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Milestone Scientific Achieves 12% Increase in Revenue and 39% Increase in Gross Profit for the Year Ended 2023

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Milestone Scientific Inc. reports a successful year in 2023 with revenue up by 11.6% and gross profit increasing by 39%. The company attributes this growth to the success of its new online sales portal for the STA Single Tooth Anesthesia System® in the U.S. The CEO, Arjan Haverhals, highlights the termination of the prior exclusive distributor in 2022 and the successful transition to a direct sales model. The company is also focusing on international expansion in 2024. Milestone Scientific is advancing the rollout of the CompuFlo® Epidural System, with progress in penetrating key hospitals and pain management clinics. The company is working on accelerating reimbursement claims submission and has seen a significant increase in claims activity. Financially, the company ended 2023 with approximately $6.0 million in cash, cash equivalents, and marketable securities, showing confidence in executing its growth strategy without additional funds.
Positive
  • Revenue increased by 11.6% and gross profit by 39% in 2023.
  • Successful transition to a direct sales model in the U.S. with a new online sales portal for the STA Single Tooth Anesthesia System®.
  • Focus on international expansion in 2024.
  • Progress in the rollout of the CompuFlo® Epidural System.
  • Acceleration of reimbursement claims submission with a significant increase in claims activity.
  • Ended 2023 with approximately $6.0 million in cash, cash equivalents, and marketable securities.
Negative
  • None.

Insights

The financial results of Milestone Scientific Inc. indicate a year of growth, with a revenue increase of 11.6% and a gross profit increase of 39%. The transition to a direct sales model and the launch of an online sales portal for the STA system have been central to this performance. These factors likely contributed to improved margins, as evidenced by the gross profit increase and reduced reliance on distributors. The termination of the exclusive distributor agreement and the shift to direct sales may have streamlined operations and enhanced customer relationships, which could be attractive to investors looking for companies that are optimizing their sales strategies.

Additionally, the company's focus on cost-effective scaling through the addition of large dental practices suggests a strategic approach to growth. The successful adoption of the CompuFlo Epidural System in various medical settings and the advancement of a reimbursement strategy are positive indicators for future revenue streams. However, investors should be mindful of the company's net loss, despite the reduction from the previous year and consider the implications of the company's cash reserves in relation to its growth strategy and potential need for additional funds.

The advancement of the CompuFlo Epidural System and its increasing adoption in pain management clinics and hospitals is a significant development. The reported 100% clinical success rate and the use of the new CPT code for reimbursement claims could enhance the system's marketability and adoption rate. The distribution agreement in Spain and the anticipation of additional distributors could signal an expansion of Milestone Scientific's global footprint, which is a key factor for growth in the medical device sector.

However, the international revenue decrease raises questions about the company's performance in global markets outside the U.S. It will be important to monitor how the company addresses this challenge and whether the renewed international focus mentioned by the CEO will translate into increased international sales. The healthcare market's response to the reimbursement strategy and the ability of the company to secure reimbursement for the CompuFlo will be important for long-term profitability and market penetration.

The shift from exclusive distributor agreements to a direct sales model is a trend in various industries, aimed at increasing margins and gaining more control over the sales process. Milestone Scientific's successful implementation of this strategy could serve as a case study for other small to mid-sized companies looking to enhance profitability. The e-commerce platform's contribution to revenue is noteworthy, especially as it reflects consumer behavior shifts towards online procurement in the dental industry.

The company's operational loss reduction, combined with a strong cash position and no debt, presents a stable financial outlook that may appeal to investors who are risk-averse. However, the long-term sustainability of this model will depend on the company's ability to maintain growth momentum and manage operational costs effectively. The emphasis on both large group practices and individual practices suggests a diversified customer base, which could mitigate risks associated with market fluctuations.

Reports acceleration of reimbursement claims submission for the CompuFlo® Epidural System Technology

ROSELAND, N.J., April 01, 2024 (GLOBE NEWSWIRE) -- Milestone Scientific Inc. (NYSE: MLSS), a leading developer of computerized drug delivery instruments that provide painless and precise injections, today provides a business update and announces financial results for the year ending December 31, 2023.

Arjan Haverhals, CEO and President of Milestone Scientific, stated, “We achieved solid financial results in 2023, with revenue increasing 11.6% and gross profit increasing 39%. We attribute this performance to the success of our new online sales portal for the STA Single Tooth Anesthesia System® (STA) in the U.S., which has enhanced our margins, while providing us a closer relationship with our dental customers. While this was a transitional year, having terminated our prior exclusive distributor at the end of 2022, we are confident the new strategy is working and anticipate continued growth through our direct sales model. Importantly, this approach has proven effective within both individual practices, as well as Dental Service Organizations (DSOs) and large group practices. The direct sales model not only provides us greater interaction with the customer, but we are also able to provide ongoing support and education for both large and small practices. In turn, this has helped attract premier customers such as Maine Dental Group and Meridian Endo & Perio. These latest additions illustrate the benefits of our new sales strategy, as well as our ability to cost-effectively scale the business through the addition of large dental practices. Although our primary focus in 2023 was on the domestic front, we have renewed our international focus heading into 2024.”

“We are also advancing the rollout of the CompuFlo® Epidural System. Specifically, we have made progress penetrating key hospitals, and pain management clinics, including our most recent addition of Omaha Pain Physicians. We are also witnessing existing customers expand their use of CompuFlo. An important example is UTMB Health Clear Lake Campus Hospital, which has commenced use of the CompuFlo Epidural beyond labor & delivery, to now include neurostimulation spinal cord stimulator implantation procedures, illustrating the versatility and broad potential of our instrument. We also announced a distribution agreement with Bioline Supply to distribute the CompuFlo and disposables across Spain. We look forward to announcing additional distributors as we expand our global footprint.”

“Most importantly, we are making progress advancing our reimbursement strategy through a carefully staged approach. We are working closely with key pain management providers in the use of the new CPT code (0777T) for accurate and timely CompuFlo claims submission. Use of our system by these providers followed successful evaluation periods by the clinics and physicians, and in each case, they reported 100% clinical success, with zero dural punctures. I am pleased to report that our advisory sites have submitted claims for over 45 patient procedures in the first quarter of 2024 alone, which is nearly half of the claims we submitted in all of 2023. All 145 claims submitted to date, using CPT 0777T, have been successfully uploaded by payor systems for processing. We are encouraged by the accelerating claim activity that is being generated by pain management providers and have several initiatives underway that we believe will help build support for reimbursement of the CompuFlo.”

“In addition to our revenue growth and improved margins, we also reduced our loss from operations by over $1.7 million dollars. We ended the year with approximately $6.0 million of cash, cash equivalents and marketable securities, which we believe provides us more than sufficient capital to execute on our growth strategy without the need for additional funds. Overall, we are encouraged by the outlook for the business and look forward to executing on a number of key milestones in 2024 that we believe will drive value for our shareholders.”

For the years ended December 31, 2023 and 2022, revenue was approximately $9.8 million and $8.8 million, respectively, an increase of approximately $1.0 million. The Company launched an E-Commerce platform, selling and shipping the STA Single Tooth Anesthesia System® (STA) and handpieces directly to end users, including dental offices and dental groups, within the U.S. E-commerce revenue for the year ended December 31, 2023, was approximately $4.8 million. The Company ended the agreement with its major United States distributor, Henry Schein, as of December 31, 2022. The Company recorded no revenue from Henry Schein for the year ended December 31, 2023, compared to approximately $2.6 million recorded for the year ended December 31, 2022. Revenue from other U.S. distributors was approximately $485,000 for the year ended December 31, 2023, a decrease of $97,000 compared to December 31, 2022. The Company terminated all non-exclusive agreements with other distributors in the US in September 2023. For the year ended December 31, 2023, international revenue was approximately $4.1 million, a decrease of $724,000 compared to December 31, 2022.

Gross profit for the year ended December 31, 2023, was $6.8 million versus $4.9 million for the year ended December 31, 2022. The increase in gross profit was due to higher margin sales with the launch of the new online store. Operating loss for the year ended December 31, 2023, was $7.1 million versus $8.8 million for the year ended December 31, 2022. The decrease in the loss from operations was driven by higher dental sales, and increased margins, which offset higher selling, general and administrative expenses during the period. Net loss was approximately $6.9 million, or $(0.10) per share for the year ended December 31, 2023, versus net loss of $8.7 million, or $(0.12) per share, for the comparable period in 2022.

As of December 31, 2023, the Company had cash, cash equivalents and marketable securities of $6.0 million, working capital of approximately $7.7 million and no debt.

Conference Call

Milestone Scientific’s executive management team will host a conference call today, Monday, April 1, 2024, at 8:30 AM Eastern Time to discuss the Company’s financial results for 2023, 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: 222156. A webcast and replay of the call may be accessed at Webcast URL: https://www.webcaster4.com/Webcast/Page/2306/50281.

An audio replay of the call will be available through April 15, 2024, 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: 50281.

About Milestone Scientific Inc.
Milestone Scientific Inc. (MLSS), 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, 2022. 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:
Crescendo Communications, LLC
Email: mlss@crescendo-ir.com
Tel: 212-671-1020

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MILESTONE SCIENTIFIC AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(UNAUDITED)
  December 31, 2023 December 31, 2022
ASSETS        
Current assets:       
Cash and cash equivalents $2,977,713  $8,715,279 
Marketable securities2,976,573   - 
Accounts receivable (net of allowance for credit losses of $10K at December 31, 2023 and 2022)  312,664   693,717 
Prepaid expenses and other current assets  517,785   443,872 
Inventories 2,638,186   1,792,335 
Advances on contracts  1,371,548   1,325,301 
Total current assets10,794,469   12,970,504 
Furniture, fixtures and equipment, net  10,024   18,146 
Intangibles, net 178,636   227,956 
Right of use assets finance lease  8,998   17,645 
Right of use assets operating lease  355,235   443,685 
Other assets 24,150   24,150 
Total assets$11,371,512  $13,702,086 
         
         
LIABILITIES AND STOCKHOLDERS’ EQUITY    
Current liabilities:       
Accounts payable$689,604  $1,102,729 
Accounts payable, related party  410,512   803,492 
Accrued expenses and other payables  1,511,717   1,124,839 
Accrued expenses, related party  137,189   167,549 
Accrued liabilities noncontrolling interests  214,000   - 
Current portion of finance lease liabilities  10,264   9,365 
Current portion of operating lease liabilities  103,427   91,701 
Total current liabilities  3,076,713   3,299,675 
Non-current portion of finance lease liabilities  434   10,698 
Non-current portion of operating lease liabilities  281,853   385,279 
Total liabilities$3,359,000  $3,695,652 
         
         
Stockholders’ equity      
Common stock, par value $.001; authorized 100,000,000 shares; 75,881,840 shares issued and 75,848,507 shares outstanding as of December 31, 2023 shares; 69,306,497 shares issued and 69,273,164 shares outstanding as of December 31, 2022;  75,881   69,306 
Additional paid in capital  132,187,656   127,478,325 
Accumulated deficit  (123,339,509)  (116,410,405)
Treasury stock, at cost, 33,333 shares  (911,516)  (911,516)
Total Milestone Scientific, Inc. stockholders' equity  8,012,512   10,225,710 
Noncontrolling interest  -   (219,276)
Total stockholders’ equity  8,012,512   10,006,434 
         
Total liabilities and stockholders’ equity $11,371,512  $13,702,086 
         

 

MILESTONE SCIENTIFIC AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS FOR YEARS ENDED DECEMBER 31,
(UNAUDITED)
   2023   2022 
Product sales, net $9,827,444  $8,805,906 
Cost of products sold  3,034,832   3,905,092 
Gross profit  6,792,612   4,900,814 
         
Selling, general and administrative expenses  13,135,796   12,514,323 
Research and development expenses  701,378   1,150,209 
Depreciation and amortization expense  61,912   63,755 
Total operating expenses  13,899,086   13,728,287 
         
Loss from operations  (7,106,474)  (8,827,473)
Interest income (expense)  125,527   54,607 
Provision for income Taxes  -   - 
Loss before provision for income taxes  (6,980,947)  (8,772,866)
         
Net loss  (6,980,947)  (8,772,866)
Net loss attributable to noncontrolling interests  (51,843)  (66,735
Net loss attributable to Milestone Scientific Inc. $(6,929,104) $(8,706,131)
         
Net loss per share applicable to common stockholders—        
Basic and Diluted  (0.10)  (0.12)
         
Weighted average shares outstanding and to be issued—        
Basic and Diluted  72,775,781   70,607,338 
         

FAQ

What was Milestone Scientific Inc.'s revenue in 2023?

Milestone Scientific Inc.'s revenue in 2023 was approximately $9.8 million.

What was the increase in revenue for Milestone Scientific Inc. from 2022 to 2023?

Milestone Scientific Inc. saw an increase in revenue of approximately $1.0 million from 2022 to 2023.

What was the gross profit for Milestone Scientific Inc. in 2023?

Milestone Scientific Inc.'s gross profit in 2023 was $6.8 million.

What was the net loss per share for Milestone Scientific Inc. in 2023?

Milestone Scientific Inc. had a net loss of $(0.10) per share in 2023.

What was Milestone Scientific Inc.'s cash, cash equivalents, and marketable securities as of December 31, 2023?

As of December 31, 2023, Milestone Scientific Inc. had approximately $6.0 million in cash, cash equivalents, and marketable securities.

When will Milestone Scientific Inc.'s conference call be held to discuss the financial results for 2023?

Milestone Scientific Inc.'s conference call to discuss the financial results for 2023 will be held on Monday, April 1, 2024, at 8:30 AM Eastern Time.

Milestone Scientific, Inc.

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