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Rockwell Medical

RMTI
26
Drug Manufacturers - Specialty & Generic · Healthcare
Price
$7.14
-0.02 (-0.28%)
Market Cap
$28.2M
Exchange
NASDAQ Capital Market
Winston Score
26
Winston is worried
Below-average fundamentals — multiple weak pillars.
Data as of Aug 9, 2026 · filings through Mar 31, 2026

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)

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.

Winston Score History

Growth Profile

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

Revenue Growth

-8.3% YoY

YoY Growth Rate

Revenue declining

EPS Growth

+7.7% YoY

YoY Growth Rate

Slow 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 Runway

5+ years

Quarterly Free Cash Flow

↑ Burn rate improving

$24M cash & investments at current burn rate

Revenue declining

Rockwell Medical's revenue is actually shrinking. In a growth stock, that removes the core investment thesis. The low Winston Score here may be warranted — unless there's a turnaround story.

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

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Quality

Gross Margin
16.7%
Thin — 16.7% gross margin
Operating Margin
-8.5%
Losing money on operations — -8.5%
ROCE
-3.3%
Weak — -3.3% return on capital

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

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Growth

Sales YoY
-30.7%
Shrinking sales (-30.7% YoY)
EPS YoY
N/A
Data not available
EPS Consistency
6/8 quarters
Earnings grew in most of the last 8 quarters

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Cash Flow

Cash Conversion
N/A
Data not available
FCF Margin
2.6%
Thin free cash flow (2.6%)

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

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Stability

Debt / Equity
0.25
Conservative — low debt load (0.25)
Interest Cover
N/A
Data not available

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Valuation

P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
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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