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Milestone Scientific Reports Revenue of $2.2 Million and Provides Business Update for the First Quarter of 2024

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Milestone Scientific (NYSE: MLSS) reported $2.2 million in revenue for Q1 2024, down from $2.6 million in Q1 2023. The company's gross margin increased to 74.5%, up from 72.7%. The increase is attributed to a 31% rise in sales through their new online portal.

However, international revenues fell by $274,000. The company continues to advance its CompuFlo® Epidural System and has submitted over 160 claims for reimbursement. Operating loss for the quarter was $1.5 million, slightly higher than the $1.3 million loss in Q1 2023. Milestone Scientific ended the quarter with $5 million in cash and marketable securities.

Positive
  • Gross margin increased to 74.5% from 72.7%.
  • Sales through the new online portal rose by 31%.
  • Commencement of disposable sales with multiple pain relief centers.
  • 160+ claims submitted for CompuFlo® reimbursement.
  • Maintained a solid balance sheet with over $5 million in cash and marketable securities.
  • Dental business generating positive cash flow on a standalone basis.
Negative
  • Revenue declined to $2.2 million from $2.6 million year-over-year.
  • International revenue fell by $274,000.
  • Operating loss increased to $1.5 million from $1.3 million year-over-year.
  • Net loss was $1.4 million, or $0.02 per share.

Insights

The earnings report shows a nuanced financial picture for Milestone Scientific. The company's revenue of $2.2 million for the first quarter of 2024, down from $2.6 million in the same period last year, might initially seem concerning. However, it's essential to consider the context: the reduction in revenue was influenced by the termination of non-exclusive distribution agreements and a focus on direct sales through an online portal, which grew by 31%.

The gross margin increase to 74.5% from 72.7% is a positive sign, indicating enhanced profitability per unit sold. This improvement can be attributed to the shift towards higher-margin online sales. Despite an operating loss of $(1.5) million, up from $(1.3) million a year ago and a net loss remaining steady at $(1.4) million, the company's cash position of $5.0 million provides a buffer for its growth strategy.

Investors should note the working capital of $7.2 million, which ensures that the company can cover its short-term liabilities. While the financials show a mixed picture, the focus on higher-margin direct sales and improvements in the dental segment's profitability are promising signs for long-term growth.

The progress in advancing the CompuFlo® Epidural System is a noteworthy development for Milestone Scientific. The successful evaluations at PRC Alliance Pain Relief Center and Omaha Pain Physicians, which resulted in 100% clinical success and zero epidural punctures, underscore the technology’s efficacy and reliability. This could potentially drive adoption in more clinics and hospitals, particularly for pain management applications.

The reimbursement strategy for the CompuFlo® system is also progressing, with over 160 claims submitted to various payor systems, including Medicare jurisdictions, using a specific CPT code. Achieving reimbursement status is important as it would make the technology more accessible and financially viable for a broader range of healthcare providers. This could open up new revenue streams and significantly impact the company's long-term financial health.

However, it's important to remain cautious until reimbursement status is fully secured, as this can be a lengthy and uncertain process. Nonetheless, the strides made so far are promising and indicate a well-thought-out strategy to integrate this technology into mainstream medical practice.

Sales through new online portal increase 31% over the same period last year

Gross margin for the first quarter of 2024 increases to 74.5%
from 72.7% for the same period last year

Reports steady progress on reimbursement strategy
for the CompuFlo® Epidural System

ROSELAND, N.J., May 16, 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 first quarter ended March 31, 2024.

Arjan Haverhals, CEO and President of Milestone Scientific, stated, “I am pleased to report our domestic, direct sales strategy within our dental segment has proven effective, as a result of our new online sales portal, which recorded growth of 31% over the same period last year. As a result of the direct sales model, gross margin in the first quarter of 2024 increased to 74.5% from 72.7% for the same period last year. Although our revenue was relatively flat over the same period last year, this was largely a reflection of a reserve reversal in the first quarter of 2023, coupled with a decline in international sales during the first quarter of 2024. As previously disclosed, our focus in 2023 and early 2024 was on the domestic front; however, we have renewed our international focus heading into 2024 and anticipate improvement this year. Overall, we believe we have built a solid, scalable, high-margin dental business and are encouraged by the outlook for 2024.”

“Within our medical segment, we continue to advance our CompuFlo® Epidural System, including the commencement of disposable sales with PRC Alliance Pain Relief Center in Florida, which operates seven offices and an ambulatory surgical center (ASC), as well as Omaha Pain Physicians, a comprehensive medical pain management center in Omaha, NE. Both of these rollouts followed successful evaluation periods and 100% clinical success with zero epidural punctures. While the addition of these clinics provides further validation of our technology and strategy, the true value lies in the support these and other clinics are providing in advancing our reimbursement strategy. We have now submitted more than 160 claims to payor systems, including a variety of Medicare jurisdictions, using CPT 0777T, which builds support for our goal of reimbursement of CompuFlo. Overall, we are making meaningful progress on this initiative and I look forward to providing further updates.”

“In addition to the improved margins within our dental segment, we continue to carefully manage our expenses. Our dental business continues to generate positive cash flow on a standalone basis and we remain focused on achieving our goal of positive cash flow company wide. Moreover, we have maintained a solid balance sheet and ended the quarter with over $5 million of cash and marketable securities, which we believe provides us sufficient resources to execute on our growth strategy.”

For the three months ended March 31, 2024 and 2023, revenues were approximately $2.2 million and $2.6 million, respectively. As of January 3, 2023 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, to replace its previous U.S. distribution arrangement with Henry Schein. The U.S. E-commerce revenue for the three months ended March 31, 2024 was approximately $1.3 million compared to $989,000 at March 31, 2023. The Company recorded no revenue from other U.S. distributors for the three months ended March 31, 2024 compared to approximately $219,000 for the three months ended March 31, 2023. The Company terminated all non-exclusive agreements with other distributors in the US in September 2023. For the three months ended March 31, 2024, international revenue was approximately $930,000, a decrease of $274,000, compared to March 31, 2023. 

Gross profit for the first quarter ended March 31, 2024, was $1.7 million or 75% of revenue versus $1.9 million or 73% of revenue for the first quarter ended March 31, 2023. The increase in gross profit margin was due to higher margin sales with the launch of the new online store. Operating loss for the three months ended March 31, 2024, was approximately $(1.5) million versus approximately $(1.3) million for the first quarter ended March 31, 2023. Net loss was approximately $(1.4) million, or $(0.02) per share for the three months ended March 31, 2023, versus net loss of $(1.3) million, or $(0.02) per share, for the comparable period in 2023.

As of March 31, 2024, the Company had cash, cash equivalents and short-term securities of approximately $5.0 million and working capital of approximately $7.2 million.

Conference Call

Milestone Scientific’s executive management team will host a conference call on Thursday, May 16, 2024, at 8:30 AM Eastern Time to discuss the Company’s financial results for the first quarter ended March 31, 2024, 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: 525731. A webcast and replay of the call may be accessed at Webcast URL: https://www.webcaster4.com/Webcast/Page/2306/50619.

An audio replay of the call will be available through May 30, 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: 50619.

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)
      
 March 31, 2024
 December 31, 2023 
ASSETS        
Current assets:        
Cash and cash equivalents$4,005,477  $2,977,713  
Marketable securities 1,000,000   2,976,573  
Accounts receivable, net of allowance for credit losses of $10,000, respectively 661,838   312,664  
Prepaid expenses and other current assets 863,589   517,785  
Inventories 2,860,029   2,638,186  
Advances on contracts 1,421,120   1,371,548  
Total current assets 10,812,053   10,794,469  
Furniture, fixtures and equipment, net 8,023   10,024  
Intangibles, net 168,956   178,636  
Right of use assets finance lease 6,835   8,998  
Right of use assets operating lease 330,769   355,235  
Other assets 24,150   24,150  
Total assets$11,350,786  $11,371,512  
         
         
LIABILITIES AND STOCKHOLDERS’ EQUITY        
Current liabilities:        
Accounts payable$1,105,589  $689,604  
Accounts payable, related party 789,317   410,512  
Accrued expenses and other payables 1,241,403   1,511,717  
Accrued expenses, related party 170,720   137,189  
Accrued Liabilities noncontrolling interest 214,000   214,000  
Current portion of finance lease liabilities 8,219   10,264  
Current portion of operating lease liabilities 107,355   103,427  
Total current liabilities 3,636,603   3,076,713  
Non-current portion of finance lease liabilities -   434  
Non-current portion of operating lease liabilities 253,774   281,853  
Total liabilities$3,890,377  $3,359,000  
         
Commitments        
         
Stockholders’ equity        
Common stock, par value $0.001; authorized 100,000,000 shares; 76,632,279 shares issued and 76,598,946 shares outstanding as of March 31, 2024 shares; 75,881,840 shares issued and 75,848,507 shares outstanding as of December 31, 2023; 76,632   75,881  
Additional paid in capital 133,075,331   132,187,656  
Accumulated deficit (124,780,038)  (123,339,509) 
Treasury stock, at cost, 33,333 shares (911,516)  (911,516) 
Total Milestone Scientific, Inc. stockholders' equity 7,460,409   8,012,512  
         
Total liabilities and stockholders’ equity$11,350,786  $11,371,512  


MILESTONE SCIENTIFIC AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS FOR YEARS ENDED DECEMBER 31,
(UNAUDITED)
       
  For the three months ended
March 31, 2024
 For the three months ended
March 31, 2023
         
Product sales, net $2,248,845  $2,597,598 
Cost of products sold  572,742   708,135 
Gross profit  1,676,103   1,889,463 
         
Selling, general and administrative expenses  3,035,276   3,074,572 
Research and development expenses  94,211   140,347 
Depreciation and amortization expense  11,684   17,220 
Total operating expenses  3,141,171   3,232,139 
         
Loss from operations  (1,465,068)  (1,342,676)
Interest income (expense)  (3,351)  23,345 
Unrealized Gain Treasury investment  27,890   - 
Loss before provision for income taxes  (1,440,529)  (1,319,331)
Provision for income taxes  -   - 
         
Net loss  (1,440,529)  (1,319,331)
Net loss attributable to noncontrolling interests  -   (11,665)
Net loss attributable to Milestone Scientific Inc. $(1,440,529) $(1,307,666)
         
Net loss per share applicable to common stockholders—        
Basic and Diluted  (0.02)  (0.02)
         
Weighted average shares outstanding and to be issued—        
Basic and Diluted  79,738,551   72,104,234 

FAQ

What was Milestone Scientific's revenue for Q1 2024?

Milestone Scientific reported $2.2 million in revenue for Q1 2024.

How did Milestone Scientific's online sales perform in Q1 2024?

Sales through Milestone Scientific's new online portal increased by 31% compared to the same period last year.

What is the gross margin reported by Milestone Scientific for Q1 2024?

The gross margin for Q1 2024 was 74.5%, up from 72.7% in Q1 2023.

How did Milestone Scientific's international revenue perform in Q1 2024?

International revenue declined by $274,000 in Q1 2024.

What is the operating loss reported by Milestone Scientific for Q1 2024?

The operating loss for Q1 2024 was $1.5 million.

What is the net loss per share reported by Milestone Scientific for Q1 2024?

The net loss per share was $0.02 for Q1 2024.

How many claims has Milestone Scientific submitted for CompuFlo® reimbursement?

Milestone Scientific has submitted over 160 claims for CompuFlo® reimbursement.

What is Milestone Scientific's cash and marketable securities balance as of Q1 2024?

As of Q1 2024, Milestone Scientific had over $5 million in cash and marketable securities.

Milestone Scientific, Inc.

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