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Anika Therapeutics, Inc.

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FY2015 Annual Report · Anika Therapeutics, Inc.
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2015
ANNUAL REPORT

ANIKA THERAPEUTICS, INC.

 
 
Anika Therapeutics, Inc. 
2016 Letter to Shareholders  

Dear Anika Shareholders, 

Anika’s 2015 was a successful year commercially, operationally and financially, highlighted by terrific results during the year and key 
strategic decisions that will position the company for continued growth and dynamic, positive transformation for years to come.    

On the commercial front, end-user demand continued to grow and strong execution by our distribution partners resulted in robust 
product revenue growth. Reinforcing that commercial success, we continued to make progress on key pipeline programs, including for 
Cingal® and Hyalofast®. Further emphasizing our desire to grow our business, we commenced the development of our own direct 
commercial capability in the United States, an important strategic initiative for the Company that signals the beginning of an era in 
which we will have the ability to match each product in our portfolio with a commercial strategy tailored to optimize success. We 
entered 2016 in a strong financial position, with a clear strategy to drive sustained growth, to create greater value for shareholders and to 
deliver some of that value directly into shareholders’ hands.  

2015 Results 
In 2015, Anika continued to deliver strong financial results with net income of $30.8 million and diluted earnings per share of $2.01. 
Our product revenue increased 16% to $87.7 million, driven primarily by our viscosupplementation franchise, which is headlined by our 
Orthovisc® and Monovisc® products. During the year, Orthovisc maintained its position as the market-leading multiple-injection product 
in the United States for osteoarthritis of the knee, while Monovisc advanced to the number two position in the single-injection segment. 
In total, our U.S. viscosupplementation revenue increased 24% in 2015, with Monovisc sales more than tripling year-over-year. 
Additionally, we generated solid operating cash flow of $39 million for 2015, and we ended the year with approximately $138 million in 
cash and investments. 

Looking forward, our high-level capital deployment strategy for 2016 aims to drive future growth and create shareholder value. We will 
continue to invest time and resources in the build-out of our corporate infrastructure, the integration and consolidation of our 
manufacturing operations at our Bedford, MA worldwide headquarters, the pursuit of strategic acquisitions to drive amplified growth, 
and the direct return of value to shareholders through a $25 million accelerated share repurchase program.  

Four Pillars of Growth and Development 
For over two decades, we have been developing, manufacturing, and successfully commercializing therapeutic products based on our 
proprietary hyaluronic acid technology. Our vision is to develop a portfolio of orthobiologic products that serve the needs of orthopedic 
surgeons and their patients across a wide range of palliative, restorative, and regenerative applications. In 2016, we will begin to execute 
a four-part strategy developed to allow us to reach this goal and to position Anika for superior short-term and long-term growth.  

The first pillar of our growth strategy is global commercial expansion. We have commercial relationships in over 55 countries, and we 
relentlessly pursue new avenues for geographic expansion with appropriate commercial models. For example, we signed commercial 
partnership agreements for Monovisc in India, Australia, and New Zealand in 2015. In addition, we recently reached an agreement with 
a new partner to market Monovic and Cingal in China, the world’s third-largest viscosupplementation market.  

The second strategic pillar calls for advancing our strong pipeline of late-stage products to commercialization in an expeditious and 
thoughtful manner. In the fourth quarter of 2015, we commenced patient enrollment in our Hyalofast® FastTRACK Phase III clinical 
study, and we expect to accelerate enrollment throughout 2016. We are also working tirelessly to progress Cingal, our second generation 
viscosupplemenation product, through the U.S. regulatory review process, and we are confident that we will make significant strides 
towards commercial approval in 2016. Cingal’s clinical strength and its potential value to patients are underscored by its recent approval 
in Canada, and its expected approval in Europe in the first half of 2016. In addition to these important programs, we are also 
collaborating with DePuy Synthes Mitek Sports Medicine, our U.S. commercial partner for Orthovisc and Monovisc, to expand the 
application for Monovisc to include the treatment of osteoarthritis in the hip. Our goal is to be the first to market with this additional 
indication, and we expect to receive FDA approval by 2020.   

The third pillar of our growth strategy focuses on strengthening our infrastructure. In 2015, we began the process of developing a direct 
commercialization capability in the U.S., and continued progress on this initiative will be one of our key areas of focus in 2016. A direct 
commercial capability will empower Anika to fully own end user relationships, give us access to key data, and provide us with a larger 
share of end user revenue. It will also allow us the flexibility to pair future pipeline products with the commercial route that is most 
advantageous for Anika and our shareholders. In addition, we are consolidating all of our manufacturing operations under one roof in 
our Bedford, MA worldwide headquarters. Full integration of our global manufacturing operations will allow us to accelerate product 
development, to gain full control of our supply chain, and to positively impact product gross margins of our products.   

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The fourth pillar of our growth strategy concerns creating additional value through strategic M&A. We will pursue strategic acquisitions 
to augment our technology, to add to our product pipeline, and to accelerate our growth. We will be deliberate in our evaluation, looking 
for companies that are of an appropriate size, can be easily integrated into our culture and operations, and are accretive.   

In summary, we are enthused by the substantial opportunities to further expand our business and to disrupt the current clinical regimen 
and marketplace for orthopedic medicines – opportunities that could put Anika in a more central and dominant market position. We 
made important strides in many areas of our business in 2015, and the company is positioned well to drive future growth and create 
value for shareholders in the years ahead. We look forward to achieving our goals in 2016, and we will keep you apprised of our 
progress. Thank you for your continued trust and support. 

Sincerely, 

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

 
 
 
 
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, 2015 

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 (without admitting that any person whose shares are not 
included in such calculation is an affiliate) as of June 30, 2015, the last day of the Registrant’s most recently completed second fiscal quarter, was $483,203,467 based on 
the close price per share of common stock of $33.03 as of such date as reported on the NASDAQ Global Select Market. At March 4, 2016, there were issued and 
outstanding 14,330,207 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, 2015. Portions of 

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

Documents Incorporated By Reference 

  
 
 
 
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
ANIKA THERAPEUTICS, INC. 

TABLE OF CONTENTS 

Cautionary Note Regarding Forward-Looking Statements  

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  

Page 
3  

5  
12 
21 
22 
22 
22 

23 

25 
26 
39 
40 
64 
64 
64 

65 
65 
65 
65 
65 

65 

69 

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 

References  in  this  Annual  Report  on  Form  10-K  to  “we,”  “us,”  “our,”  “our  company,”  and  other  similar  references  refer  to  Anika 
Therapeutics, Inc. and its subsidiaries unless the context otherwise indicates. 

ANIKA,  ANIKA  THERAPEUTICS,  ANIKAVISC,  CINGAL,  HYAFF,  HYDRELLE,  HYVISC,  INCERT,  MONOVISC,  and 
ORTHOVISC are our registered trademarks, and HYALOSS, OPTIVISC, and SHELLGEL are our trademarks. This Annual Report on 
Form 10-K also contains registered marks, trademarks, and trade names that are the property of other companies and licensed to us. 

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FORM 10-K 
ANIKA THERAPEUTICS, INC. 
For Fiscal Year Ended December 31, 2015 

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS 

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, efficiency gains, and manufacturing operations; 

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

•  The development of possible line extensions and new products; 

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

•  The timing of and/or receipt of 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 to 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, license, 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, research and development activities, and collaboration activities; 

•  Our expectations regarding our orthobiologics products, including expectations related to our existing products, our new 

products, including CINGAL, expanded uses of existing products, new distribution and sales models and partnerships, and 
revenue growth; 

•  Our intention to increase our market share for orthobiologics 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 product development, clinical trials, regulatory approvals, and 

commercial launches; 

•  Our expectations regarding dermal, surgical, ophthalmic, and veterinary sales; 

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•  Our expectations regarding product gross margin; 

•  Our expectations regarding CINGAL, including our ability to obtain regulatory approvals and commercialize this product 

ourselves in the United States and with distribution partners in other territories; 

•  Our expectations regarding HYALOFAST, including the expenses associated therewith, and our ability to obtain 

regulatory approvals for the product in the United States and other international markets outside of the European Union; 

•  Our expectations for changes 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 expectations regarding the adequacy 

and usage 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; 

•  The strength of the economies in which we operate or will operate, as well as the political stability of any of those 

geographic areas; 

•  Our ability to effectively prioritize the many research and development projects underway; 

•  Our ability to obtain U.S. approval for our orthopedic and other product franchises, including the timing and potential 

success of such efforts, and to expand sales of these products in the United States, including the impact such efforts may 
have on our revenue; 

•  Our ability to successfully manage the implementation of our direct sales model for CINGAL, and other future products, in 
the United States initially through a contract sales organization, and our ability to successfully transition the direct sales 
function into our organization as part of a broader buildout of our commercial capabilities; 

•  Our ability to successfully manage the transfer of manufacturing responsibilities related to Anika S.r.l.’s HYAFF products 
from the current contract manufacturer to Anika’s Bedford, Massachusetts facility, and our ability to achieve planned 
results from this transfer; and 

•  Our expectations related to, and our ability to manage, the physical move of our Italian subsidiary from its current facility 

to its newly-leased facility. 

Furthermore,  statements  identified  by  words  such  as  “will,”  “likely,”  “may,”  “believe,”  “expect,”  “anticipate,”  “intend,” 
“seek,” “designed,” “develop,” “would,” “future,” “can,” “could,” and other expressions that are predictions of or indicate future 
events and trends and which do not relate to historical matters, also identify forward-looking statements. 

Forward-looking statements 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 

We are a global, integrated orthopedic medicines company committed to improving the lives of patients with degenerative 

orthopedic diseases and traumatic conditions by providing innovative and differentiated therapeutic pain management solutions along 
the continuum of care, from palliative care to regenerative medicine. We have over two decades of expertise developing, manufacturing 
and commercializing more than 20 products, in markets across the globe, based on our proprietary hyaluronic acid (“HA”) technology. 
Our orthopedic medicine portfolio is comprised of marketed (ORTHOVISC and MONOVISC) and pipeline (CINGAL and 
HYALOFAST in the United States) products to alleviate pain and restore joint function by replenishing depleted HA and aiding 
cartilage repair and regeneration. 

Our therapeutic offerings consist of products in the following areas: Orthobiologics, Dermal, Surgical, Ophthalmic, and 

Veterinary. All of our products are based on 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. 

Our proprietary technologies for modifying the HA molecule allow product properties to be tailored specifically to therapeutic 
use. Our patented technology chemically modifies HA to allow for longer residence time in the body. We also offer products made from 
HA based on two other technologies: HYAFF, which is a solid form of HA, and ACP gel, an autocross-linked polymer of HA. Our 
technologies are protected by an extensive portfolio of owned and licensed patents. 

Since our inception in 1992, we have utilized a commercial partnership model for the distribution of our products to end users. 

Our strong, worldwide network of distributors has historically provided, and continues to provide, a solid foundation for our revenue 
growth and territorial expansion. In 2015, we made the strategic decision to commercialize our next generation viscosupplementation 
product, CINGAL, in the United States by utilizing a direct sales model, initially through the engagement of a contract sales 
organization. Ultimately, we intend to transition the direct sales function into our company as part of a broader buildout of our 
commercial capabilities. We believe that the combination of the direct and distribution commercial models will maximize the revenue 
potential from our current and future product portfolio. 

We began a strategic project in 2015 to move the manufacturing of our HYAFF-based products, which currently are 

manufactured by a third party in Italy, to our Bedford, Massachusetts facility. Our main purposes behind this strategic move are to 
improve the efficiency of our manufacturing process and to enhance our research and development capabilities, with the aim of 
accelerating future product development. We expect to expend approximately $15 million on this project over the course of the next 12 
to 18 months. 

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

Orthobiologics 

Our orthobiologics products primarily consist of viscosupplementation and regenerative orthopedics products. These products 
are used in a wide range of treatments, from providing pain relief from osteoarthritis, to regenerating damaged tissue such as cartilage. 
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 results 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. 

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Our viscosupplementation franchise includes ORTHOVISC, ORTHOVISC mini, MONOVISC, and CINGAL. ORTHOVISC is 

available in the United States, Canada, and other international markets for the treatment of osteoarthritis of the knee, and in Europe and 
certain international markets for the treatment of osteoarthritis in all joints. In the U.S. market, ORTHOVISC is the lead product in the 
multi-injection segment, and the number two viscosupplementation product overall. ORTHOVISC mini is available in Europe, and it is 
designed for the treatment of osteoarthritis in small joints. MONOVISC is our single injection osteoarthritis treatment indicated for all 
joints in Europe and certain international markets, and for the knee in the United States, Turkey, and Canada. ORTHOVISC has been 
marketed by us internationally since 1996. ORTHOVISC mini and MONOVISC became available in certain international markets in the 
second quarter of 2008. MONOVISC was approved by the FDA for sale in the United States in February 2014, and the related U.S. 
commercial introduction of the product occurred in April 2014. CINGAL, our second single-injection osteoarthritis product, received 
regulatory approval from Health Canada in November 2015, and we expect the related commercial introduction of CINGAL in Canada 
to occur in the second quarter of 2016. We are currently seeking regulatory approval of CINGAL in the United States and the European 
Union. Upon achievement, if any, of such regulatory approval in the United States, we plan to commercialize the product through a 
direct sales model, initially through the engagement of a contract sales organization, with the ultimate goal of transitioning the direct 
sales function into our company as part of a broader buildout of our commercial capabilities. 

In the United States, 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, such as acetaminophen. 
ORTHOVISC is a sterile, clear, viscous 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 United States on March 1, 2004, and it is marketed by 
DePuy Synthes Mitek Sports Medicine (“Mitek”) under the terms of a ten-year licensing, distribution, supply, and marketing agreement 
which was entered into in December 2003 and was extended for an additional 5 years in November 2012 (the “Mitek ORTHOVISC 
Agreement”). Outside of the U.S., we have a number of distribution relationships servicing international markets including Canada, 
Europe, the Middle East, Latin America, and Asia. We will continue to seek to establish distribution relationships in other key markets. 
See the sections captioned “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Management 
Overview” and “Risk Factors.” 

In the United States, MONOVISC is also 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, such as acetaminophen. 
MONOVISC is a sterile, clear, viscous solution of partially cross-linked sodium hyaluronate in a phosphate buffered saline solution. A 
treatment of MONOVISC is comprised of one injection of the product delivered directly into the affected joint. MONOVISC became 
available for sale in the United States in April 2014, and it is also marketed by Mitek under the terms of a fifteen-year licensing, 
distribution, supply, and marketing agreement, which was entered into on December 21, 2011 (the “Mitek MONOVISC Agreement”). 
Outside of the United States, we have a number of distribution relationships servicing international markets including Canada, Europe, 
Latin America, Asia, and certain other international countries. We continue to seek to establish distribution relationships in other key 
markets. See the sections captioned “Management’s Discussion and Analysis of Financial Condition and Results of Operations—
Management Overview” and “Risk Factors.” 

In addition to the four viscosupplementation products discussed above, we also offer several additional products used in 

connection with orthopedic regenerative medicine. These products are based on the HYAFF technology and are currently available in 
Europe, South America, and Asia. They include HYALOFAST, a biodegradable support for human bone marrow mesenchymal stem 
cells used for cartilage regeneration and as an adjunct for microfracture surgery; HYALONECT, a woven gauze used as a graft wrap; 
and HYALOSS MATRIX, 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, with the potential for use in flexor tendon adhesion prevention and for use in 
the shoulder for prevention of adhesive capsulitis with additional clinical data. These products are commercialized through a network of 
distributors, primarily in Europe, the Middle East, and Korea. In total, orthobiologics products accounted for 84%, 82%, and 78% of our 
product revenue in 2015, 2014, and 2013 respectively.  

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Dermal 

Our dermal products consist of advanced wound care products, based on the HYAFF technology, and aesthetic dermal fillers, 
based on our proprietary chemically modified cross-linked HA technology, BCDI. Products utilizing our HYAFF technology are used 
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 to aid healing, and scaffolds used as skin substitutes. Leading products include 
HYALOMATRIX and HYALOFILL, for the treatment of complex wounds such as burns and ulcers. The dermal products are 
commercialized through a network of distributors, primarily in the United States, Europe, Latin America, and the Middle East. Several 
of the products are also cleared for sale in the United States including HYALOMATRIX, HYALOFILL, HYALOGRAN, and 
HYALOMATRIX 3D. We previously entered into a distribution agreement for the sale of advanced wound care products in nine South 
American countries, including Argentina, Brazil, Mexico, and Chile, on an exclusive basis through 2018. We have also entered into an 
agreement with Medline Industries, Inc. to commercialize HYALOMATRIX in the United States on an exclusive basis through 2019. 

Our aesthetic dermatology product is a dermal filler based on our proprietary, chemically modified, cross-linked HA, and it is 

commercialized in certain European Union countries, Canada, the United States, and Korea. Internationally, this product is marketed 
under the ELEVESS name. In the United States, the trade name is HYDRELLE, although the product is not currently marketed in the 
United States. 

Surgical 

Our surgical business consists of products used to prevent post-surgical adhesions after abdominal-pelvic, spinal, and ear, nose, 

and throat (“ENT”) surgeries. HYALOBARRIER is a clinically proven post-operative adhesion barrier for use in the abdominopelvic 
area. The product is currently commercialized in Europe, the Middle East, and certain Asian countries through a distribution network, 
but it is not approved for sale in the United States. HYALOSPINE, a product designed to prevent post-surgical adhesions following 
spinal surgery, was CE Mark approved in January 2015 for sale in Europe. INCERT, approved for sale and commercialized through a 
network of distributors 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 United States. We co-own 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. 

We offer 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. We have partnered with Medtronic XoMed, Inc. (“Medtronic”) for 
worldwide distribution of these ENT products. 

Ophthalmic  

Our ophthalmic business includes HA viscoelastic products used in ophthalmic surgery. The ophthalmic products we 
manufacture include STAARVISC-II, OPTIVISC (formerly ShellGel), ANIKAVISC, and NUVISC. 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 they function to maintain the 
shape of the eye, thereby facilitating ophthalmic surgical procedures. 

We 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, 2012, the parties agreed to a three year contract for us to continue to supply these products to 
B&L as a second supplier with committed annual volumes through year-end 2014, and the contract was not renewed upon expiration. 

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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. (“Boehringer”) in the United States and in selected 
countries in the Middle East. 

See Note 16 “Revenue by Product Group, by Significant Customer and by Geographic Region; Geographic Information” to 
our consolidated financial statements included elsewhere in this Annual Report on Form 10-K for a discussion regarding our segments 
and geographic sales. 

See also the section captioned “Risk Factors—Risks Related to Our Business and Industry—We experience quarterly sales 

volume variation, which makes our future results difficult to predict and makes period-to-period comparisons potentially not 
meaningful” for a discussion regarding the effect that quarterly sales volume variation could have on our business and financial 
performance. 

See also the section captioned “Risk Factors—Risks Related to Our Business and Industry—A significant portion of 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” for a discussion regarding our dependence on large-volume customers and the effects that the loss 
of any such customer could have on our business and financial performance. 

See also the section captioned “Risk Factors—Risks Related to Our Business and Industry—Our manufacturing processes 

involve inherent risks, and disruption could materially adversely affect our business, financial condition and results of operations” for a 
discussion of the sources and availability of raw materials related to the manufacture of our products. 

Research and Development of Potential Products 

Our 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 for our existing and new products. Our development focus includes products for tissue protection, repair, and regeneration. For 
the years ended December 31, 2015, 2014 and 2013, these expenses were $9.0 million, $8.1 million, and $7.1 million, respectively. We 
anticipate that we will continue to commit significant resources to research and development, including in relation to clinical trials, in 
the future. 

Our second single-injection osteoarthritis product under development is CINGAL, which is composed of our proprietary cross-
linked HA material combined with an approved steroid and is designed to provide both short- and long-term pain relief to patients. We 
completed the CINGAL phase III clinical trial and associated statistical analysis during the fourth quarter of 2014. During the first half 
of 2015, we completed a CINGAL retreatment study with patients who had participated in the phase III clinical trial and reported safety 
data related to the retreatment study. On the regulatory front, we submitted an application for CE Mark approval of the product in 
December 2014, and we expect to achieve approval by the end of April 2016. In May 2015, we also submitted an application for 
regulatory approval of CINGAL to Health Canada, and we received notification of approval for CINGAL from Health Canada in early 
November 2015. After discussion with the FDA related to the regulatory pathway for CINGAL in the United States, we conducted a 
formal meeting with the FDA’s Office of Combination Products (“OCP”) to present and discuss our data in September 2015, and we 
submitted a formal request for designation with OCP a month later. In its response to our formal request for designation, OCP assigned 
the product to the Center for Drug Evaluation and Research (“CDER”) as the lead agency center for premarket review and regulation. 
Since then, we have been in ongoing discussions with CDER to understand the requirements for submitting a New Drug Application 
(“NDA”) for CINGAL, and preliminary indications from the FDA suggest that additional clinical work may be required. We will meet 
with the FDA to collaboratively discuss this topic. 

We have research and development programs underway for new products including for HYALOFAST, an innovative product 

for cartilage tissue repair, HYALOBONE, a bone void filler, and other early stage regenerative medicine development programs. 
HYALOFAST received CE Mark approval in September 2009, and it is commercially available in Europe and certain international 
countries. During the first quarter of 2015, we submitted an Investigational Device Exemption (“IDE”) to the FDA, which was approved 
in July 2015. We are in the early stages of the phase III clinical trial for HYALOFAST, and we enrolled our first patient in December 
2015. Another of our products, HYALOSPINE, is an innovative adhesion prevention gel for use after spinal surgery. We completed a 
HYALOSPINE pilot clinical study in 2012, submitted the CE Mark application in September 2013, and received the CE Mark approval 
in January 2015. 

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In June 2015, we entered into an agreement with the Institute for Applied Life Sciences at the University of Massachusetts 
Amherst to collaborate on research to develop a therapy for rheumatoid arthritis. The purpose of this research is to develop a novel 
modality for the treatment of rheumatoid arthritis, and if successful, it is expected to yield a potential product candidate that we could 
begin to move towards commercialization as early as 2017. 

Our research and development efforts may 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. 

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, and 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. In the United States, we 

own 26 patents, 2 of which are co-owned with other parties, license 18 patents, and have 2 patent applications currently pending. These 
U.S. patents have expiration dates through 2030. Internationally, we own 190 patents, 7 of which are co-owned with other parties, 
license 88 patents, and have 10 patent applications currently pending. Outside of the United States, we own, co-own, license, or have 
filed for patents in 38 jurisdictions. Our international patents have expiration dates through 2032. Many of these patents, including all 
licensed patents, belong to the Anika S.r.l. patent estate, which is extensive and partly intertwined with its former parent company, Fidia 
Farmaceutici S.p.A. (“Fidia”), through a patent licensing agreement that provides Anika S.r.l. with access to certain of Fidia’s patents to 
the extent required to support Anika S.r.l.’s 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 interests and when the cost of seeking such protection is not 
inordinate relative to the potential benefits. 

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. 

We 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—Risks Related to Our Intellectual Property.”   

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

ORTHOVISC and MONOVISC in the United States pursuant to the Mitek ORTHOVISC Agreement and the Mitek MONOVISC 
Agreement. These agreements include a license to manufacture, and have manufactured, such products in the event that we are unable to 
supply Mitek with ORTHOVISC or MONOVISC in accordance with the terms of the relevant agreement. We have also granted Mitek 
the exclusive, royalty free right to use the trademarks ORTHOVISC and MONOVISC in connection with the marketing, distribution, 
and sale of the licensed products within the United States. 

Government Regulation 

The clinical development, manufacturing, and marketing of our products are subject to governmental regulation in the United 

States, the European Union and other territories worldwide. Various statutes, regulations, directives, and guidelines, including the Food, 
Drug, and Cosmetics Act in the United States, govern the development, design, non-clinical and clinical research, testing, manufacture, 
safety, efficacy, labeling, packaging, storage, record keeping, premarket clearance or approval, adverse event reporting, advertising, and 
promotion of our products. Product development and approval within these various regulatory frameworks takes a number of years and 
involves the expenditure of substantial resources. Pharmaceutical and medical device manufacturers are also inspected regularly by the 
FDA and other applicable regulatory bodies. 

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Medical products regulated by the FDA are generally classified as drugs, biologics, 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 effectiveness. Class II devices are cleared for marketing under the premarket notification 510(k) 
regulatory pathway, which may include clinical testing. Class III devices require pre-market approval based on valid scientific evidence 
of safety and effectiveness, including evidence elicited through appropriate clinical testing. Drugs and biologic products undergo 
rigorous preclinical testing prior to beginning clinical trials. Clinical trials for new drugs or biologic products include Phase I trials in 
healthy volunteers to understand safety, dosage tolerance, and pharmacokinetics, Phase II trials in a limited patient population to identify 
initial efficacy and side effects, and Phase III pivotal trials to statistically evaluate the safety and efficacy of the product. The failure to 
demonstrate adequately the quality, safety, and efficacy of a product under development can delay or prevent regulatory approval of the 
product. In order to gain marketing approval, we must submit to the relevant regulatory authority for review information on the quality 
aspects of the product as well as the non-clinical and clinical data. The FDA undertakes this review in the United States. 

In the European Union, medical devices must be CE Marked in order to be marketed. CE marking a device involves working 

with a Notified Body, and in some cases a Competent Authority, to demonstrate that the device meets all applicable requirements of the 
Medical Devices Directive and that our Quality Management System is compliant. Drug approval in the European Union follows one of 
several possible processes: (i) a centralized procedure involving members of the European Medicines Agency’s Committee for 
Medicinal Products for Human Use; (ii) a “mutual recognition procedure” in which an individual country's regulatory agency approves 
the product followed by “mutual recognition” of this review by regulatory agencies of other countries; or (iii) a decentralized procedure 
in which the approval is sought through the regulatory agencies of multiple countries at the same time. 

Approval timelines can range from several months to several years, or applications can be denied entirely. The approval process 
can be affected by a number of factors. For example, additional studies or clinical trials may be requested during the review, which may 
delay marketing approval and involve unbudgeted costs. As a condition of approval, the regulatory agency may require post-marketing 
surveillance to monitor for adverse effects, and may require other additional studies, as it deems appropriate. After approval for an initial 
indication, further clinical studies are generally necessary to gain approval for any additional indications. The terms of any approval, 
including labeling content, may be more restrictive than expected and could affect the marketability of a product. 

As a condition of approval, the relevant regulatory agency requires that the product continues to meet applicable regulatory 

requirements related to quality, safety, and efficacy, and it requires strict procedures to monitor and report any adverse effects. Where 
adverse effects occur or may occur, the regulatory agency may require additional studies or changes to the labeling. Compelling new 
“adverse” data may result in a product approval being withdrawn at any stage following review by an agency and discussion with 
product manufacturer. 

The branch of the FDA responsible for product marketing oversight routinely reviews company marketing practices and also 
may impose pre-clearance requirements on materials intended for use in marketing of approved drug products. We are also subject to 
various U.S. federal and state laws pertaining to healthcare fraud and abuse, including anti-kickback and false claims laws. Similar 
review and regulation of advertising and marketing practices exists in the other geographic areas where the company operates. 

The FDA has broad regulatory compliance and enforcement powers. If the FDA determines that we failed to comply with 

applicable regulatory requirements, it can take a variety of compliance or enforcement actions, such as issuing an FDA Form 483 notice 
of inspectional observations, a warning letter, an untitled letter, imposing civil money penalties, suspending or delaying issuance of 
approvals, requiring product recall, imposing a total or partial shutdown of production, withdrawal of approvals or clearances already 
granted, pursuing product seizures, consent decrees or other injunctive relief, or criminal prosecution through the Department of Justice. 
The FDA can also require us to repair, replace or refund the cost of products that we manufactured or distributed. Outside the US, 
regulatory agencies may exert a range of similar powers. 

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 processes than 
we have. We also compete with academic institutions, government agencies, and other research organizations, which may be involved in 
the research and 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. 

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We compete with other market participants primarily on the efficacy of our products, our products’ reputation for safety, our 

focus solely on HA-based products, and the breadth of our HA-based product portfolio. Other factors that impact competition in our 
industry are the timing and scope of regulatory approvals, the availability of raw material and finished product supply, marketing and 
sales capability, reimbursement coverage, product pricing, and patent protection. Some of the principal factors that may affect our ability 
to compete in the HA development and commercialization markets include: 

•  The quality and breadth of our continued development of our technology portfolio; 

•  Our ability to complete successful clinical studies and obtain FDA marketing and foreign regulatory approvals prior to our 

competitors; 

•  The successful execution of our commercial strategies; 

•  Our ability to recruit and retain skilled employees; and 

•  The availability of capital resources to fund strategic activities related to the significant expansion of our business or 

product portfolio. 

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 commenced 
human clinical studies, either in the United States or in certain foreign countries. All of our products face substantial competition. There 
exist major worldwide competing products, made from HA and other materials, for use in orthopedics, surgical adhesion prevention, 
advanced wound care, ENT, cosmetic dermatology, and ophthalmic surgery. There is a risk that we will be unable to compete 
effectively against our current or future competitors. Additionally, legislation and regulation aimed at curbing rising healthcare costs has 
resulted in a consolidation trend in the healthcare industry to create larger companies, including hospitals, with greater market power. In 
turn, this has led to greater and more intense competition in the provision of products and services to market participants. Important 
market makers, like group purchasing organizations, have increased their negotiating leverage, and if these market makers demand 
significant price concessions or if we are excluded as a supplier by these market makers, our product revenue could be adversely 
impacted. See also the sections captioned “Risk Factors—Risks Related to Our Business and Industry—Substantial competition could 
materially affect our financial performance” and “Risk Factors—Risks Related to Our Business and Industry—Our business may be 
adversely affected if consolidation in the healthcare industry leads to demand for price concessions or if we are excluded from being a 
supplier by a group purchasing organization or similar entity” for additional discussion of the impact competition could have on our 
business and financial results. 

Employees 

As of December 31, 2015, we had 107 employees, 20 of whom were located outside the United States. We consider our 
relations with our employees to be good. None of our U.S. employees are represented by labor unions, but 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. 

Product Liability 

The testing, marketing, and sale of human health care products entails an inherent risk of allegations of product liability, and we 

cannot assure 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 $5.0 million per occurrence and $5.0 million in the 
aggregate, we cannot assure that if material claims arise in the future, our insurance will be adequate to cover all situations. Moreover, 
we cannot assure 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. 

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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. 20549. 
Information regarding the operation of the Public Reference Room may be obtained by calling the SEC at 1-800-SEC-0330. 

ITEM 1A. RISK FACTORS 

Our operating results and financial condition have varied in the past and could vary significantly in the future depending on a 

number of factors. You should consider carefully the risks and uncertainties described below, in addition to the other information 
contained in this Annual Report on Form 10-K, before deciding whether to purchase our common stock. If any of the following risks 
actually occurs, our business, financial condition, results of operations, and future prospects could be materially and adversely affected. 
In that event, the trading price of our common stock could decline, and you could lose part or all of your investment. 

Risks Related to Our Business and Industry 

Failure to obtain, or any delay in obtaining, 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. 

Several of our current products, and any future products we may develop, will require clinical trials to determine their safety 

and efficacy for United States and international marketing approval by regulatory bodies, including the FDA. 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 accept submissions related to our new products, and, even if submissions are accepted, there can be no 
guarantee that the FDA will grant approval for our new products, including CINGAL or other line extensions, on a timely basis, if at all. 
In addition to regulations enforced by the FDA, we are subject to other existing and future federal, state, local, and foreign regulations 
applicable to product approval, which may vary significantly across jurisdictions. Additional approval of existing products may be 
required when changes to such products may affect the safety and effectiveness, including for 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. Failure to obtain regulatory approvals of our products, including any changes to existing products, 
could have an adverse material impact on our business, financial condition, and results of operations. 

Even if granted, FDA and international regulatory approvals may be subject to significant, unanticipated delays throughout the 

regulatory approval process. Internally, we make assumptions regarding product approval timelines, both in the United States and 
internationally, in our business planning, and any delay in approval could materially affect our competitive position in the relevant 
product market and our projections related to future business results. 

We cannot be certain that product approvals, both in the United States and internationally, will not include significant 

limitations on the product indications, and other claims sought for use, under which the products may be marketed. The relevant 
approval or clearance may also include other significant conditions of approval such as post-market testing, tracking, or surveillance 
requirements. Any of these factors could significantly impact our competitive position in relation to such products and could have a 
negative impact on the sales of such products. 

Once obtained, we cannot guarantee that FDA or international product approvals will not be withdrawn or that relevant agencies 
will not require other corrective action, and any withdrawal or corrective action could materially affect our business and financial 
results. 

Once obtained, marketing approval can be withdrawn by the FDA or comparable foreign regulatory agencies for a number of 

reasons, including the failure to comply with ongoing regulatory requirements or the occurrence of unforeseen problems following 
initial approval. Regulatory authorities could also limit or prevent the manufacture or distribution of our products. Any regulatory 
limitations on the use of our products or any withdrawal or suspension of approval or rescission of approval by the FDA or a comparable 
foreign regulatory agency could have a material adverse effect on our business, financial condition, and results of operations. 

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Our operations and products are subject to extensive regulation, compliance with which is costly and time consuming, and our 
failure to comply may result in substantial penalties, including recalls of our products. 

The FDA and foreign regulatory bodies impose extensive regulations applicable to our operations and products, including 

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 maintain 
compliance required for FDA, CE marking, or other foreign regulatory approvals for any or all of our operations and products or that we 
will be able to produce our products in a timely and profitable manner while complying with applicable requirements. 

Failure to comply with applicable regulatory requirements could result in substantial penalties, including warning letters, fines, 

injunctions, civil penalties, seizure of products, total or partial suspension of production, refusal to grant pre-market clearance or pre-
market approval for devices or drugs, withdrawal of approvals, and criminal prosecution. Additionally, regulatory authorities have the 
power to require the recall of our products. It also might be necessary for us, in applicable circumstances, to initiate a voluntary recall 
per regulatory requirements of one or several of our products. The imposition of any of the foregoing penalties, whether voluntarily or 
involuntary, could have a material negative impact on our business, financial condition, and results of operations. 

Any  changes  in  FDA  or  international  regulations  related  to  product  approval,  including  those  that  apply  retroactively,  could 
adversely affect our competitive position and materially affect our business and financial results. 

FDA  and  foreign  regulations  depend  heavily  on  administrative  interpretation,  and  we  cannot  assure  you  that  future 
interpretations made by the FDA or other regulatory bodies, with possible retroactive effect, will not adversely affect us. Additionally, 
any  changes,  whether  in  interpretation  or  substance,  in  existing  regulations  or  policies,  or  any  future  adoption  of  new  regulations  or 
policies  by  relevant  regulatory  bodies,  could  prevent  or  delay  approval  of  our  products.  In  the  event  our  future,  or  current,  products, 
including HA generally, are classified, or re-classified, as human drugs, combination products, or biologics by the FDA or an applicable 
international regulatory body, the applicable review process related to such products is typically substantially longer and substantially 
more  expensive  than  the  review  process  to  which  they  are  currently  subject  as  medical  devices,  which  could  materially  impact  our 
competitive position, business, and financial results. 

We are implementing a direct sales model to commercialize our CINGAL product, as well as certain other future products, in the 
United States and we may face unforeseen difficulties and delays in implementing this new model, which could affect our business 
and financial results. 

For the first time, we are implementing a direct sales model to market and promote one of our products, CINGAL, in the United 
States, initially through a contract sales organization, with the ultimate goal of transitioning the direct sales function into our company as 
part of a broader buildout of our commercial capabilities. We may also use this direct model to commercialize other of our products in 
the  United  States  in  the  future.  Our  success  in  utilizing  this  sales  model  will  initially  depend  in  part  on  our  ability  to  successfully 
develop  and  implement  the  necessary  internal  and  external  resources  to  manage  the  contract  sales  organization  and  the  sales  of  the 
product. Our longer term success will depend on our ability to transition the direct sales function into our company and to manage all 
resources associated  with this function. We cannot assure you that there  will not be unforeseen roadblocks or delays  in finalizing the 
contracts related to, and implementing, the relationship with the contract sales organization, nor we can we assure you that we will not 
face  setbacks  in  transitioning  the  direct  sales  function  into  our  organization.  The  initial  implementation  timeline  of  this  direct  sales 
model  is  also  dependent  on  CINGAL  obtaining  FDA  approval  in  a  timely  manner,  of  which  there  is  no  guarantee.  Failure  to  timely 
implement  our  direct  sales  model  or  to  successfully  manage  the  implementation  or  transition  process  could  materially  impact  our 
competitive position, business, and financial results. 

Substantial competition could materially affect our financial performance. 

We compete with many companies, including 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, government agencies, and other research organizations that may be involved in research, development, and 
commercialization of products similar to our own. 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 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 United States 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 received FDA approval before ours and have been marketed in the United States 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. 

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We may rely on third parties to support certain aspects of our clinical trials. If these third parties do not successfully carry out their 
contractual duties or meet expected deadlines, we may not be able to obtain regulatory approval or commercialize our products and 
our business could be substantially harmed. 

We have hired experienced clinical development and regulatory staff, and we have also retained the services of knowledgeable 

external service providers, including consultants and clinical research organizations, to develop and supervise our clinical trials and 
regulatory processes. Despite our internal investment in staffing, we will remain dependent upon these third party contract research 
organizations to carry out portions of our clinical and preclinical research studies for the foreseeable future. As a result, we have had and 
will have less control over the conduct of the clinical trials, the timing and completion of the trials, the required reporting of adverse 
events, and the management of data developed through the trials than would be the case if we were relying entirely on our own staff. 
Outside parties may have staffing difficulties, may undergo changes in priorities or may become financially distressed, adversely 
affecting their willingness or ability to conduct our trials. Failure by these third parties to comply with regulatory requirements or to 
meet timing expectations may require us to repeat clinical or preclinical trials, which would delay the regulatory approval process, or 
require substantial unexpected expenditures. 

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. One partner, Mitek accounted for 72% of our product revenue in fiscal year 2015. We cannot 
assure you that our partners, including Mitek, will not seek to renegotiate their current agreements on terms less favorable to us or 
terminate such agreements. A failure to renew these partnerships on terms satisfactory to us, or at all, could result in a material adverse 
effect on our operating results. 

We continue to seek to establish long-term distribution relationships in regions and countries not covered by existing 
agreements, and 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. 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. The failure to establish strategic partnerships for the marketing and 
distribution of our products on acceptable terms and within our planned timeframes could have a material adverse effect on our business, 
financial condition, and results of operations. 

We must achieve market acceptance of our products in order to be successful in the future.  

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 or 
viable commercial strategies 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. 

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, we cannot be certain that the supply of key raw materials, specifically HA, will continue be available at current levels or 
will be sufficient to meet our future needs. Any supply interruption could harm our ability to manufacture our products until a new 
source of supply is identified and qualified. We also rely on a single supplier for certain finished products, and if such manufacturer fails 
to meet production or delivery schedules, it could have an adverse impact on our ability to sell such products. 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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We are in the process of transferring the manufacturing of our HYAFF products from Italy to our Bedford, MA facility, which 
carries inherent risks of supply interruption.  

We are currently in the process of transferring the manufacturing responsibilities for our HYAFF products from our current 

contract manufacturer in Italy to our facility in Bedford, MA. This process requires us to take several steps including, but not limited to, 
building excess inventory of the products, finishing the necessary construction at our Bedford facility to allow the transfer of equipment, 
removing our equipment from our contract manufacture’s facility, properly packaging and storing the manufacturing equipment for 
transportation to the United States from Italy, installing the equipment in the Bedford facility, and validating the equipment and 
achieving regulatory approval of the manufacturing processes in accordance with all applicable law and regulations. There is no 
guarantee that any of these activities will not become delayed or otherwise disrupted, which could lead to a supply interruption for the 
HYAFF products. Such an interruption could ultimately have a material adverse effect on our business, financial condition, and results 
of operations. 

Our Italian subsidiary, Anika Therapeutics S.r.l. (“Anika S.r.l.”) is moving from its current facility in Abano Terme, Italy to a new 
facility in Padova, Italy, and there is no guarantee that this facility move will not result in an interruption of our business. 

Anika S.r.l. currently occupies warehousing, research and development, and administrative space in Abano Terme, Italy. In 

October 2015, Anika S.r.l. entered into a build-to-suit lease agreement to lease a new warehousing, research and development, and 
administrative facility in Padova, Italy. We expect that we will move into this new facility in at the end of 2016. There is no guarantee 
that this move will be completed smoothly and in a timely manner due to, among other things, unexpected construction delays or 
unexpected difficulties related to the lessor achieving necessary permitting, and any delay has the potential to cause a disruption to our 
business activities. If there is a business disruption or the move is delayed, this could ultimately have a material adverse effect on our 
business, financial condition, and results of operations. 

We use raw materials derived from animal sources to produce certain of our products, and there is no guarantee that we will be able 
to continue to utilize this source of material in the future. 

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 a qualified vendor, who controls for contamination 
and has 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 and beyond. 

Our financial performance depends on the continued sales growth and increasing 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, 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 and maintain the necessary manufacturing capabilities; 

•  Obtain the assistance of additional marketing partners or develop appropriate alternative sales strategies; 

•  Attract, retain, and integrate 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 may face circumstances in the future that will result in impairment charges, including, but not limited to, goodwill impairment 
and In-Process Research and Development (“IPR&D”) charges. 

As of December 31, 2015, we had long-lived assets, including goodwill, of $59 million. If the fair value of any of our long-

lived assets decreases as a result of an economic slowdown, a downturn in the markets where we sell products and services, or a 
downturn in our financial performance or future outlook, we may be required to record an impairment charge on such assets. 

We are required to test intangible assets with indefinite life periods for potential impairment annually and on an interim basis if 

there are indicators of a potential impairment. We also are required to evaluate amortizable intangible assets and fixed assets for 
impairment if there are indicators of a possible impairment. Impairment charges could have a negative impact on our results of 
operations and financial position, as well as on the market price of our common stock. 

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. 

We engage in acquisitions as a part of our growth strategy, which exposes us to a variety of risks that could adversely affect our 
business operations. 

Our business strategy includes the acquisition of businesses, technologies, services, or products that we believe are a strategic 

fit with our business. We may fund these acquisitions by utilizing our cash, incurring debt, issuing additional shares of our common 
stock, or by other means. Completed acquisitions may expose us to a number of risks and expenses, including unanticipated liabilities, 
amortization expenses related to intangible assets with definite lives, or risks associated with entering new markets with which we have 
limited experience or where commercial alliances with experienced partners or existing sales channels are not available. Whether or not 
completed, acquisitions may result in diversion of management resources otherwise available for ongoing development of our business 
and significant expenditures. 

We may not be able to realize the expected benefits of any completed acquisitions, including synergies and cost savings from 

the integration of acquired businesses or assets with our existing operations and technologies, as rapidly as expected, or at all. In 
addition, the integration and reorganization processes 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. Moreover, we may lose key clients or employees of acquired businesses as a result of the change 
in ownership to us. 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, impairment of goodwill or acquired In-
Process Research and Development, which could adversely affect our operating results. The failure to achieve the expected benefits of 
any acquisition may harm our business, financial condition, and results of operations. 

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. 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 distract 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. 

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

We will consider the acquisition of other businesses. However, we may not locate suitable acquisition targets or have the 
opportunity to make acquisitions of such targets 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. 

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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 United States and other foreign 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 generally depend upon the distributors of our 
products to secure reimbursement and reimbursement approvals. Reimbursement by third party payers, both in the United States and 
internationally, 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, or the applicable foreign regulatory agency, has granted marketing 
approval. Also, the U.S. Congress, certain state legislatures, and certain foreign governments and regulatory agencies 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 United States, 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 continuing coverage for MONOVISC and ORTHOVISC in the United States, and any change of 
classification by the Centers for Medicare and Medicaid Services for ORTHOVISC and MONOVISC, 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, cash equivalents, and investments of $138.5 million at December 31, 2015. 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 and other appropriate commercial strategies, 

including the ability of our partners to achieve third party reimbursement for our products; 

•  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 approvals and clearances by the FDA and other agencies; 

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

•  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; and 

•  The cost of maintaining adequate inventory levels to meet current and future product demand. 

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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, through strategic alliances with corporate 
partners and others, or through other sources. The terms of any future equity financings may be dilutive to our investors 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 at 
the time we seek financing. 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 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 $5.0 million per occurrence and $5.0 million in the aggregate to 
cover such product liability 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. 

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, and 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 technical and highly skilled managerial and manufacturing personnel. We face significant competition for 
such personnel from competitive 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, 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, 2015, 2014, and 2013, 18%, 13%, and 23%, respectively, of our product sales 
were to international distributors. We continue to be 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; 

• 

Instability of foreign economic, political, and labor conditions; 

•  Unfavorable labor regulations applicable to our 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 government controls limiting the volume of international sales; 

•  Longer accounts receivable payment cycles; 

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•  Potentially adverse tax consequences, including, if required or applicable, difficulties transferring funds generated in non-

U.S. jurisdictions to the United States in a tax efficient manner; 

•  Difficulties in protecting intellectual property, especially in international jurisdictions; 

•  Difficulties in managing international operations; and 

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

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 10% of our business during fiscal year 2015 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. 

A significant  portion of 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 who resell our products to end-
users, and most of these customers are significantly larger companies than us. For the year ended December 31, 2015, five customers 
accounted for 84% of product revenue, with Mitek alone accounting for 72% of product revenue. We expect to continue to be dependent 
on a small number of large customers, especially Mitek, for the majority of our revenues for the foreseeable future. The failure of these 
customers to purchase our products in the amounts they historically have or in amounts that we expect 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 agreements, 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, or develop alternative commercial strategies, 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, it could seriously harm our business, financial condition, and results of operations. 

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. 

While we have not previously experienced a material information security breach caused by illegal hacking, computer viruses, or acts of 
vandalism or terrorism, we may in the future be subject to such a breach. 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 exposure to litigation, any of which could harm our 
business and operating results. 

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Our business may be adversely affected if consolidation in the healthcare industry leads to demand for price concessions or if we are 
excluded from being a supplier by a group purchasing organization or similar entity. 

Because healthcare costs have risen significantly over the past decade, numerous initiatives and reforms have been launched by 

legislators, regulators, and third-party payers to curb these costs. As a result, there has been a consolidation trend in the healthcare 
industry to create larger companies, including hospitals, with greater market power. As the healthcare industry consolidates, competition 
to provide products and services to industry participants has become and may continue to become more intense. This may result in 
greater pricing pressures and the exclusion of certain suppliers from important markets as group purchasing organizations, independent 
delivery networks, and large single accounts continue to use their market power to consolidate purchasing decisions. If a group 
purchasing organization excludes us from being one of their suppliers, our net sales could be adversely impacted. We expect that market 
demand, government regulation, third-party reimbursement policies, and societal pressures will continue to change the worldwide 
healthcare industry, which may exert further downward pressure on the prices of our products. 

We experience quarterly sales volume variation, which makes our future results difficult to predict and makes period-to-period 
comparisons potentially not meaningful. 

We experience quarterly fluctuations in our products sales as a result of multiple factors, many of which are outside of our 
control. These quarterly fluctuations create uncertainty as to the volume of sales that we may achieve in a given period. As a result, 
comparing our operating results on a period-to-period basis might not be meaningful. You should not rely on our past results as an 
indication of our future performance. Our operating results could be disproportionately affected by a reduction in revenue because a 
proportionately smaller amount of our expenses varies with our revenue. As a result, our quarterly operating results are difficult to 
predict, even in the near term. 

Risks Related to Our Intellectual Property 

We may be unable to adequately protect our intellectual property rights, which could have a material impact on our business and 
future financial results. 

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 and trademarks, to protect trade secrets, to obtain licenses to technology 
owned by third parties when necessary, and to conduct our business without infringing on the proprietary rights of others. The patent 
positions of pharmaceutical, medical product, 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, that 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 U.S. Patent and Trademark Office to determine priority of invention, which could result in the 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, including, but not limited to, the diversion of 
management’s attention away from our other 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, 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 in order to continue production of the products. 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. 

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.  

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There can be no assurance that we will not infringe upon the intellectual property rights of others, which could have a significant 
impact on our business and financial results. 

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. The cost of defending infringement suits is typically large, and there is no guarantee that any future defense would be 
successful. In addition, infringement could lead to substantial damages payouts or our inability to produce or market certain of our 
current or future products. As a result, any such infringement may have a material adverse effect on our business, financial condition, 
and results of operations. 

Risks Related to Ownership of Our Common Stock 

Our stock price may be 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, 
government 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 an event, the price of our common stock 
would likely decline, perhaps substantially. 

If securities or industry analysts do not publish or cease publishing research or reports about us, our business, or our market, or if 
they adversely change their recommendations regarding our stock, our stock price and trading volume could decline. 

The trading market for our common stock is influenced by the research and reports that securities or industry analysts may 

publish about us, our business, our market, or our competitors. No person is under any obligation to publish research or reports on us, 
and any person publishing research or reports on us may discontinue doing so at any time without notice. If adequate research coverage 
is not maintained on our company or if any of the analysts who cover us downgrade our stock or publish inaccurate or unfavorable 
research about our business or provide relatively more favorable recommendations about our competitors, our stock price would likely 
decline. If any analysts who cover us were to cease coverage of our company or fail to regularly publish reports on us, we could lose 
visibility in the financial markets, which in turn could cause our stock price or trading volume to decline. 

We do not intend to pay dividends on our common stock in the foreseeable future. 

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. Accordingly, investors are 
not likely to receive any dividends on their common stock in the foreseeable future, and their ability to achieve a return on their 
investment will therefore depend on appreciation in the price of our common stock. 

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

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, and 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 adopted a ten-year 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 becomes an interested stockholder. All of these provisions, policies, and 
plans are reviewed periodically by our Board of Directors. 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. 

ITEM 1B. UNRESOLVED STAFF COMMENTS 

None. 

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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 then current term. The first three renewal options each extend the term an 
additional five years with the final renewal option extending the term six years. 

Anika S.r.l. currently leases approximately 28,000 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 years, with the current lease being a six year lease that 
Anika may terminate at any time by providing six months’ notice. On October 9, 2015, Anika S.r.l. entered into a build-to-suit lease 
agreement for a new European headquarters facility, consisting of approximately 33,000 square feet of general office, research and 
development, training, and warehousing space located in Padova, Italy. The lease has an initial term of fifteen years, which is expected 
to commence during the fourth quarter of 2016. The lease will automatically renew for up to three additional six-year terms, subject to 
certain terms and conditions. The Company has the ability to early withdraw from this lease subject to certain financial penalties after 
six years and with no penalties after the ninth year. The lease provides for an initial yearly rent of approximately $0.4 million. 

For the year ended December 31, 2015, we had aggregate facility lease expenses of approximately $1.3 million. We believe 

that the capacity of each of the properties we currently occupy is sufficient to satisfy our current needs, as well as our needs for the 
foreseeable future. Upon Anika S.r.l.’s move into its new facility, we believe that the property will be sufficient to satisfy its then-
current needs, as well as its needs for the foreseeable future. 

ITEM 3. LEGAL PROCEEDINGS 

On July 7, 2010, Genzyme Corporation filed a complaint against our company in the U.S. District Court for the District of 

Massachusetts seeking unspecified damages and equitable relief. The complaint alleged that we infringed U.S. Patent No. 5,143,724 by 
manufacturing MONOVISC in the United States for sale outside the United States and would infringe U.S. Patent Nos. 5,143,724 and 
5,399,351 if we manufactured and sold MONOVISC in the United States. On March 7, 2014, we filed a joint motion with Genzyme to 
lift the stay in Genzyme’s lawsuit against us and to dismiss with prejudice all of Genzyme’s claims. On March 10, 2014, the District 
Court granted the motion to dismiss all of Genzyme’s claims against us with prejudice and the case was terminated. 

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 they 
may not necessarily represent actual transactions. 

Year Ended December 31, 2015 
First Quarter 
Second Quarter 
Third Quarter 
Fourth Quarter 

Year Ended December 31, 2014 
First Quarter 
Second Quarter 
Third Quarter 
Fourth Quarter 

  $ 

  $ 

High 

Low 

45.35     $ 
41.30       
39.24       
43.82       

37.05   
31.36   
30.93   
30.94   

High 

Low 

52.49     $ 
51.40       
50.89       
43.24       

28.79   
35.62   
35.39   
34.16   

At December 31, 2015, the closing price per share of our common stock was $38.16 as reported on the NASDAQ Global Select 
Market, and there were 146 holders of record as of that date. We believe that the number of beneficial owners of our common stock at 
that date was substantially greater, due to shares being held by intermediaries. 

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. 

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Performance Graph 

Set forth below is a graph comparing the total returns of our company, the NASDAQ Composite Index, and the NASDAQ 
Biotechnology Index. The graph assumes $100 is invested on December 31, 2010 in our common stock and each of the indices. Past 
performance is not indicative of future results. 

 $650

 $600

 $550

 $500

 $450

 $400

 $350

 $300

 $250

 $200

 $150

 $100

 $50

D
O
L
L
A
R
S

Dec-10

Dec-11

Dec-12

Dec-13

Dec-14

Dec-15

ANIKA Therapeutics

NASDAQ US Market

NASDAQ Biotechnology Market

Anika Therapeutics, Inc. 
NASDAQ Composite Index 
NASDAQ Biotechnology Index 

   Dec-10 
  $ 
  $ 
  $ 

100.00     $ 
100.00     $ 
100.00     $ 

   Dec-11 

   Dec-12 

   Dec-13 

   Dec-14 

   Dec-15 

146.93     $ 
98.20     $ 
111.81     $ 

149.03     $ 
113.82     $ 
147.48     $ 

572.11     $ 
157.44     $ 
244.24     $ 

610.79     $ 
178.53     $ 
327.52     $ 

572.11   
188.75   
364.93   

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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 the section captioned “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, 2015 and 2014 and the 
Statement of Operations Data for each of the three years ended December 31, 2015, 2014, and 2013 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, 2013, 2012, and 2011, and the Statement of Operations Data for each of the two years in the period ended December 31, 
2012 and 2011 have been derived from audited consolidated financial statements for such years not included in this Annual Report on 
Form 10-K. 

Statements of Operations Data: 
Product revenue 
Licensing, milestone and contract revenue 
Total revenue 
Cost of product revenue 
Product gross profit 
Product gross margin 
Total operating expenses 
Net income 
Diluted net income per common share 
Diluted common shares outstanding 

Balance Sheet Data: 
Cash, cash equivalents and investments 
Working capital* 
Total assets 
Long term debt 
Retained earnings 
Stockholders' equity 

  $ 

  $ 

  $ 

2015 

87,696     $ 
5,303       
92,999       
21,053       
66,643       
76%       
44,865       
30,758       
2.01     $ 
15,321       

Years ended December 31, 
2014 
2012 
2013 
(in thousands, except per share data) 

75,474     $ 
30,121       
105,595       
20,930       
54,544       
72%       
44,148       
38,319       
2.51     $ 
15,269       

71,774     $ 
3,307       
75,081       
22,765       
49,009       
68%       
42,474       
20,575       
1.39     $ 
14,826       

68,010     $ 
3,348       
71,358       
28,989       
39,021       
57%       
51,643       
11,757       
0.82     $ 
14,345       

2011 

61,956   
2,822   
64,778   
26,784   
35,172   
57%   
50,811   
8,467   
0.62   
13,748   

2015 

2014 

Years ended December 31, 
2013 
(in thousands) 

2012 

2011 

138,458     $ 
159,155       
235,748       
-       
135,662       
210,848       

106,906     $ 
131,863       
192,808       
-       
104,904       
178,098       

63,333     $ 
84,650       
156,042       
-       
66,584       
135,634       

44,067     $ 
60,900       
142,069       
9,600       
46,010       
108,925       

35,777   
47,680   
132,844   
11,200   
34,252   
94,763   

* In 2015, the Company adopted new accounting guidance related to the presentation of deferred income taxes, which has been applied 
above retrospectively. Current deferred tax assets and liabilities have been reclassified as non-current deferred tax assets and liabilities. 

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ITEM  7.  MANAGEMENT’S  DISCUSSION  AND  ANALYSIS  OF  FINANCIAL  CONDITION  AND  RESULTS  OF 
OPERATIONS 

The following section 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, are 
based on assumptions, and are 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 the sections captioned “Business” and “Risk Factors.” The following discussion should 
also be read in conjunction with the consolidated financial statements and the Notes thereto appearing elsewhere in this Annual Report 
on Form 10-K. 

Management Overview 

We are a global, integrated orthopedic medicines company committed to improving the lives of patients with degenerative 

orthopedic diseases and traumatic conditions by providing innovative and differentiated therapeutic pain management solutions along 
the continuum of care, from palliative care to regenerative medicine. We have over two decades of expertise developing, manufacturing, 
and commercializing our products, in markets across the globe, based on our proprietary hyaluronic acid (“HA”) technology. Our 
orthopedic medicine portfolio is comprised of marketed (ORTHOVISC and MONOVISC) and pipeline (CINGAL and HYALOFAST in 
the United States) products to alleviate pain and restore joint function by replenishing depleted HA and aiding cartilage repair and 
regeneration. 

Our therapeutic offerings consist of products in the following areas: Orthobiologics, Dermal, Surgical, Ophthalmic, and 

Veterinary. All of our products are based on 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. 

Our proprietary technologies for modifying the HA molecule allow product properties to be tailored specifically to therapeutic 
use. Our patented technology chemically modifies HA to allow for longer residence time in the body. We also offer products made from 
HA based on two other technologies: HYAFF, which is a solid form of HA, and ACP gel, an autocross-linked polymer of HA. Our 
technologies are protected by an extensive portfolio of owned and licensed patents. 

Since our inception in 1992, we have utilized a commercial partnership model for the distribution of our products to end users. 

Our strong, worldwide network of distributors has historically provided, and continues to provide, a solid foundation for our revenue 
growth and territorial expansion. In 2015, we made the strategic decision to commercialize our next generation viscosupplementation 
product, CINGAL, in the United States ourselves, initially through the engagement of a contract sales organization. Ultimately, we 
intend to transition the entirety of the direct sales function into our company as part of a broader buildout of our commercial capabilities. 
We believe that the combination of the direct and distribution commercial models will maximize the revenue potential from our current 
and future product portfolio. 

We began a strategic project in 2015 to move the manufacturing of our HYAFF-based products, which currently are 

manufactured by a third party in Italy, to our Bedford, Massachusetts facility. Our main purposes behind this strategic move are to 
improve the efficiency of our manufacturing process and to enhance our research and development capabilities, with the aim of 
accelerating future product development. We expect to expend approximately $15 million on this project over the course of the next 12 
to 18 months. 

The following sections provide more information about our products: 

Orthobiologics 

Our orthobiologics business contributed 84% of our product revenue for the year ended December 31, 2015. Our orthobiologics 

products primarily consist of viscosupplementation and regenerative orthopedic products. Viscosupplementation products include 
ORTHOVISC, ORTHOVISC mini, and MONOVISC, each of which is commercialized in various territories worldwide, and CINGAL, 
which we plan to launch internationally in Canada and Europe in 2016. ORTHOVISC is available in the United States, Canada, and 
some international markets for the treatment of osteoarthritis of the knee, and in Europe and other international markets for the treatment 
of osteoarthritis in all joints. It has been marketed by us in the United States since 2004 and internationally since 1996 through various 
distribution agreements. 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 certain international markets, and for 
the knee in the United States, Turkey, and Canada. ORTHOVISC mini and MONOVISC both became available in certain international 
markets through our network of distributors during the second quarter of 2008, and the commercial introduction of MONOVISC in the 
United States occurred in April 2014. CINGAL, our second single-injection osteoarthritis product, received regulatory approval from 
Health Canada in November 2015, and we expect the related commercial introduction of CINGAL in Canada to occur in the second 

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quarter of 2016. We are currently seeking regulatory approval of CINGAL in the United States and the European Union, and we expect 
to receive CE Mark approval in the European Union by the end of April 2016. 

We currently offer several orthopedic products used in connection with regenerative medicine. The products currently available 
in Europe and certain international markets include HYALOFAST, a biodegradable support for human bone marrow mesenchymal stem 
cells used for cartilage regeneration and as an adjunct for microfracture surgery; HYALONECT, a woven gauze used as a bone 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 that, with additional clinical data, may demonstrate potential for flexor tendon 
adhesion prevention and for the treatment of adhesive capsulitis prevention in the shoulder. These products are commercialized through 
a network of distributors, primarily in Europe, the Middle East, and Korea. We believe that the U.S. market offers excellent expansion 
potential to increase revenue for these products, and this will continue to be a focus area for us moving forward. 

Our strategy is to continue to add new products, to expand the indications for use of both our current and any new products, and 

to expand our commercial reach. The orthobiologics area has been our fastest growing area, growing from 58% of our product revenue 
in 2010 to 84% of our product revenue in 2015. We continue to seek new distribution partnerships around the world, in concert with 
entering new markets with other appropriate sales strategies, and we expect total orthobiologics product sales to increase in 2016 
compared to 2015 based on sales to existing and new partners, as well as CINGAL international product launches, including in Canada 
and Europe. Additionally, if we achieve FDA approval of CINGAL, we plan to utilize a direct sales model to commercialize the product 
in the United States initially through the engagement of a contract sales organization with the ultimate goal of transitioning the direct 
sales function to our company as part of a broader buildout of our commercial capabilities. 

Dermal  

Our dermal products contributed 2% to our product revenue for the year ended December 31, 2015 and consist of advanced 
wound care products, which are based on the HYAFF technology, and aesthetic dermal fillers. We offer 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 scaffolds used as skin substitutes. Leading products include HYALOMATRIX and HYALOFILL for the 
treatment of complex wounds, such as burns and ulcers, and for use in connection with the regeneration of skin. Our dermal products are 
commercialized through a network of distributors, primarily in Europe, Latin America, and the Middle East. Several of the products are 
also cleared for sale in the United States including HYALOMATRIX, HYALOFILL, HYALOGRAN, and HYALOMATRIX 3D. We 
have a commercial partnership agreement with Medline Industries, Inc. to commercialize HYALOMATRIX in the United States on an 
exclusive basis through 2019. 

Our initial aesthetic dermatology product is a dermal filler based on our proprietary, chemically modified, cross-linked HA, and 

it is approved in certain European Union countries, Canada, the United States, South Korea, and certain countries in South America. 
Internationally, this product is marketed under the ELEVESS trade name. In the United States, the trade name is HYDRELLE, although 
the product is not currently marketed in the United States. 

Surgical 

Our surgical group consists of products used to prevent surgical adhesions and to treat ENT disorders. For the year ended 

December 31, 2015, sales of surgical products contributed 7% 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 it is not approved in the United States. INCERT, approved for sale in Europe, 
Turkey, and Malaysia, is a chemically modified, cross-linked HA product used for the prevention of post-surgical spinal adhesions. 
There are no plans at this time to distribute INCERT in the United States. 

We also offer 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 HA, a biocompatible 
agent that creates a moist wound-healing environment. We partner with Medtronic for the worldwide distribution of these products. 

Ophthalmic 

Our ophthalmic business includes HA viscoelastic products used in ophthalmic surgery. For the year ended December 31, 

2015, sales of ophthalmic products contributed 2% of our product revenue. We previously manufactured the AMVISC product line for 
B&L under the terms of a supply agreement that expired on December 31, 2014, and it was not renewed. Given that the ophthalmic 
franchise is not part of our core business, and that it has been steadily diminishing for the past few years, we do not expect this event to 
have a material impact on our results going forward. Operating margins under the B&L agreement were low, and B&L accounted for 
3% of product revenue for the year ended 2014.  

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Veterinary 

U.S. sales of HYVISC, our product for the treatment of equine osteoarthritis, contributed 5% to product revenue for the year 

ended December 31, 2015. We continue to look at other veterinary applications and opportunities to expand geographic territories. 

Research and Development 

Our 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 for our existing and new products. Our development focus includes products for tissue protection, repair, and regeneration. For 
the years ended December 31, 2015, 2014 and 2013, these expenses were $9.0 million, $8.1 million, and $7.1 million, respectively. We 
anticipate that we will continue to commit significant resources to research and development, including in relation to clinical trials, in 
the future. 

Our second single-injection osteoarthritis product under development is CINGAL, which is composed of our proprietary cross-
linked HA material combined with an approved steroid and is designed to provide both short- and long-term pain relief to patients. We 
completed the CINGAL phase III clinical trial and associated statistical analysis during the fourth quarter of 2014. During the first half 
of 2015, we completed a CINGAL retreatment study with patients who had participated in the phase III clinical trial and reported safety 
data related to the retreatment study. On the regulatory front, we submitted an application for CE Mark approval of the product in 
December 2014, and we expect to receive such approval by the end of April 2016. In May 2015, we also submitted an application for 
regulatory approval of CINGAL to Health Canada, and we received notification of approval for CINGAL from Health Canada in early 
November 2015. After discussion with the FDA related to the regulatory pathway for CINGAL, we conducted a formal meeting with the 
FDA’s Office of Combination Products to present and discuss our data in September 2015, and we submitted a formal request for 
designation with OCP a month later. In its response to our formal request for designation, OCP assigned the product to CDER as the 
lead agency center for premarket review and regulation. Since then, we have been in ongoing discussions with CDER to understand the 
requirements for submitting an NDA for CINGAL, and preliminary indications from the FDA suggest that additional clinical work may 
be required. We will meet with the FDA to collaboratively discuss this topic. 

We have research and development programs underway for new products including for HYALOFAST, an innovative product 

for cartilage tissue repair, HYALOBONE, a bone void filler, and other early stage regenerative medicine development programs. 
HYALOFAST received CE Mark approval in September 2009, and it is commercially available in Europe and certain international 
countries. During the first quarter of 2015, we submitted an Investigational Device Exemption (“IDE”) to the FDA, which was approved 
in July 2015. We are in the early stages of the phase III clinical trial for HYALOFAST, and we enrolled our first patient in December 
2015. Another of our products, HYALOSPINE, is an innovative adhesion prevention gel for use after spinal surgery. We completed a 
HYALOSPINE pilot clinical study in 2012, submitted the CE Mark application in September 2013, and received the CE Mark approval 
in January 2015. 

In June 2015, we entered into an agreement with the Institute for Applied Life Sciences at the University of Massachusetts 
Amherst to collaborate on research to develop a therapy for rheumatoid arthritis. The purpose of this research is to develop a novel 
modality for the treatment of rheumatoid arthritis, and if successful, it is expected to yield a potential product candidate that we could 
begin to move towards commercialization as early as 2017. 

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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 included elsewhere in this Annual Report on Form 10-K, which consolidated financial statements have been prepared in 
accordance with accounting principles generally accepted in the United States. 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 
the 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 are discussed throughout this section captioned 
“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 to the 
consolidated financial statements included elsewhere in this Annual Report on Form 10-K. 

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 

Revenue from product sales is 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, we evaluate 
both the contractual terms and conditions of our distribution and supply agreements as well as our business practices.  

Product revenue also includes royalties. Royalty revenue is based on our distributors’ sales and is 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 estimated 
or reported sales results provided to us by our distributor customers. If necessary, we adjust our estimates based upon final sales data 
received prior to issuing our quarterly unaudited or annual audited financial statements. 

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. Our business strategy includes entering into collaborative license, development, and/or 
supply agreements with partners for the development and commercialization of our 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. We adopted Accounting Standards Update (“ASU”) 2009-13, Revenue Recognition, in 
January 2011, which amends ASC 605-25, Multiple Element Arrangements 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 we complete our performance obligations. 

Inventories 

Inventories are stated at the lower of cost or market, with cost being determined using the first-in, first-out method. Work-in-
process and finished goods inventories include materials, labor, and manufacturing overhead. Inventory costs associated with product 
candidates that have not yet received regulatory approval are capitalized if we believe there is probable future commercial use and future 
economic benefit. 

Our policy is to write-down inventory when conditions exist that suggest inventory may be in excess of anticipated demand or 

is obsolete based upon assumptions about future demand for our products and market conditions. We regularly evaluate our 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.  

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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 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 the 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 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 our reporting unit using discounted cash flow valuation models which require the use 
of significant estimates and assumptions including but not limited to, the risk free rate of return on an investment, the 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, 2015 indicated that the fair value of our reporting unit exceeded the carrying value of the reporting unit. 

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 value 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. During the fourth quarter of 2015 we performed an impairment review of our 
IPR&D projects as we reassessed our R&D strategy. We recorded an impairment charge of $0.7 million due to the decision to 
discontinue further development efforts needed to commercialize this technology. Our annual assessment for impairment of IPR&D 
indicated that the fair value of our other IPR&D assets as of November 30, 2015 exceeded their respective carrying values. 

Through December 31, 2015 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. We continue to monitor and evaluate the financial performance of our 
business, including the impact of general economic conditions, to assess the potential for the fair value of the reporting unit to decline 
below its book value. 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. Our intangible assets are 

comprised of purchased developed technologies, distributor relationships, patents, and trade names. These intangible assets are carried at 
cost, net of accumulated amortization. Amortization is recorded on a straight-line basis over the intangible assets' useful lives, which 
range from approximately 5 to 16 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 award recipients’ 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. For performance based awards with financial achievement targets, we recognize expense 
using the graded vesting methodology based on the number of shares expected to vest. Compensation cost associated with performance 
grants is estimated using the Black-Scholes valuation method multiplied by the expected number of shares to be issued, which is 
adjusted based on the estimated probabilities of achieving the performance goals. Changes to the probability assessment and the 
estimated shares expected to vest will result in adjustments to the related share-based compensation expense that will be recorded in the 
period of the change. If the performance targets are not achieved, no compensation cost is recognized and any previously recognized 
compensation cost is reversed. See Note 13 to the consolidated financial statements included elsewhere in this Annual Report on Form 
10-K 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 17 to such consolidated financial statements for details related to the tax benefit recognized 
in the consolidated statement of operations for stock-based compensation. 

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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. 

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Results of Operations 

Year ended December 31, 2015 compared to year ended December 31, 2014 

Statement of Operations Detail 

2015 

Years Ended December 31, 
$ Inc/(Dec) 
2014 

   % Inc/(Dec) 

Product revenue 
Licensing, milestone and contract revenue 

  $ 

Total revenue 

(in thousands, except percentages) 

87,696     $ 
5,303       
92,999       

75,474     $ 
30,121       
105,595       

12,222       
(24,818 )     
(12,596 )     

Operating expenses: 

Cost of product revenue 
Research & development 
Selling, general & administrative 

Total operating expenses 
Income from operations 
Interest income, net 

Income before income taxes 
Provision for income taxes 

Net income 

Product gross profit 
Product gross margin 

21,053       
8,987       
14,825       
44,865       
48,134       
120       
48,254       
17,496       
30,758     $ 
66,643     $ 
76%       

20,930       
8,144       
15,074       
44,148       
61,447       
58       
61,505       
23,186       
38,319     $ 
54,544     $ 
72%       

123       
843       
(249 )     
717       
(13,313 )     
62       
(13,251 )     
(5,690 )     
(7,561 )     
12,099       

  $ 
  $ 

16 % 
(82 %) 
(12 %) 

1 % 
10 % 
(2 %) 
2 % 
(22 %) 
107 % 
(22 %) 
(25 %) 
(20 %) 
22 % 

Total revenue. Total revenue for the year ended December 31, 2015 decreased by $12.6 million to $93.0 million compared to 

the prior year. Total revenue decreased primarily due to the recognition of approximately $29.7 million in milestone and contract 
revenue recognized in the year ended December 31, 2014 associated with the Mitek MONOVISC Agreement, which was partially offset 
by $5 million of milestone revenue received in 2015 for the achievement of a target MONOVISC U.S. end user sales threshold. 

Product revenue by product line. Product revenue for the year ended December 31, 2015 was $87.7 million, an increase of 

$12.2 million, or 16%, compared to the prior year. Product revenue increases in our Orthobiologics, Dermal, and Veterinary franchises 
were partially offset by moderate decreases in revenue as a result of the unfavorable impact from foreign currency exchange rate 
fluctuations. The increases were also offset by decreases related to the B&L supply agreement, which expired as expected at the end of 
2014. Included in product revenue for the year ended December 31, 2015 was approximately $1.8 million and $0.5 million of non-
recurring revenue recorded in the second and third quarter of 2015, respectively, related to a high end-user average selling price for 
MONOVISC products sold to our U.S. partner, Mitek, prior to the fourth quarter of 2014. Products sold to Mitek after the third quarter 
of 2014 are not impacted by this arrangement, which will not result in additional related revenue. 

Orthobiologics 
Dermal 
Surgical 
Other 

Years Ended December 31, 

2015 

2014 

   $ Inc/(Dec)     % Inc/(Dec) 

(in thousands, except percentages) 

73,247     $ 
2,266       
5,812       
6,371       
87,696     $ 

61,957     $ 
1,334       
5,855       
6,328       
75,474     $ 

11,290       
932       
(43 )     
43       
12,222       

  $ 

  $ 

18 % 
70 % 
(1 %) 
1 % 
16 % 

Revenue from our orthobiologics franchises increased $11.3 million, or 18%, in 2015 compared to 2014. The growth in 2015 
reflected a growing end-user demand, continued market penetration, increased revenue from worldwide ORTHOVISC and worldwide 
MONOVISC sales, as well as the non-recurring product revenue discussed in the prior section. Domestic ORTHOVISC and 
MONOVISC end user sales increased 24% in 2015 compared to 2014. These increases were partially offset by decreases in product 
sales to Mitek as a result of its planned reduction in inventory, which was completed during the third quarter of 2015. International 
viscosupplementation product revenue in 2015 increased 42% compared to 2014. The increase in international revenue was driven 
primarily by increased sales of MONOVISC and ORTHOVISC in 2015, as compared to 2014, resulting from growing end-user demand. 
We expect orthobiologics revenue to continue to grow in 2016, led by increased MONOVISC revenue in the United States, the expected 
commercial launch of CINGAL in Canada and Europe, as well as overall revenue growth from our viscosupplementation products both 
domestically and internationally. 

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Dermal  revenue  increased  $0.9  million,  or  70%,  in  2015  compared  to  2014.  The  increase  as  compared  to  2014  primarily 
reflects revenue from the agreement we entered into in July 2014 with Medline Industries, Inc. to commercialize HYALOMATRIX in 
the United States on an exclusive basis through 2019. We expect advanced wound care revenue to increase in 2016 compared to 2015 
primarily due increased end user demand and geographic expansion, particularly in the U.S., European, and Latin American markets. 

Sales of our surgical products decreased slightly in 2015 as compared to 2014. The decrease of surgical product revenue was 
primarily due to the unfavorable impact from foreign currency exchange rate fluctuations compared with the same periods in the prior 
year. Our Surgical franchise consists primarily of our anti-adhesion and ENT products. Our anti-adhesion products include INCERT and 
HYALOBARRIER. Our leading ENT product is MEROGEL. We are partnered with Medtronic for worldwide distribution of these ENT 
products. We expect surgical product revenue to decrease moderately in 2016 compared to 2015 primarily due to continued unfavorable 
foreign currency exchange rates and releveling of inventory by our U.S. ENT commercial partner. 

Other product revenue includes revenues from ophthalmic and veterinary products. The other product revenue decreased in 

2015 from 2014 due to an increase in veterinary revenue, partially offset by a decrease in ophthalmic revenue. We expect other revenue 
to decrease in 2016 as compared to 2015, primarily driven by lower veterinary revenue. 

Licensing, milestone, and contract revenue. Licensing, milestone, and contract revenue for the year ended December 31, 2015 

was $5.3 million, compared to $30.1 million for 2014. The year over year decrease was primarily the result of the recognition of 
licensing and milestone revenue for the year ended December 31, 2014 of $27.5 million for milestone payments related to development 
obligations under the Mitek MONOVISC Agreement. It also included the recognition of approximately $2.2 million unamortized 
upfront payments previously received in December 2011. The FDA’s approval of our MONOVISC product during the first quarter in 
2014 completed the delivery of development obligations under the Mitek MONOVISC Agreement, and it resulted in the immediate 
recognition of a $17.5 million milestone payment, as well as the full recognition of prior deferred revenue in that quarter. During the 
second quarter of 2014, a $5.0 million milestone payment associated with the first commercial sale of MONOVISC in the United States 
was also earned, received, and recognized as revenue. We also received a unique J-Code from the Centers for Medicare and Medicaid 
Services for MONOVISC during the fourth quarter of 2014 and, as a result, we collected a milestone payment of $5.0 million which was 
fully earned and recognized as revenue. For the year ended December 31, 2014, we recognized a total of $29.7 million in milestone 
revenue related to MONOVISC. During the fourth quarter of 2015, we collected and fully recognized revenue for a milestone payment 
of $5.0 million as a result of U.S. MONOVISC annual end-user sales exceeding $50 million. We expect that our licensing, milestone, 
and contract revenue will decrease in 2016 compared to 2015 in large part due to milestone achievements by us in 2015 in relation to our 
commercial agreement with Mitek for MONOVISC in the United States. 

Product gross profit and margin. Product gross profit for the year ended December 31, 2015 was $66.6 million, or 76% of 
product revenue, compared with $54.5 million, or 72% of product revenue, for the year ended December 31, 2014. The increase in 
product gross profit was primarily due to improved manufacturing efficiencies, as well as improvements in the overall product sales mix 
compared to the prior year, with increased sales of our higher-margin orthobiologics products as a percentage of our total product sales. 

Research and development. Research and development expenses for the year ended December 31, 2015 increased by $0.8 
million, or 10%, as compared to the prior year, mainly due to a $0.7 million expense resulting from an impairment charge related to 
IPR&D that was recorded in connection with our acquisition of Anika S.r.l. The charge resulted from a decision to discontinue 
development of the acquired Hemostatic Patch in-process development project.  Research and development expense as a percentage of 
total revenue was 10% and 8% for the years ended 2015 and 2014, respectively. Research and development spending is expected to 
increase in 2016 and thereafter compared to 2015 as we further develop new products and initiate new clinical trials based on our 
existing technology assets, including HYALOFAST, as well as increased development activities for other products in the pipeline. 

Selling, general, and administrative. Selling, general, and administrative expenses for the year ended December 31, 2015 

decreased by $249 thousand, or 2%, as compared to 2014. The decrease was primarily a result of the full amortization of certain 
intangible assets on December 31, 2014, certain former employee termination and related expenses in 2014, as well as beneficial impact 
from foreign currency exchange rate fluctuations. We expect selling, general, and administrative expenses for 2016 will increase to 
reflect the support required to grow our business both domestically and internationally. 

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Income taxes. Provisions for income taxes were $17.5 million and $23.2 million for the years ended December 31, 2015 and 

2014, respectively. The decrease in the effective tax rate in 2015 of 1.4%, as compared to 2014, is primarily due to an increased benefit 
from domestic production activities. 

A reconciliation of the U.S. federal statutory tax rate to the effective tax rate for the periods ending December 31 is as follows: 

Statutory federal income tax rate 
State tax expense, net of federal benefit 
Permanent items, including nondeductible expenses 
State investment tax credit 
Federal, state and foreign research and development credits 
Foreign rate differential 
Domestic production deduction 
Effective income tax rate 

   Years ended December 31, 

2015 

2014 

35.0 %     
4.8 %     
(0.3 %)     
0.0 %     
(0.4 %)     
0.1 %     
(2.9 %)     
36.3 %     

35.0 % 
4.9 % 
0.1 % 
(0.1 %) 
(0.7 %) 
0.2 % 
(1.7 %) 
37.7 % 

As of December 31, 2015, we had net operating losses (“NOL”) for income tax purposes in Italy of $6.3 million with no 

expiration date. In connection with the preparation of the financial statements, we performed an analysis to ascertain if it was more 
likely than not that we would be able to utilize, in future periods, the net deferred tax assets associated with our NOL carry-forward. We 
have concluded that the positive evidence outweighs the negative evidence and, thus, that the 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, 2015 or 2014. 

The 2012 through 2015 tax years remain subject to examination by the Internal Revenue Service (“IRS”) and other taxing 

authorities for U.S. federal and state purposes. The 2011 through 2015 tax years remain subject to examination by the applicable 
governmental authorities in Italy. 

Net income. For the year ended December 31, 2015, net income was $30.8 million, or $2.01 per diluted share, compared to 

$38.3, or $2.51 per diluted share, for the same period in the prior year. The decrease in net income and diluted earnings per share was 
primarily a result of the approximately $29.7 million in milestone and contract revenue recognized for the year ended December 31, 
2014 associated with our U.S. license agreement for MONOVISC. 

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Year ended December 31, 2014 compared to year ended December 31, 2013 

Statement of Operations Detail 

Product revenue 
Licensing, milestone and contract revenue 

  $ 

Total revenue 

Operating expenses: 

Cost of product revenue 
Research & development 
Selling, general & administrative 
Restructuring credits 
Total operating expenses 
Income from operations 

Interest income (expense), net 

Income before income taxes 
Provision for income taxes 

Net income 

Product gross profit 
Product gross margin 

  $ 
  $ 

2014 

Years Ended December 31, 
$ Inc/(Dec) 
2013 

   % Inc/(Dec) 

(in thousands, except percentages) 

75,474     $ 
30,121       
105,595       

20,930       
8,144       
15,074       
-       
44,148       
61,447       
58       
61,505       
23,186       
38,319     $ 
54,544     $ 
72%       

71,774     $ 
3,307       
75,081       

22,765       
7,060       
12,936       
(287 )     
42,474       
32,607       
(127 )     
32,480       
11,905       
20,575     $ 
49,009     $ 
68%       

3,700       
26,814       
30,514       

(1,835 )     
1,084       
2,138       
287       
1,674       
28,840       
185       
29,025       
11,281       
17,744       
5,535       

5 % 
811 % 
41 % 

(8 %) 
15 % 
17 % 
(100 %) 
4 % 
88 % 
(146 %) 
89 % 
95 % 
86 % 
11 % 

Total revenue. Total revenue for the year ended December 31, 2014 increased by $30.5 million to $105.6 million. The increase 

in product and total revenue was primarily due to the U.S. MONOVISC commercial launch in April 2014 and milestone revenue from 
our U.S. distributor for MONOVISC, resulting from the product’s FDA approval, patent litigation resolution, commercial launch, and 
the achievement of a unique reimbursement code from the Centers for Medicare and Medicaid Services in 2014. 

Product revenue by product line. Product revenue for the year ended December 31, 2014 was $75.5 million, an increase of $3.7 

million, or 5%, compared to the prior year. 

Orthobiologics 
Dermal 
Surgical 
Other 

Years Ended December 31, 

2014 

2013 

   $ Inc/(Dec)     % Inc/(Dec) 

(in thousands, except percentages) 

  $ 

  $ 

61,957     $ 
1,334       
5,855       
6,328       
75,474     $ 

55,956     $ 
1,817       
5,446       
8,555       
71,774     $ 

6,001       
(483 )     
409       
(2,227 )     
3,700       

11 % 
(27 %) 
8 % 
(26 %) 
5 % 

Revenue from our orthobiologics franchises increased $6.0 million, or 11%, in 2014 compared to 2013. The improvement in 

orthobiologics product revenue was due primarily to increases in domestic MONOVISC and ORTHOVISC revenue. This increase 
reflects MONOVISC U.S. product launch in April 2014 and Mitek’s continued market penetration. International viscosupplementation 
product revenue in 2014 decreased 23% compared to 2013. The decrease in international revenue was driven primarily by decreased 
sales of ORTHOVISC in 2014, as compared to 2013, resulting from increased price competition. 

Dermal revenue decreased $0.5 million, or 27%, in 2014 compared to 2013. The decrease was primarily due to decreases in 
advanced wound care products revenue, which totaled $1.2 million in 2014, as compared to $1.6 million in 2013. This decrease was 
driven by order timing and lower revenue in Argentina as a result of the country’s recent financial crisis. 

Sales of our surgical products increased $0.4 million, or 8%, in 2014 as compared to 2013. The increase was primarily due to 

the addition of line extension products in Korea to utilize an expanded treatment indication. Our Surgical franchise consists primarily of 
anti-adhesion and ENT products. Our anti-adhesion products include INCERT and HYALOBARRIER. Our leading ENT product is 
MEROGEL. We are partnered with Medtronic for worldwide distribution of these ENT products.  

Other revenue decreased $2.2 million, or 26%, compared to other revenue in 2013. The decrease was primarily attributable to 

the reduced contractual minimum purchase commitment in the latest B&L supply agreement, which expired as expected at the end of 
2014. 

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Licensing, milestone, and contract revenue. Licensing, milestone, and contract revenue for the year ended December 31, 2014 

was $30.1 million, compared to $3.3 million for 2013. Licensing and milestone included a $17.5 million milestone payment resulting 
from the resolution of the patent litigation with Genzyme and the FDA approval of MONOVISC, and it also included the recognition of 
approximately $2.2 million remaining in the unamortized upfront payment previously received in December 2011. These payments were 
related to our development obligations under the Mitek MONOVISC Agreement. The FDA’s approval of our MONOVISC product 
during the quarter ended March 31, 2014 completed the delivery of our development obligations under the Mitek MONOVISC 
Agreement, and resulted in the immediate recognition of the $17.5 million milestone payment, as well as the full recognition of prior 
deferred revenue in the first quarter of 2014. During the second quarter of 2014, a $5.0 million milestone payment associated with the 
first commercial sale of MONOVISC in the United States was earned, received, and recognized as revenue. We also received a unique 
J-Code from CMS for MONOVISC during the fourth quarter of 2014 and, as a result, we collected a milestone payment of $5.0 million, 
which was fully earned and recognized as revenue. For the year ended December 31, 2014, we recognized a total of $29.7 million in 
milestone revenue related to MONOVISC. 

Product gross profit and margin. Product gross profit for the year ended December 31, 2014 was $54.5 million, or 72% of 
product revenue, compared with $49.0 million, or 68% of product revenue, for the year ended December 31, 2013. The increase in 
product gross profit was primarily due to favorable revenue mix, improved manufacturing efficiencies, as well as improvements in the 
overall product sales mix compared to the prior year, with increased sales of our higher-margin orthobiologics products as a percentage 
of our total product sales. 

Research and development. Research and development expenses for the year ended December 31, 2014 increased by $1.1 

million, or 15%, as compared to the prior year, mainly due to the CINGAL phase III clinical trial. Research and development expense as 
a percentage of total revenue was 8% and 9% for the years ended 2014 and 2013, respectively. 

Selling, general, and administrative. Selling, general, and administrative expenses for the year ended December 31, 2014 

increased by $2.1 million, or 17%, as compared to 2013. This increase was primarily due to a legal dispute settlement payment received 
in 2013, increases in external professional fees, and increased headcount related expenses in 2014. 

Restructuring credits. On December 28, 2012, we announced a strategic shift involving the closure of our tissue engineering 
facility in Abano Terme, Italy due to the inability to meet strict regulatory standards, established by the EMA, which became effective 
January 1, 2013. As a result of the plan, we recorded restructuring and associated impairment charges in the fourth quarter 2012 of 
approximately $2.5 million. Of the total restructuring and associated impairment charges, approximately $1.6 million related to the 
abandonment and noncash impairment of assets. The remaining $0.9 million related to cash payments that occurred in 2013, primarily 
for employee termination costs. The restructuring plan was completed in 2013, with a $0.3 million benefit to the statement of operations 
for the year ended December 31, 2013, based on actual expenses and payment settlements. 

Interest income (expense), net. Net interest income was $58 thousand for the year ended December 31, 2014, as compared to 
interest expense of $127 thousand in the same period ended 2013. On November 29, 2013, we terminated our credit agreement entered 
into on January 31, 2008 with lenders for which Bank of America, N.A. served as administrative agent. In connection with the 
termination, we pre-paid in full the entire outstanding debt balance of $8.4 million, and we did not incur any pre-payment penalties. This 
termination resulted in the change from net interest expense in 2013 to net interest income in 2014. Interest income is primarily from our 
short-term investment holdings. 

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Income taxes. Provisions for income taxes were $23.2 million and $11.9 million for the years ended December 31, 2014 and 
2013, respectively. The increase in the effective tax rate in 2014 of 1.0%, as compared to 2013, is primarily due to a decreased benefit 
from domestic production activities. 

A reconciliation of the U.S. federal statutory tax rate to the effective tax rate for the periods ending December 31 is as follows: 

Statutory federal income tax rate 
State tax expense, net of federal benefit 
Permanent items, including nondeductible expenses 
State investment tax credit 
Federal, state and foreign research and development credits 
Foreign rate differential 
Domestic production deduction 
Effective income tax rate 

   Years ended December 31, 

2014 

2013 

35.0 %     
4.9 %     
0.1 %     
(0.1 %)     
(0.7 %)     
0.2 %     
(1.7 %)     
37.7 %     

35.0 % 
4.8 % 
(0.2 %) 
(0.1 %) 
(0.5 %) 
0.1 % 
(2.4 %) 
36.7 % 

As of December 31, 2014, we had net operating losses (“NOL”) for income tax purposes in Italy of $8.3 million with no 

expiration date. In connection with the preparation of the financial statements, we performed an analysis to ascertain if it was more 
likely than not that we would be able to utilize, in future periods, the net deferred tax assets associated with our NOL carry-forward. We 
have concluded that the positive evidence outweighs the negative evidence and, thus, that the 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, 2014 or 2013. 

Net income. For the year ended December 31, 2014, net income was $38.3 million, or $2.51 per diluted share, compared to 

$20.6 million, or $1.39 per diluted share, for the same period in the prior year. The primary drivers for this increase in net income were 
an increase in gross profit due to increased milestone and licensing revenue, a more favorable product mix, and the improved 
manufacturing efficiencies at our Bedford, Massachusetts manufacturing facility. 

Concentration of Risk 

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, 2015, five customers 
accounted for 84% of product revenue, with Mitek alone accounting for 72% of product revenue. We expect to continue to be dependent 
on a small number of large customers, especially Mitek, for the majority of our revenues for the foreseeable future, even with our 
implementation of a direct sales model for CINGAL in the United States. The failure of these customers to purchase our products in the 
amounts they historically have or in amounts that we expect 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 agreements, 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, it could seriously harm our business, financial condition, and results of operations. 

See Note 16, Revenue by Product Group, by Significant Customer and by Geographic region; Geographic Information, to the 

consolidated financial statements included elsewhere in this Annual Report on Form 10-K for information regarding significant 
customers. 

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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 generated positive cash flow from operations, which, 
together with our available cash, investments, and debt, have met our cash requirements. Cash, cash equivalents and investments totaled 
$138.5 million and $106.9 million, and working capital totaled $159.2 million and $131.9 million, at December 31, 2015 and December 
31, 2014, respectively. We believe that we have adequate financial resources to support our business for at least the next twelve months. 

Cash provided by operating activities was $39.1 million, $40.0 million and $25.2 million for 2015, 2014, and 2013, 
respectively. The decrease in cash provided by operations was due primarily to decreased net income compared to the same period last 
year, which reflected $29.7 million in milestone and contract revenue associated with our U.S. license agreement for MONOVISC. Cash 
provided by operations was also impacted by an increase in net working capital requirements as compared to the same period in 2014 
related to higher accounts receivable, inventory purchases and the timing of sales during the year, which was partially offset by higher 
levels of accounts payable at December 31, 2015. 

Cash used in investing activities was $30.2 million, $8.3 million, and $253 thousand for 2015, 2014, and 2013, respectively. 

The increase in cash used in investing activities in 2015, as compared to the same period in the prior year, is a result of purchases of 
investments and increased capital purchases associated with our Bedford, Massachusetts headquarters and manufacturing facility. We 
expect an increase in investing activities in 2016 as a result of our on-going project to establish additional manufacturing capabilities at 
the Bedford, Massachusetts facility to manufacture our HYAFF-based products, which currently are manufactured by a third party in 
Italy. At December 31, 2015, we expended approximately $9 million for this project. We expect to expend approximately $15.0 million 
on this project over the course of the next twelve to eighteen months. 

Cash provided by financing activities was $1.9 million and $5.3 million for 2015 and 2014, respectively, whereas cash used in 
financing activities was $5.7 million in 2013. The decrease in cash provided by financing activities compared to the same period in the 
prior year was attributable to the lower tax benefits and cash received in regards to employees’ exercise of equity awards. 

Contractual Obligations and Other Commercial Commitments 

The table below summarizes our non-cancelable operating leases, purchase commitments and contractual obligations related to 

future periods which are not reflected in our consolidated balance sheet at December 31, 2015. Purchase commitments relate primarily 
to non-cancellable inventory commitments and capital expenditures entered in the normal course of business: 

Operating Leases (1) 
  $ 
Purchase Commitments (2)      
  $ 
Total 

Payments due by period (in thousands) 

   Less than 

   More than 

Total 

1 year 

   1 - 3 years 

   3 - 5 years 

5 years 

10,403     $ 
16,601       
27,004     $ 

1,540     $ 
16,249       
17,789     $ 

2,618     $ 
318       
2,936     $ 

2,668     $ 
34       
2,702     $ 

3,577   
-   
3,577   

(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, which consists 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 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, ranging in length from 5 to 6 years, 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. Also included in this line is a lease entered into 
pursuant to which Anika S.r.l. leases its Italian facility, which consists of approximately 28,000 square feet of space. The lease 
commenced on December 30, 2009 for a period of six years with certain extension options. See the section captioned 
“Properties” for additional information regarding these leases. On October 9, 2015, Anika S.r.l, entered into a build-to-suit lease 
agreement for a new European headquarters facility consisting of approximately 33,000 square feet of general office, research 
and development, training, and warehousing space located in Padova, Italy. This lease has an initial term of fifteen years, which 
is expected to commence during the fourth quarter of 2016. The lease will automatically renew for up to three additional six-
year terms, subject to certain terms and conditions. The lease provides for an initial yearly rent of approximately $0.4 million. 
See the section captioned “Item 2—Properties” in this Annual Report on Form 10-K for additional discussion regarding these 
leases. 
Included in this line is approximately $15 million related to our on-going project to establish additional manufacturing 
capabilities at the Bedford, Massachusetts facility. 

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Accounting for Off-Balance Sheet Arrangements 

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 above, 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 

A discussion of recent accounting pronouncements is included in Note 2 to the consolidated financial statements in this Annual 

Report. 

ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK 

Primary Market Risk Exposures 

We manage our investment portfolio in accordance with our investment policy. The primary objectives of our investment 

policy are to preserve principal, maintain a high degree of liquidity to meet operating and other needs, and obtain competitive returns 
subject to prevailing market conditions without significantly increasing risk. To achieve this objective, we maintain our portfolio of cash 
equivalents and investments in a variety of high quality securities, including money market funds, corporate bonds and bank certificates 
of deposits. The investments are classified as available-for-sale and consequently are recorded at fair value with unrealized gains or 
losses reported as a separate component of accumulated other comprehensive income. Our portfolio of cash equivalents and investments 
is subject to interest rate fluctuations, changes in credit quality of the issuer and other factors. 

Foreign Exchange Risk 

Our primary market risk exposures are in the area of currency exchange rate risk. We have two major supplier contracts 
denominated in foreign currencies. Unfavorable fluctuations in exchange rates would have a negative impact on our financial statements. 
The impact of currency exchange rate fluctuation for the two contracts on our financial statements was immaterial in 2015. 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. 

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

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, 2015 and 2014 
Consolidated Statements of Operations and Comprehensive Income for the Years Ended December 31, 2015, 2014 and 

2013 

Consolidated Statements of Stockholders’ Equity for the Years Ended December 31, 2015, 2014 and 2013 
Consolidated Statements of Cash Flows for the Years Ended December 31, 2015, 2014 and 2013 
Notes to Consolidated Financial Statements  

41 
42 
43 

44 
45 
46 

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

Report of Independent Registered Public Accounting Firm 

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, 2015 and December 31, 2014 and the results of their operations and their cash 
flows for each of the three years in the period ended December 31, 2015 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, 2015, based on criteria established in Internal Control - Integrated Framework (2013) as 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. 

As discussed in Note 2 to the consolidated financial statements, the Company changed the manner in which it classifies 
deferred taxes in 2015 and 2014 due to the adoption of Accounting Standards Update 2015-17, Balance Sheet Classification of Deferred 
Taxes. 

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. 

/s/ PricewaterhouseCoopers LLP 

Boston, Massachusetts 
March 10, 2016 

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Anika Therapeutics, Inc. and Subsidiaries 
Consolidated Balance Sheets 
(in thousands, except share data and per share data) 

Current assets: 

ASSETS 

Cash and cash equivalents 
Investments 
Accounts receivable, net of reserves of $167 and $147 at December 31, 2015 and 
December 31, 2014, respectively 
Inventories 
Prepaid expenses and other current assets 

Total current assets 
Property and equipment, net 
Long-term deposits and other 
Intangible assets, net 
Goodwill 
Total assets 

LIABILITIES AND STOCKHOLDERS’ EQUITY 

Current liabilities: 

Accounts payable 
Accrued expenses and other current liabilities 
Income taxes payable 

Total current liabilities 

Other long-term liabilities 
Long-term deferred revenue 
Deferred tax liability 
Commitments and contingencies (Note 12) 
Stockholders’ equity: 

  $ 

  $ 

  $ 

December 31, 

2015 

2014 

110,707     $ 
27,751       

21,652       
14,938       
1,385       
176,433       
40,108       
69       
11,656       
7,482       
235,748     $ 

8,302     $ 
4,778       
4,198       
17,278       
781       
66       
6,775       

100,156   
6,750   

17,152   
12,407   
1,371   
137,836   
31,669   
69   
14,895   
8,339   
192,808   

1,201   
4,772   
-   
5,973   
894   
102   
7,741   

Preferred stock, $.01 par value; 1,250,000 shares authorized, no shares issued and 
outstanding at December 31, 2015 and December 31, 2014, respectively 
Common stock, $.01 par value; 30,000,000 shares authorized, 15,036,808 and 14,851,703 
shares issued and outstanding at December 31, 2015 and December 31, 2014, respectively      
Additional paid-in-capital 
Accumulated other comprehensive loss 
Retained earnings 

Total stockholders’ equity 

Total Liabilities and Stockholders’ Equity 

  $ 

-       

-   

150       
81,685       
(6,649 )     
135,662       
210,848       
235,748     $ 

149   
77,540   
(4,495 ) 
104,904   
178,098   
192,808   

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

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Anika Therapeutics, Inc. and Subsidiaries 
Consolidated Statements of Operations and Comprehensive Income 
(in thousands, except per share data) 

For the Years Ended December 31, 
2014 

2013 

2015 

Product revenue 
Licensing, milestone and contract revenue 

Total revenue 

  $ 

87,696     $ 
5,303       
92,999       

75,474     $ 
30,121       
105,595       

Operating expenses: 

Cost of product revenue 
Research & development 
Selling, general & administrative 
Restructuring credits 
Total operating expenses 
Income from operations 

Interest income (expense), net 

Income before income taxes 
Provision for income taxes 

Net income 

Basic net income per share: 

Net income 
Basic weighted average common shares outstanding 

Diluted net income per share: 

Net income 
Diluted weighted average common shares outstanding 

Net income 

Other comprehensive income (loss): 
Foreign currency translation adjustment 

Comprehensive income 

  $ 

  $ 

  $ 

  $ 

  $ 

71,774   
3,307   
75,081   

22,765   
7,060   
12,936   
(287 ) 
42,474   
32,607   
(127 ) 
32,480   
11,905   
20,575   

1.46   
14,087   

1.39   
14,826   

21,053       
8,987       
14,825       
-       
44,865       
48,134       
120       
48,254       
17,496       
30,758     $ 

2.06     $ 
14,934       

2.01     $ 
15,321       

20,930       
8,144       
15,074       
-       
44,148       
61,447       
58       
61,505       
23,186       
38,319     $ 

2.61     $ 
14,678       

2.51     $ 
15,269       

30,758     $ 

38,319     $ 

20,575   

(2,154 )     
28,604     $ 

(2,796 )     
35,523     $ 

956   
21,531   

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

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Anika Therapeutics, Inc. and Subsidiaries 
Consolidated Statements of Stockholders' Equity 
(in thousands, except share data) 

Common Stock 

Additional Paid 
in Capital 

Retained 
Earnings 

   Accumulated      
Other 
Comprehensive 
Loss 

Balance, December 31, 2012 

Issuance of common stock for equity awards 
Tax benefit related to equity awards 
Stock-based compensation expense 
Net income 
Other comprehensive income 

Balance, December 31, 2013 

Issuance of common stock for equity awards 
Tax benefit related to equity awards 
Stock-based compensation expense 
Retirement of common stock for minimum tax 
withholdings 
Net income 
Other comprehensive loss 
Balance, December 31, 2014 

Issuance of common stock for equity awards 
Tax benefit related to equity awards 
Stock-based compensation expense 
Net income 
Other comprehensive loss 
Balance, December 31, 2015 

$.01 Par 
Value 

Number of 
Shares 
139       
    13,866,060       
4       
423,248       
-       
-       
-       
-       
-       
-       
-       
-       
    14,289,308     $  143     $ 
7       
-       
-       

696,169       
-       
-       

(1 )     
     (133,774 )     
-       
-       
-       
-       
    14,851,703     $  149     $ 
1       
185,105       
-       
-       
-       
-       
-       
-       
-       
-       
    15,036,808     $  150     $ 

65,431         46,010       
-       
3,050        
-       
857        
-       
1,268        
-         20,575       
-       
-        
70,606      $  66,585     $ 
-       
2,048        
-       
9,626        
-       
1,607        

(6,347 )      

-       
-         38,319       
-       
-        
77,540      $ 104,904     $ 
-       
1,073        
-       
847        
-       
2,225        
-         30,758       
-       
-        
81,685      $ 135,662     $ 

(2,655 )      
-        
-        
-        
-        
956        

Total 
Stockholders' 
Equity 
108,925   
3,054   
857   
1,268   
20,575   
956   
(1,699 )    $  135,635   
2,055   
9,626   
1,607   

-        
-        
-        

(6,348 ) 
-        
38,319   
-        
(2,796 )      
(2,796 ) 
(4,495 )    $  178,098   
1,074   
-        
847   
-        
2,225   
-        
30,758   
-        
(2,154 )      
(2,154 ) 
(6,649 )    $  210,848   

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

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Anika Therapeutics, Inc. and Subsidiaries 
Consolidated Statements of Cash Flows 
(in thousands) 

For the years ended December 31, 
2014 

2013 

2015 

Cash flows from operating activities: 

Net income 
Adjustments to reconcile net income to net cash provided by operating 
activities: 

  $ 

30,758     $ 

38,319     $ 

20,575   

Depreciation and amortization 
Stock-based compensation expense 
Deferred income taxes 
Provision for doubtful accounts 
Provision for inventory 
Gain on sale of assets 
Tax benefit from equity awards 
Non-cash impairment charges for IPR&D 
Restructuring credits 
Changes in operating assets and liabilities: 

Accounts receivable 
Inventories 
Prepaid expenses, other current and long-term assets 
Accounts payable 
Accrued expenses 
Deferred revenue 
Income taxes payable 
Other long-term liabilities 

Net cash provided by operating activities 

Cash flows from investing activities: 

Proceeds from maturity of investments 
Purchase of investments 
Purchase of property and equipment 
Proceeds from sale of assets 

Net cash used in investing activities 

Cash flows from financing activities: 

Principal payments on debt 
Proceeds from exercise of equity awards 
Tax benefit from equity awards 
Minimum tax withholdings on share-based awards 

Net cash provided by financing activities 

3,775       
2,225       
(747 )     
38       
210       
-       
(847 )     
697       
-       

(4,996 )     
(2,939 )     
89       
5,625       
(199 )     
(15 )     
5,484       
(94 )     
39,064       

24,250       
(45,251 )     
(9,225 )     
-       
(30,226 )     

-       
1,074       
847       
-       
1,921       

4,706       
1,607       
815       
-       
378       
-       
(9,626 )     
-       
-       

898       
(1,974 )     
585       
(750 )     
(1,189 )     
(2,014 )     
8,436       
(213 )     
39,978       

20,000       
(26,750 )     
(1,553 )     
-       
(8,303 )     

-       
2,055       
9,626       
(6,349 )     
5,332       

4,772   
1,268   
2,206   
238   
171   
(126 ) 
(857 ) 
-   
(161 ) 

2,411   
(2,823 ) 
307   
623   
(377 ) 
(2,795 ) 
152   
(419 ) 
25,165   

-   
-   
(441 ) 
188   
(253 ) 

(9,600 ) 
3,054   
857   
-   
(5,689 ) 

Exchange rate impact on cash 

(208 )     

(184 )     

43   

Increase in cash and cash equivalents 
Cash and cash equivalents at beginning of period 
Cash and cash equivalents at end of period 
Supplemental disclosure of cash flow information: 

Cash paid for income taxes 
Cash paid for interest 

Non-cash Investing Activities: 

10,551       
100,156       
110,707     $ 

36,823       
63,333       
100,156     $ 

12,724     $ 
-     $ 

13,778     $ 
-     $ 

  $ 

  $ 
  $ 

19,266   
44,067   
63,333   

9,842   
126   

Purchases of property and equipment included in accounts payable 
and accrued expenses 

  $ 

1,949     $ 

52     $ 

364   

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

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Anika Therapeutics, Inc. and Subsidiaries 

Notes to Consolidated Financial Statements 

1. Nature of Business 

Anika Therapeutics, Inc. is a global, integrated orthopedic medicines company committed to improving the lives of patients 

with degenerative orthopedic diseases and traumatic conditions by providing innovative and differentiated therapeutic pain management 
solutions along the continuum of care, from palliative care to regenerative medicine. The Company has over two decades of expertise 
developing, manufacturing and commercializing more than 20 products, in markets across the globe, based on the Company’s 
proprietary hyaluronic acid technology. The Company’s orthopedic medicine portfolio is comprised of marketed (ORTHOVISC and 
MONOVISC) and pipeline (CINGAL and HYALOFAST in the United States) products to alleviate pain and restore joint function by 
replenishing depleted HA and aiding cartilage repair and regeneration. 

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 and foreign regulations and 
approval requirements, as well as the ability to grow the Company’s business through appropriate commercial strategies. 

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 currency translation adjustment which resulted in a loss from foreign currency translation of $2.2 million and $2.8 million 
for  the  years  ended  December  31,  2015  and  2014, respectively.  The  translation  adjustments  resulted  in  a  gain  from  foreign  currency 
translation of $1.0 million for the year ended December 31, 2013.  

The Company recognized a loss from foreign currency transactions of $0.4 million and $0.6 million during the years ended 

December 31, 2015 and 2014, respectively and a gain from foreign currency transactions of $259 thousand during the year ended 
December 31, 2013.  

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, the Company considers the principal or most advantageous market in which it 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 non-performance. 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 are: 

•  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 
directly 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 
instrument. 

The Company’s financial assets have been classified as Level 2. The Company’s financial assets (which include cash 

equivalents and investments) have been initially valued at the transaction price and subsequently valued, at the end of each reporting 
period, utilizing third party pricing services or other market observable data. 

Allowance for Doubtful Accounts 

The Company maintains an allowance for doubtful accounts for estimated losses resulting from the inability of our customers 

to make required payments, and are included in general and administrative expenses in the accompanying consolidated statements of 
operations. 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. A summary of activity in the allowance for doubtful accounts is as follows (in 
thousands): 

Balance, beginning of the year 

Amounts provided 
Amounts written off 
Translation adjustments 

Balance, end of the year 

Revenue Recognition - General 

2015 

December 31, 
2014 

2013 

  $ 

  $ 

147     $ 
38       
(3 )     
(15 )     
167     $ 

593     $ 
-       
(377 )     
(69 )     
147     $ 

337   
238   
-   
18   
593   

The Company recognizes revenue when all of the following criteria are met: persuasive evidence of an arrangement exists, risk 

of loss has passed 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 the Company records royalty revenue based upon 
sales provided to us by our distributor customers.  

Pursuant to the Health Care and Education Reconciliation Act of 2010, in conjunction with the Patient Protection and 
Affordable Care Act, a medical device excise tax (“MDET”) became effective on January 1, 2013 for sales of certain medical devices. 
Some of our product sales are subject to the provisions of the MDET. The Company has elected to recognize any amounts related to the 
MDET under the gross method as allowed under ASC 605-45. For the periods ended December 31, 2015 and 2014, amounts included in 
revenues and costs of goods sold for the MDET were immaterial. On December 18, 2015, President Obama signed the Consolidated 
Appropriations Act of 2016, which suspends the 2.3 percent MDET beginning on January 1, 2016, with the suspension ending on 
December 31, 2017. 

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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. Under the milestone 
method, the Company recognizes a consideration that is contingent upon the achievement of a milestone in its entirety as revenue in the 
period in which the milestone is achieved only if the milestone is substantive in its entirety. A milestone is considered substantive when 
it meets all of the following criteria: 

1.  The consideration is commensurate with either the entity’s performance to achieve the milestone or the enhancement of the 

value of the delivered item(s) as a result of a specific outcome resulting from the entity’s performance to achieve the milestone, 

2.  The consideration relates solely to past performance, and 

3.  The consideration is reasonable relative to all of the deliverables and payment terms within the arrangement. 

A milestone is defined as an event (i) that can only be achieved based in whole or in part on either the entity’s performance or 

on the occurrence of a specific outcome resulting from the entity’s performance, (ii) for which there is substantive uncertainty at the date 
the arrangement is entered into that the event will be achieved and (iii) that would result in additional payments being due to the 
Company. Non substantive milestones are recognized when there are no further obligations by the Company. 

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 ASU 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 up-front 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. 

Cash and Cash Equivalents  

The Company considers 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. The Company’s cash equivalents consist of money market funds and bank 
certificates of deposit with an original maturity of less than 90 days. 

Investments 

The Company’s investments consist of bank certificates of deposit with an original maturity of more than 90 days. The 
Company has designated all investments as available-for-sale and therefore, such investments are reported at fair value, with unrealized 
gains and losses recorded in accumulated other comprehensive income. For securities sold prior to maturity, the cost of securities sold is 
based on the specific identification method. Realized gains and losses on the sale of investments are recorded in interest income 
(expense), net. Interest is recorded when earned. Investments with original maturities greater than approximately three months and 
remaining maturities less than one year are classified as short-term investments. Investments with remaining maturities greater than one 
year are classified as long-term investments. The Company considers securities with maturities of three months or less from the 
purchase date to be cash equivalents. 

All of the Company’s investments are subject to a periodic impairment review. The Company recognizes an impairment charge 

when a decline in the fair value of its investments below the cost basis is judged to be other-than-temporary. Factors considered in 
determining whether a loss is temporary include the extent and length of time the investment's fair value has been lower than its cost 
basis, the financial condition and near-term prospects of the investee, extent of the loss related to credit of the issuer, the expected cash 
flows from the security, the Company’s intent to sell the security, and whether or not the Company will be required to sell the security 
prior the expected recovery of the investment's amortized cost basis. During the years ended December 31, 2015 and 2014, the Company 
did not record any other-than-temporary impairment charges on its available-for-sale securities because the Company does not intend to 
sell the securities and it is not more likely than not that the Company will be required to sell these securities before the recovery of their 
amortized cost basis. 

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’s cash equivalents and investments are held with two major international financial institutions. 

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. 

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As of December 31, 2015 and 2014, DePuy Mitek, represented 60% and 52%, respectively, of the Company’s accounts 

receivable balance, no other single customer accounted for more than 10% of accounts receivable in either period. 

Inventories 

Inventories are stated at the lower of cost or market, with cost being determined using the first-in, first-out method. Work-in-
process and finished goods inventories include materials, labor and manufacturing overhead. Inventory costs associated with product 
candidates that have not yet received regulatory approval are capitalized if the Company believes there is probable future commercial 
use and future economic benefit. 

The Company’s policy is to write-down inventory when conditions exist that suggest 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 $14.9 million and $12.4 million as of December 31, 2015 and 2014, respectively, is stated net of inventory reserves of 
approximately $0.9 million and $0.9 million, 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. 
Equipment and software are typically amortized over two to ten years, and furniture and fixtures over five to seven years. Leasehold 
improvements are amortized over the shorter of their useful lives or the remaining terms of the related leases. 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. Construction-in-process is stated at 
cost, which includes the cost of construction and other direct costs attributable to the construction. Construction-in-process is not 
depreciated until such time as the relevant assets are completed and put into use. Construction-in-process at December 31, 2015 and 
2014 primarily represents the costs of building, leasehold improvements, machinery and equipment under installation. 

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 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 the 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 the Company considers 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 the Company’s use of the acquired assets or the strategy for its 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 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. The Company estimates the fair value for its reporting unit 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. The Company’s annual 
assessment for impairment of goodwill as of November 30, 2015 indicated that the fair value of our reporting unit exceeded the carrying 
value of the reporting unit. 

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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, the Company records an impairment loss to the extent that the carrying value of the IPR&D project exceeds 
its fair value. The Company estimates the fair value 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. During the fourth quarter of 2015 the Company performed an impairment 
review of its IPR&D projects as it reassessed its R&D strategy. The Company recorded an impairment charge of $0.7 million due to the 
decision to discontinue further development efforts needed to commercialize this technology. The Company’s annual assessment for 
impairment of IPR&D indicated that the fair value of our other IPR&D assets as of November 30, 2015 exceeded their respective 
carrying values. 

Long-Lived Assets 

Long-lived assets primarily include property and equipment, and intangible assets with finite lives. The Company’s intangible 

assets are comprised of purchased developed technologies, distributor relationships, patents and trade names. These intangible assets are 
carried at cost, net of accumulated amortization. Amortization is recorded on a straight-line basis over the intangible assets' useful lives, 
which range from approximately 5 to 16 years. The Company reviews 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. 

Stock-Based Compensation 

The Company measures the compensation cost of award recipients’ 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 13 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. 

For performance based awards with financial achievement targets, the Company recognizes expense using the graded vesting 
methodology based on the number of shares expected to vest. Compensation cost associated with these grants was estimated using the 
Black-Scholes valuation method multiplied by the expected number of shares to be issued, which is adjusted based on the estimated 
probabilities of achieving the performance goals. Changes to the probability assessment and the estimated shares expected to vest will 
result in adjustments to the related share-based compensation expense that will be recorded in the period of the change. If the 
performance targets are not achieved, no compensation cost is recognized, and any previously recognized compensation cost is reversed. 
The Company recorded approximately $0.4 million related to performance based awards in 2015. There was no expense recognized on 
performance based awards in 2014 as satisfaction of the performance conditions were not considered probable. 

Income Taxes 

The Company’s 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 timing 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 tax credit carry-forwards (including investment tax credits). Changes in deferred tax assets and liabilities are 
recorded in the provision for income taxes. The Company assesses the likelihood that its deferred tax assets will be recovered from 
future taxable income and, to the extent it believes that it is more likely than not that all or a portion of deferred tax assets will not be 
realized, the Company establishes a valuation allowance to reduce the deferred tax assets to the appropriate valuation. To the extent the 
Company establishes a valuation allowance or increases or decreases this allowance in a given period, it includes the related tax expense 
or tax benefit within the tax provision in the consolidated statement of operations in that period. 

Comprehensive Income 

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

translation adjustments, and unrealized gains and losses on available-for-sale securities. For the purposes of comprehensive income 
disclosures, the Company does not record tax provisions or benefits for the net changes in the foreign currency translation adjustment, as 
it intends to indefinitely reinvest undistributed earnings of its foreign subsidiary. Accumulated other comprehensive income (loss) is 
reported as a component of stockholders' equity and, for the years ended December 31, 2015 and 2014, comprehensive income was 
comprised solely of cumulative translation adjustments. 

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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. 

Subsequent Events 

Events occurring subsequent to December 31, 2015 have been evaluated for potential recognition or disclosure in the 
consolidated financial statements. See Note 19 Subsequent Events, to the consolidated financial statements included elsewhere in this 
Annual Report on Form 10-K for information regarding subsequent events. 

Recent Accounting Pronouncements 

In May 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2014-

09, “Revenue from Contracts with Customers.” ASU 2014-09 supersedes the revenue recognition requirements in “Topic 605, Revenue 
Recognition” and requires entities to recognize revenue in a way that depicts the transfer of promised goods or services to customers in 
an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.  In July 2015, 
the FASB issued a deferral of ASU 2014-09 of one year making it effective for annual reporting periods beginning on or after December 
15, 2017 while also providing for early adoption not to occur before the original effective date. The Company is assessing the 
appropriate method for implementing ASU 2014-09, as well as the impact the adoption of ASU 2014-09 will have on its consolidated 
financial statements. 

In July 2015, the FASB issued ASU No. 2015-11, Inventory (Topic 330) “Simplifying the Measurement of Inventory.” ASU 
2015-11 more closely aligns the measurement of inventory in US GAAP with the measurement of inventory in International Financial 
Reporting Standards by requiring companies using the first-in, first-out and average costs methods to measure inventory using the lower 
of cost and net realizable value, where net realizable value is the estimated selling prices in the ordinary course of business less 
reasonably predictable costs of completion, disposal, and transportation. The provisions of ASU 2015-11 are effective for annual and 
interim periods beginning after December 15, 2016. ASU 2015-11 should be applied prospectively with earlier application permitted as 
of the beginning of an interim or annual reporting period. The adoption of this amendment is not expected to have a material impact on 
the Company’s financial position or results of operations. 

In November 2015 FASB issued ASU No. 2015-17, Income Taxes (Topic 740) Balance Sheet Classification of Deferred Taxes. 

ASU 2015-17 requires entities to present deferred tax assets and deferred tax liabilities as noncurrent in a classified balance sheet. The 
ASU simplifies the current guidance, which requires entities to separately present deferred tax assets and deferred tax liabilities as 
current and noncurrent in a classified balance sheet. The guidance in ASU 2015-17 is required for annual reporting periods beginning 
after December 15, 2016, including interim periods within the reporting period. We early adopted the provisions of this ASU during the 
fourth quarter of fiscal year 2015 and applied it retrospectively. The adoption of ASU 2015-17 resulted in the reclassification of $2.3 
million of current deferred tax assets to a reduction in noncurrent deferred tax liabilities as of December 31, 2015. We retrospectively 
adjusted the December 31, 2014 consolidated balance sheet and related disclosures to reflect the reclassification of $1.2 million of 
current deferred tax assets to a reduction in noncurrent deferred tax liabilities. Adoption of this standard did not impact results of 
operations, retained earnings, or cash flows in the current or previous interim and annual reporting periods. 

In February 2016, the FASB issued “Leases (Topic 842)” (ASU 2016-02). This new standard amends existing leasing 

accounting requirements. The most significant change will result in the recognition of lease assets and lease liabilities by lessees for 
virtually all leases. The new guidance will also require significant additional disclosures about the amount, timing and uncertainty of 
cash flows from leases. ASU 2016-02 is effective for fiscal years and interim periods beginning after December 15, 2018. Upon 
adoption, entities are required to recognize and measure leases at the beginning of the earliest period presented using a modified 
retrospective approach. Early adoption is permitted, and a number of optional practical expedients may be elected to simplify the impact 
of adoption. We are currently evaluating the impact of adopting this guidance. 

3. Investments 

All of the Company’s investments are classified as available-for-sale and are carried at fair value with unrealized gains and 

losses recorded as a component of accumulated other comprehensive income, net of related income taxes. The Company held corporate 
debt securities of $2.0 million at December 31, 2015 and bank certificates of deposits of $25.8 million and $6.8 million at December 31, 
2015 and 2014, respectively. There were no unrealized gains or losses on the Company’s available-for-sale securities at December 31, 
2015 or 2014. 

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4. Fair Value Measurements 

The Company’s investments are all classified within Level 2 of the fair value hierarchy. The Company’s investments classified 
within Level 2 of the fair value hierarchy are valued based on matrix pricing compiled by third party pricing vendors, using observable 
market inputs such as interest rates, yield curves, and credit risk. 

The fair value hierarchy of the Company’s cash equivalents and investments at fair value is as follows (in thousands): 

Fair Value Measurements at Reporting 
Date Using 

Quoted Prices in 
Active Markets 
for Identical 
Assets 
(Level 1) 

Significant Other 
Observable 
Inputs 
(Level 2) 

Significant 
Unobservable 
Inputs 
(Level 3) 

December 31, 
2015 

61,385     $ 
250       
61,635     $ 

2,001     $ 
25,750       
27,751     $ 

-     $ 
-       
-     $ 

-     $ 
-       
-     $ 

61,385     $ 
250       
61,635     $ 

2,001     $ 
25,750       
27,751     $ 

-   
-   
-   

-   
-   
-   

Fair Value Measurements at Reporting 
Date Using 

Quoted Prices in 
Active Markets 
for Identical 
Assets 
(Level 1) 

Significant Other 
Observable 
Inputs 
(Level 2) 

Significant 
Unobservable 
Inputs 
(Level 3) 

December 31, 
2014 

69,552     $ 
3,000       
72,552     $ 

-     $ 
-       
-     $ 

69,552     $ 
3,000       
72,552     $ 

6,750     $ 

-     $ 

6,750     $ 

-   
-   
-   

-   

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

Cash equivalents: 
Money market funds 
Bank certificates of deposit 
Total cash equivalents 

Investments: 
Corporate debt securities 
Bank certificates of deposit 
Total investments 

Cash equivalents: 
Money market funds 
Bank certificates of deposit 
Total cash equivalents 

Investments: 
Bank certificates of deposit 

The Company did not have any transfers between Level 1 and Level 2 or transfers in or out of Level 3 of the fair value 

hierarchy during the years ended December 31, 2015 and 2014. 

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5. 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 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 

(in thousands): 

Shares used in the calculation of basic earnings per share 
Effect of dilutive securities: 

Stock options, SARs, and RSAs 

Diluted shares used in the calculation of earnings per share 

Years Ended December 31, 
2014 

2013 

2015 

14,934       

14,678       

14,087   

387       
15,321       

591       
15,269       

739   
14,826   

Stock options to purchase 197,691 shares, 129,540 shares, and 21,326 shares for 2015, 2014, and 2013, respectively, were 

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

At December 31, 2015, 2014, and 2013, 62,825 shares, 30,700 shares, and 52,339 shares of issued and outstanding unvested 

restricted stock, respectively, were excluded from the basic earnings per share. 

6. Inventories 

Inventories consist of the following (in thousands): 

Raw materials 
Work-in-process 
Finished goods 
Total 

7. Property and Equipment 

December 31, 

2015 

2014 

  $ 

  $ 

5,780     $ 
5,656       
3,502       
14,938     $ 

6,162   
3,041   
3,204   
12,407   

Property and equipment is stated at cost and consists of the following (in thousands): 

Equipment and software 
Furniture and fixtures 
Leasehold improvements 
Construction in progress 
  Subtotal 
Less accumulated depreciation 
  Total 

December 31, 

2015 

2014 

  $ 

  $ 

24,512     $ 
1,240       
27,622       
11,274       
64,648       
(24,540 )     
40,108     $ 

24,176   
1,296   
27,589   
559   
53,620   
(21,951 ) 
31,669   

Depreciation expense was $2.7 million, $2.6 million, and $2.7 million for the years ended December 31, 2015, 2014, and 2013, 

respectively. 

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8. 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 commercialize, distribute, and market the ELEVESS product, 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. 

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. 

The Company recorded an impairment charge totaling $0.7 million to write-off in-process research and development that was 

recorded in connection with our acquisition of Anika S.r.l. Subsequent to an evaluation in the fourth quarter of the ongoing research and 
development efforts surrounding the Hemostatic Patch IPR&D project, the Company determined it would discontinue further 
development efforts needed to commercialize this technology. As a result of this decision, an impairment charge was recorded. These 
amounts are included in research and development expenses on our consolidated statements of operations. Through December 31, 2015, 
there have not been any events or changes in circumstances that indicate that the carrying value of the other acquired intangible assets 
may not be recoverable. The Company continues to monitor and evaluate the financial performance of its business including the impact 
of general economic conditions, to assess the potential for the fair value of the reporting unit to decline below its book value. 

In January 2015 the Company received CE Mark approval for HYALOSPINE which is an innovative adhesion prevention gel 

for use after spinal surgery, and was a component of the IPR&D intangible assets initially identified. As a result of this approval the 
Company has reclassified $400 thousand from IPR&D to developed technology and began amortization on the HYALOSPINE asset. 

Amortization expense was $1.1 million, $2.1 million, and $2.1 million for the years ended December 31, 2015, 2014, and 2013, 

respectively. Amortization expense on intangible assets is expected to be approximately $1.0 million in 2016, $0.9 million annually 
through 2020 and approximately $3.8 million in aggregate thereafter. 

Intangible assets consist of the following (in thousands): 

  December 31, 2014 

December 31, 2015 
Accumulated 
Currency 
Translation 
Adjustment   

Current 
Period 
Completed 

Gross 
Value    
  $ 16,700     $ 
     5,503       
     4,700       
     1,000       
     1,000       
  $ 28,903     $ 

Projects    Abandonment   

400      $ 
(400 )      
-        
-        
-        
-      $ 

-   
  $ 
(697 )      
-   
-   
-   
(697 )    $ 

(3,215 )    $ 
(1,307 )      
(415 )      
(194 )      
-        
(5,131 )    $ 

Accumulated 
Amortization   

Net 
Net 
Book 
Book 
Value    
Value    
(5,926 )    $  7,959     $  9,410       

Useful 
Life 
15 

-         3,099        4,653       Indefinite   

(4,285 )      
(333 )      
(875 )      

-       
581       
251       
(11,419 )    $ 11,656     $ 14,895       

-       
473       
125       

5 
16 
9 

Developed technology 
In-process research & development 
Distributor relationships 
Patents 
Elevess trade name 

Total 

9. Goodwill 

The Company completed its annual impairment review as of November 30, 2015 and concluded that no impairment in the 

carrying value exists as of that date with respect to goodwill. Through December 31, 2015, there have not been any events or changes in 
circumstances that indicate that the carrying value of goodwill may not be recoverable. Changes in the carrying value of goodwill were 
as follows (in thousands): 

Balance, beginning 
Effect of foreign currency adjustments 
Balance, ending 

December 31, 

2015 

2014 

  $ 

  $ 

8,339     $ 
(857 )     
7,482     $ 

9,444   
(1,105 ) 
8,339   

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10. Accrued Expenses 

Accrued expenses consist of the following (in thousands): 

Compensation and related expenses 
Facility construction costs 
Research grants 
Clinical trial costs 
Professional fees 
Other 

Total 

11. Deferred Revenue 

December 31, 

2015 

2014 

  $ 

  $ 

3,082     $ 
415       
381       
252       
210       
438       
4,778     $ 

2,792   
-   
539   
508   
554   
379   
4,772   

In December 2003, the Company entered into the Mitek ORTHOVISC 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 Mitek. Under the Mitek ORTHOVISC Agreement, Mitek performs sales, marketing, and distribution functions, and Mitek 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 Mitek ORTHOVISC Agreement 
provides that Mitek will fund post-marketing clinical trials for new indications of ORTHOVISC. The Company received an initial 
payment of $2.0 million upon entering into the Mitek ORTHOVISC Agreement, a milestone payment of $20.0 million in February 2004 
as a result of obtaining FDA approval of ORTHOVISC, and a milestone payment of $5.0 million in December 2004 for planned 
upgrades to our manufacturing operations. The Company evaluated the terms of the Mitek ORTHOVISC Agreement and determined 
that the upfront fee and milestone payments did not meet the conditions to be recognized separately from the supply agreement. These 
payments were recognized into revenue as all of the performance obligations were met. 

In December 2011, the Company entered into a fifteen-year licensing agreement (the “Mitek MONOVISC Agreement”) with 

DePuy Synthes Mitek Sports Medicine, a division of DePuy Orthopaedics, Inc., to exclusively market MONOVISC in the U.S. The 
Company received an upfront payment of $2.5 million in December 2011. This non-refundable upfront payment did not have standalone 
value without Anika’s completion of development obligations, which included obtaining regulatory approval of the product and 
resolving the related patent litigation. As a result, the Company recognized the upfront payment over the development obligation period. 
During the first quarter of 2014, the Company received FDA approval of MONOVISC and resolved the patent lawsuit with Genzyme 
Corporation. As a result of the full delivery of its development obligations under this agreement, the Company recognized 
approximately $2.2 million, which represented the remaining balance of deferred revenue relating to the initial $2.5 million payment. In 
the first quarter of 2014, the Company also received a milestone payment of $17.5 million as a result of achieving FDA approval for 
MONOVISC and resolving the patent litigation with Genzyme. This milestone payment was fully recognized as revenue during the 
three months ended March 31, 2014. On April 15, 2014 the first U.S. commercial sale of MONOVISC was made by our commercial 
partner, Mitek. Under the terms of the Mitek MONOVISC Agreement, the Company earned and collected a milestone payment of $5 
million, which was fully recognized as revenue in the second quarter of 2014. On November 10, 2014, the Center for Medicare & 
Medicaid Services ("CMS") assigned a unique Healthcare Common Procedure Coding System ("HCPCS") code, or J-Code, to 
MONOVISC. The issuance of this code by CMS set national Medicare reimbursement rates for the product. The new J-Code became 
effective on January 1, 2015. As a result of CMS assigning the J-Code, the Company collected a milestone payment of $5.0 million, 
which was fully recognized as revenue in the fourth quarter of 2014. During the fourth quarter of 2015, the Company collected and fully 
recognized revenue for a milestone payment of $5.0 million as a result of U.S. MONOVISC annual end-user sales exceeding $50 
million. For the year ended December 31, 2015 and 2014, the Company recognized a total of $5.0 million and $29.7 million in milestone 
revenue related to MONOVISC, respectively. 

12. 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 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 additional periods beyond the original expiration date subject to the condition that the Company notify the landlord that the 
Company is exercising each option at least one year prior to the expiration of the original or then current term. The first three renewal 
options each extend the term an additional five years, while the final renewal option extends the term by six years. The Company’s 
administrative and R&D personnel moved into the Bedford facility in November of 2007. The Bedford facility was fully validated and 
approved by applicable regulatory authorities in 2012. 

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Anika S.r.l., leases approximately 28,000 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, with options to extend, which the Company has not 
exercised as of December 31, 2015 and is currently renting this facility under a six year lease that Anika may terminate at any time by 
providing six months’ notice. The Company expects to exit this facility in late 2016. 

On October 9, 2015, Anika S.r.l. entered into a build-to-suit lease agreement with Consorzio Zona Industriale E Porto Fluviale 

di Padova (“ZIP”), as landlord, pursuant to which Anika S.r.l. will lease a new Eurpoean headquarters facility, consisting of 
approximately 33,000 square feet of general office, research and development, training, and warehousing space located in Padova, Italy. 
The Lease has an initial term of fifteen years, which is expected to commence during the fourth quarter of 2016 once construction of the 
facility is completed. The Lease will automatically renew for up to three additional six-year terms, subject to certain terms and 
conditions. The Company has the ability to withdraw from this lease subject to certain financial penalties after six years and with no 
penalties after the ninth year. Beginning on the commencement date, the Lease provides for an initial yearly rent of approximately $0.4 
million. 

Construction of the new facility is expected to begin in the first quarter of 2016 and is expected to be completed in late 2016. 

During the period of construction the Company is considered the deemed owner of the facility and as a result at December 31, 2015 has 
recorded a construction-in-process asset of approximately $0.2 million, and an offsetting facility lease obligation of approximately $30 
thousand associated with the new facility. 

Rental expense in connection with the various facility leases totaled $1.3 million for the year ended December 31, 2015, and 

$1.4 million, for the years ended December 31, 2014 and 2013, respectively. 

The Company’s future lease commitments as of December 31, 2015 are as follows (in thousands): 

2016 
2017 
2018 
2019 
2020 and thereafter 

Total 

Warranty and Guarantor Arrangements 

  $ 

  $ 

1,540   
1,309   
1,309   
1,319   
4,926   
10,403   

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, 2015 or 2014, 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 alleged that the Company infringed U.S. 
Patent No. 5,143,724 by manufacturing MONOVISC in the United States for sale outside the United States and would infringe U.S. 
Patent Nos. 5,143,724 and 5,399,351 if the Company manufactured and sold MONOVISC in the United States. On March 7, 2014, 
Genzyme and the Company filed a joint motion to lift the stay in Genzyme’s lawsuit against the Company and to dismiss with prejudice 
all of Genzyme’s claims. On March 10, 2014, the District Court granted the motion to dismiss all of Genzyme’s claims against the 
Company with prejudice, and the case was terminated. 

The Company is 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, the Company does 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. 

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13. 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 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. There are 
1,251,635 shares available for future grant at December 31, 2015. 

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 it 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 Anika 

Therapeutics, 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. Pursuant to this amendment and restatement to the 2003 Plan approved by our shareholders, each share award issued 
after June 7, 2011 other than options or stock appreciation rights will reduce the number of total shares available for grant by 1.9 shares. 

At the 2013 Annual Meeting of Stockholders on June 18, 2013, the shareholders of the Company approved an additional 
amendment to the Amended 2003 Plan, which, among other things, increased the number of shares reserved for issuance under the 
Company’s stock option and incentive plan by 650,000 to 3,800,000 shares. Pursuant to this amendment and restatement to the 2003 
Plan approved by our shareholders, each share award issued after June 18, 2013 other than options or stock appreciation rights will 
reduce the number of total shares available for grant by 1.5 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 conditions or service and performance 
conditions, and they generally become exercisable ratably over one to four years. 

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 the exercise of stock options and other factors to evaluate and estimate the expected term 

of share-based awards. The Company also evaluates actual forfeiture rates periodically and adjusts the expected forfeiture rate 
assumption within the model accordingly. The expected volatility assumption is evaluated against the historical volatility of the 
Company’s common stock over a four year average, and it is adjusted if there are material swings in historical volatility. 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 2015, 2014, and 2013 was estimated on the grant date using the 

Black-Scholes option-pricing model with the following assumptions: 

Risk free interest rate 
Expected volatility 
Expected life (years) 
Expected dividend yield 

  1.15% 
  53.15% 

2015 
- 
1.46%   1.16% 
-  54.65%   53.28% 
4.5 
0.00% 

December 31, 
2014 
- 
1.39%   0.61% 
-  57.05%   53.60% 
4.0 
0.00% 

2013 
- 
1.02% 
-  57.60% 

   4.0 
0.00% 

The Company recorded $2.2 million, $1.6 million, and $1.3 million of share-based compensation expense for the years ended 

December 31, 2015, 2014, and 2013, 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. 

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Combined stock options and SAR’s activity under our plans is summarized as follows for the years ended December 31, 2015 

and 2014, respectively: 

Options and SAR's outstanding at beginning of year 

Granted 
Cancelled 
Expired 
Exercised 

Options and SAR's outstanding at end of year 

2015 

2014 

Weighted 
Average 
Exercise 
Price Per 
Share 

Weighted 
Average 
Exercise 
Price Per 
Share 

Number of 
Shares 

14.85       
39.25       
19.77       
20.03       
10.96       
18.75       

1,513,326     $ 
179,240     $ 
(53,325 )   $ 
(24,292 )   $ 
(763,662 )   $ 
851,287     $ 

9.14   
35.62   
23.73   
9.87   
7.95   
14.85   

Number of 
Shares 

851,287     $ 
111,625     $ 
(85,349 )   $ 
(8,825 )   $ 
(106,478 )   $ 
762,260     $ 

Of the 762,260 options and SAR’s outstanding at December 31, 2015, 734,301 are vested or are expected to vest, with a 
weighted-average exercise price of approximately $17.88 as well as an aggregate intrinsic value of approximately $15 million related to 
these awards. The weighted average remaining contractual term of the vested and expected to vest options and SAR’s was 6.7 years as 
of December 31, 2015. 

As of December 31, 2015, total unrecognized compensation costs related to non-vested options and SAR’s was approximately 

$2.6 million and is expected to be recognized over a weighted average period of 2.5 years. 

There were 140,023 incentive stock options exercisable at December 31, 2015 with a weighted-average exercise price of $9.52 

and a weighted-average remaining contractual term of 5.6 years for these awards. 

There were 225,620 non-qualified stock options exercisable at December 31, 2015 with a weighted-average exercise price of 

$12.27 and a weighted-average remaining contractual term of 6.3 years. 

There were 56,220 SAR’s exercisable at December 31, 2015 with a weighted-average exercise price of $8.30 and a weighted-

average remaining contractual term of 2.9 years for these awards. 

The aggregate intrinsic value of stock options and SAR’s fully vested at December 31, 2015 and 2014 was $11.6 million and 
$12.0 million, respectively. The aggregate intrinsic value of stock options and SAR’s outstanding at December 31, 2015 and 2014 was 
$15.2 million and $21.7 million, respectively. 

The total intrinsic value of options and SAR’s exercised was $3.1 million and $26.7 million for the years ended December 31, 

2015 and 2014, respectively. During the second quarter of 2014, the Company acquired, and subsequently retired, 133,774 common 
shares related to an employee SAR’s exercise to meet minimum statutory tax withholding requirements. 

The total fair value of options and SAR’s vested during the years ended December 31, 2015 and 2014 was approximately $1.1 

million for both periods. 

The Company received $1.1 million and $2.1 million for exercises of stock options during the years ended December 31, 2015 

and 2014, respectively. 

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The restricted stock activity for the years ended December 31, 2015 and 2014 is as follows: 

Nonvested at Beginning of year 

Granted 
Cancelled 
Expired 
Vested/Released 

Nonvested at end of year 

2015 

2014 

Number of 
Shares 

109,614     $ 
81,080     $ 
(10,635 )   $ 
-     $ 
(29,675 )   $ 
150,384     $ 

Weighted 
Average 
Grant Date 
Fair Value 

Number of 
Shares 

Weighted 
Average 
Grant Date 
Fair Value 

23.91       
37.84       
32.02       
-       
19.31       
34.29       

79,591     $ 
60,098     $ 
(7,500 )   $ 
-     $ 
(22,575 )   $ 
109,614     $ 

11.93   
32.02   
25.46   
-   
10.01   
23.91   

The total fair value of restricted stock and restricted stock units vested during the year ended December 31, 2015 and 2014 was 

$1.2 million and $0.8 million. 

14. Shareholder Rights Plan 

On April 4, 2008, the Board of Directors of the Company adopted a Shareholder Rights Plan (the “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 a number of shares of preferred stock 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: 

(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 
2008 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 2008 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. 

15. 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 
eligible compensation. In addition, the Company may make annual discretionary contributions. The Company made matching 
contributions of approximately $350 thousand, $350 thousand, and $362 thousand, for the years ended December 31, 2015, 2014, and 
2013, respectively. 

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

Product revenue by product group is as follows (in thousands, except percentages): 

2015 

Percentage of 
Product 
Revenue 

Years Ended December 31, 
2014 

   Revenue 

Percentage of 
Product 
Revenue 

   Revenue 

2013 

Percentage of 
Product 
Revenue 

84 %   $ 
2 %     
7 %     
7 %     
100 %   $ 

61,957       
1,334       
5,855       
6,328       
75,474       

82 %   $ 
2 %     
8 %     
8 %     
100 %   $ 

55,956       
1,817       
5,446       
8,555       
71,774       

78 % 
3 % 
8 % 
11 % 
100 % 

   Revenue 
  $ 

73,247       
2,266       
5,812       
6,371       
87,696       

  $ 

Orthobiologics 
Dermal 
Surgical 
Other 

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

Percentage of Product Revenue 
Years Ended December 31, 
2014 

2013 

2015 

Mitek 
Boehringer 
Medtronic 
Nordic Pharma 
Pharmascience 

72 %     
5 %     
3 %     
2 %     
2 %     
84 %     

72 %     
4 %     
4 %     
2 %     
2 %     
84 %     

63 % 
5 % 
3 % 
2 % 
3 % 
76 % 

Total revenue by geographic location based on the location of the customer in total and as a percentage of total revenue are as 

follows (in thousands, except percentages): 

2015 

Years Ended December 31, 
2014 

2013 

Total 
Revenue 

Percentage of 
Revenue 

Total 
Revenue 

Percentage of 
Revenue 

Total 
Revenue 

Percentage of 
Revenue 

Geographic Location: 

United States 
Europe 
Other 

Total 

  $ 

  $ 

76,621       
8,756       
7,622       
92,999       

82 %   $ 
9 %     
9 %     
100 %   $ 

92,259       
6,215       
7,121       
105,595       

87 %   $ 
6 %     
7 %     
100 %   $ 

58,490       
7,412       
9,179       
75,081       

78 % 
10 % 
12 % 
100 % 

The Company recorded licensing, milestone, and contract revenue of $5.3 million, $30.1 million and $3.3 million for the years 
ended December 31, 2015, 2014, and 2013, 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 (in thousands): 

United States 
Italy 

Total 

   Years Ended December 31, 

2015 

2014 

  $ 

  $ 

39,732     $ 
376       
40,108     $ 

31,059   
610   
31,669   

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17. 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 (in thousands): 

Years ended December 31, 
2014 

2013 

2015 

Income (loss) before income taxes 

Domestic 
Foreign 

Provision for (benefit from) income taxes: 
Current provision: 
Federal 
State 
Foreign 

Deferred provision: 
Federal 
State 
Foreign 

Total provision 

Deferred Tax Assets and Liabilities 

  $ 

  $ 

  $ 

  $ 

48,608     $ 
(354 )     
48,254     $ 

63,232     $ 
(1,727 )     
61,505     $ 

33,061   
(581 ) 
32,480   

Years ended December 31, 
2014 

2013 

2015 

14,572     $ 
3,635       
249       
18,456       

(370 )     
(33 )     
(557 )     
(960 )     
17,496     $ 

18,301     $ 
3,895       
192       
22,388       

1,153       
122       
(477 )     
798       
23,186     $ 

8,024   
1,581   
94   
9,699   

2,375   
115   
(284 ) 
2,206   
11,905   

Significant components of the Company’s deferred tax assets and liabilities consist of the following (in thousands): 

December 31, 

2015 

2014 

1,567     $ 
1,043       
762       
510       
547       
-       
4,429     $ 

2,292   
755   
353   
527   
334   
46   
4,307   

December 31, 

2015 

2014 

(3,738 )   $ 
(7,466 )     
(11,204 )   $ 

(4,827 ) 
(7,221 ) 
(12,048 ) 

(6,775 )   $ 

(7,741 ) 

  $ 

  $ 

  $ 

  $ 

  $ 

Deferred tax assets: 

Net operating loss carry forward, foreign 
Stock-based compensation expense 
Foreign currency exchange 
Accrued expenses and other 
Inventory reserve 
Tax credit carry forward 
Deferred tax assets 

Deferred tax liabilities: 

Acquisition-related Intangibles 
Depreciation 
Deferred tax liabilities 

Net deferred tax liabilities 

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Tax Rate 

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

Statutory federal income tax rate 
State tax expense, net of federal benefit 
Permanent items, including nondeductible expenses 
State investment tax credit 
Federal, state and foreign research and development credits 
Foreign rate differential 
Domestic production deduction 
Effective income tax rate 

Years ended December 31, 
2014 

2013 

2015 

35.0 %     
4.8 %     
(0.3 %)     
0.0 %     
(0.4 %)     
0.1 %     
(2.9 %)     
36.3 %     

35.0 %     
4.9 %     
0.1 %     
(0.1 %)     
(0.7 %)     
0.2 %     
(1.7 %)     
37.7 %     

35.0 % 
4.8 % 
(0.2 %) 
(0.1 %) 
(0.5 %) 
0.1 % 
(2.4 %) 
36.7 % 

As of December 31, 2015, the Company had NOL’s for income tax purposes in Italy of $6.3 million with no expiration date. 

Accounting for Uncertainty in Income Taxes 

The Company had no unrecognized tax benefits for the years ended December 31, 2015 and 2014, respectively. A 

reconciliation of the beginning and ending amount of our unrecognized tax benefits is summarized as follows (in thousands): 

Unrecognized tax benefit, beginning of year 
Tax positions related to current year 
Tax positions related to prior years 
Statute expirations 
Unrecognized tax benefit, end of year 

Year ended  
December 31, 2013 
56   
  $ 
-   
-   
(56 ) 
-   

  $ 

In the normal course of business, Anika and its subsidiaries may be periodically examined by various taxing authorities. The 
Company files 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 
2012 through 2015 tax years remain subject to examination by the IRS and other taxing authorities for U.S. federal and state tax 
purposes. The 2011 through 2015 tax years remain subject to examination by the appropriate governmental authorities for Italy.  

The Company does not anticipate experiencing any significant increases or decreases in our unrecognized tax benefits within 

the twelve months following December 31, 2015. 

The Company incurred expenses related to stock-based compensation in 2015, 2014, and 2013 of $2.2 million, $1.6 million, 

and $1.3 million, respectively. Accounting for the tax effects of certain stock-based awards requires that the Company establish a 
deferred tax asset as the compensation expense is recognized for financial reporting prior to recognizing the related tax deduction upon 
exercise of the awards. The gross tax benefit recognized in the consolidated statement of operations related to stock-based compensation 
totaled $1.1 million, $3.1 million, and $2.0 million in 2015, 2014, and 2013, respectively. 

Upon the settlement of certain stock-based awards (i.e., exercise, vesting, forfeiture, or cancellation), the actual tax deduction is 

compared with cumulative financial reporting compensation cost and any excess tax deduction related to these awards is considered a 
windfall tax benefit. Such benefits are tracked in a “windfall tax benefit pool” to offset any future tax deduction shortfalls, and they will 
be recorded as increases to additional paid-in capital in the period when the tax deduction reduces income taxes payable. The Company 
follows 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. The Company recorded a net windfall of $0.9 million, $9.6 million and $0.9 million in 2015, 2014, and 2013, 
respectively. 

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18. Quarterly Financial Data (Unaudited) 

Year 2015 
Product revenue 
Total revenue 
Cost of product revenue 
Gross profit on product revenue 
Net income 
Per common share information: 
Basic net income per share 
Basic common shares outstanding 
Diluted net income per share 
Diluted common shares outstanding 

Year 2014 
Product revenue 
Total revenue 
Cost of product revenue 
Gross profit on product revenue 
Net income 
Per common share information: 
Basic net income per share 
Basic common shares outstanding 
Diluted net income per share 
Diluted common shares outstanding 

19. Subsequent Events 

Quarter ended 
December 31, 

Quarter ended 
September 30, 

Quarter ended 
June 30, 

Quarter ended 
March 31, 

  $ 

  $ 

  $ 

  $ 

25,607     $ 
30,894       
6,290       
19,317       
11,042     $ 

0.74     $ 
14,965       
0.72     $ 
15,353       

23,676     $ 
23,681       
5,176       
18,500       
8,380     $ 

0.56     $ 
14,967       
0.55     $ 
15,316       

22,898     $ 
22,904       
5,274       
17,624       
7,820     $ 

0.52     $ 
14,961       
0.51     $ 
15,336       

15,515   
15,520   
4,313   
11,202   
3,516   

0.24   
14,905   
0.23   
15,330   

Quarter ended 
December 31, 

Quarter ended 
September 30, 

Quarter ended 
June 30, 

Quarter ended 
March 31, 

  $ 

  $ 

  $ 

  $ 

17,880     $ 
23,255       
5,511       
12,369       
7,816     $ 

0.53     $ 
14,801       
0.51     $ 
15,278       

21,975     $ 
22,055       
5,725       
16,250       
6,171     $ 

0.42     $ 
14,759       
0.40     $ 
15,435       

21,267     $ 
26,275       
5,333       
15,934       
9,302     $ 

0.63     $ 
14,688       
0.60     $ 
15,493       

14,352   
34,010   
4,361   
9,991   
15,030   

1.04   
14,461   
0.97   
15,499   

On February 26, 2016, the Company entered into an accelerated stock repurchase agreement with Morgan Stanley & Co. LLC 

(“Morgan Stanley”) pursuant to a Fixed Dollar Accelerated Share Repurchase Transaction ("ASR Agreement") to purchase $25.0 
million of shares of its common stock. Pursuant to the terms of the ASR Agreement, the Company paid Morgan Stanley $25.0 million in 
cash and received an initial delivery of 377,155 shares of the Company’s common stock on February 29, 2016. The total number of 
shares to be repurchased will be based generally on the daily volume-weighted average share prices of the Company’s common stock 
during the term of the transaction. At settlement, Morgan Stanley may be required to deliver additional shares of common stock to the 
Company, or, under certain circumstances, the Company may be required to deliver shares of its common stock or may elect to make a 
cash payment to Morgan Stanley. Final settlement of the ASR Agreement is expected to be completed in the third quarter of 2016, 
although the settlement may be accelerated at Morgan Stanley’s option or extended, in either case subject to certain terms and 
conditions. 

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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 as of December 31, 2015 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 our company in the reports we file or submit under the Exchange Act is accumulated and 
communicated to our 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 we may from time to time make changes aimed 
at enhancing their effectiveness and ensuring 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 2015 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 it 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, 2015. In making 
this assessment, management used the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission in 
Internal Control—Integrated Framework as issued in 2013. 

Based on our assessment and those criteria, our management believes that our company maintained effective internal control 

over financial reporting as of December 31, 2015. 

The effectiveness of our internal control over financial reporting as of December 31, 2015 has been audited by 

PricewaterhouseCoopers LLP, an independent registered public accounting firm, as stated in their report which is included elsewhere in 
this Annual Report on Form 10-K. 

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 our definitive proxy statement pursuant to 

Regulation 14A, which proxy statement will be filed with the SEC not later than 120 days after the close of our fiscal year ended 
December 31, 2015. 

ITEM 11. EXECUTIVE COMPENSATION 

The information required under this item is incorporated herein by reference to our definitive proxy statement pursuant to 

Regulation 14A, which proxy statement will be filed with the SEC not later than 120 days after the close of our fiscal year ended 
December 31, 2015. 

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 our definitive proxy statement pursuant to Regulation 14A, 
which proxy statement will be filed with the SEC not later than 120 days after the close of our fiscal year ended December 31, 2015. 

ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE 

The information required under this item is incorporated herein by reference to our definitive proxy statement pursuant to 

Regulation 14A, which proxy statement will be filed with the SEC not later than 120 days after the close of our fiscal year ended 
December 31, 2015. 

ITEM 14. PRINCIPAL ACCOUNTING FEES AND SERVICES 

The information required under this item is incorporated herein by reference to our definitive proxy statement pursuant to 

Regulation 14A, which proxy statement will be filed with the SEC not later than 120 days after the close of our fiscal year ended 
December 31, 2015. 

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 and Comprehensive Income 
Consolidated Statements of Stockholder’s Equity 
Consolidated Statements of Cash Flows 
Notes to Consolidated Financial Statements 

(2) 

Schedules 

41 
42 
43 
44 
45 
46-63 

Schedules have been omitted as all required information has been disclosed in the financial statements and related footnotes. 

(3) 

Exhibits 

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. 

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Exhibit 
Number 

Description 

Filed 
with this 
Form 10-
K 

Incorporated by Reference 

Form 

Filing Date 
with SEC 

Exhibit 
Number 

Restated Articles of Organization, as amended, of Anika 
Therapeutics, Inc. (with date of filing with Secretary of State of the 
Commonwealth of Massachusetts): 
(a) Restated Articles of Organization (April 29, 1993) 
(b) Certificate of Correction (November 10, 1993) 
(c) Certificate of Vote of Directors Establishing a Series of a Class 

of Stock (May 18, 1995) 

10-K 
10-K 
10-K 

March 13, 2015 
March 13, 2015 
March 13, 2015 

(d) Articles of Amendment (January 9, 1997)  
(e) Certificate of Vote of Directors Establishing a Series of a Class 

10-QSB 
10-K 

January 14, 1997 
March 13, 2015 

3.1a 
3.1b 
3.1c 

3.1d 
3.1e 

3.1f 
3.1g 
3.2 
4.1 

10.1 

10.2 

10.3 

10.4a 

10.4b 

10.4c 

of Stock (April 7, 1998) 

(f) Articles of Amendment (June 3, 1998) 
(g) Articles of Amendment (April 4, 2008) 
Amended and Restated Bylaws of Anika Therapeutics, Inc. 
Shareholder Rights Agreement, dated as of April 7, 2008, between 
Anika Therapeutics, Inc. and American Stock Transfer & Trust 
Company 
Lease, dated January 3, 2007, between Anika Therapeutics, Inc. 
and Farley White Wiggins, LLC, relating to 32 Wiggins Avenue, 
Bedford, Massachusetts 
Lease Agreement, dated December 30, 2009, between Fidia 
Farmaceutici S.p.A. and Fidia Advanced Biopolymers S.r.l., 
relating to Via Ponte della Fabbrica 3/A and 3/B Abano Terme, 
Padua, Italy 
Translation of Lease Agreement, dated October 9, 2015, between 
Anika Therapeutics S.r.l. and Consorzio Zona Industriale E Porto 
Fluviale di Padova relating to Land Registry of the Municipality of 
Padova, Page 148, cadastral map 516 and 517 
Credit Agreement with Bank of America, N.A.: 
(a) Credit Agreement, dated as of January 31, 2008, among Anika 

Therapeutics, Inc., Anika Securities, Inc. and Bank of America, 
N.A., as administrative agent 

(b) Consent and First Amendment, dated as of December 30, 2009, 
by and among Anika Therapeutics, Inc., Anika Securities, Inc. 
and Bank of America, N.A., as administrative agent 

(c) Pledge Agreement on a Quota of Fidia Advanced Biopolymers 
S.r.l., dated March 12, 2010, by Anika Therapeutics, Inc. in 
favor of Bank of America, N.A., as agent bank 

3.1a 
3.1b 
3.1c 

3.1 
3.1e 

3.1 
3.7 
3.6 
4.1 

10-QSB  August 13, 1998 
10-K 
10-Q 
8-A12B  April 7, 2008 

March 9, 2009 
August 14, 2002 

8-K 

January 10, 2007 

10.1 

8-K 

January 6, 2010 

10.2 

8-K 

October 14, 2015 

10.1 

8-K 

February 6, 2008 

10.1 

8-K 

January 6, 2010 

10.4 

10-Q 

May 10, 2010 

10.1 

10.5 

Sale and Purchase Agreement, dated December 30, 2009, by and 
between Fidia Farmaceutici S.p.A. and Anika Therapeutics, Inc. 

8-K 

January 6, 2010 

2.1 

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10.1 

10.1 

10.3 
10.4 

10.3 
10.25 

10.27 
10.1 
10.2 

Exhibit 
Number 
10.6 

10.7 

*10.8 

†10.9a 

Description 

Tolling Agreement, dated December 30, 2009, between Fidia 
Farmaceutici S.p.A. and Fidia Advanced Biopolymers S.r.l 
Registration Rights Agreement, dated December 30, 2009, between 
Anika Therapeutics, Inc. and Fidia Farmaceutici S.p.A. 
License Agreement, dated as of December 21, 2011, by and 
between Anika Therapeutics, Inc. and DePuy Mitek, Inc. 
2003 Stock Option and Incentive Plan: 
(a) Second Amended and Restated 2003 Stock Option and Incentive 

Plan (adopted April 5, 2011) 

Filed 
with this 
Form 10-
K 

Incorporated by Reference 

Form 

8-K 

Filing Date 
with SEC 
January 6, 2010 

Exhibit 
Number 
10.3 

8-K 

January 6, 2010 

10.1 

8-K 

December 22, 2011 

10.1 

8-K 

June 10, 2011 

†10.9b 

(b) Amendment to Second Amended and Restated 2003 Stock 

8-K 

June 21, 2013 

Option and Incentive Plan (adopted April 11, 2013) 

†10.9c 
†10.9d 

(c) Form of Incentive Stock Option Agreement  
(d) Form of Non-Qualified Stock Option Agreement for Non-

Employee Directors 

†10.9e 
†10.9f 

(e) Form of Performance Share Award Agreement 
(f) Form of Restricted Deferred Stock Unit Award Agreement for 

Non-Employee Directors 

†10.9g 
†10.9h 
†10.9i 

(g) Form of Restricted Stock Award Agreement for Employees  
(h) Form of Stock Appreciation Right Agreement for Employees 
(i) Form of Stock Appreciation Right Agreement for Non-Employee 

Directors 

8-K 
8-K 

8-K 
10-K 

10-K 
10-Q 
10-Q 

October 5, 2004 
October 5, 2004 

February 6, 2008 
March 9, 2009 

March 12, 2008 
May 9, 2006 
May 9, 2006 

†10.10  Anika Therapeutics, Inc. Senior Executive Incentive Compensation 

8-K 

February 6, 2008 

10.2 

Plan 

†10.11  Anika Therapeutics, Inc. Non-Employee Director Compensation 

10-K 

March 12, 2008 

Policy 

†10.12a  Employment Agreement, dated March 22, 2010, between Anika 

10-K 

May 5, 2014 

Therapeutics, Inc. and Sylvia Cheung 

†10.12b  Amendment No. 1 to the Employment Agreement, dated December 

10-K 

May 5, 2014 

10.28 

10.42 

10.43 

8, 2010, by and between Anika Therapeutics, Inc. and Sylvia 
Cheung 

†10.13a  Employment Agreement, dated September 10, 2009, between 

8-K 

September 14, 2009 

10.1 

Anika Therapeutics, Inc. and Frank J. Luppino 

†10.13b  Amendment No. 1 to Employment Agreement, dated December 1, 

10-K 

March 16, 2011 

10.35 

2010, by and between Anika Therapeutics, Inc. and Frank J. 
Luppino 

†10.14a  Employment Agreement, dated September 10, 2009, between 
Anika Therapeutics, Inc. and William J. Mrachek 

8-K 

September 14, 2009 

10.2 

†10.14b  Amendment No. 1 to Employment Agreement, dated December 1, 

10-K 

March 16, 2011 

10.36 

†10.15 

2010, by and between Anika Therapeutics, Inc. and William J. 
Mrachek 
Employment Agreement, dated October 17, 2008, between Anika 
Therapeutics, Inc. and Kevin Quinlan 

8-K 

October 22, 2008  

†10.16a  Employment Agreement, dated October 17, 2008, between Anika 

8-K 

October 22, 2008  

Therapeutics, Inc. and Charles H. Sherwood, Ph.D. 

10.2 

10.1 

†10.16b  Amendment No. 1 to Employment Agreement, dated December 8, 

10-K 

March 16, 2011 

10.33 

2010, by and between Anika Therapeutics, Inc. and Charles H. 
Sherwood, Ph.D. 

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Filed 
with this 
Form 10-
K 

Incorporated by Reference 

Form 

10-K 

Filing Date 
with SEC 
March 13, 2015 

Exhibit 
Number 
10.16 

10-K 

March 13, 2015 

10.17 

8-K 

December 9, 2015 

10.1 

X 
X 
X 

X 

X 

X 

Exhibit 
Number 
†10.17 

†10.18 

†10.19 

21.1 
23.1 
31.1 

31.2 

**32.1 

***101 

Description 

Separation Agreement, effective November 26, 2014, by and 
between Anika Therapeutics, Inc. and Carol Barnett  
Separation Agreement, effective November 7, 2014, by and 
between Anika Therapeutics, Inc. and John W. Sheets 
Consulting Agreement, effective December 8, 2015, by and 
between Anika Therapeutics, Inc. and John C. Moran 
List of Subsidiaries of Anika Therapeutics, Inc. 
Consent of PricewaterhouseCoopers LLP 
Certification of Principal Executive Officer pursuant to 
Section 302 of the Sarbanes-Oxley Act of 2002 
Certification of Principal Financial Officer pursuant to Section 302 
of the Sarbanes-Oxley Act of 2002 
Certification pursuant to 18 U.S.C. Section 1350, as adopted 
pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 
The following materials from the Annual Report on Form 10-K of 
Anika Therapeutics, Inc. for the fiscal year ended December 31, 
2015, formatted in xBRL:  (i) Consolidated Balance Sheets as of 
December 31, 2015 and December 31, 2014; (ii) Consolidated 
Statements of Operations for the Years Ended December 31, 2015, 
December 31, 2014, and December 31, 2013; (iii) Consolidated 
Statements of Stockholders’ Equity for the Years Ended 
December 31, 2015, December 31, 2014, and December 31, 2013; 
(iv) Consolidated Statements of Cash Flows for the Years Ended 
December 31, 2015, December 31, 2014, and December 31, 2013; 
and (v) Notes to Consolidated Financial Statements 

† 
* 

** 

Management contract or compensatory plan or arrangement. 
Certain  portions  of  this  document  have  been  omitted  pursuant  to  a  confidential  treatment  request  filed  with  the  Securities  and 
Commission. The omitted portions have been filed separately with the Commission. 
The certification attached as  Exhibit 32.1 that accompanies this Form 10-K is  not deemed filed  with the  SEC and is  not to be 
incorporated by reference into any filing of Anika Therapeutics, Inc. under the Securities Act of 1933 or the Securities Exchange 
Act  of  1934,  whether  made  before  or  after  the  date  of  this  Form  10-K,  irrespective  of  any  general  incorporation  language 
contained in such filing. 

***  Pursuant to Rule 406T of Regulation S-T, XBRL (Extensible Business Reporting Language) information is deemed not filed or a 
part of a registration statement or prospectus for purposes of sections 11 or 12 of the Securities Act of 1933, is deemed not filed 
for purposes of section 18 of the Securities Exchange Act of 1934 and otherwise is not subject to liability under these sections. 

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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. 

ANIKA THERAPEUTICS, INC. 

Date: March 10, 2016 

By: 

/s/ CHARLES H. SHERWOOD, PH.D. 
Charles H. Sherwood, Ph.D. 
President and 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.  
Charles H. Sherwood, Ph.D. 

/s/ SYLVIA CHEUNG  
Sylvia Cheung 

/s/ JOSEPH L. BOWER  
Joseph L. Bower 

/s/ RAYMOND J. LAND  
Raymond J. Land 

/s/ GLENN R. LARSEN, PH.D.  
Glenn R. Larsen 

/s/ JEFFERY S. THOMPSON  
Jeffery S. Thompson 

/s/ STEVEN E. WHEELER  
Steven E. Wheeler 

March 10, 2016 

March 10, 2016 

March 10, 2016 

March 10, 2016 

March 10, 2016 

March 10, 2016 

March 10, 2016 

President and Chief Executive Officer  
Director  
(Principal Executive Officer) 

Chief Financial Officer  
(Principal Accounting Officer) 

Director 

Director 

Director 

Director 

Director 

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SUBSIDIARIES OF ANIKA THERAPEUTICS, INC. 

Name of Subsidiary 

Jurisdiction of Formation 

Anika Securities Corp.    

Massachusetts  

Anika Therapeutics S.r.l. 
(Formerly:  Fidia Advanced Biopolymers S.r.l.) 

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, 333-176103 and 333-190597) of Anika Therapeutics, Inc. of our report dated March 
10, 2016 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 10, 2016  

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I, Charles H. Sherwood, certify that: 

CERTIFICATION 

EXHIBIT 31.1 

1. 

I have reviewed this annual report on Form 10-K for the year ended December 31, 2015 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 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 10, 2016 

/s/ CHARLES H. SHERWOOD, PH.D. 

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

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EXHIBIT 31.2 

I, Sylvia Cheung, certify that: 

CERTIFICATION 

1. 

I have reviewed this annual report on Form 10-K for the year ended December 31, 2015 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 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 10, 2016 

/s/ SYLVIA CHEUNG 

Sylvia Cheung 
Chief Financial Officer 
(Principal Financial Officer) 

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EXHIBIT 32.1 

CERTIFICATION 
PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002 

Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (subsections (a) and (b) of Section 1350, Chapter 63 of Title 18, 
United States Code), each of the undersigned officers of Anika Therapeutics, Inc., a Massachusetts corporation (the “Company”), 
does hereby certify, to such officer’s knowledge, that: 

The Annual Report on Form 10-K for the year ended December 31, 2015 (the “Form 10-K”) of the Company fully complies 
with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, and the information contained in the Form 
10-K fairly presents, in all material respects, the financial condition and results of operations of the Company. 

Date: March 10, 2016 

/s/ CHARLES H. SHERWOOD, PH.D. 

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

/s/ SYLVIA CHEUNG 

Sylvia Cheung 
Chief Financial Officer 
(Principal Financial Officer) 

A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by 

the Company and furnished to the Securities and Exchange Commission or its staff upon request. 

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Anika Therapeutics, Inc. 

32 Wiggins Avenue 
Bedford, MA 01730 
(781) 457-9000 
www.anikatherapeutics.com