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Rockwell Medical Technologies (RMTI)
NASDAQ:RMTI

Rockwell Med (RMTI) AI Stock Analysis

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RMTI

Rockwell Med

(NASDAQ:RMTI)

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Neutral 42 (OpenAI - 5.2)
Rating:42Neutral
Price Target:
$0.83
▼(-15.51% Downside)
The score is held down primarily by weak financial performance (declining revenue, ongoing losses, and negative operating/free cash flow). Technicals also lean bearish with price below key moving averages and negative MACD. Partially offsetting these are improved cash levels and contract visibility from the earnings call, plus a positive DaVita contract extension with pricing uplift.
Positive Factors
Contract Portfolio Strengthening
Long-term agreements provide revenue stability and visibility, enhancing Rockwell Medical's ability to plan and invest in growth initiatives.
Improved Cash Position
A stronger cash position allows Rockwell Medical to invest in R&D and business development, supporting future growth and operational resilience.
Leadership Enhancement
The appointment of an experienced COO can drive strategic improvements and operational efficiency, positively impacting long-term company performance.
Negative Factors
Declining Revenue
A significant revenue decline indicates challenges in maintaining market share and customer retention, which could impact long-term growth prospects.
Profitability Challenges
Ongoing net losses suggest difficulties in achieving sustainable profitability, potentially limiting investment in growth and innovation.
Customer Transition Issues
Customer transition issues can disrupt revenue streams and strain relationships, impacting long-term business stability and growth.

Rockwell Med (RMTI) vs. SPDR S&P 500 ETF (SPY)

Rockwell Med Business Overview & Revenue Model

Company DescriptionRockwell Medical, Inc., together with its subsidiaries, operates as a biopharmaceutical company that targets end-stage renal disease and chronic kidney disease with therapies and products for the treatment of iron deficiency and hemodialysis in the United States and internationally. The company offers Triferic Dialysate and Triferic AVNU, an iron therapy that replaces iron and maintains hemoglobin in dialysis patients without increasing iron stores. It also manufactures, sells, delivers, and distributes hemodialysis concentrates, such as CitraPure citric acid concentrate, Dri-Sate dry acid concentrate, RenalPure liquid acid concentrate, dry acid concentrate mixer, and RenalPure and SteriLyte powder bicarbonate concentrate; and ancillary products, including blood tubing, fistula needles, dialyzers, drugs, specialized component kits, dressings, cleaning agents, filtration salts, and other supplies used by hemodialysis providers. The company's dialysis concentrate products are used to maintain human life by removing toxins and replacing critical nutrients in the dialysis patient's bloodstream. It is also developing other therapeutic product candidates for the treatment of hospitalized patients with acute heart failure; and home infusion therapy that allows patients to receive intravenous medications at home. Its target customers include medium and small sized dialysis chains and independent dialysis centers. Rockwell Medical, Inc. was incorporated in 1996 and is headquartered in Wixom, Michigan.
How the Company Makes MoneyRockwell Medical generates revenue primarily through the sale of its proprietary product Triferic, which is marketed to dialysis clinics and healthcare providers. The company earns income from both direct sales and potential partnerships with larger pharmaceutical companies that can help in distribution and market reach. Additionally, RMTI may benefit from collaborations in research and development, which can lead to new product offerings or enhancements to existing therapies. The company's revenue model is also supported by ongoing efforts to expand its market presence and increase adoption rates among healthcare providers, thereby driving sales growth.

Rockwell Med Earnings Call Summary

Earnings Call Date:Nov 12, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Mar 26, 2026
Earnings Call Sentiment Neutral
The earnings call reflects a period of transition and mixed results for Rockwell Medical. Despite achieving profitability on an adjusted EBITDA basis and successfully strengthening its contract portfolio, the company faced significant challenges with declining net sales, gross profit, and ongoing customer transition issues. The improved cash position and expansion of the customer base are positive signs, but significant hurdles remain.
Q3-2025 Updates
Positive Updates
Profitability Achieved on Adjusted EBITDA Basis
Rockwell Medical was profitable on an adjusted EBITDA basis for the third quarter of 2025, continuing to track in line with full year guidance and showing improvement over previous quarters.
Successful Contract Portfolio Strengthening
Over 80% of Rockwell Medical's customers are now operating under long-term agreements, providing stability and revenue visibility for the company.
Expansion of Customer Base
Rockwell Medical signed several new long-term product purchasing agreements, including a 3-year commitment with a dialysis center in Southern Florida and an expanded agreement with the largest provider of dialysis and skilled nursing facilities in the U.S.
Improved Cash Position
Cash, cash equivalents, and investments available for sale increased to $23.7 million as of September 30, 2025, from $18.4 million at the end of Q2 2025.
Negative Updates
Significant Decline in Net Sales
Net sales for the third quarter were $15.9 million, representing a 44% decrease from $28.3 million for the same period in 2024, primarily due to the transition of the largest customer to another supplier.
Decreased Gross Profit and Margin
Gross profit for the third quarter was $2.3 million, a 64% decrease from $6.2 million for the same period in 2024. Gross margin for Q3 2025 was 14%, down from 16% in Q2 2025 and 22% for Q2 2024.
Net Loss Reported
Net loss for the third quarter of 2025 was $1.8 million, consistent with the first and second quarters of 2025, compared to net income of $1.7 million for the same period in 2024.
Ongoing Challenges with Largest Customer Transition
Discussions with the largest customer, which represented 12% of net sales in Q3 2025, are ongoing, and the transition to a new supplier has been delayed due to a Class 1 recall by the new supplier.
Company Guidance
During Rockwell Medical's Third Quarter 2025 Earnings Conference Call, the company reported a profitable quarter on an adjusted EBITDA basis, aligning with its full-year guidance. Net sales were $15.9 million, reflecting a 44% decrease from the previous year due to the transition of their largest customer to another supplier. Despite this, the company maintained an adjusted gross margin within the guidance range of 16-18%. Additionally, Rockwell secured several new long-term contracts, including a significant agreement with a dialysis center in Southern Florida that could generate approximately $1 million in annualized net sales. The company's cash position increased to $23.7 million by the end of Q3, providing opportunities for further investments and business development. Despite the decrease in revenue, the company remains optimistic about its growth trajectory, supported by a strengthened contract portfolio and ongoing discussions with potential new customers.

Rockwell Med Financial Statement Overview

Summary
Rockwell Med faces financial challenges with declining revenues and persistent profitability issues. Despite some improvements in cost management, the company struggles with negative cash flows and profitability, indicating a need for stronger financial strategies.
Income Statement
Rockwell Med's income statement shows a declining revenue trend with a negative revenue growth rate of -14.08% in the TTM period. The company has struggled with profitability, as indicated by negative net profit and EBIT margins. However, the gross profit margin has slightly improved over time, suggesting some cost management improvements.
Balance Sheet
The balance sheet reflects moderate leverage with a debt-to-equity ratio of 0.46 in the TTM period, which is an improvement from previous years. However, the return on equity remains negative, indicating ongoing challenges in generating returns for shareholders. The equity ratio is not explicitly provided, but the overall financial health suggests a need for stronger equity growth.
Cash Flow
Cash flow analysis reveals significant challenges, with negative operating and free cash flows in the TTM period. The free cash flow growth rate is also negative, highlighting cash management issues. The operating cash flow to net income ratio is low, indicating inefficiencies in converting income into cash.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue75.58M101.49M83.61M72.81M61.93M62.20M
Gross Profit11.45M17.48M8.70M4.08M-2.42M2.73M
EBITDA-2.68M2.95M-4.69M-16.17M-27.80M-26.72M
Net Income-5.52M-480.00K-8.44M-18.68M-32.67M-30.89M
Balance Sheet
Total Assets57.49M59.21M52.17M46.63M48.57M77.75M
Cash, Cash Equivalents and Short-Term Investments23.71M21.60M10.94M21.49M22.44M58.68M
Total Debt13.13M13.54M13.44M16.36M28.89M23.94M
Total Liabilities20.47M26.62M30.88M32.53M46.04M43.58M
Stockholders Equity37.02M32.59M21.29M14.11M2.54M34.17M
Cash Flow
Free Cash Flow-2.94M3.19M-9.70M-17.21M-34.06M-30.69M
Operating Cash Flow-2.08M4.20M-9.41M-16.93M-33.53M-29.64M
Investing Cash Flow-4.75M-4.87M-3.04M-2.40M311.00K3.21M
Financing Cash Flow8.10M7.35M11.34M16.15M-2.18M63.32M

Rockwell Med Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price0.98
Price Trends
50DMA
0.93
Positive
100DMA
1.14
Negative
200DMA
1.08
Negative
Market Momentum
MACD
<0.01
Negative
RSI
58.55
Neutral
STOCH
82.93
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For RMTI, the sentiment is Neutral. The current price of 0.98 is above the 20-day moving average (MA) of 0.88, above the 50-day MA of 0.93, and below the 200-day MA of 1.08, indicating a neutral trend. The MACD of <0.01 indicates Negative momentum. The RSI at 58.55 is Neutral, neither overbought nor oversold. The STOCH value of 82.93 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for RMTI.

Rockwell Med Risk Analysis

Rockwell Med disclosed 35 risk factors in its most recent earnings report. Rockwell Med reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Rockwell Med Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
53
Neutral
$58.97M-1.98-24.48%9.21%58.12%
53
Neutral
$74.04M-20.25-13.08%12.21%69.91%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
45
Neutral
$28.22M-1.22-53.29%-65.77%38.61%
44
Neutral
$17.59M-0.1152.39%
42
Neutral
$36.94M-6.24-16.67%-23.60%-179.33%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
RMTI
Rockwell Med
1.00
-1.01
-50.50%
ASRT
Assertio Therapeutics
9.32
-2.78
-22.98%
SCYX
SCYNEXIS
0.66
-0.52
-44.49%
CPIX
Cumberland Pharmaceuticals
4.72
2.39
102.58%
KALA
KALA BIO
0.64
-5.91
-90.23%

Rockwell Med Corporate Events

Business Operations and Strategy
Rockwell Medical Extends DaVita Supply Agreement with Price Increase
Positive
Jan 5, 2026

On December 31, 2025, Rockwell Medical, Inc. and DaVita, Inc. entered into a second amendment to their existing products purchase agreement, extending its term by one year to December 31, 2026, effective as of December 23, 2025. The amendment also introduces a price increase on products sold during the extended term, which is likely to support Rockwell Medical’s revenue profile while reinforcing its commercial relationship with a key dialysis provider customer, with implications for contract stability and pricing power in its core market.

The most recent analyst rating on (RMTI) stock is a Hold with a $0.88 price target. To see the full list of analyst forecasts on Rockwell Med stock, see the RMTI Stock Forecast page.

Executive/Board Changes
Rockwell Med Appoints Joseph Dawson to Board
Neutral
Nov 18, 2025

On November 17, 2025, Andrea Heslin Smiley resigned from the Board of Directors of Rockwell Medical, Inc., and was replaced by Joseph H. Dawson as a Class II director. Mr. Dawson, an independent consultant with a background in medical corporations, will serve until the 2026 Annual Meeting of Stockholders and has been appointed to the Nominating and Corporate Governance Committee. He will receive a pro-rated annual cash retainer and equity awards, which will vest in 2026, as part of his compensation.

The most recent analyst rating on (RMTI) stock is a Buy with a $2.50 price target. To see the full list of analyst forecasts on Rockwell Med stock, see the RMTI Stock Forecast page.

Business Operations and Strategy
Rockwell Med Releases Updated Corporate Presentation
Neutral
Nov 12, 2025

On November 12, 2025, Rockwell Medical, Inc. released an updated corporate presentation. This update is part of their ongoing efforts to provide stakeholders with current information, though it is not considered filed under the Securities Exchange Act of 1934.

The most recent analyst rating on (RMTI) stock is a Hold with a $1.00 price target. To see the full list of analyst forecasts on Rockwell Med stock, see the RMTI Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Jan 05, 2026