Table of Contents


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

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2019

2020

or

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934

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)

Delaware

38-3317208

(State or other jurisdiction of

(I.R.S. Employer


incorporation or organization)

(I.R.S. Employer
Identification No.)

30142 S. Wixom Road, Wixom, Michigan

48393

411 Hackensack Avenue, Suite 501, Hackensack , New Jersey

07601

(Address of principal executive offices)

(Zip Code)

(248) 960-9009

(Registrant’s telephone number, including area code)


411 Hackensack Avenue, Suite 501
Hackensack, NJ 07601
(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 Symbol

Name of each exchange on which registered:

Common Stock, par value $.0001

$0.0001

RMTI

Nasdaq Global Market

The number of shares of common stock outstanding as of November 12, 20196, 2020 was 63,955,893.

93,573,165.




Table of Contents

Rockwell Medical, Inc. and Subsidiaries

Index to Form 10-Q

Page

3

4

5

6

107

118

2827

35

36

3536

3637

37

3944

40

45

2

2



PART I – FINANCIAL INFORMATION

Item 1.  Financial Statements

ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

 

 

 

 

 

 

 

 

    

September 30, 

    

December 31, 

 

 

2019

 

2018

 

 

 

(Unaudited)

 

 

 

ASSETS

 

 

 

 

 

 

Cash and Cash Equivalents

 

$

14,421,394

 

$

22,713,980

Investments Available-for -Sale

 

 

14,575,589

 

 

10,818,059

Accounts Receivable, net

 

 

5,122,453

 

 

6,979,514

Insurance Receivable

 

 

 —

 

 

371,217

Inventory

 

 

3,583,452

 

 

4,038,778

Prepaid and Other Current Assets

 

 

2,861,708

 

 

1,903,682

Total Current Assets

 

 

40,564,596

 

 

46,825,230

Property and Equipment, net

 

 

2,506,093

 

 

2,638,293

Inventory, Non-Current

 

 

528,000

 

 

1,637,000

Right of Use Assets, net

 

 

3,011,805

 

 

 —

Goodwill

 

 

920,745

 

 

920,745

Other Non-current Assets

 

 

555,933

 

 

536,516

Total Assets

 

$

48,087,172

 

$

52,557,784

LIABILITIES AND SHAREHOLDERS’ EQUITY

 

 

 

 

 

 

Accounts Payable

 

$

3,194,039

 

$

4,492,071

Accrued Liabilities

 

 

3,916,069

 

 

5,129,761

Settlement Payable

 

 

270,000

 

 

416,668

Lease Liability - Current

 

 

 1,482,441

 

 

 —

Deferred License Revenue - Current

 

 

2,238,450

 

 

2,252,868

Insurance Financing Note Payable

 

 

1,145,133

 

 

 —

Customer Deposits

 

 

48,163

 

 

63,143

Other Current Liability - Related Party

 

 

100,000

 

 

850,000

Total Current Liabilities

 

 

12,394,295

 

 

13,204,511

 

 

 

 

 

 

 

Lease Liability - Long-Term

 

 

1,589,098

 

 

 —

Deferred License Revenue - Long-Term

 

 

10,401,166

 

 

12,076,399

Total Liabilities

 

 

24,384,559

 

 

25,280,910

 

 

 

 

 

 

 

Commitments and Contingencies (See Note 16)

 

 

 

 

 

 

 

 

 

 

 

 

 

Shareholders’ Equity:

 

 

 

 

 

 

Preferred Shares, $.0001 par value, no shares issued and outstanding at September 30, 2019 and December 31, 2018

 

 

 —

 

 

 —

Common Shares, $.0001 par value; 170,000,000 shares authorized; 63,887,384 and 57,034,154 shares issued and outstanding at September 30, 2019 and December 31, 2018, respectively

 

 

6,389

 

 

5,703

Additional paid-in capital

 

 

322,837,353

 

 

299,596,257

Accumulated Deficit

 

 

(299,213,836)

 

 

(272,388,234)

Accumulated Other Comprehensive Income

 

 

72,707

 

 

63,148

Total Shareholders’ Equity

 

 

23,702,613

 

 

27,276,874

Total Liabilities And Shareholders’ Equity

 

$

48,087,172

 

$

52,557,784

(Dollars in Thousands)

September 30,
2020
December 31,
2019
(Unaudited)
ASSETS
Cash and Cash Equivalents$56,614 $11,794 
Investments Available-for-Sale10,702 14,250 
Accounts Receivable, net4,129 4,203 
Inventory, net3,877 3,647 
Prepaid and Other Current Assets2,621 2,980 
Total Current Assets77,943 36,874 
Property and Equipment, net2,785 2,433 
Inventory, Non-Current859 441 
Right of Use Assets, net2,099 3,213 
Goodwill921 921 
Other Non-Current Assets629 435 
Total Assets$85,236 $44,317 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Accounts Payable$4,190 $3,018 
Accrued Liabilities4,968 4,518 
Settlement Payable104 
Lease Liability - Current1,155 1,493 
Deferred License Revenue - Current2,180 2,234 
Insurance Financing Note Payable763 
Customer Deposits73 55 
Other Current Liability - Related Party142 188 
Total Current Liabilities12,708 12,373 
Lease Liability - Long-Term1,039 1,781 
Term Loan, Net of Issuance Costs20,856 
Deferred License Revenue - Long-Term8,558 9,843 
Total Liabilities43,161 23,997 
Commitments and Contingencies (See Note 14)
Stockholders’ Equity:
Preferred Stock, $0.0001 par value, 2,000,000 shares authorized; 0 shares issued and outstanding at September 30, 2020 and December 31, 2019
Common Stock, $0.0001 par value; 170,000,000 shares authorized; 93,573,165 and 65,378,890 shares issued and outstanding at September 30, 2020 and December 31, 2019, respectively
Additional Paid-in Capital370,760 326,777 
Accumulated Deficit(328,743)(306,516)
Accumulated Other Comprehensive Income49 52 
Total Stockholders’ Equity42,075 20,320 
Total Liabilities and Stockholders’ Equity$85,236 $44,317 
The accompanying notes are an integral part of the condensed consolidated financial statements.

3



ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

Three Months Ended September 30, 2019

    

Three Months Ended September 30, 2018

    

Nine Months Ended September 30, 2019

    

Nine Months Ended September 30, 2018

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net Sales

 

$

15,407,248

 

$

16,672,416

 

$

45,812,475

 

$

46,534,358

 

 

Cost of Sales

 

 

15,423,612

 

 

14,703,606

 

 

44,085,298

 

 

49,303,048

 

 

Gross Profit (Loss)

 

 

(16,364)

 

 

1,968,810

 

 

1,727,177

 

 

(2,768,690)

 

 

Selling and Marketing

 

 

1,827,473

 

 

121,874

 

 

7,148,848

 

 

716,414

 

 

General and Administrative

 

 

4,623,503

 

 

6,037,267

 

 

16,340,672

 

 

14,465,634

 

 

Settlement Expense

 

 

 —

 

 

 —

 

 

430,000

 

 

1,030,000

 

 

Research and Product Development

 

 

1,474,735

 

 

808,192

 

 

4,930,287

 

 

4,033,494

 

 

Operating Loss

 

 

(7,942,075)

 

 

(4,998,523)

 

 

(27,122,630)

 

 

(23,014,232)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Income

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Realized Gain (Loss) on Investments

 

 

6,268

 

 

(97,027)

 

 

24,292

 

 

(222,014)

 

 

Interest Income, net

 

 

80,735

 

 

125,918

 

 

272,736

 

 

486,301

 

 

Total Other Income

 

 

87,003

 

 

28,891

 

 

297,028

 

 

264,287

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net Loss

 

$

(7,855,072)

 

$

(4,969,632)

 

$

(26,825,602)

 

$

(22,749,945)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic and Diluted Net Loss per Share

 

$

(0.12)

 

$

(0.10)

 

$

(0.45)

 

$

(0.44)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic and Diluted Weighted Average Shares Outstanding

 

 

63,796,723

 

 

51,288,537

 

 

59,728,446

 

 

51,288,462

 

 

(Dollars in Thousands, Except Per Share Amounts)

Three Months Ended September 30, 2020Three Months Ended September 30, 2019Nine Months Ended September 30, 2020Nine Months Ended September 30, 2019
Net Sales$15,280 $15,407 $47,033 $45,812 
Cost of Sales14,934 15,424 44,693 44,085 
Gross Profit346 (17)2,340 1,727 
Selling and Marketing1,669 1,827 5,738 7,149 
General and Administrative3,622 4,623 11,767 16,341 
Settlement Expense430 
Research and Product Development1,745 1,475 5,183 4,930 
Operating Loss(6,690)(7,942)(20,348)(27,123)
Other Income (Expense)
Realized Gain on Investments24 
Warrant Modification Expense(837)
Interest Expense(666)(16)(1,289)(16)
Interest Income97 239 289 
Total Other Income (Expense)(660)87 (1,879)297 
Net Loss$(7,350)$(7,855)$(22,227)$(26,826)
Basic and Diluted Net Loss per Share$(0.10)$(0.12)$(0.32)$(0.45)
Basic and Diluted Weighted Average Shares Outstanding71,811,322 63,796,723 69,594,167 59,728,446 
The accompanying notes are an integral part of the condensed consolidated financial statements.

4



ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS

(Unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

Three Months Ended September 30, 2019

    

Three Months Ended September 30, 2018

    

Nine Months Ended September 30, 2019

    

Nine Months Ended September 30, 2018

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net Loss

 

$

(7,855,072)

 

$

(4,969,632)

 

$

(26,825,602)

 

$

(22,749,945)

 

Unrealized Gain on Available-for-Sale Debt Instrument Investments

 

 

5,926

 

 

143,868

 

 

10,190

 

 

96,327

 

Foreign Currency Translation Adjustments

 

 

(776)

 

 

(6,402)

 

 

(631)

 

 

(13,791)

 

Comprehensive Loss

 

$

(7,849,922)

 

$

(4,832,166)

 

$

(26,816,043)

 

$

(22,667,409)

 

(Dollars in Thousands)

Three Months Ended September 30, 2020Three Months Ended September 30, 2019Nine Months Ended September 30, 2020Nine Months Ended September 30, 2019
Net Loss$(7,350)$(7,855)$(22,227)$(26,826)
Unrealized Gain (Loss) on Available-for-Sale Debt Instrument Investments(11)10 
Foreign Currency Translation Adjustments(1)(1)
Comprehensive Loss$(7,347)$(7,850)$(22,230)$(26,817)
The accompanying notes are an integral part of the condensed consolidated financial statements.

5



ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS'STOCKHOLDERS' EQUITY

For the three months ended September 30, 2019

(Unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACCUMULATED

 

 

 

 

 

 

 

 

 

 

ADDITIONAL

 

 

 

 

OTHER

 

TOTAL

 

 

COMMON SHARES

 

PAID-IN

 

ACCUMULATED

 

COMPREHENSIVE

 

SHAREHOLDER’S

 

    

SHARES

    

AMOUNT

    

CAPITAL

    

DEFICIT

    

INCOME

    

EQUITY

Balance as of July 1, 2019

 

63,398,704

 

$

6,340

 

$

320,876,606

 

$

(291,358,764)

 

$

67,557

 

$

29,591,739

Net Loss

 

 —

 

 

 —

 

 

 —

 

 

(7,855,072)

 

 

 —

 

 

(7,855,072)

Unrealized Gain on Available-for-Sale Investments

 

 —

 

 

 —

 

 

 —

 

 

 —

 

 

5,926

 

 

5,926

Foreign Currency Translation Adjustments

 

 —

 

 

 —

 

 

 —

 

 

 —

 

 

(776)

 

 

(776)

Delivery of common stock underlying restricted stock units, net of tax

 

62,800

 

 

 6

 

 

(84,866)

 

 

 —

 

 

 —

 

 

(84,860)

Issuance of common stock, net of offering costs/Public offering

 

425,880

 

 

43

 

 

1,169,199

 

 

 —

 

 

 —

 

 

1,169,242

Stock-based Compensation

 

 —

 

 

 —

 

 

876,414

 

 

 —

 

 

 —

 

 

876,414

Balance as of September 30, 2019

 

63,887,384

 

$

6,389

 

$

322,837,353

 

$

(299,213,836)

 

$

72,707

 

$

23,702,613

(Dollars in Thousands)

COMMON STOCKADDITIONAL PAID-IN CAPITALACCUMULATED
DEFICIT
ACCUMULATED
OTHER
COMPREHENSIVE
INCOME
TOTAL
STOCKHOLDERS'
EQUITY
SHARESAMOUNT
Balance as of January 1, 202065,378,890 $7 $326,777 $(306,516)$52 $20,320 
Net Loss— — — (7,984)— (7,984)
Unrealized Loss on Available-for-Sale Investments— — — — (7)(7)
Foreign Currency Translation Adjustments— — — — 
Issuance of common stock, net of offering costs/Public Offering3,670,212 8,003 — — 8,003 
Issuance of Warrants related to Debt Financing— — 501 — — 501 
Stock-based Compensation— — 935 — — 935 
Balance as of March 31, 202069,049,102 $7 $336,216 $(314,500)$51 $21,774 
Net Loss— — — (6,893)— (6,893)
Unrealized Loss on Available-for-Sale Investments— — — — (6)(6)
Foreign Currency Translation Adjustments— — — — 
Issuance of common stock, net of offering costs/At-the-Market Offering987,716 1,978 — — 1,978 
Vesting of Restricted Stock Units Issued, net of taxes withheld120,104 (19)— — (19)
Warrant Modification Expense— — 837 — — 837 
Stock-based Compensation expense— — (1,461)— — (1,461)
Balance as of June 30, 202070,156,922 $7 $337,551 $(321,393)$46 $16,211 
Net Loss— — — (7,350)— (7,350)
Unrealized Gain on Available-for-Sale Investments— — — — 
Foreign Currency Translation Adjustments— — — — 
Issuance of common stock, net of offering costs/Public Offering23,178,809 32,675 — — 32,677 
Issuance of common stock, net of offering costs/At-the-Market Offering140,892 284 — — 284 
Vesting of Restricted Stock Units Issued, net of taxes withheld96,542 — — — 
Stock-based Compensation expense— — 250 — — 250 
Balance as of September 30, 202093,573,165 $9 $370,760 $(328,743)$49 $42,075 

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 SHAREHOLDERS'STOCKHOLDERS' EQUITY

For the three months ended September 30, 2018

(Unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACCUMULATED

 

 

 

 

 

 

 

 

 

 

ADDITIONAL

 

 

 

 

OTHER

 

TOTAL

 

 

COMMON SHARES

 

PAID-IN

 

ACCUMULATED

 

COMPREHENSIVE

 

SHAREHOLDER’S

 

    

SHARES

    

AMOUNT

    

CAPITAL

    

DEFICIT

    

INCOME / (LOSS)

    

EQUITY

Balance as of July 1, 2018

 

51,768,424

 

$

5,177

 

$

275,017,065

 

$

(258,042,689)

 

$

(90,313)

 

$

16,889,240

Net Loss

 

 —

 

 

 —

 

 

 —

 

 

(4,969,632)

 

 

 —

 

 

(4,969,632)

Unrealized Gain on Available-for-Sale Investments

 

 —

 

 

 —

 

 

 —

 

 

 —

 

 

143,868

 

 

143,868

Foreign Currency Translation Adjustments

 

 —

 

 

 —

 

 

 —

 

 

 —

 

 

(6,402)

 

 

(6,402)

Exercise of Employee Stock Options, Net of Tax

 

870

 

 

 —

 

 

(1,978)

 

 

 —

 

 

 —

 

 

(1,978)

Stock-based Compensation

 

 —

 

 

 —

 

 

614,584

 

 

 —

 

 

 —

 

 

614,584

Balance as of September 30, 2018

 

51,769,294

 

$

5,177

 

$

275,629,671

 

$

(263,012,321)

 

$

47,153

 

$

12,669,680

(Dollars in Thousands)

COMMON STOCKADDITIONAL PAID-IN CAPITALACCUMULATED
DEFICIT
ACCUMULATED
OTHER
COMPREHENSIVE
INCOME
TOTAL
STOCKHOLDERS'
EQUITY
SHARESAMOUNT
Balance as of January 1, 201957,034,154 $6 $299,596 $(272,388)$63 $27,277 
Net Loss— — — (8,679)— (8,679)
Unrealized Loss on Available-for-Sale Investments— — — — (7)(7)
Foreign Currency Translation Adjustments— — — — 
Exercise of Employee Stock Options, Net of Tax30,000 148 — — 148 
Delivery of common stock underlying restricted stock units, net of tax64,173 (95)— — (95)
Stock-based Compensation— — 1,517 — — 1,517 
Balance as of March 31, 201957,128,327 $6 $301,166 $(281,067)$56 $20,161 
Net Loss— — — (10,292)— (10,292)
Unrealized Gain on Available-for-Sale Investments— — — — 12 12 
Foreign Currency Translation Adjustments— — — — 
Issuance of common stock, net of offering costs/Public Offering5,833,334 16,120 — — 16,120 
Issuance of common stock, net of offering costs/At-the-Market Offering437,043 2,089 — — 2,089 
Stock-based Compensation— — 1,502 — — 1,502 
Balance as of June 30, 201963,398,704 $6 $320,877 $(291,359)$68 $29,592 
Net Loss— — — (7,855)— (7,855)
Unrealized Gain on Available-for-Sale Investments— — — — 
Foreign Currency Translation Adjustments— — — — (1)(1)
Delivery of common stock underlying restricted stock units, net of tax62,800 (85)— — (85)
Issuance of common stock, net of offering costs/Public Offering425,880 1,169 — — 1,169 
Stock-based Compensation— — 876 — — 876 
Balance as of September 30, 201963,887,384 $6 $322,837 $(299,214)$73 $23,702 
The accompanying notes are an integral part of the condensed consolidated financial statements.


7

6


ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS' EQUITY

CASH FLOWS

(Dollars in Thousands)
For the nine months ended September 30, 2020 and 2019

(Unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACCUMULATED

 

 

 

 

 

 

 

 

 

 

 

ADDITIONAL

 

 

 

 

OTHER

 

TOTAL

 

 

 

COMMON SHARES

 

PAID-IN

 

ACCUMULATED

 

COMPREHENSIVE

 

SHAREHOLDER’S

 

 

    

SHARES

    

AMOUNT

    

CAPITAL

    

DEFICIT

    

INCOME

    

EQUITY

 

Balance as of January 1, 2019

 

57,034,154

 

$

5,703

 

$

299,596,257

 

$

(272,388,234)

 

$

63,148

 

$

27,276,874

 

Net Loss

 

 —

 

 

 —

 

 

 —

 

 

(26,825,602)

 

 

 —

 

 

(26,825,602)

 

Unrealized Gain on Available-for-Sale Investments

 

 —

 

 

 —

 

 

 —

 

 

 —

 

 

10,190

 

 

10,190

 

Foreign Currency Translation Adjustments

 

 —

 

 

 —

 

 

 —

 

 

 —

 

 

(631)

 

 

(631)

 

Exercise of Employee Stock Options

 

30,000

 

 

 3

 

 

147,897

 

 

 —

 

 

 —

 

 

147,900

 

Delivery of common stock underlying restricted stock units, net of tax

 

126,973

 

 

13

 

 

(180,302)

 

 

 —

 

 

 —

 

 

(180,289)

 

Issuance of common stock, net of offering costs/Public offering

 

6,259,214

 

 

626

 

 

17,289,296

 

 

 —

 

 

 —

 

 

17,289,921

 

Issuance of common stock, net of offering costs/At-the-market offering

 

437,043

 

 

44

 

 

2,089,164

 

 

 —

 

 

 —

 

 

2,089,208

 

Stock-based Compensation

 

 —

 

 

 —

 

 

3,895,041

 

 

 —

 

 

 —

 

 

3,895,041

 

Balance as of September 30, 2019

 

63,887,384

 

$

6,389

 

$

322,837,353

 

$

(299,213,836)

 

$

72,707

 

$

23,702,613

 

20202019
Cash Flows From Operating Activities:
Net Loss$(22,227)$(26,826)
Adjustments To Reconcile Net Loss To Net Cash Used In Operating Activities:
Depreciation and Amortization614 582 
Stock-based Compensation(276)3,895 
Warrant Modification Expense837 
Increase in Inventory Reserves305 1,271 
Amortization of Right of Use Asset1,090 1,430 
Amortization of Debt Financing Costs and Accretion of Debt Discount200 
Loss (Gain) on Disposal of Assets(1)
Realized (Gain) on Sale of Investments Available-for-Sale(8)(24)
Foreign Currency Translation Adjustment
Changes in Assets and Liabilities:
Decrease in Accounts Receivable, net74 1,857 
Decrease in Insurance Receivable371 
(Increase) Decrease in Inventory(953)293 
Decrease in Prepaid and Other Assets161 931 
Increase (Decrease) in Accounts Payable1,172 (1,298)
Decrease in Settlement Payable(104)(147)
Decrease in Lease Liability(1,056)(1,369)
Increase (Decrease) in Other Liabilities423 (1,229)
Decrease in Deferred License Revenue(1,338)(1,690)
Changes in Assets and Liabilities(1,621)(2,281)
Cash Used In Operating Activities(21,072)(21,954)
Cash Flows From Investing Activities:
Purchase of Investments Available-for-Sale(23,531)(34,202)
Sale of Investments Available-for-Sale27,076 30,479 
Purchase of Equipment(970)(449)
Purchase of Research and Development Licenses (Related Party)(750)
Cash Provided By (Used In) Investing Activities2,575 (4,922)
Cash Flows From Financing Activities:
Proceeds from Term Loan22,500 
Debt Issuance Costs(1,343)
Payments on Short Term Note Payable(763)(763)
Proceeds from the Issuance of Common Stock / Public Offering43,148 18,777 
Offering Costs from the Issuance of Common Stock / Public Offering(2,469)(1,488)
Proceeds from the Issuance of Common Stock / At-the-Market Offering2,325 2,296 
Offering Costs from the Issuance of Common Stock / At-the-Market Offering(63)(207)
Proceeds from the Exercise of Employee Stock Options148 
Repurchase of Common Stock to Pay Employee Withholding Taxes(18)(180)
Cash Provided By Financing Activities63,317 18,583 
Increase (Decrease) in Cash and Cash Equivalents44,820 (8,293)
Cash and Cash Equivalents at Beginning of Period11,794 22,714 
Cash and Cash Equivalents at End of Period$56,614 $14,421 
Supplemental Disclosure of Cash Flow Information:
Cash Paid for Interest$906 $
Supplemental Disclosure of Noncash Investing and Financing Activities:
Change in Unrealized Loss on Marketable Securities Available-for-Sale$(11)$
Insurance Financing Note Payable$$1,145 
Fair Value of Warrants issued related to Debt Financing$501 $

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

8

7


ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS' EQUITY

For the nine months ended September 30, 2018

(Unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACCUMULATED

 

 

 

 

 

 

 

 

 

 

ADDITIONAL

 

 

 

 

OTHER

 

TOTAL

 

 

COMMON SHARES

 

PAID-IN

 

ACCUMULATED

 

COMPREHENSIVE

 

SHAREHOLDER’S

 

    

SHARES

    

AMOUNT

    

CAPITAL

    

DEFICIT

    

(LOSS)

    

EQUITY

Balance as of January 1, 2018

 

51,768,424

 

$

5,177

 

$

273,205,730

 

$

(240,262,376)

 

$

(35,383)

 

$

32,913,148

Net Loss

 

 —

 

 

 —

 

 

 —

 

 

(22,749,945)

 

 

 —

 

 

(22,749,945)

Unrealized Gain on Available-for-Sale Investments

 

 —

 

 

 —

 

 

 —

 

 

 —

 

 

96,327

 

 

96,327

Foreign Currency Translation Adjustments

 

 —

 

 

 —

 

 

 —

 

 

 —

 

 

(13,791)

 

 

(13,791)

Exercise of Employee Stock Options, Net of Tax

 

870

 

 

 —

 

 

(1,978)

 

 

 —

 

 

 —

 

 

(1,978)

Stock-based Compensation

 

 —

 

 

 —

 

 

2,425,919

 

 

 —

 

 

 —

 

 

2,425,919

Balance as of September 30, 2018

 

51,769,294

 

$

5,177

 

$

275,629,671

 

$

(263,012,321)

 

$

47,153

 

$

12,669,680

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

9

ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

For the nine months ended September 30, 2019 and 2018

(Unaudited)

 

 

 

 

 

 

 

 

    

2019

    

2018

 

 

 

 

 

 

 

Cash Flows From Operating Activities:

 

 

 

 

 

 

Net Loss

 

$

(26,825,602)

 

$

(22,749,945)

Adjustments To Reconcile Net Loss To Net Cash Used In Operating Activities:

 

 

 

 

 

 

Depreciation and Amortization

 

 

581,982

 

 

466,994

Stock-based Compensation

 

 

3,895,041

 

 

2,425,919

Increase in Inventory Reserves

 

 

1,271,000

 

 

3,442,547

Amortization of Right of Use Asset

 

 

1,429,727

 

 

 —

(Gain) Loss on Disposal of Assets

 

 

(620)

 

 

4,030

Realized (Gain) Loss on Sale of Investments Available-for-Sale

 

 

(24,292)

 

 

222,014

Foreign Currency Translation Adjustment

 

 

(631)

 

 

(13,791)

Changes in Assets and Liabilities:

 

 

 

 

 

 

Decrease (Increase) in Accounts Receivable, net

 

 

1,857,061

 

 

(1,226,133)

Decrease (Increase) in Insurance Receivable

 

 

371,217

 

 

(500,000)

Decrease in Inventory

 

 

293,326

 

 

3,669,233

Decrease in Other Assets

 

 

930,847

 

 

75,570

(Decrease) Increase in Accounts Payable

 

 

(1,298,031)

 

 

2,709,133

(Decrease) Increase in Settlement Payable

 

 

(146,668)

 

 

666,667

Decrease in Lease Liability

 

 

(1,369,994)

 

 

 —

Decrease in Other Liabilities

 

 

(1,228,671)

 

 

(2,109,802)

Decrease in Deferred License Revenue

 

 

(1,689,651)

 

 

(1,718,127)

Changes in Assets and Liabilities

 

 

(2,280,564)

 

 

1,566,541

Cash Used In Operating Activities

 

 

(21,953,959)

 

 

(14,635,691)

Cash Flows From Investing Activities:

 

 

 

 

 

 

Purchase of Investments Available-for-Sale

 

 

(34,202,301)

 

 

(18,483,694)

Sale of Investments Available-for-Sale

 

 

30,479,252

 

 

29,596,315

Purchase of Equipment

 

 

(448,896)

 

 

(589,541)

Purchase of Research and Development Licenses (Related Party)

 

 

(750,000)

 

 

 —

Cash (Used in) Provided By Investing Activities

 

 

(4,921,945)

 

 

10,523,080

Cash Flows From Financing Activities:

 

 

 

 

 

 

Payments on Short Term Notes Payable

 

 

(763,422)

 

 

 —

Proceeds from the Issuance of Common Stock / Public Offering

 

 

18,777,642

 

 

 —

Offering Costs from the Issuance of Common Stock / Public Offering

 

 

(1,487,721)

 

 

 —

Proceeds from the Issuance of Common Stock / At-the Market Offering

 

 

2,296,235

 

 

 —

Offering Costs from the Issuance of Common Stock / At-the Market Offering

 

 

(207,027)

 

 

 —

Proceeds from the Exercise of Employee Stock Options

 

 

147,900

 

 

 —

Stock Retained in Satisfaction of Tax Liabilities

 

 

(180,289)

 

 

(1,978)

Cash Provided By (Used In) Financing Activities

 

 

18,583,318

 

 

(1,978)

 

 

 

 

 

 

 

Decrease In Cash and Cash Equivalents

 

 

(8,292,586)

 

 

(4,114,589)

Cash At Beginning Of Period

 

 

22,713,980

 

 

8,406,917

Cash At End Of Period

 

$

14,421,394

 

$

4,292,328

 

 

 

 

 

 

 

Supplemental Disclosure of Noncash Investing and Financing Activities:

 

 

 

 

 

 

Insurance Financing Note Payable

 

$

1,145,133

 

$

 —

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

10

Table of Contents

ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(Unaudited)


1.  Description of Business

Rockwell Medical, Inc. and subsidiaries (collectively, “we”, “our”, “us”, or the “Company”), is a biopharmaceutical company dedicated to improving outcomes for patients with iron deficiency and iron-deficiency anemia,with an initial focus on patients with end-stage renalkidney disease (ESRD).(ESKD) and on dialysis. The Company is focused on developing its proprietary ferric pyrophosphate citrate (“FPC”) therapeutic platform. The first product developed from this platform is Triferic, the first-FDA approved product for the replacement of iron and maintenance of hemoglobin in adult hemodialysis patients. We initiated commercial sales of Triferic Dialysate during the second quarter of 2019 and received approval by the U.S. Food and Drug Administration ("FDA") for the intravenous formulation of Triferic, Triferic AVNU, on March 27, 2020. We plan to leverage our experience with Triferic to develop our FPC platform for iron deficiency and iron deficiency anemia in other disease states. Our lead indication is developing FPC for the treatment of iron deficiency anemia in patients undergoing home infusion therapy. We are also a manufacturer of hemodialysis concentrates for dialysis providers and distributors in the United States and abroad. We supply the domestic market with dialysis concentrates and we also supply dialysis concentrates to distributors serving a number of foreign countries, primarily in the Americas and the Pacific Rim. Substantially, all of our sales have been concentrate products and ancillary items, though we initiated commercial sales of our proprietary therapeutic, Triferic, during the second quarter of 2019.

Our mission is to transform anemia management in a wide variety of disease states across the globe, while improving patients’ lives. Accordingly, we are building the foundation to become a leading medical and commercial organization in the field of dialysis.

Triferic®iron deficiency.

Triferic® is a registered trademark of Rockwell Medical, Inc.

2.  Going Concern

Liquidity and Capital Resources

As of September 30, 2019,2020, the Company had approximately $14.4$56.6 million of cash and cash equivalents, $14.6$10.7 million of investments available-for-sale, working capital of $28.2$65.2 million and an accumulated deficit of $299.2$328.7 million. Net cash used in operating activities for the nine months ended September 30, 20192020 was approximately $21.9$21.1 million.

The Company will require significant additional capital to sustain its operations and make the investments it needs to execute its longer-term business plan. The Company’s existing liquidity is not sufficient to fund its operations and anticipated capital expenditures within one year of the issuance of the accompanying condensed consolidated financial statements.

The Company’s recurring operating losses, net operating cash flow deficits, and an accumulated deficit, raise substantial doubt about Management evaluated the Company’s ability to continue as a going concern for one yearat least the next 12 months from the issuancefiling of this report. Based on the currently available working capital, capital raise and debt financing described 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 accompanying condensed consolidated financial statements. The condensed consolidated financial statements have been prepared assumingfiling of this report.

In February 2020, the Company will continue as a going concern. The Company has not made any adjustments to the accompanying condensed consolidated financial statements related to the recoverability and classificationsold 3,670,212 shares of recorded asset amounts and classificationits common stock for proceeds of liabilities that might be necessary should the Company be unable to continue as a going concern.

$8.0 million, net of issuance costs. On June 20, 2019,March 16, 2020, the Company closed a public offeringdebt financing transaction with net proceeds at closing of 5,833,334approximately $21.2 million, net of fees and expenses (See Note 15 for further detail). On September 23, 2020, the Company sold 23,178,809 shares of its common stock at a pricefor proceeds of $3.00 per share. The aggregate proceeds from this public offering (net$32.7 million, net of issuance costs (see Note 10 for further detail).

During the underwriters’ commissions and offering expenses) were approximately $16.1 million. On July 9, 2019,nine months ended September 30, 2020, the underwriters of the public offering partially exercised their over-allotment option and purchased an additional 425,800Company sold 1,128,608 shares of its common stock at a priceas part of $3.00 per share, which closed on July 11, 2019. The aggregate proceeds from the exercise of the over-allotment option (net of the underwriters’ discount and offering expenses) were approximately $1.2 million.

On March 22, 2019, the Company entered into aits sales agreement with Cantor Fitzgerald & Co. (the “Agent”), pursuant to which the Company may offer and sell from time to time sharesfor proceeds of the Company’s common stock through the Agent up to $40,000,000.  As$2.3 million, net of September 30, 2019, approximately $37.7issuance costs. Approximately $32.3 million remains available for issuancesale under this facility. We are not required to sell any shares at any time during the term of the facility.  Our ability to sell common stock under the facility may be limited by several factors including, among other things, the trading volume of our common stock and certain black-out periods that we may impose upon the facility, among other things.

See Note 10 for further detail.


The Company will require additional capital to sustain its operations and make the investments it needs to execute upon its longer-term business plan, including the launchcommercialization of Triferic Dialysate and Triferic AVNU, executing upon our plans for enhancing Triferic's medical capabilities, generating additional data for Triferic and I.V. Triferic.developing Triferic for new therapeutic indications. If the Company is unable to generate sufficient revenue from its existing long-term business plan, the Company will need to obtain additional equity

11

Table of Contents

ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(Unaudited)

or debt financing. If the Company attempts to obtain additional debt or equity financing, the Company cannot assume that such financing will be available on favorable terms, if at all.


In addition, the Company is subject to certain covenants and cure provisions under our Loan Agreement with Innovatus. As of the date of this report, the Company believes that it will either be able to satisfy such covenants or, in the event of a breached covenant, exercise cure provisions to avoid an event of default. If we are unable to avoid an event of default, any required repayments could have an adverse effect on our liquidity (See Note 15 for further detail).

8


ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
Notes to Condensed Consolidated Financial Statements
(Unaudited)
The COVID-19 pandemic and resulting domestic and global disruptions have adversely affected our business and operations, including, but not limited to, our sales and marketing efforts and our research and development activities, and the operations of third parties upon whom we rely. Quarantines, shelter-in-place, executive and similar government orders and the recent surge in infections domestically may negatively impact our sales and marketing activities, particularly if our sales representatives are unable to interact with current and potential customers to the same extent as before onset of the COVID-19 pandemic. Our international business development activities may also be negatively impacted by COVID-19, especially with the recent surge in infections and resulting quarantines or shelter-in-place orders. Depending on the severity of the impact on our sales and marketing efforts, the timing of our commercial launch of Triferic AVNU could be delayed.

The COVID-19 pandemic, the recent domestic and international surge in infections and resulting global disruptions have caused significant volatility in financial and credit markets. We have utilized a range of financing methods to fund our operations in the past; however, current conditions in the financial and credit markets may limit the availability of funding, 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 our liquidity and capital resources in the future.
3.  Basis of Presentation, Summary of Significant Accounting Policies and Recent Accounting Pronouncements

At the 2019 Annual Meeting, the Company’s shareholders voted and approved to reincorporate the Company from the State of Michigan to the State of Delaware (the “Reincorporation”). The Reincorporation became effective on August 30, 2019 and was accomplished by the filing of (i) a certificate of conversion with the Bureau of Commercial Services of the Michigan Department of Labor & Economic Growth; (ii) a certificate of conversion with the Secretary of State of the State of Delaware; and (iii) a Certificate of Incorporation with the Secretary of State of the State of Delaware (the “Certificate of Incorporation”).

The Company’s new authorized capital stock consists of 170,000,000 shares of common stock, $0.0001 par value per share, and 2,000,000 shares of preferred stock, $0.0001 par value per share.

Certain reclassifications have been made to the 2018 financial statements and notes to conform to the 2019 presentation. 


The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with the accounting principles generally accepted in the United States (“U.S.”) of America (“U.S. GAAP”) for interim financial information and pursuant to the instructions to Form 10-Q and Article 8Rule 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. In the opinion of management, the accompanying unaudited

The condensed consolidated financialbalance sheet at September 30, 2020, condensed consolidated statements reflectof operations for the three and nine months ended September 30, 2020 and 2019, condensed consolidated statements of comprehensive loss for the three and nine months ended September 30, 2020 and 2019, condensed consolidated statements of cash flows for the nine months ended September 30, 2020 and 2019, and condensed consolidated statement of changes in shareholder’s equity for the three and nine months ended September 30, 2020 and 2019 are unaudited, but include all adjustments, consisting of normal recurring adjustments, consideredthat the Company considers necessary for a fair presentation of such interim results.

the financial position, operating results and cash flows for the periods presented. The results for the condensed consolidated statement of operationsthree and nine months ended September 30, 2020 are not necessarily indicative of results to be expected for the year ending December 31, 20192020 or for any future interim period. The condensed consolidated balance sheet at September 30,December 31, 2019 has been derived from unauditedaudited financial statements;statements, however, it does not include all of the information and notes required by U.S. GAAP for complete financial statements. The condensed consolidated balance sheet at December 31, 2018 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 consolidatedaudited financial statements for the year ended December 31, 20182019 and notes thereto included in the Company’s annual reportAnnual Report on Form 10-K for the fiscal year ended December 31, 2019 as filed with the SEC on Form 10-K on March 18, 2019.

17, 2020. The Company’s consolidated subsidiaries consisted 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.


Certain reclassifications have been made to the 2019 financial statements and notes to conform to the 2020 presentation.
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 expenses during the reporting period. Actual results could differ from those estimates.

Significant Accounting Policies

With the exception of the adoption of ASU 2016-02 relating to accounting for leases, there have been no material changes in the Company’s significant accounting policies as previously disclosed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2018.

12

Leases

Table of Contents

ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(Unaudited)

Leases

Effective January 1, 2019, theThe Company accounts for its leases under Accounting Standards Codification (“ASC”) 842, Leases. Under this guidance, arrangements meeting the definition of a lease are classified as operating or financing leases and are recorded on the consolidated balance sheet as both a right-of-use asset and lease liability, calculated by discounting fixed lease payments over the lease term at the rate implicit in the lease or the Company’s incremental borrowing rate. Lease liabilities are increased by

9


ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
Notes to Condensed Consolidated Financial Statements
(Unaudited)
interest and reduced by payments each period, and the right-of-use asset is amortized over the lease term. For operating leases, interest on the lease liability and the amortization of the right-of-use asset result in straight-line rent expense over the lease term. Variable lease expenses, if any, are recorded when incurred.

In calculating the right-of-use asset and lease liability, the Company elects to combine lease and non-lease components. The Company excludes short-term leases having initial terms of 12 months or less from the new guidance as an accounting policy election and recognizes rent expense on a straight-line basis over the lease term.

The Company continues to account for leases in the prior period financial statements in accordance with ASC Topic 840.

Loss Per Share

ASC 260, Earnings Per Share, requires dual presentation of basic and diluted earnings per share (“EPS”), with a reconciliation of the numerator and denominator of the basic EPS computation to the numerator and denominator of the diluted EPS computation. Basic EPS excludes dilution. Diluted EPS reflects the potential dilution that could occur if securities or other contracts to issue common stock were exercised or converted into common stock or resulted in the issuance of common stock that are then sharing in the earnings of the entity.

Basic net loss per share of common stock excludes dilution and is computed by dividing the net loss by the weighted average number of shares outstanding during the period. Diluted net loss per share of common stock reflects the potential dilution that could occur if securities or other contracts to issue common stock were exercised or converted into common stock or resulted in the issuance of common stock that then shared in the earnings of the entity unless inclusion of such shares would be anti-dilutive. The Company has only incurred losses, therefore, basic and diluted net loss per share is the same. Securities that could potentially dilute net income per share in the future that were not included in the computation of diluted loss per share were as follows:

 

 

 

 

As of September 30, 

As of September 30,

2019

2018

20202019

Options to purchase common stock

 

8,170,382

 

8,048,105

Options to purchase common stock6,682,192 8,170,382 

Unvested restricted stock awards

 

146,800

 

146,800

Unvested restricted stock awards146,800 146,800 

Unvested restricted stock units

 

1,324,172

 

1,293,750

Unvested restricted stock units245,405 1,324,172 

Warrants to purchase common stock

 

2,770,781

 

 -

Warrants to purchase common stock26,426,863 2,770,781 

 

12,412,135

 

9,488,655

33,501,260 12,412,135 

Adoption of Recent Accounting Pronouncements

The Company continually assesses any new accounting pronouncements to determine their applicability. When it is determined that 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 that there are sufficient controls in place to ascertain that the Company’s consolidated financial statements properly reflect the change.

In February 2016,July 2017, the FASB issued ASU 2016-02, LeasesNo. 2017-11, “Earnings Per Share (Topic 842), which amended260) and Derivatives and Hedging (Topic 815)- Accounting for Certain Financial Instruments with Down Round Features” (“ASU 2017-11”). Equity-linked instruments, such as warrants and convertible instruments may contain down round features that result in the guidance on accounting for leases. The FASB issued this update to increase transparency and comparability among organizations. This update requires the recognition of lease assets and lease liabilitiesstrike price being reduced on the balance sheetbasis of the pricing of future equity offerings. Under ASU 2017-11, a down round feature will no longer require a freestanding equity-linked instrument (or embedded conversion option) to be classified as a liability that is remeasured at fair value through the income statement (i.e. marked-to-market). However, other features of the equity-linked instrument (or embedded conversion option) must still be evaluated to determine whether liability or equity classification is appropriate. Equity classified instruments are not marked-to-market. For earnings per share ("EPS") reporting, the ASU requires companies to recognize the effect of the down round feature only when it is triggered by treating it as a dividend and the disclosureas a reduction of key information about leasing arrangements.income available to common shareholders in basic EPS. The Company adoptedamendments in this ASU effective January 1, 2019 using the additional (optional) approach by recording a right-of-use asset and a lease liability of approximately $3.5 million. Our adoption of

13

Table of Contents

ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(Unaudited)

this ASU had no effect on opening retained earnings, and the Company continues to account for leases in the prior period consolidated financial statements under ASC Topic 840. In adopting the new standard, the Company elected to apply the practical expedients regarding identification of leases, lease classification, indirect costs, and the combination of lease and non-lease components.

       In June 2018, the FASB issued ASU 2018-17, Improvements to Nonemployee Share-Based Payment Accounting, which simplifies the accounting for share-based payments granted to nonemployees for goods and services. Under ASU 2018-17, most of the guidance on such payments to nonemployees would be aligned with the requirements for share-based payments granted to employees. The amendments are effective for all entities for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2019, and interim periods within fiscal years beginning after December 15, 2020. Early adoption is permitted, but no earlier than an entity’s adoption of Topic 606. The2019. This standard, which the Company as adopted this new standard on January 1, 20192020, and the adoption did not have amaterial impact on its condensed consolidatedthe Company’s financial statements and related disclosures.

position, results of operations or cash flows.

4.  Revenue Recognition


10


ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
Notes to Condensed Consolidated Financial Statements
(Unaudited)
The Company recognizes revenue under ASC 606, Revenue from Contracts with Customers. The core principle of the new 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 1: Identify the contract with the customer

·

Step 4: Allocate the transaction price to the performance obligations in the contract

Step 2: Identify the performance obligations in the contract

·

Step 5: Recognize revenue when the company satisfies a performance obligation

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 us 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

The following is a description of principal activities from which the Company generates its revenue.

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.

14

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ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(Unaudited)

The Company received upfront fees under two4 distribution and license agreements that have been deferred as a contract liability.  The amounts received from Wanbang Biopharmaceuticals Co., Ltd. (“Wanbang”) and Sun Pharmaceutical Industries Ltd. ("Sun Pharma") and amounts to be received Jeil Pharmaceutical Co., Ltd. ("Jeil Pharma") are 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 and South Korea, respectively, to determine that regulatory approval was probable as of the execution of the agreement.  The amounts received from Baxter Healthcare Corporation (“Baxter”), are recognized as revenue at the point in time that the estimated product sales under the agreement occur. 

For the business under the Company’s distribution agreement with Baxter (the “Baxter Agreement”), and for the majority of the Company’s international customers, the Company recognizes revenue at the shipping point, which is generally the Company’s plant or warehouse. For other business, including the business under the Company’s distribution agreement with Baxter (the “Baxter Agreement”), the Company recognizes revenue based on when the customer takes control or receipt of the product. 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. There were no such adjustments for the periods reported. Customers typically pay for the product based on customary business practices with payment terms averaging 30 days, while distributor payment terms average 45 days.

Disaggregation of revenue

Revenue is disaggregated by primary geographical market, major product line, and timing of revenue recognition.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In thousands of US dollars ($) 

 

Three Months Ended September 30, 2019

 

 

Nine Months Ended September 30, 2019

Products By Geographic Area

    Total

    

U.S.

    

Rest of World

 

    Total

    

U.S.

    

Rest of World

Drug Revenues

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    Product Sales – Point-in-time

$

98

 

$

98

 

$

 -

 

$

112

 

$

112

 

$

 -

    License Fee – Over time

 

68

 

 

 -

 

 

68

 

 

205

 

 

 -

 

 

205

    Total Drug Products

 

166

 

 

98

 

 

68

 

 

317

 

 

112

 

 

205

Concentrate Products

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    Product Sales – Point-in-time

 

14,746

 

 

13,353

 

 

1,393

 

 

44,010

 

 

39,100

 

 

4,910

    License Fee – Over time

 

495

 

 

495

 

 

 -

 

 

1,485

 

 

1,485

 

 

 -

    Total Concentrate Products

 

15,241

 

 

13,848

 

 

1,393

 

 

45,495

 

 

40,585

 

 

4,910

Net Revenue

$

15,407

 

$

13,946

 

$

1,461

 

$

45,812

 

$

40,697

 

$

5,115

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended September 30, 2018

 

 

Nine Months Ended September 30, 2018

Products By Geographic Area

 

Total

 

 

U.S.

 

 

Rest of World

 

 

Total

 

 

U.S.

 

 

Rest of World

Drug Revenues

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    License Fee – Over time

$

68

 

 

 -

 

$

68

 

$

205

 

 

 -

 

$

205

Concentrate Products

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    Product Sales – Point-in-time

 

16,099

 

 

13,208

 

 

2,891

 

 

44,815

 

 

38,536

 

 

6,279

    License Fee – Over time

 

505

 

 

505

 

 

 -

 

 

1,514

 

 

1,514

 

 

 -

    Total Concentrate Products

 

16,604

 

 

13,713

 

 

2,891

 

 

46,329

 

 

40,050

 

 

6,279

Net Revenue

$

16,672

 

$

13,713

 

$

2,959

 

$

46,534

 

$

40,050

 

$

6,484

11



ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
Notes to Condensed Consolidated Financial Statements
(Unaudited)
In thousands of U.S. dollars ($) Three Months Ended September 30, 2020Nine Months Ended September 30, 2020
Products By Geographic AreaTotalU.S.Rest of WorldTotalU.S.Rest of World
Drug Revenues
Product Sales – Point-in-time$228 $228 $$609 $609 $
License Fee – Over time56 56 167 167 
Total Drug Products284 228 56 776 609 167 
Concentrate Products
Product Sales – Point-in-time14,506 13,470 1,036 44,786 40,295 4,491 
License Fee – Over time490 490 1,471 1,471 
Total Concentrate Products14,996 13,960 1,036 46,257 41,766 4,491 
Net Revenue$15,280 $14,188 $1,092 $47,033 $42,375 $4,658 
In thousands of U.S. dollars ($)Three Months Ended September 30, 2019Nine Months Ended September 30, 2019
Products By Geographic AreaTotalU.S.Rest of WorldTotalU.S.Rest of World
Drug Revenues
Product Sales – Point-in-time$98 $98 $$112 $112 $
License Fee – Over time$68 $68 205 205 
Total Drug Products166 98 68 317 112 205 
Concentrate Products
Product Sales – Point-in-time14,746 13,353 1,393 44,010 39,100 4,910 
License Fee – Over time495 495 1,485 1,485 
Total Concentrate Products15,241 13,848 1,393 45,495 40,585 4,910 
Net Revenue$15,407 $13,946 $1,461 $45,812 $40,697 $5,115 
Contract balances

The following table provides information about receivables, contract assets, and contract liabilities from contracts with customers.

 

 

 

 

 

 

 

In thousands of US dollars ($)

    

September 30, 2019

    

December 31, 2018

Receivables, which are included in "Trade and other receivables"

 

$

5,122

 

$

6,980

Contract liabilities

 

$

12,640

 

$

14,329

15

In thousands of U.S. dollars ($)September 30, 2020December 31, 2019
Receivables, which are included in "Trade and other receivables"$4,129 $4,203 
Contract liabilities$10,738 $12,076 

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ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(Unaudited)

There were no impairment0 material losses recognized related to any receivables arising from the Company’s contracts with customers for the three and nine months ended September 30, 20192020 and 2018.

2019.

For the three and nine months ended September 30, 20192020 and September 30, 2018,2019, the Company did not recognize any material bad-debt expense and thereexpense. There were no0 material contract assets recorded on the condensed consolidated balance sheet as of September 30, 20192020 and December 31, 2018.2019.  The Company does not generally accept returns of its concentrate products and no0 material reserve for returns of concentrate products was established as of September 30, 20192020 or December 31, 2018. 

2019. 

The contract liabilities primarily relate to upfront payments and consideration received from customers that are received in advance of the customer assuming control of the related products. 

products

Transaction price allocated to remaining performance obligations

For the three and nine months ended September 30, 2019,2020, revenue recognized from performance obligations related to prior periods was not material.

12


ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
Notes to Condensed Consolidated Financial Statements
(Unaudited)
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, totaled $10.4$10.7 million as of September 30, 2019.2020. The amount relates primarily to upfront payments and consideration received from customers that are received in advance of the customer assuming control of the related products. The Company applies the practical expedient in paragraph 606-10-50-14 and does not disclose information about remaining performance obligations that have original expected durations of one year or less. The Baxter Agreement includes minimum commitments of product sales over the duration of the agreement. Unfulfilled performance obligationsminimum commitments related to the Baxter Agreement are product sales of $9.6$7.7 million as of September 30, 2020, which will beis being amortized ratably through expiration of the agreementBaxter Agreement on October 2, 2024.

5.  Investments - Available-for-Sale

Investments available-for-sale consisted of the following as of September 30, 20192020 and December 31, 2018:

2019 (table in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

September 30, 2019

September 30, 2020

 

Amortized Cost

 

Unrealized Gain

 

Unrealized Loss

 

Fair Value

Amortized CostUnrealized GainUnrealized LossAccrued Interest IncomeFair Value

Available-for-Sale Securities

 

 

 

 

 

 

 

 

 

 

 

 

Available-for-Sale Securities

Bonds

 

$

14,549,799

 

$

26,401

 

$

(611)

 

$

14,575,589

Bonds$10,679 $$(1)$21 $10,702 

 

 

 

 

 

 

 

 

 

 

 

 

 

December 31, 2018

 

Amortized Cost

 

Unrealized Gain

 

Unrealized Loss

 

Fair Value

Available-for-Sale Securities

 

 

 

 

 

 

 

 

 

 

 

 

Bonds

 

$

10,801,836

 

$

17,415

 

$

(1,192)

 

$

10,818,059

December 31, 2019
Amortized CostUnrealized GainUnrealized LossAccrued InterestFair Value
Available-for-Sale Securities
Bonds$14,238 $13 $(1)$$14,250 
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 as described in Note 3 on Form 10-K, measurement under ASC 820 Fair Value Measurement to our condensed consolidated financial statements.

Measurements.

As of September 30, 20192020 and December 31, 2018,2019, the amortized cost and estimated fair value of our available-for-sale securities were due inwithin one year or less.

year.

16

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Notes to Condensed Consolidated Financial Statements

(Unaudited)

6.  Inventory

Components of inventory, net of reserves, as of September 30, 20192020 and December 31, 20182019 are as follows:

follows (table in thousands):

 

 

 

 

 

 

    

September 30, 

    

December 31, 

 

2019

 

2018

September 30,
2020
December 31,
2019

Raw Materials

 

$

2,390,179

 

$

3,621,548

Raw Materials$2,794 $2,471 

Work in Process

 

 

209,940

 

 

256,129

Work in Process329 185 

Finished Goods

 

 

1,511,333

 

 

1,798,101

Finished Goods1,613 1,432 

Total

 

$

4,111,452

 

$

5,675,778

Total$4,736 $4,088 

As of September 30, 2019 and December 31, 2018,2020, we classified $0.5$0.9 million and $1.6 million, respectively, of inventory as non-current, all of which was related to Triferic or the active pharmaceutical ingredient (API)and raw materials for Triferic. As of September 30, 2019 and December 31, 2018, we had2020, the total Triferic inventory aggregating $3.5was $3.8 million, and $8.0 million respectively, against which we had reserved $2.8 million and $5.8 million respectively.

$2.7 million.

The $0.7$1.1 million net value of Triferic inventory consisted of $0.1 million of Triferic Dialysate Triferic finished goods with expiration dates ranging from MarchDecember 2020 to May 2021, and $0.6$0.3 million of Triferic API with estimated useful livesremaining shelf life extending through 2023. The Company increased its inventory reserve2021, and $0.7 million of raw materials for Triferic by $1.1 million as of September 30, 2019 duewith estimated remaining shelf life extending beyond 2025.
13


ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
Notes to among other factors, the impact of the Centers for Medicare & Medicaid Services (“CMS”) Final Rule, which is discussed in Note 17 below, and its current volume forecasts for Triferic across the globe. 

Condensed Consolidated Financial Statements

(Unaudited)
7.  Property and Equipment

As of September 30, 20192020 and December 31, 2018,2019, the Company’s property and equipment consisted of the following:

following (table in thousands):

 

 

 

 

 

 

 

September 30, 

 

December 31, 

    

2019

    

2018

September 30,
2020
December 31,
2019

Leasehold Improvements

 

$

1,114,503

 

$

929,849

Leasehold Improvements$1,176 $1,162 

Machinery and Equipment

 

 

4,719,132

 

 

4,800,774

Machinery and Equipment5,454 4,673 

Information Technology & Office Equipment

 

 

1,810,246

 

 

2,459,832

Information Technology & Office Equipment1,822 1,810 

Laboratory Equipment

 

 

653,075

 

 

668,977

Laboratory Equipment653 653 

 

 

8,296,956

 

 

8,859,432

9,105 8,298 

Accumulated Depreciation

 

 

(5,790,863)

 

 

(6,221,139)

Accumulated Depreciation(6,320)(5,865)

Net Property and Equipment

 

$

2,506,093

 

$

2,638,293

Property and Equipment, netProperty and Equipment, net$2,785 $2,433 

Depreciation expense for the three months ended September 30, 20192020 and 2018,2019 totaled $0.2 million and $0.2 million, respectively.million. Depreciation expense for the nine months ended September 30, 2020 and 2019 and 2018, totaled $0.58 million and $0.47 million, respectively.

$0.6 million.

8.  Accrued Liabilities

Accrued liabilities as of September 30, 20192020 and December 31, 20182019 consisted of the following:

 

 

 

 

 

 

 

 

 

September 30, 

 

December 31, 

 

    

2019

    

2018

Accrued Research & Development Expense

 

$

84,798

 

$

86,820

Accrued Compensation and Benefits

 

 

1,334,563

 

 

1,525,599

Accrued Legal Expenses

 

 

392,869

 

 

170,334

Accrued Marketing Expenses

 

 

206,649

 

 

5,000

Other Accrued Liabilities

 

 

1,897,190

 

 

3,342,008

Total Accrued Liabilities

 

$

3,916,069

 

$

5,129,761

following (table in thousands):

17

September 30,
2020
December 31,
2019
Accrued Research & Development Expense$258 $283 
Accrued Compensation and Benefits2,584 1,018 
Accrued Legal Expenses172 182 
Accrued Marketing Expenses100 61 
Other Accrued Liabilities1,854 2,974 
Total Accrued Liabilities$4,968 $4,518 

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ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(Unaudited)

9.  Insurance Financing Note Payable

On June 3, 2019, the Company entered into a short-term note payable for $1.9 million, bearing interest at 4.65% per annum to finance various insurance policies. Principal and interest payments related to this note began on July 3, 2019 and are paid on a straight-line amortization over a 10-month period with the final payment due on April 3, 2020. As of September 30, 2019, the Company’s insurance note payable balance was $1.15 million.

10.  Deferred Revenue

In October of 2014, the Company entered into a 10 year distribution agreementthe Baxter Agreement with Baxter and received an upfront fee of $20 million. The upfront fee was recorded as deferred revenue and is being recognized based on the proportion of product shipments to Baxter in each period, compared with total expected sales volume over the term of the Baxter Agreement.Agreement, which expires in October 2024. The Company recognized revenue of approximately $0.5 million and $1.5 million duringfor the three and nine months ended September 30, 20192020 and 2018,2019, respectively. Deferred revenue related to the Baxter Agreement totaled $9.6$7.7 million as of September 30, 20192020 and $11.1$9.1 million as of December 31, 2018.

2019.

If a “Refund Trigger Event” occurs under the Baxter Agreement, we would be obligated to repay a portion of the upfront fee and any paid portion of the facility fee. In the event of a Refund Trigger Event occurring from JanuaryOctober 1, 20192020 to December 31, 2021, Baxter would be eligible for a 25% refund of the Baxter Agreement’s Upfront Payment.upfront fee. In addition, if Baxter terminates the Baxter Agreement because Baxter has been enjoined by a court of competent jurisdiction from selling in the United States any product covered by the Baxter Agreement due to a claim of intellectual property infringement or misappropriation relating to such product prior to the end of 2019,2020, Baxter would be eligible for a partial refund of $6.6the upfront fee of $5.0 million. In no event woulddoes the Baxter Agreement require more than one refund be required to be paid.

During the year ended December 31,

In 2016, the Company entered into a distribution and license agreement with Wanbang (the "Wanbang Agreement") and received an upfront fee of $4.0 million. The upfront fee was recorded as deferred revenue and is being recognized as revenue based on the agreement term. The Company recognized revenue of approximately $53,000 and $0.2 million for the three and nine months ended September 30, 2020 and 2019, respectively. Deferred revenue related to the Wanbang Agreement totaled $2.8 million as of September 30, 2020 and $3.0 million as of December 31, 2019.

14


ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
Notes to Condensed Consolidated Financial Statements
(Unaudited)
On January 14, 2020, the Company entered into license and supply agreements with Sun Pharma (the "Sun Pharma Agreements"), for the rights to commercialize Triferic Dialysate (ferric pyrophosphate citrate) in India. Under the terms of the Sun Pharma Agreements, Sun Pharma will be the exclusive development and commercialization partner for Triferic Dialysate in India, and the Company will supply the product to Sun Pharma. In consideration for the license, the Company received an upfront fee of $0.1 million, and $0.2 millionwill be eligible for milestone payments and royalties on net sales. A Joint Alliance Committee, comprised of members from the Company and Sun Pharma, will guide the development and execution for Triferic Dialysate in India. Sun Pharma will be responsible for all clinical and regulatory approval, as well as commercialization activities. The upfront fee was recorded as deferred revenue and is being recognized as revenue based on the agreement term. The Company recognized revenue of approximately $2,500 and $7,500 during the three and nine months ended September 30, 2019 and 2018,2020, respectively. Deferred revenue related to the Wanbang agreementSun Pharma Agreement totaled $3.0 million$92,500 as of September 30, 20192020.

On September 7, 2020, the Company entered into a license and $3.2supply agreements with Jeil Pharma (the "Jeil Pharma Agreements"), for the rights to commercialize Triferic Dialysate (ferric pyrophosphate citrate) in South Korea. Under the terms of the Jeil Pharma Agreements, Jeil Pharma will be the exclusive development and commercialization partner for Triferic Dialysate in South Korea, and the Company will supply the product to Jeil Pharma. In consideration for the license, the Company received an upfront fee of $0.2 million, and will be eligible for milestone payments and royalties on net sales. A Joint Alliance Committee, comprised of members from the Company and Jeil Pharma, will guide the development and execution for Triferic Dialysate in South Korea. Jeil Pharma will be responsible for all clinical and regulatory approval, as well as commercialization activities. The upfront fee was recorded as deferred revenue and is being recognized as revenue based on the agreement term. The Company recognized revenue of NaN during the three and nine months ended September 30, 2020.
10.  Stockholders’ Equity

Preferred Stock
As of September 30, 2020 and December 31, 2018.

11.  Shareholders’ Equity

At the 2019, Annual Meeting, the Company’s shareholders votedthere were 2,000,000 shares of preferred stock, $0.0001 par value per share, authorized and approved to reincorporate the Company from the State0 shares of Michigan to the Statepreferred stock issued or outstanding.

Common Stock
As of Delaware (the “Reincorporation”). The Reincorporation became effective on AugustSeptember 30, 2020 and December 31, 2019, and was accomplished by the filing of (i) a certificate of conversion with the Bureau of Commercial Services of the Michigan Department of Labor & Economic Growth; (ii) a certificate of conversion with the Secretary of State of the State of Delaware; and (iii) a Certificate of Incorporation with the Secretary of State of the State of Delaware (the “Certificate of Incorporation”).

The Company’s new authorized capital stock consists ofthere were 170,000,000 shares of common stock, $0.0001 par value per share, and 2,000,000 shares of preferred stock, $0.0001 par value per share.

Preferred Stock

As of September 30, 2019 and December 31, 2018, there were 2,000,000 shares of preferred stock authorized and no93,573,165 and 65,378,890 shares of preferred stock issued or outstanding.

Common Stock

As of September 30, 2019, the Company’s authorized shares of common stock was 170 million shares.  On June 6, 2019, the Company obtained shareholder approval to increase the number of authorized shares of the Company’s

and outstanding, respectively.

18

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ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(Unaudited)

common stock by 50 million shares from 120 million shares to 170 million shares.  On July 30, 2019, the Company amended its Articles of Incorporation to reflect this increase in authorized shares from 120 million to 170 million shares.

During the nine months ended September 30, 2019,  30,000 vested employee stock options were exercised for cash proceeds of $147,900, at a weighted average exercise price of $4.93.

Controlled Equity Offering

(or "At the Market" Offering)

On March 22, 2019, 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 the Company’s common stock through the Agent. The offering and sale of up to $40,000,000$40.0 million of the shares has been registered under the Securities Act of 1933, as amended (the "Securities Act"), pursuant to the Company’s registration statement on Form S-3 (File No. 333-227363), which was originally filed with the SEC on September 14, 2018 and declared effective by the SEC on October 1, 2018.  The2018, the base prospectus contained within the registration statement, and a prospectus supplement that was filed with the SEC on March 22, 2019.

Sales of the shares, if any, pursuant to the Sales Agreement, may be made in sales deemed to be aan “at the market offering”market" offering as defined in Rule 415(a) of the Securities Act, including sales made directly through the Nasdaq Global Market or on any other existing trading market for the Company’s common stock. The Company intends to use the proceeds from the offering for working capital and other general corporate purposes. The Company may suspend or terminate the Sales Agreement at any time.

In April


During the year ended December 31, 2019, the Company sold 437,0431,840,443 of shares of its common stock pursuant to the Sales Agreement for gross proceeds of $2,296,235,$5,383,079, at a weighted average selling price of approximately $5.25.$2.92. The Company paid $207,027$309,479 in commissions and offering fees related to the sale of the common shares. As ofstock. For the nine months ended September 30, 2019,2020, the Company sold 1,128,608 of shares of its common stock pursuant to the Sales Agreement for gross proceeds of $2,325,478, at a weighted average selling price of approximately $37.7$2.06. The Company paid $63,000 in commissions and offering fees related to the sale of common stock. Approximately $32.3 million remains available for issuancesale under this facility.

15


ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
Notes to Condensed Consolidated Financial Statements
(Unaudited)

We are not required to sell any shares at any time during the term of the facility. Our ability to sell common stock under the facility may be limited by several factors including, among other things, the trading volume of our common stock and certain black-out periods that we may impose upon the facility, among other things.

Public Offering of Common Stock


On June 17, 2019,February 4, 2020, the Company entered into a purchasean underwriting agreement with Piper Jaffray & Co., and Cantor Fitzgerald & Co,Co., as underwriter, pursuant to which the Company agreed to issue and sell an aggregate of up to 6,708,3343,670,212 shares of its common stock, which included 875,000478,723 optional shares that may be sold pursuant to an over-allotment option granted to the underwriters.

On June 20, 2019,February 6, 2020, the Company closed the sale of 5,833,3343,191,489 shares of its common stock for gross proceeds of $17,500,002 at the public offering price of $3.00$2.22 per share (the “Offering”"Offering").


On February 19, 2020, the underwriter exercised its over-allotment option to purchase an additional 478,723 shares at a price of $2.22 per share, which closed on February 21, 2020. The Company paid $1,379,323 in underwriters’ commissions and fees relatedraised a total of $8.0 million, net of issuance costs of $0.1 million, relating to the sale of the common shares.stock in the Offering. The Offering was made pursuant to the Company’s effective registration statementRegistration Statement on Form S-3 (File No. 333-227363), which was previously filed with the SEC.

On July 9, 2019,September 23, 2020, the Underwriters exercised their over-allotment optionCompany entered into a Securities Purchase Agreement (the “2020 Purchase Agreement”) with certain purchasers named therein, pursuant to purchase an additional 425,800which the Company agreed to issue and sell to several institutional and accredited investors in a registered direct offering, 21,818,544 shares of common stock at a price of $3.00 per share, which closed on July 11, 2019. The total proceedsand warrants to the Company (net of underwriting commissions and offering fees) from the exercise of the over-allotment option were approximately $1.2 million.

Restricted Common Stock

During the nine months ended September 30, 2019, 195,042purchase up to 23,178,509 shares of common stock related(the “Warrants”) at a combined purchase price equal to fully vested restricted$1.51 per share. Each Warrant is exercisable for 1 share of common stock units were deliveredat an exercise price of $1.80 per share. The Warrants are immediately exercisable and will expire on September 25, 2022.


The Company also offered to certain purchasers pre-funded warrants to purchase up to an officeraggregate of 1,360,265 shares of common stock (the “Pre-Funded Warrants”), in lieu of shares of common stock. The purchase price of each Pre-Funded Warrant is equal to the price at which a share of common stock is sold to the public in the offering, minus $0.001, and the exercise price of each Pre-Funded Warrant is $0.001 per share. The Pre-Funded Warrants were exercised in conjunction with the issuance of common stock under the Securities Purchase Agreement. The Company received gross proceeds of approximately $35.0 million in connection with the offering, before deducting placement agent fees and related offering expenses of approximately $2.3 million.

A holder (together with its affiliates) may not exercise any portion of the Company. Warrant to the extent that the holder would own more than 9.99% (or, at the holder’s option upon issuance, 4.99%) of the Company’s outstanding common stock immediately after exercise, as such percentage ownership is determined in accordance with the terms of the Warrant or Pre-Funded Warrant.

The Company withheld 68,069agreed to pay H.C. Wainwright & Co., LLC (the "Placement Agent") a cash fee of these common shares at6.0% of the aggregate gross proceeds raised in the offering, minus $420,000 payable by the Company to a fair value of $180,289 to cover the officer’s withholding taxesfinancial advisory firm for services related to the vestingoffering.

In addition, the Company agreed to pay the Placement Agent (i) 6.0% of restrictedthe aggregate gross proceeds to be received, if any, from the cash exercise of any Warrants through December 25, 2021 and (ii) 4.0% of the aggregate gross proceeds to be received, if any, from the cash exercise of any Warrants subsequent to December 25, 2021. The Company also agreed to pay the Placement Agent non-accountable expenses of $50,000 as well as $12,900 for the clearing fees of the Placement Agent in connection with the offering.

The Company has accounted for the common stock units.

for the 2020 Purchase Agreement as equity on the accompanying consolidated balance sheets as of September 30, 2020. The amount allocated to common stock was $26.1 million. This allocation is equal to the total proceeds of $35.0 million less the amount allocated to Warrants of $8.9 million and is also net of the direct and incremental costs associated with the 2020 Purchase Agreement of $2.3 million. The Black-Scholes pricing model was used to calculate the value of Warrants relating to the 2020 Purchase Agreement.

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ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(Unaudited)

12.11.  Stock-Based Compensation

The Company recognized total stock-based compensation expense during the three and nine months ended September 30, 2020 and 2019 and 2018 as follows:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Nine Months Ended

 

 

September 30,

 

September 30,

 

    

2019

    

2018

    

2019

    

2018

Service based awards:

 

 

 

 

 

 

 

 

 

 

 

 

Restricted stock awards

 

$

 -

 

$

20,222

 

$

 -

 

$

1,292,125

Restricted stock units

 

 

502,080

 

 

166,417

 

 

1,273,903

 

 

166,417

Stock option awards

 

 

596,657

 

 

427,944

 

 

1,795,819

 

 

967,377

 

 

 

1,098,737

 

 

614,583

 

 

3,069,722

 

 

2,425,919

Performance based awards:

 

 

 

 

 

 

 

 

 

 

 

 

Restricted stock units

 

 

(332,389)

 

 

 -

 

 

468,814

 

 

 -

Stock option awards

 

 

110,065

 

 

 -

 

 

356,505

 

 

 -

 

 

 

(222,324)

 

 

 -

 

 

825,319

 

 

 -

Total

 

$

876,413

 

$

614,583

 

$

3,895,041

 

$

2,425,919

The decreasefollows (table in stock-based compensation associated with performance based awards forthousands):

Three Months Ended
September 30,
Nine Months Ended
September 30,
2020201920202019
Service-based awards:
Restricted stock units$$502 $243 $1,274 
Stock option awards243 597 1,019 1,796 
252 1,099 1,262 3,070 
Performance-based awards:
Restricted stock units(123)(332)(1,148)469 
Stock option awards121 110 (390)357 
(2)(222)(1,538)825 
Total$250 $877 $(276)$3,895 
Restricted Stock
A summary of the Company’s restricted stock units isawards during the result of a change in vesting criteria from probable to improbable based on the CMS Final Rule as described in  Note 17 below. This change resulted in a reduction of stock-based compensation expense of $0.7 million for the three and nine months ended September 30, 2019.

Restricted Stock

2020 is as follows:

Number of SharesWeighted Average
Grant-Date
Fair Value
Unvested at January 1, 2020146,800 $5.70 
Unvested at September 30, 2020146,800 $5.70 
A summary of the Company’s restricted stock awards during the nine months ended September 30, 2019 is as follows:

 

 

 

 

 

 

 

 

 

Weighted Average

Number of SharesWeighted Average
Grant-Date
Fair Value

 

 

 

 

Grant-Date

 

Number of Shares

 

 

Fair Value

Unvested at December 31, 2018

 

146,800

 

$

5.70

Unvested at January 1, 2019Unvested at January 1, 2019146,800 $5.70 

Unvested at September 30, 2019

 

146,800

 

$

5.70

Unvested at September 30, 2019146,800 $5.70 

A summary of the Company’s restricted stock awards during the nine months ended September 30, 2018 is as follows:

 

 

 

 

 

 

 

 

 

 

 

Weighted Average

 

 

 

 

 

Grant-Date

 

 

Number of Shares

 

 

Fair Value

Unvested at December 31, 2017

 

480,000

 

$

7.27

Forfeited

 

(333,200)

 

 

5.70

Unvested at September 30, 2018

 

146,800

 

$

5.70

The fair value of 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 September 30, 20192020, unvested restricted stock awards of 146,800 were related to performance basedperformance-based awards.

20

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ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(Unaudited)

Service BasedService-Based Restricted Stock Units

A summary of the Company’s service basedservice-based restricted stock units during the nine months ended September 30, 2020 is as follows:
Number of SharesWeighted Average
Grant-Date
Fair Value
Unvested at January 1, 2020463,786 $4.26 
Granted188,904 2.09 
Vested(247,561)4.30 
Forfeited(159,724)4.26 
Unvested at September 30, 2020245,405 $2.72 

A summary of the Company’s service-based restricted stock units during the nine months ended September 30, 2019 is as follows:

 

 

 

 

 

 

 

 

 

Weighted Average

Number of SharesWeighted Average
Grant-Date
Fair Value

 

 

 

 

Grant-Date

 

Number of Shares

 

 

Fair Value

Unvested at December 31, 2018

 

472,959

 

$

4.32

Unvested at January 1, 2019Unvested at January 1, 2019472,959 $4.32 

Granted

 

222,497

 

 

4.26

Granted222,497 4.26 

Forfeited

 

(4,950)

 

 

4.81

Forfeited(4,950)4.81 

Vested

 

(96,542)

 

 

4.70

Vested(96,542)4.70 

Unvested at September 30, 2019

 

593,964

 

$

4.23

Unvested at September 30, 2019593,964 $4.23 

The fair value of service based restricted stock units are measured based on their fair value on the date of grant and amortized over the vesting period. The vesting periods range from 1-31 to 3 years. Stock-based compensation expense of NaN and $0.2 million was recognized during the three and nine months ended September 30, 2020, respectively. Stock-based compensation expense of $0.5 million and $1.3 million was recognized during the three and nine months ended September 30, 2019.  Stock-based compensation expense of $0.2 million was recognized for each of three and nine months ended September 30, 2018.2019, respectively. As of September 30, 2019,2020, the unrecognized stock-based compensation expense was $1.3$0.3 million, which is expected to be recognized over an estimated weighted average remaining term of less than 1 year. Included in the forfeited service-based restricted stock units are 96,541 and 55,556 units related to the resignation of the Company's former President and Chief Executive Officer on April 17, 2020 and the former Chief Financial Officer on July 3, 2020, respectively. These forfeited awards reduced stock-based compensation expense by $0.4 million.

Performance Based

Performance-Based Restricted Stock Units

A summary of the Company’s performance basedperformance-based restricted stock units during the nine months ended September 30, 2020 is as follows:
Number of SharesWeighted Average
Grant-Date
Fair Value
Unvested at January 1, 2020988,958 $4.48 
Forfeited(988,958)4.48 
Unvested at September 30, 2020$

18


ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
Notes to Condensed Consolidated Financial Statements
(Unaudited)
A summary of the Company’s performance-based restricted stock units during the nine months ended September 30, 2019 is as follows:

 

 

 

 

 

 

 

 

 

Weighted Average

Number of SharesWeighted Average
Grant-Date
Fair Value

 

 

 

 

Grant-Date

 

Number of Shares

 

 

Fair Value

Unvested at December 31, 2018

 

988,958

 

$

4.48

Unvested at January 1, 2019Unvested at January 1, 2019988,958 $4.48 

Unvested at September 30, 2019

 

988,958

 

$

4.48

Unvested at September 30, 2019988,958 $4.48 


Stock-based compensation expense recognized for performance basedperformance-based restricted stock units was ($0.3)0.1) million and $0.5($1.1) million during the three and nine months ended September 30, 2019. The Company did not record stock-based compensation expenses related to the performance-based grants as of September 30, 2018. As of September 30, 2019, the unrecognized stock-based compensation expense related to performance based restricted stock units was $1.0 million. The performance based restricted stock unit compensation was reduced by $0.72020 and ($0.3) million and $0.5 million for the three and nine months ended September 30, 2019, respectively. As of September 30, 2020, there was 0 unrecognized stock-based compensation expense related to performance-based restricted stock units. The forfeited performance-based restricted stock awards of 988,958 is due to a change in vesting criteria from probable to improbablethe resignation of the Company's former President and Chief Executive Officer on April 17, 2020 and the resignation of the Company's former Chief Financial Officer effective July 3, 2020. These forfeited awards reduced stock-based compensation expense for certain performance based awards. The Company will continue to review this performance award criteriathe three and recognize compensation costs as it relates to the probability of vesting.

Service Basednine months ended September 30, 2020 by $0.1 million and $1.4 million, respectively.

Service-Based Stock Options

The fair value of the service basedservice-based stock options granted for the nine months ended September 30, 20192020 were based on the following assumptions:

 

 

 

 

 

 

Nine Months Ended September 30,

 

 

2019

 

2018

 

Exercise price

$2.39 - $6.21

 

$4.52 - $5.75

 

Expected stock price volatility

67.5% - 70.3%

 

67.5%

 

Risk-free interest rate

1.4% - 2.6%

 

2.7% - 2.9%

 

Term (years)

5.25 - 6.5

 

5.0 - 6.5

 

September 30,
2020
Exercise price$1.17 - $2.90
Expected stock price volatility68.2% - 75.0%
Risk-free interest rate0.31% - 1.65%
Term (years)5.5 - 6.0

21

A summary of the Company’s service-based stock option activity for the nine months ended September 30, 2020 is as follows:
Shares
Underlying
Options
Weighted
Average Exercise
Price
Weighted
Average
Remaining
Contractual
Term
Aggregate
Intrinsic
Value
Outstanding at January 1, 20208,210,024 $7.06 5.1$107,150 
Granted2,252,344 1.95 5.9— 
Forfeited(440,026)3.96 — — 
  Expired(4,090,150)8.24 — — 
Outstanding at September 30, 20205,932,192 $4.54 6.7$
Exercisable at September 30, 20202,889,218 $6.95 3.8$
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ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(Unaudited)

A summary of the Company’s service basedservice-based stock option activity for the nine months ended September 30, 2019 is as follows:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted

 

 

 

Shares
Underlying
Options
Weighted
Average Exercise
Price
Weighted
Average
Remaining
Contractual
Term
Aggregate
Intrinsic
Value

 

 

 

 

Weighted

 

 

Average

 

 

 

 

Shares

 

 

Average

 

 

Remaining

 

 

Aggregate

 

Underlying

 

 

Exercise

 

 

Contractual

 

 

Intrinsic

 

Options

 

 

Price

 

 

Term

 

 

Value

Outstanding at December 31, 2018

 

7,856,480

 

$

7.50

 

 

5.2

 

$

 -

Outstanding at January 1, 2019Outstanding at January 1, 20197,856,480 $7.50 5.2$

Granted

 

576,477

 

 

4.17

 

 

9.2

 

 

12,074

Granted576,477 4.17 9.712,074 

Exercised

 

(30,000)

 

 

4.93

 

 

 -

 

 

 -

Exercised(30,000)4.93 — — 

Forfeited

 

(620,700)

 

 

6.34

 

 

 -

 

 

 -

Forfeited(620,700)6.34 — — 

Outstanding at September 30, 2019

 

7,782,257

 

$

7.35

 

 

5.1

 

$

12,074

Outstanding at September 30, 20197,782,257 $7.35 5.1$12,074 

 

 

 

 

 

 

 

 

 

 

 

Exercisable at September 30, 2019

 

6,340,901

 

$

8.07

 

 

4.2

 

$

 -

Exercisable at September 30, 20196,340,901 $8.07 4.2$

A summary of the Company’s service based stock option activity for the nine months ended September 30, 2018 is as follows:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted

 

 

 

 

 

 

 

 

Weighted

 

 

Average

 

 

 

 

 

Shares

 

 

Average

 

 

Remaining

 

 

Aggregate

 

 

Underlying

 

 

Exercise

 

 

Contractual

 

 

Intrinsic

 

 

Options

 

 

Price

 

 

Term

 

 

Value

Outstanding at December 31, 2017

 

6,906,001

 

$

7.92

 

 

5.0

 

$

976,335

Granted

 

1,337,271

 

 

4.96

 

 

9.4

 

 

 

Exercised

 

(5,000)

 

 

6.59

 

 

 -

 

 

 

Forfeited

 

(190,167)

 

 

6.59

 

 

 -

 

 

 

Outstanding at September 30, 2018

 

8,048,105

 

$

7.46

 

 

5.2

 

$

365,135

 

 

 

 

 

 

 

 

 

 

 

 

Exercisable at September 30, 2018

 

6,248,160

 

$

7.90

 

 

4.1

 

$

365,135

The aggregate intrinsic value in the table above is calculated as the difference between the closing price of our common stock and the exercise price of the stock options that had strike prices below the closing price.

During the nine months ended September 30, 2019,2020, the Company granted to certain employees stock options to purchase up to 576,4772,252,344 shares of common stock.stock to certain employees.  During the nine months ended September 30, 2019, forfeitures2020, 440,026 shares were 620,700.forfeited. Forfeitures are recorded in the period of occurrence; compensation expense is adjusted accordingly.

Stock-based compensation expense recognized for service basedservice-based stock options was $0.2 million and $1.0 million for the three and nine months ended September 30, 2020, respectively. Stock-based compensation expense recognized for service-based stock options was $0.6 million and $1.8 million for the three and nine months ended September 30, 2019, and $0.4 million and $1.0 million for the three and nine months ended September 30, 2018.respectively. As of September 30, 2019,2020, total stock-based compensation expense related to unvested options not yet recognized totaled approximately $2.1$2.8 million, which is expected to be recognized over an estimated weighted average remaining term of 2.4 years. Included in the forfeited service-based stock options are 129,375 unvested options related to the resignation of the Company's former President and Chief Executive Officer on April 17, 2020 and 222,222 unvested options related to the resignation of the Company's former Chief Financial Officer effective July 3, 2020. These forfeited awards reduced stock-based compensation expense by $0.5 million.

Included in the expired service-based stock options are 3,783,335 options related to the settlement with the former Chief Executive Officer, Robert Chioini, former Chief Financial Officer, Thomas Klema, and a former and then current director. See Note 14 for further details.

Performance-Based Stock Options

22

A summary of the performance-based stock options for the nine months ended September 30, 2020 is as follows:
Number of SharesWeighted Average
Exercise
Price
Outstanding at January 1, 2020388,125 $4.70 
Granted750,000 2.20 
Forfeited(388,125)4.70 
Outstanding at September 30, 2020750,000 $2.20 
Exercisable at September 30, 2020$
20

Table of Contents


ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(Unaudited)

Performance Based Stock Options

A summary of the performance basedperformance-based stock options for the nine months ended September 30, 2019 is as follows:

 

 

 

 

 

 

 

 

 

Weighted Average

Number of SharesWeighted Average
Exercise
Price

 

 

 

 

Exercise

 

Number of Shares

 

 

Price

Outstanding at December 31, 2018

 

388,125

 

$

4.70

Outstanding at January 1, 2019Outstanding at January 1, 2019388,125 $4.70 

Outstanding at September 30, 2019

 

388,125

 

$

4.70

Outstanding at September 30, 2019388,125 $4.70 

 

 

 

 

 

Exercisable at September 30, 2019

 

 -

 

$

 -

Exercisable at September 30, 2019$

Stock-based compensation expense recognized for performance basedperformance-based stock options was $0.1 million and ($0.4) million for the three and nine months ended September 30, 2020. Stock-based compensation expense recognized for performance-based stock options was $0.1 million and $0.4 million during the three and nine months ended September 30, 2019. Stock-based compensation expense recognized for performance based stock options was $51,000 for each of the three and nine months ended September 30, 2018. As of September 30, 2019,2020, the unrecognized stock-based compensation expense related to performance basedunvested performance-based stock options was $0.6$0.4 million.

13. The forfeited unvested performance-based stock options of 388,125 is due to the resignation of the Company's former President and Chief Executive Officer on April 17, 2020. These forfeited options reduced stock-based compensation expense by $0.7 million.

12.  Related Party Transactions

Product License Agreements

The Company is a party to an in-license agreement fora Licensing Agreement with Charak, LLC ("Charak") dated January 7, 2002 (the "2002 Agreement") that grants the Company exclusive worldwide rights to certain patents and information related to our Triferic® product. On October 7, 2018, the Company entered into a Master Services and IP Agreement (the “Charak MSA”) with Charak LLC and Dr. Ajay Gupta, (collectively “Charak”), who serves as Executive Vice President and Chief Scientific Officer of the Company. Pursuant to the MSA, the parties entered into three3 additional agreements described below related to the license of certain soluble ferric pyrophosphate (“SFP”) intellectual property owned by Charak, as well as the Employment Agreement (defined below). The Charak MSA providesprovided for a payment of $1.0 million to Dr. Gupta, payable in four4 quarterly installments of $250,000 each on October 15, 2018, January 15, 2019, April 15, 2019 and July 15, 2019, and reimbursement for certain legal fees incurred in connection with the Charak MSA. The Company recorded $1.1 million as Research and Development Expense – License Acquired (Related Party) for the twelve months ended December 31, 2018. As of September 30, 2019, the Company paid all four of the quarterly installments totaling $1.0 million and accrued $0.1 million for the reimbursement of certain legal expenses.expenses during the year ended December 31, 2019. As of September 30, 2019 and December 31, 2018,2020, the Company has fulfilled its reimbursement obligation of certain legal expenses and accrued $0.1 million relating to certain IP reimbursement expenses and $850,000, respectively,certain sublicense royalty fees as a related party payable on the condensed consolidated balance sheet.

Pursuant to the Charak MSA, the aforementioned parties entered into an Amendment, dated as of October 7, 2018 (the “Charak Amendment”), to the Licensing2002 Agreement, between the Company and Charak, dated January 7, 2002, as amended (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 shall pay Charak a percentage of any sublicense income during the term of the agreement, which amount shall not be less than a minimum specified percentage of net sales of the licensed products by the sub-licensee in jurisdictions where there exists a valid claim, on a country-by-country basis, and be no less than a lower rate of the net sales of the licensed products by the sub-licensee 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 I.V. Triferic® (now Triferic AVNU), dated as of October 7, 2018 (the “IV Agreement”), under which Charak granted the Company an exclusive, sublicensable,sub-licensable, royalty-bearing license to SFP for the purpose of commercializing certain

23

Table of Contents

ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(Unaudited)

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 is 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

21


ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
Notes to Condensed Consolidated Financial Statements
(Unaudited)
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 sub-licensee 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 sub-licensee 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, sublicensable, royalty-bearing license to SFP for the purpose of commercializing worldwide certain parenteral nutritional (TPN”("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 sub-licensee 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 sub-licensee in jurisdictions where there exists no valid claim, on a country-by-country basis.

The transaction was accounted for as an asset acquisition pursuant to ASU 2017-01, 2017-1, Business Combinations (Topic 805), Clarifying the Definition of a Business,as the majority of the fair value of the assets acquired was concentrated in a group of similar assets, and the acquired assets did not have outputs or employees. The assets acquired under the Charak MSA include a license of SFP. Because SFP has not yet received regulatory approval, the $1.1 million purchase price paid and accrued for these assets has been expensed in the Company’s statement of operations for the year ended December 31, 2018. In addition, because the potential milestone payments are not yet considered probable, and no0 milestone payments have been accrued at September 30, 2019.

14.2020.

13.  Leases

We lease our production facilities and administrative offices as well as certain equipment used in our operations including leases on transportation equipment used in the delivery of our products. The lease terms range from monthly to sevenfive years. We occupy a 51,000 square foot facility and a 17,500 square foot facility in Wixom, Michigan under a lease expiring in August 2021. We also occupy two other manufacturing facilities, a 51,000 square foot facility in Grapevine, Texas under a lease expiring in December 2020, and a 57,000 square foot facility in Greer, South Carolina under a lease expiring February 2020.2023. In addition, we occupy a 1,408 square foot office space in Greer, South Carolina under a lease expiring April 2021 and on December 28, 20182021. Finally, we executed a lease for 4,100 square feet of office space in Hackensack, New Jersey with a lease term commencing in Julybeginning on April 1, 2019 and expiring on July 1, 2024.

At September 30, 2019,2020, the Company had operating lease liabilities of $3.0$2.2 million and right-of-use assets of $3.0$2.1 million, which are included in the consolidated balance sheet.

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ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(Unaudited)

The following summarizes quantitative information about the Company’s operating leases:

leases (table in thousands):

 

 

 

 

 

 

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

September 30, 2019

 

 

September 30, 2019

Operating leases

 

 

 

 

 

  Operating lease cost

$

531,709

 

$

1,591,686

  Variable lease cost

 

90,411

 

 

258,492

Operating lease expense

 

622,120

 

 

1,850,178

Short-term lease rent expense

 

4,157

 

 

12,470

Total rent expense

$

626,277

 

$

1,862,648

 

 

 

 

 

 

Other information

 

 

 

 

 

Operating cash flows from operating leases

$

493,872

 

$

1,531,953

Right of use assets exchanged for operating lease liabilities

$

136,124

 

$

4,441,553

Weighted-average remaining lease term – operating leases

 

1.8

 

 

1.8

Weighted-average discount rate – operating leases

 

6.8%

 

 

6.8%
22



ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
Notes to Condensed Consolidated Financial Statements
(Unaudited)
Three Months Ended September 30, 2020Three Months Ended September 30, 2019Nine Months Ended September 30, 2020Nine Months Ended September 30, 2019
Operating leases
Operating lease cost$382 $532 $1,228 $1,592 
Variable lease cost90 90 403 258 
Operating lease expense472 622 1,631 1,850 
Short-term lease rent expense12 12 
Total rent expense$476 $626 $1,643 $1,862 
Other information
Operating cash flows from operating leases$393 $494 $1,248 $1,532 
Right of use assets exchanged for operating lease liabilities$$136 $$4,442 
Weighted-average remaining lease term – operating leases2.31.82.31.8
Weighted-average discount rate – operating leases6.8 %6.8 %6.8 %6.8 %
Future minimum rental payments under operating lease agreements are as follows:

follows (in thousands):

 

 

 

 

 

Three months ended December 31, 2019

    

$

479,345

 

Year ending December 31, 2020

 

 

1,433,260

 

Year ending December 31, 2021

 

 

811,097

 

Year ending December 31, 2022

 

 

346,649

 

Year ending December 31, 2023

 

 

197,130

 

Year ending December 31, 2024

 

 

97,423

 

Total

 

$

3,364,904

 

Less present value discount

 

 

(293,365)

 

Operating lease liabilities

 

$

3,071,539

 

Year ending December 31, 2020 (remaining)$387 
Year ending December 31, 20211,055 
Year ending December 31, 2022592 
Year ending December 31, 2023234 
Year ending December 31, 202498 
Total$2,366 
Less present value discount(172)
Operating lease liabilities$2,194 

15.  Settlement Agreements

On August 7, 2018,

14.  Commitments and Contingencies

Demand Notice

In February 2020, the Company received a letter from a supplier relating to a supply agreement entered into a confidential settlementwith the Company in 2015.  The supplier alleged the Company did not meet certain annual minimums under the supply agreement, and mutual release (the “Settlement Agreement”) with its former CEO, former CFOhas requested $3.0 million in penalties, plus payment of the cost for certain raw materials. While the Company believed  it had several defenses to the supplier's claim, the Company and a formerthe supplier negotiated an amicable resolution of the dispute.  On July 31, 2020, the Company and then current director.  For more details see Note 10 in Form 10-K filed on March 18, 2019. This resulted in a net settlement expense of approximately $1.0 million for the nine month ended September 30, 2018.

On August 7, 2019, the Companysupplier entered into a settlement agreement, which released the Company from any penalties relating to annual minimums under the class action lawsuits described below. This resulted in a2015 agreement, established new minimums under an amended supply agreement and required the Company to pay for certain raw materials with 50% of the cost to be paid upon execution of the settlement expenseagreement and the remaining 50% to be paid no later than December 31, 2020. As of approximately $0.4 million for the nine months ended September 30, 2019. See Note 16 below for further details. The2020, the Company has purchased 50% of the required raw materials under the settlement is subject to court review and approval, which is scheduled for February, 2020.

16.  Commitments and Contingencies

agreement.

Litigation

SEC Investigation

As a follow up to certain prior inquiries, the Company received a subpoena from the SEC during the Company’s quarter ended September 30, 2018 requesting, among other things, certain information and documents relating to
23


ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
Notes to Condensed Consolidated Financial Statements
(Unaudited)
the status of the Company’s request to the CMSCenters for Medicare & Medicaid Services (the "CMS") for separate reimbursement status for Triferic Dialysate, Triferic, the Company’s reserving methodology for expiring Triferic inventory, and the basis for the Board’s termination of the former CEOChief Executive Officer, Robert Chioini, and CFO.former Chief Financial Officer, Thomas Klema, in 2018. The Company is cooperating with the SEC and is responding to the SEC’s requests for documents and information.

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ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(Unaudited)

Shareholder Class Action Lawsuits

On July 27, 2018, Plaintiff Ah Kit Too filed a putative class action lawsuit in the United States District Court in the Eastern District of New York against the Company and former officers, Robert Chioini and Thomas Klema.Klema (the "Too Complaint"). The complaintToo Complaint is a federal securities class action purportedly brought on behalf of a class consisting of all persons and entities, other than Defendants, who purchased or otherwise acquired the publicly traded securities of the Company between March 16, 2018 and June 26, 2018. The Too Complaint alleges that the Company and Messrs. Chioini and Klema violated Sections 10(b) and 20(a) of the Securities Exchange Act of 1934 (the “Exchange Act”). Specifically, the Too Complaint alleges that defendants filed reports with the Securities and Exchange CommissionSEC that contained purported inaccurate and misleading statements regarding the potential for the Company’s drug, Triferic, to quality for separate reimbursement status by the Centers for Medicare and Medicaid Services.

CMS.

On September 4, 2018, Plaintiff Robert Spock filed a similar putative class action lawsuit in the United States District Court in the Eastern District of New York against the Company and Messrs. Chioini and Klema.Klema (the "Spock Complaint"). The Spock complaintComplaint is a federal securities class action purportedly brought on behalf of a class consisting of persons who purchased the Company’s securities between November 8, 2017 and June 26, 2018. This complaint alleges that the Company and Messrs. Chioini and Klema violated the Exchange Act in that the Company was aware the Centers for Medicare and Medicaid ServicesCMS would not pursue the Company’s proposal for separate reimbursement for Triferic; misstated reserves in the Company’s quarterly report for the first quarter of 2018; had a material weakness its internal controls over financial reporting, which rendered those controls ineffective; Mr. Chioini withheld material information regarding Triferic from the Company’s auditor, corporate counsel, and independent directors of the Board; and, as a result of these alleged issues, statements about the Company’s business were materially false and misleading.

On September 25, 2018, four Company stockholders filed motions to appoint lead plaintiffs, lead counsel, and to consolidate the Ah Kit Too v. Rockwellsecurities class action with the Spock v. Rockwell securities class action.  On October 10, 2018, the court issued an order consolidating the two actions, appointing co-lead plaintiffs and co-lead counsel.  On December 10, 2018, lead Plaintiffs filed a consolidated amended complaint, which included the same allegations as the initial complaints and asserted claims on behalf of a putative class consisting of person who purchased the Company’s securities between November 8, 2017 and June 26, 2018, accordingly. 

2018.  On February 18, 2019, the Company answered the consolidated amended complaint.

On August 7, 2019, all parties to the class action entered into a settlement of the consolidated class action.  Pursuant to the terms and conditions of the settlement agreement, the Company will pay the Plaintiffs $3.7 million (the “Settlement Amount’Amount") in exchange for a full release of all liability as to all defendants. This resulted in a settlement expense of approximately $0.4 million for the year ended December 31, 2019. Of the Settlement Amount, the Company will be contributingcontributed approximately $0.4$0.1 million, which representsrepresented the remaining retention amount under the Company’s director and officer liability insurance policy.policy as of September 30, 2020. The remainder of the settlement amount will bewas funded by the Company’s director and officer insurance policy.carrier. The settlement is subject towas approved by the court review and approval, which is scheduled foron February 26, 2020.

Shareholder Derivative Actions

Two verified stockholder derivative complaints

Plaintiff Bill Le Clair filed a Verified Stockholder Derivative Complaint on April 23, 2019 in Case No. 1:19-cv-02373, and Plaintiff John Post filed a Verified Stockholder Derivative Complaint on May 10, 2019 in Case No. 1:19-cv-02774 (the “Derivative Complaints”) entitled LeClair v Rockwell Medical, Inc., and Post v Rockwell Medical, Inc. were filed in the United States District Court in the Eastern District of New York, purportedly on behalf of the Company (as nominal defendant) and against certain of the Company’s current and former directors (the “Individual Defendants”).  The Derivative Complaints assert causes of actions against the Individual Defendants for breach of fiduciary duty, waste of corporate assets, and unjust enrichment.  The Derivative Complaints allege the Individual Defendants breached duties by, among other things, permitting alleged misstatements to be made in public filings regarding the status of separate reimbursement for Triferic from CMS, the adequacy of Rockwell’sthe Company's reserves and the adequacy of Rockwell’s internal controls.  Recently,The Derivative Complaints demand a jury trial, seeking monetary damages, corporate governance and internal procedure reform, injunctive relief on the Plaintiffs have amended their derivative complaints. TheseIndividual Directors’ trading activities, restitution, and attorneys’ fees.  The cases are at an early stage, and the Company anticipates filing a motionwere consolidated.
24


ROCKWELL MEDICAL, INC. AND SUBSIDIARIES
Notes to dismiss the action.

Condensed Consolidated Financial Statements

(Unaudited)
The Company has tendered the above shareholder derivative actions to its D&Odirector and officer insurance carrier(s) for defense and indemnity under its applicable insurance policies. On May 18, 2020, the Company, the Individual Defendants and the Plaintiffs (the "Settling Parties") entered into a formal Stipulation of Settlement, which memorializes the terms of the Settling Parties' settlement of the Derivative Complaints. A hearing occurred before the court on August 10, 2020 and the court issued a final order approving the settlement.The Company's director and officer insurance carrier has funded the settlement on behalf of the Company.
15. Loan and Security Agreement

On March 16, 2020, Rockwell Medical, Inc. and Rockwell Transportation, Inc., as Borrowers, entered into a Loan and Security Agreement (the "Loan Agreement") with Innovatus Life Sciences Lending Fund I, LP ("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 maintainsis no longer eligible to draw on a $1.0second tranche of $5.0 million, self-insured retentionwhich was tied to the achievement of certain milestones by a specific date. The Company may be eligible to draw on a third tranche of $7.5 million upon the achievement of certain additional milestones, including the achievement of certain Triferic sales thresholds. Net draw down proceeds were $21.2 million with closing costs of $1.3 million.

The Company is entitled to make interest-only payments for thirty months, or up to thirty-six months if certain conditions are met. The Term Loans will mature on March 16, 2025, and will bear 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 and an effective interest rate of 10.9%. The Company has 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. For the three and nine months ended September 30, 2020, interest expense amounted to $0.7 million and $1.3 million, respectively.


26

The Loan Agreement is secured by all assets of the Company and Rockwell Transportation, Inc. Proceeds will be used for working capital purposes. The Loan Agreement contains customary representations and warranties and covenants, subject to customary carve outs, and includes financial covenants related to liquidity and trailing twelve months sales of Triferic, with the latter beginning with the period ending December 31, 2020. We cannot assure you that we can maintain compliance with the covenants under our Loan Agreement, which may result in an event of default. Our ability to comply with these covenants may be adversely affected by events beyond our control. For example, the Loan Agreement contains certain financial covenants relating to sales and, as a result of the ongoing COVID-19 pandemic and its effect on our sales activities, among other factors, we may not be able to satisfy such covenants in the future. Based on our annualized Triferic sales through September 30, 2020, we may not satisfy this covenant as of December 31, 2020. If we are unable to comply with the covenants under our Loan Agreement, we intend to pursue all available cure options in order to regain compliance. However, we may not be able to mutually agree with Innovatus on appropriate remedies to cure a breach of a covenant, which could give rise to an event of default. If we are unable to avoid an event of default, any required repayments could have an adverse effect on our liquidity. As of September 30, 2020, the Company is in compliance with all the reporting and financial covenants.

In connection with each funding of the Term Loans, the Company is required to issue to Innovatus a warrant (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, which will be based on the lower of (i) the volume weighted average closing price of the Company’s stock for the 5-trading day period ending on the last trading day immediately preceding the execution of the Loan Agreement or (ii) the closing price on the last trading day immediately preceding the execution of the Loan Agreement (or for the second and third tranches only at the lower of (i) $1.65 per share or (ii) the volume weighted average closing price of the Company’s stock for the 5-trading day period ending on the last trading day immediately preceding the relevant Term Loan funding). The Warrants may be exercised on a cashless basis and are immediately exercisable through the seventh anniversary of the applicable funding date. The number of shares of common stock for which each Warrant is exercisable and the associated exercise price are subject to certain proportional adjustments as set forth in such Warrant. In connection with the first tranche of the Term Loans, the Company issued a Warrant to Innovatus, exercisable for an aggregate of 477,273 shares of the Company’s common stock at an exercise price of $1.65 per share. 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.

As of September 30, 2020, the outstanding balance of the Term Loan was $20.9 million, net of unamortized issuance costs and unaccreted discount of $1.6 million.
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ROCKWELL MEDICAL, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(Unaudited)


The following table reflects the applicable insurance policies, which will be exhausted upon paymentschedule of principal payments on the Company’s share of the Settlement Amount from the settlement of the class action described above.

17.  Subsequent Events

On October 31, 2019, CMS issued a final rule to update payment policies and rates under the ESRD Prospective Payment System for renal dialysis services furnished to beneficiaries on or after January 1, 2020 (the “2020 Final Rule”). The Final Rule contains certain revisions to the eligibility requirements for the CMS Transitional Drug Add-on Payment Adjustment (“TDAPA”) program, which has the potential to provide two years of add-on reimbursement for certain qualifying new drugs. Under the revisions to the TDAPA rules, ESRD drugs approved by the FDA under the following types of New Drug Applications (an “NDA”) are ineligible for TDAPA, effectiveTerm Loan as of January 1, 2020: (a) NDA Types 3, 5, 7 and 8, (b) NDA Type 3 in combination with NDA Type 2 or NDA Type 4, (c) NDA Type 5 in combination with NDA Type 2, or (d) NDA Type 9, when the “parent NDA” is NDA Type 3, 5, 7 or 8.

As previously disclosed, we have filed an NDA for the intravenous formulation of Triferic. The FDA has informed the Company that the NDA for I.V. Triferic will be classified as Type 3. As a result, the Company believes that I.V. Triferic will not be eligible for TDAPA.

September 30, 2020 (in thousands):

Principal Payments
2020$
2021
20222,250 
20239,000 
20249,000 
20252,250 
$22,500 

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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 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 Securities and Exchange Commission, or 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 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,” 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 plans relating to the commercialization of our products; our timing and ability to obtain add-on reimbursement forsuccessfully commercialize our products; our ability to obtain FDA and EMA approvalsuccessfully launch FDA-approved Triferic AVNU; our ability to develop FPC for I.V. Triferic; whether we canother indications; our ability to successfully execute on our business strategy;strategy and development of new indications; and statements regarding our anticipated future financial condition, operating results, cash flows and business plans.

While we believe that 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 Form 10-K for the year ended December 31, 20182019 and from time to time in our other reports filed with the SEC, including in this Form 10-Q.

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 that 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 and Recent Developments


Rockwell Medical, Inc. and subsidiaries (collectively, “we”, “our”, “us”, or the “Company”), is a biopharmaceutical company dedicated to improving outcomes for patients with iron deficiency and iron-deficiency anemia,with an initial focus on patients with end-stage kidney disease (ESKD) and on dialysis. The Company is focused on developing its proprietary ferric pyrophosphate citrate (“FPC”) therapeutic platform. The first product developed from this platform is Triferic, the first-FDA approved product for the replacement of iron and maintenance of hemoglobin in adult hemodialysis patients. We are a specialty pharmaceutical company targeting end-stage renalinitiated commercial sales of Triferic Dialysate during the second quarter of 2019 and received approval by the U.S. Food and Drug Administration ("FDA") for the intravenous formulation of Triferic, Triferic AVNU, on March 27, 2020. We plan to leverage our experience with Triferic to develop our FPC platform for iron deficiency and iron deficiency anemia in other disease with productsstates. Our lead indication is developing FPC for the treatment of iron deficiency and hemodialysis.anemia in patients undergoing home infusion therapy. We are also a manufacturer of hemodialysis concentrates/dialysates toconcentrates for dialysis providers and distributors in the United States and abroad. We supply approximately 25% of the United States domestic market with dialysis concentrates and we also supply dialysis concentrates to distributors serving a number of foreign countries, primarily in the Americas and the Pacific Rim.  To date, substantially all of our sales have been concentrate products and related ancillary items, though we initiated commercial sales of our proprietary therapeutic, Triferic, during the second quarter of 2019.


Our business strategy is developing unique, proprietary renal drug therapies that we can commercialize or out-license, while also expanding our dialysis products business. These renal drug therapies support disease management initiatives to improve the quality of life and care of dialysis patients and are designed to deliver safe and effective therapy, while decreasing drug administration costs and improving patient convenience and outcome.

Triferic 

Triferic is the Company’s proprietary iron therapy that replaces iron and maintains hemoglobin in dialysis patients without increasing iron stores. The Company has developed Dialysate Triferic (Ferric Pyrophosphate Citrate) as the only FDA approved product indicated to replace iron and maintain hemoglobin concentration in adult HDD-CKD hemodialysis patients, and is in the process of developing and seeking FDA approval for I.V. Triferic, a novel intravenous formulation of Triferic that would be used for the same indication, if approved. A description of Dialysate Triferic and I.V. Triferic is set forth below.

28

Our objective for Trifericmission is to transform anemia management in a wide variety of disease states across the globe, while improving patients’ lives. Accordingly, we are building the foundation to become a leading medical and commercial organization in the field of iron deficiency.


Substantially all of our sales have been concentrate products and ancillary items, though we initiated commercial sales of our proprietary therapeutic, Triferic Dialysate, during the second quarter of 2019.

Triferic 
27


Triferic is the Company’s first proprietary iron therapy from the FPC therapeutic platform that replaces iron and maintains hemoglobin in dialysis which we believe will enablepatients without increasing iron stores. Triferic Dialysate was the first FDA approved product indicated to becomereplace iron and maintain hemoglobin concentration in adult HDD-CKD hemodialysis patients. On March 27, 2020, the standard of care for ESRD patients. Specifically, we are investing in our medical capabilities to, among other things, generate real-world data, provide medical education to the dialysis community regarding the potentinal benefitsFDA approved Triferic AVNU, a novel intravenous formulation of Triferic that would be used for the same indication. Descriptions of Triferic Dialysate and engage with key opinion leaders and centers of excellence to guide the delveopment and commercialization of Triferic.

Triferic AVNU are set forth below.

TrifericDialysate
Triferic Dialysate, Triferic

Ourour dialysate formulation of Triferic, (“Dialysate Triferic”) received FDA approval in 2015 and remains the onlyfirst FDA-approved therapy indicated to replace iron and maintain hemoglobin in adult hemodialysis patients. Triferic Dialysate Triferic received a CMS reimbursement J-code on January 1, 2016 from the Centers for Medicare & Medicaid Services (the "CMS"), providing that Triferic Dialysate Triferic would be reimbursed for administration to dialysis patients within the existing fixed-price “bundle” of payments that CMS provides to dialysis providers.  Because Dialysate Triferic reimbursement would be included in this bundled payment, we commenced efforts in early 2016 to seek so-called “add-on” or “separate” reimbursement for Dialysate Triferic, which is sometimes available for certain new, innovative therapies. 

Following receipt of the reimbursement J-code in early 2016 until June 2018, the Company’s commercialization strategy for Dialysate Triferic was primarily focused on obtaining add-on reimbursement status from CMS for Dialysate Triferic, at which point the Company planned to commence commercializing the drug.

In June 2018, the Company determined, based on feedback from CMS’s Innovation Center (“CMMI”), that Dialysate Triferic was unlikely to obtain add-on reimbursement in the near term. As a result, the Company changed its commercialization strategy to plan for the commercial launch of Dialysate Triferic with initial reimbursement within the bundle of payments to dialysis providers, while continuing to pursue add-on reimbursement, if possible, and while continuing to develop I.V. Triferic (discussed below). As part of our strategy to launch Dialysate Triferic within the bundle, we requested that CMS provide us with a separate J-code for our powder packet formulation of Dialysate Triferic to distinguish it from our liquid formulation of Dialysate Triferic.  On April 26, 2019, pursuant to a request we submitted earlier in 2019, we were notified of a preliminary recommendation by CMS to grant our powder packet formulation of Triferic Dialysate Triferic a separate J-Code, which became effective on July 1, 2019. On May 6, 2019, we announced the commencement of commercial sales of Dialysate Triferic.

WhileAs a result, the Company was pursuingchanged its commercialization strategy to plan for the earlier strategy of delaying commercialization until receipt of add-on reimbursement approval, we built up significant inventory of active pharmaceutical ingredient (“API”) and Dialysate Triferic finished goods.  However, due to the delays in launching Triferic and taking into account feedback received from CMMI in March 2018 regarding the prospects for near-term approval of add-on reimbursement for Triferic, we increased our inventory reserves for Triferic by a total of $8.1 million during 2018 from $3.5 million as of December 31, 2017 to $11.6 million as of December 31, 2018. For the nine months ended September 30, 2019, Triferic inventory reserves increased by approximately $0.9 million. After deducting inventory destroyed or used for samples, as of September 30, 2019 we had $0.5 million of Dialysate Triferic Finished Goods inventory with $0.4 million reserved leaving a net value of $0.1 million. As of September 30, 2019, we also had approximately $3.0 million of Triferic API against which we have reserved $2.0 million leaving a net value of $1.0 million. Depending on the timing and success of our commercial launch of Triferic Dialysate with reimbursement within the bundle of payments to dialysis providers, while continuing to develop Triferic AVNU (discussed below). We commercially launched Triferic Dialysate in 2019 andMay 2019.

In June 2018, the degreeCompany determined, based on feedback provided from CMMI, that Triferic Dialysate was unlikely to obtain add-on reimbursement in the near term. As a result, the Company changed its commercialization strategy to plan for the commercial launch of uptakeTriferic Dialysate with reimbursement within the bundle of the drugpayments to dialysis providers, while continuing to develop Triferic AVNU (discussed below). We commercially additional amounts or all of our current investmentlaunched Triferic Dialysate in Dialysate May 2019.
Triferic finished goods inventory and some or all of our API inventory may need to be written off in future periods. Additional  write-offs of existingAVNU (formerly I.V. Triferic)
We have also developed Triferic inventory will not have a material negative impact on our cash flow, but could potentially have a material adverse impact on our reported results of operations and financial position.    

I.V. Triferic

We are also developingAVNU, an intravenous injection formulation of Triferic, (“I.V. Triferic”) for use by hemodialysis patientsclinics in the United States as well as international markets. A clinical equivalence study of I.V. Triferic infusion presentation has been completed and, on the basis of the clinical and non-clinical data prepared by the Company,On March 27, 2020, we submitted a New Drug Application (“NDA”) seekingreceived FDA approval for Triferic AVNU, with the same indications as the dialysate formulation (indicated to market I.V.replace iron and maintain hemoglobin concentration in adult HDD-CKD hemodialysis patients) and we began recruiting clinics for participation in a sample evaluation program for Triferic AVNU during the third quarter of 2020. Due to a minor scheduling delay in the United Statesproduction of packaging for salable product, commercialization will likely be postponed until the clinical indicationfirst quarter of replacing iron and maintaining hemoglobin in adult hemodialysis patients on May 28, 2019.  The NDA for I.V.2021. Like Triferic was accepted for filing byDialysate, Triferic AVNU will be reimbursed within the FDA on August 2, 2019 with a Prescription Drug User Fee Act (“PDUFA”) dateexisting fixed-price bundle of March 28, 2020.  

In November 2018payments that CMS provided interpretative guidance (“CMS Guidance”) regarding the TDAPA program and its potential applicationprovides to I.V. Triferic. Based on the CMS Guidance, the Company believed that, if approved by the

dialysis providers.

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FDA on or after January 1, 2020, I.V. Triferic would possibly be eligible for separate add-on reimbursement under CMS’s TDAPA program for a period of two years On October 31, 2019, CMS issued its final rule to update payment policies and rates under the ESRD Prospective Payment System (PPS) for 2020 (the “2020 Final Rule”). The 2020 Final Rule included updates to TDAPA program eligibility, specifically excluding from eligibility for  TDAPA, effective as of January 1, 2020: (a) NDA Types 3, 5, 7 and 8, (b) NDA Type 3 in combination with NDA Type 2 or NDA Type 4, (c) NDA Type 5 in combination with NDA Type 2, or (d) NDA Type 9, when the “parent NDA” is NDA Type 3, 5, 7 or 8.

As previously disclosed, the Company has submitted an NDA for the intravenous formulation of Triferic.  The FDA has informed the Company that the classification for the I.V. Triferic NDA is Type 3. Accordingly, the Company believes that I.V. Triferic is adversely impacted by the 2020 Final Rule, because it is not eligible for TDAPA reimbursement under the 2020 Final Rule.

While we intend to market and sell Triferic Dialysate and Triferic and I.V. TrifericAVNU directly in the United States, our international strategy is to partner with and license these products to established companies in other regions of the world to assist in the further development (primarily clinical trials and regulatory activities), if necessary, and commercialize in those regions. We continue to pursue international licensing opportunities in a number of countries and specific regions.

Dialysis Concentrates

We manufacture, sell, deliver and distribute hemodialysis concentrates, along with a line of ancillary dialysis products abroad. We sell directly to DaVita, Inc. and use Baxter as our exclusive marketer and distributor in the United States and in select foreign markets. Dialysate concentrates accounted for approximately 97%96% of our revenues for the threenine months ended September 30, 2019,2020, with ancillary products and Triferic accounting for most of the remainder.  We receive a pre-defined gross profit margin on our concentrate products sold pursuant to the Baxter Agreement, subject to an annual true-up of costs.  On August 1, 2019, we entered into a Products Purchase Agreement with DaVita (the “DaVita Agreement”).   The Davita Agreement supersedes and replaces that certain First Amended and Restated Products Purchase Agreement, effective as of May 8, 2013 (as subsequently amended) by and between the Company and DaVita, which agreement expired effective as of July 31, 2019 (the “Prior Agreement”). The DaVita Agreement is effective from July 1, 2019 through December 31, 2023.  Generally, the DaVita Agreement is similar to the Prior Agreement, except that it provides for an increase in the product sale prices relative to the prices charged for these products under the Prior Agreement.

Calcitriol (Active Vitamin D) Injection

Calcitriol, an active Vitamin D injection for the management of hypocalcemia in patients undergoing chronic hemodialysis, is FDA approved under an Abbreviated New Drug Application.  To date, we have not commercially launched Calcitriol. Following a strategic review of this product, including pricing, commercial distribution and marketing, manufacturing efficiencies and capacity (including potential capital investment), we have determined commercialization of Calcitriol in the U.S. would not be viable at this time. The decision was based, in part, on the fact that prevailing market prices for similar Vitamin D products are lower than our cost to produce Calcitriol on a dose-equivalent basis, and as a result it would be difficult for us to market Calcitriol profitably. As a result of this decision, we recorded an inventory reserve reflecting the remainder of our Calcitriol inventory.  As of December 31, 2018 and September 30, 2019, this reserve totaled $0.7 million.  

Clinical Development

Although Dialysate Triferic is approved for commercial sale in the United States, Trifericit is not approved for sale in other major markets globally.  We have received regulatory guidance from the European Medicines Agency (“EMA”("EMA") regarding the clinical studies that are needed to file for approval of I.V. Triferic AVNU in Europe.  At the present time, we do not intend to commence these clinical studies absent findingwithout a development partner in Europe or raising additional capital.Europe. In conjunction with our licensee in the People’s Republic of China, Wanbang Biopharmaceutical, (“Wanbang”Co., Ltd. ("Wanbang"), we completed two clinical pharmacology studies were completed earlier in 2019 andChina during 2019. We expect Wanbang has requested a meeting with the National Medical Products Administration (NMPA) (formerly, China Food and Drug Administration or CFDA) to review the results of these studies and discuss whether these studies are sufficientinitiate an additional, pivotal, clinical study that is required to support a submission for regulatory approval for Dialysate Triferic. Pursuantin China. In addition, pursuant to our licensethe licensing agreement with Wanbang, we are entitledSun Pharmaceutical Industries Ltd. ("Sun Pharma"), our licensee in India, meetings between Sun Pharma and the regulatory authorities in India have been initiated. Sun Pharma continues to follow
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up with the Indian regulatory authorities to $35 million of regulatory and sales-based milestones, including an $8 million milestone payment upon regulatorydetermine the requirements for approval of Triferic in China.India. Lastly, pursuant to the licensing agreement with Jeil Pharmaceutical Co., Ltd ("Jeil Pharma"), our licensee in South Korea, meetings between Jeil Pharma and the regulatory authorities in South Korea will be initiated. Jeil Pharma has informed us they do not believe they would need to perform a clinical trial in advance of approval. We will supply the finished dosage form of Triferic to Wanbang at a transfer price comprising cost of goods sold, a mark-up and a percentage of netanticipate sales in South Korea to begin in early 2022. See "Item 1A — Risk Factors" below for a discussion of the low-to-mid 20% range.

potential impact of COVID-19 our overall business and such clinical studies.

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As a post-approval requirement under the Pediatric Research Equity Act, we are required to conduct a further clinical study of the effectiveness of Triferic in a pediatric patient population. We have reached agreement with the FDA and EMA on the design of this study, which we intend to commence in 2019, assuming westudy. We have the liquidity and capital resources to do so. In April 2019, we entered intoengaged a contract with a CRO for the conductresearch organization and are in process of the pediatric study and prepaid approximately $0.8 million for future work under the contract.  We expect to begin enrollment of patientsselecting sites in the pediatric study in the first half of 2020.United States and selected EU countries. We expect that the data from this study could be used as part of the overall clinical data package to support approval by the EMA, if and when we are able to complete the other clinical trials needed to support making such a filing.

Additionally, See "Item 1A — Risk Factors" below for a discussion of the potential impact of COVID-19 on such clinical studies.

Growth Opportunities
In the third Quarter of 2020 we believe that Dialysate Trifericinitiated our plan to leverage our development and I.V. Triferic have potential to be developedregulatory experience with our FPC platform for use in other indications. We plan to meet with the FDA for a Type C meeting to discuss our plan for developing FPC for the treatment of iron deficiency anemia indications,in patients undergoing home infusion therapy. Over 3.2 million patients are treated annually using home infusion therapy. The incidence of iron deficiency is estimated to be as wellhigh as other product presentations60% in this patient population.
Iron deficiency anemia is largely undertreated in part due to limitations of the currently available iron replacement drugs. Due to concerns about hypersensitivity reactions, IV iron is infrequently prescribed as a home infusion therapy. This means that patients need to visit a physician office for an infusion which is costly and other clinical applications, including peritoneal dialysisinconvenient. As a result, physicians are often hesitant to proactively treat iron deficiency and totalthe majority of patients are left to deal with the disease on their own. Those who become severely anemic are reactively given blood transfusions, which comes with significant risk.
We also plan to meet with FDA in 2021 to discuss our development plans for FPC to improve cardiac function in hospitalized acute congestive heart failure patients. More than a million patients are hospitalized each year with acute decompensated heart failure. Iron deficiency is a common co-morbidity in 50% to 70% of these patients.
While there is increasing evidence regarding the positive impact of IV iron replacement therapy in the chronic ambulatory heart failure patient, the evidence in the acute population is scarce. One limitation of currently available parenteral nutrition.

iron products is that the iron must be processed and stored in the liver before it is released and becomes available as a fuel for cardiac muscle energetics. We believe FPC may be a significant advantage for the acute heart failure patient due to the fact that it provides 100% immediately bioavailable iron, which may mean it is faster acting and could make a meaningful impact within the context of the hospital stay.


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Results of Operations for the three months ended September 30, 20192020 and 2018

2019

The following table summarizes our operating results for the periods presented below (dollars in thousands):
For the Three Months Ended September 30,
2020% of Revenue2019% of Revenue% Change
Net Sales$15,280 $15,407 (0.8)%
Cost of Sales14,934 97.7 %15,424 100.1 %(3.2)
Gross Profit (Loss)346 2.3 (17)(0.1)(2,135.3)
Selling and Marketing1,669 10.9 1,827 11.9 (8.6)
General and Administrative3,622 23.7 4,623 30.0 (21.7)
Research and Product Development1,745 11.4 1,475 9.6 18.3 
Operating Loss$(6,690)(43.8)%$(7,942)(51.5)%(15.8)%
Net Sales

During the three months ended September 30, 2019,2020, our net sales were $15.4$15.3 million compared to net sales of $16.7$15.4 million during the three months ended September 30, 2018. Net sales of hemodialysis concentrates to dialysis providers and distributors in the U.S. and abroad were $15.2 million for the three months ended September 30, 2019 compared to $16.6 million for the three months ended September 30, 2018.  2019. The decrease of $1.4$0.1 million was primarily due to lower sales toa decrease in international customers offset by an increase in sales pursuant to the Company’s contract with DaVita Inc.  Net sales of dialysis concentrates products. Triferic were $166,000 for the three months ended September 30, 2019 compared to $68,000 for the three months ended September 30, 2018. For each of the three months ended September 30, 2019 and September 30, 2018, Triferic net sales included approximately $68,000 of deferred revenue recognized under the Company’s license in the People’s Republic of China with Wanbang Biopharmaceutical. TrifericDialysate net sales for the three months ended September 30, 2019 also2020 included approximately $98,000$0.2 million of Triferic Dialysate product sales to U.S.United States customers..

Gross Profit (Loss)

Cost of sales during the three months ended September 30, 20192020 was $15.4$14.9 million, resulting in gross loss of $16,000 during the three months ended September 30, 2019, compared to cost of sales of $14.7 million and a gross profit of $2.0$0.4 million during the three months ended September 30, 2018. Cost2020, compared to cost of sales forof a $15.4 million and a gross loss of $17,000 during the three months ended September 30, 2019. Gross profit increased by $0.4 million in the third quarter of 2020 compared to the third quarter of 2019, included $14.3 milliondue primarily to a large inventory reserved of manufacturing and distribution costs associated with the Company’s concentrates products and $1.1 million of inventory reserve expenses and product costs for Triferic, compared to $14.6 million and $0.1 million, respectively, for the three months ended September 30, 2018. Gross profit decreased by $2.0 millionrecorded in the third quarter of 2019 compared to $0.3 million inventory reserve recorded in the third quarter of 2018, due primarily to a  decrease in sales of $1.3 million;2020; offset by an increase in inventory reserve expenselabor and material costs $0.3 million to address protocols put in place from the ongoing COVID-19 pandemic. Gross profits are primarily related to our concentrates business at this time. The Company anticipates that potential future sales of $1.1 million; increase in labor, maintenance and recruitingTriferic will impact the mix of $0.4 million; offset by a decrease in distribution and materials and overhead of $0.7 million. 

future gross profits.

Selling and Marketing Expense

Selling and marketing expenses were $1.7 million during the three months ended September 30, 2020, compared with $1.8 million during the three months ended September 30, 2019 compared2019. The decrease of $0.1 million is primarily due to a decrease in marketing costs related to Triferic Dialysate offset by an increase in costs associated with $0.1the launch of Triferic AVNU, our new FDA-approved intravenous formula.
General and Administrative Expense
General and administrative expenses were $3.6 million during the three months ended September 30, 2018. The increase of $1.7 million was due to the investments the Company made in developing a commercial platform to support the commercial launch of Triferic. 

General and Administrative Expense

General and administrative expenses were2020, compared with $4.6 million during the three months ended September 30, 20192019. The decrease of $1.0 million is due primarily to a decrease in stock compensation of $0.6 million, relating to a decrease in incentive compensation from forfeited equity awards associated with the departure of our former Chief Financial in July 2020; a decrease in consulting expense of $0.3 million, relating to strategic development; a decrease in accounting costs of $0.2 million , relating to a decrease in internal audit fees; and a decrease in legal expense of $0.1 million, relating to previous litigation that has since been resolved; partially offset by an increase of $0.3 million for increased training cost and severance pay related to our former President and Chief Executive Officer.

Research and Product Development Expense
Research and product development expenses were $1.7 million for the three months ended September 30, 2020, compared with $6.0$1.5 million during the three months ended September 30, 2018. 2019. The decreaseincrease of $1.4$0.2 million iswas due primarily due to a decrease in legal and related costs associated with various matters, including litigation activities, related to the departure of certain executives and directors during 2018, partially offset by increases in insurance premiums.

Settlement Expense

Settlement expense was nil for each of the three months ended September 30, 2019 and 2018, respectively.

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to increase in costs relating to our scientific programs. The Company is continuing to invest in its medical and scientific programs to support the global launch of Triferic and the advancement of our FPC technology platform. 
Other Income (Expense)

Research and Product Development Expense

Research and product development expenses were $1.5 millionOther income for the three months ended September 30, 2019 compared with $0.8 million during the three months ended September 30, 2018. The increase2020 was $5,861, consisting of $0.7 million was due to the Company’s commitment to investing ininterest income of $1,767 and building its medical capabilities mentioned above, including generating data from studies and real-world use$4,094 of Triferic to support medical education and development efforts for Triferic, as well as the expansion of the Company’s internal medical affairs staff. The Company expects its research and product development expenses to increase in the future due to additional clinical development of Dialysate and I.V. Triferic, including the pediatric clinical trial for Triferic, and investments we are making in our medical platform to support medical education efforts and the collection and analysis of real-world data for Triferic  

Other Income, Net

realized gains on investments. Other income for the three months ended September 30, 2019 was $0.1 million,$103,386, consisting primarilyof $97,100 of interest income.income and $6,268 of realized gains on investments. Other incomeexpense for the three months ended September 30, 20182020 was $29,000, consisting of $0.13$0.7 million of interest income, offset by $0.1 millionexpense related to our debt facility (see Note 15 for more information on our debt facility). Other expense for the three months ended September 30, 2019 was $16,365 of realized gains on investments. 

interest expense.


Results of Operations for the nine months ended September 30, 20192020 and 2018

2019

The following table summarizes our operating results for the periods presented below (dollars in thousands):
For the Nine Months Ended September 30,
2020% of Revenue2019% of Revenue% Change
Net Sales$47,033 $45,812 2.7 %
Cost of Sales44,693 95.0 %44,085 96.2 %1.4 
Gross Profit2,340 5.0 1,727 3.8 35.5 
Selling and Marketing5,738 12.2 7,149 15.6 (19.7)
General and Administrative11,767 25.0 16,341 35.7 (28.0)
Settlement Expense, net of Reimbursement— — 430 0.9 (100.0)
Research and Product Development5,183 11.0 4,930 10.8 5.1 
Operating Loss$(20,348)(43.3)%$(27,123)(59.2)%(25.0)%

Net Sales


During the nine months ended September 30, 2019,2020, our net sales were $45.8$47.0 million compared to net sales of $46.5$45.8 million during the nine months ended September 30, 2018. Net2019. The increase of $1.2 million was primarily due to higher domestic dialysis concentrate sales of hemodialysis concentrates to dialysis providers$0.8 million and distributorsan increase in the U.S. and abroad were $45.5Triferic Dialysate sales of approximately $0.4 million for the nine months ended September 30, 2019 compared to $46.3 million for the nine months ended September 30, 2019. The decreaseTriferic was launched in the third quarter of $0.7 million was primarily due to lower sales to international customers offset by an increase in sales pursuant to2019 via the Company’s contract with DaVita Inc.  Net sales of Trifericsample evaluation program and there were $0.3 millionnominal revenues for the nine months ended September 30, 2019 compared to $0.2 million for the nine months ended September 30, 2018. For each of the nine months ended September 30, 2019 and September 30, 2018, Triferic net sales included approximately $0.2 million of deferred revenue recognized under the Company’s licensesame period in the People’s Republic of China with Wanbang Biopharmaceutical. Triferic net sales for the nine months ended September 30, 2019 also included approximately $112,000 of Triferic product sales to U.S. customers.

2019.


Gross Profit (Loss)

Cost of sales during the nine months ended September 30, 20192020 was $44.7 million, resulting in gross profit of $2.3 million during the nine months ended September 30, 2020, compared to cost of sales of $44.1 million resulting inand a gross profit of $1.7 million during the nine months ended September 30, 2019, compared to cost of sales of $49.3 million and a gross loss of $2.82019. Gross profit increased by $0.6 million during the nine months ended September 30, 2018.2020 compared to the nine months ended September 30, 2019. The increase was due primarily to a gross margin increase of $0.3 million in our Triferic Dialysate product in 2020. In comparison, the launch and sales of Triferic Dialysate occurred in the third quarter of 2019 and had no to minimal impact during the nine months ended September 30, 2019. Gross profit increasedprofits are primarily related to our concentrates business at this time. The Company anticipates that potential future sales of Triferic will impact the mix of future gross profits.
Selling and Marketing Expense
Selling and marketing expenses were $5.7 million during the nine months ended September 30, 2020, compared with $7.1 million during the nine months ended September 30, 2019. The decrease of $1.4 million is due primarily to the decrease in marketing costs of $2.2 million, partially offset by an increase in costs associated with hiring, training and educating new employees of $0.8 million. The fluctuation in these costs are mainly due to the timing of the Triferic Dialysate launch in the third quarter of 2019. We expect those costs to continue to level off quarter over quarter going forward.
General and Administrative Expense
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General and administrative expenses were $11.8 million during the nine months ended September 30, 2020, compared with $16.3 million during the nine months ended September 30, 2019. The $4.5 million decrease was driven primarily by decreases to stock compensation, legal, recruiting and consulting fees, partially offset by an increase in labor costs. The decrease in stock compensation primarily relate to the resignation of our former President and Chief Executive Officer in April 2020 and former Chief Financial Officer effective July 2020.  
Research and Product Development Expense
Research and product development expenses was $5.2 million for the nine months ended September 30, 2020, compared with $4.9 million during the nine months ended September 30, 2019, compared to the nine months ended September 30, 2018, due primarily to a non-cash charge taken for an inventory reserve for Trifericincrease of $8.3 million$0.3 million. Research and product development expenses for the nine months ended September 30, 2018, partially offset by a gross profit decrease2020 included clinical trials and other product development expenses of $1.2$1.8 million in our dialysis concentrates products. The decrease in gross profit for our dialysis concentrates products was primarily attributableTriferic, compared to increased labor, materials and overhead costs. 

Selling and Marketing Expense

Selling and Marketing Expenses were $7.2$1.4 million during the nine months ended September 30, 2019 compared with $0.7 million during the nine months ended September 30, 2018. 2019. The increase of $6.5 million was dueCompany is continuing to the investments the Company madeinvest in developing a commercial platformits medical and scientific programs to support the commercialglobal launch of Triferic, which included $3.4 million in marketing costs and $2.8 million in hiring, training and educating new employees.

General and Administrativethe advancement of our FPC technology platform.

Settlement Expense,

General and administrative expenses were $16.3 million during the nine months ended September 30, 2019 compared with $14.5 million during the nine months ended September 30, 2018. The $1.8 million increase net of Reimbursement

Settlement expense was driven primarily by increases to stock compensation, insurance premium expense, annual reporting and consulting fees; offset by a decrease legal and related costs associated with various matters, including litigation activities, related to the departure of certain executives and directors during 2018.

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Research and Product Development Expense

Research and product development expenses were $4.9 millionnil for the nine months ended September 30, 2019 compared with $4.0 million during the nine months ended September 30, 2018. The increase of $0.9 million was due to the Company’s commitment to investing in and building its medical capabilities mentioned above, including generating data from studies and real-world use of Triferic to support medical education and development efforts for Triferic, as well as the expansion of the Company’s internal medical affairs staff. The Company expects its research and product development expenses to increase in the future due to additional clinical development of Dialysate and I.V. Triferic, including the pediatric clinical trial for Triferic, and investments we are making in our medical platform to support medical education efforts and the collection and analysis of real-world data for Triferic.  

Settlement Expense

Settlement Expense was $0.4 million for the nine months ended September 30, 2019,2020, compared to $1.0$0.4 million in for the nine months ended September 30, 2018.2019. Settlement Expenseexpense for the nine months ended September 30, 20182019 reflected the terms of the confidential settlement agreement and mutual release entered into within August 2018 relating to the Company’s former CEO,Chief Executive Officer, Robert Chioini, former CFOChief Financial Officer, Thomas Klema, and a former and then current director. Settlement Expense for the third quarter of 2019 reflected the Company’s contribution of the Settlement Amount relating to the consolidated class action. See Note 16 on the condensed consolidated financial statements herein for more detail.


Other Income Net

(Expense)

Other income for eachthe nine months ended September 30, 2020 was $247,682, consisting of interest income of $239,594 and $8,088 of realized gains on investments. Other income for the nine months ended September 30, 2019 and 2018 was $0.3 million, respectively. The amounts consist primarily$313,393, consisting of $289,101 of interest income. 

income and $24,292 of realized gains on investments. Other expense for the nine months ended September 30, 2020 was $2.1 million, consisting of warrant modification expense of $0.8 million and interest expense of $1.3 million related to our debt facility (see Note 15 for more information on our debt facility). Other expense for the nine months ended September 30, 2019 was $16,365 of interest expense.

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Liquidity and Capital Resources

As of September 30, 2019,2020, we had approximately $29.0$67.3 million of cash, cash equivalents and investments available-for-sale, and working capital of $28.2$65.2 million. Net cash used in operating activities for the nine months ended September 30, 20192020 was approximately $21.9$21.1 million.   On June 20, 2019, the Company closed a public offering of 5,833,334 shares of common stock at a price of $3.00 per share.  On July 9, 2019, the underwriters of the public offering partially exercised their over-allotment option to purchase an additional 425,800 shares of common stock at a price of $3.00 per share, which closed on July 11, 2019. 

On March 22, 2019, the Company entered into a sales agreement with Cantor Fitzgerald & Co. (the “Agent”), pursuant to which the Company may offer and sell from time to time shares of the Company’s common stock through the Agent up to $40,000,000. In April$40.0 million. As of December 31, 2019, the Company sold 437,0431,840,443 shares of its common stock pursuant to the Sales Agreement for gross proceeds of $2,296,235,approximately $5.4 million, at a weighted average selling price of approximately $5.25.$2.92. The Company did not issue anpaid approximately $0.3 million in commissions and offering fees related to the sale of the common stock.
During the nine months ended September 30, 2020, the Company sold 1,128,608 of shares of its common stock pursuant to the Sales Agreement duringwith the third quarterAgent for proceeds of 2019.$2.3 million, net of issuance costs. As of September 30, 2019,2020, approximately $37.7$32.3 million wasremains available for issuancesale under this facility.
On February 4, 2020, the Sales Agreement. We are not requiredCompany entered into an underwriting agreement with Cantor Fitzgerald & Co., as underwriter, pursuant to which the Company agreed to issue and sell anyup to 3,670,212 shares of its common stock, which included 478,723 shares optional shares that may be sold pursuant to an over-allotment option granted to the underwriters. On February 6, 2020, the Company closed the sale of 3,191,489 shares of its common stock at the public offering price of $2.22 per share. On February 19, 2020, the underwriter exercised its over-allotment option to purchase an additional 478,723 shares at any time duringa price of $2.22 per share, which closed on February 21, 2020. The Company raised a total of $8.0 million, net of issuance costs of $0.1 million, relating to the termsale of the facility.common stock in the offering. The offering was made pursuant to the Company’s effective Registration Statement on Form S-3 (File No. 333-227363), which was previously filed with the SEC.
On March 16, 2020, Rockwell Medical, Inc. and Rockwell Transportation, Inc., as Borrowers, entered into a Loan and Security Agreement (the "Loan Agreement") with Innovatus Life Sciences Lending Fund I, LP (“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 a second tranche of $5.0 million, which was tied to the achievement of certain milestones by a specified date. The Company may be eligible to draw on a third tranche of $7.5 million upon the achievement of certain additional milestones, including the achievement of certain Triferic sales thresholds. Net draw down proceeds were $21.2 million with closing costs of $1.3 million.
The Company is entitled to make interest-only payments for thirty months, or up to thirty-nine months if certain conditions are met. The Term Loans will mature on March 16, 2025 and will bear 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 has 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. For the nine months ended September 30, 2020 and 2019, interest expense amounted to $1.3 million and $16,000, respectively.
The Loan Agreement is secured by all assets of the Company and Rockwell Transportation, Inc. Proceeds will be used for working capital purposes. The Loan Agreement contains customary representations and warranties and covenants, subject to customary carve outs, and includes financial covenants related to liquidity and trailing twelve months sales of Triferic, with the latter beginning with the period ending December 31, 2020. We cannot assure you that we can maintain compliance with the covenants under our Loan Agreement, which may result in an event of default. Our ability to comply with these covenants may be adversely affected by events beyond our control. For example, the Loan Agreement contains certain financial covenants relating to sales and, as a result of the ongoing COVID-19 pandemic and its effect on our sales activities, among other factors, we may not be able to satisfy such covenants in the future. Based on our annualized Triferic sales through September 30, 2020, we may not satisfy this covenant as of December 31, 2020. If we are unable to comply with the covenants under our Loan Agreement, we intend to pursue all available cure options in order to regain compliance. However, we may not be able to mutually agree with Innovatus on appropriate remedies to cure a breach of a covenant, which could give rise to an event of default. If we are unable to avoid an event of default, any required repayments could have an adverse effect on our liquidity. As of September 30, 2020, the Company was in compliance with all the reporting and financial covenants.
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If the Company is unable to maintain compliance with the reporting and financial covenants in the future, the Company could experience an event of default under the Loan Agreement, which would negatively impact the Company’s liquidity. For more information, see the risk factor entitled “Our Loan Agreement with Innovatus contains certain covenants that could adversely affect our operations and, if an event of default were to occur, we could be forced to repay the outstanding indebtedness sooner than planned and possibly at a time when we do not have sufficient capital to meet this obligation. The occurrence of any of these events could cause a significant adverse impact on our business, prospects and share price.” in “Item 1A — Risk Factors.”
On September 23, 2020, the Company entered into a Securities Purchase Agreement with certain purchasers named therein, pursuant to which the Company agreed to issue and sell to several institutional and accredited investors in a registered direct offering 21,818,544 shares of common stock and warrants to purchase up to 23,178,809 shares of common stock (the “Warrants”) at a combined purchase price equal to $1.51 per share. Each Warrant is exercisable for one share of common stock at an exercise price of $1.80 per share. The Warrants are immediately exercisable and will expire on September 25, 2022.

The Company also offered to certain purchasers pre-funded warrants to purchase up to an aggregate of 1,360,265 shares of common stock (the “Pre-Funded Warrants”), in lieu of shares of common stock. The purchase price of each Pre-Funded Warrant is equal to the price at which a share of common stock is sold to the public in the offering, minus $0.001, and the exercise price of each Pre-Funded Warrant is $0.001 per share. The Pre-Funded Warrants were exercised in conjunction with the issuance of common stock under the facility may be limited by several factors, including, among other things,Securities Purchase Agreement. The Company received gross proceeds of approximately $35.0 million in connection with the trading volumeoffering, before deducting placement agent fees and related offering expenses of our common stockapproximately $2.3 million.

Based on the equity and certain black-out periods that we may impose upondebt financing described above, management believes the facility, among other things.

The Company’s recurringCompany currently has sufficient funds to meet its operating losses, net operating cash flow deficits, and an accumulated deficit, raise substantial doubt aboutrequirements for at least the Company’s ability to continue as a going concern for one yearnext twelve months from the issuancedate of the accompanying consolidated financial statements. The consolidated financial statements have been prepared assuming the Company will continue as a going concern. The Company has not made any adjustments to the accompanying consolidated financial statements related to the recoverability and classificationfiling of recorded asset amounts and classification of liabilities that might be necessary should the Company be unable to continue as a going concern.

this report.

The Company will require additional capital to sustain its operations and make the investments it needs to execute upon its longer-term business plan, including the commercializationcommercial launch and medical education programs of Triferic Dialysate and Triferic AVNU, and I.V. Triferic, if approved, and executing plans for enhancing its medical capabilities and generating additional data for Triferic.the further development of our FPC pipeline programs. If the Company is unable to generate sufficient revenue from its existing long-term business plan, the Company will need to obtain additional

33

equity or debt financing. If the Company attempts to obtain additional debt or equity financing, the Company cannot assume that such financing will be available on favorable terms, if at all.

General

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 expenses and revenue associated with the commercializationcommercial launch of Triferic Dialysate and investments we are making in our medical capabilities to support Dialysate Triferic and I.V. Triferic, if approved, in the United States;AVNU; the timing and magnitude of cash received from drug product sales; and the timing and expenditures associated with the development of Triferic for international markets; the timing and expenditures associated with the development of further innovative administration techniques of Triferic for dialysis patients; the timing and expenditures associated with the development of our FPC technology for patients with iron-deficiency anemia in other disease states; and the costs associated with ongoing litigation and investigatory matters. 

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 that we will be able to secure additional capital or funding on acceptable terms, of if at all; and (ii) strategic transactions, including potential alliances and collaborations focused on markets outside the U.S., as well as potential combinations (including by merger or acquisition) or other corporate transactions. In particular, our Baxter Agreement prohibits us from entering into a contract that would encumber the assets used in our concentrate business without the prior written consent of Baxter.  Due to the fact that the assets used in our concentrate business currently constitute a substantial portion of the tangible assets we own other than our drug inventory, we may not be able to, or we may find it difficult, to obtain secured debt financing without the consent of Baxter. 

We believe that our ability to fund our activities in the long term will be highly dependent upon our ability to successfully commercializelaunch Triferic Dialysate and Triferic and to obtain regulatory approval for, and successfully launch, I.V. Triferic.AVNU. Our commercialization of Triferic Dialysate and Triferic and I.V. Triferic (if approved)AVNU is subject to significant risks and uncertainties, including risks we will be successful in the commercialization of Triferic in accordance with our plans. If our commercialization of Triferic Dialysate Triferic and/or I.V. Triferic AVNU should be delayed for any reason or not proceed in accordance with our plans, we may be forced to implement cost-saving measures that may potentially have a negative impact on our activities and potentially the results of our research and development programs. If our launch of Triferic Dialysate and/or Triferic AVNU is unsuccessful or our commercial launch does not proceed as planned, we may be unable to secure the additional capital that we will require to continue our research and development activities and operations, which could have a material adverse effect on our business. If we are unable to raise the required capital, we may be forcedrequired to
34


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 shareholders’stockholders’ interests and, in such event, the market price of our common stock may decline.

Cash Used in Operating Activities

Net cash used in operating activities was $21.9$21.1 million for the nine months ended September 30, 2020. The net loss for this period was higher than net cash used in operating activities by $1.1 million, which was primarily attributable to non-cash expenses of $2.8 million, consisting primarily of $1.1 million of amortization of the right to use assets, $0.8 million of warrant modification expense, $0.6 million of depreciation and amortization, ($0.3) million of stock-based compensation and a ($1.6) million net change in assets and liabilities. 
Net cash used in operating activities was $22.0 million for the nine months ended September 30, 2019. The net loss for this period was higher than net cash used in operating activities by $4.9 million, which was primarily attributable to non-cash expenses of $7.2 million, consisting primarily of $3.9 million of stock-based compensation, $1.4 million of amortization of the right to use assets, $1.3 million of inventory reserves,  $0.6 million of depreciation and amortization, and a $2.3($2.3) million net change in assets and liabilities.

Cash Provided by (Used In) Investing Activities
Net cash used in operatingprovided by investing activities was $14.6$2.6 million forduring the nine months ended September 30, 2018.2020. The net loss for this period was higher than net cash used in operating activities by $8.1 million, whichprovided was primarily attributabledue to non-cash expensesthe sales of $6.6our available-for-sale investments of $27.1 million, consisting of $3.4offset by $23.5 million of inventory reserves,  $2.4 million of stock-based compensation,  $0.5 million of depreciation and amortization, and $0.2 million of realized losses on saleused for the purchase of investments available-for-sale offset by a  decrease of  $3.7and $1.0 million in inventory related to the destruction of Triferic finished goods inventory,  a decrease of $2.1 million in other liabilities related to the reduction in bonus and other payroll accruals, a decrease of $1.7 million in deferred revenue relating to the recognition of revenue from our licensing agreements, an increase of $1.2 million in accounts receivable related to increases in revenue related to our international sales, an increase in accounts payable of $2.7 million, as well as increased legal fee accrued, an increase of $0.7 million related to settlement payable, comprised of the $1.5 million accrued in the third quarter of 2018 for the settlement fee related to the Settlement Agreement between the Company and its former directors and officers, offset by settlement paymentspurchase of $0.8 million, and a $0.5 million increase due to an insurance settlement  receivable related to the Settlement Agreement.

equipment.

34

Cash (Used in) Provided by Investing Activities

Net cash used in investing activities was $4.9 million during the nine months ended September 30, 2019. The net cash used was primarily due to the purchase of our available-for-sale investments available-for-sale of $34.2$30.5 million, offset by $30.5$34.2 million provided by the sale of ourinvestments available-for-sale, investments, $0.4 million for the purchase of equipment and $0.8 million for the purchase of research and development licenses acquired from a related party.

party and $0.4 million for the purchase of equipment.

Cash Provided by Financing Activities
Net cash provided by investingfinancing activities was $10.5$63.3 million during the nine months ended September 30, 2018.2020. The net cash provided was primarily due to net proceeds of $21.2 million related to the Loan Agreement and $40.7 million and $2.3 million from the sale of our available-for-sale investments of $29.6 million, offset by $18.5 million used for the purchase of investments available-for-salecommon stock,  related to our public offerings and $0.6 million for the purchase of equipment.

Cash Provided by (Used in) Financing Activities

our at-the market offering, respectively.

Net cash provided by financing activities was $18.5$18.6 million during the nine months ended September 30, 2019. The net cash provided was primarily due to net proceeds of $17.3 million and $2.1 million from the sale of our common stock, related to our public offering and our at-the market offering, respectively. Net cash used
COVID-19 Impact

The COVID-19 pandemic and resulting global disruptions have adversely affected our business and operations, including, but not limited to, our sales and marketing efforts and our research and development activities, and the operations of third parties upon whom we rely. Quarantines, shelter-in-place, executive and similar government orders may negatively impact our sales and marketing activities, particularly if our sales representatives are unable to interact with current and potential customers to the same extent as before onset of the COVID-19 pandemic. Depending on the severity of the impact on our sales and marketing efforts, the timing of our commercial launch of Triferic AVNU could be adjusted.

The COVID-19 pandemic and resulting global disruptions have caused significant volatility in financial and credit markets. We have utilized a range of financing activities was $1,978 duringmethods to fund our operations in the nine months ended September 30, 2018, forpast; however, current conditions in the repurchasefinancial and credit markets may limit the availability of common stockfunding or increase the cost of funding. Due to pay the employee withholding taxes on a stock option exerciserapidly evolving nature of the global situation, it is not possible to predict the extent to which these conditions could adversely affect our liquidity and capital resources in September 2018.

the future.

Critical Accounting Policies andSignificant JudgementsJudgmentsand Estimates

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Our critical accounting policies and significant estimates are detailed in our Annual Report on Form 10-K for the year ended December 31, 2018.2019. Our critical accounting policies and significant estimates have not changed from those previously disclosed in our 2018 Annual Report on Form 10-K for the year ended December 31, 2019, except for those subjects mentioned in the section of the notes to the condensed consolidated financial statements titled Adoption of Recent Accounting Pronouncements.

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 of the condensed consolidated financial statements at September 30, 2019.

2020.

Item 3.  

Not applicable.

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.  Disclosure  Controls and Procedures

We maintain disclosure controls and procedures that are designed to ensure material information required to be disclosed in our reports that 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 that such information is accumulated and communicated to our management, including our Chief Executive Officer and Chief 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 necessarily was 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 term is defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) as of September 30, 2019.2020. Based upon that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that because of the material weaknesses in our internal controls over financial reporting described in our December 31, 2018 Annual Report, our disclosure controls and procedures were not effective.effective as of September 30, 2020.
The material weaknesses related to change management and third-party management controls, user access security and segregation of duties as it relates to user access controls in our Information Technology General Controls ("ITGC"), described in our Annual Report on Form 10-K for the year ended December 31, 2019, have been remediated. The Company is still evaluating the design, implementation and operating effectiveness of the pervasive effect on other ITGC dependent business activity level internal control cycles, which has not been remediated. Notwithstanding the material weaknesses, the Company’s management, including the Chief Executive Officer and Chief Financial Officer (Principal Financial Officer), have concluded that the condensed consolidated financial statements as of September 30, 2019,2020, are fairly stated, in all material respects, in accordance with generally accepted accounting principles in the United States for each of the periods presented herein.

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In connection with the pervasive effect of the ITGC material weaknesses, management has taken a number of steps with the intention of remediating the above control deficiencies. We continue to implement enhanced procedures and controls to remediate the pervasive impact of our material weaknesses in internal control over financial reporting. 

Changes in Internal Control over Financial Reporting

Our management is responsible for establishing and maintaining adequate internal control over financial reporting. We maintain internal control over financial reporting designed to provide reasonable, but not absolute, assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles.

36


We continue to make further improvements to our internal controls over financial reporting, in addition to the improvements developed in 2018.2019. During nine monthsthe quarter ended June 30, 2020, the Company remediated the ITGC control deficiencies in connection with change management and third-party management and enhanced evidentiary review and documentation of key ITGC controls and implemented new programs and policies to provide improved control over change management and third-party management controls to the ERP system.
During the quarter ended September 30, 20192020, we continued our improvements by remediating the ITGC control deficiencies in connection with user access security and throughsegregation of duties as it relates to user access controls.
We also continued to make progress on our 2020 audit program, utilizing a National Audit firm as our internal audit partner, which includes in-house remediation testing of the date of this report, we implemented the following:   

·

Hired staff required to address and improve financial and information technology capabilities, including (i) a Vice President, Corporate Controller and Principal Accounting Officer; (ii) an internal audit consultant; and (iii) a Manager of Information Technology.

pervasive impact on other ITGC dependent business activity level internal control cycles.

·

Developed our preliminary 2019 audit program, which includes an in-house audit of entity level and IT general controls.

·

Implemented new programs and policies to provide improved control over the accounting for discretionary bonuses and stock-based compensation.

·

Updated our process of obtaining information for calculation of our inventory reserves, including a comprehensive sales and operations planning process.

·

Migrated the hosting of our ERP system and performed testing of the system before and after the completion of the migration.

·

Preparation of our SEC reporting on Form 10-Q for the quarter ended September 30, 2019, was completed by our Principal Accounting Officer, supported by internal and external resources.

The remediation of the material weaknesses is among our highest priorities. Our Audit Committee continually assesses the progress and sufficiency of these initiatives and make adjustments as and when necessary. As of the date of this report, our management believes that our efforts, when completed, will remediate the material weaknesses in internal control over financial reporting. However, there can be no assurance that our efforts will result in remediation of the material weaknesses in internal control over financial reporting.

PART II – OTHER INFORMATION

Item 1.  Legal Proceedings

The disclosure set forth above in Note 1614  (Commitments and Contingencies –Litigation) to our unaudited condensed consolidated financial statements is incorporated herein by reference.

Additionally, we are involved in certain other 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 that are 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.

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Item 1A. Risk Factors

Other than those set forth below, 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, 20182019 under “Item 1A — Risk Factors”.

Factors.”

We have limited capital resources and will likely need additional funding before we are able to achieve profitabilityIf we are unable to raise additional capital on attractive terms, or at all, we may be unable to sustain our operations.

We have limited capital resources, a cumulative deficit of approximately $299.2$328.7 million since inception and expect to incur further losses for the foreseeable future.  As of September 30, 2019,2020, we had approximately $29.0$67.3 million of cash, cash equivalents and investments available-for-sale, and working capital of $28.2$65.2 million. Net cash used in operating activities for the nine months ended September 30, 20192020 was approximately $21.9$21.1 million.   On June 20, 2019, the company closed a public offering of 5,833,334 shares of common stock at a price of $3.00 per share.  On July 9, 2019, the underwriters of the public offering partially exercised their over-allotment option to purchase an additional 425,800 shares of common stock at a price of $3.00 per share, which closed on July 11, 2019. 

On March 22, 2019, 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 up to $40.0 million of shares of the Company’s common stock through the Agent. As of December 31, 2019, the Company sold 1,840,443 shares of its common stock pursuant to the Sales Agreement for gross proceeds of $5.4 million, at a weighted average selling price of approximately $2.92. The Company paid $0.3 million in commissions and offering fees related to the sales. During the nine months ended September 30, 2020, the Company sold 1,128,608 of shares of its common stock pursuant to the Sales Agreement with the Agent for proceeds of $2.3 million, net of issuance costs. As of September 30, 2020, approximately $32.3 million remains available for sale under this facility.
On February 4, 2020, the Company entered into an underwriting agreement with Cantor Fitzgerald & Co., as underwriter, pursuant to which the Company agreed to issue and sell an aggregate of up to $40,000,000. We are not required3,670,212 shares of its common
37


stock, which included 478,723 optional shares that may be sold pursuant to sell anyan over-allotment option granted to the underwriters. On February 6, 2020, the Company closed the sale of 3,191,489 shares of its common stock at the public offering price of $2.22 per share (the “Offering”). On February 19, 2020, the underwriter exercised its over-allotment option to purchase an additional 478,723 shares at any time duringa price of $2.22 per share, which closed on February 21, 2020. The Company raised a total of $8.0 million, net of issuance costs of $0.1 million, relating to the termsale of the facility.common stock in the Offering.
On March 16, 2020, Rockwell Medical, Inc. and Rockwell Transportation, Inc., as Borrowers, entered into a Loan and Security Agreement (the "Loan Agreement") with Innovatus Life Sciences Lending Fund I, LP, 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 a second tranche of $5.0 million, which was tied to the achievement of certain milestones by a specified date. The Company may be eligible to draw on a third tranche of $7.5 million upon the achievement of certain additional milestones, including the achievement of certain Triferic sales thresholds. Net draw down proceeds were $21.2 million with closing costs of $1.3 million.
The Company is entitled to make interest-only payments for thirty months, or up to thirty-six months if certain conditions are met. The Term Loans will mature on March 16, 2025, and will bear 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 has 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. 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 includes financial covenants related to liquidity and trailing twelve months sales of Triferic, with the latter beginning with the period ending December 31, 2020. We cannot assure you that we can maintain compliance with the covenants under our Loan Agreement, which may result in an event of default. Our ability to comply with these covenants may be adversely affected by events beyond our control. For example, the Loan Agreement contains certain financial covenants relating to sales and, as a result of the ongoing COVID-19 pandemic and its effect on our sales activities, among other factors, we may not be able to satisfy such covenants in the future. Based on our annualized Triferic sales through September 30, 2020, we may not satisfy this covenant as of December 31, 2020. If we are unable to comply with the covenants under our Loan Agreement, we intend to pursue all available cure options in order to regain compliance. However, we may not be able to mutually agree with Innovatus on appropriate remedies to cure a breach of a covenant, which could give rise to an event of default. If we are unable to avoid an event of default, any required repayments could have an adverse effect on our liquidity. As of September 30, 2020, the Company was in compliance with all reporting and financial covenants.
On September 23, 2020, the Company entered into a Securities Purchase Agreement with certain purchasers named therein, pursuant to which the Company agreed to issue and sell to several institutional and accredited investors in a registered direct offering 21,818,544 shares of its common stock and warrants to purchase up to 23,178,809 shares of its common stock (the “Warrants”) at a combined purchase price equal to $1.51 per share. Each Warrant is exercisable for one share of common stock at an exercise price of $1.80 per share. The Warrants are immediately exercisable and will expire on September 25, 2022.

The Company also offered to certain purchasers pre-funded warrants to purchase up to an aggregate of 1,360,265 shares of common stock (the “Pre-Funded Warrants”), in lieu of shares of common stock. The purchase price of each Pre-Funded Warrant is equal to the price at which a share of common stock is sold to the public in the offering, minus $0.001, and the exercise price of each Pre-Funded Warrant is $0.001 per share. The Pre-Funded Warrants were exercised at the same time as the issuance of common stock under the facility may be limited by several factors, including, among other things,Securities Purchase Agreement. The Company received gross proceeds of approximately $35.0 million in connection with the trading volumeoffering, before deducting placement agent fees and related offering expenses of our common stockapproximately $2.3 million.
Based on the equity offerings and certain black-out periods that we may impose upon the facility, among other things.

The Company’s recurringLoan Agreement described above, management believes the Company currently has sufficient funds to meet its operating losses, net operating cash flow deficits, and an accumulated deficit, raise substantial doubt aboutrequirements for at least the Company’s ability to continue as a going concern for one yearnext twelve months from the issuancedate of the accompanying consolidated financial statements. The consolidated financial statements have been prepared assuming the Company will continue as a going concern. The Company has not made any adjustments to the accompanying consolidated financial statements related to the recoverability and classificationfiling of recorded asset amounts and classification of liabilities that might be necessary should the Company be unable to continue as a going concern. this report.

The Company will require additional capital to sustain its operations and make the investments it needs to execute upon its longer-term business plan, including the current launch of dialysate Triferic Dialysate and I.V. Triferic.Triferic AVNU. If the Company is unable to generate sufficient revenue from its existing long-term business plan, the Company will need to obtain additional equity or debt financing. If the Company attempts to obtain additional debt or equity financing, the Company cannot assume that such financing will be available on favorable terms, if at all.

Because

38


Our near-term success depends substantially on the commercialization of Triferic Dialysate and Triferic AVNU. Although Triferic Dialysate and Triferic AVNU have been approved by the FDA, we may not be unableable to complete our development, manufacturingcommercialize either product successfully.

Triferic Dialysate launched commercially in the United States in May 2019 and Triferic AVNU was approved by the FDA in March 2020; however, it is possible that either version of Triferic will not gain market acceptance and that we will not be successful in the commercialization of these products. We do not know whether we will be able to successfully implement our products,commercialization strategy for Triferic Dialysate and Triferic AVNU or whether our new business strategy will ultimately be successful.
Both formulations of Triferic will be reimbursed “within the bundle,” which means that dialysis providers will not receive any additional amount of reimbursement from Medicare or Medicaid to compensate them for the cost of purchasing and administering Triferic. This reimbursement status may result in a slower rate of commercial adoption, as we could face significant harmmust work to our business plans, prospects, resultsshow dialysis providers that improved patient outcomes, the reduction of operations, financial conditionutilization in other therapies and liquidity.

Commercializing Dialysatethe resulting savings offset the costs associated with Triferic. Additionally, Triferic dependscompetes against current anemia therapies (including intravenous iron and the ESA class of drugs) and possibly other future products. Additionally, it may be difficult to gain market acceptance from dialysis chains, anemia managers and nephrologists and such acceptance may be slower than expected, if at all.

Market acceptance will depend on a number of factors, such as demonstration of Triferic Dialysate’s safety and efficacy, cost-effectiveness, and advantages over existing products. Other factors that may impact the commercial success and ultimate profitability of Triferic include:
the rate of adoption of Triferic Dialysate and Triferic AVNU relative to the shelf life of the existing inventory that we have on hand and whether we can sell our existing inventory before it expires;
our ability to manage inventory available for commercial sale;
the effectiveness of our marketing, sales and distribution strategies and operations for development and commercialization;
the impact of Triferic Dialysate and Triferic AVNU on established customer protocols, formularies, administration methods and operational practices;
The ability and willingness of dialysis centers to adopt their protocols and utilize the drugs in a manner consistent with state regulatory agencies.
reimbursement of either formulation of Triferic by government and commercial payors;
our ability to execute our marketing strategy without significant additional expenditures;
our competitors’ activities, including aggressive marketing and pricing practices and other tactics to retain their market share;
our ability to successfully assert our patents against potential competitors who may seek to introduce generic versions of either formulation of Triferic;
our ability to comply with ongoing regulatory requirements applicable to either formulation of Triferic and the manufacturing processes, labeling, packaging, distribution, adverse event reporting, storage, advertising, promotion and recordkeeping applicable to Triferic;
the impact of certain royalties related to our sale of either formulation of Triferic paid by us based on the profitability of either formulation of Triferic;
39


our ability to avoid third party patent interference or patent infringement claims;
our ability to maintain a continued acceptable safety profile of either formulation of Triferic;
the discovery of previously unknown problems with either formulation of Triferic or with any third-party manufacturers or manufacturing processes, or failure to comply with regulatory requirements; and
the ability to successfully manufacture enough commercial product and successfully complete our commercialization planning to enable a launch of Triferic AVNU in 2020.
An adverse development with respect to any of the foregoing may have a material adverse effect on our ability to manufacture and market either formulation of Triferic. We cannot assure you that we will be able to generate meaningful and sustained revenues through the sale of either formulation of Triferic. If we are not successful in commercializing either formulation of Triferic, or are significantly delayed in doing so, our entire investment in Triferic may be of no value, our inventory of finished product may expire or become obsolete (resulting in write-offs of such inventory), our licensing rights could be materially adversely affected and the price of our common stock could substantially decline. Even if we are successful in commercializing either formulation of Triferic, since the market is highly concentrated with two significant suppliers, our continued success may depend on adoption of Triferic Dialysate by the limited number of existing dialysis providers.
The ongoing COVID-19 pandemic may result in significant disruptions to our business operations, including the commercial launch of our Triferic products and our clinical trials, which could have a material adverse effect on our business.
Our business and its operations, including but not limited to:

·

further product and manufacturing process development;

·

completion, refinement and management ofto our supply chain and distribution channels;

·

regulatory requirements for clinical information;

·

differentiation of our products from competitive therapies, including those in development by other companies;

·

demonstration of efficiencies that will make our products attractively priced; and

·

development of an adequate sales force and sales channels necessary to distribute our products and achieve our desired revenue goals. 

We cannot commercialize I.V. Triferic unless and untilmarketing efforts and our research and development activities, could be adversely affected by health epidemics in regions where we receive FDA approvalhave business operations, and such health epidemics could cause significant disruption in the operations of third parties upon whom we rely. In December 2019, a novel strain of coronavirus, SARS-CoV-2, causing a disease referred to as COVID-19, was reported to have surfaced in Wuhan, China. Since then, COVID-19 has spread to other countries, including the United States, and has been declared a pandemic by the World Health Organization. In response to public health directives and orders related to COVID-19, we have implemented work-from-home policies for substantially all employees, excluding our planned NDA submission for this drug. Even ifessential manufacturing and distribution employees. The effects of executive and similar government orders, shelter-in-place orders and our work-from-home policies may negatively impact our growth and productivity, disrupt our business, including our sales and marketing activities, and delay our clinical programs and timelines, the FDA approves I.V. Triferic for commercialization, the degreemagnitude of success in

37

commercializing this drugwhich will depend, uponin part, on the length and severity of the restrictions and other limitations on our ability to receive add-on reimbursement status,conduct our business in the ordinary course. These and similar, and perhaps more severe, disruptions in our operations could negatively impact our business, operating results and financial condition.

Quarantines, shelter-in-place, executive and similar government orders, or the perception that such as throughorders, shutdowns or other restrictions on the TDAPA program. Under the 2020 Final Rule published by CMS in October 2019, it appears that I.V. Triferic is not be eligible for add-on reimbursement, meaning I.V. Triferic would be requiredconduct of business operations could occur, related to be sold within the bundled payment for dialysis treatment, if approved. This could significantly limit the overall commercial opportunityCOVID-19 or other infectious diseases, may impact personnel at our manufacturing facilities and third-party manufacturing facilities in the United States, Europe and other countries, or the availability or cost of materials we use or require to conduct our business, including product development, which would disrupt our supply chain. If the COVID-19 pandemic were to negatively affect our manufacturing facilities, the costs related to such manufacturing may increase and the productivity of our facilities may decrease. Furthermore, some of our manufacturers and suppliers are in Europe and may be impacted by port closures and other restrictions resulting from the COVID-19 pandemic, which may disrupt our supply chain or limit our ability to obtain sufficient materials for I.V.our drug products.
We commercially launched Triferic Dialysate in the United States in May 2019 and we began recruiting clinics to participate in a sample evaluation program for Triferic AVNU during the third quarter of 2020 in order to prepare for a commercial launch. Quarantines, shelter-in-place, executive and similar government orders, or changes in prospective customer practices in response to the COVID-19 outbreak, may negatively impact our sales and marketing activities, particularly if our sales representatives are unable to interact with current and potential customers to the same extent as before onset of the COVID-19 pandemic. Depending on the severity of the impact on our sales and marketing efforts, the commercial launch of Triferic AVNU could be delayed.
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In addition, we may face decreased demand if our dialysis patients are unable to travel to dialysis clinics or if dialysis clinics are unable to make additional protocol changes that are required for Triferic.

In order to ensure the safety of patients and staff at the dialysis clinics that use our Triferic products, we expect the dialysis clinics will implement a number of changes to their safety procedures. In addition, the dialysis clinics may face challenges related to decreased staffing, if staff members are affected by COVID-19. Changes to safety procedures and/or staffing issues may impede the clinics’ ability to make additional protocol changes that are required for Triferic.

In addition, our clinical trials and our partners’ clinical trials have been and may continue to be affected by the COVID-19 pandemic. For example, Wanbang is our commercialization partner for both Triferic Dialysate and Triferic AVNU in China and we currently expect Wanbang to initiate additional clinical studies during 2020 that are necessary to support a submission for regulatory approval in China. Such clinical studies may be delayed to later in 2020 than previously expected. In addition, meetings between Sun Pharma and the regulatory authorities in India related to our Triferic products have been postponed due to government restrictions in India. Lastly, meetings between Jeil Pharma and the regulatory authorities in South Korea could be postponed due to potential government restrictions in South Korea. If COVID-19 continues to spread in the United States and elsewhere, we or our partners may experience additional disruptions that could severely impact our business and clinical trials, including:
delays in receiving authorization from local regulatory authorities to initiate our planned clinical trials;
delays in receiving legalization documents from foreign embassies, which are required to allow our partners to direct activities on behalf of the Company in local markets;
delays or difficulties in enrolling patients in our clinical trials;
delays or difficulties in clinical site initiation, including difficulties in recruiting clinical site investigators and clinical site staff;
delays in clinical sites receiving the supplies and materials needed to conduct our clinical trials, including interruption in global shipping that may affect the transport of clinical trial materials;
changes in local regulations as part of a response to the COVID-19 pandemic which may require us to change the ways in which our clinical trials are conducted, which may result in unexpected costs, or to discontinue the clinical trials altogether;
diversion of healthcare resources away from the conduct of clinical trials, including the diversion of hospitals serving as our clinical trial sites and hospital staff supporting the conduct of our clinical trials;
interruption of key clinical trial activities, such as clinical trial site monitoring and data entry and verification, due to limitations on travel imposed or recommended by federal or state governments, employers and others, or interruption of clinical trial subject visits and study procedures, the occurrence of which could affect the completeness and integrity of clinical trial data and, as a result, determine the outcomes of the trial;
risk that participants enrolled in our clinical trials will acquire COVID-19 while the clinical trial is ongoing, which could impact the results of the clinical trial, including by increasing the number of observed adverse events;
risk that participants enrolled in our clinical trials will not be able to travel to our clinical trial sites as a result of quarantines or other restrictions resulting from COVID-19;
risk that participants enrolled in our clinical trials will not be able to comply with clinical trial protocols if quarantines impede patient movement or interrupt healthcare services;
interruptions or delays in preclinical studies due to restricted or limited operations at our research and development laboratory facilities;
delays in necessary interactions with local regulators, ethics committees and other important agencies and contractors due to limitations in employee resources or forced furlough of government employees;
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limitations in employee resources that would otherwise be focused on the conduct of our clinical trials, including because of sickness of employees or their families or the desire of employees to avoid contact with large groups of people;
refusal of the FDA to accept data from clinical trials in affected geographies; and
interruption or delays to our clinical activities.
The spread of COVID-19, which has caused a broad impact globally, may materially affect us economically. While the potential economic impact brought by COVID-19, and the duration of such impact, may be difficult to assess or predict, the widespread pandemic has resulted in significant disruption of global financial markets, which could reduce our ability to access capital and negatively affect our future liquidity. In addition, a recession or market correction resulting from the spread of COVID-19 and related government orders and restrictions could materially affect our business and the value of our common stock.
The COVID-19 pandemic continues to evolve rapidly. The ultimate impact of the COVID-19 pandemic or a similar public health emergency is highly uncertain and subject to change. We do not yet know the full extent of potential delays or impacts on our business, our clinical trials, healthcare systems, or the global economy as a whole. However, any one or a combination of these events could have an adverse effect on the operation of and results from our clinical trials and on our other business operations, which could negatively impact our business, operating results and financial condition.
The risks related to the ongoing COVID-19 pandemic may amplify the other risk factors described in this “Item 1A — Risk Factors” and in the risk factors set forth in our Annual Report on Form 10-K for the year ended December 31, 2019.
Our Loan Agreement with Innovatus contains certain covenants that could adversely affect our operations and, if an event of default were to occur, we could be forced to repay the outstanding indebtedness sooner than planned and possibly at a time when we do not have sufficient capital to meet this obligation. The occurrence of any of these events could cause a significant adverse impact on our business, prospects and share price.
Pursuant to the Loan Agreement, we have pledged substantially all of our assets and the assets of our subsidiary, Rockwell Transportation, Inc., and have agreed that we may not sell or assign rights to our patents and other intellectual property without the prior consent of Innovatus. Additionally, the Loan Agreement contains affirmative, including financial covenants related to liquidity and trailing twelve months sales of Triferic, and negative covenants that, among other things, restrict our ability to:
incur additional indebtedness;
grant liens;
make distributions, including dividends;
enter into a merger or consolidation;
alter the business of the Company; or
sell all or a portion of the Company’s property, business or assets.
These terms of the Loan Agreement could prevent us from taking certain actions without the consent of our lenders, which may limit our flexibility in operating our business and our ability to take actions that might be advantageous to us and our stockholders, placing us at a competitive disadvantage compared to our competitors who have less leverage and who therefore may be able to take advantage of opportunities that our leverage prevents us from exploiting. These covenants could also limit our ability to make needed capital expenditures or otherwise conduct necessary or desirable business activities.
We cannot assure investorsyou that we can maintain compliance with the strategiescovenants under our Loan Agreement, which may result in an event of default. Our ability to comply with these covenants may be adversely affected by events beyond our control. For example, the Loan Agreement contains certain financial covenants relating to sales and, as a result of the ongoing
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COVID-19 pandemic and its effect on our sales activities, among other factors, we intendmay not be able to employ will enable us to supportsatisfy such covenants in the manufacture, distribution and sellingfuture. Based on our annualized Triferic sales through September 30, 2020, we may not satisfy this covenant as of Dialysate Triferic or I.V. Triferic (if approved).December 31, 2020. If we are unable to implementcomply with the necessary stepscovenants under our Loan Agreement, we intend to pursue all available cure options in order to regain compliance. However, we may not be able to mutually agree with Innovatus on appropriate remedies to cure a breach of our business plan, our prospects, resultsa covenant, which could give rise to an event of operations and financial condition will suffer.

Our business and operations would sufferdefault.

The Loan Agreement also includes customary events of default, including, among other things, a change of control or a failure to comply with certain of the covenants in the Loan Agreement. Upon the occurrence and continuation of an event of default, all amounts due under the Loan Agreement become (in the case of a security breach, system failure, invasion, corruption, destructionbankruptcy event), or interruptionmay become (in the case of all other events of default and at the option of Innovatus), immediately due and payable.
If an event of default under the Loan Agreement should occur, we could be required to immediately repay the outstanding indebtedness. If we are unable to repay this debt, the lenders would be able to foreclose on the secured collateral, including our orcash accounts, and take other remedies permitted under the Loan Agreement. Even if we are able to repay the indebtedness on an event of default, the repayment of these sums may significantly reduce our business partners’ critical information technology systems or infrastructure.

In the ordinary courseworking capital and impair our ability to operate as planned. The occurrence of business, we and our business partners store sensitive data, including intellectual property and proprietary information related to our business, our customers and our business partners, on our information technology systems. Despite the implementationany of security measures, these systems are vulnerable to damage from computer viruses, unauthorized access, cyber-attacks, natural disasters, terrorism, war and telecommunication, electrical and other system failures due to employee error, malfeasance or other disruptions. We could experience a business interruption, intentional theft of confidential information or reputational damage, including damage to key customer and partner relationships, from system failures, espionage attacks, malware, ransomware or other cyber-attacks. Such cyber-security breaches may compromise our system infrastructure or lead to data leakage, either internally or at our contractors or consultants. In particular, system failures or cyber-security breaches could result in the loss of nonclinical or clinical trial data from completed, ongoing or planned trials, whichevents could cause delays in our regulatory approval efforts and significantly increase our costs to recover or reproduce the data.

The risk of a security breach or disruption, particularly through cyber-attacks, has generally increased as the number, intensity and sophistication of attempted attacks and intrusions from around the world have increased. We have experienced cyber-security attacks in the past, including attacks targeting our e-mail systems, which to date have not had a materialsignificant adverse impact on our operations or development programs; however; there is no assurance that such impacts willbusiness and financial condition.

We do not be materialanticipate paying dividends in the foreseeable future.

To

Since inception, we have not paid any cash dividends on our common stock and do not anticipate paying such dividends in the extent that any disruption or security breach wereforeseeable future. In addition, the terms of our Loan Agreement with Innovatus restrict our ability to pay dividends to limited circumstances. As a result, investors in our common stock may only receive a lossreturn if the market price of or damage to, our data or applications, or inappropriate disclosurecommon stock increases.
The payment of confidential or proprietary information, including protected health information or personal datadividends is within the discretion of employees or former employees, we could beour Board of Directors, subject to legal claims or proceedings, liability under lawsthe restrictions in the Loan Agreement, and regulations governing the protection of healthdepends upon our earnings, capital requirements, financial condition and requirements, future prospects, restrictions in future financing agreements, business conditions and other personally identifiable informationfactors deemed relevant by the Board. We intend to retain earnings and related regulatory penalties.  In any such event,cash resources to finance our business, resultsoperations. Therefore, it is highly unlikely we will pay cash dividends.
Item 2. Unregistered Sales of operations, financial positionEquity Securities and cash flows could be materially adversely affected.

Use of Proceeds.

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None.
Item 3. Defaults Upon Senior Securities.
None.
Item 4. Mine Safety Disclosures.
Not applicable.
Item 5. Other Information.
None.

Item 6. Exhibits


The following documents areexhibits filed or furnished as part of this report or were previously filed andQuarterly Report on Form 10-Q are set forth on the Exhibit Index, which Exhibit Index is incorporated herein by reference to the filing indicated. Exhibits not required for this report have been omitted. Our Commission file number is 000-23661.

EXHIBIT INDEX

reference.
43


Exhibit No.

Description

EXHIBIT INDEX

Exhibit No.

Description

3.1

4.1

3.2

4.2

10.1§

10.1#

31.1

10.2#

31.1*

31.2

31.2*

32.1

32.1#**

101.INS

101.INS*

XBRL Instance Document

101.SCH

101.SCH*

XBRL Taxonomy Extension Schema

101.CAL

101.CAL*

XBRL Taxonomy Extension Calculation Linkbase

101.DEF

101.DEF*

XBRL Taxonomy Extension Definition Database

101.LAB

101.LAB*

XBRL Taxonomy Extension Label Linkbase

101.PRE

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, 2020, 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
#Indicates management contracts or compensatory plans or arrangements.

§Certain confidential portions of this exhibit were omitted by means of marking such portions with asterisks because the identified confidential portions (i) are not material and (ii) would be competitively harmful if publicly disclosed.


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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: November 9, 2020

/s/ Russell Ellison

Date:  November 12, 2019

/s/ Stuart Paul

Stuart Paul

Russell Ellison
Chief Executive Officer (Principal Executive Officer)

Date: November 9, 2020

/s/ Russell Skibsted

Date: November 12, 2019

/s/ Angus Smith

Angus Smith

Russell Skibsted
Chief Financial Officer (Principal Financial Officer)

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