Milestone Scientific
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Milestone Scientific (MLSS) investor relations material

Milestone Scientific Q4 2025 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q4 2025 earnings summary1 Apr, 2026

Executive summary

  • Leadership overhaul in August 2025 led to disciplined expense management, restructuring, and a shift from stabilization to targeted growth initiatives in Q4 2025.

  • Strengthened commercial and leadership teams, with new dental ambassador and CompuFlo advisor programs launched to drive adoption and revenue growth.

  • Dental business remains core, with international expansion, new distribution partners, and the Dental Ambassador Program driving engagement.

  • Medical segment, led by CompuFlo, is positioned as a transformative growth driver with renewed commercialization, reimbursement efforts, and VA channel access.

  • Expanded into Japan, India, and Mexico for dental product registrations.

Financial highlights

  • Q4 2025 revenue was $2.1 million, up 2.2% year-over-year; gross profit remained flat at $1.5 million.

  • Q4 operating loss improved 89% to $1.1 million from $2 million year-over-year; net loss also reduced to $1.1 million.

  • Full-year 2025 net sales rose 4% to $9 million; international dental sales up 9%, domestic dental sales down 7%.

  • Full-year operating loss improved to $5.7 million from $6.8 million; net loss was $5.7 million or $0.07 per share.

  • Cash at year-end was $1.1 million with $800,000 in convertible debt and strong working capital of $3.3 million.

Outlook and guidance

  • 2026 revenue guidance is $9.8–$10.2 million, representing double-digit year-over-year growth in both dental and medical segments.

  • CompuFlo expected to contribute $500,000–$600,000 in 2026, a 400% increase over 2025.

  • No revenue from new international markets (Japan, India, Mexico) included in guidance; any such revenue would be upside.

  • Goal to achieve cash flow break even by early 2027, with improved operating leverage and reduced cash burn.

Impact of VA channels on 2026 CompuFlo guidance
Path to 2027 breakeven given $1.1M cash balance
Drivers of the 7% decline in US dental revenue
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