Quarterlytics / Healthcare / Medical - Devices / Anika Therapeutics, Inc.

Anika Therapeutics, Inc.

anik · NASDAQ Healthcare
Claim this profile
Ticker anik
Exchange NASDAQ
Sector Healthcare
Industry Medical - Devices
Employees 288
← All annual reports
FY2017 Annual Report · Anika Therapeutics, Inc.
Sign in to download
Loading PDF…
2017
ANNUAL REPORT

ANIKA THERAPEUTICS, INC.

Anika Therapeutics, Inc. 
2017 Letter to Shareholders 

Dear Anika Shareholders, 

2017 was an important year for Anika Therapeutics as we achieved several key milestones associated with our strategy 
of  creating  greater  enduring  shareholder  value  through  the  transformation  from  an  operating  company  to  a  full 
commercial organization with exciting new products. After joining the Company as its President during the second half 
of 2017, I was appointed CEO by the Board of Directors in March 2018. Since joining Anika, I have fully immersed 
myself in its products, operations, and culture, and I am excited and proud to address my fellow shareholders for the first 
time in this annual report. It is an honor and a great opportunity to lead Anika through the next phase of its evolution, as 
we invest in and build our pipeline to deliver a series of innovative new treatments to the global orthopedic community 
over  the  coming  years.  We  are  entering  a  new  chapter  of  the  Anika  story  –  one  that  I  anticipate  will  bring  about 
foundational  and  exciting  changes  at  the  Company,  while  maintaining  its  central  themes  of  financial  discipline  and 
delivering long-term value to our shareholders. 

2017 was a year of significant commercial, operational, and financial achievement, highlighted by double-digit revenue 
growth, expansion of Monovisc and Cingal into new international markets, and rapid advancement of our second pivotal 
Phase III trial of Cingal. Orthovisc and Monovisc continued to maintain a combined market leading position in the United 
States,  and  we  delivered  substantial  international  growth  driven  primarily  by  the  global  expansion  of  Monovisc  and 
Cingal.  

Our mandate going forward is clear. We will work to make Anika's HA-based solutions a standard of care for many of 
the most common conditions associated with aging and orthopedic injury. Through the planned U.S. launch of Cingal 
and other new therapies to follow, we believe that we are positioning Anika for multi-year success. We will strive to 
create and deliver additional innovative solutions to our physician customers to treat the growing legion of patients with 
joint pain and injuries, and to translate those solutions into accelerated revenue and earnings growth over the next several 
years, which will ultimately deliver sustained value and returns to our shareholders. 

While we take nothing for granted and execution in the marketplace is never a given, Anika is poised to deliver several 
key innovations to the market over the next several years. Our entire leadership team is focused on four strategies to drive 
sustained growth. First, we will continue to aggressively execute all activities required to gain FDA approval of Cingal, 
a  potential  game-changing,  first-of-its-kind  combination  therapy  for  the  treatment  of  osteoarthritis.  Second,  we  will 
further expand our global commercial footprint to accelerate international growth of Monovisc and Cingal. Third, we 
will finish building the infrastructure necessary to directly commercialize Cingal in the United States. Fourth, we will 
continue to drive new product innovation and advance our orthobiologics and regenerative medicine product candidates 
through clinical development.  

2017 Financial Results 

In 2017, product revenue increased 5% and total revenue grew 10% to $113.4 million. Product revenue growth for the 
year  was  driven  primarily  by  a  29%  increase  in  worldwide  Monovisc  revenue.  International  orthobiologics  revenue 
increased 22% for the year, due to our global expansion efforts and increasing demand for Monovisc and Cingal. We also 
delivered a strong product gross margin of 75% and operating margin of 40% for 2017. Net income was $31.8 million and 
diluted earnings per share was $2.18 for the year. Additionally, we generated strong operating cash flow of $41 million 
for 2017, and ended the year with approximately $157 million in cash and investments.  

We expect that we will continue to generate strong cash from operations in 2018, despite the substantial and disciplined 
investments we are making in the people, processes, and equipment needed for our global launch plans. These include 
accelerating R&D investment to execute our Cingal and Hyalofast Phase III trials, and to prepare for and commence our 
tennis  elbow  post-market  clinical  study.  We  will  also  continue  to  make  the  outlays  necessary  to  build  our  direct 
commercialization infrastructure and capability in the United States. 2018 will be a year of accelerated strategic investment 
as we reshape Anika into a true commercial organization capable of supporting a series of novel technologies that can both 
disrupt and expand the growing need for non-opioid pain solutions and more effective regenerative healing technologies 
for active aging patients. 

Positioned for Transformational Growth in Years Ahead

2017 marked an inflection point in Anika’s growth. We aggressively advanced our most promising pipeline candidates 
and began to execute our plan for the establishment of a direct commercialization capability, including bolstering our 
executive  team  and  sharpening  our  commercial  launch  plan  for  Cingal.  In  addition  to  myself,  we  strengthened  our 
executive  leadership  team  by  appointing  two  seasoned  executives,  Steven  Chartier  as  Vice  President  of  Regulatory,
Clinical, and Quality functions, and Thomas Finnerty as Chief Human Resources Officer. These seasoned and talented 
professionals come to Anika from commercial-stage companies, and their contributions will be critical to our success 
and growth. 

With the pending launches of both Cingal and Hyalofast, Anika has the rare opportunity to deliver two breakthrough 
technologies to the market within a relatively short timeframe.

• Cingal is poised to be the first and only viscosupplement in the U.S. market to combine an FDA-approved steroid
utilized to treat inflammation along with Anika's proprietary non-animal-derived hyaluronic acid. It will provide
patients with near-term pain relief through the steroid in conjunction with the long-term benefit of our hyaluronic
acid. We expect to complete the Cingal Phase III trial in the first half of 2018, and we currently anticipate FDA
approval around mid-2019. We are also pursuing the extension of a pain relief claim for an additional 3 months,
potentially providing patients with 9 months free of pain from osteoarthritis.

• Hyalofast, our lead cartilage regenerative therapy, is also undergoing its Phase III clinical trial, and we expect
completion of patient enrollment by the end of this year. Hyalofast is a non-woven, biodegradable, hyaluronic
acid-based scaffold utilized to treat cartilage injuries and defects. While not yet cleared by the FDA for sale in
the United States, this advanced, off-the-shelf, one-step technology has been used in more than 14,000 patient
procedures by leading physicians through minimally invasive surgery in more than 15 countries.

In 2018, we intend to complete the design of a national sales organization to maximize and optimize our penetration 
into the U.S. market.  The  U.S. sales  organization  will  be  deployed  following FDA approval  of  Cingal in 2019.  We
plan to  partner  with  a  contract  sales  organization  and  several  other  service providers  to  complete  preparatory  work 
on pricing,  reimbursement,  and  market  access,  as  well  as  defining  an  optimal  structure  for  third  party  logistics. The
ability to deploy a direct sales force for certain product categories empowers us to own end-user relationships, provides
us better access to  patients, and  allows Anika  to  capture  all  end-user revenues for  those  products.  This strategy
gives  us  the  potential opportunity to more than double our revenues over the next 2 to 3 years. 

Last  year,  Anika  celebrated  its  25th  anniversary  as  an innovative  orthopedic  medicines  company.  The  Company’s 
evolution has been remarkable, and Anika is at the cusp of transformational growth. I would like to thank Dr. Charles 
Sherwood for his innovation, leadership, and countless contributions to Anika over his nearly 20-year career with Anika,
and to wish him all the best in his retirement. I would also like to extend our gratitude and appreciation for the hard work 
of our employees, the commitment of our clinical investigators and patients, and the continued interest from our loyal 
investors. On behalf of our entire management team and the Board of Directors, I thank you for your trust and confidence 
in  Anika  Therapeutics, and  I  look  forward  to  2018  as  we continue  to  achieve  our  key  milestones  towards the 
transformation of Anika Therapeutics. 

Sincerely,

Joseph G. Darling
Joseph G. Darling
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 

 

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

For the fiscal year ended December 31, 2017  

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: 

Title of Each Class 
Common Stock, par value $0.01 per share 
Preferred Stock Purchase Rights 

Name of Each Exchange on Which Registered 
NASDAQ Global Select Market 
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 website, 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, a smaller reporting company, or an 
emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” 
in Rule 12b-2 of the Exchange Act.  
Non-accelerated filer  
(Do not check if a smaller reporting company) 

Smaller reporting company  

Emerging growth company  

Large accelerated filer  

Accelerated filer  

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new 

or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.    

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

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, 2017, the last day of the Registrant’s most recently completed second fiscal quarter, 
was $702,114,713 based on the close price per share of common stock of $49.34 as of such date as reported on the NASDAQ Global Select Market. 

At February 9, 2018, there were issued and outstanding 14,693,928 shares of common stock, par value $0.01 per share. 

Documents Incorporated By Reference 

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, 2017. Portions of 
such proxy statement are incorporated by reference into Part III of this Annual Report on Form 10-K. 

 
 
 
  
 
 
  
 
 
ANIKA THERAPEUTICS, INC. 
TABLE OF CONTENTS 

Page 

Cautionary Note Regarding Forward-Looking Statements .............................................................................  

3 

Part I 
   Item 1.  Business ..........................................................................................................................................................  
4 
   Item 1A.  Risk Factors ....................................................................................................................................................   12 
   Item 1B.  Unresolved Staff Comments ...........................................................................................................................   24 
   Item 2. 
Properties ........................................................................................................................................................   24 
Legal Proceedings ...........................................................................................................................................   25 
   Item 3. 
   Item 4.  Mine Safety Disclosures .................................................................................................................................   25 
Part II 

Item 5.  Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity 

Securities ........................................................................................................................................................   25 
   Item 6. 
Selected Financial Data ..................................................................................................................................   26 
   Item 7.  Management’s Discussion and Analysis of Financial Condition and Results of Operations .........................   27 
   Item 7A.  Quantitative and Qualitative Disclosures About Market Risk ........................................................................   42 
   Item 8. 
Financial Statements and Supplementary Data ...............................................................................................   43 
   Item 9.  Changes in and Disagreements with Accountants on Accounting and Financial Disclosure .........................   71 
   Item 9A.  Controls and Procedures .................................................................................................................................   71 
   Item 9B.  Other Information ...........................................................................................................................................   73 
Part III 
   Item 10.  Directors, Executive Officers and Corporate Governance ..............................................................................   73 
   Item 11.  Executive Compensation ................................................................................................................................   73 
   Item 12.  Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters .......   73 
   Item 13.  Certain Relationships and Related Transactions, and Director Independence ................................................   73 
   Item 14.  Principal Accounting Fees and Services .........................................................................................................   73 
Part IV 
   Item 15.  Exhibits and Financial Statement Schedules ..................................................................................................   74 
   Item 16.  Form 10-K Summary ......................................................................................................................................   77 
Signatures .............................................................................................................................................................................   78 

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, ELEVESS, 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. 

2 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
FORM 10-K 
ANIKA THERAPEUTICS, INC. 
For Fiscal Year Ended December 31, 2017 

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS 

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 concerning our business, consolidated financial 
condition,  and  results  of  operations.  The  Securities  and  Exchange  Commission  ("SEC")  encourages  companies  to  disclose 
forward-looking statements so that investors can better understand a company’s future prospects and make informed investment 
decisions. Forward-looking statements are subject to risks and uncertainties, many of which are outside our control, which could 
cause actual results to differ materially from these statements. Therefore, you should not rely on any of these forward-looking 
statements.  Forward-looking  statements  can  be  identified  by  such  words  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 that do not relate to historical matters. All statements other than statements of historical 
facts  included  in  this  Annual  Report  regarding  our  strategies,  prospects,  financial  condition,  operations,  costs,  plans,  and 
objectives are forward-looking statements. Examples of forward-looking statements include, among others, statements regarding 
expected future operating results, expectations regarding the timing and receipt of regulatory results, anticipated levels of capital 
expenditures, and expectations of the effect on our financial condition of claims, litigation, and governmental and regulatory 
proceedings. 

Please refer to "Risk Factors" for important factors that we believe could cause actual results to differ materially from 
those in our forward-looking statements. Any forward-looking statement made by us in this Annual Report on Form 10-K is 
based only on information currently available to us and speaks only as of the date on which it is made. We undertake no obligation 
to publicly update any forward-looking statement, whether written or oral, that may be made from time to time, whether as a 
result of new information, future developments, or otherwise. 

3 

  
  
  
  
  
  
  
  
  
  
  
 
 
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 with clinically meaningful therapies along the continuum of care, from 
palliative  pain  management  to  regenerative  tissue  repair.  We  have  over  two  decades  of  global  expertise  developing, 
manufacturing,  and  commercializing  products  based  on  our  proprietary  hyaluronic  acid  (“HA”)  technology.  Our  orthopedic 
medicine  portfolio  includes  ORTHOVISC,  MONOVISC,  and  CINGAL,  which  alleviate  pain  and  restore  joint  function  by 
replenishing depleted HA, and HYALOFAST, a solid HA-based scaffold to aid cartilage repair and regeneration. 

Our therapeutic offerings consist of products in the following areas: Orthobiologics, Dermal, Surgical, and Other, which 
includes our ophthalmic  and veterinary products.  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 as a Massachusetts corporation 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  and  profitability  potential  from  our  current  and  future  product 
portfolio. 

In the fourth quarter of 2017, we completed all planned activities related to the strategic project we began in 2015 to 
insource the manufacturing of our HYAFF-based products to our Bedford, Massachusetts global headquarters facility. Final costs 
totaled $23.0 million for this project. These products were previously manufactured by a third-party contract manufacturer in 
Italy. Our main purposes behind this strategic initiative are to enhance our research and development capabilities with the aim of 
accelerating future product development and to improve the efficiency of our manufacturing processes. 

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

Orthobiologics 

Our Orthobiologics products primarily consist of viscosupplementation and regenerative orthopedic 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 eventually deteriorates to the point that the bone becomes exposed. Advanced osteoarthritis often requires surgery and the 
possible  implantation  of  artificial  joints.  The  current  treatment  options  for  osteoarthritis,  prior  to  joint  replacement  surgery, 
include viscosupplementation, analgesics, non-steroidal anti-inflammatory drugs, and steroid injections. 

4 

  
  
  
  
  
  
  
  
  
  
  
 
 
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 synovial joints. 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 synovial joints in Europe and certain international markets, including India and Australia, 
and for the knee in the United States, Turkey, and Canada. ORTHOVISC has been marketed by us internationally since 1996, 
and it was approved by the FDA for sale in the United States in 2004. 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. In the United States, our 
viscosupplementation  franchise,  consisting  of  our  ORTHOVISC  and  MONOVISC  products,  continues  to  maintain  a  market 
leadership  position.  CINGAL,  our  second  single-injection  osteoarthritis  product,  received  regulatory  approval  from  Health 
Canada in November 2015 for the treatment of pain associated with osteoarthritis of the knee. In March 2016, we received CE 
Mark approval of CINGAL as a viscoelastic supplement or as a replacement for synovial fluid in human joints. We successfully 
achieved commercial launch of the product in Canada during May 2016 and in the European Union during June 2016. CINGAL 
is also distributed in certain countries in Asia. Upon achievement, if any, of 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. For additional information about CINGAL in the United States, see the section captioned “Business—Research and 
Development of Potential Products.” 

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, a division of DePuy Orthopaedics, Inc. (“Mitek”) 
under  the  terms  of  an  initial  ten-year  licensing,  distribution,  supply,  and  marketing  agreement  which  was  entered  into  in 
December  2003  (the  “Mitek  ORTHOVISC  Agreement”).  The  Mitek  ORTHOVISC  Agreement  has  been  extended  for  two 
additional five-year terms, and it will now expire on December 20, 2023, unless it is further extended by Mitek. 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, the Middle East, Latin America, Asia, Australia, 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.” 

5 

  
  
  
 
 
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, Asia, and certain other international markets. 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 resorbable knitted fabric mesh for use in orthopedic and trauma reconstructive procedures to maintain 
the relative position of engrafted bone tissue or bone fragments from comminuted fractures; 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. This product is commercialized through a network of distributors, primarily in 
Europe and the Middle East. We also received CE Mark approval in December 2016 for a product which utilizes our proprietary 
HA technology to treat pain associated with lateral epicondylitis, better known as tennis elbow. Outside of the United States, this 
product  is  marketed  under  the  trade  name  ORTHOVISC-T.  Additionally,  in  the  second  quarter  of  2016,  we  submitted  an 
Investigational Device Exemption (“IDE”) to the FDA to conduct a Phase III clinical trial for this treatment, and the IDE was 
approved by the FDA in June 2016. In addition to these products, we also received 510(k) clearance for an injectable HA-based 
bone repair treatment in December 2017. In total, Orthobiologics products accounted for 87%, 87%, and 84% of our product 
revenue in 2017, 2016, and 2015 respectively.  

Dermal 

Our  dermal  products  consist  of  advanced  wound  care  products,  based  on  the  HYAFF  technology,  and  an  aesthetic 
dermal  filler,  based  on  our  proprietary  chemically  modified,  cross-linked  HA  technology.  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. Products cleared for sale in the United States include HYALOMATRIX, HYALOFILL, 
HYALOGRAN, HYALOSAFE, and HYALOMATRIX 3D. In 2014, we entered into an agreement with Medline Industries, Inc. 
with a current expiration date of December 31, 2022 to commercialize HYALOMATRIX in the United States. 

Our aesthetic dermatology product is a dermal filler based on our proprietary, chemically modified, cross-linked HA, 
and  it  is  commercially  available  in  select  countries  in  the  Middle  East.  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  African  and  Asian 
countries through a distribution network, but it is not approved for sale in the United States. INCERT, approved for sale and 
commercialized through a network of distributors in Europe 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. 

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  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 
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. 

6 

   
  
  
  
  
  
   
  
 
 
Other 

Our other products include our ophthalmic and veterinary products, which are legacy products and not a part of our core 
business.  Our  ophthalmic  business  includes  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. Our veterinary product, 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 15  “Revenue  by  Product  Group,  by  Significant  Customer  and  by  Geographic  Location;  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, 2017, 2016 and 2015, these expenses were $18.8 million, $10.7 million, and 
$9.0 million, respectively. We anticipate that we will continue to commit significant resources to, and increase our aggregate 
spending on, research and development activities, including in relation to preclinical activities and clinical trials, in the future. 

Our  second  single-injection  osteoarthritis  product  under  development  in  the  United  States  is  CINGAL,  which  is 
composed of our proprietary cross-linked HA material combined with an approved steroid, and it is designed to provide both 
short- and long-term pain relief to patients. We completed an initial CINGAL phase III clinical trial, including the associated 
statistical analysis for 368 enrolled patients, during the fourth quarter of 2014 with data indicating that the product met all primary 
and  secondary  endpoints  relative  to  placebo  set  forth  for  the  trial.  During  the  first  half  of  2015,  we  completed  a  CINGAL 
retreatment study with 242 patients who had participated in the phase III clinical trial and reported safety data related to  the 
retreatment study. This initial phase III clinical trial and the associated retreatment study supported the Health Canada and CE 
Mark approvals of the product. The commercial launch of the product in both Canada and the European Union occurred in the 
second quarter of 2016. In the United States, after discussions with the U.S. Food and Drug Administration (“FDA”) related to 
the regulatory pathway for CINGAL, 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 FDA’s Center for Drug Evaluation and 
Research (“CDER”) as the lead agency center for premarket review and regulation. We held a meeting with CDER in September 
2016 to align on an approval framework and on submission requirements for a New Drug Application (“NDA”) for CINGAL, 
including  the  execution  of  an  additional  Phase  III  clinical  trial  to  supplement  our  existing  CINGAL  pivotal  study  data.  We 
submitted an Investigational New Drug Application (“IND”) in late 2016, and discussions with CDER indicated no objections 
to our clinical protocol design. As a result, we commenced work on this second Phase III clinical trial in the first quarter of 2017, 
and the first patient was treated in the second quarter of 2017. Enrollment of 576 patients in this second Phase III clinical trial 
was completed during October 2017. We expect to complete the six-month follow-up in this Phase III clinical trial during the 
second quarter of 2018 and to submit our NDA to FDA as expeditiously as possible thereafter. We have also initiated an additional 
three-month  extended  follow-up  study  in  conjunction  with  the  second  Phase  III  clinical  trial  to  investigate  the  efficacy  of 
7 

  
  
  
  
  
  
  
  
CINGAL over this longer period, and the first patients were enrolled in this follow-up study in the fourth quarter of 2017. This 
extended follow-up study will not impact the timeline for submission of the NDA for CINGAL following the completion of the 
second Phase III clinical trial. 

We have several research and development programs underway for new products, including for HYALOFAST (in the 
United  States),  an  innovative  product  for  cartilage  tissue  repair,  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”)  for 
HYALOFAST to the FDA, which was approved in July 2015. We commenced patient enrollment in a clinical trial in December 
2015, and we are advancing site initiations and patient enrollment activities. In the second quarter of 2016, a supplement to the 
HYALOFAST IDE was approved to expand the inclusion criteria for the clinical study. The purpose of this supplement is to 
allow us to increase enrollment rates with the ultimate goal of decreasing the time needed to complete the clinical trial. In addition, 
we are currently proceeding with other research and development programs, one of which utilizes our proprietary HA technology 
to treat pain associated with common repetitive overuse injuries, such as lateral epicondylitis, also known as tennis elbow.  We 
submitted a CE Mark application for this treatment during the first quarter of 2016 and received a CE Mark for the treatment of 
pain associated with tennis elbow in December 2016. We expect to begin enrolling patients in a post-market clinical study in 
relation to the CE Mark for this product before the end of the second quarter of 2018. Outside of the United States, this product 
will be marketed under the trade name ORTHOVISC-T. In the second quarter of 2016, we  submitted an IDE to the FDA to 
conduct a phase III clinical trial for this treatment, which was approved by the FDA in June 2016. We also have other research 
and development programs underway focused on expanding the indications of our current products, including one program being 
conducted  and  funded  by  our  U.S.  MONOVISC  distribution  partner,  Mitek,  seeking  to  expand  MONOVISC’s  indication  to 
include the treatment of pain associated with osteoarthritis of the hip. In the third quarter of 2017, we also submitted an application 
to the FDA for 510(k) clearance of an injectable HA-based bone repair treatment. The 510(k) clearance was received from FDA 
in December 2017. In addition to other early stage research and developments initiatives we are currently undertaking, we are 
working to expand our regenerative medicine pipeline with a new product candidate in the form of an implant for rotator cuff 
repair utilizing our proprietary solid HA. 

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 novel modality for the treatment of rheumatoid arthritis. The 
agreement with the University of Massachusetts Amherst was extended in January 2018, and the next phase of the research will 
focus on optimizing the drug delivery  system  with the  goal of advancing a  novel therapeutic candidate  into clinical trials to 
support  regulatory  submission.  We  also  recently  entered  into  an  agreement  with  the  University  of  Liverpool  to  develop  an 
injectable mesenchymal stem cell therapy for the treatment of age-related osteoarthritis with the goal of bringing a therapeutics 
candidate through clinical trials to market to meet an unmet therapeutic need. 

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. 

See also the section captioned “Risk Factors—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.” for a discussion regarding the impact of government 
regulations on our product development activities. 

8 

  
  
  
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Patent and Proprietary Rights 

Our products and trademarks, including our corporate 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  20  patents,  1  of  which  is  co-owned  with  other  parties,  license  12  patents,  and  have  4  patent  applications  currently 
pending. These U.S. patents have expiration dates through 2030. Internationally, we own 167 patents, 7 of which are co-owned 
with other parties, license 79 patents, and have 12 patent applications currently pending. Outside of the United States, we own, 
co-own, license, or have filed for patents in 34 jurisdictions. Our international patents have expiration dates through 2032. In 
2017, we were granted 18 new patents in Austria, Belgium, Brazil, Czech Republic, Denmark, France, Germany, Great Britain, 
Hungary, Ireland, Italy, Luxembourg, the Netherlands, Norway, Poland, Spain, Sweden, and Switzerland. 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. In 2017, 2 of the patents belonging  to the 
Anika  S.r.l.  patent estate expired in the  United States, and  4 expired internationally. 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  may  be  unable  to 
adequately protect our intellectual property rights, which could have a material impact on our business and future financial 
results” for a discussion of the risks we face with respect to protecting intellectual property we develop. 

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  Cosmetic  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. 

9 

  
  
  
   
  
  
  
  
  
 
 
Medical  products  regulated  by  the  FDA  are  generally  classified  as  drugs,  biologics,  or  medical  devices.  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. 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. The failure to adequately demonstrate 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 approval 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 the 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 we operate. 

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, including, without limitation, 
issuing an FDA Form 483 notice of inspectional observations or a warning 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 United States, regulatory agencies may exert a range of similar powers. 

10 

  
  
   
  
  
  
 
 
See also the sections captioned “Risk Factors—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,” “Risk Factors—Risks Related to Our Business and Industry—
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,”  “Risk  Factors—Risks  Related  to  Our  Business  and  Industry—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,” and “Risk Factors—Risks Related to Our Business and Industry—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” for a discussion regarding the potential impact 
of government regulations on our business and financial results. 

Competition 

We compete with many companies including 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. 

We compete with other market participants primarily on the efficacy of our products, our products’ reputation for safety, 
our focus 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,  including  our  direct  commercialization  initiative  for 

CINGAL; 

•  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,  ophthalmic  surgery,  and  the  treatment  of 
equine  osteoarthritis. 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. 

11 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
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, 2017, we had 123 employees, 21 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 certain employees 
based in Italy are represented by unions, adding complexity and additional risks to the wage and employment decision processes. 

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. 

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 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. 

12 

  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
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 or the expansion of the 
indications of our current products, and, even if submissions are accepted, there can be no guarantee that the FDA will grant 
approval for our new products, including CINGAL, HYALOFAST, or other line extensions of our current products, or for the 
expansion of indications of our current products 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 ultimately  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. 

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. 

13 

  
  
  
  
  
  
  
  
  
  
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 implement our direct sales model in a timely fashion 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.  

14 

  
  
  
  
  
  
 
 
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 73% of our product revenue in fiscal year 
2017. 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, physicians, 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 more 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 may not be able to find sufficient 
alternative suppliers 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. 

15 

  
  
  
  
  
  
  
  
  
 
 
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. 

We lease properties in the United States and Italy, and there is no guarantee that these leaseholds will be without issue or 
sufficient to support future growth. 

We lease approximately 134,000 square feet of administrative, research and development, and manufacturing space in 
Bedford, MA and approximately 33,000 square feet of office, research and development, training, and warehousing space in 
Padova, Italy. The current term of the Bedford lease extends to 2022, and the current term of the Padova lease extends to 2032, 
each with several options for renewal. Please see Item 2 – Properties for additional information on our current leases. The nature 
of these leaseholds presents certain risks. We  must  maintain a positive  working relationship  with the respective  owners as a 
dispute with either owner over payment, maintenance, or any other matter could be disruptive to our business. Additionally, there 
is a possibility that changes to our business or the geographic location of the facilities could make either location less suitable to 
our operations. Any renegotiation or termination of either lease could result in substantial cost or business interruption to our 
operations. Additionally, there is no guarantee that our current space will be sufficient to support our future growth or that any 
future relocation or expansion of our operations would be completed smoothly or in a timely manner due to, among other things, 
unexpected  construction  delays  or  unexpected  difficulties  related  to  the  achievement  of  necessary  permitting.  Any  business 
disruption as a result of any of these factors could have a material impact on our business, financial condition, and results of 
operations. 

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. 

16 

  
  
   
  
  
  
  
  
  
  
  
  
  
  
  
 
 
 
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, 2017, we had long-lived assets, including goodwill and IPR&D, of $76.3 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 may  engage  in  acquisitions  as  a part  of our  future  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 growth 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. 

17 

  
  
  
  
  
  
  
  
   
 
 
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 may 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. 

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, including, among other items, the potential repeal of the Affordable Care Act in 
the United States, which may affect current reimbursement practices and create additional uncertainty about the pricing of our 
products,  including  the  potential  implementation  of  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. 

18 

  
  
  
  
  
  
  
 
 
We may seek additional 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 $157.3 million at December 31, 2017. In addition, and subject to 
certain constraints, we have $50.0 million of credit available to us under our Senior Revolving Credit Facility as of December 
31,  2017.  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. 

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. 

19 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
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 any future 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 executive, managerial, professional, and 
technical 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, 2017, 2016, and 2015, 20%, 19%, and 18%, 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; 

•  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. 

20 

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

Approximately 5% of our business during 2017 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, 2017, five 
customers  accounted  for  83%  of  product  revenue,  with  Mitek  alone  accounting  for  73%  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, including our ongoing phased implementation of our enterprise 
resource planning (ERP) system, 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. In addition, there may be other challenges and risks as 
we upgrade and standardize our business systems, including with respect to our newly implemented ERP system and the planned 
system enhancements thereto, which could adversely affect our business, financial condition, or results of operations. 

21 

  
  
   
  
  
  
  
  
 
 
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. 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 or patent review process 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. 

22 

  
  
  
   
  
  
  
 
 
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.  

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. 

23 

  
  
  
  
  
  
  
  
 
 
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. 

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 in January 2007, and the lease 
commenced in May 2007 for an initial term of ten and a half years. In October 2016, we exercised the first option under the lease 
to extend its term for five years. There are three additional renewal periods, each of which is subject to the condition that we 
notify the landlord of our exercise of such option at least one year prior to the expiration of the then current term. Two additional 
renewal options each extend the term an additional five years, and the final renewal option extends the term an additional six 
years. 

In  October  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, which has an initial term of fifteen years, commenced in February 2017 in accordance with 
the lease agreement, as amended in February 2017. The lease will automatically renew for up to three additional six-year terms, 
subject  to  certain  terms  and  conditions.  Anika  S.r.l.  may  elect  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 
$0.3 million. 

Prior to April 2017, Anika S.r.l. leased approximately 28,000 square feet of laboratory, warehouse, and office space in 
Abano Terme, Italy from Fidia. The lease commenced in December 2009. In December 2016, following discussions between 
Anika S.r.l. and Fidia, Anika S.r.l. notified Fidia of its intention to terminate this lease agreement as of March 2017, in accordance 
with the terms of the lease. 

In 2017, we had aggregate facility lease expenses of approximately $1.8 million. We believe that the capacity of our 
Bedford, Massachusetts corporate headquarters is sufficient to satisfy our needs for the immediately foreseeable future. We also 
believe that Anika S.r.l.’s leased facility in Padova, Italy will be sufficient to satisfy its needs for the foreseeable future. 

24 

  
  
  
  
  
  
  
  
  
   
  
  
  
 
 
ITEM 3. LEGAL PROCEEDINGS 

We are involved from time-to-time in various legal proceedings arising in the normal course of business. Although the 
outcomes of these legal proceedings are inherently difficult to predict, we do not expect the resolution of these proceedings to 
have a material adverse effect on our financial position, results of operations, or cash flow. 

 ITEM 4. MINE SAFETY DISCLOSURES 

Not applicable.  

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, 2017 
First Quarter .........................................................    $ 
Second Quarter ....................................................      
Third Quarter .......................................................      
Fourth Quarter .....................................................      

   High 

Year Ended December 31, 2016 
First Quarter .........................................................    $ 
Second Quarter ....................................................      
Third Quarter .......................................................      
Fourth Quarter .....................................................      

   High 

52.23     $ 
49.68       
58.21       
59.94       

47.24     $ 
53.68       
54.96       
50.19       

Low 

41.72   
43.04   
45.71   
52.14   

Low 

35.07   
42.36   
45.52   
41.38   

At December 31, 2017, the closing price per share of our common stock was $53.91 as reported on the NASDAQ Global 
Select Market, and there were 135 holders of record. 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. 

Accelerated Share Repurchase Program 

On February 26, 2016, we 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, we paid Morgan Stanley $25.0 million in 
cash and received an initial delivery of 0.4 million shares of our common stock on February 29, 2016 based on a closing market 
price of $46.40 per share and the applicable contractual discount. 

25 

   
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
On  August  26,  2016,  we  settled  the  approximately $7.5  million remaining  under  the  ASR  Agreement,  which  was 
recorded  as  an  equity  forward  sale  contract  and  was  included  in  additional  paid-in  capital  in  stockholders'  equity  in  the 
consolidated balance sheet as it met the criteria for equity accounting. Pursuant to the terms of the ASR Agreement, the final 
number of shares and the average purchase price was determined at the end of the applicable purchase period, which was August 
26,  2016.  Based  on  the  volume-weighted  average  price  since  the  effective  date  of  the  ASR  Agreement  less  the  applicable 
contractual discount, Morgan Stanley delivered 0.1 million additional shares to us on August 31, 2016. In total, 0.5 million shares 
were repurchased under the ASR Agreement at an average repurchase price of $47.08 per share. These shares are held by us as 
authorized  but  unissued  shares  pursuant  to  Massachusetts  law.  The  initial  and  final  delivery  of  shares  resulted  in  immediate 
reductions of the outstanding shares used to calculate the weighted-average common shares outstanding for basic and diluted net 
income per share. 

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, 2012 in our common stock and each of 
the indices. Past performance is not indicative of future results. 

Anika Therapeutics, Inc. .............................   $ 
NASDAQ Composite Index ........................   $ 
NASDAQ Biotechnology Index ..................   $ 

100.00     $ 
100.00     $ 
100.00     $ 

383.90     $ 
138.32     $ 
165.61     $ 

409.86     $ 
156.85     $ 
222.08     $ 

383.90     $ 
165.84     $ 
247.44     $ 

492.56     $ 
178.28     $ 
193.79     $ 

542.35   
228.63   
234.60   

   Dec-12 

   Dec-13 

   Dec-14 

   Dec-15 

   Dec-16 

   Dec-17 

Securities Authorized for Issuance Under Equity Compensation Plans 

For information regarding securities authorized for issuance under our employee stock-based compensation plans, see 
Part III, Item 12, Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters, included 
elsewhere in this Annual Report on Form 10-K. 

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, 
2017 and 2016 and the Statement of Operations Data for each of the three years ended December 31, 2017, 2016, and 2015 
have been derived from the audited Consolidated Financial Statements for such years, included elsewhere in this Annual Report 
26 

  
  
  
 
 
  
  
   
  
  
  
  
2013 

71,774   
3,307   
75,081   
22,765   
49,009   

68 % 

42,474   
20,575   
1.39   
14,826   

2013 

on Form 10-K. The Balance Sheet Data at December 31, 2015, 2014, and 2013, and the Statement of Operations Data for each 
of  the  two years  in  the  period  ended  December 31,  2014  and  2013  have  been  derived  from  audited  consolidated  financial 
statements for such years not included in this Annual Report on Form 10-K. 

2017 

Years ended December 31, 
2015 
(in thousands, except per share data) 

2014 

2016 

Statements of Operations Data: 
Product revenue ......................................................    $  107,783      $  102,932      $ 
Licensing, milestone and contract revenue ............      
447        
103,379        
Total revenue ..........................................................      
24,027        
Cost of product revenue .........................................      
78,905        
Product gross profit ................................................      
Product gross margin ..............................................      
77 %     
52,772        
Total operating expenses ........................................      
32,547        
Net income .............................................................      
2.15      $ 
Diluted net income per common share ...................    $ 
15,116        
Diluted common shares outstanding ......................      

5,637        
113,420        
27,364        
80,419        
75 %     
67,691        
31,816        
2.11      $ 
15,068        

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

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

Balance Sheet Data: 
Cash, cash equivalents and investments ..................    $ 
Working capital .......................................................      
Total assets ..............................................................      
Long-term liabilities ................................................      
Retained earnings ....................................................      
Stockholders' equity ................................................      

2017 

2016 

Years ended December 31, 
2015 
(in thousands) 

2014 

157,256     $ 
193,254       
282,617       
6,054       
199,511       
263,491       

124,761     $ 
161,641       
240,246       
8,674       
168,209       
222,773       

138,458     $ 
159,155       
235,748       
7,622       
135,662       
210,848       

106,906     $ 
131,863       
192,808       
8,737       
104,904       
178,098       

63,333   
84,650   
156,042   
11,125   
66,584   
135,634   

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 with clinically meaningful therapies along the continuum of care, from 
palliative  pain  management  to  regenerative  tissue  repair.  We  have  over  two  decades  of  global  expertise  developing, 
manufacturing,  and  commercializing  products  based  on  our  proprietary  HA  technology.  Our  orthopedic  medicine  portfolio 
includes ORTHOVISC, MONOVISC, and CINGAL, which alleviate pain and restore joint function by replenishing depleted 
HA, and HYALOFAST, a solid HA-based scaffold to aid cartilage repair and regeneration. 

27 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
   
  
  
  
  
 
 
Our therapeutic offerings consist of products in the following areas: Orthobiologics, Dermal, Surgical, and Other, which 
includes our ophthalmic and veterinary products.  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 and profitability potential from our current and future product portfolio. 

In the fourth quarter of 2017, we completed all planned activities related to the strategic project we began in 2015 to 
insource the manufacturing of our HYAFF-based products to our Bedford, Massachusetts facility at a total cost of $23.0 million. 
These products were previously manufactured by a third-party contract manufacturer in Italy. Our main purposes behind this 
strategic move are to enhance our research and development capabilities with the aim of accelerating future product development 
and to improve the efficiency of our manufacturing processes. 

The following sections provide more information about our products: 

Orthobiologics 

Our  orthobiologics  business  contributed  87%  of  our  product  revenue  for  the  year  ended  December  31,  2017.  Our 
orthobiologics  products  primarily  consist  of  viscosupplementation  and 
regenerative  orthopedic  products.  Our 
viscosupplementation products include ORTHOVISC, ORTHOVISC mini, and MONOVISC, each of which is commercialized 
in various territories worldwide, and CINGAL, which we launched internationally in Canada and the European Union in the 
second quarter of 2016 after receiving Health Canada and CE Mark approval. 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 synovial 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 first single injection osteoarthritis treatment indicated for 
all  synovial  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. 
We  are  currently  seeking  regulatory  approval  for  CINGAL,  our  second  single-injection  osteoarthritis  product,  in  the  United 
States. 

28 

  
  
  
  
  
  
   
 
 
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 resorbable 
knitted fabric mesh for use in orthopedic and trauma reconstructive procedures to maintain the relative position of engrafted bone 
tissue or bone fragments from comminuted fractures; 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. This product is commercialized through a network of distributors, primarily in Europe and the Middle East. 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. 

In addition to the products discussed above, we received CE Mark approval in December 2016 for a product which 
utilizes our proprietary HA technology to treat pain associated with lateral epicondylitis, better known as tennis elbow. Outside 
of the United States, this product is marketed under the trade name ORTHOVISC-T. Additionally, in the second quarter of 2016, 
we submitted an IDE to the FDA to conduct a Phase III clinical trial for this treatment, and the IDE was approved by the FDA 
in June 2016. We also received 510(k) clearance for an injectable HA-based bone repair treatment in December 2017. 

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, generating 88% growth 
from 2012 to 2017. 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 2018 compared to 2017 
based mainly on increased sales to existing and new partners, as well as additional MONOVISC and CINGAL product launches 
in certain international countries. 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  3%  to  our  product  revenue  for  the  year  ended  December  31,  2017  and  consist  of 
advanced wound care products, which are based on the HYAFF technology, and an aesthetic dermal filler. 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 the United 
States, Europe, Latin America, and the Middle East. Products cleared for sale in the United States include HYALOMATRIX, 
HYALOFILL, HYALOGRAN, HYALOSAFE, 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 2022. 

Our aesthetic dermatology product is a dermal filler based on our proprietary, chemically modified, cross-linked HA, 
and it is primarily commercialized in certain countries in the Middle East. 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, 2017, sales of surgical products contributed 5% 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 African and 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. 

29 

  
   
  
  
  
  
  
  
   
 
 
Other 

Our other products include our ophthalmic and veterinary products, which constituted 5% of our product revenue for 
the year ended December 31, 2017. These legacy products are not a part of our core business. Our ophthalmic business includes 
HA viscoelastic products used in ophthalmic surgery. Sales of ophthalmic products contributed 1% of our product revenue and 
sales of HYVISC, our veterinary product used for the treatment of equine osteoarthritis, contributed 4% of our product revenue 
for the year ended December 31, 2017. 

Research and Development 

Our research and development efforts primarily consist of the development of new medical applications for our HA-
based or other technologies, 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, 2017, 2016, and 2015, these expenses were $18.8 million, 
$10.7 million, and $9.0 million, respectively. We anticipate that we  will continue to commit significant resources in the near 
future to research and development activities, including in relation to preclinical activities and clinical trials. These activities are 
aimed at the delivery of a steady cascade of new product development and launches over the next several years. 

Our  second  single-injection  osteoarthritis  product  under  development  in  the  United  States  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 an initial CINGAL phase III clinical trial, including the associated statistical 
analysis for 368 enrolled patients, during the fourth quarter of 2014 with data indicating that the product met all primary and 
secondary endpoints set forth for the trial. During the first half of 2015, we completed a CINGAL retreatment study with 242 
patients who had participated in the phase III clinical trial and reported safety data related to the retreatment study. This initial 
phase III clinical trial and the associated retreatment study supported the Health Canada and CE Mark approval of the product, 
and the commercial launch of the product in both Canada and the European Union occurred in the second quarter of 2016. In the 
United States, after discussions with the FDA related to the regulatory pathway for CINGAL, we conducted a formal meeting 
with 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 CDER as the lead agency center 
for  premarket  review  and  regulation.  We  held  a  meeting  with  CDER  at  the  end  of  September  2016  to  align  on  an  approval 
framework and on submission requirements for an NDA for CINGAL, including the execution of an additional Phase III clinical 
trial to supplement our strong, existing CINGAL pivotal study data. We submitted an IND in late 2016, and discussions with 
CDER to this point indicate that they do not have objections to our clinical protocol design. As a result, we commenced work on 
this second Phase III clinical trial in the first quarter of 2017, and the first patient was treated in the second quarter of 2017. 
Enrollment of the 576 patients in this second Phase III clinical trial was completed during October 2017. We expect to complete 
the six-month follow-up for this Phase III clinical trial during the second quarter of 2018 and to submit our NDA to FDA  as 
expeditiously as possible thereafter. We have also initiated an additional three-month extended follow-up study in conjunction 
with the second Phase III clinical trial to investigate the efficacy of CINGAL over this longer period, and the first patients were 
enrolled in this follow-up study in the fourth quarter of 2017. This extended follow-up study will not impact the timeline for 
submission of the NDA for CINGAL following the completion of the second Phase III clinical trial.  

We have several research and development programs underway for new products, including for HYALOFAST (in the 
United  States),  an  innovative  product  for  cartilage  tissue  repair,  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 IDE for HYALOFAST to the FDA, which was approved 
in July 2015. We commenced patient enrollment in a clinical trial in December 2015, and we are advancing site initiations and 
patient enrollment activities. In the second quarter of 2016, a supplement to the HYALOFAST IDE was approved to expand the 
inclusion criteria for the clinical study. The purpose of this supplement is to allow us to increase enrollment rates with the ultimate 
goal  of  decreasing  the  time  needed  to  complete  the  clinical  trial.  We  are  also  currently  proceeding  with  other  research  and 
development programs, one of which utilizes our proprietary HA technology to treat pain associated with common repetitive 
overuse injuries, such as lateral epicondylitis, also known as tennis elbow. We submitted a CE Mark application for this treatment 
during the first quarter of 2016 and received a CE Mark for the treatment of pain associated with tennis elbow in December 2016. 
We expect to begin enrolling patients in a post-market clinical study in relation to the CE Mark for this product before the end 
of the second quarter of 2018. Outside of the United States, this product will be marketed under the trade name ORTHOVISC-
T. In the second quarter of 2016, we submitted an IDE to the FDA to conduct a phase III clinical trial for this treatment, which 
was approved by the FDA in June 2016. We also have other research and development programs underway focused on expanding 
the indications of our current products, including one program being conducted and funded by our U.S. MONOVISC distribution 
partner, Mitek, seeking to expand MONOVISC’s indication to include the treatment of pain associated with osteoarthritis of the 
hip. In third quarter of 2017, we also submitted an application to the FDA for 510(k) clearance of an injectable HA-based bone 
30 

  
  
  
  
  
repair treatment. The 510(k) clearance was received from the FDA in December 2017. In addition to other early stage research 
and developments initiatives we are currently undertaking, we are working to expand our regenerative medicine pipeline with a 
new product candidate in the form of an implant for rotator cuff repair utilizing our proprietary solid HA. 

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.  The  agreement  with  the  University  of  Massachusetts 
Amherst was extended in January 2018, and the next phase of the research will focus on optimizing the drug delivery system 
with the goal of advancing a novel therapeutic candidate into clinical trials to support regulatory submission. We also recently 
entered  into  an  agreement  with  the  University  of  Liverpool  to  develop  an  injectable  mesenchymal  stem  cell  therapy  for  the 
treatment of age-related osteoarthritis with the goal of bringing a therapeutics candidate through clinical trials to market to meet 
an unmet therapeutic need. 

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 ongoing 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.  

31 

  
   
  
  
  
  
  
  
  
 
 
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.  

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.  Under  ASC  605-25,  Multiple  Element  Arrangements,  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 standard cost and net realizable value, with approximate cost 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.  

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. Our annual assessment for impairment of goodwill as of November 30, 2017 indicated 
that the fair value of our reporting unit exceeded the carrying value of the reporting unit. 

32 

  
  
  
  
  
  
  
  
  
  
  
 
 
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 research and development strategy. We recorded 
an impairment charge of $0.7 million due to the decision to discontinue further development efforts needed to commercialize 
our Hemostatic Patch in-process development project. Our annual assessment for impairment of IPR&D indicated that the fair 
value of our other IPR&D assets as of November 30, 2017 exceeded their respective carrying values. 

Through December 31, 2017, 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  a  trade  name.  The  distributor 
relationships and trade name were fully amortized as of December 31, 2017. 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 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 12,  Equity Incentive 
Plan, 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 16, Income Taxes, to the consolidated financial statements included elsewhere in this Annual Report on 
Form  10-K  for  details  related  to  the  tax  benefit  recognized  in  the  consolidated  statement  of  operations  for  stock-based 
compensation. 

Income Taxes 

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

33 

  
  
  
  
  
  
  
  
 
 
Results of Operations 

Year ended December 31, 2017 compared to year ended December 31, 2016 

Statement of Operations Detail 

Years Ended December 31, 

2017 

2016 

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

(in thousands, except percentages) 

Product revenue ...................................................................   $ 
Licensing, milestone and contract revenue .........................     
Total revenue ...................................................................     

107,783      $ 
5,637        
113,420        

102,932      $ 
447        
103,379        

4,851       
5,190       
10,041       

5 % 
1,161 % 
10 % 

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 ...............................................................     

27,364        
18,787        
21,540        
67,691        
45,729        
473        
46,202        
14,386        
31,816      $ 
80,419      $ 
75 %     

24,027        
10,732        
18,013        
52,772        
50,607        
263        
50,870        
18,323        
32,547      $ 
78,905      $ 
77 %     

3,337       
8,055       
3,527       
14,919       
(4,878 )     
210       
(4,668 )     
(3,937 )     
(731 )     
1,514       

14 % 
75 % 
20 % 
28 % 
(10 %) 
80 % 
(9 %) 
(21 %) 
(2 %) 
2 % 

Total revenue  

Total revenue for the year ended December 31, 2017 increased by $10.0 million, as compared to the prior year, to $113.4 
million.  This  increase  was  primarily  due  to  the  growth  of  our  orthobiologics  franchise,  specifically  an  increase  in  global 
MONOVISC revenue and our achievement of $5.0 million of milestone revenue in 2017 for reaching a target MONOVISC U.S. 
end-user sales threshold set forth in the Mitek MONOVISC Agreement. 

Product revenue  

Product  revenue  for  the  year  ended  December 31,  2017  was  $107.8  million,  an  increase  of  $4.9  million,  or  5.0%, 
compared  to  the  prior  year.  Product  revenue  increases  in  our  Orthobiologics  and  Other  franchises  were  partially  offset  by  a 
moderate  decrease  in  our  Surgical  product  revenue.  The  following  table  presents  comparative  product  revenue  analysis  by 
product franchise: 

Years Ended December 31, 

2017 

2016 

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

Orthobiologics ...............................................................    $ 
Dermal ..........................................................................      
Surgical .........................................................................      
Other .............................................................................      
  $ 

93,816     $ 
2,755       
5,262       
5,950       
107,783     $ 

89,695     $ 
2,759       
5,427       
5,051       
102,932     $ 

4,121       
(4 )     
(165 )     
899       
4,851       

5 % 
(0 %) 
(3 %) 
18 % 
5 % 

34 

  
  
  
  
  
  
  
  
  
  
  
    
         
         
        
    
    
         
         
        
    
        
    
  
  
  
  
  
  
  
  
  
  
  
    
    
    
    
  
  
 
 
Orthobiologics 

Our  orthobiologics  franchise  consists  of  our  joint  health  and  orthopedic  products.  Overall,  revenue  from  our 
orthobiologics franchises increased $4.1 million, or 5%, in 2017  as compared to 2016. The growth in 2017 reflected growing 
end-user demand, continued market penetration, and increased revenue from worldwide MONOVISC and CINGAL sales. The 
increase in viscosupplementation revenue in 2017 was driven primarily by increased sales of MONOVISC resulting from a robust 
and growing end-user demand. We expect orthobiologics revenue to continue to grow in 2018, led by MONOVISC revenue in 
domestic  and  international  markets,  including  revenue  from  sales  in  India,  Australia,  New  Zealand,  and  Taiwan,  as  well  as 
increased revenue from CINGAL internationally. 

Dermal 

Our  dermal  franchise  consists  of  advanced  wound  care  products,  which  are  based  on  our  HYAFF  technology,  and 
aesthetic dermal fillers. Our advanced wound care products treat complex skin wounds ranging from burns to diabetic ulcers, 
with HYALOMATRIX and HYALOFILL as the lead products. Dermal revenue had no significant change in 2017 as compared 
to 2016. The revenue, in part, is derived from the agreement we entered into with  Medline Industries, Inc. to commercialize 
HYALOMATRIX in the United States on an exclusive basis through 2022. We expect dermal revenue to increase modestly in 
2018 as compared to 2017. 

Surgical 

Our surgical franchise consists of products used to prevent surgical adhesions and to treat ear, nose, and throat (“ENT”) 
disorders. Sales of our surgical products decreased $0.2 million, or 3%, in 2017 as compared to 2016. The decrease of surgical 
product revenue was primarily due to a decrease in sales generated by our ENT products. Our surgical franchise consists primarily 
of our anti-adhesion products, including INCERT and HYALOBARRIER, and our ENT offerings, of which MEROGEL is the 
leading  product. We  are  partnered  with  Medtronic  for  the  worldwide  distribution  of  our  ENT  products. We  expect  surgical 
product revenue to increase modestly in 2018 as compared to 2017 primarily due to increased worldwide sales of our surgical 
anti-adhesions products. 

Other 

Other product revenue includes revenues from ophthalmic and veterinary products. The other product revenue increased 
in 2017 from 2016 due to a recovery from weak 2016 sales volume for these franchises. We expect other revenue to increase in 
2018 as compared to 2017, primarily driven by continued increases in ophthalmic revenue. 

Licensing, milestone and contract revenue 

Licensing, milestone and contract revenue for the year ended December 31, 2017 was $5.6 million, compared to $0.4 
million for 2016. The year-over-year increase was primarily the result of the recognition of milestone revenue during the year 
ended December 31, 2017. During the second quarter of 2017, we fully recognized revenue for a milestone payment of $5.0 
million under Mitek MONOVISC Agreement as a result of U.S. MONOVISC 12-month end-user sales exceeding $100 million. 
We expect that our licensing, milestone and contract revenue in 2018 will be approximately equal to such revenue received in 
2017. 

Product gross profit and margin 

Product gross profit for the year ended December 31, 2017 was $80.4 million, or 75% of product revenue, as compared 
with $78.9 million, or 77% of product revenue, for the year ended December 31, 2016. The increase in product gross profit was 
primarily due to the increased volume compared to the prior year, while the decrease in product gross margin was due to inventory 
write-offs in 2017, as well as initial start-up costs associated with our insourcing of the manufacturing of HYAFF-based products 
to the Company’s Bedford facility. We expect gross margin to remain at similar levels in 2018 with potential opportunities for 
improvement due to increased sales volume and manufacturing process improvements. 

35 

  
  
  
  
  
  
  
  
  
  
  
  
 
 
Research and development  

Research  and  development  expenses  for  the  year  ended  December 31,  2017  increased  by  $8.1  million,  or  75%,  as 
compared to the prior year, mainly due to an increase in expenses for our HYALOFAST and CINGAL phase III clinical trials. 
We also increased our pre-clinical product development activities, including with respect to achieving a 510(k) clearance of an 
HA-based, injectable, calcium phosphate bone graft substitute material. Research and development expense as a percentage of 
total revenue was 17% in 2017 and 10% in 2016. Research and development spending is expected to increase in 2018 compared 
to 2017 as we further develop new products and line extensions and initiate new clinical trials based on our existing technology 
assets, including CINGAL and HYALOFAST, as well as increase early-stage activities for other products and line extensions in 
the pipeline, such as our research collaborations with the University of Massachusetts Amherst and the University of Liverpool. 

Selling, general and administrative 

Selling, general and administrative expenses for the year ended December 31, 2017 increased by $3.5 million, or 20%, 
as compared to 2016. The increase was primarily as a result of increased personnel related costs, external professional fees, and 
additions to our allowance for doubtful accounts. We expect selling, general and administrative expenses for 2018 will increase 
to reflect the support, including CINGAL pre-launch expenses and the implementation of improved operational and financial 
technology platforms, required to grow our business both domestically and internationally. 

Income taxes 

Provisions for income taxes were $14.4 million and $18.3 million for the years ended December 31, 2017 and 2016, 
respectively. The decrease in the effective tax rate in 2017 of 4.9%, as compared to 2016, is primarily due to the revaluation of 
the deferred tax liability as a result of the Tax Cuts and Jobs Act tax reform legislation and an increased benefit from research 
and development activities. In accordance with Staff Accounting Bulletin No. 118, which provides guidance on accounting for 
the tax effects of the 2017 Tax Act, the Company has recorded a reasonable estimate of the impact on the consolidated financial 
statements.  The  provisional  amounts  incorporate  assumptions  made  based  upon  the  Company’s  current  interpretation  and 
implementation guidance of the 2017 Tax Act. 

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 ......................................................      
Impact of rate change on deferred taxes ......................................................      
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, 

2017 
35.0 % 
4.8 % 
(4.9 )% 
0.6 % 
(0.7 )% 
(1.4 )% 
0.5 % 
(2.8 )% 
31.1 % 

2016 
35.0 % 
4.5 % 
0.0 % 
0.5 % 
(0.1 )% 
(0.9 )% 
(0.1 )% 
(2.9 )% 
36.0 % 

As of December 31, 2017, we had gross net operating losses (“NOL”) for income tax purposes in Italy of $4.0 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, 2017 or 2016. 

36 

  
  
  
  
  
  
  
  
  
  
  
  
     
     
     
     
     
     
     
     
     
  
  
 
 
In the normal course of business, Anika and its subsidiaries may be periodically examined by various taxing authorities. 
We file income tax returns in the U.S. federal jurisdiction, in certain U.S. states, and in Italy. The associated tax filings remain 
subject to examination by applicable tax authorities for a certain length of time following the tax year to which those filings 
relate. The 2014 through 2016 tax years remain subject to examination by the IRS and other taxing authorities for U.S. federal 
and  state  tax  purposes.  The  2011  through  2016  tax  years  remain  subject  to  examination  by  the  appropriate  governmental 
authorities for Italy. 

Net income  

For the year ended December 31, 2017, net income was $31.8 million, or $2.11 per diluted share, compared to $32.5 
million, or $2.15 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 increased expenses for our HYALOFAST and CINGAL phase III clinical trials and increases in 
personnel  related  costs,  external  professional  fees,  and  additions  to  our  allowance  for  doubtful  accounts.  These  increased 
expenses are offset by increased total revenue and a decreased effective federal income tax rate as a result of the 2017 Income 
Tax Reform Legislation. 

Year ended December 31, 2016 compared to year ended December 31, 2015 

Statement of Operations Detail 

Years Ended December 31, 

2016 

2015 

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

(in thousands, except percentages) 

Product revenue ...................................................................   $ 
Licensing, milestone and contract revenue .........................     
Total revenue ...................................................................     

102,932      $ 
447        
103,379        

87,696      $ 
5,303        
92,999        

15,236       
(4,856 )     
10,380       

Operating expenses: 

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

24,027        
10,732        
18,013        
52,772        
50,607        
263        
50,870        
18,323        
32,547      $ 
78,905      $ 
77 %     

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

2,974       
1,745       
3,188       
7,907       
2,473       
143       
2,616       
827       
1,789       
12,262       

17 % 
(92 %) 
11 % 

14 % 
19 % 
22 % 
18 % 
5 % 
119 % 
5 % 
5 % 
6 % 
18 % 

Total revenue 

Total revenue for the year ended December 31, 2016 increased by $10.4 million to $103.4 million compared to the prior 
year.  This  increase  was  primarily  due  to  the  growth  of  our  orthobiologics  franchise,  specifically  an  increase  in  global 
MONOVISC revenue, which was partially offset by our receipt of $5 million of milestone revenue in 2015 for the achievement 
of a target MONOVISC U.S. end user sales threshold. 

37 

  
  
  
  
  
  
  
  
  
  
  
  
  
    
         
         
        
    
    
         
         
        
    
        
    
  
  
  
 
 
Product revenue 

Product  revenue  for  the  year  ended  December 31,  2016  was  $102.9  million,  an  increase  of  $15.2  million,  or  17%, 
compared  to  the  prior  year.  Product  revenue  increases  in  our  Orthobiologics  and  Dermal  franchises  were  partially  offset  by 
moderate decreases in product revenue in our Surgical and Other franchises. Included in product revenue for the  year ended 
December 31, 2015 was approximately $1.8 million and $0.5 millions 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. 

Years Ended December 31, 

2016 

2015 

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

(in thousands, except percentages) 

Orthobiologics .......................................................    $ 
Dermal ...................................................................      
Surgical ..................................................................      
Other ......................................................................      

89,695     $ 
2,759       
5,427       
5,051       
  $  102,932     $ 

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

16,448       
493       
(385 )     
(1,320 )     
15,236       

22 % 
22 % 
(7 %) 
(21 %) 
17 % 

Orthobiologics 

Revenue from our orthobiologics franchises increased $16.4 million, or 22%, in 2016 as compared to 2015. The growth 
in 2016 reflected a growing end-user demand, continued market penetration, increased revenue from worldwide MONOVISC 
sales,  and  CINGAL  revenue  associated  with  the  product’s  commercial  launch  in  Canada  and  Europe.  ORTHOVISC  and 
MONOVISC revenue in the U.S. also increased 22% in 2016 as compared to 2015, while international viscosupplementation 
product revenue in 2016 increased 23% year-over-year. The increase in international viscosupplementation revenue in 2016 was 
driven primarily by increased sales of MONOVISC resulting from a robust and growing end-user demand. 

Dermal 

Dermal revenue increased $0.5 million, or 22%, in 2016 as compared to 2015. The increase primarily reflects revenue 
from the agreement we entered into with Medline Industries, Inc. to commercialize HYALOMATRIX in the United States on an 
exclusive basis through 2022. 

Surgical 

Sales of our surgical products decreased slightly in 2016 as compared to 2015. The decrease of surgical product revenue 
was primarily due to a decrease in sales generated by our ENT products and 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 
products, including INCERT and HYALOBARRIER, and our ENT offerings, of which MEROGEL is the leading product. We 
are partnered with Medtronic for the worldwide distribution of our ENT products.  

Other 

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

in 2016 from 2015 due to a decrease in sales generated by our veterinary and ophthalmic franchises. 

Licensing, milestone and contract revenue 

Licensing, milestone and contract revenue for the year ended December 31, 2016 was $0.4 million, compared to $5.3 
million for 2015. The year over year decrease was primarily the result of the recognition of licensing and milestone revenue for 
the year ended December 31, 2015 of $5.0 million for the achievement of a milestone payment under the Mitek MONOVISC 
Agreement. 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 12-month end-user sales exceeding $50 million.  

38 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
Product gross profit and margin 

Product gross profit for the year ended December 31, 2016 was $78.9 million, or 77% of product revenue, as compared 
with $66.6 million, or 76% of product revenue, for the year ended December 31, 2015. The increase in product gross profit was 
primarily due to improvements in the overall revenue mix compared to the prior year, with increased sales of our higher-margin 
products as a percentage of our total product sales. 

Research and development 

Research  and  development  expenses  for  the  year  ended  December 31,  2016  increased  by  $1.7  million,  or  19%,  as 
compared to the prior year, mainly due to an increase in expenses for our HYALOFAST phase III clinical trial. Included in our 
2015 results was 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% for the 
years ended 2016 and 2015. 

Selling, general and administrative 

Selling, general and administrative expenses for the year ended December 31, 2016 increased by $3.2 million, or 22%, 

as compared to 2015. The increase was primarily a result of increased headcount and external professional fees. 

Income taxes  

Provisions for income taxes were $18.3 million and $17.5 million for the years ended December 31, 2016 and 2015, 
respectively. The decrease in the effective tax rate in 2016 of 0.3%, as compared to 2015, is primarily due to an increased benefit 
from research and development credits. 

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 ......................................................      
Impact of rate change on deferred taxes ......................................................      
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, 

2016 
35.0 % 
4.5 % 
0.0 % 
0.5 % 
(0.1 %) 
(0.9 %) 
(0.1 %) 
(2.9 %) 
36.0 % 

2015 
35.0 % 
4.8 % 
0.0 % 
(0.3 %) 
0.0 % 
(0.4 %) 
0.1 % 
(2.9 %) 
36.3 % 

The  decrease  in  permanent  items,  including  nondeductible  expenses,  was  mainly  due  to  the  impact  on Anika 
S.r.l.’s long-term deferred tax assets for the decrease in Italy’s tax rate, effective January 1, 2017. The increase in the federal, 
state, and foreign research and development credit was mainly due to increased qualified research and development expenses. 

As of December 31, 2016, we had gross net operating losses (“NOL”) for income tax purposes in Italy of $5.2 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, 2016 or 2015. 

39 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
     
     
     
     
     
     
     
     
     
  
  
  
  
 
 
Net income 

For the year ended December 31, 2016, net income was $32.5 million, or $2.15 per diluted share, compared to $30.8 
million, or $2.01 per diluted share, for the same period in the prior year. The increase in net income and diluted earnings per 
share was primarily a result of increased worldwide product revenue and improved operating profit. 

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, 2017, five 
customers  accounted  for  83%  of  product  revenue,  with  Mitek  alone  accounting  for  73%  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  15,  Revenue  by  Product  Group,  by  Significant  Customer  and  by  Geographic  Location;  Geographic 
Information, to the consolidated financial statements included elsewhere in this Annual Report on Form 10-K for information 
regarding significant customers. 

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  $157.3  million  and  $124.8  million,  and  working  capital  totaled  $193.3  million  and  $161.6  million,  at 
December 31, 2017 and December 31, 2016, respectively. In addition, we have $50.0 million of available credit under our Senior 
Revolving Credit Facility as of December 31, 2017. We believe that we have adequate financial resources to support our business 
for at least the twelve months from the issuance date of our financial statements. 

Cash provided by operating activities was $40.8 million, $24.4 million, and $39.9 million for 2017, 2016, and 2015, 
respectively. The increase in cash provided by operations was due primarily to increases in accounts payable and decreases in 
accounts receivable offset in part by increases in inventory. 

Cash  used  in  investing  activities  was  $12.5  million,  $6.8  million,  and  $30.2  million  for  2017,  2016,  and  2015, 
respectively. The increase in cash used in investing activities in 2017 as compared to 2016 was mainly the result of increased 
purchase of investments in 2017. In the fourth quarter of 2017, we completed all planned activities related to the strategic project 
at a cost of $23.0 million that we began in 2015 to insource the manufacturing of our HYAFF-based products to our Bedford, 
Massachusetts facility. Cash used in property and equipment investing activities decreased year-over-year in 2017 as the largest 
portion of the investment in this strategic project was made in 2016. 

40 

  
  
  
  
  
  
  
  
  
  
 
 
Cash provided (used) by financing activities was $0.3 million, ($24.0) million, and $1.1 million for 2017, 2016, and 
2015, respectively. Cash provided by financing activities in 2017 was attributable to proceeds from the exercise of stock options. 
The increase in cash used in financing activities in 2016 as compared to 2015 was primarily attributable to the $25.0 million 
accelerated  share  repurchase  program  initiated  in  February  2016  and  concluded  in  August  2016.  For  a  description  of  the 
accelerated share repurchase program, see “Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer 
Purchases of Equity Securities Accelerated Share Repurchase Program.” 

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, 2017. Purchase commitments 
relate primarily to non-cancellable inventory commitments and capital expenditures entered in the normal course of business: 

Payments due by period (in thousands) 

   Less than 

   More than 

Total 

1 year 

   1 - 3 years 

   3 - 5 years 

5 years 

Operating Leases (1) .......................................   $ 
Purchase Commitments (2) .............................     
Year Ended December 31, 2017....................   $ 

10,583     $ 
22,053       
32,636     $ 

1,879     $ 
19,286       
21,165     $ 

3,797     $ 
2,767       
6,564     $ 

3,596     $ 
-       
3,596     $ 

1,311   
-   
1,311   

(1) 

(2) 

Includes a lease we entered into in January 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 in May 2007. In February 2017, we finalized the exercise of its first option under the lease to extend the terms 
from November 1, 2017 through October 31, 2022, including the determination of a new annual base rent of $1.5 million which is included in the disclosure 
above. No other terms of this lease were altered. We have an option under this lease to extend its lease-term for up to three additional periods subject to the 
condition that the Company 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 next two renewal options each extend the term an additional five years, while the final renewal option extends the term by six years. This schedule 
does not include the amounts that would be due if the company exercised the renewal options. 

Also includes a lease entered into pursuant to which Anika S.r.l. leases its Italian facility. In October 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 commenced in February 2017. The lease will 
automatically renew for up to three additional six-year terms, subject to certain terms and conditions. We have the ability to withdraw from this  lease 
subject to certain financial penalties after six  years and with no penalties after the ninth year.  As such, lease commitments through the ninth year are 
included in the table above. The lease provides for an initial yearly rent of approximately $0.3 million. See the section captioned “Item 2—Properties” in 
this Annual Report on Form 10-K for additional discussion regarding these leases. 

Includes purchase commitments for materials, clinical trials, and other day to day business requirements. 

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. 

41 

  
  
  
  
  
  
  
  
    
  
  
  
  
  
  
  
   
  
  
 
 
Recent Accounting Pronouncements 

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

Annual Report on Form 10-K. 

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 
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. A significant portion of Anika S.r.l.’s 
revenue and operating expenses are denominated in Euros. We are utilizing clinical vendors which are located in various countries 
outside of the United States and invoice us in their local currency. We do not engage in foreign currency hedging arrangements 
for our accounts payable, and, consequently, foreign currency fluctuations may adversely affect our earnings. In addition, we 
have one major supplier contract denominated in a foreign currency. Gains and losses arising from transactions denominated in 
foreign currencies are primarily related to intercompany accounts that have been determined to be temporary in nature and cash, 
accounts payable, and accounts receivable denominated in non-functional currencies. Unfavorable fluctuations in exchange rates 
would have a negative impact on our financial statements. The impact of currency exchange rate fluctuations for the contract on 
our  financial  statements  was  immaterial  in  2017.  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.  

42 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA 

ANIKA THERAPEUTICS, INC. AND SUBSIDIARIES 

INDEX TO CONSOLIDATED FINANCIAL STATEMENTS 

Reports of Independent Registered Public Accounting Firms ...............................................................................................  
Consolidated Balance Sheets as of December 31, 2017 and 2016 .........................................................................................  
Consolidated Statements of Operations and Comprehensive Income for the Years Ended December 31, 2017, 2016  

and 2015 .............................................................................................................................................................................  
Consolidated Statements of Stockholders’ Equity for the Years Ended December 31, 2017, 2016 and 2015 .......................  
Consolidated Statements of Cash Flows for the Years Ended December 31, 2017, 2016 and 2015 ......................................  
Notes to Consolidated Financial Statements ..........................................................................................................................  

44 
46 

47 
48 
49 
50 

43 

  
  
  
  
  
  
  
  
  
 
 
Report of Independent Registered Public Accounting Firm 

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

Opinion on the Financial Statements 

We have audited the accompanying consolidated balance sheets of Anika Therapeutics, Inc. and subsidiaries (the "Company") 
as of December 31, 2017, the related consolidated statements of operations, cash flows, and stockholders’ equity for the year 
ended  December  31,  2017,  and  the  related  notes  (collectively  referred  to  as  the  “financial  statements”).  In  our  opinion,  the 
financial statements present fairly, in all material respects, the financial position of the Company as of December 31, 2017, and 
the results of its operations and its cash flows for the year ended December 31, 2017, in conformity with the accounting principles 
generally accepted in the United States of America (GAAP). 

We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) 
(PCAOB), the Company's internal control over financial reporting as of December 31, 2017, based on criteria established in 
Internal  Control  —  Integrated  Framework  (2013)  issued  by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway 
Commission and our report dated February 26, 2018, expressed an unqualified opinion on the Company's internal control over 
financial reporting. 

Basis for Opinion 

These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on 
the Company's financial statements based on our audit. We are a public accounting firm registered with the PCAOB and are 
required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable 
rules and regulations of the Securities and Exchange Commission and the PCAOB. 

We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the 
audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to 
error or fraud. Our audit included performing procedures to assess the risks of material misstatement of the financial statements, 
whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a 
test basis, evidence regarding the amounts and disclosures in the  financial statements. Our audit also included evaluating the 
accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the 
financial statements. We believe that our audit provides a reasonable basis for our opinion. 

/s/ Deloitte & Touche LLP 

Boston, Massachusetts 
February 26, 2018 

We have served as the Company’s auditor since 2017. 

44 

  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
Report of Independent Registered Public Accounting Firm 

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

In our opinion, the consolidated balance sheet as of December 31, 2016 and the related  consolidated statements of operations 
and comprehensive income, of stockholders' equity, and of cash flows for each of the two years in the period ended December 
31,  2016  present  fairly,  in  all  material  respects,  the  financial  position  of  Anika  Therapeutics,  Inc.  and  its  subsidiaries  as  of 
December 31, 2016, and the results of their operations and their cash flows for each of the two years in the period ended December 
31, 2016, in conformity with accounting principles generally accepted in the United States of America. These financial statements 
are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements 
based  on  our  audits.  We  conducted  our  audits  of  these  financial  statements  in  accordance  with  the  standards  of  the  Public 
Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain 
reasonable assurance about whether the financial statements are free of material misstatement. An audit includes 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. We believe that our 
audits provide a reasonable basis for our opinion. 

/s/ PricewaterhouseCoopers LLP 

Boston, Massachusetts 
February 24, 2017 

45 

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

Current assets: 

ASSETS 

Cash and cash equivalents ...........................................................................................     $ 
Investments .................................................................................................................    
Accounts receivable, net of reserves of $1,914 and $194 at December 31, 2017 and 

December 31, 2016, respectively .............................................................................    
Inventories, net ............................................................................................................    
Prepaid expenses and other current assets ...................................................................    
Total current assets ..................................................................................................    
Property and equipment, net ............................................................................................    
Other long-term assets .....................................................................................................    
Intangible assets, net .......................................................................................................    
Goodwill..........................................................................................................................    
Total assets ......................................................................................................................     $ 

LIABILITIES AND STOCKHOLDERS’ EQUITY 

Current liabilities: 

Accounts payable ........................................................................................................     $ 
Accrued expenses and other current liabilities ............................................................    
Total current liabilities ............................................................................................    
Other long-term liabilities ...............................................................................................    
Deferred tax liability .......................................................................................................    
Commitments and contingencies (Note 11) 
Stockholders’ equity: 

Preferred stock, $0.01 par value; 1,250 shares authorized, no shares issued and 

December 31, 

2017 

2016 

133,256      $ 
24,000     

23,825     
22,035     
3,211     
206,327     
56,183     
1,254     
10,635     
8,218     
282,617      $ 

6,747      $ 
6,326     
13,073     
660     
5,393     

104,261   
20,500   

27,598   
15,983   
2,098   
170,440   
52,296   
69   
10,227   
7,214   
240,246   

2,303   
6,496   
8,799   
2,126   
6,548   

outstanding at December 31, 2017 and December 31, 2016, respectively ...............    

-     

-   

Common stock, $0.01 par value; 60,000 shares authorized, 14,688 and 14,627 

shares issued and outstanding at December 31, 2017 and December 31, 2016, 
respectively ..............................................................................................................    
Additional paid-in-capital ...........................................................................................    
Accumulated other comprehensive loss ......................................................................    
Retained earnings ........................................................................................................    
Total stockholders’ equity .......................................................................................    
Total liabilities and stockholders’ equity ........................................................................     $ 

147     
68,617     
(4,784 )   
199,511     
263,491     
282,617      $ 

146   
61,735   
(7,317 ) 
168,209   
222,773   
240,246   

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

46 

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

Product Revenue .....................................................................................     $ 
Licensing, milestone and contract revenue .............................................    
Total revenue .......................................................................................    

For the Years Ended December 31, 
2016 
102,932      $ 
447     
103,379     

2017 
107,783      $ 
5,637     
113,420     

2015 

87,696   
5,303   
92,999   

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 ..............................................................................................     $ 

27,364     
18,787     
21,540     
67,691     
45,729     
473     
46,202     
14,386     
31,816      $ 

24,027     
10,732     
18,013     
52,772     
50,607     
263     
50,870     
18,323     
32,547      $ 

Basic net income per share: 

Net income ..........................................................................................     $ 
Basic weighted average common shares outstanding ..........................    

2.18      $ 

14,575     

2.22      $ 

14,682     

Diluted net income per share: 

Net income ..........................................................................................     $ 
Diluted weighted average common shares outstanding ......................    

2.11      $ 

15,068     

2.15      $ 

15,116     

Net income ..................................................................................................     $ 
Foreign currency translation adjustment .............................................    
Comprehensive income ...............................................................................     $ 

31,816      $ 
2,533     
34,349      $ 

32,547      $ 
(668 )   
31,879      $ 

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

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   

30,758   
(2,154 ) 
28,604   

47 

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

Common Stock 

   Accumulated      
Other 

Total 

  Number of   $.01 Par   Additional Paid   Retained   Comprehensive   Stockholders' 
   Shares 

  Earnings   

   Equity 

in Capital 

   Value 

Loss 

Balance, December 31, 2014 .....................       14,852     $ 

149     $ 

77,540      $ 104,904     $ 

(4,495 )   $ 

178,098   

Issuance of common stock for equity 

awards ................................................      
Tax benefit related to equity awards .....      
Stock-based compensation expense ......      
Net income ............................................      
Other comprehensive loss .....................      

185       
-       
-       
-       
-       
Balance, December 31, 2015 .....................       15,037     $ 

Issuance of common stock for equity 

awards ................................................      
Tax benefit related to equity awards .....      
Stock-based compensation expense ......      
Repurchase of common stock................      
Net income ............................................      
Other comprehensive loss .....................      

121       
-       
-       
(531 )     
-       
-       
Balance, December 31, 2016 .....................       14,627     $ 

Issuance of common stock for equity 

1       
-       
-       
-       
-       
150     $ 

1       
-       
-       
(5 )     
-       
-       
146     $ 

1,073        
847        
2,225        

-       
-       
-       
-         30,758       
-       
-        
81,685      $ 135,662     $ 

1,006        
647        
3,392        
(24,995 )     

-       
-       
-       
-       
-         32,547       
-       
-        
61,735      $ 168,209     $ 

-        
-        
-        
-        
(2,154 )     
(6,649 )   $ 

-        
-        
-        
-        
-        
(668 )     
(7,317 )   $ 

1,074   
847   
2,225   
30,758   
(2,154 ) 
210,848   

1,007   
647   
3,392   
(25,000 ) 
32,547   
(668 ) 
222,773   

61       
-       

1       
-       

313        
5,807        

-       
-       

-        
-        

314   
5,807   

awards ................................................      
Stock-based compensation expense ......      
Cumulative effect of change in 
accounting for stock-based 
compensation .....................................      
Net income ............................................      
Other comprehensive income ................      

-       
-       
-       
Balance, December 31, 2017 .....................       14,688     $ 

-       
-       
-       
147     $ 

762        

(514 )     
-         31,816       
-       
-        
68,617      $ 199,511     $ 

-        
-        
2,533        
(4,784 )   $ 

248   
31,816   
2,533   
263,491   

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

48 

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

Cash flows from operating activities: 

Net income ....................................................................................................    $ 
Adjustments to reconcile net income to net cash provided by operating 

activities: 
Depreciation and amortization ..................................................................      
Loss on disposal of fixed assets ................................................................      
Stock-based compensation expense ..........................................................      
Deferred income taxes ...............................................................................      
Provision for doubtful accounts ................................................................      
Provision for inventory..............................................................................      
Non-cash impairment charges for IPR&D ................................................      
Changes in operating assets and liabilities: 

Accounts receivable ..............................................................................      
Inventories .............................................................................................      
Prepaid expenses, other current and long-term assets ...........................      
Accounts payable ..................................................................................      
Accrued expenses and other current liabilities ......................................      
Income taxes payable ............................................................................      
Other long-term liabilities .....................................................................      
Net cash provided by operating activities .....................................................      

For the years ended December 31, 
2015 
2016 
2017 

31,816     $ 

32,547     $ 

30,758   

4,290       
150       
5,807       
(1,198 )     
1,609       
695       
-       

2,674       
(6,521 )     
(1,454 )     
3,890       
(605 )     
367       
(708 )     
40,812       

3,734       
-       
3,392       
(65 )     
52       
654       
-       

(6,201 )     
(1,738 )     
(898 )     
(5,059 )     
1,566       
(3,552 )     
16       
24,448       

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

(4,996 ) 
(2,939 ) 
89   
5,625   
(199 ) 
5,484   
(109 ) 
39,911   

Cash flows from investing activities: 

Proceeds from maturity of investments .....................................................      
Purchase of investments ............................................................................      
Purchase of property and equipment, net ..................................................      
Net cash used in investing activities ..............................................................      

41,500       
(45,000 )     
(8,980 )     
(12,480 )     

46,500       
(39,249 )     
(14,014 )     
(6,763 )     

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

Cash flows from financing activities: 

Repurchase of common stock....................................................................      
Proceeds from exercise of equity awards ..................................................      
Net cash (used in) provided by financing activities ......................................      

-       
314       
314       

(25,000 )     
1,007       
(23,993 )     

-   
1,074   
1,074   

Exchange rate impact on cash .......................................................................      

349       

(138 )     

(208 ) 

Increase (Decrease) 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: 

28,995       
104,261       
133,256     $ 

(6,446 )     
110,707       
104,261     $ 

10,551   
100,156   
110,707   

Cash paid for income taxes .......................................................................    $ 

15,088     $ 

22,826     $ 

12,724   

Non-cash Investing Activities: 

Purchases of property and equipment included in accounts payable and 

accrued expenses ....................................................................................    $ 
Build-to-suit lease agreement ....................................................................    $ 

1,891     $ 
-     $ 

1,257     $ 
1,723     $ 

1,949   
30   

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

49 

  
  
  
  
  
  
  
    
        
        
    
    
        
        
    
    
        
        
    
  
    
        
        
    
    
        
        
    
  
    
        
        
    
    
        
        
    
  
    
        
        
    
  
    
        
        
    
    
        
        
    
    
        
        
    
  
  
 
 
Anika Therapeutics, Inc. and Subsidiaries 
Notes to Consolidated Financial Statements 
(amounts in thousands, except share and per share amounts or as otherwise noted) 

1. Nature of Business 

Anika  Therapeutics,  Inc.  (the  “Company”)  is  a  global,  integrated  orthopedic  medicines  company  committed  to 
improving  the  lives  of  patients  with  degenerative  orthopedic  diseases  and  traumatic  conditions  with  clinically  meaningful 
therapies along the continuum of care, from palliative pain management to regenerative tissue repair. The Company has over two 
decades  of  global  expertise  developing,  manufacturing,  and  commercializing  products  based  on  the  Company’s  proprietary 
Hyaluronic Acid (“HA”) technology. The Company’s orthopedic medicine portfolio includes ORTHOVISC, MONOVISC, and 
CINGAL, which alleviate pain and restore joint function by replenishing depleted HA, and HYALOFAST,  a solid HA-based 
scaffold to aid 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 U.S. Food 
and  Drug  Administration  (“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. 

Foreign Currency Translation 

The functional currency of the Company’s 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 average exchange rates for the period. The translation adjustments resulting from this process are included in stockholders’ 
equity as a component of accumulated other comprehensive loss which resulted in a gain (loss) from foreign currency translation 
of $2.5 million, ($0.7) million, and ($2.2) million for the years ended December 31, 2017, 2016, and 2015, respectively.  

The Company recognized a gain (loss) from foreign currency transactions of $0.7 million, ($0.3) million, and ($0.4) 

million during the years ended December 31, 2017, 2016, and 2015, respectively.  

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 considers 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. 

50 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
   
 
 
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  the  Company’s  own  estimates  of  assumptions  market  participants 
would use in pricing the instrument. 

The Company’s financial assets have been classified as Levels 1 and 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  its 
customers to make required payments, which is included in selling, 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  the  Company’s  customer  payment  terms.  A 
summary of activity in the allowance for doubtful accounts is as follows: 

2017 

December 31, 
2016 

2015 

Balance, beginning of the year ........................................     $ 
Amounts provided .......................................................       
Amounts written off ....................................................       
Translation adjustments ..............................................       
Balance, end of the year ..................................................     $ 

194      $ 
1,609        
(6 )      
117        
1,914      $ 

167      $ 
52        
(16 )      
(9 )      
194      $ 

147   
38   
(3 ) 
(15 ) 
167   

Revenue Recognition - General 

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.  

51 

   
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
Product revenue also includes royalties. Royalty revenue is based on distributors’ sales and is recognized in the same 
period distributors record their sale of products manufactured by the Company. On a quarterly basis the Company records royalty 
revenue based upon sales provided to it by its 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 the Company’s product sales are subject to the provisions of the MDET. The Company elected to recognize 
any amounts related to the MDET under the gross method as allowed under ASC 605-45. Amounts included in revenues and 
costs of goods sold for the MDET in 2015 were immaterial. There were no amounts reported for 2016 and 2017 as the 2.3% 
MDET has been suspended by Congress from January 1, 2016 through 2020.  

Licensing, Milestone and Contract Revenue 

Licensing, milestone and contract revenue consists of revenue recognized on initial and milestone payments, as well as 
contractual  amounts  received  from  partners.  The  Company’s  business  strategy  includes  entering  into  collaborative  license, 
development, and/or supply agreements with partners for the development and commercialization of the Company’s products. 
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 amended 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, mutual funds, and bank certificates of deposit with an original maturity of less than 90 days. 

52 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
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 (loss). 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,  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, 2017 and 2016, 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 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. 

As of December 31, 2017 and 2016, DePuy Synthes Mitek Sports Medicine, a division of DePuy Orthopaedics, Inc. 
(“Mitek”), represented 68% and 66%, 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 standard cost and net realizable value, with approximate cost 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 $22.0 million and $16.0 million as of December 31, 2017 and 2016, respectively, is stated net of inventory reserves 
of approximately $1.7 million and $0.9 million, respectively. If actual demand for the Company’s products deteriorates, or if 
market conditions are less favorable than those projected, additional inventory write-downs may be required. 

53 

  
  
  
  
  
  
  
  
  
  
  
 
 
Property and Equipment 

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

lives, which are typically: 

Asset 
Computer equipment and software .......................................................................    
Furniture and fixtures ............................................................................................    
Equipment .............................................................................................................    
Leasehold improvements ......................................................................................  

Estimated useful life  
(in years) 
3 - 5 years 
5 - 7 years 
  5 - 15 years 
Shorter of useful life or 
term of lease 

Maintenance  and  repairs  are  charged  to  expense  when  incurred;  additions  and  improvements  are  capitalized.  Fully 
depreciated assets are retained in the accounts until they are no longer used and no further charge for depreciation is made  in 
respect of these assets. When an item is sold, retired or removed from service, 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. 

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 the Company acquires 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 the Company’s stock price for a sustained period, or a reduction of its 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, the Company records an  impairment loss to the extent that the carrying 
value of goodwill exceeds its implied fair value. The Company’s annual assessment for impairment of goodwill as of November 
30, 2017 indicated that the fair value of its 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, 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  research  and 
development strategy. In 2015, the Company recorded an impairment charge of $0.7 million due to the decision to discontinue 
further  development  efforts  needed  to  commercialize  the  Hemostatic  Patch  in-process  development  project. The  Company’s 
annual assessment for impairment of IPR&D indicated that the fair value of its other IPR&D assets as of November 30, 2017 
and 2016 exceeded their respective carrying values. 

54 

  
  
  
  
 
   
 
 
  
  
  
  
  
  
  
  
 
 
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, 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 five to sixteen 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 clinical trials, 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  has  stock-based  compensation  plans  under  which  it  grants  various  types  of  equity-based  awards, 
including  restricted  stock  units  (“RSUs”),  restricted  stock  awards  (“RSAs”),  performance  options,  and  stock  options.  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. 

For performance-based options  with  financial and business  milestone  achievement targets, the  Company recognizes 
expense using the graded vesting methodology over the service period. Compensation cost associated with performance-based 
options is based on the probable outcome of the performance conditions. Changes to the probability assessment and the estimated 
shares expected to vest will result in adjustments to the related stock-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  $0.8  million,  $0.3  million,  and  $0.4  million  related  to 
performance-based options in 2017, 2016, and 2015, respectively. 

See Note 12, Equity Incentive Plan, 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. 

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. 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 loss is reported as a component of stockholders' equity. 

55 

  
  
  
  
  
  
  
  
  
  
  
  
 
 
Segment Information 

Operating  segments  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 operating and reportable segment. 

Contingencies 

In the normal course of business, the Company is involved from time-to-time in various legal proceedings and other 
matters such as contractual disputes, which are complex in nature and have outcomes that are difficult to predict. The Company 
records accruals for loss contingencies to the extent that it concludes that it is probable that a liability has been incurred and the 
amount of the related loss can be reasonably estimated. The Company considers all relevant factors when making assessments 
regarding these contingencies. Although the outcomes of any potential legal proceedings are inherently difficult to predict, the 
Company does not expect the resolution of any potential legal proceedings to  have a  material adverse effect on its  financial 
position, results of operations, or cash flow. 

Subsequent Events 

Events occurring subsequent to December 31, 2017 have been evaluated for potential recognition or disclosure in the 
consolidated financial statements. As a result of the evaluation, no subsequent events were required to be recognized or disclosed. 

Recent Accounting Pronouncements 

Recently Issued 

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 one-year deferral making it effective for annual reporting periods by public 
business entities beginning on or after December 15, 2017 while also providing for early adoption not to occur before the original 
effective date. The Company adopted the new standard on a modified retrospective basis on January 1, 2018. 

The Company developed an implementation plan to assess the impact of the new guidance on its operations, financial 
results, and related disclosures. To date, the Company has substantially completed its assessment of the potential areas of the 
balance sheet and financial statement components impacted. The Company has prepared its accounting policy memorandum and 
assessment of the quantitative impact of adoption, including the impact of the  new guidance on its results of operations and 
internal controls. Based on procedures performed to date, the Company has concluded that the adoption of the new standard will 
not have a material impact on its annual revenues. The Company does not anticipate a material adjustment to beginning retained 
earnings as of the adoption on January 1, 2018. 

In  February  2016,  the  FASB  issued  ASU  No.  2016-02,  Leases  (Topic  842).  ASU  2016-02  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.  The  Company  is  assessing  ASU  2016-02  and  the  impact  that  adopting  this  new 
accounting standard will have on its consolidated financial statements and footnote disclosures.  

56 

  
  
  
  
  
  
  
  
  
  
  
  
 
 
In June  2016, the FASB issued ASU  No. 2016-13, Financial Instruments (Topic 326) Credit Losses.  ASU 2016-13 
changes the impairment model for most financial assets and certain other instruments. Under the new standard, entities holding 
financial assets and net investment in leases that are not accounted for at fair value through net income are to be presented at the 
net amount expected to be collected. An allowance for credit losses will be a valuation account that will be deducted from the 
amortized cost basis of the financial asset to present the net carrying value at the amount expected to be collected on the financial 
asset. ASU 2016-13 is effective as of January 1, 2020. Early adoption is permitted. The adoption of this standard is not expected 
to have a material impact on the Company’s consolidated financial statements or footnote disclosures. 

Recently Adopted 

In  March  2016,  the  FASB  issued  ASU  No.  2016-09,  Compensation  (Topic  718)  Stock  Compensation.  The  ASU 
identifies areas for simplification involving several aspects of accounting for share-based payment transactions, including the 
income  tax  consequences,  classification  of  awards  as  equity  or  liabilities,  an  option  to  recognize  gross  stock  compensation 
expense with actual forfeitures recognized as they occur, and certain classifications on the statement of cash flows. ASU 2016-
09 is effective as of January 1, 2017. Since January 1, 2017, the Company has recognized excess tax benefits and tax deficiencies 
related to share-based payments in the Consolidated Statements of Operations and Comprehensive Income as a component of 
the provision for income taxes on a prospective basis. Such excess tax benefits and tax deficiencies were previously recorded in 
equity. The Company also began presenting tax-related cash flows resulting from share-based payments as operating activities 
in the Consolidated Statements of Cash Flows and retrospectively revised prior periods to reflect this provision. Accordingly, the 
Consolidated Statement of Cash Flows for the years ended December 31, 2016 and 2015, was revised by increasing net cash 
provided by operating activities by $0.6 million and $0.8 million and by decreasing net cash used in financing activities by $0.6 
million and $0.8 million, respectively. Lastly, as of January 1, 2017, the Company elected to recognize forfeitures as they occur 
rather than estimate forfeitures each period on a modified retrospective basis. Accordingly, the Company recognized a cumulative 
$0.5 million reduction to retained earnings at the beginning of 2017. Previously, the Company used historical data on the exercise 
of stock options and other factors to evaluate and estimate the expected term of share-based awards to evaluate actual forfeiture 
rates  periodically  and  adjusted  the  expected  forfeiture  rate  assumption  within  the  model.  See  Note  16,  Income  Taxes,  to  the 
consolidated financial statements included elsewhere in this Annual Report on Form 10-K for additional information regarding 
the impacts on the consolidated financial statements. 

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 bank certificates of deposits of $24.0 million and $20.5 million at December 31, 2017 and 2016, respectively. There were 
no unrealized gains or losses on the Company’s available-for-sale securities at December 31, 2017 or 2016. 

4. Fair Value Measurements 

The  Company’s  investments  are  all  classified  within  Levels  1  and  2  of  the  fair  value  hierarchy.  The  Company’s 
investments classified within Level 1 of the fair value hierarchy are valued based quoted prices in active markets. Level 2 are 
based on matrix pricing compiled by third party pricing vendors, using observable market inputs such as interest rates, yield 
curves, and credit risk. For cash and cash equivalents, current receivables, accounts payable, interest accrual and short-term debts, 
the  carrying  amounts  approximate  fair  value,  because  of  the  short  maturity  of  these  instruments,  and  therefore  fair  value 
information is not included in the table below.  

57 

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

Fair Value Measurements at Reporting Date Using 

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

  December 31, 2017   

Significant Other 
 Observable Inputs  
 (Level 2) 

Significant 
 Unobservable Inputs  
 (Level 3) 

Cash equivalents: 
Money market fund ..........................    $ 
Bank certificates of deposit ..............      
Total cash equivalents ......................    $ 

Investments: 
Bank certificates of deposit ..............    $ 

5,893      $ 
500        
6,393      $ 

5,893      $ 
-        
5,893      $ 

-      $ 
500        
500      $ 

24,000      $ 

-      $ 

24,000      $ 

Fair Value Measurements at Reporting Date Using 

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

  December 31, 2016   

Significant Other 
 Observable Inputs 
 (Level 2) 

(Level 3) 

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

Investments: 
Bank certificates of deposit ..............      
Total investments .............................    $ 

68,352     $ 
750       
69,102     $ 

20,500       
20,500     $ 

-     $ 
-       
-     $ 

-       
-     $ 

68,352     $ 
750       
69,102     $ 

20,500       
20,500     $ 

-   
-   
-   

-   

-   
-   
-   

-   
-   

The Company did not have transfers in or out of Level 3 of the fair value hierarchy during the years ended December 
31, 2017 and 2016. As of December 31, 2017, the Company’s exchange traded money market fund is reported as a Level 1 cash 
equivalent, previously it was reported as Level 2 cash equivalent. 

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  RSA’s,  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”), RSA’s, and RSU’s using the treasury 
stock method. 

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

share: 

Years Ended December 31, 
2016 

2017 

2015 

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

Stock options, SAR's, RSA's and RSU's .......................................................      
Diluted shares used in the calculation of earnings per share .............................      

14,575       

14,682       

14,934   

493       
15,068       

434       
15,116       

387   
15,321   

Stock options to purchase 0.5 million shares, 0.4 million shares, and 0.2 million shares for the years ended December 
31, 2017, 2016, and 2015, respectively, were excluded from the computation of diluted EPS as their effect would have been anti-
dilutive. The anti-dilutive restricted shares for the years 2017, 2016 and 2015 were not significant. 

58 

  
  
    
  
  
  
  
    
         
         
         
    
  
    
         
         
         
    
    
         
         
         
    
  
  
    
  
  
  
  
    
        
        
        
    
  
    
        
        
        
    
    
        
        
        
    
  
  
  
  
  
  
  
  
  
  
  
    
        
        
    
  
  
 
 
At December 31, 2017, 2016, and 2015, 0.1 million shares of issued and outstanding unvested RSA’s were excluded 

from the basic earnings per share. 

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 0.4 million shares of the Company’s common stock on February 
29, 2016 based on a closing market price of $46.40 per share and the applicable contractual discount. 

On August 26, 2016, the Company settled the approximately $7.5 million remaining under the ASR Agreement, which 
was recorded as an equity forward sale  contract and  was included in additional paid-in  capital in stockholders' equity in the 
consolidated balance sheet as it met the criteria for equity accounting. Pursuant to the terms of the ASR Agreement, the final 
number of shares and the average purchase price was determined at the end of the applicable purchase period, which was August 
26,  2016.  Based  on  the  volume-weighted  average  price  since  the  effective  date  of  the  ASR  Agreement  less  the  applicable 
contractual discount, Morgan Stanley delivered 0.1 million additional shares to the Company on August 31, 2016. In total, 0.5 
million shares were repurchased under the ASR Agreement at an average repurchase price of $47.08 per share. These shares are 
held by the Company as authorized but unissued shares pursuant to Massachusetts law. The initial and final delivery of shares 
resulted in immediate reductions of the outstanding shares used to calculate the weighted-average common shares outstanding 
for basic and diluted net income per share. 

6. Inventories 

Inventories consist of the following: 

Raw materials ...............................................................................    
Work-in-process ............................................................................    
Finished goods ..............................................................................    
Total ..........................................................................................    

$ 

$ 

11,296     
6,062     
4,677     
22,035     

$ 

$ 

5,884   
5,559   
4,540   
15,983   

December 31, 

2017 

2016 

7. Property and Equipment 

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

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

$ 

$ 

December 31, 

2017 

2016 

37,137     
1,947     
31,459     
5,830     
76,373     
(20,190 )   
56,183     

$ 

$ 

27,456   
1,126   
27,796   
22,695   
79,073   
(26,777 ) 
52,296   

Construction-in-progress at December 31, 2017, primarily represents the costs incurred for the implementation of a new 
ERP that was placed in service in January 2018. Construction-in-progress at December 31, 2016 primarily represented the costs 
being incurred in our strategic project that we began in 2015 to insource the manufacturing of our HYAFF-based products to our 
Bedford,  Massachusetts  facility,  which  was  placed  in  service  in  December  2017.  In  2017  we  retired  $9.8  million  of  fully 
depreciated assets that were no longer in use. 

59 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
Depreciation expense was $3.3 million, $2.7 million, and $2.7 million for the years ended December 31, 2017, 2016, 

and 2015, respectively. 

8. Acquired Intangible Assets, Net 

Intangible assets consist of the following: 

December 31, 2017 

December 31, 2016 

Accumulated  
Currency  
Translation  
Adjustment   

  Gross Value   

Accumulated  
Amortization   

Net Book  
Value    

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

17,100      $ 
4,406        
4,700        
1,000        
1,000        
28,206      $ 

(2,550 )    $ 
(1,015 )      
(415 )      
(152 )      
-        
(4,132 )    $ 

(7,723 )    $  6,827     $ 
-         3,391       
-       
(4,285 )      
417       
(431 )      
-       
(1,000 )      
(13,439 )    $ 10,635     $ 

Accumulated  
Currency  
Translation  
Adjustment   
(3,442 )    $ 
(1,433 )      
(415 )      
(207 )      
-        
(5,497 )    $ 

Accumulated  
Amortization   

Net Book  
Value    
(6,816 )    $  6,842       

Useful  
Life 
15 

-         2,973       Indefinite   
-       
(4,285 )      
412       
(381 )      
-       
(1,000 )      
(12,482 )    $ 10,227       

5 
16 
9 

On December 30, 2009, in connection with the acquisition of Anika S.r.l., the Company purchased various intangible 

assets.  

In  2015,  the  Company  recorded  an  impairment  charge  totaling  $0.7  million  to  write-off  in-process  research  and 
development that was recorded in connection with its 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  the  Company’s 
consolidated statements of operations. 

The Company performed an annual assessment of IPR&D intangible assets as of November 30, 2017.  Based upon that 
assessment, for the fiscal year 2017 there were no events or changes in circumstances that would result in a change in the carrying 
value of IPR&D.  

Total amortization expense was $1.0 million, $1.1 million, and $1.1 million for the years ended December 31, 2017, 
2016, and 2015, respectively. Amortization expense on intangible assets is expected to be approximately $1.0 million in 2018, 
$1.0 million annually through 2021, and approximately $3.1 million in aggregate thereafter. 

9. Goodwill 

The Company completed its annual impairment review as of November 30, 2017 and concluded that no impairment in 
the carrying value exists as of that date with respect to goodwill. Through December 31, 2017, 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: 

Balance, beginning ...............................................................................     $ 
Effect of foreign currency adjustments ................................................       
Balance, ending ....................................................................................     $ 

7,214      $ 
1,004        
8,218      $ 

7,482   
(268 ) 
7,214   

December 31, 

2017 

2016 

60 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
   
  
  
  
  
  
  
  
  
  
  
     
  
 
 
10. Accrued Expenses 

Accrued expenses consist of the following: 

Compensation and related expenses.....................................................     $ 
Facility construction costs ....................................................................       
Research grants ....................................................................................       
Clinical trial costs ................................................................................       
Professional fees ..................................................................................       
Deferred rent ........................................................................................       
Other ....................................................................................................       
Total .................................................................................................     $ 

December 31, 

2017 

2016 

2,893      $ 
-        
419        
2,318        
448        
-        
248        
6,326      $ 

3,089   
804   
463   
227   
802   
231   
880   
6,496   

11. Commitments and Contingencies 

Leasing Arrangements 

On October 9, 2015, our Italian subsidiary, Anika Therapeutics S.r.l. (“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. leases 
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 
commenced on March 1, 2017. 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 $0.3 million. 

Construction of the new facility commenced during the first quarter of 2016. During the period of construction, the 
Company was the deemed owner of the facility. Accordingly, the landlord's costs of constructing the facility were capitalized, as 
a non-cash transaction, offset by a corresponding facility lease obligation in the Company’s consolidated balance sheet. When 
the construction concluded on March 1, 2017, the Company removed the construction-in-process asset of $3.1 million and related 
liability  from  its  consolidated  balance  sheet.  The  Company  commissioned  ZIP  for  additional  tenant  improvements  of  $0.8 
million,  which  are  recorded  within  Other  long-term  assets.  The  lease  is  accounted  for  as  an  operating  lease  based  on  the 
Company’s assessment of the applicable accounting principles.  

Prior to April 2017, Anika S.r.l. leased approximately 28,000 square feet of laboratory, warehouse, and office space in 
Abano Terme, Italy that served as headquarters for Anika S.r.l. On December 29, 2016 Anika S.r.l. notified the landlord of its 
intention to terminate the lease agreement as of March 31, 2017. 

Rental expense in connection with the various facility leases totaled $1.8 million, $1.3 million, and $1.3 million for the 
years ended December 31, 2017, 2016, and 2015, respectively. The increased expense in 2017 is primarily a result of finalizing 
the exercise of our first option under the lease to extend the terms from November 1, 2017 through October 31, 2022, including 
the determination of a new annual base rent for the Company’s headquarters facility in Bedford, Massachusetts. 

61 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
The Company’s future lease commitments as of December 31, 2017 are as follows:  

2018 ....................................................................................................................    $ 
2019 ....................................................................................................................      
2020 ....................................................................................................................      
2021 ....................................................................................................................      
2022 ....................................................................................................................      
2023 and thereafter .............................................................................................      
Total ................................................................................................................    $ 

1,879   
1,880   
1,916   
1,924   
1,673   
1,311   
10,583   

Warranty and Guarantor Arrangements   

In  certain  of  its  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, 2017 or 2016, respectively, and has no history of claims paid. 

Legal Proceedings 

The  Company  is  involved  from  time-to-time  in  various  legal  proceedings  arising  in  the  normal  course  of  business. 
Although  the  outcomes  of  potential  legal  proceedings  are  inherently  difficult  to  predict,  the  Company  does  not  expect  the 
resolution of potential legal proceedings to have a material adverse effect on its financial position, results of operations, or cash 
flow. 

12. Equity Incentive Plan  

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,  RSA’s,  RSU’s,  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. 

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  the  Company’s 
shareholders, each share award issued after June 7, 2011 other than stock options or SAR’s 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 the Company’s shareholders, each share award issued after June 18, 2013 other than stock options or 
SAR’s will reduce the number of total shares available for grant by 1.5 shares. 

62 

  
  
  
  
  
  
  
  
  
   
  
  
 
 
On June 13, 2017, the Company’s shareholders approved the Anika Therapeutics, Inc. 2017 Omnibus Incentive Plan 
(the “2017 Plan”). The 2017 Plan replaced the 2003 Plan, as the plan under which future grants to employees, directors, officers, 
and consultants will be made. The 2017 Plan was originally approved by the Company’s Board of Directors on March 31, 2017. 
The terms of the 2017 Plan provide for the grant of incentive stock options, nonqualified stock options, SAR’s, RSA’s, RSU’s, 
and performance options that may be settled in cash, stock, or other property. In accordance with the 2017 Plan approved by the 
Company’s shareholders, each share award other than stock options or SAR’s will reduce the number of total shares available 
for grant by 2.0 shares. Subject to adjustment for specified types of changes in our capitalization, no more than 1.2 million shares 
of common stock may be issued under the 2017 Plan. There are 1.1 million shares available for future grant at December 31, 
2017. 

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 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 changes 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 during 2017, 2016, and 2015 was estimated on the grant date using the Black-Scholes 

option-pricing model with the following assumptions: 

Risk free interest rate ........................................    
Expected volatility ............................................     38.74% - 44.31% 
Expected life (years) .........................................      
Expected dividend yield ....................................      

4.0 
0.00% 

2017 
1.60% - 1.86% 

2016 
0.94% - 1.55% 
   47.33% - 51.61% 

2015 
1.15% - 1.46% 
   53.15% - 54.65% 

4.5 
0.00% 

4.5 
0.00% 

Stock Options and Restricted Stock 

During the year ended December 31, 2017, a total of 85,109 stock options and 26,306 RSA’s were granted under the 
2017 Plan,  and  a  total  of  407,635  stock  options  were  granted  under  the  2003  Plan. The stock  options  granted  to  employees 
become exercisable or vest ratably over a three-year period. In January 2017, the Company executed its annual grant under the 
2003 Plan of 9,970 RSU’s to non-employee directors; these RSU’s vest over a one-year period.   

63 

  
  
  
  
  
  
  
  
  
  
  
      
      
  
      
      
  
  
  
  
  
 
 
The Company recorded $5.8 million, $3.4 million, and $2.2 million of stock-based compensation expense for the years 
ended December 31, 2017, 2016, and 2015, respectively, for stock options, SAR’s, RSA’s and RSU’s. 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 as follows: 

Cost of product revenue ..................................................     $ 
Research & development ................................................       
Selling, general & administrative ....................................       
Total stock-based compensation expense .......................     $ 

439      $ 
564        
4,804        
5,807      $ 

148      $ 
467        
2,777        
3,392      $ 

42   
269   
1,914   
2,225   

2017 

2016 

2015 

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

December 31, 2017 and 2016, respectively: 

2017 

2016 

   Weighted    
   Average 
   Exercise 

   Weighted 
   Average 
   Exercise 
   Number of    Price Per     Number of    Price Per 
   Shares 

Shares 

Share 

Share 

Options and SAR's outstanding at beginning of 
year ........................................................................      
Granted ................................................................      
Cancelled ............................................................      
Expired ................................................................      
Exercised .............................................................      

979,569     $ 
440,688     $ 
(74,527 )   $ 
(589 )   $ 
(17,941 )   $ 
Options and SAR's outstanding at end of year ........       1,327,200     $ 

26.15        
50.22        
45.56        
32.86        
20.56        
33.70        

762,260     $ 
354,275     $ 
(58,841 )   $ 
(3,310 )   $ 
(74,815 )   $ 
979,569     $ 

18.75   
40.77   
30.05   
11.37   
15.46   
26.15   

All the 1,327,200 stock options and SAR’s outstanding at December 31, 2017 are vested or are expected to vest, with a 
weighted-average exercise price of $33.70 as well as an aggregate intrinsic value of $27.6 million related to these awards. The 
weighted average remaining contractual term of the vested and expected to vest stock options and SAR’s was 7.0 years as of 
December 31, 2017. 

As of December 31, 2017, total unrecognized compensation costs related to non-vested stock options and SAR’s was 

approximately $7.6 million and is expected to be recognized over a weighted average period of 2.1 years. 

The exercisable options and SAR’s at December 31, 2017 are as follows: 

   Outstanding    

Weighted 
Average 
Exercise Price   

Weighted 
Average  
Remaining 
Term 
(in years) 

Incentive stock options ...................................................       
Nonqualified stock options .............................................       
Performance options .......................................................       
SAR's ..............................................................................       

182,472      $ 
374,211      $ 
32,598      $ 
35,250      $ 

14.12        
20.18        
38.79        
6.36        

4.3   
5.3   
7.7   
2.1   

The aggregate intrinsic value of stock options and SAR’s fully vested at December 31, 2017 and 2016 was $22.0 million 
and $16.7 million, respectively. The aggregate intrinsic value of stock options and SAR’s outstanding at December 31, 2017 and 
2016 was $27.6 million and $22.3 million, respectively. 

64 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
The total intrinsic value of stock options and SAR’s exercised was $0.5 million and $2.1 million for the years ended 

December 31, 2017 and 2016, respectively. 

The  total  fair  value  of  stock  options  and  SAR’s  vested  during  the  years  ended  December 31,  2017  and  2016  was 

approximately $2.1 and $1.3 million, respectively. 

The Company received $0.3 million and $1.0 million for exercises of stock options during the years ended December 31, 

2017 and 2016, respectively. 

The RSA and RSU activity for the years ended December 31, 2017 and 2016 is as follows: 

2017 

   Weighted    
   Average 

2016 

   Weighted 
   Average 

Unvested at Beginning of year ................................      
Granted....................................................................      
Cancelled ................................................................      
Expired ....................................................................      
Vested/Released ......................................................      
Unvested at end of year ...........................................      

   Fair Value   

   Number of    Grant Date    Number of    Grant Date 
   Fair Value 
   Shares 
34.29   
38.11   
36.20   
-   
33.35   
36.44   

Shares 
150,384     $ 
87,158     $ 
(4,950 )   $ 
-     $ 
(25,515 )   $ 
207,077     $ 

207,077     $ 
67,567     $ 
-     $ 
-     $ 
(45,418 )   $ 
229,226     $ 

36.44        
52.03        
-        
-        
35.32        
42.47        

The total fair value of RSA’s and RSU’s vested during the years ended December 31, 2017 and 2016 was $2.3 million 

and $1.0 million. 

13. Employee Benefit Plan 

The Company’s 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 140% 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 $0.6 million, $0.6 million, and $0.4 million for the years ended December 31, 
2017, 2016, and 2015, respectively. 

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: 

65 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
(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. Revenue by Product Group, by Significant Customer and by Geographic Location; Geographic Information 

Product revenue by product group is as follows: 

2017 

Years Ended December 31, 
2016 

2015 

   Revenue    
Orthobiologics .........................................    $  93,816       
2,755       
Dermal .....................................................      
5,262       
Surgical ...................................................      
5,950       
Other .......................................................      
  $  107,783       

Percentage 
of Product 
Revenue     Revenue    
87 %   $  89,695       
2,759       
3 %     
5,427       
5 %     
5,051       
5 %     
100 %   $  102,932       

Percentage 
of Product 
Revenue     Revenue    
87 %   $  73,247       
2,266       
3 %     
5,812       
5 %     
6,371       
5 %     
100 %   $  87,696       

Percentage 
of Product 
Revenue 

84 % 
2 % 
7 % 
7 % 
100 % 

Product revenue from our sole significant customer, Mitek, as a percentage of our total product revenue was 73%, 75%, 

and 72% for the years ended December 31, 2017, 2016, and 2015, respectively. 

ORTHOVISC became available for sale in the United States on March 1, 2004, and it is marketed exclusively by Mitek 
under the terms of an initial ten-year licensing, distribution, supply, and marketing agreement entered into in December 2003. 
The agreement was extended by Mitek for additional five-year terms in 2012 and in 2017, with the current agreement to expire 
on December 20, 2023. 

In  December  2011,  the  Company  entered  into  a  fifteen-year  licensing  agreement  with  Mitek  to  exclusively  market 
MONOVISC in the United States. The agreement provides certain milestone payments to the Company when rolling end-user 
sales  of  U.S.  MONOVISC  exceed  certain  target  sales  goals.  For  the  years  ended  December  31,  2017,  2016,  and  2015,  the 
Company recognized milestone revenue of $5.0 million, $0.0 million, and $5.0 million, respectively, as a result of MONOVISC 
achieving end-user sales in 2015 of $50 million within a consecutive 12-month period, and end-user sales in 2017 of $100 million 
within a consecutive 12-month period. Under the terms of the agreement, there are additional milestone revenue that may be 
achieved in future years. 

66 

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

are as follows: 

2017 

Years Ended December 31, 
2016 

2015 

Percentage 
of 

Percentage 
of 

   Total 
   Revenue     Revenue     Revenue     Revenue     Revenue     Revenue 

   Total 

   Total 

Percentage 
of 

Geographic Location: 

United States .......................................    $  92,905       
12,435       
Europe .................................................      
8,080       
Other ...................................................      
Total ................................................    $  113,420       

82 %   $  83,972       
10,953       
11 %     
8,454       
7 %     
100 %   $  103,379       

81 %   $  76,621       
8,756       
11 %     
7,622       
8 %     
100 %   $  92,999       

82 % 
9 % 
9 % 
100 % 

The Company recorded licensing, milestone, and contract revenue of $5.6 million, $0.4 million, and $5.3 million for 
the years ended December 31, 2017, 2016, and 2015, respectively; substantially all was derived in the United States with the 
exception of 2016 which was derived in the Middle East and Latin America. 

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 are as follows: 

   Years Ended December 31, 

2017 

2016 

United States ..............................................    $ 
Italy ............................................................      
Total .......................................................    $ 

52,828     $ 
3,355       
56,183     $ 

49,140   
3,156   
52,296   

16. Income Taxes 

New Tax Legislation 

On December 22, 2017, the President of the United States signed into law the Tax Cuts and Jobs Act (the “2017 Tax 
Act”) tax reform legislation. This legislation makes significant changes to the U.S. tax law, including a reduction in the corporate 
tax rate from the current rate of 35% to 21% starting in 2018. As a result of the enacted law, the Company was required to revalue 
deferred tax assets and liabilities at the future rate. This revaluation resulted in a $2.3 million income tax benefit in continuing 
operations and a corresponding reduction in the deferred tax liability. The other provisions of the 2017 Tax Act did not have a 
material impact on the 2017 consolidated financial statements. 

In accordance with Staff Accounting Bulletin No. 118, which provides guidance on accounting for the tax effects of the 
2017 Tax Act, the  Company  has recorded a reasonable estimate  of the impact on  the consolidated financial  statements. The 
provisional  amounts  incorporate  assumptions  made  based  upon  the  Company’s  current  interpretation  and  implementation 
guidance of the 2017 Tax Act. The Company does not expect a significant adjustment to the recorded amounts. 

67 

  
  
  
  
  
  
  
  
  
  
  
  
    
        
         
        
         
        
    
  
  
  
  
  
  
  
  
  
  
  
  
 
 
Income Tax Expense 

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

of the following: 

Income before income taxes 

Domestic .....................................................................     $ 
Foreign ........................................................................       
   $ 

48,446      $ 
(2,244 )      
46,202      $ 

50,181      $ 
689        
50,870      $ 

48,608   
(354 ) 
48,254   

Years ended December 31, 
2016 

2015 

2017 

Provision for (benefit from) income taxes: 
Current provision: 

Federal ........................................................................     $ 
State ............................................................................       
Foreign ........................................................................       

Deferred provision: 

Federal ........................................................................       
State ............................................................................       
Foreign ........................................................................       

Total provision ............................................................     $ 

Years ended December 31, 
2016 

2015 

2017 

12,608      $ 
2,737        
31        
15,376        

(426 )      
(68 )      
(496 )      
(990 )      
14,386      $ 

14,982      $ 
3,265        
302        
18,549        

(70 )      
(84 )      
(72 )      
(226 )      
18,323      $ 

14,572   
3,635   
249   
18,456   

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

Deferred Tax Assets and Liabilities 

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

December 31, 

2017 

2016 

Deferred tax assets: 

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

959      $ 
2,309        
265        
496        
740        
4,769      $ 

1,253   
1,882   
677   
308   
640   
4,760   

December 31, 

2017 

2016 

Deferred tax liabilities: 

Acquisition-related Intangibles ..................................................    $ 
Depreciation ...............................................................................      
Deferred tax liabilities ................................................................    $ 

(2,743 )    $ 
(7,419 )      
(10,162 )    $ 

(2,932 ) 
(8,376 ) 
(11,308 ) 

Net deferred tax liabilities .............................................................     $ 

(5,393 )    $ 

(6,548 ) 

68 

  
  
  
  
  
  
  
  
     
         
         
    
  
  
  
  
  
  
  
  
     
         
         
    
     
         
         
    
  
     
     
         
         
    
  
     
  
  
  
  
  
  
  
  
     
         
    
  
  
  
  
  
  
     
         
    
  
     
         
    
  
 
 
Tax Rate 

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

Statutory federal income tax rate ...........................................      
State tax expense, net of federal benefit .................................      
Impact of rate change on deferred taxes .................................      
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, 
2016 
35.0 % 
4.5 % 
0.0 % 
0.5 % 
(0.1 %) 
(0.9 %) 
(0.1 %) 
(2.9 %) 
36.0 % 

2017 
35.0 % 
4.8 % 
(4.9 %) 
0.6 % 
(0.7 %) 
(1.4 %) 
0.5 % 
(2.8 %) 
31.1 % 

2015 
35.0 % 
4.8 % 
0.0 % 
(0.3 %) 
0.0 % 
(0.4 %) 
0.1 % 
(2.9 %) 
36.3 % 

As of December 31, 2017, the Company had NOL’s for income tax purposes in Italy of $4.0 million that do not expire. 

Accounting for Uncertainty in Income Taxes 

The Company had no unrecognized tax benefits for the years ended December 31, 2017 and 2016, respectively.  The 
Company  does  not  anticipate  experiencing  any  significant  increases  or  decreases  in  its  unrecognized  tax  benefits  within  the 
twelve months following December 31, 2017. 

In the normal course of business, Anika and its subsidiaries may be periodically examined by various taxing authorities. 
We file income tax returns in the U.S. federal jurisdiction, in certain U.S. states, and in Italy. The associated tax filings remain 
subject to examination by applicable tax authorities for a certain length of time following the tax year to which those filings 
relate. The 2014 through 2016 tax years remain subject to examination by the IRS and other taxing authorities for U.S. federal 
and  state  tax  purposes.  The  2011  through  2016  tax  years  remain  subject  to  examination  by  the  appropriate  governmental 
authorities for Italy. 

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.  With  the  adoption  of  ASU  2016-09  in  2017,  the  Company  records  windfall  tax 
benefits to income tax expense. Prior to the adoption of ASU 2016-09, such benefits were tracked in a “windfall tax benefit pool” 
as  part  of  additional  paid-in  capital.  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 windfall 
tax benefit in income tax expense of $0.4 million in 2017. The amount of excess tax benefits previously recognized through 
additional paid-in capital was $0.6 million and $0.9 million in 2016 and 2015, respectively. 

17. Revolving Credit Agreement 

On October 24, 2017, the Company, as borrower, entered into a new five-year agreement with Bank of America, N.A., 
as administrative agent, swingline lender and issuer of letters of credit, for a $50.0 million senior revolving line of credit (the 
“Credit Agreement”). Subject to certain conditions, the Company may request up to an additional $50.0 million in commitments 
for a maximum aggregate commitment of $100.0 million, which requests must be approved by the Revolving Lenders (as defined 
in the Credit Agreement). Loans under the Credit Agreement generally bear interest equal to, at the Company’s option, either: 
(i) LIBOR plus the Applicable Margin, as defined below, or the (ii) Base Rate, defined as the highest of: (a) the Federal Funds 
Rate  plus  0.50%,  (b) Bank  of  America,  N.A.’s  prime  rate  and  (c)  the  one  month  LIBOR  adjusted  daily  plus  1.0%,  plus  the 
Applicable Margin. The Applicable Margin ranges from 0.25% to 1.75% based on the Company’s consolidated leverage ratios 
at the time of the borrowings under the Credit Agreement. The Company has agreed to pay a commitment fee in an amount that 
is equal to 0.25% per annum on the actual daily unused amount of the credit facility and that is due and payable quarterly in 
arrears. Loan origination costs are included in Other  long-term assets and are being amortized over the five-year term of the 
Credit Agreement. As of December 31, 2017, there are no outstanding borrowings under the Credit Agreement and the Company 
is in compliance with the terms of the Credit Agreement. 

69 

  
  
  
  
  
  
  
  
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
  
  
  
  
  
  
  
  
 
 
The Credit Agreement contains customary representations, warranties, affirmative and negative covenants, including 
financial covenants, events of default and indemnification provisions in favor of the Lenders (as defined in the Credit Agreement). 
The covenants include restrictions governing the Company’s leverage ratio and interest coverage ratio, its incurrence of liens and 
indebtedness, and its entry into certain merger and acquisition transactions or dispositions and other matters, all subject to certain 
exceptions. The financial covenants require the Company not to exceed certain maximum leverage and interest coverage ratios. 
The Lenders have been granted a first priority lien and security interest in substantially all of the Company’s assets, except for 
certain intangible assets. 

18. Quarterly Financial Data (Unaudited) 

Year 2017 
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 ..............................      

  Quarter ended   Quarter ended   Quarter ended   Quarter ended 
   December 31     September 30   

   March 31 

June 30 

28,884     $ 
29,388       
8,716       
20,168       
8,067     $ 

0.55     $ 
14,596       
0.53     $ 
15,141       

27,178     $ 
27,184       
6,250       
20,928       
6,887     $ 

0.47     $ 
14,579       
0.46     $ 
15,115       

28,340     $ 
33,462       
6,315       
22,025       
11,369     $ 

0.78     $ 
14,588       
0.76     $ 
15,044       

23,381   
23,386   
6,083   
17,298   
5,493   

0.38   
14,576   
0.37   
15,043   

  Quarter ended   Quarter ended   Quarter ended   Quarter ended 
   December 31     September 30   

   March 31 

June 30 

28,296     $ 
28,726       
7,539       
20,757       
8,085     $ 

0.56     $ 
14,538       
0.54     $ 
14,979       

25,783     $ 
25,789       
4,998       
20,785       
8,952     $ 

0.61     $ 
14,625       
0.59     $ 
15,077       

26,575     $ 
26,581       
6,065       
20,510       
8,615     $ 

0.59     $ 
14,679       
0.57     $ 
15,111       

22,278   
22,283   
5,425   
16,853   
6,895   

0.46   
14,875   
0.45   
15,307   

Year 2016 
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 ..............................      

70 

  
  
  
    
        
        
        
    
  
  
    
        
        
        
    
  
  
 
 
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, 2017 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  SEC  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 2017 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 in the United States. 

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, 2017. In 
making this assessment, management used the criteria set forth by the Committee of Sponsoring Organizations of the Treadway 
Commission in its 2013 Internal Control—Integrated Framework. 

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

control over financial reporting as of December 31, 2017. 

The effectiveness of our internal control over financial reporting as of December 31, 2017 has been audited by Deloitte 
& Touche LLP an independent registered public accounting firm, as stated in their report which is included below in this Item 9A 
of this annual report on Form 10-K. 

71 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM 

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

Opinion on Internal Control over Financial Reporting  

We have audited the internal control over financial reporting of Anika Therapeutics, Inc. and subsidiaries (the “Company”) as of 
December 31, 2017, based on criteria established in Internal Control — Integrated Framework (2013) issued by the Committee 
of Sponsoring Organizations of the Treadway Commission (COSO). In our opinion, the Company maintained, in all material 
respects, effective internal control over financial reporting as of December 31, 2017, based on criteria established in Internal 
Control — Integrated Framework (2013) issued by COSO. 

We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) 
(PCAOB), the consolidated financial statements as of and for the year ended December 31, 2017, of the Company and our report 
dated February 26, 2018, expressed an unqualified opinion on those financial statements. 

Basis for Opinion  

The  Company’s  management  is  responsible  for  maintaining  effective  internal  control  over  financial  reporting  and  for  its 
assessment of the effectiveness of internal control over financial reporting, included in the accompanying Management's Annual 
Report on Internal Control over Financial Reporting. Our responsibility is to express an opinion on the Company’s internal 
control over financial reporting based on our audit. We are a public accounting firm registered with the PCAOB and are required 
to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and 
regulations of the Securities and Exchange Commission and the PCAOB. 

We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the 
audit  to  obtain  reasonable  assurance  about  whether  effective  internal  control  over  financial  reporting  was  maintained  in  all 
material respects. Our audit included obtaining an understanding of internal control over financial reporting, assessing the  risk 
that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the 
assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit 
provides a reasonable basis for our opinion. 

Definition and Limitations of Internal Control over Financial Reporting 

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 
(1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions 
of the assets of the company; (2) 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 (3) 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/ Deloitte & Touche LLP 

Boston, Massachusetts 
February 26, 2018 

72 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
ITEM 9B. OTHER INFORMATION 

None. 

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, 2017. 

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, 2017. 

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, 2017. 

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, 2017. 

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, 2017. 

73 

  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
ITEM 15. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES 

PART IV 

(a)

Documents filed as part of Form 10-K.

(1)

Financial Statements

45 
Reports of Independent Registered Public Accounting Firms ................................................................................. 
47 
Consolidated Balance Sheets ................................................................................................................................... 
48 
Consolidated Statements of Operations and Comprehensive Income ...................................................................... 
49 
Consolidated Statements of Stockholder’s Equity ................................................................................................... 
Consolidated Statements of Cash Flows .................................................................................................................. 
50 
Notes to Consolidated Financial Statements ............................................................................................................ 51 - 71 

(2)

Schedules

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. 

Exhibit 
Number 

Description 

3.1a 
3.1b 
3.1c 

3.1d 
3.1e 

3.1f 
3.1g 
3.1h 
3.2 
4.1 

10.1 

10.1a 

10.2 

10.2a 

10.2b 

10.2c 

10.2c 

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) 
(d)  Articles of Amendment (January 9, 1997)
(e)  Certificate of Vote of Directors Establishing a Series of a Class of Stock (April 7, 
1998) 
(f)  Articles of Amendment (June 3, 1998)
(g)  Articles of Amendment (April 4, 2008)
(h)  Articles of Amendment (June 8, 2016)
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
Amendment No. 1 to Lease, dated February 1, 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
Amendment No. 1 to Lease Agreement, dated June 18, 2010, between Fidia Farmaceutici
S.p.A. and Anika Therapeutics S.r.l. (formerly Fidia Advanced Biopolymers S.r.l.) relating 
to Via Ponte Della Fabbrica 3/A and 3/B Abano Terme, Padua, Italy 
Amendment No. 2 to Lease Agreement, dated September 20, 2010, between Fidia
Farmaceutici S.p.A. and Anika Therapeutics S.r.l. (formerly Fidia Advanced Biopolymers 
S.r.l.) relating to Via Ponte Della Fabbrica 3/A and 3/B Abano Terme, Padua, Italy
Translation of Amendment No. 3 to Lease Agreement, dated April 16, 2012, between 
Fidia Farmaceutici S.p.A. and Anika Therapeutics S.r.l. (formerly Fidia Advanced 
Biopolymers S.r.l.) relating to Via Ponte Della Fabbrica 3/A and 3/B Abano Terme, 
Padua, Italy 
Translation of Amendment No. 3 to Lease Agreement, dated April 16, 2012, between 
Fidia Farmaceutici S.p.A. and Anika Therapeutics S.r.l. (formerly Fidia Advanced 
Biopolymers S.r.l.) relating to Via Ponte Della Fabbrica 3/A and 3/B Abano Terme, 
Padua, Italy 

74 

Filed 
with 
this 
Form 
10-K     Form 

Incorporated by Reference 

Filing Date  
with SEC 

Exhibit 
Number 

 March 13, 2015 
10-K 
 March 13, 2015 
10-K 
10-K  March 13, 2015 

10-QSB   January 14, 1997 
10-K  March 13, 2015 

10-QSB   August 14, 1998
10-K 
10-Q 
10-Q 
8-A12B  April 7, 2008 

 March 9, 2009 
 August 1, 2016 
 August 14, 2002 

 3.1a 
 3.1b 
3.1c 

 3.1 
3.1e 

 3.1 
 3.7 
 3.1h 
 3.6 
4.1 

8-K 

January 10, 2007 

10.1 

10-K 

February 24, 2017  

10.a

8-K 

January 6, 2010 

10.2 

10-Q  May 3, 2016 

10.2 

10-Q  May 3, 2016 

10.3 

10-Q  May 3, 2016 

10.4 

10-Q  May 3, 2016 

10.4 

 
Exhibit  
Number    

Description 

   Filed    
with 
this  
Form 
10-K     Form   

Incorporated by Reference 

Filing Date   
with SEC 

Exhibit  
Number 

10.2d 

10.3 

10.3a 

10.4a 

10.4b 

10.5 

10.6 

10.6a 

10.7 

*10.8 

*10.9 

Translation of Amendment No. 4 to Lease Agreement, dated February 22, 2016, between 
Fidia Farmaceutici S.p.A. and Anika Therapeutics S.r.l. (formerly 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 
Translation of Amendment No. 1 to Lease Agreement, dated February 2, 2017, 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 October 24, 2017, among Anika Therapeutics, Inc., 
certain subsidiaries of Anika Therapeutics, Inc. as are or may from time to time become 
parties to the Credit Agreement, Bank of America, N.A., as administrative agent, 
swingline lender and issuer of letters of credit, and the lenders party thereto. 
(b) Security and Pledge Agreement, dated as of October 24, 2017, among Anika 
Therapeutics, Inc., certain subsidiaries of Anika Therapeutics, Inc. listed on the signature 
pages thereto, and Bank of America, N.A., as administrative agent. 
Sale and Purchase Agreement, dated December 30, 2009, by and between Fidia 
Farmaceutici S.p.A. and Anika Therapeutics, Inc. 
Tolling Agreement, dated December 30, 2009, between Fidia Farmaceutici S.p.A. and 
Fidia Advanced Biopolymers S.r.l. 
Amendment No. 1 to Tolling Agreement, dated January 1, 2012, between Fidia 
Farmaceutici S.p.A. and Anika Therapeutics S.r.l. (formerly 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 20, 2003, by and between Anika Therapeutics, 
Inc. and Ortho Biotech Products, L.P. 
License Agreement, dated as of December 21, 2011, by and between Anika Therapeutics, 
Inc. and DePuy Mitek, Inc. 

   2003 Stock Option and Incentive Plan: 

†10.10a 

†10.10b 

(a)   Second Amended and Restated 2003 Stock Option and Incentive Plan (adopted April 
5, 2011) 
(b)   Amendment to Second Amended and Restated 2003 Stock Option and Incentive Plan 
(adopted April 11, 2013) 

10-Q 

May 3, 2016 

10.5 

8-K 

October 14, 2015 

10.1 

10-K 

February 24, 2017  

 10.3a 

10-Q 

October 27, 2017 

10.1 

10-Q 

October 27, 2017 

10.2 

8-K 

January 6, 2010 

2.1 

8-K 

January 6, 2010 

10.3 

10-K 

February 24, 2017  

10.6a  

8-K 

January 6, 2010 

10.1 

10-K 

March 30, 2004 

10.38 

8-K 

December 22, 2011 

10.1 

8-K 

June 10, 2011 

8-K 

June 21, 2013 

10.1 

10.1 

75 

  
    
  
  
  
    
  
  
    
    
    
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
    
    
    
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
    
    
    
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
Exhibit  
Number    

Description 

   Filed    
with 
this  
Form 
10-K     Form   

Incorporated by Reference 

Filing Date   
with SEC 

Exhibit  
Number 

†10.10c 
†10.10d 
†10.10e 
†10.10f 

   (c)   Form of Incentive Stock Option Agreement  
   (d)   Form of Non-Qualified Stock Option Agreement for Non-Employee Directors 
   (e)   Form of Performance Share Award Agreement 
   (f)   Form of Restricted Deferred Stock Unit Award Agreement for Non-Employee 

Directors 

†10.10g 
†10.10h 
†10.10i 
†10.11 
†10.12 
†10.13a 

†10.13b 

†10.14a 

†10.14b 

†10.15a 

†10.15b 

†10.16 

†10.17a 

†10.17b 

†10.18 

†10.19 

†10.20 

10.21 

10.22 

10.23 

†10.24a 
†10.24b 

   (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 
   Anika Therapeutics, Inc. Senior Executive Incentive Compensation Plan 
   Anika Therapeutics, Inc. Non-Employee Director Compensation Policy 

Employment Agreement, dated March 22, 2010, between Anika Therapeutics, Inc. and 
Sylvia Cheung 
Amendment No. 1 to the Employment Agreement, dated December 8, 2010, by and 
between Anika Therapeutics, Inc. and Sylvia Cheung 
Employment Agreement, dated September 10, 2009, between Anika Therapeutics, Inc. 
and Frank J. Luppino 
Amendment No. 1 to Employment Agreement, dated December 1, 2010, by and between 
Anika Therapeutics, Inc. and Frank J. Luppino 
Employment Agreement, dated September 10, 2009, between Anika Therapeutics, Inc. 
and William J. Mrachek 
Amendment No. 1 to Employment Agreement, dated December 1, 2010, by and between 
Anika Therapeutics, Inc. and William J. Mrachek 
Employment Agreement, dated October 17, 2008, between Anika Therapeutics, Inc. and 
Kevin Quinlan 
Employment Agreement, dated October 17, 2008, between Anika Therapeutics, Inc. and 
Charles H. Sherwood, Ph.D. 
Amendment No. 1 to Employment Agreement, dated December 8, 2010, by and between 
Anika Therapeutics, Inc. and Charles H. Sherwood, Ph.D. 
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 
Fixed Dollar Accelerated Share Repurchase Transaction Confirmation entered into as of 
February 26, 2016 by and between Morgan Stanley & Co. LLC and Anika Therapeutics, 
Inc. 
Negotiated Settlement Agreement and General Release, dated July 13, 2017, by and 
between Stephen Masciolo, M.D., MPH and Anika Therapeutic, Inc. 
Employment Agreement, dated July 27, 2017, by and between Anika Therapeutics, Inc. 
and Joseph Darling 

   2017 Stock Option and Incentive Plan: 
   (a)   Anika Therapeutics, Inc. 2017 Omnibus Incentive Plan 

(b)   Form of Notice of Grant of Incentive Stock Option, including Terms and Conditions of 
Stock Option, granted under Anika Therapeutics, Inc. 2017 Omnibus Incentive Plan. 

  8-K 
  8-K 
  8-K 
10-K 

  10-K 
  10-Q 
  10-Q 
  8-K 
  10-K 
10-K 

  October 5, 2004 
  October 5, 2004 
  February 6, 2008 
March 9, 2009 

  March 12, 2008 
  May 9, 2006 
  May 9, 2006 
  February 6, 2008 
  March 12, 2008 
May 5, 2014 

  10.3 
  10.4 
  10.3 
10.25 

  10.27 
  10.1 
  10.2 
  10.2 
  10.28 
10.42 

10-K 

May 5, 2014 

10.43 

8-K 

September 14, 2009 

10.1 

10-K 

March 16, 2011 

10.35 

8-K 

September 14, 2009 

10.2 

10-K 

March 16, 2011 

10.36 

8-K 

October 22, 2008 

10.2 

8-K 

October 22, 2008 

10.1 

10-K 

March 16, 2011 

10.33 

10-K 

March 13, 2015 

10.16 

10-K 

March 13, 2015 

10.17 

8-K 

December 9, 2015 

10.1 

10-Q 

May 3, 2016 

10.1 

8-K 

July 14, 2017 

8-K 

July 27, 2017 

10.1 

10.1 

  8-K 
8-K 

  June 19, 2017 
June 19, 2017 

  99.1 
99.2 

†10.24c 

(c)   Form of Notice of Grant of Nonqualified Stock Option, including Terms and 

8-K 

June 19, 2017 

99.3 

Conditions of Stock Option, granted under Anika Therapeutics, Inc. 2017 Omnibus 
Incentive Plan 

†10.24d 

(d)   Form of Notice of Grant of Restricted Stock Award, including Terms and Conditions 

8-K 

June 19, 2017 

99.4 

of Restricted Stock Award, granted under Anika Therapeutics, Inc. 2017 Omnibus 
Incentive Plan. 

†10.24e 

(e)   Form of Notice of Grant of Restricted Stock Units, including Terms and Conditions 

8-K 

June 19, 2017 

99.5 

of Restricted Stock Units, granted under Anika Therapeutics, Inc. 2017 Omnibus 
Incentive Plan. 

76 

  
    
  
  
  
    
  
  
    
    
    
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
  
  
    
    
    
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
  
 
 
Exhibit  
Number    

Description 

   Filed    
with 
this  
Form 
10-K     Form   

Incorporated by Reference 

Filing Date   
with SEC 

Exhibit  
Number 

21.1 
23.1 
23.2 
31.1 

31.2 

**32.1 

***101 

  List of Subsidiaries of Anika Therapeutics, Inc. 
  Consent of Deloitte & Touche LLP  
  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, 2017, formatted in 
xBRL:  (i) Consolidated Balance Sheets as of December 31, 2017 and December 
31, 2016; (ii) Consolidated Statements of Operations for the Years Ended 
December 31, 2017, December 31, 2016, and December 31, 2015; (iii) 
Consolidated Statements of Stockholders’ Equity for the Years Ended 
December 31, 2017, December 31, 2016, and December 31, 2015; (iv) 
Consolidated Statements of Cash Flows for the Years Ended December 31, 
2017, December 31, 2016, and December 31, 2015; and (v) Notes to 
Consolidated Financial Statements 

   X 
   X 
   X 
X 

X 

X 

X 

† 
* 

** 

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 Exchange 
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. 

ITEM 16. 10-K SUMMARY 

None.  

77 

  
    
  
  
  
    
  
  
    
    
    
    
    
    
    
    
    
    
    
    
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
SIGNATURES 

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, as amended, the registrant 

has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. 

Date: February 26, 2018 

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

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

ANIKA THERAPEUTICS, INC. 

SIGNATURES 

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following 

persons on behalf of the registrant and in the capacities and on the dates indicated. 

Signature 

Title 

Date 

/s/ CHARLES H. SHERWOOD, PH.D.   Chief Executive Officer, Director 
Charles H. Sherwood, Ph.D. 

  (Principal Executive Officer) 

   February 26, 2018 

/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, Ph.D. 

/s/ JEFFERY S. THOMPSON 
Jeffery S. Thompson 

/s/ STEVEN E. WHEELER 
Steven E. Wheeler 

  Chief Financial Officer 
  (Principal Accounting Officer and Principal Financial Officer)    February 26, 2018 

   February 26, 2018 

   February 26, 2018 

   February 26, 2018 

   February 26, 2018 

   February 26, 2018 

  Director 

  Director 

  Director 

  Director 

  Director 

78 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
    
  
  
  
  
  
    
  
  
  
  
  
    
  
  
  
  
    
  
    
  
  
  
  
    
  
    
  
  
  
  
    
  
    
  
  
  
  
    
  
    
  
  
  
  
    
  
  
Anika Therapeutics, Inc. 

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