adoption and progress on reimbursement, including additional claims submitted across multiple Medicare Administrative Contractor jurisdictions and our first successful paid workers' compensation claim. We currently have Medicare reimbursement of approximately $325 per procedure for CompuFlo® under CPT® 0777T ((real-time pressure-sensing epidural guidance system when used in conjunction with a primary ESI procedure) through Novitas and First Coast, covering three regions and 13 states. We are pursuing the remaining MACs while launching direct sales alongside three distribution partners in covered markets.“We also received meaningful third-party validation of CompuFlo this quarter with the publication of a peer-reviewed University of Texas Medical Branch study in Operative Neurosurgery that associated CompuFlo-guided epidural access during spinal cord stimulator implantation with a 91% reduction in the odds of composite complications,.This compelling evidence reinforces CompuFlo’s differentiated value proposition and supports growing physician acceptance and expanding utilization across critical spinal and epidural procedures including spinal cord stimulator implantation, obstetric epidurals, thoracic and cervical epidurals, neuromodulation therapies and surgical epidural anesthesia. CompuFlo has now been evaluated or utilized across more than 40 universities, academic medical centers and teaching hospitals worldwide.

“Subsequent to quarter end, we took a significant step in expanding our addressable market for CompuFlo, entering into a strategic distribution agreement with Red One Medical, an established federal healthcare distributor, to market and support the CompuFlo Epidural System across the U.S. Department of Veterans Affairs, Department of Defense, Defense Health Agency, Indian Health Service and other federal healthcare organizations, which together serve more than 18 million enrolled veterans and military beneficiaries. On the dental side, we signed a new national distribution partner to expand our sales network and complement our e-commerce business, and continued to build out our international footprint, including a recent registration approval in Uzbekistan, with additional registrations targeted in Japan, Mexico, Turkey and India in coming quarters.

“We also launched the first phase of our artificial intelligence strategy this quarter, with the pilot debut of Milo™, our AI-enabled digital engagement platform, at the American Society of Pain and Neuroscience (ASPN) 2026 conference in Miami Beach. Milo is designed to answer product questions, provide educational information, support lead qualification and connect healthcare professionals with our sales, clinical and customer support teams. In addition, we strengthened our Board of Directors, with Benedetta I. Casamento transitioning from Chair to Executive Chair and the appointments of two new independent directors, Greg Shilling and Kelly Ann Ulto, adding healthcare technology, finance and governance expertise.

“We remain focused on disciplined execution, directing incremental investment toward the areas of the business, particularly medical, where we believe there is the greatest long-term opportunity. At the same time, we are maintaining the cost discipline that has meaningfully narrowed our losses over the past year and continue to target cash flow breakeven in early 2027.”

Financial Results for the Three Months Ended June 30, 2026

For the three months ended June 30, 2026, total revenue was $2.8 million, compared to approximately $2.3 million for the same period in 2025, representing an increase of approximately $518,000, or 22.3%.. The increase in total net sales was driven by growth in dental product sales and continued early-stage adoption and commercialization of the Company’s medical products.

Gross profit for the three months ended June 30, 2026 was $1.9 million, compared to $1.6 million in the prior year period. Gross margin was 67.2% for the three months ended June 30, 2026 compared with 69.6% for the same period in 2025. The decrease in gross margin was primarily due to product and customer mix and increased product costs, including tariffs imposed on certain imported products and components. These cost pressures were partially offset by the higher level of sales during the current period.

Operating expenses decreased by approximately $0.1 million, or 4.2%, to approximately $3.0 million for the three months ended June 30, 2026, compared with approximately $3.1 million for the three months ended June 30, 2025. The decrease was primarily attributable to lower quality and regulatory expenses, consulting and professional service fees, research and development expenses, rent and occupancy costs, and other segment items. These decreases were partially offset by increases in stock-based compensation, warehousing expense, royalty expense, marketing expense, salaries and employee benefits, and travel expense. increased promotional activities, trade shows, advertising, product launches, or customer-acquisition initiatives.

Net loss was $1.1 million or ($0.01) per share, compared to a net loss of $1.5 million, or ($0.02) per share, in the prior year period.

Financial Results for the Six Months Ended June 30, 2026

For the six months ended June 30, 2026 and 2025, total revenue was $5.0 million and $4.6 million, respectively, an increase of $447,000, or 9.8%, driven by continued growth in international dental sales and higher recurring revenue from the Company’s medical segment.

Gross profit for the six months ended June 30, 2026 was $3.5 million, or 69.4% of revenue, compared to $3.3 million, or 71.7% of revenue, for the same period in 2025. Gross margin decreased by approximately 2.2 percentage points, primarily due to product and customer mix and increased product costs, including tariffs imposed on certain imported products and components. These cost pressures were partially offset by the higher level of sales and increased contribution from the Medical segment during the current-year period.

Operating expenses decreased by approximately $1.4 million, or 20.5%, to approximately $5.4 million for the six months ended June 30, 2026, compared with approximately $6.7 million for the six months ended June 30, 2025. The decrease was primarily attributable to lower consulting and professional service fees, research and development expenses, and quality and regulatory expenses, partially offset by increases in salaries and employee benefits, stock-based compensation expense, warehousing expense, royalty expense, and travel expense. Net loss for the six months ended June 30, 2026 was $1.9 million, or $(0.02) per share, compared to a net loss of $3.5 million, or $(0.04) per share, for the comparable period in 2025. As of June 30, 2026, the Company had cash and cash equivalents of $2.1 million, working capital of $3.7 million and $466,000 in convertible debt outstanding.

2026 Outlook

Management reaffirms its outlook for the year ending December 31, 2026, with expected revenue of $9.8 million to $10.2 million, representing double-digit growth driven by continued expanding commercial adoption across both the dental and medical segments. CompuFlo revenue is expected to grow at a faster rate than the overall business for the remainder of the year. Combined with the structural cost reductions implemented in 2025, this revenue growth is expected to result in improved operating leverage and a meaningful reduction in cash burn compared with to the prior year.

The Company notes that second quarter 2026 revenue benefited from two large international orders that are not expected to recur in the third quarter of 2026, and that the third quarter is typically a seasonally slower period. Management expects medical segment initiatives, including the Company's expanding federal, Medicare and commercial payer channels, supported by the recently secured Medicare reimbursement across three MAC regions and the planned investment in direct sales in those areas, to contribute more meaningfully in the second half of 2026, with additional detail to be provided alongside third quarter results in November 2026.

Conference Call

Milestone will host a conference call at 8:30 AM Eastern Time today, Friday, August 14, 2026, to discuss the company’s financial results for the second quarter ended June 30, 2026, as well as the company’s corporate progress and other developments.

The conference call will be available via telephone by dialing toll free 888-506-0062 for U.S. callers or +1 973-528-0011 for international callers and by entering the access code: 252290. A live webcast and replay are available here: https://www.webcaster5.com/Webcast/Page/2306/54387.

An audio replay of the call will be available through August 28, 2026, and can be accessed by dialing 877-481-4010 for U.S. callers or +1 919-882-2331 for international callers and by entering the access code: 54387.

About Milestone Scientific Inc.

Milestone Scientific Inc. is a technology-focused medical research and development company that patents, designs, and develops innovative injection technologies and instruments for medical and dental applications. Milestone Scientific's computer-controlled systems are designed to make injections precise, efficient and increase the overall patient comfort and safety. Their proprietary DPS Dynamic Pressure Sensing Technology® instruments is the platform to advance the development of next-generation devices, regulating flow rate and monitoring pressure from the tip of the needle, through platform extensions of subcutaneous drug delivery, including local anesthetic. To learn more, view the MLSS brand video or visit milestonescientific.com.

Safe Harbor Statement

This press release contains forward-looking statements regarding the timing and financial impact of Milestone's ability to implement its business plan, expected revenues, timing of regulatory approvals and future success. These statements involve a number of risks and uncertainties and are based on assumptions involving judgments with respect to future economic, competitive and market conditions, future business decisions and regulatory developments, all of which are difficult or impossible to predict accurately and many of which are beyond Milestone's control. Some of the important factors that could cause actual results to differ materially from those indicated by the forward-looking statements are general economic conditions, failure to achieve expected revenue growth, changes in our operating expenses, adverse patent rulings, FDA or legal developments, competitive pressures, changes in customer and market requirements and standards, and the risk factors detailed from time to time in Milestone's periodic filings with the Securities and Exchange Commission, including without limitation, Milestone's Annual Report for the year ended December 31, 2025. The forward-looking statements in this press release are based upon management's reasonable belief as of the date hereof. Milestone undertakes no obligation to revise or update publicly any forward-looking statements for any reason. Contact:

HAYDEN IR:
James Carbonara
(646)-755-7412
james@haydenir.com

Brett Maas
(646) 536-7331
brett@haydenir.com

-- Tables Follow –


MILESTONE SCIENTIFIC AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(UNAUDITED)
  June 30, 2026  December 31, 2025 
ASSETS        
Current assets:        
Cash and cash equivalents $2,066,770  $1,112,642 
Accounts receivable, net of allowance for credit losses of $10,000, respectively  1,003,063   680,620 
Accounts receivable, related party  9,643   25,548 
         
Other Receivables  40,276   - 
Prepaid expenses and other current assets  633,953   468,792 
Inventories  3,086,577   3,781,837 
Advances on contracts  1,276,916   1,408,395 
Total current assets  8,117,198   7,477,834 
Furniture, fixtures and equipment, net  20,127   19,193 
Intangibles, net  44,857   79,063 
Right of use assets finance lease  48,977   55,811 
Right of use assets operating lease  92,489   150,378 
Other assets  24,150   24,150 
Total assets $8,347,798  $7,806,429 
         
LIABILITIES AND STOCKHOLDERS’ EQUITY        
Current liabilities:        
Accounts payable $1,953,844  $1,430,250 
Accounts payable, related party  907,680   1,359,698 
         
Accrued expenses and other payables  956,530   995,206 
Accrued expenses, related party  225,018   188,406 
         
Other Current Liabilities  218,146   - 
Current portion of finance lease liabilities  34,170   27,347 
Current portion of operating lease liabilities  101,883   130,355 
Total current liabilities  4,397,271   4,131,262 
Non-current portion of finance lease liabilities  13,668   27,336 
Non-current portion of operating lease liabilities  -   35,208 
Convertible notes payable, related parties  465,982   800,000 
Total liabilities $4,876,921  $4,993,806 
         
Commitments and contingencies        
         
Stockholders’ equity        
Common stock, par value $0.001; authorized 125,000,000 shares; 88,772,518 shares issued and 88,756,989 shares outstanding as of June 30, 2026; 80,486,449 shares issued and 80,453,116 shares outstanding as of December 31, 2025; $88,773  $80,487 
Additional paid in capital  139,968,127   137,418,974 
Accumulated deficit  (135,674,507)  (133,775,322)
Treasury stock, at cost, 33,333 shares  (911,516)  (911,516)
Total stockholders’ equity $3,470,877  $2,812,623 
Total liabilities and stockholders’ equity $8,347,798  $7,806,429 


MILESTONE SCIENTIFIC AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(UNAUDITED)
  Three Months
Ended
  Three Months
Ended
  Six Months
Ended
  Six Months
Ended
 
  June 30, 2026  June 30, 2025  June 30, 2026  June 30, 2025 
Product sales, net $2,841,038  $2,323,466  $5,003,071  $4,555,886 
Cost of products sold  930,871   705,860   1,528,880   1,290,845 
Gross profit $1,910,167  $1,617,606  $3,474,191  $3,265,041 
                 
Selling, general and administrative expenses $2,945,532  $3,030,952  $5,318,184  $6,287,680 
Research and development expenses  6,609   51,789   6,609   420,909 
Depreciation and amortization expense  19,589   19,496   39,043   38,936 
Total operating expenses $2,971,730  $3,102,237  $5,363,836  $6,747,525 
                 
Loss from operations $(1,061,563) $(1,484,631) $(1,889,645) $(3,482,484)
Interest (expense) income, net  2,231   1,521   (9,540)  4,788 
Loss before provision for income taxes $(1,059,332) $(1,483,110) $(1,899,185) $(3,477,696)
Provision for income taxes  -   -   -   - 
Net loss $(1,059,332) $(1,483,110) $(1,899,185) $(3,477,696)
                 
Net loss per share applicable to common stockholders—                
Basic and Diluted  (0.01)  (0.02)  (0.02)  (0.04)
                 
Weighted average shares outstanding and to be issued—                
Basic and diluted  93,126,415   82,049,984   87,386,906   81,903,323 



FAQ

How did Milestone Scientific (MLSS) perform financially in Q2 2026?

Milestone Scientific reported Q2 2026 revenue of $2.84 million, up 22.3% year-over-year, and a net loss of $1.06 million. According to Milestone Scientific, gross margin was 67.2%, while operating expenses declined slightly to about $3.0 million, narrowing the quarterly loss.

What drove Milestone Scientific’s medical and CompuFlo growth in Q2 2026 (MLSS)?

Milestone Scientific’s medical segment revenue grew about 231% year-over-year in Q2 2026, driven by increased CompuFlo adoption. According to Milestone Scientific, growth reflected physician uptake, reimbursement progress, and broader utilization across spinal and epidural procedures, including additional Medicare claims and the first paid workers’ compensation claim.

What is Milestone Scientific’s 2026 revenue outlook and guidance for MLSS?

Milestone Scientific reaffirmed 2026 revenue guidance of $9.8–$10.2 million, representing expected double-digit growth versus 2025. According to Milestone Scientific, the outlook assumes continued adoption in both dental and medical segments, with CompuFlo revenue projected to grow faster than the overall business during 2026.

How strong is Milestone Scientific’s balance sheet as of June 30, 2026 (MLSS)?

As of June 30, 2026, Milestone Scientific held $2.07 million in cash and cash equivalents and working capital of $3.7 million. According to Milestone Scientific, total assets were $8.35 million, with total liabilities of $4.88 million, including $466,000 in convertible notes payable to related parties.

What Medicare reimbursement does Milestone Scientific’s CompuFlo receive under CPT 0777T?

CompuFlo currently has Medicare reimbursement of about $325 per procedure under CPT 0777T through Novitas and First Coast. According to Milestone Scientific, this coverage spans three Medicare Administrative Contractor regions and 13 states, with efforts underway to secure reimbursement from remaining MACs.

What is the Red One Medical distribution agreement for CompuFlo and federal health systems?

After Q2 2026, Milestone Scientific signed a distribution agreement with Red One Medical to market the CompuFlo Epidural System to U.S. federal healthcare organizations. According to Milestone Scientific, this includes VA, Department of Defense, Defense Health Agency and Indian Health Service facilities serving over 18 million beneficiaries.

How did Milestone Scientific’s operating expenses and losses change in the first half of 2026?

In the first half of 2026, operating expenses fell 20.5% to $5.36 million, and net loss improved to $1.9 million from $3.48 million. According to Milestone Scientific, reductions were mainly in consulting, R&D, and quality and regulatory costs, partly offset by higher personnel and related expenses.