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Rockwell Medical Inc (RMTI)


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Upturn Advisory Summary
10/30/2025: RMTI (1-star) is currently NOT-A-BUY. Pass it for now.
1 Year Target Price $4
1 Year Target Price $4
| 0 | Strong Buy | 
| 2 | Buy | 
| 0 | Hold | 
| 0 | Sell | 
| 0 | Strong Sell | 
Analysis of Past Performance
|  Type  Stock |  Historic Profit  -27.89% |  Avg. Invested days  22 |  Today’s Advisory  PASS  | 
|  Upturn Star Rating   |  Upturn Advisory Performance   2.0 |  Stock Returns Performance   1.0 | 
|  Profits based on simulation |  Last Close 10/30/2025 | 
Key Highlights
|  Company Size  Small-Cap Stock  |  Market Capitalization  37.18M  USD  |  Price to earnings Ratio  -  |  1Y Target Price  4  | 
|  Price to earnings Ratio  -  |  1Y Target Price  4  | ||
|  Volume (30-day avg)  2  |  Beta  1.73  |  52 Weeks Range  0.78 - 5.15  |  Updated Date  10/31/2025  | 
|  52 Weeks Range  0.78 - 5.15  |  Updated Date  10/31/2025  | ||
|  Dividends yield (FY)  -  |  Basic EPS (TTM)  -0.07  | 
Analyzing Revenue: Products, Geography and Growth
Revenue by Products
Product revenue - Year on Year
Revenue by Geography
Geography revenue - Year on Year
Earnings Date
|  Report Date  -  |  When  -  |  Estimate  -  |  Actual  -  | 
Profitability
|  Profit Margin  -2.39%  |  Operating Margin (TTM)  -8.39%  | 
Management Effectiveness
|  Return on Assets (TTM)  -1.53%  |  Return on Equity (TTM)  -7.79%  | 
Valuation
|  Trailing PE  -  |  Forward PE  59.17  |  Enterprise Value  37245725  |  Price to Sales(TTM)  0.42  | 
|  Enterprise Value  37245725  |  Price to Sales(TTM)  0.42  | ||
|  Enterprise Value to Revenue  0.42  |  Enterprise Value to EBITDA  30.21  |  Shares Outstanding  34430352  |  Shares Floating  28141993  | 
|  Shares Outstanding  34430352  |  Shares Floating  28141993  | ||
|  Percent Insiders  14.07  |  Percent Institutions  17.2  | 
 Upturn AI SWOT
 Upturn AI SWOT 
Rockwell Medical Inc

Company Overview
 History and Background
 History and Background 
Rockwell Medical Inc. was founded in 1995. It is a biopharmaceutical company targeting end-stage renal disease (ESRD) and chronic kidney disease (CKD) with innovative therapies and services.
 Core Business Areas
 Core Business Areas 
- Drug Products: Focuses on developing and commercializing drug products for patients with kidney disease. The company's main products are Triferic AVNU for hemodialysis and Triferic Dialysate for peritoneal dialysis, which are iron replacement therapies that maintain hemoglobin levels and reduce the need for erythropoiesis-stimulating agents (ESAs).
- Equipment and Services: Previously offered dialysis concentrates, dialysis equipment, and services; however, the company divested its dialysis business in 2023.
 Leadership and Structure
 Leadership and Structure 
Mark Strobeck, Ph.D. is the President and CEO. The company is structured with various departments including research & development, clinical operations, commercial operations, and finance.
Top Products and Market Share
 Key Offerings
 Key Offerings 
- Triferic AVNU: Triferic AVNU is an FDA-approved intravenous iron maintenance therapy indicated for the treatment of iron deficiency in adult patients with hemodialysis-dependent chronic kidney disease (CKD). While specific market share data is dynamic, Triferic competes with traditional IV iron products. Competitors include Vifor Pharma, AMAG Pharmaceuticals (now part of Covis Pharma), and Akebia Therapeutics. Revenue data specific to Triferic AVNU is not publicly available on a product-by-product basis but is incorporated into Rockwell Medical's overall pharmaceutical sales.
- Triferic Dialysate: Triferic Dialysate is an FDA-approved dialysate solution for use in peritoneal dialysis, indicated for iron maintenance and hemoglobin maintenance in adult patients with peritoneal dialysis-dependent chronic kidney disease (CKD). Competitors include Baxter International and Fresenius Medical Care who provide solutions for peritoneal dialysis.
Market Dynamics
 Industry Overview
 Industry Overview 
The renal disease market is driven by the increasing prevalence of diabetes and hypertension, major causes of kidney failure. This market includes pharmaceuticals, dialysis equipment, and services. Demand is high due to the chronic nature of the disease and an aging population.
Positioning
Rockwell Medical is positioned as a specialized pharmaceutical company focused on innovative iron therapies to improve outcomes for dialysis patients. Their key differentiator is Triferic, a product designed to deliver iron while minimizing ESA use and associated risks. They position themselves as a leader in iron maintenance therapy.
Total Addressable Market (TAM)
The global dialysis market is estimated at over $90 billion. Rockwell Medical, with Triferic products, targets the iron management portion of this market, representing a portion of this TAM. The peritoneal dialysis market, in particular, is expected to grow which gives Rockwell significant opportunity.
Upturn SWOT Analysis
Strengths
- FDA-approved, differentiated Triferic product line
- Specialized expertise in iron management for dialysis patients
- Focus on addressing a significant unmet need in the renal disease market
- Potential for expansion into new indications or delivery methods
Weaknesses
- Reliance on a limited product portfolio
- Small market capitalization may limit access to capital
- Dependence on regulatory approvals and reimbursement
- Historically unprofitable
Opportunities
- Expanding Triferic into new markets or geographies
- Developing new formulations or delivery methods for Triferic
- Acquiring or partnering with other companies in the renal disease space
- Increasing awareness and adoption of Triferic among healthcare providers
Threats
- Competition from established dialysis providers and pharmaceutical companies
- Changes in reimbursement policies or regulatory requirements
- Generic entry of Triferic
- Clinical trial failures or adverse events
Competitors and Market Share
 Key Competitors
 Key Competitors 
- BMY
- VIF.SW
- BAX
- FMS
Competitive Landscape
Rockwell Medical faces competition from larger, more established companies in both the dialysis and pharmaceutical markets. Its advantage lies in its specialized focus and potentially differentiated product.
Growth Trajectory and Initiatives
Historical Growth: Historically, growth was tied to dialysis products and services, but with the divestiture, future growth depends primarily on Triferic products. Growth has been hindered by financial challenges.
Future Projections: Future growth is expected to depend on increasing sales of Triferic products. Analyst estimates are not readily available, but company management aims to achieve profitability through increased market penetration and cost management.
Recent Initiatives: The divestiture of the dialysis business to Baxter International in 2023. Focus on the Triferic product line.
Summary
Rockwell Medical is a biopharmaceutical company navigating a complex transition after selling its dialysis business. The company's success hinges on the growth of Triferic and its ability to effectively compete against larger players in the renal disease space. It has a product with a differentiated mechanism that offers several advantages. While the company has a unique product and a market need, it should monitor and watch out for changes in the industry, new entrants into the market and pricing pressures.
Similar Stocks
Sources and Disclaimers
Data Sources:
- Rockwell Medical Inc. SEC Filings (10-K, 10-Q)
- Company Press Releases
- Investor Presentations
- Third-party Market Research Reports
- FDA Website
- Company Website
Disclaimers:
This analysis is based on publicly available information and is for informational purposes only. It is not financial advice and should not be used as the sole basis for investment decisions. Market share data is approximate and may vary based on source and methodology. All financial data is based on publicly reported figures and may be subject to change.
 AI Summarization is directionally correct and might not be accurate.
 AI Summarization is directionally correct and might not be accurate. 
 Summarized information shown could be a few years old and not current.
 Summarized information shown could be a few years old and not current. 
 Fundamental Rating based on AI could be based on old data.
 Fundamental Rating based on AI could be based on old data. 
 AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.
 AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action. 
About Rockwell Medical Inc
|  Exchange  NASDAQ  |  Headquaters  Wixom, MI, United States  | ||
|  IPO Launch date  1998-01-27  |  President, CEO & Director  Dr. Mark  Strobeck Ph.D.  | ||
|  Sector  Healthcare  |  Industry  Drug Manufacturers - Specialty & Generic  |  Full time employees  244  |  Website  https://www.rockwellmed.com  | 
|  Full time employees  244  |  Website  https://www.rockwellmed.com  | ||
Rockwell Medical, Inc., together with its subsidiaries, develops, manufactures, commercializes, and distributes various hemodialysis products for dialysis providers worldwide. The company offers citrapure citric acid concentrate, dri-sate dry acid concentrate, renalpure liquid acid concentrate, dri-sate acid concentrate mixer, renalpure acid concentrate, renalpure bicarbonate concentrate, sterilyte bicarbonate concentrate, centrisol and renasol hemodialysis concentrates, and dry acid concentrate mixer, as well as ancillary products, including 5% acetic acid, cleaner, citric acid descaler, water softener salt pellets, and other supplies used by hemodialysis providers. Its hemodialysis concentrate products are used to sustain patient's life by removing toxins and balancing electrolytes in a dialysis patient's bloodstream. The company serves to hemodialysis clinics, including dialysis concentrates, dialysis kits, and other ancillary products used in the dialysis process. Rockwell Medical, Inc. was formerly known as Rockwell Medical Technologies, Inc. and changed its name to Rockwell Medical, Inc. in June 2012. Rockwell Medical, Inc. was incorporated in 1996 and is headquartered in Wixom, Michigan.

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