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Anika Therapeutics, Inc.

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FY2011 Annual Report · Anika Therapeutics, Inc.
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Anika Therapeutics, Inc. 
2012 Letter to Shareholders 

Dear Shareholders: 

Anika continued its top-line growth and reported its ninth consecutive profitable year in 2011. Consolidated total 
revenue and product revenue both were up 17% year-over-year. Net income nearly doubled to $0.62 per diluted share, and 
cash from operations grew 33% to $10.0 million.  

We also made good progress on our operational objectives in 2011. Achieving our key priority for the year, we 
successfully completed the integration of our Italy-based acquisition – now called Anika Therapeutics, S.r.l.  Our efforts 
to realize Anika S.r.l.’s potential for top-line growth produced solid results, as total revenue in this business increased 
24% year-over-year. At the same time, we were able to leverage further resource and product line synergies between S.r.l. 
and Anika, while also reducing S.r.l.’s operating expenses.  

Consequently, S.r.l. achieved breakeven operations in the fourth quarter of 2011, and its operating loss for the full 
year declined 56% from 2010. Although there is likely to be some continued volatility from quarter to quarter, we are 
optimistic that S.r.l. can be profitable for full-year 2012. In addition, the work we did in 2011 to evaluate our pipeline and 
integrate the S.r.l. and Anika operations provides us with a strong platform for product development over the next several 
years.   

Another key objective was to transfer Anika’s product manufacturing from Woburn, Massachusetts to our new facility 

in Bedford, and in 2011 we made progress on this as well. During the first quarter of 2012 the Bedford facility received 
FDA approval for manufacturing of our flagship orthobiologics product Orthovisc® and our Hyvisc veterinary product for 
sale in the United States. The FDA also recently approved the Bedford manufacturing of our proprietary ophthalmic 
products for sale in the United States. We are moving forward with Bausch & Lomb to obtain approval for their 
ophthalmic portfolio (which should be granted by mid year). This is one of the final steps towards significantly improving 
our operational efficiency by consolidating all of our manufacturing in Bedford – a process that we expect to complete by 
the end of June 2012. Later in the year we expect to transfer the manufacturing of the Anika S.r.l. gel product lines to 
Bedford as well.  

Driving product revenue growth remains a fundamental priority for us, and 2011 was another successful year in this 
regard. As a result of strong demand in the United States and globally, total Orthovisc product revenue was up 30% from 
2010. In the U.S. market, our distribution partner, DePuy Mitek, continued to expand physician awareness of Orthovisc, 
facilitate reimbursement, and invest strategically in the channel while managing it effectively.  

We paralleled these efforts by continuing to expand Anika’s international Orthovisc distribution network and, as a 
consequence, generating continued growth in product demand in markets outside the United States. Overall, our global 
sales of Orthovisc have grown at an average rate of more than 20% for the past six years, and we are optimistic about 
continued growth going forward.  

This was also a strong year for sales of our orthopedic products from Anika S.r.l. Reflecting the success of our efforts 
to expand our distribution channels in markets outside of Italy, S.r.l. orthopedic product revenue was up 40% from 2010, 
despite continued weakness in our home market of Italy. These efforts are focused on S.r.l.'s cartilage regeneration 
products Hyalofast and Hyalograft C Autograft, which is the first product in this category bioengineered for minimally 
invasive surgery. In 2011 we began implementing regulatory and clinical plans to initiate a randomized controlled human 
clinical trial of Hyalograft C, with the goal to expand sales in Europe and into the United States. This is one of the 
building blocks to realize Anika's vision to offer a portfolio of orthobiologics products that cover the full therapeutic range 
from palliative to regenerative treatments. 

Total product revenue in our Orthobiologics franchise increased 30% in 2011. In addition to sales of Orthovisc and 

orthopedic products from Anika S.r.l., this reflected growing demand in the EU market for Anika’s single-injection 
osteoarthritis treatment Monovisc™. Leveraging the potential of Monovisc, which posted 38% international product 
revenue growth in 2011, remains one of our key strategic priorities. During the year we completed a U.S. Monovisc 

 
 
 
 
distribution agreement with DePuy Mitek structured much like our Orthovisc partnership. This longstanding and 
productive relationship has provided great benefits to both organizations, and the addition of the Monovisc product would 
further strengthen the collaboration.  

In connection with this new agreement, Anika received an initial $2.5 million payment from DePuy Mitek in 2011. 
The FDA has not granted our request for an orthopedic advisory panel review of the product. We believe in the strength of 
our clinical data, and that our partnership with DePuy Mitek, who also believe in the data, will provide us with valuable 
insight and guidance as we move to the next level in the FDA appeal process and actively seek an objective review of the 
scientific and clinical data.  

In our Dermal and Surgical franchises, 2011 saw significant gains in market traction for several products from Anika 

S.r.l. These include products to prevent post-surgical adhesion in a number of therapeutic areas, such as spinal, abdominal, 
pelvic, and ear, nose and throat (“ENT”) surgery. Total Surgical franchise product revenue was up 28% year-over-year, 
led by strong sales of the S.r.l. anti-adhesion product, Hyalobarrier – a clinically proven, post-operative adhesion barrier 
approved for abdominal and pelvic indications.  

Our European distribution channel for Hyalobarrier performed well in 2011, resulting in continued growth and sales 
in that market. We also expanded into the Korean market, with shipments of Hyalobarrier to our new distribution partner, 
the Korean Green Cross. Continuing the development of the Anika anti-adhesion franchise will be an important priority 
for us as we continue to leverage the Anika S.r.l. product line going forward. 

We have a strong technology foundation which provides some exciting pipeline opportunities.  In addition to my 
comments above about moving forward with human clinical trials with Hyalograft C, our next generation osteoarthritis 
product—Cingal--presents a clear opportunity to further differentiate ourselves in the field of pain relief.  We are also in 
the early stages of development with potential additions to our ophthalmic and dermal filler products to broaden our 
offerings in these groups.    

In conclusion, 2011 was a successful year for Anika. Sales of Orthovisc and Monovisc continued to grow, as did the 
scope of our international orthobiologics distribution network. Anika S.r.l. concluded the year in the black and with solid 
demand momentum for its orthopedic, advanced wound care, and anti-adhesion surgical products. We made progress on 
our long-term product development initiatives and we are now poised to complete our manufacturing consolidation. As a 
consequence, we believe Anika is well-positioned to report another year of operational accomplishment and strong 
financial performance in 2012. We look forward to keeping you apprised of this progress during the year, and thank you 
for your continued trust and support. 

Sincerely, 

Charles H. Sherwood, Ph.D. 
President and Chief Executive Officer 

April 19, 2012 

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UNITED STATES 
SECURITIES AND EXCHANGE COMMISSION 
Washington, D.C. 20549 

FORM 10-K 

(Mark One) 




ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE  
ACT OF 1934 
For the fiscal year ended December 31, 2011 

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 000-21326 

Anika Therapeutics, Inc. 
(Exact Name of Registrant as Specified in Its Charter) 

Massachusetts 
(State or Other Jurisdiction of Incorporation or Organization) 

04-3145961 
(IRS Employer Identification No.) 

32 Wiggins Avenue, Bedford, Massachusetts 01730 
(Address of Principal Executive Offices) (Zip Code) 

(781) 457-9000 
(Registrant’s Telephone Number, Including Area Code) 

Securities registered pursuant to Section 12(b) of the Act: Common Stock, par value $.01 per share 

Preferred Stock Purchase Rights 

Name of Each Exchange on Which Registered: NASDAQ Global Select Market 

Securities registered pursuant to Section 12(g) of the Act: None 

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes   No 

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes   No 

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 and posted on its corporate Web site, if any, every Interactive Data File required to be 
submitted and posted 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 and post such files). Yes   No 

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of 

registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See 

the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one) 

Large accelerated filer 

Accelerated filer 

Non-accelerated filer 
(Do not check if a smaller 
reporting company) 

Smaller reporting company 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes No

The aggregate market value of voting and non-voting equity held by non-affiliates of the Registrant as of June 30, 2011, the last day of the Registrant’s 

most recently completed second fiscal quarter, was $96,990,968 based on the close price per share of Common Stock of $7.12 as of such date as reported on the 
NASDAQ Global Select Market. Shares of our Common Stock held by each executive officer, director and each person or entity known to the registrant to be an 
affiliate have been excluded in that such persons may be deemed to be affiliates; such exclusion shall not be deemed to constitute an admission that any such person is 
an “affiliate” of the registrant. At March 9, 2012, there were issued and outstanding 13,669,473 shares of Common Stock, par value $.01 per share. 

The registrant intends to file a proxy statement pursuant to Regulation 14A within 120 days of the end of the fiscal year ended December 31, 2011. Portions 

Documents Incorporated By Reference 

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of such proxy statement are incorporated by reference into Part III of this Annual Report on Form 10-K. 

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ANIKA THERAPEUTICS, INC. 
TABLE OF CONTENTS 

Business 
Risk Factors 
Unresolved Staff Comments 
Properties 
Legal Proceedings 
Mine Safety Disclosures 

Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer 
Purchases of Equity Securities 
Selected Financial Data 
Management’s Discussion and Analysis of Financial Condition and Results of 
Operations 
Quantitative and Qualitative Disclosures About Market Risk 
Financial Statements and Supplementary Data 
Changes in and Disagreements with Accountants on Accounting and Financial 
Disclosure 
Controls and Procedures 
Other Information 

Directors, Executive Officers and Corporate Governance 
Executive Compensation 
Security Ownership of Certain Beneficial Owners and Management and Related 
Stockholder Matters 
Certain Relationships and Related Transactions, and Director Independence 
Principal Accounting Fees and Services 

Exhibits and Financial Statement Schedules 

Part I 

Item 1. 
Item 1A. 
Item 1B. 
Item 2. 
Item 3. 
Item 4. 

Part II 

Item 5. 

Item 6. 
Item 7. 

Item 7A. 
Item 8. 
Item 9. 

Item 9A. 
Item 9B. 

Part III 

Item 10. 
Item 11. 
Item 12. 

Item 13. 
Item 14. 

Part IV 

Item 15. 
Signatures 

Page 

6 
14 
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25 
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26 

27 

28 
29 

45 
46 
73 

73 
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74 
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74 

74 
74 

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79 

  
  
  
  
 
  
 
  
 
  
 
  
  
FORM 10-K 
ANIKA THERAPEUTICS, INC. 
For Fiscal Year Ended December 31, 2011 

This Annual Report on Form 10-K, including the documents incorporated by reference into this Annual 

Report on Form 10-K, contains forward-looking statements within the meaning of Section 27A of the Securities Act 
of 1933 and Section 21E of the Securities Exchange Act of 1934, including, without limitation, statements regarding: 

  Our future sales and product revenue, including geographic expansions, possible retroactive price 

adjustments, and expectations of unit volumes or other offsets to price reductions; 

  Our manufacturing capacity and efficiency gains and work-in-process manufacturing operations; 

  The timing, scope and rate of patient enrollment for clinical trials; 

  The development of possible new products; 

  Our ability to achieve or maintain compliance with laws and regulations; 

  The timing of and/or receipt of the Food and Drug Administration (“FDA”), foreign or other regulatory 
approvals, clearances, and/or reimbursement approvals of current, new or potential products, and any 
limitations on such approvals; 

  Our intention to seek patent protection for our products and processes, and protect our intellectual 

property; 

  Our ability to effectively compete against current and future competitors; 

  Negotiations with potential and existing partners, including our performance under any of our existing 

and future distribution or supply agreements or our expectations with respect to sales and sales 
threshold milestones pursuant to such agreements; 

  The level of our revenue or sales in particular geographic areas and/or for particular products, and the 

market share for any of our products; 

  Our current strategy, including our Corporate objectives and research and development and 

collaboration opportunities; 

  Our and Bausch & Lomb’s performance under the non-exclusive, three-year contract for the supply 

agreement for AMVISC® and AMVISC® Plus ophthalmic viscoelastic products, and our expectations 
regarding revenue from ophthalmic products; 

  Our ability to commercialize AnikaVisc and AnikaVisc Plus and our expectations regarding such 

commercialization and the potential profits generated thereby; 

  Our expectations regarding our joint health products, including expectations regarding new products, 

expanded uses of existing products, new distribution and revenue growth; 

  Our intention to increase market share for joint health products in international and domestic markets 

or otherwise penetrate growing markets for osteoarthritis of the knee and other joints; 

  Our expectations regarding next generation osteoarthritis/joint health product developments, clinical 

trials, regulatory approvals and commercial launches; 

  Our expectations regarding HYVISC sales; 

  Our ability to identify a new distribution partner for HYDRELLE™ in the United States and the 

impact this may have on future sales of this product; 

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  Our ability to license our aesthetics product to new distribution partners outside of the United States; 
our ability, and the ability of our distribution partners, to market our aesthetic dermatology product; 
and our expectations regarding the distribution and sales of our ELEVESSTM product and the timing 
thereof; 

  Our expectations regarding our existing aesthetics product line’s extensions; 

  Our expectations regarding product gross margin; 

  Our expectations regarding our U.S. MONOVISC® trials and the results of the related premarket 

approval (“PMA”) filing with the FDA, including the escalation of the appeal process with the FDA as 
we actively seek an objective review of the scientific and clinical data, and the likelihood of our 
obtaining such approval and/or the anticipated timing thereof; 

  Our expectations regarding the commencement of a clinical trial for CINGAL™ and our ability to 

obtain regulatory approvals for CINGAL; 

  Our expectation for increases in operating expenses, including research and development and selling, 

general and administrative expenses; 

  The rate at which we use cash, the amounts used and generated by operations, and our expectation 

regarding the adequacy of such cash; 

  Our expectation for capital expenditures spending and future amounts of interest income and expense; 

  Possible negotiations or re-negotiations with existing or new distribution or collaboration partners; 

  Our expectations regarding the transfer of manufacturing and shipping of Anika products from our 

Woburn, MA manufacturing facility to our Bedford, MA facility (“Bedford” together with “Bedford 
Facility”); and our ability to complete FDA licensure for the facility; and our expectation regarding the 
impact of Bedford on our business and the amount of the annual depreciation expense associated 
therewith; 

  Our ability to remain in compliance with debt covenants; 

  Our ability to obtain additional funds through equity or debt financings, strategic alliances with 
corporate partners and other sources, to the extent our current sources of funds are insufficient; 

  Our abilities to successfully integrate Anika Therapeutics S.r.l. (“Anika S.r.l.”), into the Company and 

manage its operation from one with losses, into a company generating profits; 

  Our abilities to integrate our research and development activity with those of Anika S.r.l. and 

effectively prioritize the many projects underway at both companies; 

  Our ability to obtain U.S. approval for the orthopedic and other products of Anika S.r.l., including the 

timing and potential success of such efforts, and to expand sales of these products in the U.S., 
including the impact such efforts may have on our revenue;  

  Our ability to satisfactorily resolve the potential dispute with Medtronic Xomed and Fidia 

Farmaceutici S.p.A; and 

  Our ability to successfully defend the Company against lawsuits and claims, including the Genzyme 

lawsuit, and the uncertain financial impact such lawsuits and claims and related defense costs may 
have on the Company. 

Furthermore,  additional  statements  identified  by  words  such  as  “will,”  “likely,”  “may,”  “believe,” 
“expect,”  “anticipate,” “intend,” “seek,” “designed,”  “develop,”  “would,”  “future,”  “can,”  “could” and other 

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expressions that are predictions of or indicate future events and trends and which do not relate to historical matters, 
also identify forward-looking statements. 

You should not rely on forward-looking statements because they involve known and unknown risks, 

uncertainties and other factors, some of which are beyond our control, including those factors described in the 
section titled “Risk Factors” in this Annual Report on Form 10-K or elsewhere in this report. These risks, 
uncertainties and other factors may cause our actual results, performance or achievement to be materially different 
from the anticipated future results, performance or achievement, expressed or implied by the forward-looking 
statements. These forward-looking statements are based upon the current assumptions of our management and are 
only expectations of future results. You should carefully review all of these factors, and you should be aware that 
there may be other factors that could cause these differences, including those factors discussed in the sections titled 
“Business” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” 
elsewhere in this Annual Report on Form 10-K. We undertake no obligation to publicly update or revise any 
forward-looking statement to reflect changes in underlying assumptions or factors, new information, future events 
or other changes. 

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ITEM 1.  BUSINESS 

Overview 

PART I 

Anika Therapeutics, Inc. (“Anika,” and together with its subsidiaries, the “Company,” “we,” “us,” or “our”) 

was incorporated in 1992 as a Massachusetts company. Anika develops, manufactures and commercializes 
therapeutic products for tissue protection, healing and repair. These products are based on hyaluronic acid (“HA”), a 
naturally occurring, biocompatible polymer found throughout the body. Due to its unique biophysical and 
biochemical properties, HA plays an important role in a number of physiological functions such as the protection 
and lubrication of soft tissues and joints, the maintenance of the structural integrity of tissues, and the transport of 
molecules to and within cells.   

 Anika  Therapeutics,  Inc.’s  wholly-owned  subsidiary,  Anika  Therapeutics  S.r.l.,  has  over  20  products 
currently  commercialized,  primarily  in  Europe.  These  products  are  also  all  made  from  hyaluronic  acid,  based  on 
two technologies: “HYAFF”, which is a solid form of HA, and ACP gel, an autocross-linked polymer of HA.  Both 
technologies are protected by an extensive portfolio of owned and licensed patents.   

The Company offers therapeutic products in the following areas: 

Anika  Anika S.r.l. 

Orthobiologics 
Dermal 
    Advanced wound care 
    Aesthetic dermatology 
Ophthalmic  
Surgical 
    Anti-adhesion 
    Ear, nose and throat care (“ENT”) 
Veterinary 

X 

X 
X 

X 

X 

X 

X 

X 
X 

The following sections provide more specific information on our products and related activities: 

Orthobiologics 

Our orthobiologics products consist of joint health and orthopedic products. These products are used in a 
wide range of treatments from providing relief from the pain of osteoarthritis, to regenerating damaged tissue such 
as cartilage defects.  Osteoarthritis is a debilitating disease causing pain, swelling and restricted movement in joints. 
It occurs when the cartilage in a joint gradually deteriorates due to the effects of mechanical stress, which can be 
caused by a variety of factors including the normal aging process. In an osteoarthritic joint, particular regions of 
articulating surfaces are exposed to irregular forces, which result in the remodeling of tissue surfaces that disrupt the 
normal equilibrium or mechanical function. As osteoarthritis advances, the joint gradually loses its ability to 
regenerate cartilage tissue and the cartilage layer attached to the bone deteriorates to the point where eventually the 
bone becomes exposed. Advanced osteoarthritis often requires surgery and the possible implantation of artificial 
joints. The current treatment options for osteoarthritis before joint replacement surgery include 
viscosupplementation, analgesics, non-steroidal anti-inflammatory drugs and steroid injections. 

Our joint health products include ORTHOVISC®, ORTHOVISC® mini, and MONOVISC. ORTHOVISC 

is available in the U.S., Canada, Turkey and other international markets for the treatment of osteoarthritis of the 
knee, and in Europe for the treatment of osteoarthritis in all joints. ORTHOVISC mini is available in Europe, and is 
designed for the treatment of osteoarthritis in small joints. MONOVISC is our single injection osteoarthritis 
treatment indicated for all joints in Europe, and for the knee in Turkey and Canada. ORTHOVISC mini and 
MONOVISC are our two newest joint health products and became available in certain international markets during 
the second quarter of 2008.  

In the U.S., ORTHOVISC is indicated for the treatment of pain caused by osteoarthritis of the knee in 

patients who have failed to respond adequately to conservative non-pharmacologic therapy and to simple analgesics, 

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such as acetaminophen. It is a sterile, clear, viscoelastic solution of hyaluronan dissolved in physiological saline, and 
dispensed in a single-use syringe. A complex sugar of the glycosaminoglycan family, hyaluronan is a high 
molecular weight polysaccharide composed of repeating disaccharide units of sodium glucuronate and N-acetyl 
glucosamine. ORTHOVISC is injected into joints in a series of three intra-articular injections one week apart. 
ORTHOVISC became available for sale in the U.S. on March 1, 2004, and is marketed by DePuy Mitek, under the 
terms of a ten-year licensing, distribution, supply and marketing agreement which was entered into in December 
2003 (the “JNJ Agreement”). 

We have a number of distribution relationships servicing international markets including Canada, Europe, 

Turkey, the Middle East, Latin America, and Asia. We will continue to seek to establish distribution relationships in 
other regions. See the sections captioned “Management’s Discussion and Analysis of Financial Condition and 
Results of Operations—Management Overview” and “Risk Factors”. 

With the acquisition of Anika S.r.l., we now offer several additional products used in connection with 

orthopedic regenerative medicine. The products currently available in Europe include Hyalograft C Autograft for 
cartilage regeneration; Hyalofast®, a biodegradable support for human bone marrow mesenchymal stem cells; 
Hyalonect®, a woven gauze used as a graft wrap; and Hyaloss, HYAFF fibers used to mix blood/bone grafts to form 
a paste for bone regeneration. Anika S.r.l. also offers Hyaloglide®, an ACP gel used in tenolysis treatment, but with 
potential for flexor tendon adhesion prevention, and in the shoulder for adhesive capsulitis with additional clinical 
data. Anika S.r.l.’s products are commercialized through a network of distributors, primarily in Europe, the Middle 
East, and Korea. One of the Company’s areas of focus is to seek U.S. approval of a number of these products, as we 
believe we have the opportunity to expand sales of these products in the U.S. In this regard, in October 2010, the 
Company filed 510(k) applications with the FDA to gain marketing clearance for three Anika S.r.l. products: 
Hyalofast, Hyaloglide, and Hyalonect, but we are currently unable to predict the timing of receipt of such clearance, 
whether clearance will be possible via the 510(k) pathway, or whether additional clinical data may be required. 
There can be no assurance that clearance will be obtained. 

Dermal 

Our dermal products consist of advanced wound care products, a field relatively new to the Company as a 
result of the acquisition of Anika S.r.l., and aesthetic dermal fillers. Anika S.r.l. offers over seven products for the 
treatment of skin wounds ranging from burns to diabetic ulcers. The products cover a variety of wound treatment 
solutions including debridement agents, advanced therapies and skin substitutes. Leading products include 
Hyalograft 3D and Laserskin, for the regeneration of skin; and Hyalomatrix, for treatment of burns and ulcers. The 
dermal products are commercialized through a network of distributors, primarily in Europe, the Middle East, and 
Korea. Several of the products are also approved for sale in the United States including Hyalomatrix and Hyalofill, 
and the Company, in late 2011, began distribution of Hyalomatrix through a distribution agreement with Misonix, 
Inc., and exploring opportunities for Hyalofill. 

Our aesthetic dermatology business is designed as a family of products for facial wrinkles and scar 
remediation, and is intended to compete with collagen-based and other HA-based products currently on the market. 
Our initial aesthetic dermatology product is a dermal filler based on our proprietary chemically modified, cross-
linked HA, and is approved in Europe, Canada, the U.S., Korea and certain countries in South America. 
Internationally, this product is marketed under the ELEVESS name. In the U.S., the trade name is HYDRELLE, 
although the product is not currently marketed in the U.S. 

Ophthalmic  

Our ophthalmic business includes HA viscoelastic products used in ophthalmic surgery. The ophthalmic 

products we manufacture include the AMVISC and AMVISC Plus product line, STAARVISC-IITM, Optivisc™ 
(formerly ShellGel™), AnikaVisc™, and AnikaVisc™ Plus. They are injectable, high molecular weight HA 
products used as viscoelastic agents in ophthalmic surgical procedures such as cataract extraction and intraocular 
lens implantation. These products coat, lubricate and protect sensitive tissue such as the endothelium, and maintain 
the shape of the eye, thereby facilitating ophthalmic surgical procedures. 

Anika previously manufactured the AMVISC product line for Bausch & Lomb (“B&L”) under the terms of 

an exclusive supply agreement that expired on December 31, 2010 (the “2004 B&L Agreement”) for viscoelastic 
products used in ophthalmic surgery. Effective January 1, 2011, we entered into a non-exclusive, two year contract 
with B&L intended to transition the manufacture of AMVISC and AMVISC Plus to an alternative, low-cost supplier 
formerly affiliated with B&L, and continued to supply B&L with these products during 2011. Effective January 1, 

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2012, the parties agreed to a new three year contract for Anika to continue to supply these products to B&L as a 
second supplier with committed annual volumes for 2012, with further reductions in 2013 and 2014.  

B&L accounted for 16% of product revenue for the year ended 2011, and product revenue is expected to be 
moderately lower in 2012 under the new contract. Operating margins under the 2004 B&L Agreement were low and 
will remain at a similar level under the new contract. See also Item 1A. “Risk Factors.” 

Surgical 

Our surgical business consists of products used to prevent surgical adhesions, and to treat ENT disorders.  
Hyalobarrier is a clinically proven post-operative adhesion barrier for use in the abdomino-pelvic area. The product 
is currently commercialized by Anika S.r.l. in Europe, the Middle East and certain Asian countries through a 
distribution network, but is not approved in the U.S. INCERT, approved for sale in Europe, Turkey, and Malaysia, is 
a chemically modified, cross-linked HA product, for the prevention of spinal post-surgical adhesions. There are 
currently no plans at this time to distribute INCERT in the U.S. Anika co-owns issued U.S. patents covering the use 
of INCERT for adhesion prevention. See the section captioned “Patent and Proprietary Rights.” 

Surgical adhesions occur when fibrous bands of tissues form between adjacent tissue layers during the 

wound healing process. Although surgeons attempt to minimize the formation of adhesions, they nevertheless occur 
quite frequently after surgery. Adhesions in the abdominal and pelvic cavity can cause particularly serious problems 
such as intestinal blockage following abdominal surgery, and infertility following pelvic surgery. Fibrosis following 
spinal surgery can complicate re-operation and may cause pain.  

Anika S.r.l. offers several products used in connection with the treatment of ENT disorders. The lead 

products are Merogel, a woven fleece nasal packing, and Merogel Injectable, a thick, viscous hydrogel composed of 
cross-linked hyaluronic acid—a biocompatible agent that creates a moist wound-healing environment. Anika S.r.l. is 
partnered with Medtronic for worldwide distribution. 

Veterinary 

HYVISC is a high molecular weight injectable HA product for the treatment of joint dysfunction in horses 

due to non-infectious synovitis associated with equine osteoarthritis. HYVISC has viscoelastic properties that 
lubricate and protect the tissues in horse joints. HYVISC is distributed by Boehringer Ingelheim Vetmedica, Inc. in 
the United States. 

See Note 13 to our Consolidated Financial Statements, “Revenue by Product Group, by Significant 

Customer and by Geographic Region; Geographic Information” for a discussion regarding our segments and 
geographic sales. 

Research and Development of Potential Products 

Anika’s research and development efforts primarily consist of the development of new medical applications 

for our HA-based technology, the management of clinical trials for certain product candidates, the preparation and 
processing of applications for regulatory approvals or clearances at all relevant stages of product development, and 
process development and scale-up manufacturing activities relative to our existing and new products. Our 
development focus includes products for tissue protection, healing and repair. For the years ended December 31, 
2011, 2010 and 2009, these expenses were $6.2 million, $6.9 million, and $8.2 million, respectively. We anticipate 
that we will continue to commit significant resources to research and development, including clinical trials, in the 
future. 

With the acquisition of Anika S.r.l., we have enhanced our research and development capabilities, our 

technology base, and our pipeline of candidate products. Anika S.r.l. has research and development programs for 
new products including Hyalobone, a bone tissue filler; Hyalospine, an adhesion prevention gel for use after spinal 
surgery; and Hyalofast, an innovative product for cartilage tissue repair. 

In addition to Anika S.r.l.’s products as noted in the preceding paragraph, additional products under 

regulatory review include MONOVISC for U.S. marketing approval and Hyalograft C Autograft for EU marketing 
authorization.  Hyalograft C autograft is classified as an advanced therapy medicinal product under the current EU 
regulations, which require a centralized marketing authorization by the European Medicines Agency. Our first next 
generation osteoarthritis product is MONOVISC, a single-injection treatment product that uses a non-animal source 

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HA. MONOVISC is also our first osteoarthritis product based on our proprietary cross-linked HA-technology. We 
received Conformité Européenne (“CE”) Mark approval for the MONOVISC product in October 2007, and began 
sales in Europe during the second quarter of 2008, following a small, post-marketing clinical study. In the U.S., we 
filed an investigational device exemption, or an IDE application, with the FDA, and completed the clinical segment 
of the U.S. MONOVISC pivotal trial in June 2009, and a follow-on retreatment study in September 2009. We filed 
the final module of our MONOVISC PMA containing the clinical data in December 2009. We were informed that 
there were deficiencies in our submissions through a deficiency/non-approvable letter, which is the FDA's 
mechanism for informing companies of deficiencies. We submitted additional data and analyses throughout 2010, 
and have been informed by the FDA that deficiencies remain. Acting on an option presented by the FDA to resolve 
the remaining open issues, Anika requested a review by the Orthopedic Advisory Panel. The FDA has denied our 
request for an Orthopedic Advisory Panel review of the product, and we are now moving to the next level in the 
appeal process structure of the FDA to seek an objective review of the scientific and clinical data. We continue to 
believe in MONOVISC and the strength of our data, and that MONOVISC should receive FDA approval. Our 
second single-injection osteoarthritis product under development is CINGAL, which is based on our hyaluronic acid 
material with an added active therapeutic molecule to provide broad pain relief for a longer period of time.  

During 2010 and 2011, we integrated the research and development efforts of Anika and Anika S.r.l. and 

prioritized our new product development activities. There is a risk that our efforts will not be successful in 
(1) developing our existing product candidates, (2) expanding the therapeutic applications of our existing products, 
or (3) resulting in new applications for our HA technology. There is also a risk that we may choose not to pursue 
development of potential product candidates. We may not be able to obtain regulatory approval for any new 
applications we develop. Furthermore, even if all regulatory approvals are obtained, there can be no assurances that 
we will achieve meaningful sales of such products or applications.  See Item 1A. “Risk Factors”. 

Patent and Proprietary Rights 

Our products and trademarks, including our Company name, product names and logos, are proprietary. We 
rely on a combination of patent protection, trade secrets and trademark laws, license agreements, confidentiality and 
other contractual provisions to protect our proprietary information. 

We have a policy of seeking patent protection for patentable aspects of our proprietary technology. Our 

issued patents have expiration dates between 2011 and 2023. Anika co-owns certain U.S. patents and a patent 
application with claims relating to the chemical modification of HA and certain adhesion prevention uses and certain 
drug delivery uses of HA. Anika also solely owns patents covering composition of matter and certain manufacturing 
processes. Anika S.r.l.’s issued patents have expiration dates between 2011 and 2026. The Anika S.r.l. patent estate 
is extensive and intertwined with its former parent company, Fidia Farmaceutici S.p.A, through a cross-licensing 
agreement which provides both companies with access to each other’s patents to the extent required to support their 
own products. We intend to seek patent protection for products and processes developed in the course of our 
activities when we believe such protection is in our best interest and when the cost of seeking such protection is not 
inordinate relative to the potential benefits. See also the section captioned “Risk Factors—We may be unable to 
adequately protect our intellectual property rights.” 

Other entities have filed patent applications for, or have been issued patents concerning, various aspects of 

HA-related products or processes. In addition, the products or processes we develop may infringe the patent rights of 
others in the future. Any such infringement may have a material adverse effect on our business, financial condition, 
and results of operations. See also the section captioned “Risk Factors—We may be unable to adequately protect our 
intellectual property rights.” 

We also rely upon trade secrets and proprietary know-how for certain non-patented aspects of our 
technology. To protect such information, we require certain customers and vendors, and all employees, consultants 
and licensees to enter into confidentiality agreements limiting the disclosure and use of such information. These 
agreements, however, may not provide adequate protection. See also the section captioned “Risk Factors—We may 
be unable to adequately protect our intellectual property rights.” 

We have granted DePuy Mitek an exclusive, non-transferable royalty bearing license to use and sell 

ORTHOVISC (and other products developed pursuant to the JNJ Agreement) in the U.S., as well as a license to 
manufacture, and have manufactured, such products in the event that we are unable to supply them with these 
products in accordance with the terms of the JNJ Agreement. 

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On December 21, 2011, the Company entered into a license, supply and distribution agreement (the “Mitek 
MONOVISC Agreement”) with DePuy Mitek, Inc. (“Mitek”) for an exclusive, multi-year license of the Company’s 
MONOVISC product, a highly purified, high molecular weight form of hyaluronic acid for treating pain in patients 
suffering from osteoarthritis of the knee. In connection with the execution of the Mitek MONOVISC Agreement, the 
Company received an initial payment of $2.5 million. The Company will also be entitled to receive additional 
payments from Mitek following the mutual decision to launch the product, related to future regulatory, clinical, and 
sales milestones, as well as receive royalties based on the net sales of MONOVISC generated by Mitek. The Mitek 
MONOVISC Agreement applies only to the United States. 

The Mitek MONOVISC Agreement has an initial term of fifteen years, unless earlier terminated pursuant 

to any one of several early termination rights of each party, and provides for Anika be the exclusive supplier to 
Mitek of MONOVISC. 

Government Regulation 

United States Regulation 

Our research (including clinical research), development, manufacture, and marketing of products are 

subject to regulation by numerous governmental authorities in the U.S. and other countries. Medical devices and 
pharmaceuticals are subject to extensive and rigorous regulation by the FDA and by other federal, state and local 
authorities. The Federal Food, Drug and Cosmetic Act (“FDC Act”) and respective regulations govern the 
conditions of safety, efficacy, clearance, approval, manufacture, quality system requirements, labeling, packaging, 
distribution, storage, record keeping, reporting, marketing, advertising, and promotion of our products. 
Noncompliance with applicable requirements can result in, among other things, fines, injunctions, civil penalties, 
recall or seizure of products, total or partial suspension of production, failure of the government to grant premarket 
clearance or approval of products, withdrawal of clearances and approvals, and criminal prosecution. 

Medical products regulated by the FDA are generally classified as drugs, biologics, and/or medical devices. 

Medical devices intended for human use are classified into three categories (Class I, II or III), on the basis of the 
controls deemed reasonably necessary by the FDA to assure their safety and efficacy. Class I devices are subject to 
general controls, for example, labeling and adherence to the FDA’s Good Manufacturing Practices/Quality System 
Regulation (“GMP/QSR”). Many Class I devices are exempt from the FDA 510(k) review process. Class II devices 
are subject to general and special controls (for example, performance standards, post-market surveillance, and 
patient registries). Most Class II devices are subject to premarket notification and may be subject to clinical testing 
for purposes of premarket notification and clearance for marketing. Class III is the most stringent regulatory 
category for medical devices. Most Class III devices require premarket approval (“PMA”) from the FDA.  

AMVISC, AMVISC Plus, ShellGel/Optivisc, STAARVISC, and AnikaVisc are approved as Class III 

medical devices in the U.S. for intraocular ophthalmic surgical procedures used in humans. ORTHOVISC is 
approved as a Class III medical device in the U.S. for treatment of pain resulting from osteoarthritis of the knee in 
humans. HYDRELLE is approved as a Class III medical device in the U.S. for treatment of facial wrinkles and 
folds, such as nasolabial folds. HYVISC is approved as an animal drug for intra-articular injection in horse joints to 
treat degenerative joint disease associated with synovitis. Most HA products for human use are regulated as medical 
devices. We believe that our INCERT product, should we decide to seek U.S. approval to market, will have to meet 
the regulatory requirements for Class III devices and will require clinical trials and a PMA submission.  

Our subsidiary, Anika S.r.l., has three advanced wound care products approved in the U.S. as Class II 

devices through premarket notification (510(k))--Hyalomatrix, Hyalofill-R, and Hyalofill-F. All of Anika S.r.l.’s 
ENT products are 510(k) cleared by Medtronic as Class II devices. The FDA’s 510(k) clearance process is under 
review and changes to the process may have an impact on current or future product approvals. Three of our products 
were submitted for 510(k) clearance in 2010:  Hyaloglide, Hyalofast and Hyalonect. The FDA has requested 
additional data to complete the reviews. The Company is unable to predict the timing of receipt of these clearances. 
There is no guarantee that the clearance process for these products will be successful or that additional data will not 
be required to support clearance. 

Unless a new device is exempted from premarket notification, its manufacturer must obtain marketing 

clearance from the FDA through premarket notification (510(k)) or approval through PMA before the device can be 
introduced to the market. Product development and approval within the FDA regulatory framework takes a number 
of years and involves the expenditure of substantial resources. This regulatory framework may change or additional 
regulations may arise at any stage of our product development process and may affect approval of, or delay in, an 

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application related to, a product, or require additional expenditures by us. There can be no assurance that the FDA 
review of marketing applications will result in product approval on a timely basis, if at all. The PMA approval 
process is lengthy, expensive, and typically requires, among other things, valid scientific evidence which generally 
includes extensive data such as pre-clinical and clinical trial data to demonstrate a reasonable assurance of safety 
and effectiveness. 

Human clinical trials in the U.S. for significant risk devices must be conducted under Good Clinical 

Practice (“GCP”) regulations through Investigational Device Exemption (“IDE”), which must be submitted to the 
FDA and either be approved or be allowed to become effective before the trials may commence. There can be no 
assurance that submission of an IDE will result in the ability to commence clinical trials or future approval of the 
product. In addition, the IDE approval process could result in significant delays. Even if the FDA approves an IDE 
or allows an IDE for a clinical investigation to become effective, clinical trials may be suspended at any time for a 
number of reasons. Among others, these reasons may include: a) failure to comply with applicable requirements; 
b) inadequacy of informed consent; and c) the data generated suggests that: the risks to clinical subjects are not 
outweighed by the anticipated benefits to clinical subjects and the importance of the knowledge to be gained, the 
investigation is scientifically unsound, or there is reason to believe that the device, as used, is ineffective. A trial 
may be terminated if serious unanticipated adverse events present an unreasonable risk to subjects. If clinical studies 
are suspended or terminated, we may be unable to continue the development of the investigational products affected. 

Upon completion of required clinical trials, for Class III medical devices, results might be presented to the 
FDA in a PMA application. In addition to the results of clinical investigations, the New Drug Application (“NDA”) 
applicant must submit other information relevant to the safety and efficacy of the device, including, among other 
things, the results of non-clinical tests and clinical trials; a full description of the device and its components; a full 
description of the methods, facilities and controls used for manufacturing; and proposed labeling. The FDA also 
conducts an on-site inspection to determine whether an applicant conforms to the FDA’s current Quality System 
Regulation, formerly known as GMP. FDA review of the PMA may not result in timely, or any, PMA approval, and 
there may be significant conditions on approval, including limitations on labeling and advertising claims and the 
imposition of post-market testing, tracking, or surveillance requirements.   

Upon completion of required clinical trials for pharmaceuticals, results might be presented to the FDA in a 
NDA or New Animal Drug Application (“NADA”). In addition to the results of clinical investigations, the NDA or 
NADA applicant must submit other information relevant to the safety and efficacy of the product, including, among 
other things, the results of non-clinical tests and clinical trials; a full description of the product formulation; a full 
description  of  the  methods,  facilities  and  controls  used  for  manufacturing;  and  proposed  labeling.  The  FDA  also 
conducts  an  on-site  inspection  to  determine  whether  an  applicant  conforms  to  the  FDA’s  current  Good 
Manufacturing Practices (“cGMP”) related to pharmaceuticals. FDA review of the NDA or NADA may not result in 
timely, or any, FDA approval, and there may be significant conditions on approval, including limitations on labeling 
and advertising claims and the imposition of post-market testing, tracking, or surveillance requirements. 

Post-approval product or manufacturing changes where such change affects the safety and efficacy of the 

medical products as well as the use of a different facility for manufacturing, could necessitate additional review and 
approval by the FDA. Post-approval changes in labeling, packaging or promotional materials may also necessitate 
further review and approval by the FDA. 

Legally marketed products are subject to continuing requirements by the FDA relating to design control, 

manufacturing, quality control and quality assurance, maintenance of records and documentation, reporting of 
adverse events, and labeling and promotion. The FDC Act requires medical product manufacturers to comply with 
QSR for medical devices and cGMP regulations related to pharmaceuticals. The FDA enforces these requirements 
through periodic inspections of manufacturing facilities. To ensure full compliance with requirements set forth in the 
GMP/QSR regulations, manufacturers must continue to expend time, money and effort in the area of production and 
quality control to ensure full technical compliance. Other federal, state, and local agencies may inspect 
manufacturing establishments as well. 

A set of regulations known as the Medical Device Reporting and Drug Adverse Events Reporting System 
regulations obligates manufacturers to inform the FDA whenever information reasonably suggests that one of their 
medical products may have caused or contributed to a death or serious injury, or when one of their devices 
malfunctions and if the malfunction were to recur, the device or a similar device would be likely to cause or 
contribute to a death or serious injury. 

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The process of obtaining approvals from the FDA and foreign regulatory authorities can be costly, time 

consuming, and subject to unanticipated delays. Approvals of our products, processes or facilities may not be 
granted on a timely basis or at all, and we may not have available resources or be able to obtain the financing needed 
to develop certain of such products. Any failure or delay in obtaining such approvals could adversely affect our 
ability to market our products in the U.S. and in other countries. 

In addition to regulations enforced by the FDA, we are subject to regulation under the Occupational Safety 

and Health Act, the Environmental Protection Act, the Toxic Substances Control Act, the Resource Conservation 
and Recovery Act and other existing and future federal, state and local laws and regulations as well as those of 
foreign governments. Federal, state and foreign regulations regarding the manufacture and sale of medical products 
are subject to change. We cannot predict what impact, if any, such changes might have on our business. 

Foreign Regulation 

In addition to regulations enforced by the FDA, we and our products are subject to certain foreign 

regulations. International regulatory bodies often establish regulations governing product standards, packing 
requirements, labeling requirements, import restrictions, tariff regulations, duties, and tax requirements.  
ORTHOVISC is approved for sale and is marketed in Canada, Europe, Turkey, and parts of the Middle East and 
Asia. In the European Union (“EU”), ORTHOVISC is sold under the CE mark authorization, a certification required 
under European Union medical device regulations.  

The CE mark, achieved in 1996, allows ORTHOVISC to be marketed without further approvals in most of 
the EU nations as well as other countries that recognize EU device regulations. ORTHOVISC mini, a treatment for 
osteoarthritis targeting small joints, is available in Europe under CE mark authorization received in 2008. In August 
2004, we received a CE Design Examination Certificate which entitled us to affix a CE mark to INCERT-S as a 
barrier to adhesion formation following surgery. AMVISC and AMVISC Plus are CE marked, and in May 2005, we 
received an EC Design Examination Certificate which entitled us to affix a CE mark to ShellGel/OptiVisc as an 
ophthalmic viscoelastic surgical device. We also received EU CE Mark for AnikaVisc Plus in October 2011. 
Staarvisc, an ophthalmic viscoelastic surgical device, is licensed in Canada from May 2002. We received EU CE 
Mark approval for ELEVESS during the second quarter of 2007. MONOVISC, a medical device for treatment of 
pain associated with osteoarthritis, was approved in the EU in October 2007 and in Canada in August 2009. In 
addition, Anika received approval for several of its products in Latin America, Korea, Turkey, the Middle East, 
UAE, Saudi Arabia, and other international markets. 

Almost all of Anika S.r.l.’s products are CE marked for European sale. In addition, Anika S.r.l. has 
received approval for several of its products in Egypt, Hong Kong, Iran, Israel, Korea, Malaysia, Singapore, Mexico, 
Cyprus, Saudi Arabia, Taiwan, Turkey, and the United Arab Emirates. Anika S.r.l.’s tissue engineered products 
Hyalograft C Autograft, Hyalograft 3D Autograft and Laserskin Autograft are currently marketed in Europe. 
However, the regulations for marketing of these products in Europe have been changed. Effective January 1, 2013, 
new regulations mandate these products to be approved by the European Medicines Agency (“EMA”) as Advanced 
Therapy Medicinal Products (“ATMP”) in order to remain on the EU market. Anika S.r.l. is implementing a plan to 
qualify for the new status while continuing to sell these products in the EU. There can be no assurance that required 
approvals will be obtained in a timely fashion. We may not be able to achieve and/or maintain the compliance 
required for CE marking or other foreign regulatory approvals for any or all of our products. The requirements 
relating to the conduct of clinical trials, product licensing, marketing, pricing, advertising, promotion and 
reimbursement also vary widely from country to country.  

Competition 

We compete with many companies, including, among others, large pharmaceutical firms and specialized 

medical products companies across all of our product lines. Many of these companies have substantially greater 
financial resources, larger research and development staffs, more extensive marketing and manufacturing 
organizations and more experience in the regulatory process than us. We also compete with academic institutions, 
governmental agencies and other research organizations, which may be involved in research, development and 
commercialization of products. Many of our competitors also compete against us in securing relationships with 
collaborators for their research and development and commercialization programs. 

Competition in our industry is based primarily on product efficacy, safety, timing and the scope of 

regulatory approvals, availability of supply, marketing and sales capability, reimbursement coverage, product 
pricing and patent protection.  

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Some of the principal factors that may affect our ability to compete in our HA development and 

commercialization markets include: 

  The quality and breadth of our technology and technological advances; 

  Our ability to complete successful clinical studies and obtain FDA marketing and foreign regulatory 

approvals prior to our competitors; 

  Our ability to recruit and retain skilled employees; and 

  The availability of substantial capital resources to fund discovery, development and commercialization 
activities or the ability to defray such costs through securing relationships with collaborators for our 
research and development and commercialization programs. 

We are aware of several companies that are developing and/or marketing products utilizing HA for a 
variety of human applications. In some cases, competitors have already obtained product approvals, submitted 
applications for approval or have commenced human clinical studies, either in the U.S. or in certain foreign 
countries. All of the Company’s products face substantial competition. There exist major worldwide competing 
products, made from HA and other materials, for use in ophthalmic surgery, orthopedics, surgical adhesion 
prevention, advanced wound care, ENT and cosmetic dermal fillers. There is a risk that we will be unable to 
compete effectively against our current or future competitors. 

 Employees 

As of December 31, 2011, we had 129 employees, 39 of whom are located outside the U.S. and were added 

as a result of the Anika S.r.l. acquisition. We consider our relations with our employees to be good. None of our 
U.S. employees are represented by labor unions, and most of the employees based in Italy are represented by unions 
adding complexity and additional risks to the wage and employment decision process. 

Environmental Laws 

We believe that we are in compliance with all foreign, federal, state and local environmental regulations 

with respect to our manufacturing facilities and that the cost of ongoing compliance with such regulations does not 
have a material effect on our operations. Our leased Woburn, Massachusetts (“Woburn”) manufacturing facility is 
located within the Wells G&H Superfund site in Woburn, Massachusetts. We have not been named and are not a 
party to any legal proceedings regarding the Wells G&H Superfund site. 

Product Liability 

The testing, marketing and sale of human health care products entail an inherent risk of allegations of 

product liability, and we cannot assure you that substantial product liability claims will not be asserted against us. 
Although we have not received any material product liability claims to date and have coverage under our insurance 
policy of $5,000,000 per occurrence and $5,000,000 in the aggregate, we cannot assure you that if material claims 
arise in the future, our insurance will be adequate to cover all situations. Moreover, we cannot assure you that such 
insurance, or additional insurance, if required, will be available in the future or, if available, will be available on 
commercially reasonable terms. Any product liability claim, if successful, could have a material adverse effect on 
our business, financial condition, and results of operation. 

Available Information 

Our Annual Reports on Form 10-K, including our consolidated financial statements, Quarterly Reports on 

Form 10-Q, Current Reports on Form 8-K and other information, including amendments and exhibits to such 
reports, filed or furnished pursuant to the Securities Exchange Act of 1934, as amended, are available free of charge 
in the “SEC Filings” section of our website located at http://www.anikatherapeutics.com, as soon as reasonably 
practicable after the reports are filed with or furnished to the Securities and Exchange Commission (“SEC”). The 
information on our website is not part of this Annual Report on Form 10-K. Reports filed with the SEC may be 
viewed at www.sec.gov or obtained at the SEC Public Reference Room at 100 F Street NE, Washington, D.C. 
Information regarding the operation of the Public Reference Room may be obtained by calling the SEC at 1-800-
SEC-0330. 

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ITEM 1A.  RISK FACTORS 

Our operating results and financial condition have varied in the past and could in the future vary 
significantly depending on a number of factors. From time to time, information provided by us, or statements made 
by our employees, contain “forward-looking” information that involves risks and uncertainties. In particular, 
statements contained in this Annual Report on Form 10-K, and in the documents incorporated by reference into this 
Annual Report on Form 10-K, that are not historical facts, including, but not limited to statements concerning new 
products, product development, regulatory approval, and offerings, product and price competition, competition and 
strategy, customer diversification, product price and inventory, contingent consideration payments, deferred 
revenues, economic and market conditions, potential government regulation, seasonal factors, collection of non-U.S. 
accounts receivable, international expansion, revenue recognition, profits, growth of revenues, composition of 
revenues, cost of revenues, operating expenses, sales, marketing and support expenses, general and administrative 
expenses, product gross profit, interest income, interest expense, anticipated operating and capital expenditure 
requirements, cash inflows, contractual obligations, tax rates, stock-based compensation, leasing and subleasing 
activities, acquisitions, liquidity, litigation matters, intellectual property matters, distribution channels, stock price, 
third party licenses and potential debt or equity financings constitute forward-looking statements and are made under 
the safe harbor provisions of Section 27 of the Securities Act of 1933, as amended, and Section 21E of the Securities 
Exchange Act of 1934, as amended. These statements are neither promises nor guarantees. Our actual results of 
operations and financial condition have varied and could in the future vary significantly from those stated in any 
forward-looking statements. The following factors, among others, including those elsewhere in this report, could 
cause actual results to differ materially from those contained in forward-looking statements made in this Form 10-K, 
in the documents incorporated by reference into this Form 10-K or presented elsewhere by our management from 
time to time. Such factors, among others, could have a material adverse effect upon our business, results of 
operations and financial condition. 

Our business is subject to comprehensive and varied government regulation and, as a result, failure to obtain 
FDA or other U.S. and foreign governmental approvals for our products may have a material adverse effect on 
our business, financial condition, and results of operations. 

Product development and approval within the FDA framework takes a number of years and involves the 

expenditure of substantial resources. There can be no assurance that the FDA will grant approval for our new 
products on a timely basis if at all, or that FDA review will not involve delays that will adversely affect our ability to 
commercialize additional products or expand permitted uses of existing products, or that the regulatory framework 
will not change, or that additional regulation will not arise at any stage of our product development process which 
may adversely affect approval of, or delay in, an application or require additional expenditures by us. In the event 
our future products are regulated as human drugs or biologics, the FDA’s review process of such products typically 
would be substantially longer and more expensive than the review process to which they are currently subject as 
devices. 

Products in development include a next generation HYDRELLE/ELEVESS line extension, and joint health 
related products. Our first next generation osteoarthritis product is MONOVISC, a single-injection treatment product 
that uses a non-animal source HA. MONOVISC is also our first osteoarthritis product based on our proprietary 
cross-linked HA- technology. We received CE Mark approval for MONOVISC in October 2007. We have 
completed a pivotal trial in the U.S., and submitted the results for a PMA application in December 2009. We were 
informed that there were deficiencies in our submissions through a deficiency/non-approvable letter, which is the 
FDA's mechanism for informing companies of deficiencies. We submitted additional data and analyses throughout 
2010, and have been informed by the FDA that deficiencies remain. Acting on an option presented by the FDA to 
resolve the remaining open issues, Anika requested a review by the Orthopedic Advisory Panel. The FDA has 
denied our request for an Orthopedic Advisory Panel review of the product, and we are now moving to the next level 
in the appeal process structure of the FDA to seek an objective review of the scientific and clinical data.  We 
continue to believe in MONOVISC and the strength of our data, and that MONOVISC should receive FDA 
approval.  There can be no assurance that we will be successful in obtaining FDA approval for MONOVISC.  

Our second single-injection osteoarthritis product is CINGAL, which is based on our hyaluronic acid 
material with an added active therapeutic molecule to provide broad pain relief for a longer period of time. In 
October 2010, the Company filed 510(k) applications with the FDA to gain marketing clearance for three Anika 
S.r.l. products: Hyalofast, Hyaloglide, and Hyalonect, but we are currently unable to predict the timing of receipt of 
such clearance, whether clearance will be possible via the 510(k) pathway, or whether additional clinical data may 
be required. There can be no assurance that clearance will be obtained. 

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Anika S.r.l.’s tissue engineered products Hyalograft C Autograft, Hyalograft 3D Autograft and Laserskin 

Autograft are currently marketed in Europe. However, the regulations for marketing of these products in Europe 
have changed. Effective January 1, 2013, new regulations mandate these products to be approved by the European 
Medicines Agency (“EMA”) in order to remain on the EU market. Anika S.r.l. continues to be in discussion with the 
EMA and is implementing a plan to qualify for the new status. There can be no assurance that approval will be 
timely obtained. 

In addition, we cannot assure you that: 

  We will begin or successfully complete U.S. clinical trials for next generation products; 

  The clinical data will support the efficacy of these products; 

  We will be able to successfully complete the FDA or foreign regulatory approval or clearance process, 

where required; 

  Additional clinical trials will support a PMA application and/or FDA approval or other foreign 

regulatory approvals, where required, in a timely manner or at all; or 

  European and other regulations may not change for the marketing of cell-based products and thus 

impact our ability to continue commercialization of these products. 

We  also  cannot  assure  you  that  any  delay  in  receiving  FDA  approvals  will  not  adversely  affect  our 

competitive position. Furthermore, even if we do receive FDA approval or clearance: 

  The  approval  or  clearance  may  include  significant  limitations  on  the  indications  and  other  claims 

sought for use for which the products may be marketed; 

  The  approval  or  clearance  may  include  other  significant  conditions  of  approval  such  as  post-market 

testing, tracking, or surveillance requirements; and 

  Meaningful sales may never be achieved. 

Once obtained, marketing approval can be withdrawn by the FDA for a number of reasons, including, 

among others, the failure to comply with regulatory requirements, or the occurrence of unforeseen problems 
following initial approval. We may be required to make further filings with the FDA under certain circumstances. 
The FDA’s regulations require a PMA supplement for certain changes if they affect the safety and effectiveness of 
an approved device, including, but not limited to, new indications for use, labeling changes, process or 
manufacturing changes, the use of a different facility to manufacture, process or package the device, and changes in 
performance or design specifications. Our failure to receive approval of a PMA supplement regarding the use of a 
different manufacturing facility or any other change affecting the safety or effectiveness of an approved device on a 
timely basis, or at all, may have a material adverse effect on our business, financial condition, and results of 
operations. The FDA could also limit or prevent the manufacture or distribution of our products and has the power 
to require the recall of such products. It also might be necessary for us, in applicable circumstances, to initiate a 
voluntary recall per FDA regulations of one or several of our products. Significant delay or cost in obtaining, or 
failure to obtain FDA approval to market products, any FDA limitations on the use of our products, or any 
withdrawal or suspension of approval or rescission of approval by the FDA could have a material adverse effect on 
our business, financial condition, and results of operations. 

In addition, all FDA approved or cleared products manufactured by us must be manufactured in compliance 

with the FDA’s cGMP regulations and, for medical devices, the FDA’s QSR. Ongoing compliance with QSR and 
other applicable regulatory requirements is enforced through periodic inspection by state and federal agencies, 
including the FDA. The FDA may inspect our facilities, from time to time, to determine whether we are in 
compliance with regulations relating to medical device and pharmaceutical companies, including regulations 
concerning manufacturing, testing, quality control and product labeling practices. We cannot assure you that we will 
be able to comply with current or future FDA requirements applicable to the manufacture of our products. 

FDA regulations depend heavily on administrative interpretation and we cannot assure you that the future 

interpretations made by the FDA or other regulatory bodies, with possible retroactive effect, will not adversely 

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affect us. In addition, changes in the existing regulations or adoption of new governmental regulations or policies 
could prevent or delay regulatory approval of our products. 

Failure to comply with applicable regulatory requirements could result in, among other things, warning 

letters, fines, injunctions, civil penalties, recall or seizure of products, total or partial suspension of production, 
refusal of the FDA to grant pre-market clearance or pre-market approval for devices or drugs, withdrawal of 
approvals and criminal prosecution.  

In addition to regulations enforced by the FDA, we are subject to other existing and future federal, state, 

local and foreign regulations. International regulatory bodies often establish regulations governing product 
standards, packing requirements, labeling requirements, quality system and manufacturing requirements, import 
restrictions, tariff regulations, duties and tax requirements. We cannot assure you that we will be able to achieve 
and/or maintain compliance required for CE marking or other foreign regulatory approvals for any or all of our 
products or that we will be able to produce our products in a timely and profitable manner while complying with 
applicable requirements. Federal, state, local and foreign regulations regarding the manufacture and sale of medical 
products are subject to change. We cannot predict what impact, if any, such changes might have on our business. 

The process of obtaining approvals from the FDA and other regulatory authorities can be costly, time 

consuming, and subject to unanticipated delays. We cannot assure you that approvals or clearances of our products 
will be granted or that we will have the necessary funds to develop certain of our products. Any failure to obtain, or 
delay in obtaining such approvals or clearances, could adversely affect our ability to market our products. 

Uncertain economic conditions, including a credit crisis affecting the financial markets and global recession, 
could adversely affect our business, results of operations and financial condition. 

The worldwide financial markets have experienced turmoil, characterized by volatility in security prices, 

rating downgrades of investments and reductions in available credit. These events materially and adversely impacted 
the availability of financing to a wide variety of businesses, and the resulting uncertainty led to reductions in capital 
investments, overall spending levels, future product plans, and sales projections across industries and markets.  

The financial markets remain uncertain and renewed turmoil could have a material adverse impact on our 

business, our ability to achieve planned results of operations and our financial condition by: 

  Reducing demand for our products; 

 

 

Increasing risk of order cancellations or delays; 

Increasing pressure on the prices for our products; 

  Creating greater difficulty in collecting accounts receivable; and 

 

Increasing the risks to our liquidity, including the possibility that we might not have sufficient access 
to cash when needed. 

We are unable to predict the likelihood of renewed disruption in financial markets and adverse economic 

conditions in the U.S. and other countries. 

Substantial competition could materially affect our financial performance. 

We compete with many companies, including, among others, large pharmaceutical companies, specialized 

medical products companies and healthcare companies. Many of these companies have substantially greater 
financial resources, larger research and development staffs, more extensive marketing and manufacturing 
organizations and more experience in the regulatory process than us. We also compete with academic institutions, 
governmental agencies and other research organizations that may be involved in research, development and 
commercialization of products. Because a number of companies are developing or have developed HA products for 
similar applications and have received FDA approval, the successful commercialization of a particular product will 
depend in part upon our ability to complete clinical studies and obtain FDA marketing and foreign regulatory 
approvals prior to our competitors, or, if regulatory approval is not obtained prior to our competitors, to identify 
markets for our products that may be sufficient to permit meaningful sales of our products. For example, we are 

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aware of several companies that are developing and/or marketing products utilizing HA for a variety of human 
applications. In some cases, competitors have already obtained product approvals, submitted applications for 
approval or have commenced human clinical studies, either in the U.S. or in certain foreign countries. There exist 
major competing products for the use of HA in ophthalmic surgery. In addition, certain HA products made by our 
competitors for the treatment of osteoarthritis in the knee have received FDA approval before ours and have been 
marketed in the U.S. since 1997, as well as select markets in Canada, Europe and other countries. There can be no 
assurance that we will be able to compete against current or future competitors or that competition will not have a 
material adverse effect on our business, financial condition and results of operations. 

We are uncertain regarding the success of our clinical trials. 

Several of our products do require clinical trials to determine their safety and efficacy for U.S. and 
international marketing approval by regulatory bodies, including the FDA. There can be no assurance that we will be 
able to successfully complete the U.S. or international regulatory approval process for products in development. In 
addition, there can be no assurance that we will not encounter additional problems that will cause us to delay, 
suspend or terminate our clinical trials. In addition, we cannot make any assurance that clinical trials will be deemed 
sufficient in size and scope to satisfy regulatory approval requirements, or, if completed, will ultimately demonstrate 
these products to be safe and efficacious. We completed a pivotal clinical trial on MONOVISC and submitted the 
data as part of our PMA filing in December 2009. We were informed that there were deficiencies in our submissions 
through a deficiency/non-approvable letter, which is the FDA's mechanism for informing companies of deficiencies. 
We submitted additional data and analyses throughout 2010, and have been informed by the FDA that deficiencies 
remain. Acting on an option presented by the FDA to resolve the remaining open issues, Anika requested a review 
by the Orthopedic Advisory Panel. The FDA has denied our request for an Orthopedic Advisory Panel review of the 
product, and we are now moving to the next level in the appeal process structure of the FDA to seek an objective 
review of the scientific and clinical data.  We continue to believe in MONOVISC and the strength of our data, and 
that MONOVISC should receive FDA approval.  There can be no assurance that we will be successful in obtaining 
FDA approval for MONOVISC. 

We are dependent upon marketing and distribution partners and the failure to maintain strategic alliances on 
acceptable terms will have a material adverse effect on our business, financial condition and results of 
operations. 

Our success will be dependent, in part, upon the efforts of our marketing and distribution partners and the 
terms and conditions of our relationships with such partners. We cannot assure you that such partners will not seek 
to renegotiate their current agreements on terms less favorable to us or terminate such agreements. We are 
continuing to seek to establish long-term distribution relationships in regions not covered by existing agreements, 
but can make no assurances that we will be successful in doing so. There can be no assurance that we will be able to 
identify or engage appropriate distribution or collaboration partners or effectively transition to any such partners. 
There can be no assurance that we will obtain European or other reimbursement approvals or, if such approvals are 
obtained, that they will be obtained on a timely basis or at a satisfactory level of reimbursement. 

We may need to obtain the assistance of additional marketing partners to bring new and existing products 
to market and to replace certain marketing partners. The failure to establish strategic partnerships for the marketing 
and distribution of our products on acceptable terms will have a material adverse effect on our business, financial 
condition, and results of operations. 

 Our future success depends upon market acceptance of our existing and future products. 

Our success will depend in part upon the acceptance of our existing and future products by the medical 

community, hospitals and physicians and other health care providers, third-party payers, and end-users. Such 
acceptance may depend upon the extent to which the medical community and end-users perceive our products as 
safer, more effective or cost-competitive than other similar products. Ultimately, for our new products to gain 
general market acceptance, it may also be necessary for us to develop marketing partners for the distribution of our 
products. There can be no assurance that our new products will achieve significant market acceptance on a timely 
basis, or at all. Failure of some or all of our future products to achieve significant market acceptance could have a 
material adverse effect on our business, financial condition, and results of operations. 

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We may be unable to adequately protect our intellectual property rights. 

Our efforts to enforce our intellectual property rights may not be successful. We rely on a combination of 
copyright, trademark, patent and trade secret laws, confidentiality procedures and contractual provisions to protect 
our proprietary rights. Our success will depend, in part, on our ability to obtain and enforce patents, protect trade 
secrets, obtain licenses to technology owned by third parties when necessary, and conduct our business without 
infringing on the proprietary rights of others. The patent positions of pharmaceutical, medical products and 
biotechnology firms, including ours, can be uncertain and involve complex legal and factual questions. There can be 
no assurance that any patent applications will result in the issuance of patents or, if any patents are issued, whether 
they will provide significant proprietary protection or commercial advantage, or will not be circumvented by others. 
In the event a third party has also filed one or more patent applications for any of its inventions, we may have to 
participate in interference proceedings declared by the United States Patent and Trademark Office (“PTO”) to 
determine priority of invention, which could result in failure to obtain, or the loss of, patent protection for the 
inventions and the loss of any right to use the inventions. Even if the eventual outcome is favorable to us, such 
interference proceedings could result in substantial cost to us, and diversion of management’s attention away from 
our operations. Filing and prosecution of patent applications, litigation to establish the validity and scope of patents, 
assertion of patent infringement claims against others and the defense of patent infringement claims by others can be 
expensive and time consuming. There can be no assurance that in the event that any claims with respect to any of 
our patents, if issued, are challenged by one or more third parties, that any court or patent authority ruling on such 
challenge will determine that such patent claims are valid and enforceable. An adverse outcome in such litigation 
could cause us to lose exclusivity covered by the disputed rights. If a third party is found to have rights covering 
products or processes used by us, we could be forced to cease using the technologies or marketing the products 
covered by such rights, we could be subject to significant liabilities to such third party, and we could be required to 
license technologies from such third party. Furthermore, even if our patents are determined to be valid, enforceable, 
and broad in scope, there can be no assurance that competitors will not be able to design around such patents and 
compete with us using the resulting alternative technology. We have a policy of seeking patent protection for 
patentable aspects of our proprietary technology. We intend to seek patent protection with respect to products and 
processes developed in the course of our activities when we believe such protection is in our best interest and when 
the cost of seeking such protection is not inordinate. However, no assurance can be given that any patent application 
will be filed, that any filed applications will result in issued patents or that any issued patents will provide us with a 
competitive advantage or will not be successfully challenged by third parties. The protections afforded by patents 
will depend upon their scope and validity, and others may be able to design around our patents. 

Other entities have filed patent applications for or have been issued patents concerning various aspects of 

HA-related products or processes. There can be no assurance that the products or processes developed by us will not 
infringe on the patent rights of others in the future. Any such infringement may have a material adverse effect on our 
business, financial condition, and results of operations. 

We also rely upon trade secrets and proprietary know-how for certain non-patented aspects of our 
technology. To protect such information, we require all employees, consultants and licensees to enter into 
confidentiality agreements limiting the disclosure and use of such information. There can be no assurance that these 
agreements provide meaningful protection or that they will not be breached, that we would have adequate remedies 
for any such breach, or that our trade secrets, proprietary know-how, and our technological advances will not 
otherwise become known to others. In addition, there can be no assurance that, despite precautions taken by us, 
others have not and will not obtain access to our proprietary technology. Further, there can be no assurance that third 
parties will not independently develop substantially equivalent or better technology.  

Our manufacturing processes involve inherent risks and disruption could materially adversely affect our 
business, financial condition and results of operations. 

The operation of biomedical manufacturing plants involves many risks, including the risks of breakdown, 

failure or substandard performance of equipment, the occurrence of natural and other disasters, and the need to 
comply with the requirements of directives of government agencies, including the FDA. In addition, we rely on a 
single supplier for certain key raw materials and a small number of suppliers for a number of other materials 
required for the manufacturing and delivery of our HA products. Although we believe that alternative sources for 
many of these and other components and raw materials that we use in our manufacturing processes are available, 
any supply interruption could harm our ability to manufacture our products until a new source of supply is identified 
and qualified. We may not be able to find a sufficient alternative supplier in a reasonable time period, or on 
commercially reasonable terms, if at all, and our ability to produce and supply our products could be impaired. 

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Furthermore, our manufacturing processes and research and development efforts for some of our 

ophthalmic and veterinary products involve products derived from animals. We procure our animal-derived raw 
materials from qualified vendors, who control for contamination and have processes that effectively inactivate 
infectious agents; however, we cannot assure you that we can completely eliminate the risk of transmission of 
infectious agents. Furthermore, regulatory authorities could in the future impose restrictions on the use of animal-
derived raw materials that could impact our business. 

The utilization of animals in research and development and product commercialization is subject to 

increasing focus by animal rights activists. The activities of animal rights groups and other organizations that have 
protested animal based research and development programs or boycotted the products resulting from such programs 
could cause an interruption in our manufacturing processes and research and development efforts. The occurrence of 
material operational problems, including but not limited to the events described above, could have a material 
adverse effect on our business, financial condition, and results of operations during the period of such operational 
difficulties. 

Our new facility construction and validation processes could materially adversely affect our operations. 

We entered into a new lease on January 4, 2007, for a new headquarters facility consisting of 

approximately 134,000 square feet of general office, research and development and manufacturing space located in 
Bedford, Massachusetts. The lease has an initial term of ten and a half years, and commenced on May 1, 2007 when 
certain agreed upon landlord improvements were completed. We commenced the build-out of the new facility 
during the second quarter of 2007. Our administrative, marketing, regulatory, and research and development 
personnel moved into the Bedford facility in November 2007. The remaining build-out was completed in mid-2008 
and validation and approval for operation in the new manufacturing space is ongoing.  

We received FDA approval to manufacture our terminally sterilized product, ELEVESS, in our Bedford 

facility in November 2010. In the first quarter of 2012, we received FDA approval to sell ORTHOVISC, HYVISC, 
and INCERT manufactured in our Bedford plant, and expect to receive approval to manufacture our ophthalmic 
products in the Bedford facility in the first half of 2012, and thereafter close our Woburn, MA facility. Our Bedford 
facility is approved to manufacture all our CE marked products. 

We cannot assure you that the transition from the existing facilities to the Bedford, MA facility will be 

efficient and successful. In the event the validation or approval is delayed or the move transition is unsuccessful, it 
may result in business interruptions. We have incurred additional expense as a result of maintaining two facilities, 
and will continue to incur additional expenses if we have to maintain both facilities, for a prolonged period. 

Our financial performance depends on the continued growth and demand for our products and we may not be 
able to successfully manage the expansion of our operations. 

Our future success depends on substantial growth in product sales. There can be no assurance that such 

growth can be achieved or, if achieved, can be sustained. There can be no assurance that even if substantial growth 
in product sales and the demand for our products is achieved, we will be able to: 

  Develop the necessary manufacturing capabilities; 

  Obtain the assistance of additional marketing partners; 

  Attract, retain and integrate the required key personnel; and 

 

Implement the financial, accounting and management systems needed to manage growing demand for 
our products. 

Our failure to successfully manage future growth could have a material adverse effect on our business, 

financial condition, and results of operations. 

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We engage in acquisitions as a part of our growth strategy in which we will incur a variety of costs and may 
never realize the anticipated benefits of such acquisitions. 

Our business strategy includes the acquisition of businesses, technologies, services or products that we 
believe are a strategic fit with our business. Such acquisitions could reduce stockholders’ ownership, cause us to 
incur debt, expose us to liabilities and result in amortization expenses related to intangible assets with definite lives. 
In addition, acquisitions involve other risks, including diversion of management resources otherwise available for 
ongoing development of our business and risks associated with entering new markets with which we have limited 
experience or where distribution alliances with experienced distributors are not available. Our future profitability 
may depend in part upon our ability to develop further our resources to adapt to these new products or business areas 
and to identify and enter into satisfactory distribution networks. Moreover, we may fail to realize the anticipated 
benefits of any acquisition as rapidly as expected or at all, or the acquired business may not perform in accordance 
with our expectations. We may also incur significant expenditures in anticipation of an acquisition that is never 
realized. 

We may not realize the expected benefits from acquisitions due to difficulties integrating the businesses, 
operations and product lines.  

Our ability to achieve the benefits of acquisitions depends in part on the integration and leveraging of 

technology, products, operations, sales and marketing channels and personnel. If we undertake any acquisition, the 
process of integrating an acquired business may result in unforeseen operating difficulties and expenditures and may 
absorb significant management attention that would otherwise be available for ongoing development of our business 
even if completed in a timely and efficient manner. 

We may have difficulty successfully integrating acquired businesses, the domestic and foreign operations 

or the product lines, and as a result, we may not realize any of the anticipated benefits of the acquisitions. Moreover, 
we may lose key clients or employees of acquired businesses as a result of the change in ownership to 
us.  Additionally, we cannot assure that our growth rate will equal the growth rates that have been experienced by us 
and the acquired companies, respectively, operating as separate companies in the past. 

Customer, vendor and employee uncertainty about the effects of any acquisitions could harm us. 

We and the customers of any companies we acquire may, in response to the consummation of any 
acquisitions, delay or defer purchasing decisions. Any delay or deferral in purchasing decisions by customers could 
adversely affect our business. Similarly, employees of acquired companies may experience uncertainty about their 
future role until or after we execute our strategies with regard to employees of acquired companies. This may 
adversely affect our ability to attract and retain key management, sales, marketing and technical personnel following 
an acquisition. 

The acquisitions we have made or may make in the future may make us the subject of lawsuits from either an 
acquired company’s stockholders, an acquired company’s previous stockholders or our current stockholders. 

We may be the subject of lawsuits from either an acquired company’s stockholders, an acquired company’s 
previous stockholders or our current stockholders, including our current potential dispute with Medtronic and Fidia. 
These lawsuits could result from the actions of the acquisition target prior to the date of the acquisition, from the 
acquisition transaction itself or from actions after the acquisition. Defending potential lawsuits could cost us 
significant expense and detract management’s attention from the operation of the business. Additionally, these 
lawsuits could result in the cancellation of or the inability to renew, certain insurance coverage that would be 
necessary to protect our assets. 

We may not satisfactorily resolve the potential dispute with Medtronic Xomed and Fidia Farmaceutici S.p.A. 

We are working with Medtronic and Fidia Farmaceutici S.p.A. to resolve a potential dispute related to the 
withdrawal of our Merogel Injectable product from the market in 2011 due to a labeling error on the product’s 
packaging.  We cannot guarantee that this potential dispute will be resolved satisfactorily without an adverse effect 
on our business or operating results. Please see Item 7. “Management’s Discussion and Analysis of Financial 
Condition and Results of Operations – Management Overview – Surgical” for additional information regarding this 
potential dispute. 

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Attractive acquisition opportunities may not be available to us in the future. 

We will consider the acquisition of other businesses. However, we may not have the opportunity to make 
suitable acquisitions on favorable terms in the future, which could negatively impact the growth of our business. In 
order to pursue such opportunities, we may require significant additional financing, which may not be available to us 
on favorable terms, if at all. The availability of such financing is limited by the continued tightening of the global 
credit markets. We expect that our competitors, many of which have significantly greater resources than we do, will 
compete with us to acquire compatible businesses. This competition could increase prices for acquisitions that we 
would likely pursue. 

Sales of our products are largely dependent upon third party reimbursement and our performance may be 
harmed by health care cost containment initiatives. 

In the U.S. and other markets, health care providers, such as hospitals and physicians, that purchase health 

care products, such as our products, generally rely on third party payers, including Medicare, Medicaid and other 
health insurance and managed care plans, to reimburse all or part of the cost of the health care product. We depend 
upon the distributors for our products to secure reimbursement and reimbursement approvals. Reimbursement by 
third party payers may depend on a number of factors, including the payer’s determination that the use of our 
products is clinically useful and cost-effective, medically necessary and not experimental or investigational. Since 
reimbursement approval is required from each payer individually, seeking such approvals can be a time consuming 
and costly process which, in the future, could require us or our marketing partners to provide supporting scientific, 
clinical and cost-effectiveness data for the use of our products to each payer separately. Significant uncertainty 
exists as to the reimbursement status of newly approved health care products, and any failure or delay in obtaining 
reimbursement approvals can negatively impact sales of our new products. In addition, third party payers are 
increasingly attempting to contain the costs of health care products and services by limiting both coverage and the 
level of reimbursement for new therapeutic products and by refusing in some cases to provide coverage for uses of 
approved products for disease indications for which the FDA has not granted marketing approval. Also, Congress 
and certain state legislatures have considered reforms that may affect current reimbursement practices, including 
controls on health care spending through limitations on the growth of Medicare and Medicaid spending. There can 
be no assurance that third party reimbursement coverage will be available or adequate for any products or services 
developed by us. Outside the U.S., the success of our products is also dependent in part upon the availability of 
reimbursement and health care payment systems. Domestic and international reimbursement laws and regulations 
may change from time to time. Lack of adequate coverage and reimbursement provided by governments and other 
third party payers for our products and services, including change of classification by CMS for ORTHOVISC under 
a unique J-code for Medicare/Medicaid reimbursement, could have a material adverse effect on our business, 
financial condition, and results of operations. 

We may seek financing in the future, which could be difficult to obtain and which could dilute your ownership 
interest or the value of your shares. 

We had cash and cash equivalents of approximately $35.8 million at December 31, 2011. Our future 

capital requirements and the adequacy of available funds will depend, however, on numerous factors, including: 

  Market acceptance of our existing and future products; 

  The success and sales of our products under various distributor agreements; 

  The successful commercialization of products in development; 

  Progress in our product development efforts; 

  The magnitude and scope of such product development efforts; 

  Any potential acquisitions of products, technologies or businesses; 

  Progress with preclinical studies, clinical trials and product clearances by the FDA and other agencies; 

  The cost and timing of our efforts to manage our manufacturing capabilities and related costs; 

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  The cost and timing of validation and approval processes for our new manufacturing space; 

  The cost of filing, prosecuting, defending and enforcing patent claims and other intellectual property 

rights and the cost of defending any other legal proceeding; 

  Competing technological and market developments; 

  The development of strategic alliances for the marketing of certain of our products; 

  The terms of such strategic alliances, including provisions (and our ability to satisfy such provisions) 

that provide upfront and/or milestone payments to us; 

  Our abilities to meet debt covenant and repayment requirements; and 

  The cost of maintaining adequate inventory levels to meet current and future product demands.  

To the extent funds generated from our operations, together with our existing capital resources are 

insufficient to meet future requirements, we will be required to obtain additional funds through equity or debt 
financings, strategic alliances with corporate partners and others, or through other sources. The terms of any future 
equity financings may be dilutive to you and the terms of any debt financings may contain restrictive covenants, 
which limit our ability to pursue certain courses of action. Our ability to obtain financing is dependent on the status 
of our future business prospects as well as conditions prevailing in the relevant capital markets. No assurance can be 
given that any additional financing will be made available to us or will be available on acceptable terms should such 
a need arise. 

We are subject to debt covenants and any failure to comply with these could materially adversely affect our 
business, financial condition and results of operations. 

On January 31, 2008, we entered into a Credit Agreement (the “Credit Agreement”). Under the Credit 

Agreement, our lender made periodic loans to us through December 31, 2008. We borrowed $16,000,000 in 2008, 
the maximum allowed amount under the Credit Agreement. At December 31, 2008, the borrowings were converted 
into a 7-year term loan. On December 30, 2009, the Credit Agreement was amended as part of the Anika S.r.l. 
acquisition. The Credit Agreement was entered into in order to finance the construction and validation of our 
Bedford facility. Construction of the new facility commenced in the spring of 2007 and was substantially completed 
in mid-2008. Validation of our new manufacturing facility will continue into 2012. See Note 15 to our Consolidated 
Financial Statements for additional information relative to this debt facility. 

There can be no assurance that we will be successful in qualifying the new facility under the FDA 
regulations for our ophthalmic products. The Credit Agreement contains certain debt covenants, representations and 
warranties with which we must comply. If we do not comply with the specified covenants and restrictions, we could 
be in default under our Credit Agreement. Our ability to comply with the provisions of our Credit Agreement 
governing our other indebtedness may be affected by changes in the economic or business conditions or other events 
beyond our control. 

We could become subject to product liability claims, which, if successful, could materially adversely affect our 
business, financial condition and results of operations. 

The testing, marketing and sale of human health care products entail an inherent risk of allegations of 

product liability, and there can be no assurance that substantial product liability claims will not be asserted against 
us. Although we have not received any material product liability claims to date and have an insurance policy of 
$5,000,000 per occurrence and $5,000,000 in the aggregate to cover such claims should they arise, there can be no 
assurance that material claims will not arise in the future or that our insurance will be adequate to cover all 
situations. Moreover, there can be no assurance that such insurance, or additional insurance, if required, will be 
available in the future or, if available, will be available on commercially reasonable terms. Any product liability 
claim, if successful, could have a material adverse effect on our business, financial condition and results of 
operations. 

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Our business is dependent upon hiring and retaining qualified management and technical personnel. 

We are highly dependent on the members of our management and technical staff, the loss of one or more of 
whom could have a material adverse effect on us. We have experienced a number of management changes in recent 
years. There can be no assurances that such management changes will not adversely affect our business. We believe 
that our future success will depend in large part upon our ability to attract and retain highly skilled, technical, 
managerial and manufacturing personnel. We face significant competition for such personnel from other companies, 
research and academic institutions, government entities and other organizations. There can be no assurance that we 
will be successful in hiring or retaining the personnel we require. The failure to hire and retain such personnel could 
have a material adverse effect on our business, financial condition and results of operations. 

We are subject to environmental regulations and any failure to comply with applicable laws could subject us to 
significant liabilities and harm our business. 

We are subject to a variety of local, state, federal and foreign government regulations relating to the 

storage, discharge, handling, emission, generation, manufacture and disposal of toxic, or other hazardous substances 
used in the manufacture of our products. Any failure by us to control the use, disposal, removal or storage of 
hazardous chemicals or toxic substances could subject us to significant liabilities, which could have a material 
adverse effect on our business, financial condition, and results of operations. 

As our international sales and operations grow, including through our acquisition of Anika S.r.l., we could 
become increasingly subject to additional economic, political and other risks that could harm our business. 

Since we manufacture and sell our products worldwide, our business is subject to risks associated with 

doing business internationally. During the years ended December 31, 2011 and 2010, approximately, 26% and 32%, 
respectively, of our product sales were to international distributors. As a result of this international growth, we have 
become increasingly subject to a variety of risks, which could cause fluctuations in the results of our international 
and domestic operations. These risks include: 

  The impact of recessions and other economic conditions in economies, including Europe in particular, 

outside the United States; 

  Sovereign  risk  associated  with  doing  business  with  government  financed  healthcare  hospitals  and 

institutions in Italy; 

 

Instability of foreign economic, political and labor conditions; 

  Unfavorable  labor  regulations  applicable  to  European  operations,  such  as  severance  and  the 

unenforceability of non-competition agreements in the European Union; 

  The impact of strikes, work stoppages, work slowdowns, grievances, complaints, claims of unfair labor 

practices or other collective bargaining disputes; 

  Difficulties  in  complying  with  restrictions  imposed  by  regulatory  or  market  requirements,  tariffs  or 

other trade barriers or by U.S. export laws; 

 

Imposition of governmental controls limiting the volume of international sales; 

  Longer accounts receivable payment cycles; 

  Potentially adverse tax consequences, including, if required, difficulties transferring funds generated in 

non-U.S. jurisdictions to the U.S. in a tax efficient manner; 

  Difficulties in protecting intellectual property; 

  Difficulties in managing international operations; and 

  Burdens of complying with a wide variety of foreign laws. 

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Our success depends, in part, on our ability to anticipate and address these risks. We cannot guarantee that 

these or other factors will not adversely affect our business or operating results. 

Currency exchange rate fluctuations may have a negative impact on our reported earnings. 

Approximately 12% of our business during fiscal year 2011 was conducted in functional currencies other 
than the U.S. dollar, which is our reporting currency. Thus, currency fluctuations among the U.S. dollar and the 
other currencies in which we do business have caused and will continue to cause foreign currency transaction gains 
and losses. Currently, we attempt to manage foreign currency risk through the matching of assets and liabilities. In 
the future, we may undertake to manage foreign currency risk through additional hedging methods. We recognize 
foreign currency gains or losses arising from our operations in the period incurred. We cannot guarantee that we will 
be successful in managing foreign currency risk or in predicting the effects of exchange rate fluctuations upon our 
future operating results because of the variability of currency exposure and the potential volatility of currency 
exchange rates. 

Our stock price has been and may remain highly volatile, and we cannot assure you that market making in our 
common stock will continue. 

The market price of shares of our common stock may be highly volatile. Factors such as announcements of 

new commercial products or technological innovations by us or our competitors, disclosure of results of clinical 
testing or regulatory proceedings, governmental regulation and approvals, developments in patent or other 
proprietary rights, public concern as to the safety of products developed by us and general market conditions may 
have a significant effect on the market price of our common stock. The trading price of our common stock could be 
subject to wide fluctuations in response to quarter-to-quarter variations in our operating results, material 
announcements by us or our competitors, governmental regulatory action, conditions in the health care industry 
generally or in the medical products industry specifically, or other events or factors, many of which are beyond our 
control. In addition, the stock market has experienced extreme price and volume fluctuations which have particularly 
affected the market prices of many medical products companies and which often have been unrelated to the 
operating performance of such companies. Our operating results in future quarters may be below the expectations of 
equity research analysts and investors. In such event, the price of our common stock would likely decline, perhaps 
substantially. 

No person is under any obligation to make a market in the common stock or to publish research reports on 

us, and any person making a market in the common stock or publishing research reports on us may discontinue 
market making or publishing such reports at any time without notice. There can be no assurance that an active public 
market in our common stock will be sustained. 

Our charter documents contain anti-takeover provisions that may prevent or delay an acquisition of us. 

Certain provisions of our Restated Articles of Organization and Amended and Restated By-laws could 

have the effect of discouraging a third party from pursuing a non-negotiated takeover of us and preventing certain 
changes in control. These provisions include a classified Board of Directors, advance notice to the Board of 
Directors of stockholder proposals, limitations on the ability of stockholders to remove directors and to call 
stockholder meetings, the provision that vacancies on the Board of Directors be filled by vote of a majority of the 
remaining directors. In addition, the Board of Directors renewed a Shareholders Rights Plan in April 2008. We are 
also subject to Chapter 110F of the Massachusetts General Laws which, subject to certain exceptions, prohibits a 
Massachusetts corporation from engaging in any of a broad range of business combinations with any “interested 
stockholder” for a period of three years following the date that such stockholder became an interested stockholder. 
These provisions could discourage a third party from pursuing a takeover of us at a price considered attractive by 
many stockholders, since such provisions could have the effect of preventing or delaying a potential acquirer from 
acquiring control of us and our Board of Directors. 

 Our revenues are derived from a small number of customers, the loss of which could materially adversely affect 
our business, financial condition and results of operations. 

We have historically derived the majority of our revenues from a small number of customers, most of 

whom resell our products to end-users and most of whom are significantly larger companies than us. For the year 
ended December 31, 2011, five customers accounted for 76% of product revenue. We expect to continue to be 
dependent on a small number of large customers for the majority of our revenues. Revenue generated under our new 
agreement with B&L may be significantly less than under the prior arrangement. Our failure to generate as much 

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revenue as expected from these customers or the failure of these customers to purchase our products would seriously 
harm our business. In addition, if present and future customers terminate their purchasing arrangements with us, 
significantly reduce or delay their orders, or seek to renegotiate their agreements on terms less favorable to us, our 
business, financial condition, and results of operations will be adversely affected. If we accept terms less favorable 
than the terms of the current agreement, such renegotiations may have a material adverse effect on our business, 
financial condition, and/or results of operations. Furthermore, in any future negotiations we may be subject to the 
perceived or actual leverage that these customers may have given their relative size and importance to us. Any 
termination, change, reduction or delay in orders could seriously harm our business, financial condition, and results 
of operations. Accordingly, unless and until we diversify and expand our customer base, our future success will 
significantly depend upon the timing and size of future purchases by our largest customers and the financial and 
operational success of these customers. The loss of any one of our major customers or the delay of significant orders 
from such customers, even if only temporary, could reduce or delay our recognition of revenues, harm our 
reputation in the industry, and reduce our ability to accurately predict cash flow, and, as a consequence, could 
seriously harm our business, financial condition, and results of operations. 

We may not fully realize the benefits of our acquisitions or strategic alliances.  

In December 2009, we acquired Anika S.r.l. which we accounted for as a business combination. We may 
not be able to realize the expected synergies and cost savings from the integration with our existing operations or 
technologies that we may acquire. In addition, the integration process for our acquisitions may be complex, costly, 
and time consuming and include unanticipated issues, expenses and liabilities. We may have difficulty in 
developing, manufacturing and marketing the products of a newly acquired company in a manner that enhances the 
performance of our combined businesses or product lines and allows us to realize value from expected synergies. 
Following an acquisition, we may not achieve the revenue or net income levels that justify the acquisition. 
Acquisitions may also result in one-time charges, such as write-offs or restructuring charges, or in the future, 
impairment of goodwill or acquired IPR&D, which adversely affect our operating results. Additionally, we may 
fund acquisitions of new businesses, strategic alliances or joint ventures by utilizing our cash, incurring debt, issuing 
shares of our common stock, or by other means.  

Information security breaches or business system disruptions may adversely affect our business.  

We rely on our information technology infrastructure and management information systems to effectively 
run our business.  We may be subject to information security breaches caused by illegal hacking, computer viruses, 
or acts of vandalism or terrorism.  Our security measures or those of our third-party service providers may not detect 
or prevent such breaches.  Any such compromise to our information security could result in an interruption in our 
operations, the unauthorized publication of our confidential business or proprietary information, the unauthorized 
release of customer, vendor, or employee data, the violation of privacy or other laws, and the exposure to litigation, 
any of which could harm our business and operating results.  

ITEM 1B.  UNRESOLVED STAFF COMMENTS 

None. 

ITEM 2.  PROPERTIES 

Our corporate headquarters is located in Bedford, Massachusetts, where we lease approximately 134,000 

square feet of administrative, research and development and manufacturing space. We entered into this lease on 
January 4, 2007, and the lease commenced on May 1, 2007 for an initial term of ten and a half years. We have an 
option under the lease to extend its terms for up to four periods beyond the original expiration date subject to the 
condition that we notify the landlord that we are exercising each option at least one year prior to the expiration of the 
original or current term thereof. The first three renewal options each extend the term an additional five years with 
the final renewal option extending the term six years. Our administrative, marketing, regulatory, and research and 
development personnel moved into the Bedford facility in November of 2007. The remaining build-out at the 
Bedford facility was completed in mid-2008. As of February 2012, we have received FDA approval to manufacture 
ELEVESS, ORTHOVISC, HYVISC, and INCERT in our Bedford facility and expect to receive approval for the 
manufacture of the Company’s ophthalmic products in the first half of 2012.  EU approval to manufacture all of 
Anika Therapeutics, Inc. medical devices was received in 2011. 

We also lease approximately 37,000 square feet of space at a separate location in Woburn, Massachusetts, 

which currently houses our manufacturing facility and warehouse for several major products. This facility has 

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received all FDA, state and European regulatory approvals to operate as a sterile device and drug manufacturer. We 
extended our lease for this facility to June 30, 2012. As part of the acquisition of Anika S.r.l., we now lease 
approximately 26,000 square feet of laboratory, warehouse and office space in Abano Terme, Italy. The lease 
commenced on December 30, 2009 for an initial term of six (6) years. For the year ended December 31, 2011, we 
had aggregate facility lease expenses of approximately $3,479,632. 

Our aggregate expenditures to build out the Bedford facility, which will serve as our corporate 

headquarters and manufacturing facility for the foreseeable future, were approximately $34.9 million through 
December 31, 2011. We borrowed $16 million under our Credit Agreement which we entered into on January 31, 
2008, to finance a portion of the Bedford facility build out.  

ITEM 3.  LEGAL PROCEEDINGS 

On July 7, 2010, Genzyme Corporation filed a complaint against the Company in the United States District 
Court for the District of Massachusetts seeking unspecified damages and equitable relief. The Complaint alleges that 
the Company has infringed U.S. Patent No. 5,143,724 by manufacturing MONOVISC in the United States for sale 
outside the United States and will infringe U.S. Patent Nos. 5,143,724 and 5,399,351 if the Company begins 
manufacture and sale of MONOVISC in the United States. On August 30, 2010, the Company filed an answer 
denying liability. On April 26, 2011, Genzyme filed a motion to add its newly-issued U.S. Patent No. 7,931,030 to 
this litigation and also filed a separate new complaint in the District of Massachusetts alleging that the Company’s 
manufacture and sales of MONOVISC in the United States will infringe that patent. On May 23, 2011, the Court 
entered orders permitting Genzyme to file its supplement complaint adding its newly-issued U.S. Patent No. 
7,931,030 to this litigation and requiring Genzyme to withdraw its separately filed complaint. On July 14, 2011, the 
Company filed an answer to the supplemental complaint, denying liability. The Company believes that neither 
MONOVISC, nor its manufacture, does or will infringe any valid and enforceable claim of the asserted patents. 
Management has assessed and determined that contingent losses related to this matter are not probable. Therefore, 
pursuant to ASC 450, Contingencies, an accrual has not been recorded for this loss contingency. Pursuant to the 
terms of the licensing and supply agreement entered into with DePuy Mitek, Inc. in December 2011, DePuy Mitek 
agreed to assume certain obligations of the Company related to this litigation. 

Artes Medical, Inc. (“Artes”), the former U.S. distributor of HYDRELLE, filed a liquidating bankruptcy 

case under Chapter 7 of the United States Bankruptcy Code in 2010. Artes’ Trustee in Bankruptcy asked the 
Company to pay $359,768 to the Trustee, representing the total amount of three payments received by the Company 
from Artes within the 90 days prior to the filing of Artes' liquidating bankruptcy. In July 2011, the Company 
reached agreement with the Trustee to settle this matter in return for a payment of $30,000 made by Anika. In late 
August 2011, the settlement was approved by the bankruptcy court and the matter is now closed.  

In 2011, Merogel Injectable was withdrawn from the market due to a labeling error on the product’s 

packaging.  We are working with Medtronic to resolve a dispute related thereto. Medtronic has informed us that if 
we are unable to resolve this dispute, they will make claims against us. As this labeling error relates to conduct that 
initially occurred prior to our acquisition of Anika S.r.l. from Fidia Farmaceutici S.p.A., we have made claims 
against Fidia for indemnification for Anika’s losses as well as any potential claims that may be brought by 
Medtronic. Fidia has informed us that it does not believe that it has liability for this matter, and has made claims 
against us for refusing to release the Anika shares that were put into escrow in connection with the original 
transaction. Management has assessed and determined that contingent losses related to this matter are not probable. 
Therefore, pursuant to ASC 450, Contingencies, an accrual has not been recorded for this loss contingency. 

We are also involved in various other legal proceedings arising in the normal course of business.  Although 

the outcomes of these other legal proceedings are inherently difficult to predict, we do not expect the resolution of 
these other legal proceedings to have a material adverse effect on our financial position, results of operations or cash 
flow. 

ITEM 4.  MINE SAFETY DISCLOSURES 

Not applicable. 

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PART II 

ITEM 5.  MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS 
AND ISSUER PURCHASES OF EQUITY SECURITIES 

COMMON STOCK INFORMATION 

Our common stock has traded on the NASDAQ Global Select Market since November 25, 1997, under the 

symbol “ANIK.” The following table sets forth, for the periods indicated, the high and low sales prices of our 
common stock on the NASDAQ Global Select Market. These prices represent prices between dealers and do not 
include retail mark-ups, markdowns, or commissions and may not necessarily represent actual transactions. 

At  December 31,  2011,  the  closing  price  per  share  of  our  common  stock  was  $9.80  as  reported  on  the 
NASDAQ Global Select Market and there were approximately 229 holders of record. We believe that the number of 
beneficial owners of our common stock at that date was substantially greater. 

We have never declared or paid any cash dividends on our common stock. We currently intend to retain 
earnings, if any, for use in our business and do not anticipate paying cash dividends on our common stock in the 
foreseeable future. Payment of future dividends, if any, on our common stock will be at the discretion of our Board 
of Directors after taking into account various factors, including our financial condition, operating results, anticipated 
cash needs, and plans for expansion. 

Performance Graph (Unaudited) 

Set forth below is a graph comparing the total returns of the Company, the NASDAQ Composite Index and 

the NASDAQ Biotechnology Index.  The graph assumes $100 is invested on December 31, 2006 in the Company's 
Common Stock and each of the indices. 

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Year Ended December 31, 2011HighLowFirst Quarter$11.67$6.61Second Quarter10.226.44Third Quarter7.365.36Fourth Quarter9.805.24Year Ended December 31, 2010HighLowFirst Quarter$7.97$6.04Second Quarter7.405.83Third Quarter6.484.83Fourth Quarter6.985.30 $- $25 $50 $75 $100 $125 $150 $175Dec-06Dec-07Dec-08Dec-09Dec-10Dec-11DOLLARSANIKA TherapeuticsNASDAQ US MarketNASDAQ Biotechnology MarketDec-06Dec-07Dec-08Dec-09Dec-10Dec-11Anika Therapeutics Inc$100.00      $109.65      $22.91        $57.50        $50.26        $73.85        NASDAQ Composite Index100.00      109.81      65.29        93.95        109.84      107.86      NASDAQ Biotechnology Index100.00      104.58      91.38        105.66      121.52      135.86       
 
  
  
  
  
 
 
  
  
 
 
 
 
 
 
 
 
 ITEM 6.  SELECTED FINANCIAL DATA 

The following selected consolidated financial data should be read in conjunction with the Consolidated 

Financial Statements and the Notes thereto and Management’s Discussion and Analysis of Financial Condition and 
Results of Operations included elsewhere in this Annual Report on Form 10-K. The Balance Sheet Data at 
December 31, 2011 and 2010 and the Statement of Operations Data for each of the three years ended December 31, 
2011, 2010 and 2009 have been derived from the audited Consolidated Financial Statements for such years, 
included elsewhere in this Annual Report on Form 10-K. The Balance Sheet Data at December 31, 2009, 2008 and 
2007, and the Statement of Operations Data for each of the two years in the period ended December 31, 2008 and 
2007 have been derived from the audited Consolidated Financial Statements for such years not included in this 
Annual Report on Form 10-K.   

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20112010200920082007Product Revenue$61,956$52,736$37,321$33,055$26,905Licensing, milestone and contract revenue2,8222,8212,8152,7253,925Total revenue64,77855,55740,13635,78030,830Cost of product revenue26,78423,82713,67013,18911,881Product gross profit35,17228,90923,65119,86615,024Product gross margin57%55%63%60%56%Total operating expenses50,81148,01934,54931,53324,242Net Income8,4674,3163,6883,6296,035Diluted net income per common share0.620.320.320.320.53Diluted common shares outstanding13,74813,64711,56211,46111,45420112010200920082007Cash, cash equivalents and short-term investments$35,777$28,202$24,427$43,194$39,406Working capital49,60036,95233,30746,79841,805Total assets132,844128,937129,43195,82179,497Long term obligations11,20012,80014,40016,000-           Retained earnings34,25225,78621,47017,78214,153Stockholders' equity94,76385,19082,14460,75754,961Years ended December 31,Statement of Operations Data(In thousands, except per share data)Years ended December 31,Balance Sheet Data(In thousands) 
 
  
 
 
 
 
  
 
 
 
  
ITEM  7.  MANAGEMENT’S  DISCUSSION  AND  ANALYSIS  OF  FINANCIAL  CONDITION  AND 
RESULTS OF OPERATIONS 

The following section of this Annual Report on Form 10-K titled “Management’s Discussion and Analysis 
of Financial Condition and Results of Operations” contains statements that are not statements of historical fact and 
are forward-looking statements within the meaning of the federal securities laws. These statements involve known 
and unknown risks, uncertainties, and other factors that may cause our actual results, performance, or achievement 
to differ materially from anticipated results, performance, or achievement, expressed or implied in such forward-
looking statements. These statements reflect our current views with respect to future events and are based on 
assumptions and subject to risks and uncertainties. We discuss many of these risks and uncertainties at the 
beginning of this Annual Report on Form 10-K and under Item 1 “Business” and Item 1A “Risk Factors.” The 
following discussion should also be read in conjunction with the Consolidated Financial Statements of Anika 
Therapeutics, Inc. and the Notes thereto appearing elsewhere in this report. 

Management Overview 

Anika Therapeutics, Inc. (“Anika,” and together, with its subsidiaries, the “Company”) develops, 
manufactures and commercializes therapeutic products for tissue protection, healing, and repair. These products are 
based on hyaluronic acid (“HA”), a naturally occurring, biocompatible polymer found throughout the body. Due to 
its unique biophysical and biochemical properties, HA plays an important role in a number of physiological 
functions such as the protection and lubrication of soft tissues and joints, the maintenance of the structural integrity 
of tissues, and the transport of molecules to and within cells.  

Anika acquired 100% of the issued and outstanding stock of Anika S.r.l. on December 30, 2009 from Fidia 
Farmaceutici S.p.A. (“Fidia”), a privately held Italian corporation, for a purchase price consisting of $17.0 million in 
cash and 1,981,192 shares of the Company’s common stock valued at $16.8 million based on the closing stock price 
of $8.49 per share. See Note 16 to our Consolidated Financial Statements for additional information regarding the 
acquisition. 

Anika  S.r.l. has over 20 products currently commercialized, primarily in Europe. These products are also 
all made from hyaluronic acid, and based on two technologies “HYAFF”, which is a solid form of HA, and ACP 
gel,  an  autocross-linked polymer  of HA.  Both  technologies  are  protected  by  an  extensive  portfolio of  owned  and 
licensed patents.  With the acquisition of Anika S.r.l., the Company now offers therapeutic products in the following 
areas: 

Anika  Anika S.r.l. 

Orthobiologics 
Dermal 
    Advanced wound care 
    Aesthetic dermatology 
Ophthalmic 
Surgical 
    Anti-adhesion 
    Ear, nose and throat care (“ENT”) 
Veterinary 

X 

X 
X 

X 

X 

X 

X 

X 
X 

Orthobiologics 

Anika’s orthobiologics business contributed 64% to our product revenue in the year ended December 31, 

2011. Our orthobiologics products consist of joint health and orthopedic products.  Joint health products include 
ORTHOVISC, ORTHOVISC mini, and MONOVISC. ORTHOVISC is available in the U.S., Canada, and some 
international markets for the treatment of osteoarthritis of the knee, and in Europe for the treatment of osteoarthritis 
in all joints. ORTHOVISC mini is available in Europe and is designed for the treatment of osteoarthritis in small 
joints. MONOVISC is our single injection osteoarthritis treatment indicated for all joints in Europe, and for the knee 
in Turkey and Canada. ORTHOVISC mini, and MONOVISC are our two newest joint health products and became 
available in certain international markets during the second quarter of 2008. 

Anika has marketed ORTHOVISC, our product for the treatment of osteoarthritis of the knee, 
internationally since 1996 through various distribution agreements. International sales of ORTHOVISC contributed 

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9% of product revenue for the year ended December 31, 2011. Our strategy is to continue to add new products, to 
expand the indications for usage of these products, and to add additional countries to our distribution network. The 
joint health area has been the fastest growing area for the Company, growing from 50% of our product revenue in 
2007 to 64% of our product revenue in 2011. We continue to seek new distribution partnerships around the world 
and we expect total joint health product sales to increase in 2012 compared to 2011. 

With the acquisition of Anika S.r.l., we now offer several orthopedic products used in connection with 
regenerative medicine. The products currently available in Europe, include Hyalograft C Autograft for cartilage 
regeneration; Hyalofast, a biodegradable support for human bone marrow mesenchymal stem cells; Hyalonect, a 
woven gauze used as a graft wrap; and Hyaloss, HYAFF fibers used to mix blood/bone grafts to form a paste for 
bone regeneration. We also offer Hyaloglide, an ACP gel used in tenolysis treatment, but with potential for flexor 
tendon adhesion prevention, and in the shoulder for adhesive capsulitis with additional clinical data. These products 
are commercialized through a network of distributors, primarily in Europe, the Middle East, and Korea. Anika 
believes that the U.S. market offers excellent expansion potential to increase revenue, and this will continue to be a 
major focus area for the Company. 

 Dermal  

Our dermal products consist of advanced wound care products, a field new to the Company with the 

acquisition of Anika S.r.l., and aesthetic dermal fillers. Anika S.r.l. offers over seven products for the treatment of 
skin wounds ranging from burns to diabetic ulcers. The products cover a variety of wound treatment solutions 
including debridement agents, advanced therapies and skin substitutes. Leading products include Hyalograft 3D and 
Laserskin, for the regeneration of skin; and Hyalomatrix, for treatment of burns and ulcers. Anika S.r.l.’s products 
are commercialized through a network of distributors, primarily in Europe, the Middle East, and Korea. Several of 
the products are also approved for sale in the United States including Hyalomatrix and Hyalofill, and the Company, 
in late 2011, began distribution of Hyalomatrix through a distribution agreement with Misonix, Inc., and exploring 
opportunities for Hyalofill. 

Our aesthetic dermatology business is designed as a family of products for facial wrinkles and scar 
remediation, and is intended to compete with collagen-based and other HA-based products currently on the market. 
Our initial aesthetic dermatology product is a dermal filler based on our proprietary chemically modified, cross-
linked HA, and is approved in Europe, Canada, the U.S., Korea and certain countries in South America. 
Internationally, this product is marketed under the ELEVESS name. In the U.S., the trade name is HYDRELLE, 
although the product is not currently marketed in the U.S. 

Coapt Systems, Inc. (“Coapt”) began selling HYDRELLE in the third quarter of 2009 under a distribution 
agreement granting Coapt an exclusive and non-transferable right to market HYDRELLE in the United States. On 
July 2, 2010 we were notified by Coapt that it had filed for an Assignment for the Benefit of Creditors under the 
laws of the State of California. The Company’s Distribution Agreement with Coapt was subsequently terminated.   

 Ophthalmic 

Our ophthalmic business includes HA viscoelastic products used in ophthalmic surgery. For the year ended 

December 31, 2011, sales of ophthalmic products contributed 18% of our product revenue. Anika previously 
manufactured the AMVISC product line for Bausch & Lomb under the terms of a supply agreement that expired on 
December 31, 2010 (the “2004 B&L Agreement”) for viscoelastic products used in ophthalmic surgery. Effective 
January 1, 2011, the parties entered into a non-exclusive, two year contract intended to transition the manufacture of 
AMVISC and AMVISC Plus to an alternative, low-cost supplier formerly affiliated with B&L, and continued to 
supply B&L with these products during 2011. Effective January 1, 2012, the parties agreed to a new three year 
contract for Anika to continue to supply these products to B&L as a second supplier with committed annual volumes 
for 2012, with further reductions in 2013 and 2014.  

B&L accounted for 16% of product revenue for the year ended 2011, but is expected to be moderately 

lower in 2012 under the new contract, with further reductions in 2013 and 2014. Operating margins under the 2004 
B&L Agreement were low and will remain at a similar level under the new contract. See Item 1A. “Risk Factors”. 

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Surgical  

Our surgical group consists of products used to prevent surgical adhesions, and to treat ENT disorders.  

For the year ended December 31, 2011, sales of surgical products contributed 8% of our product revenue. 
Hyalobarrier is a clinically proven post-operative adhesion barrier for use in the abdomino–pelvic area. The product 
is currently commercialized in Europe, the Middle East and certain Asian countries through a distribution network, 
but is not approved in the U.S. INCERT, approved for sale in Europe, Turkey, and Malaysia, is a chemically 
modified, cross-linked HA product, for the prevention of spinal post-surgical adhesions. There are currently no plans 
at this time to distribute INCERT in the U.S. Anika co-owns issued U.S. patents covering the use of INCERT for 
adhesion prevention. See the section captioned “Patent and Proprietary Rights” for additional information. 

 Anika S.r.l. also offers several products used in connection with the treatment of ENT disorders. The lead 
product are Merogel, a woven fleece nasal packing, and Merogel Injectable, a thick, viscous hydrogel composed of 
cross-linked hyaluronic acid--a biocompatible agent that creates a moist wound-healing environment. Anika S.r.l. is 
partnered with Medtronic for worldwide distribution. 

In 2011, Merogel Injectable was withdrawn from the market due to a labeling error on the product’s 

packaging.  We are working with Medtronic to resolve a dispute related thereto.  Medtronic has informed us that if 
we are unable to resolve this dispute, they will make claims against us. As this labeling error relates to conduct that 
initially occurred prior to our acquisition of Anika S.r.l. from Fidia Farmaceutici S.p.A (“Fidia”), we have made 
claims against Fidia for indemnification for Anika’s losses as well as any potential claims that may be brought by 
Medtronic. Fidia has informed us that it does not believe that it has liability for this matter, and has made claims 
against us for refusing to release the Anika shares that were put into escrow in connection with the original 
transaction. 

Veterinary 

U.S. sales of HYVISC, our product for the treatment of equine osteoarthritis, contributed 4% to product 

revenue for the year ended December 31, 2011. We continue to look at other veterinary applications and 
opportunities to expand geographic territories. 

Research and Development 

Anika’s research and development efforts primarily consist of the development of new medical applications 

for our HA-based technology, the management of clinical trials for certain product candidates, the preparation and 
processing of applications for regulatory approvals or clearances at all relevant stages of product development, and 
process development and scale-up manufacturing activities relative to our existing and new products. Our 
development focus includes products for tissue protection, healing and repair. Our investment in R&D has been 
important over the years, and varies considerably depending on the number and size of clinical trials and studies 
underway. We anticipate that we will continue to commit significant resources to research and development, 
including clinical trials, in the future. 

With the acquisition of Anika S.r.l., we have enhanced our research and development capabilities, our 

technology base, and our pipeline of candidate products. Anika S.r.l. has research and development programs for 
new products including Hyalobone, a bone tissue filler; Hyalospine, an adhesion prevention gel for use after spinal 
surgery; and Hyalofast, an innovative product for cartilage tissue repair. Other key projects include obtaining FDA 
approval to market Anika S.r.l.’s suite of orthopedic products in the U.S. These products consist of Hyalofast, 
Hyaloglide, and Hyalonect. 

In addition to the Anika S.r.l. products in the preceding paragraph, additional products under regulatory 

review include MONOVISC for U.S. marketing approval and Hyalograft C Autograft for EU marketing 
authorization.  Hyalograft C autograft is classified as an advanced therapy medicinal product under the current EU 
regulations, which require a centralized marketing authorization by the European Medicines Agency. Our first next 
generation osteoarthritis product is MONOVISC, a single-injection treatment product that uses a non-animal source 
HA. MONOVISC is also our first osteoarthritis product based on our proprietary cross-linked HA-technology. We 
received CE Mark approval for the MONOVISC product in October 2007, and began sales in Europe during the 
second quarter of 2008, following a small, post-marketing clinical study. In the U.S., we filed an investigational 
device exemption, or an IDE application, with the FDA, and completed the clinical segment of the U.S. 
MONOVISC pivotal trial in June 2009, and a follow-on retreatment study in September 2009. We filed the final 
module of our MONOVISC PMA containing the clinical data in December 2009. We were informed that there were 

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deficiencies in our submissions through a deficiency/non-approvable letter, which is the FDA's mechanism for 
informing companies of deficiencies. We submitted additional data and analyses throughout 2010, and were 
informed by the FDA that deficiencies remained. Acting on an option presented by the FDA to resolve the 
remaining open issues, Anika requested a review by the Orthopedic Advisory Panel. The FDA has denied our 
request for an Orthopedic Advisory Panel review of the product, and we are now moving to the next level in the 
appeal process structure of the FDA to seek an objective review of the scientific and clinical data. We continue to 
believe in MONOVISC and the strength of our data, and that MONOVISC should receive FDA approval. Our 
second single-injection osteoarthritis product under development is CINGAL, which is based on our hyaluronic acid 
material with an added active therapeutic molecule to provide broad pain relief for a long period of time. During the 
past year, we have integrated the research and development efforts of Anika and Anika S.r.l., and prioritized our 
new product development activities. 

Business Developments 

In January of 2012, we received FDA approval to sell ORTHOVISC, HYVISC, and INCERT 
manufactured in our Bedford plant, and expect to receive approval to manufacture our ophthalmic products in the 
Bedford facility sometime in the first half of 2012, and thereafter close our Woburn, MA facility. Our Bedford 
facility is approved to manufacture all our CE marked products. 

Summary of Critical Accounting Policies; Significant Judgments and Estimates 

Our discussion and analysis of our financial condition and results of operations are based upon our 

consolidated financial statements, which have been prepared in accordance with accounting principles generally 
accepted in the United States of America. The preparation of these consolidated financial statements requires us to 
make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses, and 
related disclosure of contingent assets and liabilities. We monitor our estimates on an on-going basis for changes in 
facts and circumstances, and material changes in these estimates could occur in the future. Changes in estimates are 
recorded in the period in which they become known. We base our estimates on historical experience and other 
assumptions that we believe to be reasonable under the circumstances. Actual results may differ from our estimates 
if past experience or other assumptions do not turn out to be substantially accurate. 

We have identified the policies below as critical to our business operations and the understanding of our 

results of operations. The impact and any associated risks related to these policies on our business operations is 
discussed throughout “Management’s Discussion and Analysis of Financial Condition and Results of Operations” 
where such policies affect our reported and expected financial results. For a detailed discussion on the application of 
these and other accounting policies, see Note 2 in the Notes to the Consolidated Financial Statements of this Annual 
Report on Form 10-K for the year ended December 31, 2011. 

Foreign Currency Translation 

The functional currency of our foreign subsidiary is the Euro. Assets and liabilities of the foreign subsidiary 

are translated using the exchange rate existing on each respective balance sheet date. Revenues and expenses are 
translated using the monthly average exchange rates prevailing throughout the year. The translation adjustments 
resulting from this process are included as a component of accumulated other comprehensive income (loss).  

Fair Value Measurements 

Fair value is defined as the price that would be received from selling an asset or paid to transfer a liability in 

an orderly transaction between market participants at the measurement date. When determining the fair value 
measurements for assets and liabilities required to be recorded at fair value, we consider the principal or most 
advantageous market in which we would transact and consider assumptions that market participants would use when 
pricing the asset or liability, such as inherent risk, transfer restrictions, and risk of nonperformance. The accounting 
standard establishes a fair value hierarchy that requires an entity to maximize the use of observable inputs and 
minimize the use of unobservable inputs when measuring fair value.  

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A financial instrument’s categorization within the fair value hierarchy is based upon the lowest level of input 

that is significant to the fair value measurement. Three levels of inputs that may be used to measure fair value:  

•  Level 1 – Valuation is based upon quoted prices for identical instruments traded in active markets.  Level 1 
instruments include securities traded on active exchange markets, such as the New York Stock Exchange. 

•  Level 2 – Valuation is based upon quoted prices for similar instruments in active markets, quoted prices for 
identical or similar instruments in markets that are not active and model-based valuation techniques for 
which all significant assumptions are observable in the market. 

•  Level 3 – Valuation is generated from model-based techniques that use significant assumptions not 

observable in the market.  These unobservable assumptions reflect our own estimates of assumptions 
market participants would use in pricing the asset or liability. 

Allowance for Doubtful Accounts 

We maintain allowances for doubtful accounts for estimated losses resulting from the inability of our 

customers to make required payments. In determining the adequacy of the allowance for doubtful accounts, 
management specifically analyzes individual accounts receivable, historical bad debts, customer concentrations, 
customer credit-worthiness, current economic conditions, accounts receivable aging trends and changes in our 
customer payment terms.  

Inventories 

Inventories are stated at the lower of cost or market, with cost being determined using the first-in, first-out 

(“FIFO”) method. Work-in-process and finished goods inventories include materials, labor, and manufacturing 
overhead. 

The Company’s policy is to write-down inventory when conditions exist that suggests inventory may be in 

excess of anticipated demand or is obsolete based upon assumptions about future demand for the Company’s 
products and market conditions. The Company regularly evaluates the ability to realize the value of inventory based 
on a combination of factors including, but not limited to: historical usage rates, forecasted sales or usage, product 
end of life dates, and estimated current or future market values. Purchasing requirements and alternative usage 
avenues are explored within these processes to mitigate inventory exposure.  

Revenue Recognition - General 

We recognize revenue from product sales when all of the following criteria are met: persuasive evidence 

of an arrangement exists; delivery has occurred or services have been rendered; the seller's price to the buyer is fixed 
or determinable; and collection from the customer is reasonably assured.  

Product Revenue 

Revenues from product sales are recognized when title and risk of loss have passed to the customer, which 
is typically upon shipment to the customer. Amounts billed or collected prior to recognition of revenue are classified 
as deferred revenue. When determining whether risk of loss has transferred to customers on product sales, or if the 
sales price is fixed or determinable, the Company evaluates both the contractual terms and conditions of its 
distribution and supply agreements as well as its business practices.  

Product revenue also includes royalties. Royalty revenue is based on our distributors’ sales and recognized 

in the same period our distributors record their sale of products manufactured by us. On a quarterly basis we record 
royalty revenue based upon sales projections provided to us by our distributor customers. If necessary we adjust our 
estimates based upon final sales data received prior to issuing our annual audited financial statements. 

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Licensing, Milestone and Contract Revenue 

Licensing, milestone, and contract revenue consists of revenue recognized on initial and milestone 
payments, as well as contractual amounts received from partners. The Company’s business strategy includes 
entering into collaborative license, development and/or supply agreements with partners for the development and 
commercialization of the Company’s products.  

The terms of the agreements typically include non-refundable license fees, funding of research and 

development, and payments based upon achievement of certain milestones. The Company adopted Accounting 
Standards Update 2009-13, Revenue Recognition, in January 2011, which amends ASC Subtopic 605-25, Multiple 
Element Arrangements (“ASC 605-25”) to require the establishment of a selling price hierarchy for determining the 
allocable selling price of an item. Under ASC 605-25, as amended by ASU 2009-13, in order to account for an 
element as a separate unit of accounting, the element must have objective and reliable evidence of selling price of 
the undelivered elements. In general, non-refundable upfront fees and milestone payments that do not relate to other 
elements are recognized as revenue over the term of the arrangement as the Company completes its performance 
obligations. 

Property and Equipment 

Property and equipment are recorded at cost and depreciated using the straight-line method over their 

estimated useful lives. Computer hardware and software are typically amortized over three to five years, and 
furniture and fixtures over three to eight years. Leasehold improvements are amortized over the shorter of their 
useful lives or the remaining terms of the related leases. Property and equipment under capital leases are amortized 
over the lesser of the lease terms or their estimated useful lives. Maintenance and repairs are charged to expense 
when incurred; additions and improvements are capitalized. When an item is sold or retired, the cost and related 
accumulated depreciation is relieved, and the resulting gain or loss, if any, is recognized in income. 

Goodwill and Acquired In-Process Research and Development  

Goodwill is the amount by which the purchase price of acquired net assets in a business combination 
exceeded the fair values of net identifiable assets on the date of acquisition. Acquired In-Process Research and 
Development (“IPR&D”) represents the fair value assigned to research and development assets that we acquire that 
have not been completed at the date of acquisition or are pending regulatory approval in certain jurisdictions. The 
value assigned to acquired IPR&D is determined by estimating the costs to develop the acquired technology into 
commercially viable products, estimating the resulting revenue from the projects, and discounting the net cash flows 
to present value.  

Goodwill and IPR&D are evaluated for impairment annually or more frequently if events or changes in 

circumstances indicate that the asset might be impaired. Factors we consider important, on an overall company 
basis, that could trigger an impairment review include significant underperformance relative to historical or 
projected future operating results, significant changes in our use of the acquired assets or the strategy for our overall 
business, significant negative industry or economic trends, a significant decline in our stock price for a sustained 
period, or a reduction of our market capitalization relative to net book value. 

 To conduct impairment tests of goodwill, the fair value of the acquired reporting unit is compared to its 

carrying value. If the reporting unit’s carrying value exceeds its fair value, we record an impairment loss to the 
extent that the carrying value of goodwill exceeds its implied fair value. We estimate the fair value for reporting 
units using discounted cash flow valuation models which require the use of significant estimates and assumptions 
including but not limited to: risk free rate of return on an investment, weighted average cost of capital, future 
revenue, operating margin, working capital and capital expenditure needs. Our annual assessment for impairment of 
goodwill as of November 30, 2011 indicated that the fair value of our reporting unit exceeded the carrying value of 
the reporting unit. Anika S.r.l. is our only acquired reporting unit and currently holds 100% of the goodwill 
associated with the 2009 acquisition of that company. There can be no assurance that, at the time future impairment 
tests are completed, a material impairment charge will not be recorded. 

 To conduct impairment tests of IPR&D, the fair value of the IPR&D projects is compared to the carrying 
value. If the carrying value exceeds its fair value, we record an impairment loss to the extent that the carrying value 
of the IPR&D project exceeds its fair value. We estimate the fair values for IPR&D projects using discounted cash 
flow valuation models which require the use of significant estimates and assumptions including but not limited to:  
estimating the timing of and expected costs to complete the in process projects, projecting regulatory approvals, 

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estimating future cash flows from product sales resulting from completed projects and in process projects, and 
developing appropriate discount rates. Our annual assessment for impairment of IPR&D indicated that the fair value 
of our IPR&D as of November 30, 2011 exceeded their respective carrying values. There can be no assurance that, 
at the time future impairment tests are completed, a material impairment charge will not be recorded. 

 Long-Lived Assets 

Long-lived assets primarily include property and equipment and intangible assets with finite lives 

(including purchased software and trade names). Purchased software is amortized over 2 to 10 years and trade 
names are amortized over 10 years. We review long-lived assets for impairment when events or changes in business 
circumstances indicate that the carrying amount of the assets may not be fully recoverable or that the useful lives of 
those assets are no longer appropriate. Each impairment test is based on a comparison of the undiscounted cash 
flows to the recorded value of the asset. If impairment is indicated, the asset is written down to its estimated fair 
value based on a discounted cash flow analysis. 

Stock-Based Compensation 

We measure the compensation cost of employee services received in exchange for an award of equity 
instruments based on the grant-date fair value of the underlying award. That cost is recognized over the period 
during which an employee is required to provide service in exchange for the award. See Note 10 of the 
accompanying Consolidated Financial Statements for a description of the types of stock-based awards granted, the 
compensation expense related to such awards, and detail of equity-based awards outstanding. See Note 14 of the 
accompanying Consolidated Financial Statements for details relative to the tax benefit recognized in the 
consolidated statement of operations for stock-based compensation. 

Income Taxes 

Our income tax expense includes U.S. and international income taxes. Certain items of income and expense 

are not reported in tax returns and financial statements in the same year. The tax effects of these differences are 
reported as deferred tax assets and liabilities. Deferred tax assets are recognized for the estimated future tax effects 
of deductible temporary differences and tax operating loss and credit carry-forwards. Changes in deferred tax assets 
and liabilities are recorded in the provision for income taxes. We assess the likelihood that our deferred tax assets 
will be recovered from future taxable income and, to the extent we believe that it is more likely than not that all or a 
portion of deferred tax assets will not be realized, we establish a valuation allowance. To the extent we establish a 
valuation allowance or increase this allowance in a period, we include an expense within the tax provision in the 
consolidated statement of operations. 

 Comprehensive Income 

Comprehensive income consists of net income and other comprehensive income (loss), which includes 

foreign currency translation adjustments. For the purposes of comprehensive income disclosures, we do not record 
tax provisions or benefits for the net changes in the foreign currency translation adjustment, as we intend to reinvest 
permanently undistributed earnings of our foreign subsidiary. Accumulated other comprehensive income (loss) is 
reported as a component of stockholders' equity and, as of December 31, 2011 and 2010, was comprised solely of 
cumulative translation adjustment losses. 

Segment Information 

Operating segments, as defined under U.S. GAAP, are components of an enterprise about which separate 

financial information is available that is evaluated regularly by the chief operating decision maker, or decision-
making group, in deciding how to allocate resources and in assessing performance. The Company’s chief operating 
decision maker is its Chief Executive Officer. Based on the criteria established by ASC 280, Segment Reporting, the 
Company has one reportable operating segment, the results of which are disclosed in the accompanying 
Consolidated Financial Statements.  

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Results of Operations 

Year ended December 31, 2011 compared to year ended December 31, 2010 

Total Revenue.  Total revenue for the year ended December 31, 2011 increased by $9,222,041 to 
$64,778,635. The increase in total revenue was primarily due to increased Joint Health product revenue in 2011 as 
compared to 2010. 

Product revenue by product line.  Product revenue for the year ended December 31, 2011 was $61,956,386, 

an increase of $9,220,656, or 17%, compared to the prior year. Excluding the contributions of Anika S.r.l., Anika’s 
product revenue grew 16% for the year compared to the prior year.  

Revenue from orthobiologics increased $9,116,834, or 30%, in 2011 compared to 2010. The improvement 

in orthobiologics product revenue was due to increases in domestic ORTHOVISC revenue, as well as increased 
sales of MONOVISC in Europe, Turkey and Canada and Anika S.r.l.’s orthopedic revenue in Europe. Our U.S. joint 
health product revenue for 2011 increased 30% compared to 2010. This increase reflects DePuy Mitek’s continued 
market penetration to an estimated market share of 14% in 2011 versus 12% share in 2010. International 
orthobiologics product revenue in 2011 increased 26% compared to 2010. The increase in international revenue was 
driven by higher product shipments to new and existing customers in Eastern Europe and the Middle East, partially 
offset by continued weakness in sales in Southern Europe. Anika S.r.l.’s orthopedic product revenue for 2011 
increased 40% compared to 2010. We expect orthobiologics revenue to increase in 2012 compared to 2011, both 
domestically and internationally. 

Dermal revenue increased $116,550, or 3%, in 2011 compared to 2010. The increase was primarily due to 
Anika S.r.l.’s advanced wound care products revenue which totaled $3,311,618 in 2011 as compared to $3,064,552 
in 2010. Aesthetic dermatology revenue was $369,548 for the year ended December 31, 2011, versus $500,064 for 
the prior year. In July 2010, our former U.S. distributor, Coapt, filed for protection from creditors and we terminated 
our agreement with them. The aesthetics’ market is crowded with many large companies, and our sales expectations 
in this area are modest. 

- 39 - 

Statement of Operations Detail20112010Inc/(Dec)Inc/(Dec)Product revenue$61,956,386      $52,735,730      9,220,656        17%Licensing, milestone and contract revenue2,822,249        2,820,864        1,385               0%Total revenue64,778,635      55,556,594      9,222,041        17%Operating expenses:Cost of product revenue26,783,738      23,826,604      2,957,134        12%Research & development6,168,937        6,874,633        (705,696)          -10%Selling, general & administrative17,858,558      17,317,671      540,887           3%Total operating expenses50,811,233      48,018,908      2,792,325        6%Income from operations13,967,402      7,537,686        6,429,716        85%Interest income (expense), net(182,388)          (194,620)          12,232             -6%Income before income taxes13,785,014      7,343,066        6,441,948        88%Provision for income taxes5,318,334        3,027,071        2,291,263        76%Net income$8,466,680        $4,315,995        4,150,685        96%Product gross margin35,172,648      28,909,126      6,263,522        22%Product gross margin57%55%2%4%Year Ended December 31,2011Inc/(Dec)Inc/(Dec)Orthobiologics39,858,139$    30,741,305$    9,116,834$      30%Dermal3,681,166        3,564,616        116,550           3%Ophthalmic10,963,822      11,971,787      (1,007,965)       -8%Surgical4,976,261        3,883,444        1,092,817        28%Veterinary2,476,998        2,574,578        (97,580)            -4%61,956,386$    52,735,730$    9,220,656$      17%2010Year Ended December 31, 
 
  
  
 
  
 
  
  
 
 
 
 
  
 
 
   
Revenue from ophthalmic products in 2011 decreased $1,007,965, or 8%, compared to revenue for these 

products in 2010. The decrease was primarily attributable to B&L’s plan to shift manufacturing to an alternative 
supplier. B&L accounted for 16% of product revenue for the year ended 2011, but is expected to be moderately 
lower in 2012 under a new, recently signed, three year contract, with further reductions in 2013 and 2014. Operating 
margins under the expired 2004 B&L Agreement were low, and will remain at a similar level under the new 
contract. 

Sales of our surgical products increased $1,092,817, or 28%, as compared to 2010. This product group 

consists primarily of Anika S.r.l.’s anti-adhesion and ENT products acquired in December 2009. The increase was 
attributable to increased sales of surgical and anti-adhesion products by Anika S.r.l., mostly in Europe and Korea, 
coupled with a modest increase in the sale of INCERT. Our anti-adhesion products include INCERT and 
Hyalobarrier. Our leading ear, nose and throat care product is Merogel. Anika S.r.l. is partnered with Medtronic for 
worldwide distribution (except for Italy) of its ENT products. We expect surgical product revenue to increase 
moderately in 2012 compared to 2011. 

Veterinary revenue decreased $97,580, or 4%, in 2011 as compared to 2010. Sales of HYVISC are made to 
a single customer under an exclusive agreement which expires December 31, 2014. We expect HYVISC revenue to 
be relatively flat in 2012 compared to 2011. 

Licensing, milestone and contract revenue.  Licensing, milestone and contract revenue for the year ended 
December 31, 2011 was $2,822,249, compared to $2,820,864 for 2010. Licensing and milestone revenue includes 
the ratable recognition of the $27,000,000 in up-front and milestone payments related to the JNJ Agreement. These 
amounts are being recognized in income ratably over the ten-year expected life of the agreement, or $2,700,000 per 
year. 

In December 2011, the Company entered into a fifteen-year licensing and supply agreement with DePuy 

Mitek, Inc., a member of the Johnson & Johnson family of companies, to market MONOVISC in the U.S. The 
Company received an initial payment of $2,500,000 in December 2011, which will be recognized ratably over the 
fifteen year term of the agreement as there was no stand-alone value associated with this payment, thus up-front 
recognition is prohibited. The Company is entitled to receive additional payments from DePuy Mitek, following 
FDA approval and the mutual decision to launch the product, as well as payments related to future regulatory, 
clinical and sales milestones.  

Product gross profit and margin.  Product gross profit for the year ended December 31, 2011 was 

$35,172,648, or 57% of product revenue, compared with $28,909,126, or 55% of product revenue, for the year 
ended December 31, 2010. The increase in product gross profit was primarily due to improvements in Anika’s 
overall product sales mix, as compared to the prior year, with increasing sales of our orthobiologics products as a 
percent of our overall product sales being the primary driver. The positive effect of the improved product sales mix 
was partially offset by the negative effect of the 2011 inventory write-downs and duplicate manufacturing 
expenditures during the transition from the Woburn facility to the Company’s Bedford facility. Anika S.r.l. only 
manufactures the tissue engineered products and operates at a lower volume. It outsources manufacturing of its 
medical devices to its former parent company, Fidia Farmaceutici, contributing to its current lower gross margins. 
The Company plans to transfer a significant portion of Anika S.r.l.’s medical device product manufacturing to its 
Bedford location over the next two years, starting with the ACP gel products in the second half of 2012. 

The Company wrote down inventory by approximately $750,000 during 2011 related the previously 

disclosed equipment problems, in addition to other production losses, experienced in our Woburn facility. Looking 
forward, we expect a continued impact of duplicate facilities on our results during the first half 2012 as we complete 
the transition of operations from our Woburn facility to our Bedford facility. Commencing with final FDA facility 
approval in 2012, the Bedford facility is expected to add in excess of $1.9 million to annual depreciation expense 
once completely on-line. 

Research and development.  Research and development (“R&D”) expenses for the year ended 

December 31, 2011 decreased by $705,696, or 10%, as compared to the prior year. R&D as a percentage of revenue 
was 10% and 12% for the years ended 2011 and 2010, respectively. The decrease in research and development 
expenses was primarily due to higher costs incurred in 2010 in connection with the Company’s U.S.-based clinical 
trials for MONOVISC. This decrease was partially offset by the continued manufacturing validation activities at our 
Bedford facility, as well as other continuing new product development projects in Italy and the U.S. We expect 
research and development expenses will increase significantly in 2012 and future years compared to 2011 with 

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commencement of clinical studies for Hyalograft C Autograft and CINGAL, as well as new product development 
projects.   

Selling, general and administrative.  Selling, general and administrative expenses for the year ended 
December 31, 2011, increased by $540,887, or 3%, as compared to 2010. This increase was primarily due to 
valuation losses associated with the re-measurement of euro-based assets into U.S. dollars as the Dollar strengthened 
in the second half of 2011, in addition to higher legal fees, partially offset by operational streamlining at Anika S.r.l. 
as we in-sourced financial and administrative services from an outside service provider. We expect general and 
administrative expenses for 2012 will increase modestly reflective of the support required to grow our business both 
domestically and internationally. 

Interest income, net.  Net interest expense was $182,388 for the year ended December 31, 2011, as 

compared to $194,620 in the same period ended 2010. The modest decrease is the direct result of our continuing 
debt service and the decreasing principal balance in 2011 as compared to 2010. 

Income taxes.  Provisions for income taxes were $5,318,334 and $3,027,071 for the years ended December 

31, 2011 and 2010, respectively. The decrease in effective tax rate in 2011 of 2.6%, as compared to 2010, is 
primarily due to decreased state tax expense, increased domestic production deductions resulting from increasing 
domestic taxable income, and improving financial results experienced by Anika S.r.l. which has permitted the 
Company to benefit more from the lower effective tax rate in Italy. 

A reconciliation of the U.S. federal statutory tax rate to the effective tax rate for the periods ending 

December 31 is as follows: 

During 2010, the Company concluded its audit by the Internal Revenue Service (“IRS”) for its 2008 tax 

return, with no changes made by the IRS. However, the 2008 tax returns are still open under the statutes of 
limitations and could be re-examined by the IRS or examined by the applicable state authorities. As such, the 2008 
through 2011 tax years remain subject to examination by the IRS and other taxing authorities for U.S. federal and 
state purposes and the 2009 through 2011 tax years remain subject to examination by the appropriate governmental 
authorities in Italy.  

Net income.  For the year ended December 31, 2011 net income was $8,466,680, or $0.62 per diluted share, 

compared to $4,315,995, or $0.32 per diluted share, for the same period last year. The primary drivers behind this 
increase in net income were an increase in product sales with a more favorable product mix, lower clinical spending, 
and a decrease in our effective tax rate. 

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20112010Statutory federal income tax rate34.0%34.0%State tax expense, net of federal benefit5.7%7.8%Permanent items, including nondeductible expenses0.9%2.2%State investment tax credit(0.2)%(0.8)%Federal and state research and development credits(0.4)%(2.5)%Foreign rate differential0.9%2.6%Domestic production deduction(2.3)%(2.1)%Tax expense38.6%41.2%Year ended December 31, 
 
 
 
 
  
 
 
 
  
 
  
 
Year ended December 31, 2010 compared to year ended December 31, 2009 

Total  Revenue.  Total  revenue  for  the  year  ended  December 31,  2010  increased  by  $15,420,890  to 
$55,556,594. The increase in total revenue was primarily due to the addition of Anika S.r.l. results, and increased 
Joint Health product revenue in 2010. 

Product revenue by product line.  Product revenue for the year ended December 31, 2010 was $52,735,730, 
an increase of $15,414,824, or 41%, compared to the prior year.  Excluding the contributions of Anika S.r.l., Anika’s 
product revenue grew 18% for the year compared to the prior year.  

Revenue from orthobiologics increased $7,861,406, or 34%, in 2010. The improvement in orthobiologics 
product revenue was due to increases in domestic ORTHOVISC revenue, as well as increased sales of MONOVISC 
in Europe, Turkey and Canada in 2010 compared with 2009. Our U.S. joint health product revenue increased 32% as 
compared to 2009. This increase reflects DePuy Mitek’s continued market penetration to an estimated market share 
of 12% in 2010 versus an 11% share in 2009. International joint health product revenue in 2010  increased 9% to 
$6,469,110,  from  $5,949,479,  in  2009.  The  increase  in  international  revenue  was  driven  by  higher  product 
shipments  to  new  and  existing  customers  in  Eastern  Europe  and  the  Middle  East,  partially  offset  by  continued 
weakness in sales in Southern Europe. Anika S.r.l.’s orthopedic product revenue was $1,918,442 for the year ended 
December 31, 2010, or approximately 4% of our product revenue.  Although Anika S.r.l.’s orthopedic revenue was 
not included in the same period in 2009, it did achieve significant increases in sales of Hyalograft C Autograft and 
Hyalofast as compared to 2009.  

Dermal revenue increased $2,093,451, or 142%, as compared to 2009. The increase was primarily due to 
the addition of Anika S.r.l.’s advanced wound care products revenue which totaled $3,064,552 in 2010. Aesthetic 
dermatology revenue was $500,064 for the year ended December 31, 2010, versus $1,471,165 for the prior year. In 
July 2010, our former U.S. distributor, Coapt, filed for protection from creditors and we terminated our agreement 
with them. Coapt contributed approximately $47,000 and $1,132,000 of aesthetic dermatology revenue in 2010 and 
2009, respectively.  

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Statement of Operations Detail20102009Inc/(Dec)Inc/(Dec)Product revenue52,735,730$      37,320,906$      15,414,824$      41%Licensing, milestone and contract revenue2,820,864          2,814,798          6,066                 0%Total revenue55,556,594        40,135,704        15,420,890        38%Operating expenses:Cost of product revenue23,826,604        13,670,228        10,156,376        74%Research & development6,874,633          8,181,532          (1,306,899)         -16%Selling, general & administrative17,317,671        10,545,351        6,772,320          64%Acquisition-related expenses-                     2,151,854          (2,151,854)         -100%Total operating expenses48,018,908        34,548,965        13,469,943        39%Income from operations7,537,686          5,586,739          1,950,947          35%Interest income (expense), net(194,620)            (74,480)              (120,140)            161%Income before income taxes7,343,066          5,512,259          1,830,807          33%Provision for income taxes3,027,071          1,824,692          1,202,379          66%Net income4,315,995$        3,687,567$        628,428$           17%Product gross margin28,909,126        23,650,678        5,258,448          22%Product gross margin55%63%-9%-13%Year Ended December 31,20102009Inc/(Dec)Inc/(Dec)Orthobiologics30,741,305$    22,879,899$    7,861,406$      34%Dermal3,564,616        1,471,165        2,093,451        142%Ophthalmic surgery11,971,787      10,573,915      1,397,872        13%Surgical3,883,444        121,445           3,761,999        3098%Veterinary2,574,578        2,274,482        300,096           13%52,735,730$    37,320,906$    15,414,824$    41%Year Ended December 31, 
 
  
  
  
 
  
  
 
 
 
 
  
 
 
   
Revenue from ophthalmic products in 2010 increased $1,397,872, or 13%, as compared to 2009. The 
increase was primarily attributable to order timing and inventory management by our partners. As previously 
disclosed, Anika has been a contract manufacturer for Bausch & Lomb for over 20 years, and the previous Supply 
Agreement with B&L expired on December 31, 2010. Effective January 1, 2011, we entered into a non-exclusive, 
two year contract with B&L intended to transition the manufacture of AMVISC and AMVISC Plus to an alternative, 
low-cost supplier formerly affiliated with B&L. B&L accounted for 21% of product revenue for the year ended 
2010.  

Sales of our surgical products were $3,883,444 and $121,445 for the years ended December 31, 2010 and 

2009, respectively. This product group consists primarily of Anika S.r.l.’s anti-adhesion and ENT products acquired 
in December 2009 and, as a result, revenue from this product group were significantly higher in 2010 as compared 
to 2009. Our anti-adhesion products include INCERT and Hyalobarrier. Our leading ear, nose and throat care 
product is Merogel. Anika S.r.l. is partnered with Medtronic for worldwide distribution (except for Italy) of its ENT 
products.   

Veterinary revenue increased $300,096, or 13%, in 2010 as compared to 2009. The increase for the period 

was primarily due to inventory management by our partner, Boehringer Ingelheim Vetmedica.  Sales of HYVISC 
were made to a single customer under an exclusive agreement which was extended, in December 2010, to 
December 31, 2014.  

Licensing, milestone and contract revenue.  Licensing, milestone and contract revenue for the year ended 
December 31, 2010 was $2,820,864, compared to $2,814,798 for 2009. The increase was due to license and grant 
revenue earned by our Anika S.r.l. subsidiary, partially offset by a decrease in maintenance and contract revenue 
from Anika. Licensing and milestone revenue includes the ratable recognition of the $27,000,000 in up-front and 
milestone payments related to the JNJ Agreement. These amounts are being recognized in income ratably over the 
ten-year expected life of the agreement, or $2,700,000 per year. 

Product gross profit and margin.  Product gross profit for the year ended December 31, 2010 was 

$28,909,126, or 55% of product revenue, compared with $23,650,678, or 63% of product revenue, for the year 
ended December 31, 2009. The increase in product gross profit was primarily due to increased sales including the 
additional revenue from Anika S.r.l. The decrease in the product gross margin was primarily due to the addition of 
lower margin Anika S.r.l. products into Anika’s overall mix, and was also negatively affected by inventory reserves 
and duplicate manufacturing expenditures during the continued transition from Woburn to the Company’s Bedford, 
Massachusetts facility. Anika S.r.l. currently operates at a lower volume and outsources most manufacturing to its 
former parent company, Fidia, contributing to its current lower gross margins.  

The Company wrote down inventory by approximately $480,000 during 2010 related to aesthetic and joint 

health products due to the Coapt bankruptcy and the delay in FDA approval of MONOVISC.  As of December 31, 
2010, non-U.S. MONOVISC and aesthetic product manufacturing had been moved to the Bedford facility.  

Research and development.  Research and development (“R&D”) expenses for the year ended 

December 31, 2010 decreased by $1,306,899, or 16%, to $6,874,633 from $8,181,532 for the prior year. The 
decrease in research and development expenses was primarily due to the higher costs incurred in 2009 in connection 
with the Company’s U.S.-based clinical trials for MONOVISC, and the post-marketing aesthetic dermatology 
“people of color” study during the year ended December 31, 2009. The MONOVISC clinical trial was completed in 
late 2009. This decrease was partially offset by the addition of R&D costs at Anika S.r.l. Research and development 
during 2010 was primarily for manufacturing validation activities at our Bedford facility, as well as other continuing 
new product development projects in Italy and the U.S.  

Selling, general and administrative.  Selling, general and administrative expenses for the year ended 

December 31, 2010, increased by $4,620,466, or 36%, to $17,317,671 from $12,697,205 in the prior year, which 
also includes $2.2 million of acquisition-related non-recurring expenses in connection with our acquisition of Anika 
S.r.l. The increase was primarily due to costs associated with the addition of Anika S.r.l. to the Company, including 
integration and infrastructure development costs, as well as costs related to the creation of MONOVISC marketing 
materials and reimbursement strategy consulting.  

Interest income, net.  Net interest expense was $194,620 for the year ended December 31, 2010, compared 

to a net interest expense of $74,480 in 2009. Interest expense incurred was capitalized during the construction and 

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validation of our Bedford, MA facility prior to July 1, 2009, and is the primary reason for the increased expense in 
2010 versus 2009. 

Income taxes.  Provisions for income taxes were $3,027,071 and $1,824,692 for the years ended December 

31, 2010 and 2009, respectively. The increase in effective tax rate in 2010 of 8.1%, and difference from the 
U.S. federal statutory rate, is primarily due to three factors: the foreign rate differential associated with the net 
operating loss incurred by Anika S.r.l., lower R&D spending in 2010 resulting in a decrease in the associated R&D 
credit earned, and continued lower capital spending on the Bedford facility resulting in lower state investment tax 
credits in 2010. 

During 2010, the Company concluded its audit by the Massachusetts Department of Revenue (“DOR”) for 

its 2006 and 2007 tax returns and the statute of limitations expired on certain other previously reserved positions.  

Net income.  For the year ended December 31, 2010 net income was $4,315,995 or $0.32 per diluted share 
compared to $3,687,567 or $0.32 per diluted share for the same period last year. The primary driver for this increase 
in net income was an increase in product sales with a more favorable product mix, and lower clinical spending. 
Earnings per diluted share did not increase from 2009 due to the 1,981,192 increase is outstanding shares resulting 
from the acquisition of Anika S.r.l. on December 30, 2009. See Note 16 to our Consolidated Financial Statements 
for additional information. 

Liquidity and Capital Resources  

We require cash to fund our operating expenses and to make capital expenditures. We expect that our 

requirements for cash to fund these uses will increase as our operations expand. Historically we have funded our 
cash requirements from available cash and investments on hand. We have spent approximately $34.9 million to date 
on the build-out of our Bedford facility to expand our operations and capabilities. In addition, in 2009, we spent 
approximately $16.2 million in cash, net of cash acquired, in connection with the Anika S.r.l. acquisition. Cash and 
cash equivalents totaled $35.8 million compared to $28.2 million, and working capital totaled approximately $49.6 
million and $36.9 million, at December 31, 2011 and December 31, 2010, respectively. The Company believes it has 
adequate financial resources to support its business for the foreseeable future. 

Cash provided by operating activities was $10,173,134, $7,853,461 and $3,094,705 for 2011, 2010, and 

2009, respectively. Cash provided by operating activities increased by $2,319,673 in 2011 from 2010. The increase 
was attributable to increased profits as well as the receipt of $2.5 million of the upfront fee from DePuy Mitek in 
connection with a licensing agreement for MONOVISC in the U.S. These were partially offset by an increase in 
working capital requirements the most significant components of which were an increase in trade receivables and a 
decrease in trade payables for 2011, as compared to 2010. 

Cash used in investing activities was $1,400,348, $2,679,677 and $20,217,869 in 2011, 2010 and 2009, 

respectively. Cash used in investing activities in 2011 was the result of the capital expenditures required to complete 
the build-out of our Bedford facility as we prepare to move the remaining manufacturing operations of our Woburn 
facility to Bedford. Construction at the Bedford facility commenced in May 2007 and validation of the facility is 
expected to be completed by mid-year 2012. 

Cash used in financing activities was $1,165,340, $1,337,320, and $1,643,501 for 2011, 2010, and 2009. 
Cash used was primarily due to the required principal payments on long-term debt of $1.6 million in each period, 
respectively.  Also reflected in the cash provided by financing activities for all three years were proceeds from the 
exercise of stock options, including any associated tax benefits.  

Concentration of Risk 

A significant portion of the Company’s accounts receivable arising from product sales within Italy by 

Anika S.r.l. are due from public hospitals and other government-funded healthcare agencies. As of December 31, 
2011, the Company’s accounts receivable from all Italian customers totaled approximately $3.1 million of which 
public hospital and agency receivables were approximately $2.4 million. 

The history with our Italian customers has been such that many of the public healthcare providers funded 
by the Italian government have been slow to pay with several maintaining outstanding balances over one year past 
due. The Company continuously evaluates these accounts receivables for potential risks associated with, among 
other things, governmental funding and reimbursement practices. We have established an allowance against the 

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gross value of these trade receivables based upon specifically identifiable risks and other currently available 
information. For customers where payment is expected over periods of time longer than one year, revenue and trade 
receivables have been discounted over the estimated period of time for collection. Allowances for doubtful accounts 
have been increased for these customers, but have been immaterial to date. The Company will continue to work 
closely with these customers, monitor the economic situation and take appropriate actions as necessary. 

We do not use special purpose entities or other off-balance sheet financing techniques except for operating 
leases as disclosed in the contractual obligations table below that we believe have or are reasonably likely to have a 
current or future material effect on our financial condition, changes in financial condition, revenues or expenses, 
results of operations, liquidity or capital resources. 

Recent Accounting Pronouncements 

 In October 2009, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards 

Update (“ASU”) 2009-13, Revenue Recognition. The purpose of this Update is to provide guidance: (1) on whether 
multiple deliverables exist, how the deliverables in a revenue arrangement should be separated, and how the 
consideration should be allocated; (2) requiring an entity to allocate revenue in an arrangement using estimated 
selling prices of deliverables if a vendor does not have vendor-specific objective evidence or third-party evidence of 
selling price; and (3) eliminating the use of the residual method and requiring an entity to allocate revenue using the 
relative selling price method. Adoption of this guidance effective January 1, 2011 did not have a material impact on 
our consolidated financial position, results of operations, or cash flows. 

In April 2011, the FASB issued ASU 2011-02, A Creditor’s Determination of Whether a Restructuring Is a 

Troubled Debt Restructuring. The provisions of ASU 2011-02 provide additional guidance related to determining 
whether a creditor has granted a concession, include factors and examples for creditors to consider in evaluating 
whether a restructuring results in a delay in payment that is insignificant, prohibit creditors from using the 
borrower’s effective borrowing rate test to evaluate whether a concession has been granted to the borrower, and add 
factors for creditors to use in determining whether a borrower is experiencing financial difficulties. The provisions 
of ASU 2011-02 are effective for the first interim or annual reporting period beginning after June 15, 
2011. Adoption of this amendment did not have a material impact on our consolidated financial position, results of 
operations, or cash flows. 

On May 12, 2011, the FASB, together with the International Accounting Standards Board, jointly issued 

ASU 2011-04, Amendments to Achieve Common Fair Value Measurement and Disclosure Requirements in U.S. 
GAAP and IFRS. The provisions of ASU 2011-04 give fair value the same meaning between U.S. GAAP and 
International Financial Reporting Standards, and improve consistency of disclosures relating to fair value. For public 
entities, the amendments are effective during interim and annual periods beginning after December 15, 2011. Early 
application by public entities is not permitted. We believe the adoption of this new guidance will not have a material 
impact on our consolidated financial position, results of operations, or cash flows. 

In June 2011, the FASB issued ASU 2011-05, Comprehensive Income (Topic 220): Presentation of 

Comprehensive Income. The amendments in this ASU require all non-owner changes in stockholders’ equity to be 
presented either in a single continuous statement of comprehensive income or in two separate but consecutive 
statements. For public entities, the amendments are effective for fiscal years, and interim periods within those years, 
beginning after December 15, 2011. We believe the adoption will not have a material impact on our consolidated 
financial position, results of operations, or cash flows. 

In September 2011, the FASB issued ASU 2011-08, Intangibles – Goodwill and Other. This ASU's 

objective is to simplify the process of performing impairment testing for Goodwill. With this update a company is 
allowed to first assess qualitative factors to determine if it is more likely than not (greater than 50%) that the fair 
value of its Goodwill and intangible assets is less than the carrying amount. This step is done prior to performing the 
two-step goodwill impairment testing, as prescribed by Topic 350. This ASU is effective for annual and interim 
goodwill impairment tests performed for fiscal years beginning after December 15, 2011. We believe the adoption 
of this amendment will not have a material impact on our consolidated financial position, results of operations or 
cash flows. 

Contractual Obligations and Other Commercial Commitments 

To-date, we have limited commitments for purchases of inventories. We have incurred significant capital 

investments related to the build-out of our new facility in Bedford, Massachusetts, as well as the Anika S.r.l. 

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acquisition. Our future capital requirements and the adequacy of available funds will depend, on numerous factors, 
including: 

  Market acceptance of our existing and future products; 

  The success and sales of our products under current and future distribution agreements; 

  The successful commercialization of products in development; 

  Progress in our product development efforts; 

  The magnitude and scope of such efforts; 

  Any potential acquisitions of products, technologies or businesses; 

  Progress with pre-clinical studies, clinical trials and product clearances by the FDA and other agencies; 

  The cost of maintaining adequate manufacturing capabilities; 

  The cost of filing, prosecuting, defending and enforcing patent claims and other intellectual property rights; 

  Competing technological and market developments; 

  The development of strategic alliances for the marketing of certain of our products; 

  The terms of such strategic alliances, including provisions (and our ability to satisfy such provisions) that 

provide upfront and/or milestone payments to us; 

  The cost of maintaining adequate inventory levels to meet current and future product demands; 

  The contractual obligation to make principal and interest debt payments; 

  The successful integration of Anika S.r.l. 

We cannot assure you that we will record profits in future periods. To the extent that funds generated from 
our operations, together with our existing capital resources are insufficient to meet future requirements, we will be 
required to obtain additional funds through equity or debt financings, strategic alliances with corporate partners, or 
through other sources. No assurance can be given that any additional financing will be made available to us or will 
be  available  on  acceptable  terms  should  such  a  need  arise.  However,  we  believe  that  our  existing  cash  and  cash 
equivalents and future cash provided by operating activities will be sufficient to meet our working capital and capital 
expenditure needs over the next 12 months. See Item 1A. “Risk Factors”. 

The terms of any future equity financings may be dilutive to our stockholders and the terms of any debt 

financings may contain restrictive covenants, which could limit our ability to pursue certain courses of action. Our 
ability to obtain financing is dependent on the status of our future business prospects as well as conditions prevailing 
in the relevant capital markets. No assurance can be given that any additional financing may be made available to us 
or may be available on acceptable terms should such a need arise. 

The table below summarizes our non-cancelable operating leases and contractual obligations at 

December 31, 2011:  

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Less thanMore thanTotal1 year2 - 3 years4 - 5 years5 yearsOperating Leases (1) $    13,748,462  $      2,844,347  $      3,452,596  $      2,594,019  $      4,857,500 Purchase Commitments         2,131,376          2,131,376                       -                         -                         -   Long Term Debt (2)       11,789,171          1,790,403          3,494,585          6,504,183                       -   Total27,669,009$    6,766,126$      6,947,181$      9,098,202$      4,857,500$      Payments due by period 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
(1) 

(2) 

Included in this line is a lease we entered into on January 4, 2007, pursuant to which we lease our Corporate Headquarters facility, 
The Facility consists of approximately 134,000 square feet of general office, R&D and manufacturing space located in Bedford, 
Massachusetts. The Lease has an initial term of ten and one- half years, and commenced on May 1, 2007. We have an option under 
the Lease to extend its terms for up to four periods beyond the original expiration date subject to the condition that we notify the 
landlord that we are exercising each option at least one year prior to the expiration of the original or current term thereof. The first 
three renewal options each extend the term an additional five years with the final renewal option extending the term six years. The 
lease covering the Company’s existing manufacturing facility located in Woburn is also included in the table above. Our 
administrative and R&D personnel began occupying the Bedford facility in November of 2007. The build-out and validation for the 
Bedford manufacturing space was substantially completed in 2011. Also included in the table above is the lease entered into in 
Italy related to Anika S.r.l. The lease for our Italian facility commenced on December 30, 2009 for a period of six years. 

On January 31, 2008, the Company entered into an unsecured Credit Agreement (the “Agreement”) with Bank of America. 
Pursuant to the terms of the Agreement, our lender agreed to provide the Company with an unsecured revolving credit facility 
through December 31, 2008 of up to a maximum principal amount at any time outstanding of $16,000,000. The Company 
borrowed the maximum amount as of December 31, 2008. On December 31, 2008, all outstanding revolving credit loans were 
converted into a term loan with quarterly principal payments of $400,000 and a final installment of $5,200,000 due on the maturity 
date of December 31, 2015. In connection with the acquisition of Anika S.r.l., the Company entered into a Consent and First 
Amendment to our original loan with Bank of America. As part of this amendment, the interest rate for Eurodollar-based loans was 
increased and is payable at a rate based upon (at the Company’s election) Bank of America’s prime rate or LIBOR plus 125 basis 
points. This represented an increase from the original facility which was prime rate or LIBOR plus 75 basis points. In addition, the 
Company pledged to the lender sixty-five percent (65%) of the stock of Anika S.r.l. The Agreement contains customary 
representations and warranties of the Company, affirmative and negative covenants regarding the Company’s operations, financial 
covenants regarding the maintenance by the Company of a specified quick ratio and consolidated fixed charge coverage ratio, and 
events of default. The table includes expected principal and interest payments. For the purpose of this calculation, interest 
payments are based on the carrying rate of the debt at December 31, 2011, throughout the life of the obligation. 

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ITEM 7A.  QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK 

As of December 31, 2011, we did not utilize any derivative financial instruments, market risk sensitive 

instruments or other financial and commodity instruments for which fair value disclosure would be required under 
ASC 825, Financial Instruments. Our investments consist of money market funds primarily invested in 
U.S. Treasury obligations and repurchase agreements secured by U.S. Treasury obligations, and municipal bonds 
that are carried on our books at amortized cost, which approximates fair market value. 

Primary Market Risk Exposures 

Our primary market risk exposures are in the areas of interest rate risk and currency rate risk. We have two 

supplier contracts denominated in foreign currencies. Unfavorable fluctuations in exchange rates would have a 
negative impact on our financial statements. The impact of changes in currency exchange rates for the two contracts 
on our financial statements was immaterial in 2011. Our investment portfolio of cash equivalents and long-term debt 
are subject to interest rate fluctuations. As of December 31, 2011, the Company is subject to interest rate risk on 
$11.2 million of variable rate debt. The interest payable on our debt is determined based (at the Company’s election) 
on either an interest rate based on LIBOR plus 1.25% or the lender’s prime rate and, therefore, is affected by 
changes in market interest rates. Based on the outstanding debt amount as of December 31, 2011, we would have a 
decrease (increase) in future annual cash flow of approximately $106,000 for every 1% increase (decrease) in the 
interest rate. 

A significant portion of Anika S.r.l.’s revenue, and all operating expenses, are denominated in Euros which 

leaves the Company vulnerable to foreign exchange risk. 

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ITEM 8.  FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA 

ANIKA THERAPEUTICS, INC. AND SUBSIDIARIES 

INDEX TO CONSOLIDATED FINANCIAL STATEMENTS 

Report of Independent Registered Public Accounting Firm 
Consolidated Balance Sheets as of December 31, 2011 and 2010 
Consolidated Statements of Operations and Comprehensive Income for the Years Ended 

December 31, 2011, 2010 and 2009 

Consolidated Statements of Stockholders’ Equity for the Years Ended December 31, 2011, 

2010 and 2009 

Consolidated Statements of Cash Flows for the Years Ended December 31, 2011, 2010 and 

2009 

Notes to Consolidated Financial Statements 

48 
49 
50 

51 

52 

53 

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Report of Independent Registered Public Accounting Firm 

To the Board of Directors and Stockholders of Anika Therapeutics, Inc. 

In our opinion, the accompanying consolidated balance sheets and the related consolidated statements of operations 
and comprehensive income, of stockholders' equity, and of cash flows present fairly, in all material respects, the 
financial position of Anika Therapeutics, Inc. and its subsidiaries as of December 31, 2011 and December 31, 2010 
and the results of their operations and their cash flows for each of the three years in the period ended December 31, 
2011 in conformity with accounting principles generally accepted in the United States of America.  Also in our 
opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of 
December 31, 2011, based on criteria established in Internal Control - Integrated Framework issued by the 
Committee of Sponsoring Organizations of the Treadway Commission (COSO). The Company's management is 
responsible for these financial statements, for maintaining effective internal control over financial reporting and for 
its assessment of the effectiveness of internal control over financial reporting, included in Management's Report on 
Internal Control over Financial Reporting appearing under Item 9A. Our responsibility is to express opinions on 
these financial statements and on the Company's internal control over financial reporting based on our integrated 
audits.  We conducted our audits in accordance with the standards of the Public Company Accounting Oversight 
Board (United States).  Those standards require that we plan and perform the audits to obtain reasonable assurance 
about whether the financial statements are free of material misstatement and whether effective internal control over 
financial reporting was maintained in all material respects.  Our audits of the financial statements included 
examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the 
accounting principles used and significant estimates made by management, and evaluating the overall financial 
statement presentation.  Our audit of internal control over financial reporting included obtaining an understanding of 
internal control over financial reporting, assessing the risk that a material weakness exists, and testing and 
evaluating the design and operating effectiveness of internal control based on the assessed risk.  Our audits also 
included performing such other procedures as we considered necessary in the circumstances. We believe that our 
audits provide a reasonable basis for our opinions. 

A company’s internal control over financial reporting is a process designed to provide reasonable assurance 
regarding the reliability of financial reporting and the preparation of financial statements for external purposes in 
accordance with generally accepted accounting principles.  A company’s internal control over financial reporting 
includes those policies and procedures that (i) pertain to the maintenance of records that, in reasonable detail, 
accurately and fairly reflect the transactions and dispositions of the assets of the company; (ii) provide reasonable 
assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance 
with generally accepted accounting principles, and that receipts and expenditures of the company are being made 
only in accordance with authorizations of management and directors of the company; and (iii) provide reasonable 
assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s 
assets that could have a material effect on the financial statements. 

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements.  
Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become 
inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may 
deteriorate. 

PricewaterhouseCoopers LLP 

Boston, Massachusetts 
March 13, 2012 

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

- 51 - 

ASSETS20112010Current assets:Cash and cash equivalents $        35,777,222  $        28,201,932 Accounts receivable, net of reserves of $334,473 and $30,000 at December 31, 2011 and 2010, respectively           17,307,786            14,819,868 Inventories             7,302,483              8,949,745 Current portion deferred income taxes             1,918,926              1,990,609 Prepaid expenses and other             1,831,127              2,360,182 Total current assets           64,137,544            56,322,336 Property and equipment, at cost           50,850,630            49,696,989 Less: accumulated depreciation          (14,380,752)          (12,715,595)           36,469,878            36,981,394 Long-term deposits and other                205,042                 384,988 Intangible assets, net           23,148,563            25,764,185 Deferred income taxes                            -                 392,005 Goodwill             8,883,407              9,091,960 Total Assets $      132,844,434  $      128,936,868 LIABILITIES AND STOCKHOLDERS’ EQUITYCurrent liabilities:Accounts payable4,299,680$           9,694,355$           Accrued expenses5,321,594             5,375,585             Deferred revenue2,866,667             2,700,000             Current portion of long-term debt1,600,000             1,600,000             Income taxes payable450,482                -                           Total current liabilities           14,538,423            19,369,940 Other long-term liabilities             1,548,652              1,560,205 Long-term deferred revenue             5,019,440              5,399,995 Deferred tax liability             7,375,141              6,216,582 Long-term debt             9,600,000            11,200,000 Commitments and contingencies (Note 9)Stockholders’ equity:Preferred stock, $.01 par value; 1,250,000 shares authorized, no shares issued and outstanding at December 31, 2011 and 2010, respectively                            -                             - Common stock, $.01 par value; 30,000,000 shares authorized, 13,630,607 and 13,482,384 shares issued and outstanding at December 31, 2011 and 2010, respectively                136,305                 134,823 Additional paid-in-capital           63,441,433            61,817,558 Accumulated currency translation adjustment            (3,067,181)            (2,547,776)Retained earnings           34,252,221            25,785,541 Total stockholders’ equity           94,762,778            85,190,146 Total Liabilities and Stockholders’ Equity132,844,434$       128,936,868$       Anika Therapeutics, Inc. and SubsidiariesConsolidated Balance SheetsDecember 31,  
 
 
 
 
 
 
 
 
 
 
 
The accompanying notes are an integral part of these consolidated financial statements. 

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201120102009Product revenue$61,956,386      $52,735,730      $37,320,906      Licensing, milestone and contract revenue2,822,249        2,820,864        2,814,798        Total revenue64,778,635      55,556,594      40,135,704      Operating expenses:Cost of product revenue26,783,738      23,826,604      13,670,228      Research & development6,168,937        6,874,633        8,181,532        Selling, general & administrative17,858,558      17,317,671      10,545,351      Acquisition-related expenses-                   -                   2,151,854        Total operating expenses50,811,233      48,018,908      34,548,965      Income from operations13,967,402      7,537,686        5,586,739        Interest income (expense), net(182,388)          (194,620)          (74,480)            Income before income taxes13,785,014      7,343,066        5,512,259        Provision for income taxes5,318,334        3,027,071        1,824,692        Net income$8,466,680        $4,315,995        $3,687,567        Basic net income per share:Net income$0.65$0.34$0.32Basic weighted average common shares outstanding13,064,05112,624,49511,386,989Diluted net income per share:Net income$0.62$0.32$0.32Diluted weighted average common shares outstanding13,747,81313,646,53311,562,304Net income$8,466,680        $4,315,995        $3,687,567        Other comprehensive income (loss)       Foreign currency translation adjustment(519,405)          (2,547,776)       -                       Comprehensive income$7,947,275        $1,768,219        $3,687,567        Anika Therapeutics, Inc. and SubsidiariesConsolidated Statements of Operations and Comprehensive IncomeFor the Years Ended December 31, 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The accompanying notes are an integral part of these consolidated financial statements. 

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AccumulatedOtherTotalNumber of$.01 ParAdditional PaidRetainedComprehensiveStockholders'SharesValuein CapitalEarningsIncome (Loss)EquityBalance, December 31, 2008  11,377,623     113,776           42,861,229    17,781,979                            -         60,756,984 Issuance of common stock for employee equity awards         59,957            600                    2,550                    -                            -                  3,150 Acquisition of Fidia Advanced Biopolymers S.r.l.    1,981,192       19,812           16,800,508                    -                            -         16,820,320 Tax shortfall related to stock based compensation                  -                -                 (82,544)                   -                            -               (82,544)Stock based compensation expense                  -                -                958,025                    -                            -              958,025 Net income                  -                -                            -      3,687,567                            -           3,687,567 Balance, December 31, 2009  13,418,772     134,188           60,539,768    21,469,546                            -         82,143,502 Issuance of common stock for employee equity awards         63,612            635                196,609                    -                            -              197,244 Tax benefit related to stock based compensation                  -                -                 (21,188)                   -                            -               (21,188)Stock based compensation expense                  -                -             1,102,369                    -                            -           1,102,369 Net income                  -                -                            -      4,315,995           4,315,995 Other comprehensive income (loss)                  -                -                            -            (2,547,776)         (2,547,776)Balance, December 31, 2010  13,482,384     134,823           61,817,558    25,785,541            (2,547,776)        85,190,146 Issuance of common stock for employee equity awards       148,223         1,482                158,988                    -                            -              160,470 Tax benefit related to stock based compensation                  -                -                274,190                    -                            -              274,190 Stock based compensation expense                  -                -             1,190,697                    -                            -           1,190,697 Net income                  -                -                            -      8,466,680                            -           8,466,680 Other comprehensive income (loss)                  -                -                            -                    -               (519,405)            (519,405)Balance, December 31, 2011  13,630,607     136,305           63,441,433    34,252,221            (3,067,181)        94,762,778 Anika Therapeutics, Inc. and SubsidiariesConsolidated Statements of Stockholders' EquityCommon Stock 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The accompanying notes are an integral part of these consolidated financial statements. 

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201120102009Cash flows from operating activities:Net income $    8,466,680  $    4,315,995  $    3,687,567 Adjustments to reconcile net income to net cash provided by operating activities:                    -   Depreciation and amortization       4,002,391        3,320,352        1,293,468 Stock-based compensation expense       1,190,697        1,102,617           958,025 Deferred income taxes       1,989,708        1,953,946        1,735,947 Provision for doubtful accounts          331,528           302,723                     -   Provision for inventory        1,427,862           699,057           350,220 Tax benefit from exercise of stock options        (274,190)          (65,434)          (27,349)Changes in operating assets and liabilities, net of effect of acquisition:                    -   Accounts receivable     (2,998,037)     (3,716,478)     (1,697,673)Inventories          224,714      (1,220,359)     (1,871,545)Prepaid expenses and other current assets           947,263           445,650         (774,764)Long-term deposits and other          179,939             28,239             93,559 Accounts payable     (6,594,292)       5,784,731           141,083 Accrued expenses       1,042,845      (2,188,082)       1,718,307 Deferred revenue        (213,888)     (2,751,468)     (2,680,831)Income taxes payable          450,482                     -                       -   Other long-term liabilities               (568)        (158,028)          168,691 Net cash provided by operating activities     10,173,134        7,853,461        3,094,705 Cash flows from investing activities:Purchase of property and equipment, net     (1,400,348)     (2,784,977)     (3,962,232)Payment for the acquisition of Anika S.r.l., net of cash acquired                    -                         -      (16,255,637)   Reduction in purchase price of acquisition                    -             105,300                     -   Net cash used in investing activities     (1,400,348)     (2,679,677)   (20,217,869)Cash flows from financing activities:Principal payments on debt     (1,600,000)     (1,600,000)     (1,600,000)Debt Issuance Costs                    -                       -             (74,000)Proceeds from exercise of stock options          160,470           197,246               3,150 Tax benefit from exercise of stock options          274,190             65,434             27,349 Net cash used in financing activities     (1,165,340)     (1,337,320)     (1,643,501)Exchange rate impact on cash          (32,156)          (61,522)                    -   Increase (decrease) in cash and cash equivalents       7,575,290        3,774,942    (18,766,665)Cash and cash equivalents at beginning of period     28,201,932      24,426,990      43,193,655 Cash and cash equivalents at end of period $  35,777,222  $  28,201,932  $  24,426,990 Supplemental disclosure of cash flow information:Cash paid for income taxes $    2,651,212  $       360,000  $    1,210,000 Cash paid for interest $       193,880  $       222,919  $       208,053 Supplemental disclosure of cash flow information:Fair value of assets of Anika S.r.l. and product lines $                 -    $                 -    $  50,539,846 Cash paid for Anika S.r.l. and product lines $                 -    $                 -    $  17,055,000 Fair value of common stock issued to acquire Anika S.r.l. $                 -    $                 -    $  16,820,320 Liabilities assumed of acquired businesses and product lines $                 -    $                 -    $  16,664,611 Anika Therapeutics, Inc. and SubsidiariesConsolidated Statements of Cash FlowsFor the year ended December 31, 
 
 
 
 
 
 
 
 
Anika Therapeutics, Inc. and Subsidiaries 

Notes to Consolidated Financial Statements 

1. Business 

Anika Therapeutics, Inc. (“Anika,” the “Company,” “we,” “us,” or “our”) develops, manufactures and 

commercializes therapeutic products for tissue protection, healing and repair. These products are based on 
hyaluronic acid (“HA”), a naturally occurring, biocompatible polymer found throughout the body. Due to its unique 
biophysical and biochemical properties, HA plays an important role in a number of physiological functions such as 
the protection and lubrication of soft tissues and joints, the maintenance of the structural integrity of tissues, and the 
transport of molecules to and within cells. 

The Company is subject to risks common to companies in the biotechnology and medical device industries 

including, but not limited to, development by the Company or its competitors of new technological innovations, 
dependence on key personnel, protection of proprietary technology, commercialization of existing and new 
products, and compliance with FDA government regulations and approval requirements as well as the ability to 
grow the Company’s business. 

2. Summary of Significant Accounting Policies 

Use of Estimates 

The preparation of financial statements in conformity with generally accepted accounting principles in the 
United States of America requires management to make estimates and assumptions that affect the reported amounts 
of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and 
the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those 
estimates. 

Principles of Consolidation 

The accompanying consolidated financial statements include the accounts of Anika Therapeutics, Inc. and 

its wholly owned subsidiaries, Anika Securities, Inc. (a Massachusetts Securities Corporation), and Anika 
Therapeutics S.r.l. All intercompany balances and transactions have been eliminated in consolidation. Certain prior 
period amounts have been reclassified to conform to the current period presentation. There was no impact on 
operating income. 

Foreign Currency Translation 

The functional currency of our foreign subsidiary is the euro. Assets and liabilities of the foreign subsidiary 
are  translated  using  the  exchange  rate  existing  on  each  respective  balance  sheet  date.  Revenues  and  expenses  are 
translated  using  the  monthly  average  exchange  rates  prevailing  throughout  the  year.  The  translation  adjustments 
resulting from this process are included as a component of accumulated other comprehensive income (loss).  

Fair Value Measurements 

Fair value is defined as the price that would be received from selling an asset or paid to transfer a liability in 

an orderly transaction between market participants at the measurement date. When determining the fair value 
measurements for assets and liabilities required to be recorded at fair value, we consider the principal or most 
advantageous market in which we would transact and consider assumptions that market participants would use when 
pricing the asset or liability, such as inherent risk, transfer restrictions, and risk of nonperformance. The accounting 
standard establishes a fair value hierarchy that requires an entity to maximize the use of observable inputs and 
minimize the use of unobservable inputs when measuring fair value.  

A financial instrument’s categorization within the fair value hierarchy is based upon the lowest level of input 

that is significant to the fair value measurement. Three levels of inputs that may be used to measure fair value:  

•  Level 1 – Valuation is based upon quoted prices for identical instruments traded in active markets.  Level 1 
instruments include securities traded on active exchange markets, such as the New York Stock Exchange. 

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•  Level 2 – Valuation is based upon quoted prices for similar instruments in active markets, quoted prices for 
identical or similar instruments in markets that are not active and model-based valuation techniques for 
which all significant assumptions are observable in the market. 

•  Level 3 – Valuation is generated from model-based techniques that use significant assumptions not 

observable in the market.  These unobservable assumptions reflect our own estimates of assumptions 
market participants would use in pricing the asset or liability. 

Our significant financial assets and liabilities measured at fair value on a recurring basis as of December 31, 

2011 and 2010 were as follows:  

The  carrying  value  of  our  debt  instrument  was  $11,200,000  and  $12,800,000  at  December  31,  2011  and 
2010,  respectively.  The  estimated  fair  value  of  our  debt  instrument  approximated  book  value  at  both  dates  using 
market observable inputs and interest rate measurements. 

Allowance for Doubtful Accounts 

We maintain allowances for doubtful accounts for estimated losses resulting from the inability of our 

customers to make required payments. In determining the adequacy of the allowance for doubtful accounts, 
management specifically analyzes individual accounts receivable, historical bad debts, customer concentrations, 
customer credit-worthiness, current economic conditions, accounts receivable aging trends and changes in our 
customer payment terms. Our allowance for doubtful accounts on trade accounts receivable was $334,473 and 
$30,000 at December 31, 2011 and 2010, respectively.  

Uncollectible trade accounts receivable written-off were $2,047 and $301,984 in 2011 and 2010, 
respectively. Provisions for bad debt expense were $306,520 and $302,723 in 2011 and 2010, respectively, and are 
included in general and administrative expenses in the accompanying consolidated statements of operations.  

Revenue Recognition - General 

We recognize revenue from product sales when all of the following criteria are met: persuasive evidence 

of an arrangement exists; delivery has occurred or services have been rendered; the seller's price to the buyer is fixed 
or determinable; and collection from the customer is reasonably assured.  

Product Revenue 

Revenues from product sales are recognized when title and risk of loss have passed to the customer, which 
is typically upon shipment to the customer. Amounts billed or collected prior to recognition of revenue are classified 
as deferred revenue. When determining whether risk of loss has transferred to customers on product sales, or if the 
sales price is fixed or determinable, the Company evaluates both the contractual terms and conditions of its 
distribution and supply agreements as well as its business practices.  

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Level 1Level 2Level 3TotalCash equivalents - money market accounts $  20,263,766  $                 -    $                 -    $  20,263,766 Level 1Level 2Level 3TotalCash equivalents - money market accounts $  20,244,955  $                 -    $                 -    $  20,244,955 December 31, 2011December 31, 201020112010Balance, beginning of the year $           30,000  $           29,261   Amounts provided            306,520             302,723   Amounts written off              (2,047)          (301,984)Balance, end of the year334,473$         30,000$           December 31, 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
Product revenue also includes royalties. Royalty revenue is based on our distributors’ sales and recognized 
in the same period our distributors record their sale of products manufactured by us. On a quarterly basis we record 
royalty revenue based upon sales projections provided to us by our distributor customers. If necessary we adjust our 
estimates based upon final sales data received prior to issuing our annual audited financial statements. 

Licensing, Milestone and Contract Revenue 

Licensing, milestone, and contract revenue consist of revenue recognized on initial and milestone 
payments, as well as contractual amounts received from partners. The Company’s business strategy includes 
entering into collaborative license, development and/or supply agreements with partners for the development and 
commercialization of the Company’s products.  

The terms of the agreements typically include non-refundable license fees, funding of research and 

development, and payments based upon achievement of certain milestones. The Company adopted Accounting 
Standards Update 2009-13, Revenue Recognition, in January 2011, which amends ASC Subtopic 605-25, Multiple 
Element Arrangements (“ASC 605-25”) to require the establishment of a selling price hierarchy for determining the 
allocable selling price of an item. Under ASC 605-25, as amended by ASU 2009-13, in order to account for an 
element as a separate unit of accounting, the element must have objective and reliable evidence of selling price of 
the undelivered elements. In general, non-refundable upfront fees and milestone payments that do not relate to other 
elements are recognized as revenue over the term of the arrangement as the Company completes its performance 
obligations. 

Grant Research Contract 

With the Anika S.r.l. acquisition, the Company assumed two grant contracts with the European Community 
related  to  cell-based  tissue  engineered  products  and  disc  regeneration  research. Anika  S.r.l.  coordinates  the  fiscal 
activities  for  a  group  of  participating  companies  and  universities,  and  accounts  for  these  contracts  by  recording  a 
reduction  to  expense  and  a related  accounts  receivable  for  the reimbursable  expenses incurred under  the  contract. 
Amounts due to the other participants are recorded as expenses and accounts payable as the amounts are incurred. 

Cash, Cash Equivalents and Marketable Investments 

We consider only those investments which are highly liquid, readily convertible to cash, and that mature 
within three months from date of purchase to be cash equivalents. Marketable investments are those with original 
maturities in excess of three months.  

At December 31, 2011 and 2010, cash equivalents were comprised of money market funds secured by 

U.S. Treasury obligations, which approximates fair market value. We had no marketable investments at December 
31, 2011 and 2010, respectively. 

Concentration of Credit Risk and Significant Customers 

The Company has no significant off-balance sheet risks related to foreign exchange contracts, option 

contracts or other foreign hedging arrangements. The Company currently maintains its cash equivalent balance with 
one major national financial institution.  

The Company, by policy, routinely assesses the financial strength of its customers. As a result, the 

Company believes that its accounts receivable credit risk exposure is limited.  

 As of December 31, 2011, DePuy Mitek, Inc., Bausch and Lomb, Medtronic Xomed, Azienda USL Roma, 

and A.T. Grade, combined, represented 58% of the Company’s accounts receivable balance. As of December 31, 
2010, DePuy Mitek, Bausch and Lomb, Medtronic Xomed, Azienda USL Roma, and  Nycomed / Biomeks, 
combined, represented 55% of the Company’s accounts receivable balance. 

Inventories 

Inventories are stated at the lower of cost or market, with cost being determined using the first-in, first-out 

(FIFO) method. Work-in-process and finished goods inventories include materials, labor, and manufacturing 
overhead. 

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The Company’s policy is to write-down inventory when conditions exist that suggests inventory may be in 

excess of anticipated demand or is obsolete based upon assumptions about future demand for the Company’s 
products and market conditions. The Company regularly evaluates the ability to realize the value of inventory based 
on a combination of factors including, but not limited to: historical usage rates, forecasted sales or usage, product 
end of life dates, and estimated current or future market values. Purchasing requirements and alternative usage 
avenues are explored within these processes to mitigate inventory exposure.  

When recorded, inventory write-downs are intended to reduce the carrying value of inventory to its net 

realizable value. Inventory of $7,302,483 and $8,949,745 as of December 31, 2011 and 2010 is stated net of 
inventory write-downs of $1,375,150 and $631,028, respectively. If actual demand for the Company’s products 
deteriorates, or market conditions are less favorable than those projected, additional inventory write-downs may be 
required. 

Property and Equipment 

Property and equipment are recorded at cost and depreciated using the straight-line method over their 

estimated useful lives. Computer hardware and software are typically amortized over three to five years, and 
furniture and fixtures over three to eight years. Leasehold improvements are amortized over the shorter of their 
useful lives or the remaining terms of the related leases which range from six months to 26 years at December 31, 
2011. Property and equipment under capital leases are amortized over the lesser of the lease terms or their estimated 
useful lives. Maintenance and repairs are charged to expense when incurred; additions and improvements are 
capitalized. When an item is sold or retired, the cost and related accumulated depreciation is relieved, and the 
resulting gain or loss, if any, is recognized in income. 

Subsequent Event 

In January of 2012, the Company received FDA approval to sell ORTHOVISC, HYVISC, and INCERT 
manufactured in our Bedford facility. Our Bedford facility is already approved to manufacture all our CE marked 
products. 

Goodwill and Acquired Intangible Assets 

Goodwill is the amount by which the purchase price of acquired net assets in a business combination 
exceeded the fair values of net identifiable assets on the date of acquisition. Acquired In-Process Research and 
Development (“IPR&D”) represents the fair value assigned to research and development assets that we acquire that 
have not been completed at the date of acquisition or are pending regulatory approval in certain jurisdictions. The 
value assigned to acquired IPR&D is determined by estimating the costs to develop the acquired technology into 
commercially viable products, estimating the resulting revenue from the projects, and discounting the net cash flows 
to present value.  

Goodwill and IPR&D are evaluated for impairment annually or more frequently if events or changes in 

circumstances indicate that the asset might be impaired. Factors we consider important, on an overall company 
basis, that could trigger an impairment review include significant underperformance relative to historical or 
projected future operating results, significant changes in our use of the acquired assets or the strategy for our overall 
business, significant negative industry or economic trends, a significant decline in our stock price for a sustained 
period, or a reduction of our market capitalization relative to net book value. 

 To conduct impairment tests of goodwill, the fair value of the acquired reporting unit is compared to its 

carrying value. If the reporting unit’s carrying value exceeds its fair value, we record an impairment loss to the 
extent that the carrying value of goodwill exceeds its implied fair value. We estimate the fair value for reporting 
units using discounted cash flow valuation models which require the use of significant estimates and assumptions 
including but not limited to: risk free rate of return on an investment, weighted average cost of capital, future 
revenue, operating margin, working capital and capital expenditure needs. Our annual assessment for impairment of 
goodwill as of November 30, 2011 indicated that the fair value of our reporting units exceeded the carrying value of 
the reporting units. Anika S.r.l. is our only acquired reporting unit and currently holds 100% of the goodwill 
associated with the 2009 acquisition of that company. There can be no assurance that, at the time future impairment 
tests are completed, a material impairment charge will not be recorded. 

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 To conduct impairment tests of IPR&D, the fair value of the IPR&D project is compared to its carrying 

value. If the carrying value exceeds its fair value, we record an impairment loss to the extent that the carrying value 
of the IPR&D project exceeds its fair value. We estimate the fair values for IPR&D projects using discounted cash 
flow valuation models which require the use of significant estimates and assumptions including but not limited to:  
estimating the timing of and expected costs to complete the in process projects, projecting regulatory approvals, 
estimating future cash flows from product sales resulting from completed projects and in process projects, and 
developing appropriate discount rates. Our annual assessment for impairment of IPR&D indicated that the fair value 
of our IPR&D as of November 30, 2011 exceeded their respective carrying values. There can be no assurance that, 
at the time future impairment tests are completed, a material impairment charge will not be recorded. 

During the years ended December 31, 2011, 2010, and 2009, the Company did not record any impairment 

losses. 

Long-Lived Assets 

Long-lived assets primarily include property and equipment and intangible assets with finite lives 

(including purchased software and trade names). Purchased software is amortized over 2 to 10 years and trade 
names are amortized over 10 years. We review long-lived assets for impairment when events or changes in business 
circumstances indicate that the carrying amount of the assets may not be fully recoverable or that the useful lives of 
those assets are no longer appropriate. Each impairment test is based on a comparison of the undiscounted cash 
flows to the recorded value of the asset. If impairment is indicated, the asset is written down to its estimated fair 
value based on a discounted cash flow analysis. 

Research and Development 

Research and development costs consist primarily of salaries and related expenses for personnel and fees 

paid to outside consultants and outside service providers, including costs associated with licensing, milestone and 
contract revenue. Research and development costs are expensed as incurred. 

Income Taxes 

Our income tax expense includes U.S. and international income taxes. Certain items of income and expense 

are not reported in tax returns and financial statements in the same year. The tax effects of these differences are 
reported as deferred tax assets and liabilities. Deferred tax assets are recognized for the estimated future tax effects 
of deductible temporary differences, tax operating losses, and credit carry-forwards (including investment tax 
credits). Changes in deferred tax assets and liabilities are recorded in the provision for income taxes. We assess the 
likelihood that our deferred tax assets will be recovered from future taxable income and, to the extent we believe 
that it is more likely than not that all or a portion of deferred tax assets will not be realized, we establish a valuation 
allowance. To the extent we establish a valuation allowance or increase this allowance in a period, we include an 
expense within the tax provision in the consolidated statement of operations. 

Stock-Based Compensation 

We measure the compensation cost of employee services received in exchange for an award of equity 
instruments based on the grant-date fair value of the underlying award. That cost is recognized over the period 
during which an employee is required to provide service in exchange for the award. See Note 10 for a description of 
the types of stock-based awards granted, the compensation expense related to such awards, and detail of equity-
based awards outstanding. See Note 14 for detail of the tax benefit recognized in the consolidated statement of 
operations related to stock-based compensation. 

Comprehensive Income 

Comprehensive income consists of net income and other comprehensive income (loss), which includes 

foreign currency translation adjustments. For the purposes of comprehensive income disclosures, we do not record 
tax provisions or benefits for the net changes in the foreign currency translation adjustment, as we intend to reinvest 
permanently undistributed earnings of our foreign subsidiary. Accumulated other comprehensive income (loss) is 
reported as a component of stockholders' equity and, as of December 31, 2011 and 2010, was comprised solely of 
cumulative translation adjustment losses. 

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Segment Information 

Operating segments, as defined under U.S. GAAP, are components of an enterprise about which separate 

financial information is available that is evaluated regularly by the chief operating decision maker, or decision-
making group, in deciding how to allocate resources and in assessing performance. The Company’s chief operating 
decision maker is its Chief Executive Officer. Based on the criteria established by ASC 280, Segment Reporting, the 
Company has one reportable operating segment the results of which are disclosed in the accompanying consolidated 
financial statements.  

 Recent Accounting Pronouncements 

In October 2009, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards 

Update (“ASU”) 2009-13, Revenue Recognition. The purpose of this Update is to provide guidance: (1) on whether 
multiple deliverables exist, how the deliverables in a revenue arrangement should be separated, and how the 
consideration should be allocated; (2) requiring an entity to allocate revenue in an arrangement using estimated 
selling prices of deliverables if a vendor does not have vendor-specific objective evidence or third-party evidence of 
selling price; and (3) eliminating the use of the residual method and requiring an entity to allocate revenue using the 
relative selling price method. Adoption of this guidance effective January 1, 2011 did not have a material impact on 
our consolidated financial position, results of operations, or cash flows. 

In April 2011, the FASB issued ASU No. 2011-02, A Creditor’s Determination of Whether a Restructuring 

Is a Troubled Debt Restructuring. The provisions of ASU No. 2011-02 provide additional guidance related to 
determining whether a creditor has granted a concession, include factors and examples for creditors to consider in 
evaluating whether a restructuring results in a delay in payment that is insignificant, prohibit creditors from using 
the borrower’s effective borrowing rate test to evaluate whether a concession has been granted to the borrower, and 
add factors for creditors to use in determining whether a borrower is experiencing financial difficulties. The 
provisions of ASU No. 2011-02 are effective for the first interim or annual reporting period beginning after June 15, 
2011. Adoption of this amendment did not have a material impact on our consolidated financial position, results of 
operations, or cash flows. 

On May 12, 2011, the FASB, together with the International Accounting Standards Board, jointly issued 

ASU 2011-04, Amendments to Achieve Common Fair Value Measurement and Disclosure Requirements in U.S. 
GAAP and IFRS. The provisions of ASU 2011-04 give fair value the same meaning between U.S. GAAP and 
International Financial Reporting Standards, and improve consistency of disclosures relating to fair value. For public 
entities, the amendments are effective during interim and annual periods beginning after December 15, 2011. Early 
application by public entities is not permitted. We believe the adoption of this new guidance will not have a material 
impact on our consolidated financial position, results of operations, or cash flows. 

In June 2011, the FASB issued ASU 2011-05, Comprehensive Income (Topic 220): Presentation of 

Comprehensive Income. The amendments in this ASU require all non-owner changes in stockholders’ equity to be 
presented either in a single continuous statement of comprehensive income or in two separate but consecutive 
statements. For public entities, the amendments are effective for fiscal years, and interim periods within those years, 
beginning after December 15, 2011. We believe the adoption will not have a material impact on our consolidated 
financial position, results of operations, or cash flows. 

In September 2011, the FASB issued ASU 2011-08, Intangibles – Goodwill and Other. This ASU's 

objective is to simplify the process of performing impairment testing for Goodwill. With this update a company is 
allowed to first assess qualitative factors to determine if it is more likely than not (greater than 50%) that the fair 
value of its Goodwill and intangible assets is less than the carrying amount. This step is done prior to performing the 
two-step goodwill impairment testing, as prescribed by Topic 350. This ASU is effective for annual and interim 
goodwill impairment tests performed for fiscal years beginning after December 15, 2011. We believe the adoption 
of this amendment will not have a material impact on our consolidated financial position, results of operations or 
cash flows. 

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3. Earnings per Share (“EPS”)  

Basic EPS is calculated by dividing net income by the weighted average number of shares outstanding 

during the period. Unvested restricted shares, although legally issued and outstanding, are not considered 
outstanding for purposes of calculating basic earnings per share. Diluted EPS is calculated by dividing net income 
by the weighted average number of shares outstanding plus the dilutive effect, if any, of outstanding stock options, 
stock appreciation rights (“SAR’s”), restricted shares and restricted stock units (collectively “RSA’s”) using the 
treasury stock method.  

The following table provides share information used in the calculation of the Company's basic and diluted 

earnings per share: 

Stock options to purchase 1,142,840, 1,210,970 and 924,007 shares for 2011, 2010 and 2009, respectively, 

were excluded from the computation of diluted EPS as their effect would have been anti-dilutive. 

At December 31, 2011, 2010 and 2009, 59,196, 20,630 and 46,965 shares of issued and outstanding 

unvested restricted stock were excluded from the basic earnings per share calculation in accordance with ASC 260. 

4. Inventories 

Inventories consist of the following: 

 5. Property and Equipment 

Property and equipment is stated at cost and consists of the following: 

Depreciation expense was $1,816,188, $1,308,713 and $1,234,644 for the years ended December 31, 2011, 

2010 and 2009, respectively. 

6. Acquired Intangible Assets, Net 

In November 2007, in connection with the termination of the agreement with Galderma which originally 

granted to Galderma the worldwide rights to commercialization, distribution, and marketing of ELEVESS products, 
the Company reacquired the worldwide rights and control of the future development and marketing of ELEVESS. 
The intangible asset realized during this process was the ELEVESS trade name.  

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201120102009Shares used in the calculation of Basic earnings per share13,064,051    12,624,495    11,386,989    Effect of dilutive securities:  Stock options, SAR's, RSA's, and shares held in escrow683,762         1,022,038      175,315         Diluted shares used in the calculation of earnings per share13,747,813    13,646,533    11,562,304    Year ended December 31,20112010Raw materials $      4,091,366  $      2,882,944 Work-in-process1,503,5651,787,473Finished goods1,707,5524,279,328  Total $      7,302,483  $      8,949,745 December 31,20112010Machinery and equipment $    10,429,816  $      9,972,821 Furniture and fixtures            840,350             640,931 Leasehold improvements       12,421,398        12,074,288 Construction in progress       27,159,066        27,008,949   Subtotal       50,850,630        49,696,989 Less accumulated depreciation     (14,380,752)     (12,715,595)  Total $    36,469,878  $    36,981,394 December 31, 
 
  
 
 
 
 
 
 
  
  
 
  
  
 
 
 
  
 
 
  
  
 
On December 30, 2009, in connection with the acquisition of Anika S.r.l., the Company purchased various 

intangible assets. The Company finalized the purchase price allocation relative to this acquisition during the fourth 
quarter of 2010.  

We completed our annual impairment review as of November 30, 2011 and concluded that no impairment 

charge was required as of that date with respect to both goodwill and IPR&D. Through December 31, 2011 there 
have not been any events or changes in circumstances that indicate that the carrying value of goodwill or acquired 
intangible assets may not be recoverable. There can be no assurance that, at the time future impairment tests are 
completed, a material impairment charge will not be recorded. 

Amortization expense was $2,186,203, $2,011,639, and $58,823 for the years ended December 31, 2011, 
2010 and 2009, respectively. As of December 31, 2011, amortization expense on intangible assets for the next five 
years is expected to be approximately $2.0 million annually.  

Intangible assets, stated at cost, consist of the following: 

7. Accrued Expenses 

Accrued expenses consist of the following: 

8. Deferred Revenue 

In December 2003, the Company entered into a ten-year licensing and supply agreement (the “JNJ 

Agreement”) with Ortho Biotech Products, L.P., a member of the Johnson & Johnson family of companies, to 
market ORTHOVISC in the U.S. In mid-2005, the agreement was assigned to DePuy Mitek, Inc., a subsidiary of 
Johnson & Johnson. Under the JNJ Agreement, DePuy Mitek performs sales, marketing and distribution functions 
and licenses the right to further develop and commercialize ORTHOVISC as well as other new products for the 
treatment of pain associated with osteoarthritis based on the Company’s viscosupplementation technology. In 
support of the license, the JNJ Agreement provides that DePuy Mitek will fund post-marketing clinical trials for new 
indications of ORTHOVISC. The Company received an initial payment of $2,000,000 upon entering into the JNJ 
Agreement, a milestone payment of $20,000,000 in February 2004, as a result of obtaining FDA approval of 
ORTHOVISC and a milestone payment of $5,000,000 in December 2004 for planned upgrades to our manufacturing 
operations. The Company evaluated the terms of the JNJ Agreement and determined that the upfront fee and 
milestone payments did not meet the conditions to be recognized separately from the supply agreement. 

In December 2011, the Company entered into a fifteen-year licensing and supply agreement (the “Mitek 
MONOVISC Agreement”) with DePuy Mitek, Inc., a member of the Johnson & Johnson family of companies, to 
market MONOVISC in the U.S. The Company received an initial payment of $2,500,000 in December 2011, which 
will be recognized ratably over the fifteen year term of the Mitek MONOVISC Agreement as there was no stand-
alone value associated with this payment, thus up-front recognition is prohibited. The Company may receive 

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Gross ValueCurrency Translation AdjustmentCompleted ProjectsAccumulated AmortizationNet Book ValueNet Book ValueUseful LifeDeveloped technology15,700,000$         (1,515,206)$         1,000,000$           (1,956,443)$         13,228,351$         14,549,952$         15In-process research & development7,698,000             (742,934)              (1,000,000)           -                       5,955,066             6,118,349             IndefiniteDistributor relationships4,700,000             (453,597)              (1,698,561)           2,547,842             3,476,876             5Patents1,000,000             (96,509)                (112,936)              790,555                866,907                16Elevess trade name1,000,000             -                       (373,251)              626,749                752,101                9    Total30,098,000$         (2,808,246)$         -$                         (4,141,191)$         23,148,563$         25,764,185$         December 31, 2010December 31, 201120112010Payroll and benefits $      2,366,412  $      1,895,393 Professional fees            793,430             417,751 Clinical trial costs                      -               149,319 SRL research grants            989,556          2,021,003 Other         1,172,196             892,119    Total $      5,321,594  $      5,375,585 December 31,  
 
 
 
 
 
 
 
 
  
 
 
 
  
 
additional payments from DePuy Mitek, following the mutual decision to launch the product, related to future 
regulatory, clinical and sales milestones.  Current and long-term deferred revenue related to the JNJ Agreement, the 
Mitek MONOVISC Agreement and other agreements were $7,886,107 and $8,099,995 at December 31, 2011 and 
2010, respectively. 

9. Commitments and Contingencies 

Leasing Arrangements 

The Company’s headquarters facility is located in Bedford, Massachusetts, where the Company leases 

approximately 134,000 square feet of administrative, manufacturing, and research and development (“R&D”) space. 
This lease was entered into on January 4, 2007, and the lease commenced on May 1, 2007 for an initial term of ten 
and one-half years. The Company has an option under the lease to extend its terms for up to four periods beyond the 
original expiration date subject to the condition that we notify the landlord that we are exercising each option at least 
one year prior to the expiration of the original or current term thereof. The first three renewal options each extend 
the term an additional five years with the final renewal option extending the term six years.  

The Company’s administrative and R&D personnel moved into the Bedford facility in November of 2007. 

The build-out of the Bedford facility, including the required validation process for the manufacturing space, was 
substantially completed during 2011. We also lease approximately 37,000 square feet of space at a separate location 
in Woburn, Massachusetts, for our current manufacturing facility and warehouse. The Woburn manufacturing lease 
was extended in February of 2011 and is scheduled to end on June 30, 2012.   

As part of the acquisition of Anika S.r.l., the Company now leases approximately 26,000 square feet of 

laboratory, warehouse and office space in Abano Terme, Italy. The lease commenced on December 30, 2009 for an 
initial term of six (6) years.  

Rental expense in connection with the various facility leases totaled $3,479,632, $2,888,277 and 

$1,651,713, for the years ended December 31, 2011, 2010, and 2009, respectively.  

The Company’s future lease commitments as of December 31, 2011 are as follows:  

Warranty and Guarantor Arrangements   

In certain of our contracts, the Company warrants to its customers that the products it manufactures 
conform to the product specifications as in effect at the time of delivery of the specific product. The Company may 
also warrant that the products it manufactures do not infringe, violate, or breach any U.S. patent or intellectual 
property rights, trade secret, or other proprietary information of any third party. On occasion, the Company 
contractually indemnifies its customers against any and all losses arising out of, or in any way connected with, any 
claim or claims of breach of its warranties or any actual or alleged defect in any product caused by the negligence or 
acts or omissions of the Company. The Company maintains a products liability insurance policy that limits its 
exposure to these risks. Based on the Company’s historical activity, in combination with its liability insurance 
coverage, the Company believes the estimated fair value of these indemnification agreements is immaterial. The 
Company has no accrued warranties at December 31, 2011 and 2010, respectively, and has no history of claims 
paid. 

Legal Proceedings 

On July 7, 2010, Genzyme Corporation filed a complaint against the Company in the United States District 
Court for the District of Massachusetts seeking unspecified damages and equitable relief. The Complaint alleges that 
the Company has infringed U.S. Patent No. 5,143,724 by manufacturing MONOVISC in the United States for sale 
outside the United States and will infringe U.S. Patent Nos. 5,143,724 and 5,399,351 if the Company begins 

- 63 - 

20122,844,347$      20131,768,781        20141,683,815        20151,622,519        2016 and thereafter5,829,000        13,748,462$     
 
 
  
 
 
 
 
 
 
 
  
 
 
 
 
manufacture and sale of MONOVISC in the United States. On August 30, 2010, the Company filed an answer 
denying liability.  On April 26, 2011, Genzyme filed a motion to add its newly-issued U.S. Patent No. 7,931,030 to 
this litigation and also filed a separate new complaint in the District of Massachusetts alleging that the Company’s 
manufacture and sales of MONOVISC in the United States will infringe that patent. On May 23, 2011, the Court 
entered orders permitting Genzyme to file its supplement complaint adding its newly-issued U.S. Patent No. 
7,931,030 to this litigation and requiring Genzyme to withdraw its separately filed complaint. On July 14, 2011, the 
Company filed an answer to the supplemental complaint, denying liability. The Company believes that neither 
MONOVISC, nor its manufacture, does or will infringe any valid and enforceable claim of the asserted patents. 
Management has assessed and determined that contingent losses related to this matter are not probable. Therefore, 
pursuant to ASC 450, Contingencies, an accrual has not been recorded for this loss contingency. Pursuant to the 
terms of the licensing and supply agreement entered into with DePuy Mitek, Inc. in December 2011, DePuy Mitek 
agreed to assume certain obligations of the Company related to this litigation. 

Artes Medical, Inc. (“Artes”), the former U.S. distributor of HYDRELLE, filed a liquidating bankruptcy 

case under Chapter 7 of the United States Bankruptcy Code in 2010. Artes’ Trustee in Bankruptcy asked the 
Company to pay $359,768 to the Trustee, representing the total amount of three payments received by the Company 
from Artes within the 90 days prior to the filing of Artes' liquidating bankruptcy. In July 2011, the Company 
reached agreement with the Trustee to settle this matter in return for a payment of $30,000 made by Anika. In late 
August 2011, the settlement was approved by the bankruptcy court and the matter is now closed.  

In 2011, Merogel Injectable was withdrawn from the market due to a labeling error on the product’s 

packaging.  We are working with Medtronic to resolve a dispute related thereto. Medtronic has informed us that if 
we are unable to resolve this dispute, they will make claims against us. As this labeling error relates to conduct that 
initially occurred prior to our acquisition of Anika S.r.l. from Fidia Farmaceutici S.p.A., we have made claims 
against Fidia for indemnification for Anika’s losses as well as any potential claims that may be brought by 
Medtronic. Fidia has informed us that it does not believe that it has liability for this matter, and has made claims 
against us for refusing to release the Anika shares that were put into escrow in connection with the original 
transaction. Management has assessed and determined that contingent losses related to this matter are not probable. 
Therefore, pursuant to ASC 450, Contingencies, an accrual has not been recorded for this loss contingency. 

We are also involved in various other legal proceedings arising in the normal course of business.  Although 

the outcomes of these other legal proceedings are inherently difficult to predict, we do not expect the resolution of 
these other legal proceedings to have a material adverse effect on our financial position, results of operations or cash 
flow. 

10. Equity Incentive Plan  

The Anika Therapeutics, Inc. Stock Option and Incentive Plan, as amended, (the “2003 Plan”) provides for 
grants of nonqualified and incentive stock options, common stock, restricted stock, restricted stock units, and stock 
appreciation rights (“SAR’s”) to employees, directors, officers and consultants. The 2003 Plan was originally 
approved by the Board of Directors on April 4, 2003, approved by the Company’s shareholders on June 4, 2003, and 
reserved 1,500,000 shares of common stock for grant pursuant to its terms.  

 On May 29, 2009, the Board of Directors approved changes to the 2003 Plan and adopted the Amended 
and Restated 2003 Stock Option and Incentive Plan (the “Amended 2003 Plan”), to increase the number of shares 
available to grant by 850,000.  The Amended 2003 Plan was approved by the Company’s shareholders on June 5, 
2009, and resulted in a total of 2,350,000 shares of common stock being reserved for issuance under the Amended 
2003 Plan. 

At the 2011 Annual Meeting of Stockholders on June 7, 2011, the shareholders of the Company approved 

the AnikaTherapeutics, Inc. Second Amended and Restated Stock Option and Incentive Plan (the “2003 Plan”), 
which, among other things, increased the number of shares reserved for issuance under the Company’s predecessor 
stock option and incentive plan by 800,000 to 3,150,000 shares. 

The Company may satisfy the awards upon exercise, or upon fulfillment of the vesting requirements for 

other equity-based awards, with either newly-issued shares or shares reacquired by the Company. Stock-based 
awards are granted with an exercise price equal to the market price of the Company’s stock on the date of grant. 
Awards contain service or performance conditions and generally become exercisable ratably over one to four years.  

- 64 - 

 
 
 
 
 
  
  
 
 
 
 
The 2003 Plan succeeds the Anika Therapeutics, Inc. 1993 Stock Option Plan (“1993 Plan”) which expired 
according to its terms in 2003. As of December 31, 2011, there were 112,876 shares still outstanding under the 1993 
Plan included in the total outstanding options of 2,108,003. There are 695,582 options available for future grant at 
December 31, 2011. 

The Company estimates the fair value of stock options and SAR’s using the Black-Scholes valuation 

model. Fair value of restricted stock is measured by the grant-date price of the Company’s shares. Key input 
assumptions used to estimate the fair value of stock options and SAR’s include the exercise price of the award, the 
expected award term, the expected volatility of the Company’s stock over the option’s expected term, the risk-free 
interest rate over the award’s expected term, and the Company’s expected annual dividend yield.  

The Company uses historical data on exercise of stock options and other factors to estimate the expected 

term of share-based awards. The Company also evaluates forfeitures periodically and adjusts accordingly. The 
expected volatility assumption is based on the historical volatility of the Company’s common stock. The risk-free 
interest rate assumption is based on U.S. Treasury interest rates at the time of grant.  

The fair value of each stock option and SAR award during 2011, 2010, and 2009 was estimated on the 

grant date using the Black-Scholes option-pricing model with the following assumptions: 

The Company recorded $1,190,697, $1,102,617 and $958,025 of share-based compensation expense for the 
years ended December 31, 2011, 2010 and 2009, respectively, for stock options, SAR’s and restricted stock awards. 
The Company presents the expenses related to stock-based compensation awards in the same expense line items as 
cash compensation paid to each of its employees.  

Combined stock options and SAR’s activity under our plans is summarized as follows for the years ended 

December 31, 2011and, 2010 respectively: 

Of the 2,108,003 options and SAR’s outstanding at December 31, 2011, approximately 2,050,000 are 
vested or are expected to vest with a weighted-average exercise price of approximately $8.17 and an aggregate 
intrinsic value of approximately $5,930,000. The weighted average remaining contractual term of the vested and 
expected to vest options and SAR’s was 4.45 years as of December 31, 2011.  

As of December 31, 2011, total unrecognized compensation costs related to non-vested options and SAR’s 

was approximately $2,400,000 and is expected to be recognized over a weighted average period of 2.4 years. 

There were 187,164 incentive stock options (ISOs) exercisable at December 31, 2011 with a weighted-

average exercise price of $8.75 and a weighted-average remaining contractual term of 2.66 years.  

- 65 - 

201120102009Risk free interest rate1.1% to 1.51%1.11% to 1.88%1.54% to 1.89%Expected volatility57.60%57.60%59.35% to 61.03%Expected lives (years)444Expected dividend yield0.00%0.00%0.00%December 31, WeightedWeightedAverageAverageExerciseExerciseNumber ofPrice PerNumber ofPrice PerSharesShareSharesShareOptions and SAR's outstanding at beginning of year1,625,253  6.92$         1,372,933  7.13$         Granted679,000     6.98$         450,750     6.35$         Cancelled(74,187)     6.41$         (69,333)     7.02$         Expired(875)          3.04$         (71,547)     9.55$         Exercised(121,188)   1.60$         (57,550)     3.96$         Options and SAR's outstanding at      end of year  2,108,003  $        7.26   1,625,253  $        6.92 20102011 
 
 
 
 
  
 
  
  
  
 
 
 
 
 
 
 
There were 248,429 non-qualified stock options exercisable at December 31, 2011 with a weighted-

average exercise price of $6.66 and a weighted-average remaining contractual term of 1.81 years. 

There were 563,412 SAR’s exercisable at December 31, 2011 with a weighted-average exercise price of 

$8.64 and a weighted-average remaining contractual term of 6.21 years. 

The aggregate intrinsic value of stock options and SAR’s fully vested at December 31, 2011 and 2010 were 

$2,390,591and $1,434,768 respectively. The aggregate intrinsic value of stock options and SAR’s outstanding at 
December 31, 2011 and, 2010 were $6,107,869 and $2,135,991, respectively.  

The total intrinsic value of options and SAR’s exercised were $679,401 and, $181,290 for the years ended 

December 31, 2011 and 2010, respectively.  

The total fair value of options and SAR’s vested during the years ended December 31, 2011 and 2010 were 

$774,648 and $761,906, respectively.  

The Company received $160,470 and, $197,245 for exercises of stock options during the years ended 

December 31, 2011 and 2010, respectively.  

The restricted stock activity for the years ended December 31, 2011 and 2010 is as follows: 

The total fair value of restricted stock and restricted stock units vested during the year ended December 31, 

2011 was $352,596. 

11. Shareholder Rights Plan 

On April 4, 2008 the Board of Directors of the Company adopted a Shareholder Rights Plan (“2008 Plan”) 

that replaced the Company’s former Shareholder Rights Plan. Under the 2008 Plan, the Rights generally become 
exercisable if:  

(1) A person becomes an “Acquiring Person” by acquiring 15% or more of the Company’s Common 

Stock, or  

(2) A person commences a tender offer that would result in that person owning 15% or more of the 

Company’s Common Stock.  

In the event that a person becomes an “Acquiring Person,” each holder of a Right (other than the 

Acquiring Person) would be entitled to acquire such number of shares of preferred stock which are equivalent to 
shares of the Company’s Common Stock having a value of twice the exercise price of the Right. If, after any such 
event, the Company enters into a merger or other business combination transaction with another entity, each holder 
of a Right would then be entitled to purchase, at the then-current exercise price, shares of the acquiring company’s 
common stock having a value of twice the exercise price of the Right.  

The current exercise price per Right is $75.00. The Rights may be redeemed in whole, but not in part, at a 
price of $0.01 per Right (payable in cash, shares of the Company’s Common Stock, or other consideration deemed 
appropriate by the Board of Directors) by the Board of Directors only until the earlier of : 

- 66 - 

WeightedWeightedAverageAverageNumber ofGrantd DateNumber ofGrantd DateSharesFair ValueSharesFair ValueNonvested at Beginning of year77,085       5.48$           94,977       6.94$           Granted29,978       6.98$           23,580       6.36$           Cancelled(850)          3.05$           (4,750)       6.13$           Expired -             -$             -             -$             Vested/Released(47,017)     6.13$           (36,722)     6.98$           Nonvested at end of year59,196       5.71$           77,085       5.48$           20102011 
 
 
 
 
 
 
  
 
 
 
 
  
  
 
 
 
 
(1) The time at which any person becomes an “Acquiring Person”, or  
(2) The Expiration Date.  

At any time after any person becomes an “Acquiring Person”, the Board of Directors may, at its option, 

exchange all or any part of the then outstanding and exercisable Rights for shares of the Company’s Common Stock 
at an exchange ratio specified in the Rights Plan. Notwithstanding the foregoing, the Board of Directors generally 
will not be empowered to affect such exchange at any time after any person becomes the beneficial owner of 50% or 
more of the Company’s Common Stock. 

In connection with the establishment of the Rights Plan, the Board of Directors approved the creation of 
Preferred Stock of the Company designated as Series B Junior Participating Cumulative Preferred Stock with a par 
value of $0.01 per share. The Board also reserved 175,000 shares of preferred stock for issuance upon exercise of 
the Rights. Until a Right is exercised, the holder will have no rights as a stockholder of the Company, beyond those 
as an existing stockholder, including the right to vote or to receive dividends. 

12. Employee Benefit Plan 

U.S. employees are eligible to participate in the Company’s 401(k) savings plan. Employees may elect to 
contribute a percentage of their compensation to the Plan, and the Company will make matching contributions up to 
a limit of 5% of an employee’s compensation. In addition, the Company may make annual discretionary 
contributions. For the years ended December 31, 2011, 2010, and 2009, the Company made matching contributions 
of $279,816, $291,107 and $323,876 respectively. 

13. Revenue by Product Group, by Significant Customer and by Geographic Region; Geographic 
Information 

Product revenue by product group is as follows: 

Product revenue by significant customers as a percent of product revenues is as follows: 

- 67 - 

RevenuePercentage of RevenueRevenuePercentage of RevenueRevenuePercentage of RevenueOrthobiologics39,858,139$    64.3%30,741,305$    58.3%22,879,899$    61.3%Dermal3,681,166        5.9%3,564,616        6.8%1,471,165        3.9%Ophthalmic surgery10,963,822      17.7%11,971,787      22.7%10,573,915      28.3%Surgical4,976,261        8.0%3,883,444        7.4%121,445           0.3%Veterinary2,476,998        4.0%2,574,578        4.9%2,274,482        6.1%61,956,386$    100.0%52,735,730$    100.0%37,320,906$    100.0%Year Ended December 31,201120102009201120102009DePuy Mitek47.1%42.7%45.4%Bausch & Lomb Inc.15.8%21.2%26.6%Medtronic5.6%10.2%0.0%Boehringer4.0%4.9%6.1%Nycomed / Biomeks3.5%3.3%4.4%76.0%82.3%82.5%Percent of Product RevenueYear Ended December 31, 
 
 
  
  
  
  
  
 
 
 
 
  
 
Revenues by geographic location in total and as a percentage of total revenues are as follows: 

The Company recorded licensing, milestone and contract revenue of $2,822,249, $2,820,864 and 

$2,814,798 for the years ended December 31, 2011, 2010, and 2009, respectively. Substantially all licensing, 
milestone and contract revenue was derived in the United States for each year presented. 

Net long-lived assets, consisting of net property and equipment, are subject to geographic risks because 

they are generally difficult to move and to effectively utilize in another geographic area in a reasonable time period 
and because they are relatively illiquid.  

Net tangible long-lived assets by principal geographic areas were as follows: 

14. Income Taxes 

 Income Tax Expense 

The components of the Company’s income before income taxes and our provision for (benefit from) 

income taxes consist of the following: 

- 68 - 

RevenuePercentageof RevenueRevenuePercentageof RevenueRevenuePercentageof RevenueGeographic Location:United States $    48,366,140 74.7% $    38,313,594 69.0% $    30,196,213 75.2%Europe10,988,66417.0%12,976,98523.4%6,536,83516.3%Other5,423,8328.4%4,266,0157.7%3,402,6568.5%    Total $    64,778,635 100.0% $    55,556,594 100.0% $    40,135,704 100.0%Year Ended December 31,20112010200920112010United States $        34,565,770  $        34,826,815 Italy             1,904,108              2,154,579   Total $        36,469,878  $        36,981,394 Years Ended December 31,201120102009Income (loss) before income taxesDomestic $    15,962,992  $    11,944,795  $      5,512,259 Foreign       (2,177,978)       (4,601,729)                      -    $    13,785,014  $      7,343,066  $      5,512,259 201120102009Provision for (benefit from) income taxes:Current provision:Federal $      3,327,626  $      1,063,841  $           (2,908)State            155,855               (6,920)            (18,237)Foreign              90,626                         -                         -          3,574,107          1,056,921             (21,145)Deferred provision:Federal         1,907,408          2,828,029          2,010,097 State            570,869             479,529           (164,260)Foreign          (734,050)       (1,337,408)                        -          1,744,227          1,970,150          1,845,837 Total expense5,318,334$      3,027,071$      1,824,692$       Year ended December 31, Year ended December 31, 
 
 
 
 
  
 
 
 
  
 
 
 
 
Deferred Tax Assets and Liabilities 

Significant components of the Company’s deferred tax assets and liabilities consist of the following: 

Tax Rate 

The reconciliation between the U.S. federal statutory rate and our effective rate is summarized as follows: 

As of December 31, 2011, the Company had net operating losses (“NOL”) for federal income tax purposes 
in Italy of $6,690,632 with no expiration date. For Massachusetts state income tax purposes, the Company also had 
an investment tax credit carry-forward of $1,054,105 expiring through 2020. 

In connection with the preparation of the financial statements, the Company performed an analysis to 

ascertain if it was more likely than not that it would be able to utilize, in future periods, the net deferred tax assets 
associated with its NOL carry-forward and its investment tax credit carry-forward. We have concluded that the 
positive evidence outweighs the negative evidence and, thus, that those deferred tax assets not otherwise subject to a 
valuation allowance are realizable on a “more likely than not” basis. As such, we have not recorded a valuation 
allowance at December 31, 2011, and 2010, respectively. 

- 69 - 

20112010Deferred tax assets:Deferred revenue $      2,072,931  $      3,078,098 Stock-based compensation expense         1,496,910          1,347,412 Tax credit carry forward            695,914          1,072,993 Net operating loss carryforward, foreign         1,839,924          2,063,037 Accrued expenses and other            825,884             565,503 Inventory reserve            417,726             170,240 Deferred tax asset $      7,349,289  $      8,297,283 20112010Deferred tax liabilities:Intangibles related to Srl acquisition $    (7,594,729) $    (8,279,637)Depreciation       (5,210,775)       (3,851,614)Deferred tax liability $  (12,805,504) $  (12,131,251)December 31,December 31,201120102009Statutory federal income tax rate34.0%34.0%34.0%State tax expense, net of federal benefit5.7%7.8%6.2%Permanent items, including nondeductible expenses0.9%2.2%6.9%State investment tax credit(0.2)%(0.8)%(5.6)%Federal and state research and development credits(0.4)%(2.5)%(8.4)%Foreign rate differential0.9%2.6%0.0%Domestic production deduction(2.3)%(2.1)%0.0%Tax expense38.6%41.2%33.1%Year ended December 31, 
 
 
 
 
 
 
 
 
 
 
 
Accounting for Uncertainty in Income Taxes 

A reconciliation of the beginning and ending amount of our unrecognized tax benefits is summarized as 

follows: 

In the normal course of business, Anika and its subsidiaries may be periodically examined by various 

taxing authorities. We file income tax returns in the U.S. federal jurisdiction, in certain U.S. states, and in Italy. The 
associated tax filings remain subject to examination by applicable tax authorities for a certain length of time 
following the tax year to which those filings relate. The 2008 through 2011 tax years remain subject to examination 
by the IRS and other taxing authorities for U.S. federal and state tax purposes. The 2009 through 2011 tax years 
remain subject to examination by the appropriate governmental authorities for Italy.  

We do not anticipate experiencing any significant increases or decreases in our unrecognized tax benefits 

within the twelve months following December 31, 2011.  

We incurred expenses related to stock-based compensation in 2011, 2010 and 2009 of $1,190,697, 

$1,102,617, and $958,025, respectively. Accounting for the tax effects of stock-based awards requires that we 
establish a deferred tax asset as the compensation is recognized for financial reporting prior to recognizing the tax 
deductions. The tax benefit recognized in the consolidated statement of operations related to stock-based 
compensation totaled $219,626, $244,746, and $230,812 in 2011, 2010 and 2009, respectively.  

Upon the settlement of the stock-based awards (i.e., exercise, vesting, forfeiture or cancellation), the actual 
tax deduction is compared with the cumulative financial reporting compensation cost and any excess tax deduction 
is considered a windfall tax benefit, and is tracked in a "windfall tax benefit pool" to offset any future tax deduction 
shortfalls and will be recorded as increases to additional paid-in capital in the period when the tax deduction reduces 
income taxes payable. We follow the with-and-without approach for the direct effects of windfall/shortfall items and 
to determine the timing of the recognition of any related benefits. We recorded a net windfall of approximately 
$274,000 in 2011 and a net shortfall of approximately $21,000 and $83,000 in 2010 and 2009, respectively. 

15. Long-term Debt 

On January 31, 2008, the Company entered into an unsecured Credit Agreement (the “Agreement”) with 
Bank of America, under which the Company was provided with a revolving credit line through December 31, 2008 
of up to a maximum principal amount outstanding of $16,000,000. The Company borrowed the maximum amount of 
$16,000,000 in 2008 to finance its new facility construction and capital project validation. On December 31, 2008, 
the outstanding revolving credit loans were converted into a term loan with quarterly principal payments of 
$400,000 and a final installment of $5,200,000 due on the maturity date of December 31, 2015. Interest on the term 
loan was originally payable at a rate based upon, at the Company’s election, either Bank of America’s prime rate or 
LIBOR plus 75 basis points. The Company recorded approximately $171,000 as deferred issuance costs which 
continue to be amortized over the life of the debt facility. 

In connection with the acquisition of Anika S.r.l., the Company entered into a Consent and First 

Amendment to the original loan facility with Bank of America. As part of this amendment, the interest rate for 
Eurodollar based loans was increased and is payable at a rate based upon, at the Company’s election, either Bank of 
America’s prime rate or LIBOR plus 125 basis points. In addition, the Company pledged to the lender sixty-five 
percent (65%) of the stock of Anika Therapeutics S.r.l. We also incurred $74,000 of fees charged by Bank of 
America which were capitalized in accordance with ASC Subtopic 470-50, Debt – Modifications and 
Extinguishments, as the Consent and First Amendment represents a debt modification. The fees are being amortized 
over the remaining life of the debt facility. 

- 70 - 

201120102009Unrecognized tax benefit, beginning of year $           37,428 40,900$           40,900$           Tax positions related to current year              38,329 -                   -                   Tax positions related to prior years            (19,587)37,427             -                   Settlements                      -   (3,089)              -                   Statute expirations                      -   (37,810)            -                   Unrecognized tax benefit, end of year56,170$           37,428$           40,900$           Year ended December 31, 
 
 
 
 
 
 
  
 
 
The Agreement contains customary representations and warranties of the Company, affirmative and 

negative covenants regarding the Company’s operations, financial covenants regarding maintenance by the 
Company of a specified quick ratio and consolidated fixed charge coverage ratio, and events of default. We are in 
compliance with all covenants specified in the debt agreement. 

As of December 31, 2011 and 2010, the Company had a total outstanding debt balance of $11,200,000 and 

$12,800,000, respectively, of which $1,600,000 was recorded as current at each date.  

Long-term debt principal payments are $1,600,000 for each of the next three years with the remaining 

principal of $6,400,000 due in the fourth and final year. The estimated fair value of our debt instrument 
approximated book value at December 31, 2011. 

16. Acquisitions 

On December 30, 2009, we completed our acquisition of Fidia Advanced Biopolymers S.r.l., a privately 

held Italian corporation (“FAB”) for a purchase price consisting of $17.0 million in cash and 1,981,192 shares of the 
Company’s common stock (the “Acquisition”). In 2010 FAB’s name was changed to Anika Therapeutics S.r.l.  

The 1,981,192 shares of the Company’s stock issued include 500,000 shares held in escrow to satisfy 

outstanding indemnification claims under the Purchase Agreement. The issued shares are also subject to a one year 
holding period. The Purchase Agreement was based on an estimated closing balance sheet with a minimum working 
capital amount to be delivered. 

Effective January 1, 2009, the Company implemented the newly-issued accounting standard for business 

combinations. The transaction was accounted for under the acquisition method of accounting in accordance with 
ASC 805, Business Combinations. Under ASC 805, all of the assets acquired and liabilities assumed in the 
transaction are recognized at their acquisition-date fair values, while transaction costs and restructuring costs 
associated with the transaction are expensed as incurred.     

Anika S.r.l.’s results of operations have been included in our consolidated financial statements beginning 

January 1, 2010. Our results of operations prior to this acquisition, presented on a pro forma basis, are found further 
below. 

Purchase Price 

The $33.9 million purchase price for Anika S.r.l. is based on the acquisition-date fair value of the 

consideration transferred, which included cash and the issuance of shares of Anika stock, which was calculated 
based on the closing price of the Company's common stock of $8.49 per share on December 30, 2009.  

The acquisition-date fair value of the consideration consisted of the following: 

During the second quarter of 2010, Anika and Fidia Farmaceutici S.p.A. (“Fidia”) agreed to a final working 

capital settlement whereby Fidia paid us $105,300. This settlement is not reflected in the above table. 

Allocations of Assets and Liabilities 

The Company allocated the purchase price for Anika S.r.l., based on the acquired fair value of the net 
tangible assets and intangible assets, goodwill and a deferred tax liability. The difference between the aggregate 
purchase price and the fair value of assets acquired and liabilities assumed, after consideration of deferred taxes, was 
allocated to goodwill.  

- 71 - 

Fair Value of ConsiderationCash $    17,055,000 Common stock       16,820,320 Total $    33,875,320  
 
 
 
 
  
 
  
 
  
  
 
 
 
 
 
  
 
 
The following table summarizes the fair values of the assets acquired and liabilities assumed at the 

acquisition date based upon the completed valuation and resulting measurement period adjustments: 

Changes to the carrying amount of goodwill for the fiscal years ended 2011 and 2010, respectively, were as 

follows: 

The intangible assets identified in the purchase price allocation represent primarily developed technology, 

acquired in-process research and development, patents, and distributor relationship assets. Under the acquisition 
method of ASC 805, $21.4 million of these assets are recorded at their fair value and amortized over their estimated 
lives. The remaining amount represents IPR&D, which is accounted for as an indefinite-lived intangible asset. The 
goodwill recognized is largely attributable to establishing a deferred tax liability for the acquired intangible assets, 
which are not deductible for income tax purposes. 

All intangible assets are tested for impairment on an annual basis, or earlier if impairment indicators are 
present. See Note 2 for additional disclosure regarding our accounting policies relative to this and other subjects. 

IPR&D primarily revolves around obtaining U.S. approval for several of Anika S.r.l.’s orthopedic products 

to gain access to this important market. Costs to complete the projects are estimated at $7 million to $13 million 
spread over the next six years, and involve primarily clinical studies and regulatory costs, which are deemed to be of 
moderate difficulty. IPR&D value was estimated using a multi-period excess earnings approach. The primary risks 
associated with the projects include generating sufficient data to support efficacy, and thereby gaining regulatory 
approval. There can be no assurance that the Company will be successful in completing development or obtaining 
regulatory approval; and if successful, that meaningful sales will occur. 

Acquisition-related Expenses 

 In connection with the acquisition of Anika S.r.l., the Company incurred approximately $2.2 million in 

expenses, which are reflected as acquisition-related expenses on the consolidated statements of operations in 2009. 
These costs include costs to investigate, document, close, and complete regulatory compliance requirements.   

 The unaudited financial information in the table below summarizes the combined results of operations of 

Anika and Anika S.r.l., on a pro forma basis, as though the companies had been combined as of the beginning of 
2009. The pro forma financial information is presented for comparative purposes only and is not necessarily 
indicative of the results of operations that actually would have been achieved if the acquisition had taken place at the 
beginning of the respective periods. The pro forma financial information is based on Anika's results of operations for 
each period presented, combined with Anika S.r.l.’s results of operations for 2009. 

The pro forma financial information includes the amortization charges from acquired intangible assets, 

acquisition-related expenses, and the related tax effects.  

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Inventory $          1,506,260                (244,346)Property and equipment             1,691,000 Acquired intangible assets           29,098,000 Goodwill             9,959,008             (8,134,602)Total purchase price33,875,320$         Deferred tax liabilityOther assets and liabilities, netBalance at December 31, 2009 $      9,959,008 Reduction in purchase price of subsidiary          (105,297)Effect of foreign currency adjustments          (761,751)Balance at December 31, 2010         9,091,960 Effect of foreign currency adjustments          (208,553)Balance at December 31, 20118,883,407$       
 
 
 
  
  
 
    
 
  
  
  
  
 
The Pro Forma (unaudited) combined Statement of Operations for the year ended December 31, 2009, had 

Anika S.r.l. been included, is as follows:  

 17. Related Party 

In connection with the acquisition of Anika S.r.l. by Anika on December 30, 2009, Fidia Farmaceutici 

S.p.A ("Fidia") acquired ownership of 1,981,192 shares of the Company's common stock, or approximately 14.7% 
of the outstanding shares of the Company as of December 31, 2011 and 2010, respectively, thus becoming a "related 
party" under the Securities and Exchange Commission regulations.  See Note 16 to the consolidated financial 
statements for further description of the acquisition. 

As part of the acquisition, the Company, primarily through Anika S.r.l., entered into a series of operating 

agreements with Fidia as follows: 

Historically Anika S.r.l. has relied on Fidia, its former parent company, for several functional activities.  In 

connection with the purchase of Anika S.r.l., the Company has negotiated a lease for approximately 26,000 square 
feet of office, laboratory and warehouse space in Abano Terme, Italy, and a finished goods supply agreement. At 
December 31, 2011 and 2010, Anika S.r.l. had a net payable to Fidia for past products of approximately $0.8 million 
and $6.4 million, respectively.  

18. Quarterly Financial Data (Unaudited) 

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Year ended December 31, 2009(unaudited)Total revenue $    52,570,705 Net income $    (1,350,081)Diluted net income per share:   Net income                (0.10)   Diluted weighted average common shares outstanding       13,532,640 Agreement TypeDescriptionTerm in YearsLeaseRent of space in Abano Terme, ItalySixFinished goods supplyManufacture and supply of goodsThreeRaw material supplyHyaluronic acid powderFiveServicesFinance, administrative, securityOne to SixAccounts receivableCollection of trade receivables outstanding as of managementDecember 30, 2009.Promote Anika Srl products in Italy throughFidia sales forceTwoMarketing and PromotionThreeQuarter endedQuarter endedQuarter endedQuarter endedYear 2011December 31,September 30,June 30,March 31,Product revenue17,725,546$      17,756,000$      15,414,681$      11,060,159$      Total revenue18,444,287        18,455,817        16,140,852        11,737,679        Cost of product revenue7,128,450          7,394,922          6,655,804          5,604,562          Gross profit on product revenue10,597,096        10,361,078        8,758,877          5,455,597          Net income2,883,110$        2,976,518$        2,282,641$        324,412$           Per common share information:  Basic net income per share0.22$                 0.23$                 0.18$                 0.03$                   Basic common shares outstanding13,122,004        12,817,910        12,725,216        12,688,819          Diluted net income per share0.21$                 0.22$                 0.17$                 0.02$                   Diluted common shares outstanding13,804,806        13,765,533        13,739,836        13,744,710         
 
 
 
 
 
  
 
 
  
 
  
  
 
 
 
- 74 - 

Quarter endedQuarter endedQuarter endedQuarter endedYear 2010December 31,September 30,June 30,March 31,Product revenue14,193,352$      13,179,399$      13,720,929$      11,642,050$      Total revenue14,721,492        13,869,214        14,499,800        12,466,087        Cost of product revenue6,702,674          6,108,502          5,891,752          5,123,675          Gross profit on product revenue7,490,678          7,070,897          7,829,177          6,518,375          Net income1,350,701$        1,184,265$        1,066,752$        714,280$           Per common share information:  Basic net income per share0.11$                 0.09$                 0.08$                 0.06$                   Basic common shares outstanding12,641,394        12,633,405        12,645,889        12,614,808          Diluted net income per share0.10$                 0.09$                 0.08$                 0.05$                   Diluted common shares outstanding13,672,245        13,622,603        13,642,322        13,628,376         
 
   
ITEM 9.  CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND 
FINANCIAL DISCLOSURE 

None. 

ITEM 9A.  CONTROLS AND PROCEDURES 

(a) 

Evaluation of disclosure controls and procedures. 

As required by Rule 13a-15 under the Securities Exchange Act of 1934 (“Exchange Act”), we carried out 

an evaluation under the supervision and with the participation of our management, including our chief executive 
officer and chief financial officer, of the effectiveness of the design and operation of our disclosure controls and 
procedures as of the end of the period covered by this report. Based upon that evaluation, the chief executive officer 
and chief financial officer have concluded that our disclosure controls and procedures are effective to ensure that 
information required to be disclosed by us in reports we file or submit under the Exchange Act is recorded, 
processed, summarized and reported, within the time periods specified in Securities and Exchange Commission 
rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to 
ensure that information required to be disclosed by the Company in the reports it files or submits under the 
Exchange Act is accumulated and communicated to the Company’s management, including our chief executive 
officer and chief financial officer, or persons performing similar functions, as appropriate to allow timely decisions 
regarding required disclosure. On an on-going basis, we review and document our disclosure controls and 
procedures, and our internal control over financial reporting, and may from time to time make changes aimed at 
enhancing their effectiveness and to ensure that our systems evolve with our business. 

(b) 

Changes in internal controls over financial reporting. 

There were no changes in our internal control over financial reporting during the fourth quarter of fiscal 
year 2011 that have materially affected, or that are reasonably likely to materially affect, our internal controls over 
financial reporting. 

Management’s Report on Internal Control over Financial Reporting 

Our management is responsible for establishing and maintaining adequate internal control over financial 
reporting as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act. Our internal control over financial 
reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and 
the preparation of financial statements for external purposes in accordance with generally accepted accounting 
principles. 

Because of its inherent limitations, internal control over financial reporting can provide only reasonable 

assurance and may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future 
periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the 
degree of compliance with the policies or procedures may deteriorate. 

Our management assessed the effectiveness of our internal control over financial reporting as of 

December 31, 2011. In making this assessment, management used the criteria set forth by the Committee of 
Sponsoring Organizations of the Treadway Commission (“COSO”) in Internal Control—Integrated Framework. 

Based on our assessment and those criteria, our management believes that the Company maintained 

effective internal control over financial reporting as of December 31, 2011. 

The effectiveness of our internal control over financial reporting as of December 31, 2011 has been 

audited by PricewaterhouseCoopers LLP, an independent registered public accounting firm which has audited the 
consolidated financial statements contained in this Form 10-K, as stated in their report which is included herein. 

ITEM 9B.  OTHER INFORMATION 

None. 

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PART III 

ITEM 10.  DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE 

The information required under this item is incorporated herein by reference to the Company’s definitive 
proxy statement pursuant to Regulation 14A, which proxy statement will be filed with the Securities and Exchange 
Commission not later than 120 days after the close of the Company’s fiscal year ended December 31, 2011. 

ITEM 11.  EXECUTIVE COMPENSATION 

The information required under this item is incorporated herein by reference to the Company’s definitive 
proxy statement pursuant to Regulation 14A, which proxy statement will be filed with the Securities and Exchange 
Commission not later than 120 days after the close of the Company’s fiscal year ended December 31, 2011. 

ITEM 12.  SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND 
RELATED STOCKHOLDER MATTERS 

The information required under this item and Item 5 of this Annual Report on Form 10-K under the 

heading “Equity Compensation Plan Information” is incorporated herein by reference to the Company’s definitive 
proxy statement pursuant to Regulation 14A, which proxy statement will be filed with the Securities and Exchange 
Commission not later than 120 days after the close of the Company’s fiscal year ended December 31, 2011. 

ITEM 13.  CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR 
INDEPENDENCE 

The information required under this item is incorporated herein by reference to the Company’s definitive 
proxy statement pursuant to Regulation 14A, which proxy statement will be filed with the Securities and Exchange 
Commission not later than 120 days after the close of the Company’s fiscal year ended December 31, 2011. 

ITEM 14.  PRINCIPAL ACCOUNTING FEES AND SERVICES 

The information required under this item is incorporated herein by reference to the Company’s definitive 
proxy statement pursuant to Regulation 14A, which proxy statement will be filed with the Securities and Exchange 
Commission not later than 120 days after the close of the Company’s fiscal year ended December 31, 2011. 

ITEM 15.  EXHIBITS AND FINANCIAL STATEMENT SCHEDULES 

PART IV 

(a) 

Documents filed as part of Form 10-K. 

(1) 

Financial Statements 

Report of Independent Registered Public Accounting Firm 
Consolidated Balance Sheets 
Consolidated Statements of Operations 
Consolidated Statements of Stockholder’s Equity 
Consolidated Statements of Cash Flows 
Notes to Consolidated Financial Statements 

(2) 

Schedules 

[47] 
[48] 
[49] 
[50] 
[51] 
[52-71] 

Schedules have been omitted as all required information has been disclosed in the financial statements and 

related footnotes. 

(3) 

Exhibits 

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The list of Exhibits filed as a part of this Annual Report on Form 10-K is set forth in the Exhibit Index 

(b) below. 

(b) Exhibit No. 
(2) Plan of Acquisition, Reorganization, Arrangement, Liquidation or Succession: 

Description 

2.1 

   Sale and Purchase Agreement, dated December 30, 2009, by and between Fidia 

Farmaceutici S.p.A., as Seller, and the Company, as Buyer, incorporated herein by reference 
to Exhibit 2.1 to the Company’s Current Report on Form 8-K (File no. 001-14027), filed 
with the Securities and Exchange Commission on January 6, 2010. 

(3) Articles of Incorporation and Bylaws: 

3.1 

   Restated Articles of Organization of the Company, incorporated herein by reference to 

Exhibit 3.1 to the Company’s Registration Statement on Form 10 (File no. 000-21326), filed 
with the Securities and Exchange Commission on March 5, 1993. 

3.2 

   Certificate of Vote of Directors Establishing a Series of Convertible Preferred Stock, 

3.3 

3.4 

3.5 

incorporated herein by reference to the Exhibits to the Company’s Registration Statement on 
Form 10 (File no. 000-21326), filed with the Securities and Exchange Commission on 
March 5, 1993. 

   Amendment to the Restated Articles of Organization of the Company, incorporated herein 
by reference to Exhibit 3.1 to the Company’s Quarterly Report on Form 10-QSB for the 
quarterly period ended November 30, 1996 (File no. 000-21326), filed with the Securities 
and Exchange Commission on January 14, 1997. 

   Amendment to the Restated Articles of Organization of the Company, incorporated herein 
by reference to Exhibit 3.1 to the Company’s Quarterly Report on Form 10-QSB for the 
quarterly period ended June 30, 1998 (File no. 001-14027), filed with the Securities and 
Exchange Commission on August 14, 1998. 

   Amendment to the Restated Articles of Organization of the Company, incorporated herein 
by reference to Exhibit 3.3 to the Company’s Quarterly Report on Form 10-Q for the 
quarterly period ended June 30, 2002 (File no. 001-14027), filed with the Securities and 
Exchange Commission on August 14, 2002. 

3.6 

   Amended and Restated Certificate of Vote of Directors Establishing a Series of Preferred 

Stock of the Company classifying and designating the Series B Junior Participating 
Cumulative Preferred Stock, incorporated herein by reference to Exhibit 3.1 to the 
Company’s Registration Statement on Form 8-A12B (File no. 001-14027), filed with the 
Securities and Exchange Commission on April 7, 2008. 

3.7 

3.8 

   Amendment to the Restated Articles of Organization of the Company, incorporated herein 
by reference to Exhibit 3.7 to the Company’s Annual Report on Form 10-K for the fiscal 
year ended December 31, 2008 (File no. 001-14027), filed with the Securities and Exchange 
Commission on March 9, 2009. 

   Amended and Restated Bylaws of the Company, incorporated herein by reference to Exhibit 
3.6 to the Company’s Quarterly Report on Form 10-Q for the quarterly period ended June 
30, 2002 (File no. 001-14027), filed with the Securities and Exchange Commission on 
August 14, 2002. 

(4) Instruments Defining the Rights of Security Holders 

4.1 

   Shareholder Rights Agreement, dated as of April 7, 2008, between the Company and 

American Stock Transfer & Trust Company, incorporated herein by reference to Exhibit 4.1 
to the Company’s Registration Statement on Form 8-A12B (File no. 001-14027), filed with 
the Securities and Exchange Commission on April 7, 2008. 

(10) Material Contracts 

10.1 

   Commercial Lease, dated March 10, 1995, between the Company and Cummings Properties 

Management, Inc., incorporated herein by reference to Exhibit 10.8 to the Company’s 
Annual Report on Form 10-K for the fiscal year ended December 31, 2000 (File no. 001-
14027), filed with the Securities and Exchange Commission on April 2, 2001. 

10.2 

   Amendment to Lease #1, dated December 11, 1997, between the Company and Cummings 

Properties Management, Inc., incorporated herein by reference to Exhibit 10.9 to the 
Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2000 (File 
no. 001-14027), filed with the Securities and Exchange Commission on April 2, 2001. 

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10.3 

   Lease Extension, dated March 23, 1998, between the Company and Cummings Properties 
Management, Inc., incorporated herein by reference to Exhibit 10.10 to the Company’s 
Annual Report on Form 10-K for the fiscal year ended December 31, 2000 (File no. 001-
14027), filed with the Securities and Exchange Commission on April 2, 2001. 

10.4 

   Amendment to Lease #2, dated September 27, 1999, between the Company and Cummings 

Properties LLC, incorporated herein by reference to Exhibit 10.11 to the Company’s 
Annual Report on Form 10-K for the fiscal year ended December 31, 2000 (File no. 001-
14027), filed with the Securities and Exchange Commission on April 2, 2001. 

10.5 

   Commercial Lease, dated July 9, 1999, between the Company and Cummings Properties 

LLC, incorporated herein by reference to Exhibit 10.12 to the Company’s Annual Report on 
Form 10-K for the fiscal year ended December 31, 2000 (File no. 001-14027), filed with the 
Securities and Exchange Commission on April 2, 2001. 

10.6 

   Stipulation and Agreement of Compromise, Settlement and Release, dated May 25, 2001, in 
connection with In Re Anika Therapeutics, Inc. Securities Litigation, incorporated herein by 
reference to Exhibit 10.2 to the Company’s Quarterly Report on Form 10-Q for the 
quarterly period ended June 30, 2001 (File no. 001-14027), filed with the Securities and 
Exchange Commission on August 14, 2001. 

10.7 

   Amendment to Lease #3, dated November 1, 2001, between the Company and Cummings 

10.8 

**10.9 

**10.10 

†10.11 

†10.12 

Properties, LLC, incorporated herein by reference to Exhibit 10.1 to the Company’s 
Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2001 (File no. 
001-14027), filed with the Securities and Exchange Commission on November 14, 2001. 
   Lease Extension, dated October 8, 2003, between the Company and Cummings Properties, 
LLC, incorporated herein by reference to Exhibit 10.36 to the Company’s Quarterly Report 
on Form 10-Q for the quarterly period ended September 30, 2003 (File no. 001-14027), 
filed with the Securities and Exchange Commission on November 14, 2003. 

   License Agreement, dated as of December 20, 2003, by and between the Company and 
Ortho Biotech Products, L.P., incorporated herein by reference to Exhibit 10.38 to the 
Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2003 (File 
no. 001-14027), filed with the Securities and Exchange Commission on March 30, 2004. 

   Supply Agreement, dated as of December 15, 2004, by and between the Company and 
Bausch & Lomb Incorporated, incorporated herein by reference to Exhibit 10.43 to the 
Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2004 (File 
no. 001-14027), filed with the Securities and Exchange Commission on March 16, 2005. 
   Form of Incentive Stock Option Agreement under the Company’s Amended and Restated 
2003 Stock Option and Incentive Plan, incorporated herein by reference to Exhibit 10.3 to 
the Company’s Current Report on Form 8-K (File no. 001-14027), filed with the Securities 
and Exchange Commission on October 5, 2004. 

   Form of Non-Qualified Stock Option Agreement for Non-Employee Directors under the 
Company’s Amended and Restated 2003 Stock Option and Incentive Plan, incorporated 
herein by reference to Exhibit 10.4 to the Company’s Current Report on Form 8-K (File no. 
001-14027), filed with the Securities and Exchange Commission on October 5, 2004. 

†10.13 

   Form of Stock Appreciation Right Agreement for Employees under the Company’s 

Amended and Restated 2003 Stock Option and Incentive Plan, incorporated herein by 
reference to Exhibit 10.1 to the Company’s Quarterly Report on Form 10-Q for the 
quarterly period ended March 31, 2006 (File no. 001-14027), filed with the Securities and 
Exchange Commission on May 9, 2006. 

†10.14 

   Form of Stock Appreciation Right Agreement for Non-Employee Directors under the 

Company’s Amended and Restated 2003 Stock Option and Incentive Plan, incorporated 
herein by reference to Exhibit 10.2 to the Company’s Quarterly Report on Form 10-Q for 
the quarterly period ended March 31, 2006 (File no. 001-14027), filed with the Securities 
and Exchange Commission on May 9, 2006. 

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10.15 

   Lease, dated January 3, 2007, between the Company and Farley White Wiggins, LLC, 

incorporated herein by reference to Exhibit 10.1 to the Company’s Current Report on Form 
8-K (File no. 001-14027), filed with the Securities and Exchange Commission on January 
10, 2007. 

10.16 

   Credit Agreement, dated as of January 31, 2008, among the Company, Anika Securities, 

Inc., Bank of America, N.A., and the other lenders party thereto (the “Credit Agreement”), 
incorporated herein by reference to Exhibit 10.1 to the Company’s Current Report on Form 
8-K (File no. 001-14027), filed with the Securities and Exchange Commission on February 
6, 2008. 

†10.17 

   Anika Therapeutics, Inc. Senior Executive Incentive Compensation Plan, incorporated 

herein by reference to Exhibit 10.2 to the Company’s Current Report on Form 8-K (File no. 
001-14027), filed with the Securities and Exchange Commission on February 6, 2008. 

†10.18 

   Form of Performance Share Award Agreement under the Company’s Amended and 

Restated 2003 Stock Option and Incentive Plan, incorporated herein by reference to Exhibit 
10.3 to the Company’s Current Report on Form 8-K (File no. 001-14027), filed with the 
Securities and Exchange Commission on February 6, 2008. 

†10.19 

   Employment Agreement, dated October 17, 2008, between the Company and Charles H. 
Sherwood, Ph.D., incorporated herein by reference to Exhibit 10.1 to the Company’s 
Current Report on Form 8-K (File no. 001-14027), filed with the Securities and Exchange 
Commission on October 22, 2008. 

†10.20 

   Employment Agreement, dated October 17, 2008, between the Company and Kevin 

†10.21 

Quinlan, incorporated herein by reference to Exhibit 10.2 to the Company’s Current Report 
on Form 8-K (File no. 001-14027), filed with the Securities and Exchange Commission on 
October 22, 2008. 

   Form of Restricted Stock Award Agreement for Employees under the Company’s Amended 
and Restated 2003 Stock Option and Incentive Plan, incorporated herein by reference to 
Exhibit 10.27 to the Company’s Annual Report on Form 10-K for the fiscal year ended 
December 31, 2007 (File no. 001-14027), filed with the Securities and Exchange 
Commission on March 12, 2008. 

†10.22 

   Anika Therapeutics, Inc. Non-Employee Director Compensation Policy, incorporated 

†10.23 

herein by reference to Exhibit 10.28 to the Company’s Annual Report on Form 10-K for the 
fiscal year ended December 31, 2007 (File no. 001-14027), filed with the Securities and 
Exchange Commission on March 12, 2008. 

   Form of Restricted Deferred Stock Unit Award Agreement for Non-Employee Directors 
under the Company’s Amended and Restated 2003 Stock Option and Incentive Plan, 
incorporated herein by reference to Exhibit 10.25 to the Company’s Annual Report on Form 
10-K for the fiscal year ended December 31, 2008 (File no. 001-14027), filed with the 
Securities and Exchange Commission on March 9, 2009. 

†10.24 

   Letter Agreement, dated April 27, 2009, by and between the Company and Frank J. 

Luppino, incorporated herein by reference to Exhibit 10.1 to the Company’s Current Report 
on Form 8-K (File no. 001-14027), filed with the Securities and Exchange Commission on 
May 29, 2009. 

†10.25 

   Amended and Restated 2003 Stock Option and Incentive Plan, incorporated herein by 
reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K (File no. 001-
14027), filed with the Securities and Exchange Commission on June 11, 2009. 

†10.26 

   Employment Agreement, dated September 10, 2009, between the Company and Frank J. 

Luppino, incorporated herein by reference to Exhibit 10.1 to the Company’s Current Report 
on Form 8-K (File no. 001-14027), filed with the Securities and Exchange Commission on 
September 14, 2009. 

†10.27 

   Employment Agreement, dated September 10, 2009, between the Company and William J. 

10.28 

Mrachek, incorporated herein by reference to Exhibit 10.2 to the Company’s Current Report 
on Form 8-K (File no. 001-14027), filed with the Securities and Exchange Commission on 
September 14, 2009. 

   Registration Rights Agreement, dated December 30, 2009, between the Company and Fidia 
Farmaceutici S.p.A., incorporated herein by reference to Exhibit 10.1 to the Company’s 
Current Report on Form 8-K (File no. 001-14027), filed with the Securities and Exchange 
Commission on January 6, 2010. 

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10.29 

   Lease Agreement, dated December 30, 2009, between Fidia Farmaceutici S.p.A. and Fidia 

Advanced Biopolymers S.r.l., incorporated herein by reference to Exhibit 10.2 to the 
Company’s Current Report on Form 8-K (File no. 001-14027), filed with the Securities and 
Exchange Commission on January 6, 2010. 

10.30 

   Tolling Agreement, dated December 30, 2009, between Fidia Farmaceutici S.p.A. and Fidia 

10.31 

10.32 

Advanced Biopolymers S.r.l., incorporated herein by reference to Exhibit 10.3 to the 
Company’s Current Report on Form 8-K (File no. 001-14027), filed with the Securities and 
Exchange Commission on January 6, 2010. 

   Consent and First Amendment to the Credit Agreement, dated as of December 30, 2009, by 
and among the Company, Anika Securities, Inc., Bank of America, N.A. and each lender 
signatory thereto, incorporated herein by reference to Exhibit 10.4 to the Company’s 
Current Report on Form 8-K (File no. 001-14027), filed with the Securities and Exchange 
Commission on January 6, 2010. 

   Pledge Agreement on a Quota of Fidia Advanced Biopolymers S.r.l., dated March 12, 2010, 
dated March 12, 2010, by the Company in favor of Bank of America, N.A., incorporated 
herein by reference to Exhibit 10.1 to the Company’s Quarterly Report on Form 10-Q (File 
no. 001-14027), filed with the Securities and Exchange Commission on May 10, 2010. 

†10.33 

  Amendment No. 1 to Employment Agreement by and between the Company and Charles H. 

Sherwood, Ph.D, dated December 18, 2010. 

†10.34 

  Amendment No. 1 to Employment Agreement by and between the Company and Kevin W. 

Quinlan, dated December 18, 2010. 

†10.35 

  Amendment No. 1 to Employment Agreement by and between the Company and Frank J. 

Luppino, dated December 18, 2010. 

†10.36 

  Amendment No. 1 to Employment Agreement by and between the Company and William J. 

Mrachek, dated December 18, 2010. 

†10.37 

†10.38 

†10.39 

1993 Stock Option Plan, as amended, incorporated herein by reference to the Company's 
Proxy Statement (File no. 001-14027), filed with the Securities and Exchange Commission 
on April 28, 2000. 

  Second Amended and Restated 2003 Stock option and incentive Plan, incorporated herein 
by reference to Appendix A to the Company’s Proxy Statement (File no. 001-14027), filed 
with the Securities and Exchange Commission on April 28, 2011. 

  Amendment No. 1 to the Second Amended and Restated 2003 Stock option and incentive 
Plan, incorporated herein by reference to the Company’s Proxy Statement (File no. 001-
14027), filed with the Securities and Exchange Commission on May 20, 2011. 

** 10.40 

  License Agreement, dated as of December 21, 2011, by and between Anika Therapeutics, 

Inc. and DePuy Mitek, Inc., incorporated herein by reference to Exhibit 10.1 to the 
Company’s Current Report on Form 8-K (File no. 001-14027), filed with the Securities and 
Exchange Commission on December 22, 2011. 

(11) Statement Regarding the Computation of Per Share Earnings 

11.1 

   See Note 3 to the Financial Statements included herewith. 

(21) Subsidiaries of the Registrant 

*21.1 

   List of Subsidiaries of the Registrant. 

(23) Consent of Experts 

*23.1 

   Consent of PricewaterhouseCoopers LLP, an independent registered public accounting firm 

(31) Rule 13a-14(a) / 15d-14(a) Certifications 

*31.1 

*31.2 

   Certification of Charles H. Sherwood, Ph.D. pursuant to Rule 13a-14(a) or 15d-14(a) of the 
Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley 
Act of 2002. 

   Certification of Kevin W. Quinlan pursuant to Rule 13a-14(a) or 15d-14(a) of the Securities 
Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 
2002. 

(32) Section 1350 Certification 

***32.1 

   Certification of Charles H. Sherwood, Ph.D. and Kevin W. Quinlan, pursuant to 18 U.S.C. 
Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. 

 (101) xBRL 

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^101 

  The following materials from the Company’s Annual Report on Form 10-K for the period 
ended December 31, 2011, formatted in xBRL: (i) Consolidated Balance Sheets as of 
December 31, 2011 and December 31, 2010; (ii) Consolidated Statements of Operations for 
the Years Ended December 31, 2011, December 31, 2010, and December 31, 2009; (iii) 
Consolidated Statements of Stockholders’ Equity for the Years Ended December 31, 2011, 
December 31, 2010, and December 31, 2009; (iv) Consolidated Statements of Cash Flows 
for the Years Ended December 31, 2011, December 31, 2010, and December 31, 2009; and 
(v) Notes to Consolidated Financial Statements. 

** 

Filed herewith. 

** 

Certain portions of this document have been omitted pursuant to a confidential treatment request filed 
with the Commission. The omitted portions have been filed separately with the Commission. 

*** 

Furnished herewith. 

† 

^ 

Denotes compensatory plan or arrangement. 

Pursuant to Rule 406T of Regulation S-T, the xBRL related information in Exhibit 101 to this 
Annual Report on Form 10-K is furnished and not filed for purposes of Sections 11 and 12 of 
the Securities Act of 1933 and Section 18 of the Securities Exchange Act of 1934. 

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SIGNATURES 

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, as amended, 

the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. 

Date: March 13, 2012 

ANIKA THERAPEUTICS, INC. 
By: 

/s/ CHARLES H. SHERWOOD, PH.D. 

Charles H. Sherwood, Ph.D. 
Chief Executive Officer 

SIGNATURES 

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by 

the following persons on behalf of the registrant and in the capacities and on the dates indicated. 

Signature 

Title 

Date 

/s/ CHARLES H. SHERWOOD, PH.D. 

   Chief Executive Officer and Director 

   March 13, 2012 

Charles H. Sherwood, Ph.D. 
/s/ KEVIN W. QUINLAN 

Kevin W. Quinlan 
/s/ JOSEPH L. BOWER 

Joseph L. Bower 
/s/ RAYMOND J. LAND 

Raymond J. Land 
/s/ JOHN C. MORAN 

John C. Moran 
/s/ JEFFERY S. THOMPSON 

Jeffery S. Thompson 
/s/ STEVEN E. WHEELER 

Steven E. Wheeler 

(Principal Executive Officer) 

   Chief Financial Officer 

(Principal Accounting Officer) 

   Director 

  Director 

   Director 

   Director 

   Director 

   March 13, 2012 

   March 13, 2012 

  March 13, 2012 

   March 13, 2012 

   March 13, 2012 

   March 13, 2012 

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SUBSIDIARIES OF ANIKA THERAPEUTICS, INC. 

Anika Securities Corp.     

Bedford, Massachusetts  

Anika Therapeutics S.r.l. 
(Formerly:  Fidia Advanced Biopolymers S.r.l.) 

Abano Terme, Italy 

EXHIBIT 21.1 

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CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM 

We  hereby  consent  to  the  incorporation  by  reference  in  the  Registration  Statements  on  Form  S-8  (Nos.  
333-06275, 333-66831, 333-79047, 333-58264, 333-110326, 333-160102 and 333-176103) of Anika Therapeutics, 
Inc. of our report dated March 13, 2012 relating to the financial statements and the effectiveness of internal control 
over financial reporting, which appears in this Form 10-K.  

EXHIBIT 23.1 

/s/ PricewaterhouseCoopers LLP 

Boston, Massachusetts 
March 13, 2012 

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EXHIBIT 31.1 

I, Charles H. Sherwood, certify that: 

CERTIFICATION 

1. 

I have reviewed this annual report on Form 10-K for the year ended December 31, 2011 of Anika 
Therapeutics, Inc.; 

2.  Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state 
a material fact necessary to make the statements made, in light of the circumstances under which such 
statements were made, not misleading with respect to the period covered by this report; 

3.  Based on my knowledge, the financial statements, and other financial information included in this report, 
fairly present in all material respects the financial condition, results of operations and cash flows of the 
registrant as of, and for, the periods presented in this report; 

4.  The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure 
controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control 
over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and 
have: 

a.  Designed such disclosure controls and procedures, or caused such disclosure controls and 

procedures to be designed under our supervision, to ensure that material information relating to the 
registrant, including its consolidated subsidiaries, is made known to us by others within those 
entities, particularly during the period in which this report is being prepared; 

b.  Designed such internal control over financial reporting, or caused such internal control over 
financial reporting to be designed under our supervision, to provide reasonable assurance 
regarding the reliability of financial reporting and the preparation of financial statements for 
external purposes in accordance with generally accepted accounting principles; 

c.  Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in 
this report our conclusions about the effectiveness of the disclosure controls and procedures, as of 
the end of the period covered by this report based on such evaluation; and 

d.  Disclosed in this report any change in the registrant’s internal control over financial reporting that 
occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in 
the case of an annual report) that has materially affected, or is reasonably likely to materially 
affect, the registrant’s internal control over financial reporting; and 

5.  The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of 
internal control over financial reporting, to the registrant’s auditors and the audit committee of the 
registrant’s board of directors (or persons performing the equivalent functions): 

a.  All significant deficiencies and material weaknesses in the design or operation of internal control 
over financial reporting which are reasonably likely to adversely affect the registrant’s ability to 
record, process, summarize and report financial information; and 

b.  Any fraud, whether or not material, that involves management or other employees who have a 

significant role in the registrant’s internal control over financial reporting. 

Date: March 13, 2012 

/s/ CHARLES H. SHERWOOD, PH.D. 

Charles H. Sherwood, Ph.D. 
Chief Executive Officer 
Principal Executive Officer 

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EXHIBIT 31.2 

I, Kevin W. Quinlan, certify that: 

CERTIFICATION 

1. 

I have reviewed this annual report on Form 10-K for the year ended December 31, 2011 of Anika 
Therapeutics, Inc.; 

2.  Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state 
a material fact necessary to make the statements made, in light of the circumstances under which such 
statements were made, not misleading with respect to the period covered by this report; 

3.  Based on my knowledge, the financial statements, and other financial information included in this report, 
fairly present in all material respects the financial condition, results of operations and cash flows of the 
registrant as of, and for, the periods presented in this report; 

4.  The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure 
controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control 
over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and 
have: 

a.  Designed such disclosure controls and procedures, or caused such disclosure controls and 

procedures to be designed under our supervision, to ensure that material information relating to the 
registrant, including its consolidated subsidiaries, is made known to us by others within those 
entities, particularly during the period in which this report is being prepared; 

b.  Designed such internal control over financial reporting, or caused such internal control over 
financial reporting to be designed under our supervision, to provide reasonable assurance 
regarding the reliability of financial reporting and the preparation of financial statements for 
external purposes in accordance with generally accepted accounting principles; 

c.  Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in 
this report our conclusions about the effectiveness of the disclosure controls and procedures, as of 
the end of the period covered by this report based on such evaluation; and 

d.  Disclosed in this report any change in the registrant’s internal control over financial reporting that 
occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in 
the case of an annual report) that has materially affected, or is reasonably likely to materially 
affect, the registrant’s internal control over financial reporting; and 

5.  The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of 
internal control over financial reporting, to the registrant’s auditors and the audit committee of the 
registrant’s board of directors (or persons performing the equivalent functions): 

a.  All significant deficiencies and material weaknesses in the design or operation of internal control 
over financial reporting which are reasonably likely to adversely affect the registrant’s ability to 
record, process, summarize and report financial information; and 

b.  Any fraud, whether or not material, that involves management or other employees who have a 

significant role in the registrant’s internal control over financial reporting. 

Date: March 13, 2012 

/s/ KEVIN W. QUINLAN 

Kevin W. Quinlan 
Chief Financial Officer 
Principal Financial Officer 

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Section 906 Certification 

EXHIBIT 32.1 

The undersigned officers of Anika Therapeutics, Inc. (the “Company”) hereby certify in their respective 

capacities that, to their knowledge, the Company’s Annual Report on Form 10-K to which this certification is 
attached (the “Report”), as filed with the Securities and Exchange Commission on the date hereof, fully complies 
with the requirements of Section 13(a) or 15(d), as applicable, of the Securities Exchange Act of 1934, as amended, 
and that the information contained in the Report fairly presents, in all material respects, the financial condition and 
results of operations of the Company. 

Date: March 13, 2012 

/s/ CHARLES H. SHERWOOD, PH.D. 

Charles H. Sherwood, Ph.D. 
Chief Executive Officer 

/s/ KEVIN W. QUINLAN 

Kevin W. Quinlan 
Chief Financial Officer 

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