Rockwell Medical Q2 2026 Earnings Report

Rockwell Medical EPS Results

• Actual EPS: -$0.34
• Consensus EPS: -$0.24
• Beat/Miss: Missed by -$0.11
• One Year Ago EPS: N/A

Rockwell Medical Revenue Results

• Actual Revenue: $17.78 million
• Expected Revenue: $17.82 million
• Beat/Miss: Missed by -$40.00 thousand
• YoY Revenue Growth: N/A

Rockwell Medical Announcement Details

• Quarter: Q2 2026
• Date: 8/13/2026
• Time: Before Market Opens
• Conference Call Date: Thursday, August 13, 2026
• Conference Call Time: 8:00AM ET

Rockwell Medical (NASDAQ:RMTI) is a Delaware‐domiciled biopharmaceutical company focused on the development and commercialization of therapies for patients with chronic kidney disease (CKD). The company’s mission centers on addressing common complications in CKD—namely iron deficiency and secondary hyperparathyroidism—through innovative treatment approaches designed for dialysis settings.

The company’s lead product, TRIFERIC®, is an iron replacement therapy approved by the U.S. Food and Drug Administration for use in hemodialysis patients. TRIFERIC is delivered via dialysate and is intended to replace iron losses that occur during the dialysis process, helping to maintain hemoglobin levels without the need for intravenous iron supplements. In addition to TRIFERIC, Rockwell Medical offers a generic injectable formulation of calcitriol, a form of vitamin D used to manage secondary hyperparathyroidism in CKD patients.

Since its founding in 1991, Rockwell Medical has conducted research, clinical development, and regulatory activities primarily in the United States. The company collaborates with specialty distributors and dialysis providers to commercialize its products and is exploring further innovations, including oral formulations of its iron therapy. Rockwell Medical’s operations are led by an experienced management team with backgrounds in nephrology, pharmaceutical development, and health-care commercialization, reflecting its commitment to improving patient outcomes in the CKD community.

Rockwell Medical Q2 2026 Earnings Call Transcript

Key Takeaways

• Positive Sentiment: Second-quarter net sales rose 11% year over year to $17.8 million, driven by new Western U.S. customers, higher purchasing from existing customers, and pricing actions. Management said it remains on track for 2026 sales guidance of $70 million to $75 million.
• Positive Sentiment: Gross margin expanded to 18% from 16% a year ago, while gross profit increased 30% to $3.2 million. The company attributed the improvement to lower manufacturing costs, automation, higher volumes, and operational efficiencies, and reiterated its full-year gross-margin target of 18% to 22%.
• Positive Sentiment: Rockwell generated approximately $2.1 million in operating cash flow during the quarter and ended June with $24.8 million in cash and available-for-sale investments. Management reiterated expectations for positive operating cash flow and adjusted EBITDA of $1 million to $2 million in 2026.
• Positive Sentiment: Expansion in the Western U.S. is gaining traction, with incremental volume carrying margins above the company average and liquid products representing a larger share of the regional mix. New and renewed customer agreements, generally structured for about three years with pricing escalators, are also increasing revenue visibility.
• Neutral Sentiment: The company is evaluating a complementary renal-care medical device that could address a sizable market and potentially face limited U.S. competition. Development remains early-stage, with investment funded from the existing balance sheet and no additional capital raise currently planned.

Presentation

[Operator]

Good morning, and welcome to Rockwell Medical's second quarter 2026 results conference call and webcast. Please note, this event is being recorded. At this time, I would like to turn the conference call over to Heather Hunter, Chief Operating Officer at Rockwell Medical. Heather, please go ahead.

[Heather Hunter, COO at Rockwell Medical]

Good morning, everyone, and thank you for joining us for this update on Rockwell Medical. Joining me on today's conference call are Dr. Mark Strobeck, Rockwell Medical's President and CEO, and Jesse Neri, Rockwell Medical's CFO. Before we begin, I would like to remind you that this conference call will contain forward-looking statements about Rockwell Medical within the meaning of the federal securities laws, including but not limited to the types of statements identified as forward-looking in our annual report on Form 10-K and our subsequent periodic reports filed with the SEC. These statements are subject to risks and uncertainties that could cause actual results to differ. Please note that these forward-looking statements reflect our opinions and expectations only as of today. Except as required by law, we specifically disclaim any obligation to update or revise these forward-looking statements in light of new information or future events.

[Heather Hunter, COO at Rockwell Medical]

Factors that could cause actual results or outcomes to differ materially from those expressed in or implied by such forward-looking statements are discussed in greater detail in our periodic reports filed with the SEC. Rockwell Medical's quarterly report on Form 10-Q for the three months ended June 30th, 2026 was filed prior to this call and provides a full analysis of the company's business strategy as well as the company's second quarter 2026 results. The reconciliation of non-GAAP measures we discuss on today's call can also be found in today's press release. Our Form 10-Q and other reports filed with the SEC, along with today's press release, our updated investor presentation, and a replay of today's call can be found on our website under the investors section. Now, I will turn the call over to Rockwell Medical's President and CEO, Dr. Mark Strobeck.

[Mark Strobeck, President and CEO at Rockwell Medical]

Thank you, Heather, and good morning, everyone. Thank you for joining us today on Rockwell Medical's second quarter 2026 earnings conference call and webcast. The second quarter was another important step forward for Rockwell Medical. We delivered strong year-over-year growth, continued to expand gross margin, generated positive operating cash flow, strengthened our customer portfolio, and advanced the operational initiatives that we believe will continue to drive long-term shareholder value. As a result, we remain on track to achieve our full year 2026 guidance while continuing to execute against our strategy for further growth in the years ahead. When I think about where Rockwell is today compared to just a few years ago, the difference is significant.

[Mark Strobeck, President and CEO at Rockwell Medical]

Our focus over the last several years has been straightforward: to build a strong business, improve profitability, generate cash, diversify our customer base, increase operational efficiency, and establish a foundation capable of supporting long-term growth. Those objectives have driven nearly every strategic and operational decision we have made. Today, we are seeing tangible evidence that those efforts are working. During the second quarter, net sales increased 11% compared to the prior year period, driven by continued customer growth, increased purchase activity from existing customers, and the impact of pricing actions implemented across portions of our portfolio. Gross profit increased and gross margin expanded to 18%, reflecting higher volumes and improved operating efficiency. We also generated positive cash flow from operations and ended the quarter with a strong cash position. These results demonstrate continued progress in the execution of our strategy and further improvement in our financial performance.

[Mark Strobeck, President and CEO at Rockwell Medical]

Perhaps equally important, these results are not driven by a single customer, a one-time initiative, or a short-term event. They are being generated through disciplined execution across the organization. A key component of our strategy has been creating a more diversified and durable revenue base. We currently serve approximately 300 customers, including all five major U.S. dialysis providers, while also supplying products to more than 30 international markets. Over time, we have worked deliberately to reduce customer concentration and increase the percentage of business conducted under longer-term agreements that provide greater visibility and predictability. The second quarter included additional progress on this front. We announced a new agreement with Heritage Dialysis, the renewal of our long-standing relationship with aQua Dialysis. Both agreements reinforce our position as a trusted supplier and further strengthen the recurring nature of our revenue base.

[Mark Strobeck, President and CEO at Rockwell Medical]

Importantly, these agreements also include annual pricing provisions that better align our products with the value we provide our customers. Our commercial momentum also continues to build in regions where we are investing significant effort. As a result, we continue to see meaningful growth in the Western United States as recently onboarded customers continue to transition business to Rockwell. These wins are particularly important because they demonstrate our ability to compete successfully in new geographies while leveraging existing manufacturing and distribution infrastructure. We continue to remain the leading supplier of liquid bicarbonate concentrates and one of the largest overall providers of hemodialysis concentrates in the United States. We believe our products and services provide meaningful value, and our customers continue to depend on us to deliver high-quality products reliably and consistently in an environment where supply continuity is critical. Another area where we are seeing encouraging progress is operational efficiency.

[Mark Strobeck, President and CEO at Rockwell Medical]

We have invested substantial time and resources into improving our manufacturing footprint, streamlining operations, optimizing distribution, and implementing automation initiatives. Many of these projects required upfront investment and significant organizational focus. While they were designed to create long-term benefits, we are now beginning to see those benefits reflected in our financial results. One of the clearest examples is the successful activation of two new automated liquid production lines, which increase our manufacturing capacity, improve efficiency, reduce labor intensity, and lower production costs. As utilization continues to grow, we expect these and future investments to continue to contribute to margin expansion and profitability improvements over the coming years. Our objective is not simply to improve margins for a quarter or two. We are focused on creating structural advantages that support sustainable profitability over the long term.

[Mark Strobeck, President and CEO at Rockwell Medical]

When we discuss our goal of achieving approximately 30% gross margins by 2029, that target is not based on a single initiative. It reflects multiple drivers working together, including higher volume, pricing discipline, increased automation, improved manufacturing efficiency, distribution optimization, and continued operating leverage as the business grows. We believe the progress we delivered during the second quarter demonstrates that these initiatives are moving in the right direction. Beyond our core concentrates business, we are also focused on creating future growth opportunities that are closely aligned with our existing renal care platform. During the second quarter, we incurred a modest amount of expense related to the evaluation and development of a new medical device opportunity that we believe complements our current product portfolio and leverages the commercial relationships, manufacturing expertise, and market knowledge we have built over many years.

[Mark Strobeck, President and CEO at Rockwell Medical]

Importantly, this is a measured investment that is being funded within our existing operating plan and does not alter our commitment to maintaining a strong balance sheet and positive operating cash flow. While it is still early in the process, we believe this opportunity offers an attractive way to expand our offerings while remaining focused on disciplined capital allocation and creating long-term shareholder value. We will provide additional updates as they become available. Looking ahead, our long-term growth strategy remains centered around three core pillars. First, we will continue growing our core hemodialysis concentrates business through customer acquisition, geographic expansion, enhanced customer retention, and disciplined pricing. Second, we intend to broaden our portfolio with complementary renal care products that can leverage our existing infrastructure. Third, we will continue to evaluate innovations that improve the patient experience and expand our portfolio within the broader renal care ecosystem.

[Mark Strobeck, President and CEO at Rockwell Medical]

Together, these initiatives support our goal of generating annual net sales in excess of $100 million by 2029 while continuing to improve profitability and cash generation. Before I turn the call over to Jesse, I'd like to address our recently completed reverse stock split. We recognize that some investors may naturally compare this reverse stock split to actions taken during prior periods in the company's history, particularly those who have followed Rockwell for many years. However, it is important to recognize that the circumstances surrounding this reverse split are fundamentally different. The reverse stock split completed this year was undertaken to regain compliance with Nasdaq's minimum bid price requirement to increase interest from institutional investors and reassure customers' confidence in Rockwell.

[Mark Strobeck, President and CEO at Rockwell Medical]

While market conditions and trading dynamics contributed to Rockwell's share price performance, the reverse split was not driven by the need to raise capital, the deterioration in our operating performance, liquidity concerns, financial concerns, or change in our business outlook. Unlike prior periods, this reverse split was not undertaken in connection with, nor will be followed by a capital raise. At the time of the split, Rockwell has demonstrated continued revenue growth, improving profitability, positive operating cash flow, expanded margins, and a strengthened balance sheet. Since completing the reverse split, we have regained compliance with Nasdaq's listing requirements, and the matter has been closed. More importantly, today, Rockwell is fundamentally stronger than it was several years ago.

[Mark Strobeck, President and CEO at Rockwell Medical]

We have strengthened our balance sheet, improved profitability, expanded margins, diversified our customer base, generated positive operating cash flow, invested in automation, and established a clear strategic roadmap for future growth. We believe these accomplishments are what should define today's Rockwell Medical. We also continue to believe there is a meaningful disconnect between our current market valuation and the progress being made within the business. While markets ultimately determine value, our responsibility is straightforward: execute our strategy, meet our commitments, communicate transparently, and continue to build a business that generates sustainable long-term returns. We believe the best way to close that gap is through continued execution, and our team remains intensely focused on delivering results. As the second half of 2026 gets fully underway, we are encouraged by the momentum in the business.

[Mark Strobeck, President and CEO at Rockwell Medical]

We believe our company is stronger operationally, healthier financially, and better positioned strategically than it has been in recent years. While there is still work to do, we are confident that the actions we have taken, combined with the opportunities ahead of us, position Rockwell Medical for continued growth and value creation. With that, I'll turn the call over to Jesse to review our second quarter 2026 financial results in more detail.

[Jesse Neri, CFO at Rockwell Medical]

Thank you, Mark. Good morning, everyone. Net sales for the three months ended June 30th, 2026, were $17.8 million, representing an 11% increase compared to net sales of $16.1 million for the same period in 2025. The increase was primarily driven by sales to new customers in the Western United States, increased purchasing from existing customers, and annual pricing actions implemented across our portfolio. For the six months ended June 30th, 2026, net sales were $35.1 million, which was in line with net sales for the same period in 2025. While net sales for the six-month comparative periods were consistent year-over-year, it is important to point out that the first half of 2025 sales included higher purchasing volumes from DaVita. Excluding DaVita, first half 2026 sales grew by more than 10% over the prior year.

[Jesse Neri, CFO at Rockwell Medical]

We also delivered sequential growth with Q2 2026 sales exceeding Q1, driven by increased purchases from existing customers. We believe that this trend provides a stronger indication of the direction of the business than the six-month comparison alone. Turning to profitability. Gross profit for the second quarter was $3.2 million, compared to $2.5 million in the second quarter of 2025, representing a 30% year-over-year improvement. Gross margin increased to 18%, compared to 16% during the same period last year and 17% in the first quarter of this year. For the six months ended June 30th, 2026, gross profit was $6.1 million, compared to $5.5 million during the prior year period. Gross margin improved to 17%, compared to approximately 16% during the first half of 2025.

[Jesse Neri, CFO at Rockwell Medical]

We believe these results continue the positive margin trajectory we have discussed over the last several quarters and represent another step toward our full year gross margin target of 18%-22%. The increase in gross profit and gross margin reflects the benefit of lower manufacturing costs and operational efficiency initiatives implemented throughout the organization, including our most recent automation investments. These improvements are designed to create a more efficient cost structure and support long-term profitability. As production volumes increase and asset utilization continues to improve, we believe there remains additional opportunity for margin expansion over time. Moving down the income statement, our net loss for the second quarter was $1.2 million, compared to a net loss of $1.5 million during the second quarter of 2025 and $1.6 million for the first quarter of 2026.

[Jesse Neri, CFO at Rockwell Medical]

For the first six months of 2026, net loss was $2.8 million compared to $3 million during the same period in 2025. While we are not yet at our ultimate profitability objectives, these results demonstrate continued progress toward improving overall operating performance. Adjusted EBITDA for the second quarter was a -$200,000, consistent with the prior year period. For the six-month period, adjusted EBITDA improved $200,000 compared to the first half of 2025, reflecting the benefits of higher gross profit. As additional revenue and margin improvement initiatives take hold throughout the remainder of the year, we continue to expect adjusted EBITDA to improve and remain within our previously issued guidance range of $1 million-$2 million for the full year of 2026. Now let's discuss cash flow and liquidity,

[Jesse Neri, CFO at Rockwell Medical]

One of the most encouraging aspects of our second quarter performance was the continued strength of our balance sheet and the ability to generate cash from operations. During the second quarter, the company generated approximately $2.1 million of cash from operations. This performance contributed to a quarter-end balance of $24.8 million in cash equivalents, and investments available for sale. Importantly, this cash balance increased from $23.9 million at the end of the first quarter and remained generally consistent with our year-end 2025 position, despite continued investments in the business and the final payments associated with the Evoqua acquisition. We have consistently stated that our primary financial objective is to achieve operating cash flow and position the business to fund its operations organically. The second quarter represents another important step toward that objective.

[Jesse Neri, CFO at Rockwell Medical]

We believe our strong cash position provides flexibility to support our growth initiatives, invest in operational improvements, pursue strategic opportunities, and continue to build long-term shareholder value. Based on our performance through the first half of the year and current business trends, we are reiterating our full year 2026 guidance. We continue to expect net sales between $70 million and $75 million, gross margin between 18% and 22%, and adjusted EBITDA between $1 million and $2 million, and positive operating cash flow. As Mark noted earlier, we have met or exceeded our stated expectations for three consecutive years. While we remain mindful of the dynamic environment in which we operate, we are encouraged by the momentum we are seeing across the business and remain focused on disciplined execution during the second half of the year.

[Jesse Neri, CFO at Rockwell Medical]

In closing, our financial performance this quarter reflects a business that is becoming stronger, more efficient, and more predictable. Net sales increased, margin expanded, operating cash flow strengthened, and our balance sheet remains healthy. We believe these results reinforce the effectiveness of our strategy and positions us well for continued progress as we move through the remainder of 2026. Now, I will turn the call back over to Mark.

[Mark Strobeck, President and CEO at Rockwell Medical]

Thank you, Jesse. Operator, please open the phone lines for any questions.

[Operator]

We will now begin the question-and-answer session. If you would like to ask a question, please press star one to raise your hand. To withdraw your question, press star one again. We ask that you pick up your handset when asking a question to allow for optimum sound quality. If you are muted locally, please remember to unmute your device. Please stand by while we compile the roster. Your first question comes from Nicholas Sherwood with Maxim Group. Your line is open. Please go ahead.

[Nicholas Sherwood, Analyst at Maxim Group]

Hi. Good morning.

[Mark Strobeck, President and CEO at Rockwell Medical]

Nick, I think we lost you.

[Nicholas Sherwood, Analyst at Maxim Group]

Can you hear me?

[Mark Strobeck, President and CEO at Rockwell Medical]

No, we can't hear you.

[Nicholas Sherwood, Analyst at Maxim Group]

Hello?

[Mark Strobeck, President and CEO at Rockwell Medical]

Hello. We can hear you now.

[Nicholas Sherwood, Analyst at Maxim Group]

Okay. In the past, you've spoken about expanding more into the West Coast. Can you talk about how it's been going building up your operations in that market?

[Mark Strobeck, President and CEO at Rockwell Medical]

Yes. I think as we've spoken about previously, it's been a strategic objective of ours to expand our operations more directly in the West Coast. As of right now, there's really primarily one supplier of concentrate in the West, and we think there is a significant market opportunity for us to access. As we announced at the beginning of the year, we had begun to take over a customer base that existed out in the West. We've brought those folks into the Rockwell platform and have now begun to supply those on a consistent and regular basis.

[Mark Strobeck, President and CEO at Rockwell Medical]

What that's doing is really opening up the opportunity for us and our sales force to go out and begin to start to talk to other customers in the West, letting them know that Rockwell is now present in that region, has a full suite of concentrates that we manufacture and distribute, and can now begin to start to supply them. We're seeing a lot of positive interactions out there, and we expect that part of the business to continue to grow.

[Nicholas Sherwood, Analyst at Maxim Group]

Understood. Thank you for that detail. Then, talking about contracts you've been signing with your partners, what do the renewal structures look like? Are these two to three-year contracts, will you be revisiting them with your partners well before they end, like a year before they end, or six months before they end? And like some of these renewal option mechanisms, when can these be triggered, just so you can maybe have even more idea of consistent revenue timeline?

[Mark Strobeck, President and CEO at Rockwell Medical]

Yep. Our standard supply agreement is approximately three years in length. It carries with it a set amount of prices for the products that they are purchasing. It has in its standard price escalators, depending on the products, depending on the volumes that they are purchasing, and the increases that they expect over those years. Then typically, we begin discussing with those partners about six months in advance of the end of those agreements, renewing those agreements. Given our performance, given their needs, that is usually the right time for us to begin those discussions, and then have translated into extensions of those agreements for longer periods.

[Nicholas Sherwood, Analyst at Maxim Group]

Okay. Understood. Then I know you said you would provide more forthcoming details, but I am going to ask a question about the medical device opportunity you mentioned earlier anyway. How should we think about how it is going to settle and compare with your current portfolio of products? Is this going to be something that is going to be easily bundled with your current products, it is going to either enhance their efficacy or efficiency, or is this more of something where it is going to be depending on your partner, this is going to be something that is going to be applicable to them, and it will also be able to be used with your current product base?

[Mark Strobeck, President and CEO at Rockwell Medical]

Yeah. As we have spoken about previously, we have been looking for opportunities for us to, in particular, fold into our existing product portfolio that we think targets a large enough market opportunity to make it worth the investment for us to develop, ultimately register, and begin to start to sell and distribute a product. We have looked at a number of different opportunities, and this is one that we feel very strongly about, that the data supports that if we are able to develop this product, register it, and begin to distribute it, really targets a large opportunity, folds directly into the current portfolio of products that we make. We would be potentially the only other supplier of this type of product in the United States. I think that offers a pretty significant opportunity for us.

[Mark Strobeck, President and CEO at Rockwell Medical]

With all of that analysis behind it, we took the decision to begin the process of developing that product. As I mentioned in the discussion, this will be entirely funded by our balance sheet. We do not need to go out and raise additional funding to support this. We think we can do it based on our current operating plan, and that also makes it equally attractive to us.

[Nicholas Sherwood, Analyst at Maxim Group]

Okay. Yeah, great. Thank you for all those details. I'll return it to the queue.

[Mark Strobeck, President and CEO at Rockwell Medical]

Thanks, Nick.

[Operator]

Your next question comes from Ram Selvaraju with H.C. Wainwright. Your line is open. Go ahead.

[Analyst at H.C. Wainwright]

Good morning. This is Katie on for Ram. Beyond the manufacturing costs and volume drivers you've called out, is there a product mix component to the West Coast growth and to your path towards the high end of the 18%-22% margin guide? On top of that, what's the plan to keep growing that Western business from here?

[Jesse Neri, CFO at Rockwell Medical]

In terms of the product mix, I could help that. The Western product is more skewed towards our liquid products, which as you know, we are the leading manufacturer of. That's generally a higher margin profile. In terms of customers, I'll turn it over to Mark.

[Mark Strobeck, President and CEO at Rockwell Medical]

Then I think as far as continuing to expand our customer base out in the West, part of that is I think educating dialysis centers that are present in the West that Rockwell is now present, now manufacturing products, and has a path to distribute those products in that region. It's really us going out and starting to more aggressively meet with those clinics, whether it's a large clinic organization, it's a medium dialysis organization, and letting them know that there is an alternative out there to the single provider that they've been largely locked into having to buy products from. That's our path to kind of continue to grow. Obviously, the success of our supplying the customers that we currently have is also starting to ripple through the marketplace.

[Mark Strobeck, President and CEO at Rockwell Medical]

The combination of those two, I think, are going to be incredibly important and helpful for us to drive growth further in the West.

[Analyst at H.C. Wainwright]

Great. If I could, one quick follow-on. For that incremental volume growth, I think you sort of alluded to it, does that carry a margin similar to the corporate average, or are you seeing any kind of dilution by the freight and onboarding costs as this business matures?

[Mark Strobeck, President and CEO at Rockwell Medical]

For the incremental growth that we've seen over the quarter, that is consistently higher than the corporate average.

[Analyst at H.C. Wainwright]

Great. Thank you.

[Operator]

We have reached the end of the Q&A session. I will now turn the call back over to Dr. Strobeck for closing remarks.

[Mark Strobeck, President and CEO at Rockwell Medical]

As we conclude today's call, I want to reiterate that our focus remains unchanged. Growing revenue, expanding margins, generating positive cash flow, and creating long-term value for our shareholders. The results we've reported today reflect the progress we are making against those objectives, including revenue growth, improved profitability, continued operational efficiencies, and a strong cash position. While we remain focused on executing our strategy, we are confident that the actions we have taken, combined with the opportunities ahead of us, position Rockwell Medical for continued growth and value creation. We appreciate the continued dedication of our employees, the trust of our customers, and the support of our shareholders. We look forward to updating you on our progress in the quarters ahead.

[Operator]

This concludes today's call. Thank you for attending. You may now disconnect.

Participants

Executives

• Heather Hunter, COO
• Mark Strobeck, President and CEO
• Jesse Neri, CFO

Analysts

• Nicholas Sherwood, Analyst at Maxim Group
• Analyst at H.C. Wainwright