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Rockwell Medical

RMTI
26
Drug Manufacturers - Specialty & Generic · Healthcare
Price
$8.10
+0.46 (+6.02%)
Market Cap
$32.0M
Exchange
NASDAQ Capital Market
Winston Score
26
Winston is worried
Below-average fundamentals — multiple weak pillars.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Weak
Growth
Mixed
Cash Flow
Weak
Stability
Good
Valuation
Data not available

Share count rising — dilution

+321.9% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 853K (2021) → 3.6M (2025)

Winston Score History

The full picture

Rockwell Medical is a small pharmaceutical company that makes products used in kidney dialysis treatments. Its main products are concentrated dialysate solutions — the fluids used to clean patients' blood during dialysis — as well as an iron therapy drug called Triferic, which helps dialysis patients maintain healthy iron levels. Its customers are dialysis clinics and hospitals across the United States.

The company earns revenue by selling its dialysate concentrates and Triferic directly to dialysis providers, operating primarily in the US market. With a market cap near zero and negative operating margins, Rockwell is a very small player competing against much larger pharmaceutical and dialysis supply companies. Its main competitive advantage is its established relationships with dialysis centers and its specialized focus on this narrow treatment area. The key risk is its thin gross margins and ongoing operating losses, which raise questions about its ability to grow revenue fast enough to reach profitability before needing additional financing.

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+10.6% YoY

YoY Growth Rate

Steady revenue growth

EPS Growth

+20.9% YoY

YoY Growth Rate

Steady EPS growth

R&D Spend

$0/ year

Declining (-100% vs prior year)

0.0% of revenue

Below sector average (18%)

R&D spend declining — could signal cost-cutting or efficiency

Insider Activity

11.2%ownership

Insiders own a meaningful stake in the company

Cash Position

Cash flow positive

$25M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Company generates more cash than it spends — no dilution risk from fundraising

Growth + cash flow

Rockwell Medical is a rare growth stock that's already generating positive cash flow while growing at 11%. The Winston Score doesn't fully credit this transition from "burner" to "earner."

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

Every number that matters to educated investors.

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Quality

Profit per sale
Gross Margin
18.2%
Thin — 18.2% gross margin
Profit after running costs
Operating Margin
-6.0%
Losing money on operations — -6.0%
Return on the money invested
ROCE
-10.3%
Weak — -10.3% return on capital

Negative ROIC means the business is losing money on every dollar invested in it.

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Growth

Sales growth
Sales YoY
-21.1%
Shrinking sales (-21.1% YoY)
Profit growth
EPS YoY
N/A
Data not available
How steady the profit is
EPS Consistency
6/8 quarters
Earnings grew in most of the last 8 quarters

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Cash Flow

Profit that turns into cash
Cash Conversion
N/A
Data not available
Spare cash per sale
FCF Margin
2.5%
Thin free cash flow (2.5%)

FCF margin between 0% and 10%. Some cash from sales, but not a lot.

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Stability

What it owes vs what it owns
Debt / Equity
0.26
Conservative — low debt load (0.26)
Covers its interest
Interest Cover
N/A
Data not available

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Valuation

Price vs profit
P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
Cheaper or dearer next year
P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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