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    SEC Form 10-Q filed by Rockwell Medical Inc.

    8/14/25 7:05:59 AM ET
    $RMTI
    Biotechnology: Pharmaceutical Preparations
    Health Care
    Get the next $RMTI alert in real time by email
    rmti-20250630
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    United States
    SECURITIES AND EXCHANGE COMMISSION
    Washington, D.C. 20549
    Form 10-Q
    __________________________________________________
    (Mark One)
    ☒QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934
    For the quarterly period ended June 30, 2025
    or
    ☐TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934
    For the transition period from                              to                              
    Commission File Number: 000-23661
    ROCKWELL MEDICAL, INC.
    (Exact name of registrant as specified in its charter)
    Delaware38-3317208
    (State or other jurisdiction of
    incorporation or organization)
    (I.R.S. Employer
    Identification No.)
    30142 S. Wixom Road, Wixom, Michigan
    48393
    (Address of principal executive offices)(Zip Code)
    (248) 960-9009
    (Registrant’s telephone number, including area code)

    (Former name, former address and former fiscal year, if changed since last report)
    Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  ☒ Yes    ☐  No
    Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).  ☒  Yes    ☐  No
    Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
    Large accelerated filer☐Accelerated filer☐
    Non-accelerated filer☒Smaller reporting company☒
     Emerging growth company☐
    If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
    Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).  ☐  Yes ☒ No
    Securities registered pursuant to Section 12(b) of the Act:
    Title of each class:Trading SymbolName of each exchange on which registered:
    Common Stock, par value $0.0001RMTI
    Nasdaq Capital Market
    The number of shares of common stock outstanding as of August 6, 2025 was 34,430,352.






    Rockwell Medical, Inc. and Subsidiaries
    Index to Form 10-Q
    Page
    Part I — Financial Information (unaudited)
    Item 1 - Unaudited Financial Statements
    Condensed Consolidated Balance Sheets as of June 30, 2025 and December 31, 2024
    3
    Condensed Consolidated Statements of Operations for the Three and Six Months Ended June 30, 2025 and 2024
    5
    Condensed Consolidated Statements of Comprehensive Loss for the Three and Six Months Ended June 30, 2025 and 2024
    6
    Condensed Consolidated Statements of Changes in Stockholders’ Equity for the Three and Six Months Ended June 30, 2025 and 2024
    7
    Condensed Consolidated Statements of Cash Flows for the Six Months Ended June 30, 2025 and 2024
    8
    Notes to Condensed Consolidated Financial Statements
    9
    Item 2 - Management’s Discussion and Analysis of Financial Condition and Results of Operations
    17
    Item 3 - Quantitative and Qualitative Disclosures about Market Risk
    21
    Item 4 - Controls and Procedures
    21
    Part II — Other Information
    Item 1 - Legal Proceedings
    21
    Item 1A - Risk Factors
    22
    Item 2 - Unregistered Sales of Equity Securities and Use of Proceeds
    22
    Item 3 - Defaults Upon Senior Securities
    22
    Item 4 - Mine Safety Disclosures
    22
    Item 5 - Other Information
    22
    Item 6 - Exhibits
    22
    Signatures
    23
    2





    PART I – FINANCIAL INFORMATION
    Item 1.  Financial Statements
    ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
    UNAUDITED CONDENSED CONSOLIDATED BALANCE SHEETS
    (In thousands, except share and par value amounts)
    June 30,
    2025
    December 31,
    2024
    ASSETS
    Cash and Cash Equivalents$12,482 $15,662 
    Investments Available-for-Sale5,940 5,940 
    Accounts Receivable, net8,084 8,291 
    Inventory, net4,160 5,778 
    Prepaid and Other Current Assets943 1,359 
    Total Current Assets31,609 37,030 
    Property and Equipment, net5,129 5,785 
    Inventory, Non-Current— 178 
    Right of Use Assets - Operating, net3,408 3,215 
    Right of Use Assets - Financing, net1,066 1,344 
    Intangible Assets, net9,931 10,207 
    Goodwill921 921 
    Other Non-Current Assets561 528 
    Total Assets$52,625 $59,208 
    LIABILITIES AND STOCKHOLDERS’ EQUITY
    Accounts Payable$1,502 $2,869 
    Accrued Liabilities4,096 6,275 
    Deferred Consideration - Current2,500 2,371 
    Lease Liabilities - Operating - Current1,455 1,566 
    Lease Liabilities - Financing - Current622 599 
    Deferred License Revenue - Current— 46 
    Insurance Financing Note Payable660 268 
    Customer Deposits111 97 
    Total Current Liabilities10,946 14,091 
    Lease Liabilities - Operating - Long-Term2,008 1,699 
    Lease Liabilities - Financing - Long-Term614 931 
    Term Loan - Long-Term, net of Issuance Costs8,648 8,472 
    Deferred License Revenue - Long-Term— 429 
    Deferred Consideration - Long-Term— 1,000 
    Total Liabilities22,216 26,622 
    Commitments and Contingencies (see Note 13)
    3











    June 30,
    2025
    December 31,
    2024
    Stockholders' Equity:
    Preferred Stock, $0.0001 par value, 2,000,000 shares authorized; 15,000 shares issued and outstanding at June 30, 2025 and December 31, 2024
    — — 
    Common Stock, $0.0001 par value; 170,000,000 shares authorized; 34,430,352 and 34,056,920 shares issued and outstanding at June 30, 2025 and December 31, 2024, respectively
    3 3 
    Additional Paid-in Capital431,034 430,207 
    Accumulated Deficit(400,685)(397,678)
    Accumulated Other Comprehensive Income57 54 
    Total Stockholders’ Equity30,409 32,586 
    Total Liabilities and Stockholders’ Equity$52,625 $59,208 



    The accompanying notes are an integral part of the condensed consolidated financial statements.
    4


    ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
    UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
    (In thousands, except share and per share amounts)
    Three Months Ended June 30,Six Months Ended June 30,
    2025202420252024
    Net Sales$16,071 $25,832 $34,985 $48,508 
    Cost of Sales13,568 21,282 29,440 40,894 
    Gross Profit2,503 4,550 5,545 7,614 
    Research and Product Development— — — 18 
    Selling and Marketing572 586 1,283 1,180 
    General and Administrative3,280 3,449 6,971 7,225 
    Operating (Loss) Income(1,349)515 (2,709)(809)
    Other Income (Expense):
    Realized Gain on Available-for-Sale Investments64 51 120 51 
    Interest Expense(276)(232)(553)(663)
    Interest Income69 9 135 33 
    Total Other Expense, net(143)(172)(298)(579)
    Net (Loss) Income$(1,492)$343 $(3,007)$(1,388)
    Basic Net (Loss) Income per Share$(0.05)$0.01 $(0.09)$(0.05)
    Diluted Net (Loss) Income per Share$(0.05)$0.01 $(0.09)$(0.05)
    Basic Weighted Average Shares Outstanding34,311,306 30,451,622 34,204,487 29,889,413 
    Diluted Weighted Average Shares Outstanding34,311,306 32,033,776 34,204,487 29,889,413 


    The accompanying notes are an integral part of the condensed consolidated financial statements.
    5


    ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
    UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS
    (In thousands)
    Three Months Ended June 30,Six Months Ended June 30,
    2025202420252024
    Net (Loss) Income$(1,492)$343 $(3,007)$(1,388)
    Reclassification of Realized Gain on Available-for-Sale Investments Included in Net (Loss) Income(64)(25)(120)(25)
    Unrealized Gain on Available-for-Sale Investments61 — 123 25 
    Foreign Currency Translation Adjustments— (4)— (4)
    Comprehensive (Loss) Income$(1,495)$314 $(3,004)$(1,392)

    The accompanying notes are an integral part of the condensed consolidated financial statements.
    6


    ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
    UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY
    (In thousands, except share amounts)
    PREFERRED STOCKCOMMON STOCKADDITIONAL PAID-IN CAPITALACCUMULATED
    DEFICIT
    ACCUMULATED
    OTHER
    COMPREHENSIVE
    INCOME (LOSS)
    TOTAL
    STOCKHOLDERS'
     EQUITY
    SHARESAMOUNTSHARESAMOUNT
    Balance as of January 1, 202515,000 $— 34,056,920 $3 $430,207 $(397,678)$54 $32,586 
    Net Loss— — — — — (1,515)— (1,515)
    Reclassification of Realized Gain on Available-for-Sale Investments— — — — — — (56)(56)
    Unrealized Gain on Available-for-Sale Investments— — — — — — 62 62 
    Vesting of Restricted Stock Units Issued, net of Taxes Withheld and Cancellations— — 200,983 — — — — — 
    Stock-based Compensation— — — — 445 — — 445 
    Balance as of March 31, 202515,000 — 34,257,903 3 430,652 (399,193)60 31,522 
    Net Loss— — — — — (1,492)— (1,492)
    Reclassification of Realized Gain on Available-for-Sale Investments— — — — — — (64)(64)
    Unrealized Gain on Available-for-Sale Investments— — — — — — 61 61 
    Vesting of Restricted Stock Units Issued, net of taxes withheld— — 172,449 — — — — — 
    Stock-based Compensation — — — — 382 — — 382 
    Balance as of June 30, 202515,000 $— 34,430,352 $3 $431,034 $(400,685)$57 $30,409 

    The accompanying notes are an integral part of the condensed consolidated financial statements.
    ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
    UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY
    (In thousands, except share amounts)
    PREFERRED STOCKCOMMON STOCKADDITIONAL PAID-IN CAPITALACCUMULATED
    DEFICIT
    ACCUMULATED
    OTHER
    COMPREHENSIVE
    INCOME (LOSS)
    TOTAL
    STOCKHOLDERS'
    EQUITY
    SHARESAMOUNTSHARESAMOUNT
    Balance as of January 1, 202415,000 $— 29,130,607 $3 $418,487 $(397,198)$(1)$21,291 
    Net Loss— — — — — (1,731)— (1,731)
    Unrealized Gain on Available-for-Sale Investments— — — — — — 25 25 
    Issuance of Common Stock, net of Offering Costs/At-The-Market— — 358,210 — 560 — — 560 
    Vesting of Restricted Stock Units Issued, net of Taxes Withheld— — 67,657 — — — — — 
    Issuance of Warrant in connection with the Third Amendment (Note 11)
    — — — — 247 — — 247 
    Stock-based Compensation— — — — 251 — — 251 
    Balance as of March 31, 202415,000 — 29,556,474 3 419,545 (398,929)24 20,643 
    Net Income— — — — — 343 — 343 
    Reclassification of Realized Gains on Available-for-Sale Debt Instrument Investments Included in Net Income— — — — — — (25)(25)
    Foreign Currency Translation Adjustments— — — — — — (4)(4)
    Issuance of Common Stock, net of Offering Costs/At-the-Market Offering— — 1,350,169 — 2,203 — — 2,203 
    Vesting of Restricted Stock Units Issued, net of Taxes Withheld— — 123,575 — — — — — 
    Stock-based Compensation— — — — 338 — — 338 
    Balance as of June 30, 202415,000 $— 31,030,218 $3 $422,086 $(398,586)$(5)$23,498 

    The accompanying notes are an integral part of the condensed consolidated financial statements.

    7


    ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
    UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
    (In thousands)
    Six Months Ended June 30,
    20252024
    Cash Flows From Operating Activities:
    Net Loss$(3,007)$(1,388)
    Adjustments To Reconcile Net Loss To Net Cash Used In Operating Activities:
    Depreciation and Amortization1,102 1,094 
    Stock-based Compensation827 589 
    Write-off of Inventory178 — 
    Non-cash Lease Expense from Right of Use Assets1,091 941 
    Amortization of Debt Financing Costs and Accretion of Debt Discount and Premium176 249 
    Loss on Disposal of Assets57 — 
    Realized Gain on Sale of Investments(120)(51)
    Changes in Operating Assets and Liabilities:
    Accounts Receivable207 61 
    Inventory1,618 (12)
    Prepaid and Other Assets1,043 545 
    Accounts Payable(1,367)(1,169)
    Lease Liabilities(808)(676)
    Accrued and Other Liabilities(2,165)(1,098)
    Deferred License Revenue(475)(23)
    Net Cash Used In Operating Activities(1,643)(938)
    Cash Flows From Investing Activities:
    Purchases of Investments Available-for-Sale(5,877)— 
    Sale of Investments Available-for-Sale6,000 2,003 
    Purchase of Equipment(227)(425)
    Net Cash (Used In) Provided By Investing Activities(104)1,578 
    Cash Flows From Financing Activities:
    Payments on Insurance Financing Note Payable(268)(244)
    Payments on Financing Lease Liabilities(294)(276)
    Proceeds from Issuance of Common Stock— 2,763 
    Deferred Consideration Paid in Connection with Evoqua Asset Acquisition
    (871)— 
    Net Cash (Used In) Provided By Financing Activities(1,433)2,243 
    Effect of Exchange Rate Changes on Cash and Cash Equivalents— (3)
    Net (Decrease) Increase in Cash and Cash Equivalents(3,180)2,880 
    Cash and Cash Equivalents at Beginning of Period15,662 8,983 
    Cash and Cash Equivalents at End of Period$12,482 $11,863 
    Supplemental Disclosure of Cash Flow Information:
    Cash Paid for Interest$380 $432 
    Supplemental Disclosure of Non-cash Investing and Financing Activities:
    Issuance of Warrant in Connection with the Third Amendment as Debt Issuance Costs$— $247 
    Right of Use Assets - Operating Obtained in Exchange for Lease Liabilities - Operating$1,006 $1,549 
    Change in Unrealized Gain on Investments Available-for-Sale$3 $— 
    Increase in Prepaid Assets from Insurance Financing Note Payable$660 $670 
    The accompanying notes are an integral part of the condensed consolidated financial statements.

    8


    ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
    Notes to Condensed Consolidated Financial Statements
    (Unaudited)
    1.  Description of Business
    Rockwell Medical, Inc. (the "Company," "Rockwell," or "Rockwell Medical") is a healthcare company that develops, manufactures, commercializes, and distributes a portfolio of hemodialysis products for dialysis providers worldwide.

    Rockwell is a leading supplier of liquid and dry, acid and bicarbonate concentrates for dialysis patients in the United States. Hemodialysis is the most common form of end-stage kidney disease treatment and is usually performed in freestanding outpatient dialysis centers, hospital-based outpatient centers, skilled nursing facilities, or a patient’s home.

    Rockwell manufactures hemodialysis concentrates under current Good Manufacturing Practices ("cGMP") regulations at its three facilities in Michigan, South Carolina, and Texas, and manufactures dry acid concentrate mixers at its facility in Iowa.

    Rockwell delivers the majority of its hemodialysis concentrates products and mixers to dialysis clinics throughout the United States and internationally utilizing its own delivery trucks and third-party carriers.

    Rockwell was incorporated in the state of Michigan in 1996 and re-domiciled to the state of Delaware in 2019. Rockwell's headquarters is located at 30142 Wixom Road, Wixom, Michigan 48393.

    2.  Liquidity and Capital Resources
    As of June 30, 2025, Rockwell had approximately $18.4 million of cash, cash equivalents and investments available-for-sale, and net working capital of $20.7 million. Net cash used in operating activities for the six months ended June 30, 2025 was approximately $1.6 million. Based on the currently available net working capital along with the expectation of management of its ability to execute on its operational plans as discussed below, management believes the Company currently has sufficient funds to meet its operating requirements for at least the next twelve months from the date of the filing of this report.

    The Company continues to review its operational plans and execute on the acquisition of new customers, and has implemented cost containment activities. The Company may require additional capital to sustain its operations and make the investments it needs to execute its strategic plan. In addition, the Company's plans include raising capital, if needed, by using the $21.1 million available under its at-the-market ("ATM") facility or other methods or forms of financings, subject to existing limitations. If the Company attempts to obtain additional debt or equity financing, the Company cannot assume such financing will be available on favorable terms, if at all.

    The Company is subject to certain covenants and cure provisions under its Loan Agreement (as defined below in Note 15) with Innovatus Life Sciences Lending Fund I, LP ("Innovatus"), which was amended on January 2, 2024 to include, among other things, an interest-only period for 30 months, or up to 36 months if certain conditions are met, and to extend the maturity date to January 1, 2029 (See Note 15 for further detail). The Company has satisfied those conditions and will now make interest-only payments for the full 36 months. As of June 30, 2025, the Company was in compliance with all covenants, except for the revenue covenant, which was remediated pursuant to the terms of the Loan Agreement by agreeing to an updated financial projection with Innovatus.

    In addition, the global macroeconomic environment is uncertain, and could be negatively affected by, among other things, changes in U.S. trade policies, including tariffs and other trade restrictions or the threat of such actions, instability in the global capital and credit markets, recent bank failures in the United States, supply chain weaknesses, and instability in the geopolitical environment, including as a result of the Russian invasion of Ukraine, the Middle East conflict and other political tensions, and the occurrence of natural disasters and public health crises. Such challenges have caused, and may continue to cause, recession fears, rising interest rates, foreign exchange volatility and inflationary pressures. At this time, the Company is unable to quantify the potential effects, if any, of this economic and political instability on its future operations.

    On July 4, 2025, the U.S. enacted P.L. 119-21, a U.S. federal statute passed by the 119th United States Congress that included tax and spending policies (the “Act”), which contains a broad range of tax reform provisions affecting businesses, including extending or reinstating certain provisions of the 2017 Tax Cuts and Jobs Act, tax relief measures, modifications of certain energy tax credits granted under the Inflation Reduction Act and limits on various tax deductions, among other key provisions. The Company is currently evaluating the full effects of the Act on its condensed consolidated financial statements. As the Act was signed into law after the close of the second quarter, the impacts are not included in the Company’s operating results for the six months ended June 30, 2025.

    Rockwell has utilized a range of financing methods to fund its operations in the past; however, current conditions in the financial and credit markets may limit the availability of funding or refinancing or increase the cost of funding. Due to the rapidly evolving nature of the global situation, it is not possible to predict the extent to which these conditions could adversely affect the Company's liquidity and capital resources in the future.
    3.  Basis of Presentation, Summary of Significant Accounting Policies and Recent Accounting Pronouncements

    The accompanying condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”) for interim financial information and pursuant to the instructions to Form 10-Q and Rule 10-01 of Regulation S-X of the U. S. Securities and Exchange Commission (“SEC”) and on the same basis as the Company prepares its annual audited consolidated financial statements.

    The condensed consolidated balance sheet at June 30, 2025, and the condensed consolidated statements of operations, comprehensive loss, changes in stockholders' equity, and cash flows for the three and six months ended June 30, 2025 and 2024 are unaudited, but include all adjustments, consisting of normal recurring adjustments the Company considers necessary for a fair presentation of the financial position, operating results, and cash flows for the periods presented. The results for the three and six months ended June 30, 2025 are not necessarily indicative of results to be expected for the year ending December 31, 2025 or for any future interim period. The condensed consolidated balance sheet at December 31, 2024 has been derived from audited financial statements; however, it does not include all of the information and notes required by U.S. GAAP for complete financial statements. The accompanying condensed consolidated financial statements should be read in conjunction with the audited financial statements for the year ended December 31, 2024 and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2024 as filed with the SEC on March 20, 2025. The Company’s consolidated subsidiaries consist of its wholly-owned subsidiaries, Rockwell Transportation, Inc. and Rockwell Medical India Private Limited.

    The accompanying condensed consolidated interim financial statements include the accounts of the Company and its subsidiaries. All material intercompany balances and transactions have been eliminated in consolidation.
    Use of Estimates
    The preparation of the condensed consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that may affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. The most significant accounting estimates inherent in the preparation of the financial statements include estimates associated with revenue recognition, and impairments of long-lived assets.

    Income (Loss) Per Share
    Basic and diluted net income (loss) per share for the three and six months ended June 30, 2025 and 2024 was calculated as follows:
    Three Months Ended June 30,Six Months Ended June 30,
    (In thousands, except share and per share amounts)2025202420252024
    Numerator:
    Net (Loss) Income$(1,492)$343 $(3,007)$(1,388)
    Less: Accretion of Series X Preferred Stock(153)— (153)— 
    Less: Undistributed Earnings to Participating Securities— (58)— — 
    Net (Loss) Income Attributable to Common Stockholders$(1,645)$285 $(3,160)$(1,388)
    Denominator:
    Weighted Average Number of Shares of Common Stock Outstanding - Basic and Diluted34,311,306 30,451,622 34,204,487 29,889,413 
    Incremental Shares Attributable to the Assumed Exercise of Outstanding Options to Purchase Common Stock— 35,185 — — 
    Incremental Shares Attributable to the Assumed Vesting of Unvested Restricted Stock Units— 183,333 — — 
    Incremental Shares Attributable to the Assumed Conversion of Preferred Stock— 1,363,636 — — 
    Diluted Weighted Average Number of Shares of Common Stock Outstanding34,311,306 32,033,776 34,204,487 29,889,413 
    Net (Loss) Income per Share Attributable to Common Stockholders - Basic and Diluted$(0.05)$0.01 $(0.09)$(0.05)
    Diluted Net (Loss) Income per Share Attributable to Common Stockholders$(0.05)$0.01 $(0.09)$(0.05)
    Basic income (loss) per share (“EPS”) is computed by dividing net loss attributable to common stockholders by the weighted average number of shares of common stock outstanding during the period, excluding the effects of any potentially dilutive securities. Diluted EPS gives effect to the potential dilution that could occur if securities or other contracts to issue common stock were exercised or converted into common stock, using the more dilutive of the two- class method and the if-converted method in the period of earnings. The two-class method is an earnings allocation method that determines income (loss) per share (when there are earnings) for common stock and participating securities. The if-converted method assumes all convertible securities are converted into common stock. Diluted EPS excludes all dilutive potential shares of common stock if their effect is anti-dilutive.
    The Company’s potentially dilutive securities include stock options, restricted stock awards and units, convertible preferred stock and warrants. The following table includes the potential shares of common stock that were excluded from the
    computation of diluted EPS attributable to common stockholders for the periods indicated because including them would have had an anti-dilutive effect:
    Three Months Ended June 30,Six Months Ended June 30,
    2025202420252024
    Warrants to Purchase Common Stock3,984,484 3,984,484 3,984,484 3,984,484 
    Options to Purchase Common Stock3,341,892 342,331 3,341,892 1,895,031 
    Convertible Preferred Stock1,405,001 — 1,405,001 1,363,636 
    Unvested Restricted Stock Units1,166,660 — 1,166,660 534,309 
    Unvested Restricted Stock Units - Market Condition717,000 — 717,000 — 
    Unvested Restricted Stock Awards891 891 891 891 
    Total10,615,928 4,327,706 10,615,928 7,778,351 
    Adoption of Recent Accounting Pronouncements
    The Company continually assesses new accounting pronouncements to determine their applicability. When it is determined a new accounting pronouncement affects the Company’s financial reporting, the Company undertakes a review to determine the consequences of the change to its consolidated financial statements and assures there are sufficient controls in place to ascertain the Company’s consolidated financial statements properly reflect the change.
    In December 2023, the Financial Accounting Standards Board ("FASB") issued the Accounting Standards Update ("ASU") 2023-09, Improvements to Income Tax Disclosures, which updates income tax disclosures primarily related to the rate reconciliation and income taxes paid information. This ASU also includes certain other amendments to improve the effectiveness of income tax disclosures. The amendments in this ASU are effective for annual periods beginning after December 15, 2024. The Company is currently assessing the impact this ASU will have on the consolidated financial statements and footnote disclosures.
    In November 2024, the FASB issued ASC 2024-03, Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses, which is intended to provide more detailed information about specified categories of expenses (purchases of inventory, employee compensation, depreciation and amortization) included in certain expense captions presented on the consolidated statement of operations. This new standard is effective for fiscal years beginning after December 15, 2026, and interim periods within fiscal years beginning after December 15, 2027. Early adoption is permitted. The amendments may be applied either (1) prospectively to financial statements issued for periods after the effective date of this ASU or (2) retrospectively to all prior periods presented in the consolidated financial statements. The Company is currently assessing the impact this ASU will have on the consolidated financial statements and footnote disclosures.
    4.  Revenue Recognition

    The Company recognizes revenue under ASC 606, Revenue from Contracts with Customers, issued by the FASB. The core principle of the revenue standard is that a company should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the company expects to be entitled in exchange for those goods or services. The following five steps are applied to achieve that core principle:

    •Step 1: Identify the contract with the customer
    •Step 2: Identify the performance obligations in the contract
    •Step 3: Determine the transaction price
    •Step 4: Allocate the transaction price to the performance obligations in the contract
    •Step 5: Recognize revenue when the company satisfies a performance obligation
    Taxes assessed by a governmental authority that are both imposed on and concurrent with a specific revenue-producing transaction, that are collected by Rockwell from a customer, are excluded from revenue.
    Shipping and handling costs associated with outbound freight related to contracts with customers are accounted for as a fulfillment cost and are included in cost of sales when control of the goods transfers to the customer.
    Nature of goods and services
    Rockwell operates in one market segment, the hemodialysis market, which involves the manufacture, sale and distribution of hemodialysis products to hemodialysis clinics, including pharmaceutical, dialysis concentrates, dialysis kits and other ancillary products used in the dialysis process.
    Rockwell's customer mix is diverse, with most customer sales concentrations under 10%. For the three months ended June 30, 2025, revenues from sales to three customers, DaVita, Inc. ("DaVita"), Fresenius Medical Care North America ("Fresenius") and Nipro Medical Corporation ("Nipro") were approximately 11%, 10% and 11% of total revenues for the period, respectively, and 20%, 10% and 9% of total revenues for the six months ended June 30, 2025, respectively. For the three months ended June 30, 2024, revenues from DaVita, Fresenius and Nipro were approximately 45%, 8% and 7% of total revenues for the period, respectively, and 44%, 7% and 6% of total revenues for the six months ended June 30, 2024, respectively. At June 30, 2025, DaVita, Nipro and Fresenius represented 5%, 15%, and 11% of the total net consolidated accounts receivable balance, respectively. At December 31, 2024, DaVita represented 20% of the total net consolidated accounts receivable balance. See below for additional information regarding the Company's contract with DaVita.
    Product Sales
    The Company accounts for individual products and services separately if they are distinct (i.e., if a product or service is separately identifiable from other items and if a customer can benefit from it on its own or with other resources that are readily available to the customer). The consideration, including any discounts, is allocated between separate products and services based on their stand-alone selling prices. The stand-alone selling prices are determined based on the cost plus margin approach.
    Drug and dialysis concentrate products are sold directly to dialysis clinics and to wholesale distributors in both domestic and international markets. Distribution and license agreements for which upfront fees are received are evaluated upon execution or modification of the agreement to determine if the agreement creates a separate performance obligation from the underlying product sales.  For all existing distribution and license agreements, the distribution and license agreement is not a distinct performance obligation from the product sales.  In instances where regulatory approval of the product has not been established and the Company does not have sufficient experience with the foreign regulatory body to conclude that regulatory approval is probable, the revenue for the performance obligation is recognized over the term of the license agreement (over time recognition). Conversely, when regulatory approval already exists or is probable, revenue is recognized at the point in time that control of the product transfers to the customer.
    For the majority of the Company's international customers, the Company recognizes revenue when the customer takes control at the shipping point, which is generally the Company's plant or warehouse. For other customers, the Company recognizes revenue based on when the customer takes control of the product upon delivery. The amount of revenue recognized is based on the purchase order less returns and adjusted for any rebates, discounts, chargebacks or other amounts paid to customers estimated at the time of sale. Customers typically pay for the product based on customary business practices with payment terms averaging 30 days, while a small subset of customers have payment terms averaging 60 days.
    Deferred License Revenue
    The Company received upfront fees under three distribution and license agreements, which were recognized as revenue over the estimated term of the applicable distribution and license agreement as regulatory approval was not received and the Company did not have sufficient experience in China, India, South Korea and Turkey to determine that regulatory approval was probable as of the execution of the agreement. During the six months ended June 30, 2025, all remaining deferred revenue relating to the distribution and license agreements was recognized, resulting in $0.3 million of revenue recorded. All license agreements have been terminated.
    Product Purchase Agreement
    On September 18, 2023, Rockwell and its long-time customer, DaVita, a leading provider of kidney care, entered into an Amended and Restated Products Purchase Agreement (the "Amended Agreement"), which amends and restates the Product Purchase Agreement, dated July 1, 2019, as amended, under which the Company supplies DaVita with certain dialysis concentrates. Under the Amended Agreement, the Company and DaVita agreed to an increase in product pricing, effective September 1, 2023. The term of the Amended Agreement was scheduled to expire on December 31, 2024. Prior to the
    expiration, the Company received written notice from DaVita, notifying the Company that DaVita intended to extend the term of the Amended Agreement through December 31, 2025 (the "Extension Term"). However, DaVita subsequently indicated that it will completely transition to another supplier by mid-2025, subject to further discussion between Rockwell and DaVita. DaVita has agreed to quarterly, non-refundable payments totaling $1.3 million during the six months ended June 30, 2025 to ensure supply continuity during the transition period for products purchased. These quarterly, non-refundable payments of $0.3 million and $1.3 million were recorded as revenue during the three and six months ended June 30, 2025, respectively. Discussions between Rockwell and DaVita are ongoing and the Company continues to supply DaVita as of the filing date of this report.
    Disaggregation of revenue
    Revenue is disaggregated by primary geographical market, major product line, and timing of revenue recognition.
    In thousandsThree Months Ended June 30, 2025Six Months Ended June 30, 2025
    Products By Geographic AreaTotalU.S.Rest of WorldTotalU.S.Rest of World
    Drug Revenues
    License Fee – Over Time$— $— $— $325 $— $325 
    Total Drug Products— — — 325 — 325 
    Concentrate Products
    Product Sales – Point-in-time16,071 14,189 1,882 34,660 30,625 4,035 
    Total Concentrate Products16,071 14,189 1,882 34,660 30,625 4,035 
    Net Revenue$16,071 $14,189 $1,882 $34,985 $30,625 $4,360 

    In thousandsThree Months Ended June 30, 2024Six Months Ended June 30, 2024
    Products By Geographic AreaTotalU.S.Rest of WorldTotalU.S.Rest of World
    Drug Revenues
    License Fee – Over Time$12 $— $12 $23 $— $23 
    Total Drug Products12 — 12 23 — 23 
    Concentrate Products
    Product Sales – Point-in-time25,820 23,209 2,611 48,485 44,143 4,342 
    Total Concentrate Products25,820 23,209 2,611 48,485 44,143 4,342 
    Net Revenue$25,832 $23,209 $2,623 $48,508 $44,143 $4,365 
    Contract balances
    The following table provides information about receivables, contract assets, and contract liabilities from contracts with customers.
    In thousandsJune 30, 2025December 31, 2024January 1, 2024
    Accounts Receivable, net$8,084 $8,291 $10,901 
    Contract Liabilities, which are included in deferred license revenue$— $475 $521 
    There were no other material contract assets recorded on the condensed consolidated balance sheets as of June 30, 2025 and December 31, 2024. The Company does not generally accept returns of its concentrate products and no material reserve for returns of concentrates products was established as of June 30, 2025 or December 31, 2024. 
    Transaction price allocated to remaining performance obligations
    Revenue expected to be recognized in any future year related to remaining performance obligations, excluding revenue pertaining to contracts that have an original expected duration of one year or less, contracts where revenue is recognized as invoiced and contracts with variable consideration related to undelivered performance obligations, was nil as of June 30, 2025. The Company applies the practical expedient in ASC 606, paragraph 606-10-50-14 and does not disclose information about remaining performance obligations that have original expected durations of one year or less.
    9


    ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
    Notes to Condensed Consolidated Financial Statements
    (Unaudited)
    5.  Intangible Assets and Deferred Consideration
    Intangible Assets
    Our customer relationship intangible asset relates to customer relationships acquired in connection with an acquisition executed on July 10, 2023 with Evoqua Water Technologies LLC ("Evoqua") (the "Evoqua Asset Acquisition").
    The details of our intangible assets subject to amortization are set forth below (in thousands):
    June 30, 2025
    Useful LifeGross Carrying AmountAccumulated AmortizationNet Carrying Amount
    Customer Relationships20 years$11,035 $(1,104)$9,931 
    December 31, 2024
    Useful LifeGross Carrying AmountAccumulated AmortizationNet Carrying Amount
    Customer Relationships20 years$11,035 $(828)$10,207 
    During each of the three months ended June 30, 2025 and 2024, the Company recorded amortization of its customer relationship intangible asset of $0.1 million. During each of the six months ended June 30, 2025 and 2024, the Company recorded amortization of its customer relationship intangible asset of $0.3 million.
    Estimated future amortization expense on the Company's customer relationships intangible asset as of June 30, 2025 is as follows (table in thousands):
    Year ending December 31:
    2025 (remainder of year)$276 
    2026552 
    2027552 
    2028552 
    2029552 
    Thereafter7,447 
    Total$9,931 
    Deferred Consideration
    A portion of the purchase price of the Evoqua Asset Acquisition was deferred on the acquisition date, with payment terms extending through April 2026. During the three and six months ended June 30, 2025, we made payments of $0.4 million and $0.9 million, respectively. As of June 30, 2025, a deferred consideration liability of $2.5 million is presented in Deferred Consideration - Current on the accompanying condensed consolidated balance sheet.
    10


    ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
    Notes to Condensed Consolidated Financial Statements
    (Unaudited)
    6.  Investments - Available-for-Sale
    Investments available-for-sale consisted of the following as of June 30, 2025 and December 31, 2024 (table in thousands):
    June 30, 2025
    Amortized CostUnrealized GainFair Value
    Available-for-Sale Securities
    Debt Securities$5,877 $63 $5,940 

    December 31, 2024
    Amortized CostUnrealized GainFair Value
    Available-for-Sale Securities
    Debt Securities$5,880 $60 $5,940 
    The fair value of investments available-for-sale are determined using quoted market prices from daily exchange-traded markets based on the closing price as of the balance sheet date and are classified as a Level 1 measurement under ASC 820, Fair Value Measurements.
    During the three and six months ended June 30, 2025, the Company sold the investments outstanding as of March 31, 2025 and December 31, 2024 for $0.1 million and $0.1 million, respectively, which is included in realized gain on available-for-sale investments on the condensed consolidated statements of operations.
    As of June 30, 2025, the Company's remaining available-for-sale securities are U.S. Department of the Treasury bonds and are all due within one year.
    7. Segment Reporting

    Operating segments are defined as components of an entity about which discrete financial information is evaluated regularly by the Company's Chief Operating Decision Maker ("CODM") in deciding how to allocate resources and assess performance. Rockwell operates in one market segment, the hemodialysis market, which involves the manufacture, sale and distribution of hemodialysis products to hemodialysis clinics, including pharmaceutical, dialysis concentrates, dialysis kits and other ancillary products used in the dialysis process. Accordingly, the Company has one reportable segment. The Company has a single management team that reports to its Chief Executive Officer, the Company's CODM, who comprehensively manages the entire Company. The accounting policies of the segment are the same as those described in the summary of significant accounting policies.

    The CODM assesses performance for the segment and decides how to allocate resources based on net loss that also is reported on the statements of operations and comprehensive loss as net loss. The CODM uses net loss to monitor budget and forecast versus actual results in assessing segment performance, as well as cash forecast models, in order to evaluate operating results and performance in deciding how to allocate resources. The measure of segment assets is reported on the balance sheets as total assets.

    11


    ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
    Notes to Condensed Consolidated Financial Statements
    (Unaudited)
    The Company’s significant segment expenses for its one segment for the three and six months ended June 30, 2025 and 2024 consisted of the following (table in thousands):

    Three Months Ended June 30,Six Months Ended June 30,
    2025202420252024
    Net Sales$16,071 $25,832 $34,985 $48,508 
    Cost of Sales13,568 21,282 29,440 40,894 
    Gross Profit2,503 4,550 5,545 7,614 
    Employee Compensation2,382 2,293 5,060 4,580 
    Administrative Costs1,470 1,742 3,194 3,843 
    Operating (Loss) Income(1,349)515 (2,709)(809)
    Other Income (Expense):
    Realized Gain on Investments64 51 120 51 
    Interest Expense(276)(232)(553)(663)
    Interest Income69 9 135 33 
    Total Other Expense, net(143)(172)(298)(579)
    Net (Loss) Income$(1,492)$343 $(3,007)$(1,388)
    8.  Inventory
    Components of inventory, net of reserves, as of June 30, 2025 and December 31, 2024 were as follows (table in thousands):
    June 30,
    2025
    December 31,
    2024
    Inventory - Current Portion
    Raw Materials$2,164 $3,010 
    Work in Process242 367 
    Finished Goods1,754 2,401 
    Total Current Inventory4,160 5,778 
    Inventory - Long Term (1)
    — 178 
    Total Inventory$4,160 $5,956 
    __________
    (1)Represents inventory related to Triferic raw materials, which was expected to be utilized for the Company's international partnerships. (See Note 4, Deferred License Revenue section). During the six months ended June 30, 2025, the Company wrote off this remaining inventory balance, resulting in an expense of $0.2 million recorded within cost of sales in the condensed consolidated statement of operations.
    As of June 30, 2025 and December 31, 2024, Rockwell had total current concentrate inventory aggregating $4.7 million and $6.2 million, respectively, against which Rockwell had reserved $0.5 million at both June 30, 2025 and December 31, 2024.
    12


    ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
    Notes to Condensed Consolidated Financial Statements
    (Unaudited)
    9.  Property and Equipment
    As of June 30, 2025 and December 31, 2024, the Company’s property and equipment consisted of the following (table in thousands):
    June 30,
    2025
    December 31,
    2024
    Machinery and Equipment$12,035 $11,973 
    Information Technology & Office Equipment1,845 1,845 
    Leasehold Improvements1,577 1,562 
    Laboratory Equipment807 807 
       Total Property and Equipment16,264 16,187 
    Accumulated Depreciation and Amortization(11,135)(10,402)
    Property and Equipment, net$5,129 $5,785 
    Depreciation and amortization expense for each of the three months ended June 30, 2025 and 2024 was $0.4 million. Depreciation and amortization expense for each of the six months ended June 30, 2025 and 2024 was $0.8 million.
    10.  Accrued Liabilities
    Accrued liabilities as of June 30, 2025 and December 31, 2024 consisted of the following (table in thousands):
    June 30,
    2025
    December 31,
    2024
    Accrued Compensation and Benefits$1,610 $2,744 
    Accrued Unvouchered Receipts1,102 1,417 
    Accrued Manufacturing Expense602 602 
    Accrued Workers Compensation123 176 
    Other Accrued Liabilities659 1,336 
    Total Accrued Liabilities$4,096 $6,275 
    11.  Stockholders’ Equity
    Preferred Stock
    On April 6, 2022, the Company and DaVita entered into the Securities Purchase Agreement (the "SPA"), which provided for the issuance by the Company of up to $15 million of preferred stock to DaVita, which was issued to DaVita during 2022 as Series X Preferred Stock and, by virtue, made DaVita a related party.

    The Series X Preferred Stock was issued for a price of $1,000 per share (the "Face Amount"), subject to accretion at a rate of 1% per annum, compounded annually. If the Company’s common stock trades above $22.00 for a period of 30 calendar days, the accretion will thereafter cease. As of June 30, 2025, the Series X Preferred Stock accreted a total of $0.5 million.

    The Series X Convertible Preferred Stock is convertible to common stock at a rate equal to the Face Amount, divided by a conversion price of $11.00 per share (subject to adjustment for future stock splits, reverse stock splits and similar recapitalization events). As a result, each share of Series X Preferred Stock will initially convert into approximately 91 shares of common stock. DaVita’s right to convert to common stock is subject to a beneficial ownership limitation, which is initially set at 9.9% of the outstanding common stock, which limitation may be reset (not to exceed 19.9%) at DaVita’s option and upon providing prior written notice to the Company. In addition, any debt financing is limited by the terms of our SPA with DaVita. Specifically, until DaVita holds less than 50% of its original investment in the Company's Series X Convertible Preferred Stock, the Company may only incur additional debt in the form of a purchase money loan, a working capital line of up to $5 million or to refinance existing debt, unless DaVita consents.

    Additionally, the Series X Preferred Stock has a deemed liquidation event and redemption clause which could be triggered if the sale of all or substantially all of the Company's assets relating to the Company's dialysis concentrates business line. Since the Series X Preferred Stock may be redeemed if certain assets are sold at the option of the holder, but is not mandatorily redeemable as the sale of the assets that would allow for redemption is within the control of the Company, the preferred stock has been classified as permanent equity and initially recognized at fair value of $15 million (the proceeds on the date of issuance) less issuance costs of $0.1 million, resulting in an initial value of $14.9 million. The Company will assess at each reporting period whether conditions have changed to now meet the mandatory redemption definition which could trigger liability classification.

    As of each of June 30, 2025 and December 31, 2024, there were 2,000,000 shares of preferred stock, $0.0001 par value per share, authorized and 15,000 shares of preferred stock issued and outstanding.
    Common Stock
    As of June 30, 2025 and 2024, the Company reserved for issuance the following shares of common stock related to the potential exercise of employee stock options, unvested restricted stock and awards, convertible preferred stock, and warrants (collectively, "common stock equivalents"):
    As of June 30,
    Common Stock and Common Stock Equivalents:20252024
    Common Stock34,430,352 31,030,218 
    Options to Purchase Common Stock3,341,892 1,895,031 
    Unvested Restricted Stock Awards891 891 
    Unvested Restricted Stock Units1,166,660 534,309 
    Convertible Preferred Stock1,405,001 1,363,636 
    Unvested Restricted Stock Units - Market Condition717,000 — 
    Warrants to Purchase Common Stock3,984,484 3,984,484 
    Total45,046,280 38,808,569 
    Controlled Equity Offering

    On April 8, 2022, the Company entered into a Sales Agreement (the "Sales Agreement") with Cantor Fitzgerald & Co. (the "Agent"), pursuant to which the Company may offer and sell from time to time shares of Company’s common stock through
    the Agent pursuant to the Company’s shelf registration statement on Form S-3 (No. 333-259923) filed with the SEC on September 30, 2021 (the “Prior Registration Statement”).

    This Prior Registration Statement expired on October 8, 2024 and, upon the effectiveness of the new registration statement on October 21, 2024, was deemed terminated. On November 13, 2024, in connection with the new registration statement, the Company filed a prospectus supplement covering the offer and sale of an aggregate offering price of up to $25.0 million of shares of the Company's common stock through the Agent under the Sales Agreement (as amended, the "ATM facility"). The offering and sale of such shares has been registered under the Securities Act of 1933, as amended.

    During the three and six months ended June 30, 2025, no shares were sold pursuant to the Sales Agreement. Approximately $21.1 million remains available for sale under the ATM facility.

    Warrant Issuance

    In connection with the execution of the Third Amendment, as defined and described in Note 15, on January 2, 2024, the Company issued to Innovatus a warrant to purchase 191,096 shares of the Company’s common stock with an exercise price of $1.83 per share. The warrant may be exercised on a cashless basis, and is immediately exercisable through January 2, 2029. The number of shares of common stock for which the warrant is exercisable and the exercise price are subject to certain proportional adjustments as set forth in the Third Amendment. The warrant is equity-classified with a fair value of approximately $0.2 million at issuance, which was treated as a debt issuance cost and is being amortized through interest expense over the remaining contractual term of the Term Loans, as defined and described in Note 15.
    13


    ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
    Notes to Condensed Consolidated Financial Statements
    (Unaudited)
    12.  Stock-based Compensation
    The Company recognized total stock-based compensation expense during the three and six months ended June 30, 2025 and 2024 as follows (table in thousands):
    Three Months Ended June 30,Six Months Ended June 30,
    2025202420252024
    Service-based Awards:
    Restricted Stock Units$187 $159 $481 $277 
    Stock Option Awards195 179 346 312 
    Total$382 $338 $827 $589 
    Performance-based Restricted Stock Awards
    A summary of the Company’s performance-based restricted stock awards during the six months ended June 30, 2025 is as follows:
    Performance-based Restricted Stock AwardsNumber of SharesWeighted Average
    Grant-Date
    Fair Value
    Unvested at January 1, 2025891 $62.70 
    Unvested at June 30, 2025891 $62.70 
    Performance-based restricted stock awards are measured based on their fair value on the date of grant and amortized over the vesting period of 20 months. As of June 30, 2025, there is no unrecognized stock-based compensation expense related to performance-based restricted stock awards.
    Restricted Stock Units - Market Condition
    During the three months ended June 30, 2025, the Company granted 717,000 restricted stock units with a market condition ("RSU-MC") under its Amended and Restated 2018 Long Term Incentive Plan. The RSU-MCs are subject to both service and market based vesting conditions.
    The RSU-MCs will vest, subject to the recipient's continued employment through the vesting date, if the average closing price of the Company's common stock equals or exceeds $2.14 per share for any consecutive 60-day trading period occurring prior to the third anniversary of the grant date. Except in the event of a change in control or termination due to death or disability, no portion of the award will vest before the first anniversary of the grant date. The RSU-MCs qualify as equity instruments and are accounted for under ASC 718, Compensation, Stock Compensation ("ASU 718").
    The fair value of RSU-MCs was measured on the date of grant using the Monte Carlo Simulation valuation model. The stock-based compensation expense recorded in connection with these restricted stock units during the six months ended June 30, 2025 was insignificant. The vesting periods range from one to three years.
    14


    ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
    Notes to Condensed Consolidated Financial Statements
    (Unaudited)
    Service-based Restricted Stock Units
    A summary of the Company’s service-based restricted stock units during the six months ended June 30, 2025 is as follows:
    Service-based Restricted Stock UnitsNumber of SharesWeighted Average
    Grant-Date
    Fair Value
    Unvested at January 1, 2025584,309 $1.72 
    Granted1,000,000 1.07 
    Vested(417,649)1.85 
    Unvested at June 30, 20251,166,660 $1.12 
    The fair value of service-based restricted stock units is measured on the date of grant and amortized over the vesting period. The vesting periods range from one to three years. As of June 30, 2025, the unrecognized stock-based compensation expense was $1.1 million, which is expected to be recognized over the next 1.6 years.
    Service-based Stock Option Awards
    The fair value of the service-based stock option awards granted during the six months ended June 30, 2025 were based on the following assumptions:
    Six Months Ended
    June 30, 2025
    Six Months Ended
    June 30, 2024
    Exercise price$1.07
    $1.39 - $1.80
    Expected stock price volatility90.4%81.8%
    Risk-free interest rate4.1%
    4.31% - 4.45%
    Term (years)5.86
    5.61 - 5.62
    A summary of the Company’s service-based stock option activity for the six months ended June 30, 2025 is as follows:
    Service-based Stock Option AwardsShares
    Underlying
    Options
    Weighted
    Average Exercise
    Price
    Weighted
    Average
    Remaining
    Contractual
    Term
    Aggregate
    Intrinsic Value
    (in thousands)
    Outstanding at January 1, 20251,886,247 $3.98 
    Granted1,501,500 1.07 
    Forfeited(9,354)1.59 
    Expired(36,501)1.73 
    Outstanding at June 30, 2025
    3,341,892 $2.71 8.6$— 
    Exercisable at June 30, 2025
    913,461 $6.41 7.0$— 
    The aggregate intrinsic value is calculated as the difference between the closing price of the Company's common stock at the date indicated and the exercise price of the stock options that had strike prices below the closing price.
    As of June 30, 2025, total stock-based compensation expense related to unvested options not yet recognized totaled approximately $1.5 million, which is expected to be recognized over the next 2.8 years.
    13.  Commitments and Contingencies
    From time to time, the Company has been or may become a party to various disputes, legal actions, proceedings and investigations involving claims incidental to the conduct of its business, including actions by customers, employees, government entities and third parties. Due to the contract-intensive nature of the Company's business, the Company has been or may in the
    15


    ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
    Notes to Condensed Consolidated Financial Statements
    (Unaudited)
    future become involved in disputes or legal actions with its contract counterparties, which could have a negative impact on the Company's business, results of operations or financial condition.
    Product License Agreements
    The Company is a party to a Licensing Agreement between the Company and Charak, LLC ("Charak") dated January 7, 2002 (the "2002 Agreement") that grants the Company exclusive worldwide rights to certain patents and information related to its Triferic product. On October 7, 2018, the Company entered into a Master Services and IP Agreement (the “Charak MSA”) with Charak and Dr. Ajay Gupta, a former Officer of the Company. Pursuant to the MSA, the parties entered into three additional agreements described below related to the license of certain soluble ferric pyrophosphate (“SFP”) intellectual property owned by Charak, as well as an employment agreement.
    Pursuant to the Charak MSA, the aforementioned parties entered into an Amendment, dated as of October 7, 2018 (the “Charak Amendment”), to the 2002 Agreement, under which Charak granted the Company an exclusive, worldwide, non-transferable license to commercialize SFP for the treatment of patients with renal failure. The Charak Amendment amends the royalty payments due to Charak under the 2002 Agreement such that the Company is liable to pay Charak royalties on net sales by the Company of products developed under the license, which includes the Company’s Triferic product, at a specified rate until December 31, 2021 and thereafter at a reduced rate from January 1, 2022 until February 1, 2034. Additionally, the Company is required to pay Charak a percentage of any sublicense income during the term of the agreement, which cannot be less than a minimum specified percentage of net sales of the licensed products by the sublicensee in jurisdictions where there exists a valid claim, on a country-by-country basis, and can be no less than a lower rate of the net sales of the licensed products by the sublicensee in jurisdictions where there exists no valid claim, on a country-by-country basis.
    Also pursuant to the Charak MSA, the Company and Charak entered into a Commercialization and Technology License Agreement IV Triferic dated as of October 7, 2018 (the “IV Agreement”), under which Charak granted the Company an exclusive, sub-licensable, royalty-bearing license to SFP for the purpose of commercializing certain intravenous-delivered products incorporating SFP for the treatment of iron disorders worldwide for a term that expires on the later of February 1, 2034 or upon the expiration or termination of a valid claim of a licensed patent. The Company was liable to pay Charak royalties on net sales by the Company of products developed under the license at a specified rate until December 31, 2021. From January 1, 2022 until February 1, 2034, the Company is liable to pay Charak a base royalty at a reduced rate on net sales and an additional royalty on net sales while there exists a valid claim of a licensed patent, on a country-by-country basis. The Company shall also pay to Charak a percentage of any sublicense income received during the term of the IV Agreement, which amount shall not be less than a minimum specified percentage of net sales of the licensed products by the sublicensee in jurisdictions where there exists a valid claim, on a country-by-country basis, and not be less than a lower rate of the net sales of the licensed products by the sublicensee in jurisdictions where there exists no valid claim, on a country-by-country basis.
    Also pursuant to the Charak MSA, the Company and Charak entered into a Technology License Agreement TPN Triferic dated as of October 7, 2018 (the “TPN Agreement”), pursuant to which Charak granted the Company an exclusive, sub-licensable, royalty-bearing license to SFP for the purpose of commercializing worldwide certain TPN products incorporating SFP. The license grant under the TPN Agreement continues for a term that expires on the later of February 1, 2034 or upon the expiration or termination of a valid claim of a licensed patent. During the term of the TPN Agreement, the Company is liable to pay Charak a base royalty on net sales and an additional royalty on net sales while there exists a valid claim of a licensed patent, on a country-by-country basis. The Company shall also pay to Charak a percentage of any sublicense income received during the term of the TPN Agreement, which amount shall not be less than a minimum royalty on net sales of the licensed products by the sublicensee in jurisdictions where there exists a valid claim, on a country-by-country basis, and not be less than a lower rate of the net sales of the licensed products by the sublicensee in jurisdictions where there exists no valid claim, on a country-by-country basis.
    The potential milestone payments are not considered probable, and no milestone payments have been accrued as of June 30, 2025 and December 31, 2024.
    14.  Leases
    Rockwell leases its production facilities and administrative offices as well as certain equipment used in its operations including leases on transportation equipment used in the delivery of its products. The lease terms range from monthly to six years. Rockwell occupies a 51,000 square foot facility and a 17,500-square foot facility in Wixom, Michigan under a lease
    expiring in August 2027. During March 2024, the lease for the Wixom facilities was extended by three years to August 2027, which was accounted for as a modification. Rockwell also occupies two other manufacturing facilities, a 51,000-square foot facility in Grapevine, Texas under a lease expiring in December 2025, and a 57,000-square foot facility in Greer, South Carolina under a lease expiring February 2026.
    During the three months ended June 30, 2025, Rockwell entered into a lease for a 16,800-square foot storage facility in Allentown, Pennsylvania, that expires in April 2030, resulting in the recognition of a right-of-use asset and corresponding liability of approximately $1.0 million on the condensed consolidated balance sheets.
    The following summarizes quantitative information about the Company’s operating and finance leases (table in thousands):
    Three Months Ended June 30,Six Months Ended June 30,
    2025202420252024
    Operating Leases
    Operating Lease Cost$488 $341 $914 $761 
    Variable Lease Cost137 128 265 250 
    Operating Lease Expense625 469 1,179 1,011 
    Finance Leases
    Amortization of Right-of-use Assets139 141 278 282 
    Interest on Lease Obligations20 29 43 61 
    Finance Lease Expense159 170 321 343 
    Short-term Lease Rent Expense6 6 11 11 
    Total Lease Expense$790 $645 $1,511 $1,365 
    Other Information
    Operating Cash Flows from Operating Leases$469 $426 $902 $863 
    Operating Cash Flows from Finance Leases$20 $29 $43 $61 
    Financing Cash Flows from Finance Leases$148 $138 $294 $276 
    June 30,
    2025
    June 30,
    2024
    Weighted-average Remaining Lease Term – Operating Leases2.82.6
    Weighted-average Remaining Lease Term – Finance Leases2.03.0
    Weighted-average Discount Rate – Operating Leases7.8 %6.3 %
    Weighted-average Discount Rate – Finance Leases6.5 %6.4 %
    Future minimum rental payments under operating and finance lease agreements are as follows (table in thousands):
    OperatingFinance
    Year ending December 31, 2025 (remaining)$970 $339 
    Year ending December 31, 20261,316 666 
    Year ending December 31, 2027912 311 
    Year ending December 31, 2028328 — 
    Year ending December 31, 2029282 — 
    Total3,808 1,316 
    Less Present Value Discount(345)(80)
    Operating and Finance Lease Liabilities$3,463 $1,236 
    15. Loan and Security Agreement

    On March 16, 2020, the Company and Rockwell Transportation, Inc., as Borrowers, entered into a Loan and Security Agreement (the "Loan Agreement") with Innovatus, as collateral agent and the lenders party thereto, pursuant to which Innovatus, as a lender, agreed to make certain term loans to the Company in the aggregate principal amount of up to $35.0 million (the "Term Loans"). Funding of the first $22.5 million tranche was completed on March 16, 2020. The Company is no longer eligible to draw on additional tranches, which were tied to the achievement of certain milestones. Net draw down proceeds were $21.2 million with closing costs of $1.3 million. The Company also owes an additional fee equal to 4.375% of the funded amount of the Term Loans, or $1.0 million (such additional fee, the "Final Fee") at maturity. The Company is accreting up to this Final Fee premium with a charge against interest expense on the accompanying condensed consolidated statements of operations.

    In connection with each funding of the Term Loans, the Company was required to issue to Innovatus a warrant (each a “Warrant”, and together the “Warrants”) to purchase a number of shares of the Company’s common stock equal to 3.5% of the principal amount of the relevant Term Loan funded divided by the exercise price. In connection with the first tranche of the Term Loans, the Company issued a Warrant to Innovatus, exercisable for an aggregate of 43,388 shares of the Company’s common stock at an exercise price of $18.15 per share. The Warrant may be exercised on a cashless basis and is immediately exercisable through the seventh anniversary of the applicable funding date. The number of shares of common stock for which the Warrant is exercisable and the associated exercise price are subject to certain proportional adjustments as set forth in such Warrant. The Company evaluated the warrant under ASC 470, Debt, and recognized an additional debt discount of approximately $0.5 million based on the relative fair value of the base instruments and warrants. The Company calculated the fair value of the Warrant using the Black-Scholes model.

    The Term Loans were scheduled to mature on March 16, 2025, and bore interest at the greater of (i) Prime Rate (as defined in the Loan Agreement) and (ii) 4.75%, plus 4.00%, with an initial interest rate of 8.75% per annum. The Company had the option, under certain circumstances, to add 1.00% of such interest rate amount to the then outstanding principal balance in lieu of paying such amount in cash.
    On January 2, 2024, the Company entered into the Third Amendment to and Restatement of the Loan and Security Agreement (the "Third Amendment") with Innovatus, dated January 1, 2024 (the "Effective Date"). The Third Amendment provides for the continuation of term loans initially borrowed under the Loan Agreement amounting to $8.0 million as of January 1, 2024. The Company will make interest-only payments on the Term Loans for 36 months as certain conditions in the Third Amendment were met. The Company will make equal monthly payments of principal, together with applicable interest, in arrears, starting February 1, 2027. The Term Loans will mature on January 1, 2029. Effective on January 1, 2024, the Term Loans bear interest equal to the sum of (i) the greater of (a) Prime Rate (as defined in the Third Amendment) and (b) 7.50% plus (ii) 3.50%. At the Company's option, 2.00% of the interest due on any applicable interest payment date during the interest-only period may be paid in-kind by adding such amount to the then outstanding principal balance of the Term Loans. The Term Loans may be voluntarily prepaid in full (but not partially) at any time, upon at least seven business days’ prior notice. In connection with any voluntary prepayment or satisfaction of the Term Loans prior to the maturity date (including any acceleration), the Company will pay all accrued and unpaid interest and all other amounts due in connection with the Term Loans, together with (x) a prepayment fee (the “Prepayment Fee”) equal to: (i) 6.0% of the principal amount of the Term Loans prepaid if the payment is made before January 1, 2025; (ii) 2.0% of the principal amount of the Term Loans prepaid if the payment is made after January 1, 2025 but on or before January 1, 2026; (iii) 1.0% of the principal amount of the Term Loans prepaid if the payment is made after January 1, 2026 but on or before January 1, 2027; or (iv) 0% of the principal amount of the Term Loans prepaid if the payment is made after January 1, 2027 through maturity, and (y) the Final Fee. The Term Loans will be mandatorily prepaid upon a change in control of the Company, or upon any early termination/acceleration of the Term Loans. In the event of a mandatory prepayment of the Term Loans, the Company shall be required to pay the Prepayment Fee (if applicable), as well as the Final Fee. The Third Amendment Final Fee shall be due and payable at maturity if it has not previously been paid in full in connection with a prepayment of the Term Loans. The Third Amendment was treated as a modification for accounting purposes.
    The Third Amendment contains various financial covenants and customary representations and warranties and affirmative and negative covenants, subject to exceptions as described in the Third Amendment. The Company's ability to comply with the covenants under the Third Amendment may be adversely affected by events beyond its control. If the Company is unable to comply with the covenants under the Third Amendment, it would pursue all available cure options in order to regain compliance. However, the Company may not be able to mutually agree with Innovatus on appropriate remedies to cure a future breach of a covenant, which could give rise to an event of default. The Loan Agreement includes a financial covenant that requires actual consolidated revenue from the sale and supply of hemodialysis products for the trailing six-month period (ended
    on the date when tested), to be not less than 80.0% of the projections for the same period beginning with the quarter ending September 30, 2024. Because those projections were submitted prior to the loss of a substantial amount of business from DaVita, we did not satisfy this covenant in the second quarter of 2025. We subsequently resolved the noncompliance by submitting an updated financial projection to Innovatus, which Innovatus accepted. As of June 30, 2025, the Company was in compliance with all covenants under the Third Amendment, other than as described above.
    In connection with the execution of the Third Amendment, on January 2, 2024, the Company issued a warrant to purchase shares of the Company’s common stock. The warrant is equity-classified with a fair value of $0.2 million at issuance, which was treated as a debt issuance cost and is being amortized through interest expense over the remaining contractual term of the Term Loan. For additional information, see Note 11.

    The effective interest rate used to amortize the debt issuance cost relating to these warrants is 11.0% as of June 30, 2025. For each of the three months ended June 30, 2025 and 2024, interest expense amounted to $0.2 million. For each of the six months ended June 30, 2025 and 2024, interest expense amounted to $0.5 million. As of June 30, 2025, the outstanding balance of the Term Loans was $8.6 million, net of unamortized issuance costs and discount of $0.6 million, and including $0.8 million of premium accretion, and paid-in-kind interest of $0.2 million.

    The Loan Agreement is secured by all assets of the Company and Rockwell Transportation, Inc. and contains customary representations and warranties and covenants, subject to customary carve outs, and initially included financial covenants related to liquidity and sales of Triferic.

    The following table reflects the schedule of principal payments on the Term Loans as of June 30, 2025 (table in thousands):
    June 30, 2025
    2025 (remaining)$— 
    2026— 
    20273,814 
    20284,160 
    2029 (inclusive of Final Fee)1,331 
    Total Debt Maturities9,305 
    Unamortized Issuance Costs and Discount, net(657)
    Term Loan - Long-Term, net$8,648 
    16. Insurance Financing Note Payable
    On June 3, 2025, the Company entered into a short-term note payable with a principal amount of $0.7 million, bearing interest at a rate of 7.14% per annum to finance various insurance policies, which required an upfront payment of $0.2 million. Principal and interest payments related to this note began on July 3, 2025 and are being paid in 10 equal monthly payments of $0.1 million, with the final payment due on April 3, 2026. As of June 30, 2025, the Company's insurance financing note payable balance was $0.7 million.
    On June 4, 2024, the Company entered into a short-term note payable with a principal amount of $0.7 million, bearing interest at a rate of 7.89% per annum to finance various insurance policies, which required an upfront payment of $0.2 million. Principal and interest payments related to this note began on July 3, 2024 and were paid in 10 equal monthly payments of $0.1 million, with the final payment due on April 3, 2025. During the six months ended June 30, 2025, the Company's insurance financing note payable balance was paid in full.
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    Item 2.  Management’s Discussion and Analysis of Financial Condition and Results of Operations
    The following discussion and analysis should be read in conjunction with our condensed consolidated financial statements and related notes in “Item 1. Condensed Consolidated Financial Statements”. References in this report to “Rockwell,” the “Company,” “we,” “our” and “us” are references to Rockwell Medical, Inc. and its subsidiaries.
    Forward-Looking Statements
    We make forward-looking statements in this report and may make such statements in future filings with the U.S. Securities and Exchange Commission ("SEC").  We may also make forward-looking statements in our press releases or other public or shareholder communications.  Our forward-looking statements are subject to risks and uncertainties and include information about our current expectations and possible or assumed future results of our operations. When we use words such as “may,” “might,” “will,” “should,” “believe,” “expect,” “anticipate,” “estimate,” “continue,” “could,” “plan,” “potential,” “predict,” “forecast,” “project,” “intend,” “is focused on” or similar expressions, or make statements regarding our intent, belief, or current expectations, we are making forward-looking statements. Our forward looking statements also include, without limitation, statements about our liquidity and capital resources; our ability to continue as a going concern; our ability to successfully negotiate a contract extension with and/or future volume commitments by DaVita; our ability to successfully integrate acquisitions; the size of the hemodialysis concentrates market opportunity; our ability to successfully execute on our business strategy; our ability to raise additional capital; our ability to successfully implement certain cost containment and cost-cutting measures; our ability to achieve profitability and statements regarding our anticipated future financial condition, operating results, cash flows and business plans.
    While we believe our forward-looking statements are reasonable, you should not place undue reliance on any such forward-looking statements, which are based on information available to us on the date of this report or, if made elsewhere, as of the date made. Because these forward-looking statements are based on estimates and assumptions that are subject to significant business, economic and competitive uncertainties, many of which are beyond our control or are subject to change, actual results could be materially different. Factors that might cause such a difference include, without limitation, the risks and uncertainties discussed in this report, “Item 1A — Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2024 and from time to time in our other reports filed with the SEC.
    Other factors not currently anticipated may also materially and adversely affect our results of operations, cash flow and financial position.  There can be no assurance future results will meet expectations.  Forward-looking statements speak only as of the date of this report and we expressly disclaim any intent to update or alter any statements whether as a result of new information, future events or otherwise, except as may be required by applicable law.
    Overview
    Rockwell is a healthcare company that develops, manufactures, commercializes, and distributes a portfolio of hemodialysis products for dialysis providers worldwide. Rockwell's mission is to provide dialysis clinics and the patients they serve with the highest quality products supported by the best customer service in the industry.
    The Company is a leading supplier of liquid bicarbonate concentrates, and the second largest supplier of acid and dry bicarbonate concentrates, for dialysis patients in the United States. Hemodialysis is the most common form of end-stage kidney disease treatment and is usually performed in freestanding outpatient dialysis centers, hospital-based outpatient centers, skilled nursing facilities, or a patient’s home. This represents a large market opportunity for which we believe Rockwell's products are well positioned to meet the needs of patients.
    Rockwell's products are vital to vulnerable patients with end-stage kidney disease. We are an established leader in manufacturing and delivering high-quality hemodialysis concentrates and dialysates, along with certain ancillary products, to dialysis providers and distributors in the United States and abroad. Rockwell provides the hemodialysis community with products controlled by a Quality Management System regulated by the U.S. Food and Drug Administration ("FDA"). Rockwell is ISO 13485 Certified and adheres to current Good Manufacturing Practices ("cGMP") and Association for Advancement of Medical Instrumentation ("AAMI") standards. Rockwell manufactures hemodialysis concentrates at its three facilities in Michigan, South Carolina, and Texas, and manufactures its dry acid concentrate mixers at its facility in Iowa.
    Rockwell delivers the majority of its hemodialysis concentrates products and mixers to dialysis clinics throughout the United States and internationally utilizing its own delivery trucks and third-party carriers. Rockwell has developed a core expertise in manufacturing and delivering hemodialysis concentrates, and has built a longstanding reputation for reliability, quality, and excellent customer service.
    Rockwell's commercial organization supports the Company's vision to focus its efforts on enhancing its revenue-generating business and driving the Company towards sustainable profitability. The Company concentrates its efforts on increasing its market share, broadening its product portfolio, right-sizing its product pricing, improving gross margins, and growing the Company's business through organic and inorganic growth and other business development opportunities.
    We currently operate in one market segment, the hemodialysis market, which involves the manufacturing, sale and distribution of hemodialysis products to hemodialysis clinics, including dialysis concentrates, dialysis kits and other ancillary products used in the dialysis process.
    On September 18, 2023, Rockwell and DaVita, Inc. ("DaVita") entered into the Amended Agreement, which amended and restated the Product Purchase Agreement, dated July 1, 2019, as amended, under which the Company supplies DaVita with certain dialysis concentrates. Under the Amended Agreement, the Company and DaVita agreed to an increase in product pricing, effective September 1, 2023. The term of the Amended Agreement was scheduled to expire on December 31, 2024. Prior to the expiration, the Company received written notice from DaVita that DaVita intended to extend the term of the Amended Agreement through December 31, 2025 (the "Extension Term"). However, DaVita subsequently indicated that it will completely transition to another supplier by mid-2025, subject to further discussions between Rockwell and DaVita. DaVita has agreed to quarterly, non-refundable payments totaling $1.3 million to ensure supply continuity for products purchased during the six months ended June 30, 2025. These quarterly, non-refundable payments of $1.3 million were recorded as revenue during the six months ended June 30, 2025. Discussions between Rockwell and DaVita are ongoing and include a potential contract extension and/or future volume commitments by DaVita to Rockwell. There can be no assurance that these discussions will yield a successful outcome for Rockwell. We continue to supply DaVita as of the filing date of this report.
    In the second quarter of 2025, Rockwell entered into a product purchase agreement with Innovative Renal Care (IRC), one of the largest dialysis service providers in the United States. Under the terms of the agreement, Rockwell will supply IRC with liquid and dry, acid and bicarbonate hemodialysis concentrates, as well as the Company's DAMX45 dry acid concentrate mix system, which is 510(k) approved to be used exclusively with Rockwell's CitraPure and Dri-Sate dry acid concentrate powders. This multimillion-dollar agreement contains utilization commitments will remain in effect for three years, with the option to extend for an additional one-year period.
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    Results of Operations for the Three Months Ended June 30, 2025 and 2024
    The following table summarizes our operating results for the periods presented below (dollars in thousands):
    Three Months Ended June 30,
    2025% of Revenue2024% of Revenue% Change
    Net Sales$16,071 $25,832 (38)%
    Cost of Sales13,568 84 %21,282 82 %(36)%
    Gross Profit2,503 16 %4,550 18 %(45)%
    Selling and Marketing572 4 %586 2 %(2)%
    General and Administrative3,280 20 %3,449 13 %(5)%
    Operating (Loss) Income$(1,349)(8)%$515 3 %(362)%
    Net Sales
    During the three months ended June 30, 2025, our net sales were $16.1 million compared to net sales of $25.8 million during the three months ended June 30, 2024. The decrease of $9.7 million was primarily due to a $9.9 million reduction in sales to DaVita, partially offset by an increases of $0.2 million from price increases to other existing customers and sales to new customers. For the three months ended June 30, 2025, DaVita represented 11% of net sales. Non-Product revenue was not material for either period.
    Gross Profit
    Cost of sales for the three months ended June 30, 2025 was $13.6 million, resulting in gross profit of $2.5 million for the three months ended June 30, 2025, compared to cost of sales of $21.3 million and a gross profit of $4.6 million for the three months ended June 30, 2024. The gross profit decrease of $2.1 million was due to a decrease in product sales. Gross profit from product sales includes $0.3 million due to a price adjustment for DaVita purchases for the three months ended June 30, 2025.
    Selling and Marketing Expense
    Selling and marketing expenses were $0.6 million for each of the three months ended June 30, 2025 and 2024.
    General and Administrative Expense
    General and administrative expenses were $3.3 million for the three months ended June 30, 2025, compared to $3.4 million for the three months ended June 30, 2024. The decrease of $0.1 million was primarily driven by a $0.2 million decrease in administrative expense, partially offset by $0.1 million of increased compensation expense.
    Other Expense
    Total other expense of $0.1 million and $0.2 million for the three months ended June 30, 2025 and 2024, respectively, was driven primarily by interest expense of $0.2 million in each period related to our debt facility (See Note 15 to the condensed consolidated financial statements included elsewhere in this Form 10-Q). The interest expense for the three months ended June 30, 2025 was partially offset by $0.1 million of interest income and realized gains on available-for-sale of investments of $0.1 million.
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    Results of Operations for the Six Months Ended June 30, 2025 and 2024
    The following table summarizes our operating results for the periods presented below (dollars in thousands):
    Six Months Ended June 30,
    2025% of Revenue2024% of Revenue% Change
    Net Sales$34,985 $48,508 (28)%
    Cost of Sales29,440 84 %40,894 84 %(28)%
    Gross Profit5,545 16 %7,614 16 %
    Research and Product Development— — %18 — %(100)%
    Selling and Marketing1,283 4 %1,180 2 %9 %
    General and Administrative6,971 20 %7,225 15 %(4)%
    Operating Loss$(2,709)(8)%$(809)(1)%
    Net Sales
    During the six months ended June 30, 2025, our net sales were $35.0 million compared to net sales of $48.5 million during the six months ended June 30, 2024. Product revenue for the six months ended June 30, 2025 was $34.7 million compared to product revenue of $48.5 million for the six months ended June 30, 2024. The decrease of $13.5 million was primarily due to a $14.6 million reduction in DaVita sales as a result of transitioning to a new supplier, partially offset by an increase of $0.8 million from price increases to other existing customers and sales to new customers. During the six months ended June 30, 2025, DaVita represented 20% of net sales. Net sales of non-product revenue were $0.3 million for the six months ended June 30, 2025 from the recognition of the remaining deferred license revenue associated with Sun Pharmaceutical Industries Ltd. ("Sun Pharma"), Jeil Pharmaceutical Co., Ltd. ("Jeil Pharma") and Drogsan Pharmaceuticals ("Drogsan Pharma"). Non-Product revenue was not material for either period.
    Gross Profit
    Cost of sales for the six months ended June 30, 2025 was $29.4 million, resulting in gross profit of $5.5 million for the six months ended June 30, 2025, compared to cost of sales of $40.9 million and a gross profit of $7.6 million for the six months ended June 30, 2024. The gross profit decrease of $2.1 million was due to a decrease in product sales. Gross profit from product sales includes $1.3 million due to a price adjustment for DaVita purchases for the six months ended June 30, 2025. Gross profit from non-product sales consists of $0.1 million associated with recognition of the remaining deferred license revenue associated with Sun Pharma, Jeil Pharma and Drogsan Pharma during the six months ended June 30, 2025.
    Research and Product Development Expense
    Research and product development expenses were immaterial for the each of six months ended June 30, 2025 and 2024 due to the decision to pause all research and development related to Triferic in 2023.
    Selling and Marketing Expense
    Selling and marketing expenses were $1.3 million and $1.2 million for the six months ended June 30, 2025 and 2024, respectively. The increase of $0.1 million is primarily due to higher employee compensation expenses.
    General and Administrative Expense
    General and administrative expenses were $7.0 million for the six months ended June 30, 2025, compared with $7.2 million for the six months ended June 30, 2024. The decrease of $0.2 million was primarily driven by decreases of (i) $0.3 million in professional fees and (ii) $0.3 million in administrative costs, partially offset by an increase of $0.4 million of compensation expense.
    19


    Other Expense
    Total other expense of $0.3 million and $0.6 million for the six months ended June 30, 2025 and 2024, respectively, was driven primarily by interest expense of $0.5 million in each period related to our debt facility (See Note 15 to the condensed consolidated financial statements included elsewhere in this Form 10-Q). The six months ended June 30, 2025 was partially offset by $0.1 million of interest income, as well as realized gains on available-for-sale of investments of $0.1 million.
    Liquidity and Capital Resources
    As of June 30, 2025, we had approximately $18.4 million of cash, cash equivalents and investments available-for-sale, and net working capital of $20.7 million. Based on the currently available net working capital along with the expectation of management of its ability to execute on its operational plans as discussed below, management believes the Company currently has sufficient funds to meet its operating requirements for at least the next twelve months from the date of the filing of this report.
    Additionally, the Company's operational plans include raising capital, if needed, by using the $21.1 million remaining availability under its at-the-market ("ATM") facility or other methods or forms of financings, subject to existing limitations. Under the ATM, we have the ability to control the timing and floor price at which capital is raised.
    The actual amount of cash that we will need to execute our business strategy is subject to many factors, including, but not limited to, the costs associated with our manufacturing and transportation operations related to our concentrate business.
    We may elect to raise capital in the future through one or more of the following: (i) equity and debt raises through the equity and capital markets, though there can be no assurance we will be able to secure additional capital or funding on acceptable terms, or if at all; and (ii) strategic transactions, including potential alliances and collaborations focused on markets outside the United States, as well as potential combinations (including by merger or acquisition) or other corporate transactions.
    We believe our ability to fund our activities in the long term will be highly dependent upon (i) our ability to execute on the growth strategy of our hemodialysis concentrates business and maintain sales with existing customers, (ii) our ability to achieve sustained profitability, and (iii) our ability to identify, develop, in-license, or acquire new products in developing our renal care product portfolio. All of these strategies are subject to significant risks and uncertainties such that there can be no assurance we will be successful in achieving them. If we are unsuccessful in executing our business plan and we are unable to raise the required capital, we may be forced to curtail all of our activities and, ultimately, cease operations. Even if we are able to raise sufficient capital, such financings may only be available on unattractive terms, or result in significant dilution of stockholders’ interests and, in such event, the market price of our common stock may decline.
    If the Company attempts to obtain additional debt or equity financing, the Company cannot assume such financing will be available on favorable terms, if at all. In addition, any debt financing is limited by the terms of our Securities Purchase Agreement with DaVita. Specifically, until DaVita owns less than 50% of its investment, the Company may only incur additional debt in the form of a purchase money loan, a working capital line of up to $5.0 million or to refinance existing debt, unless DaVita consents.

    The Company is subject to certain covenants and cure provisions under its Loan Agreement with Innovatus Life Sciences Lending Fund I, LP. The Loan Agreement includes a financial covenant that requires actual consolidated revenue from the sale and supply of hemodialysis products for the trailing six-month period (ended on the date when tested), to be not less than 80.0% of the projections for the same period beginning with the quarter ending September 30, 2024. Because those projections were submitted prior to the loss of a substantial amount of business from DaVita, the Company did not satisfy this covenant in the second quarter of 2025. The Company subsequently resolved the noncompliance by submitting an updated financial projection to Innovatus, which Innovatus accepted. As of June 30, 2025, the Company was in compliance with all covenants, other than as described above.

    On January 2, 2024, the Company's Loan Agreement was amended to include, among other things, an interest-only period for 30 months, or up to 36 months if certain conditions are met, and extend the maturity date to January 1, 2029 (See Note 15 to the accompanying condensed consolidated financial statements).

    The global macroeconomic environment is uncertain, and could be negatively affected by, among other things, changes in U.S. trade policies, including tariffs and other trade restrictions or the threat of such actions, instability in the global
    capital and credit markets, recent bank failures in the United States, supply chain weaknesses, and instability in the geopolitical environment, including as a result of the Russian invasion of Ukraine, the Middle East conflict and other political tensions, and the occurrence of natural disasters and public health crises. Such challenges have caused, and may continue to cause, recession fears, rising interest rates, foreign exchange volatility and inflationary pressures. At this time, the Company is unable to quantify the potential effects of this economic instability on our future operations. Due to the rapidly evolving nature of the global situation, it is not possible to predict the extent to which these conditions could adversely affect the Company's liquidity and capital resources in the future.

    On July 4, 2025, the U.S. enacted P.L. 119-21, a U.S. federal statute passed by the 119th United States Congress that includes tax and spending policies (the “Act”), which contains a broad range of tax reform provisions affecting businesses, including extending or reinstating certain provisions of the 2017 Tax Cuts and Jobs Act, tax relief measures, modifications of certain energy tax credits granted under the Inflation Reduction Act and limits on various tax deductions, among other key provisions. The Company is currently evaluating the full effects of the Act and does not anticipate the Act to have a material impact on its condensed consolidated financial statements. As the Act was signed into law after the close of the second quarter, the impacts are not included in the Company’s operating results for the six months ended June 30, 2025.
    Cash Used In Operating Activities
    Net cash used in operating activities was $1.6 million for the six months ended June 30, 2025 compared to net cash used in operating activities of $0.9 million for the six months ended June 30, 2024. The increase in cash used in operating activities during the current period as compared to cash used in operating activities in the prior period was primarily due to (i) an increase in net loss of approximately $1.6 million, partially offset by (ii) a decrease in cash used in changes in current balance sheet accounts in the ordinary course of business of approximately $0.4 million and (iii) non-cash adjustments of $0.5 million.
    Cash Provided By (Used In) Investing Activities
    Net cash used in investing activities was $0.1 million during the six months ended June 30, 2025 compared to net cash provided by investing activities of $1.6 million for the six months ended June 30, 2024. Net cash used in investing activities during the six months ended June 30, 2025 was driven by purchases of available-for-sale investments of $5.9 million and $0.2 million of cash paid for the purchase of equipment, partially offset by cash proceeds from sales of our available-for-sale investments of $6.0 million during the period. Net cash provided by investing activities during the six months ended June 30, 2024 was driven primarily by sales of our available-for-sale investments of $2.0 million during the period, offset by cash paid for the purchase of equipment of $0.4 million.
    Cash Provided By (Used In) Financing Activities
    Net cash used in financing activities was $1.4 million during the six months ended June 30, 2025 compared to net cash provided by financing activities of $2.2 million for the six months ended June 30, 2024. Net cash used in financing activities during the six months ended June 30, 2025 was primarily due to the cash paid in connection with the Evoqua Asset Acquisition deferred consideration obligation of $0.9 million, $0.3 million of payments on finance lease liabilities and $0.3 million of payments under the insurance financing note payable. Net cash provided by financing activities for the six months ended June 30, 2024 was primarily due to the gross proceeds from the issuance of common stock in connection with the ATM facility of $2.8 million.
    Contractual Obligations and Other Commitments
    Due to the contract-intensive nature of the Company's business, the Company has been and may in the future become involved in disputes or legal actions with its contract counterparties, which could have a negative impact on the Company's business, results of operations or financial condition.   See Note 13 to the condensed consolidated financial statements included elsewhere in this Form 10-Q for additional disclosures. There have been no other material changes from the contractual obligations and other commitments disclosed in Note 14 and 15 to the consolidated financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2024.
    Critical Accounting Policies and Significant Judgments and Estimates

    20


    Our critical accounting policies and significant estimates are detailed in our Annual Report on Form 10-K for the year ended December 31, 2024. There have been no material changes in our critical accounting policies and estimates as compared to the critical accounting policies and estimates disclosed in Management’s Discussion and Analysis of Financial Condition and Results of Operations included in our Annual Report on Form 10-K for the year ended December 31, 2024.
    Recently issued and adopted accounting pronouncements:
    We have evaluated all recently issued accounting pronouncements and believe such pronouncements do not have a material effect our financial statements. See Note 3 to the condensed consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q.
    Item 3.  Quantitative and Qualitative Disclosures about Market Risk

    Per §229.305 of Regulation S-K, the Company, designated a Smaller Reporting Company as defined in §229.10(f)(1) of Regulation S-K, is not required to provide the disclosure required by this Item.
    Item 4.  Controls and Procedures
    Evaluation of Disclosure Controls and Procedures
    We maintain disclosure controls and procedures that are designed to ensure material information required to be disclosed in our reports we file or submit under the Exchange Act is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms, and such information is accumulated and communicated to our management, including our Chief Executive Officer (Principal Executive Officer) and Chief Financial Officer (Principal Financial Officer) as appropriate, to allow timely decisions regarding required financial disclosure. In designing and evaluating the disclosure controls and procedures, we recognized that a control system, no matter how well designed and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within a company have been detected. Management was necessarily required to apply its judgment in evaluating the cost‑benefit relationship of possible controls and procedures.
    Under the supervision of and with the participation of our management, including the Company’s Chief Executive Officer and Chief Financial Officer, we evaluated the effectiveness of our disclosure controls and procedures (as such terms are defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) as of June 30, 2025. Based upon that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective as of June 30, 2025.
    Changes in Internal Control over Financial Reporting
    There were no changes in our internal control over financial reporting in connection with the evaluation required by Rule 13a-15(d) of the Exchange Act that occurred during the period covered by this Quarterly Report on Form 10-Q that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
    PART II – OTHER INFORMATION
    Item 1.  Legal Proceedings
    We may be involved in certain routine legal proceedings from time to time before various courts and governmental agencies. We cannot predict the final disposition of such proceedings. We regularly review legal matters and record provisions for claims considered probable of loss. The resolution of these pending proceedings is not expected to have a material effect on our operations or consolidated financial statements in the period in which they are resolved.
    21


    Item 1A. Risk Factors
    Our business is subject to various risks, including those described in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2024. There have been no material changes to the risk factors set forth in our Annual Report on Form 10-K for the year ended December 31, 2024 under "Item 1A - Risk Factors."
    Item 2. Unregistered Sales of Equity Securities and Use of Proceeds.
    None.
    Item 3. Defaults Upon Senior Securities.
    None.
    Item 4. Mine Safety Disclosures.
    Not applicable.
    Item 5. Other Information.
    None.
    Item 6. Exhibits

    The exhibits filed or furnished as part of this Quarterly Report on Form 10-Q are set forth on the Exhibit Index, which Exhibit Index is incorporated herein by reference.
    EXHIBIT INDEX
    Exhibit No.Description
    10.1*
    Rockwell Medical, Inc. Amended and Restated 2018 Long Term Incentive Plan.
    10.2*
    Performance Based Restricted Stock Unit Award Agreement.
    31.1*
    Certification pursuant to Rule 13a-14(a) of the Securities Exchange Act of 1934
    31.2*
    Certification pursuant to Rule 13a-14(a) of the Securities Exchange Act of 1934
    32.1**
    Certification pursuant to 18 U.S.C. Section 1350 and Rule 13a-14(b) of the Securities Exchange Act of 1934
    32.2**
    Certification pursuant to 18 U.S.C. Section 1350 and Rule 13a-14(b) of the Securities Exchange Act of 1934
    101.INS*XBRL Instance Document
    101.SCH*XBRL Taxonomy Extension Schema
    101.CAL*XBRL Taxonomy Extension Calculation Linkbase
    101.DEF*XBRL Taxonomy Extension Definition Database
    101.LAB*XBRL Taxonomy Extension Label Linkbase
    101.PRE*XBRL Taxonomy Extension Presentation Linkbase
    104*The cover page from the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2024, formatted in Inline XBRL (included as Exhibit 101)
    *Filed herewith
    **Furnished herewith and not deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and shall not be deemed to be incorporated by reference into any filing under the Securities Act of 1933, as amended, or the Exchange Act

    22


    SIGNATURES
    Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
    ROCKWELL MEDICAL, INC.
    (Registrant)
    Date: August 14, 2025/s/ Mark Strobeck
    Mark Strobeck, Ph.D.
    President, Chief Executive Officer and Director
    (Principal Executive Officer)
    23
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