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Anika Therapeutics, Inc. (ANIK) Q3 2025 Earnings Summary

Executive Summary

  • Q3 2025 revenue was $27.8M, down 6% YoY, with Commercial Channel up 22% offsetting OEM’s 20% decline; gross margin improved sequentially to 56% but fell 10 pts YoY on lower J&J OA pricing .
  • Adjusted diluted EPS was $0.04 vs Wall Street consensus of $0.02 (beat); revenue was essentially in line at $27.8M vs $27.8M consensus; management reaffirmed FY25 channel revenue and adjusted EBITDA % guidance . Estimates values retrieved from S&P Global.*
  • Integrity’s momentum continued (sixth consecutive quarter of growth) with roughly 500 procedures and nearly 300 surgeon users; J&J MedTech extended Monovisc license and supply agreement through December 2031, supporting OEM visibility .
  • Regulatory catalysts advanced: final Hyalofast PMA module filed with statistically significant secondary endpoints; Cingal U.S. NDA path progressed (toxicity study completed, bioequivalence study screening underway) .

What Went Well and What Went Wrong

What Went Well

  • Commercial Channel strength: +22% YoY, driven by Integrity (+25% Regenerative Solutions) and double-digit international OA Pain growth; “Integrity…keeps us on track to more than double procedures and revenue in 2025 compared to 2024” — Cheryl Blanchard .
  • Operating discipline: SG&A -12% YoY; total OpEx -3%; adjusted EBITDA positive at $0.9M; operating cash flow $6.9M .
  • Strategic/regulatory progress: Hyalofast PMA final module filed; FastTRACK data showed statistically significant improvements in KOOS Sports, QoL and Total KOOS; Cingal surpassed 1M injections OUS since 2016 and progressed toward NDA .

What Went Wrong

  • OEM Channel headwinds: revenue -20% YoY; pricing pressure in U.S. OA (Monovisc price -17% YTD despite unit +11%); Orthovisc also pressured; gross margin -10 pts YoY largely from lower J&J pricing .
  • Production yield issues’ “hangover”: sequential margin recovery, but lingering backlog for some OUS distributors; normalization expected by year-end .
  • Hyalofast primary endpoints: FastTRACK did not meet pre-specified co-primary endpoints under original framework, necessitating post-hoc analyses (observed data, responder analysis) to demonstrate significance in KOOS Pain and support PMA .

Financial Results

Headline Metrics (continuing operations)

MetricQ1 2025Q2 2025Q3 2025
Revenue ($USD Millions)$26.168 $28.219 $27.817
Gross Margin %56% 51% 56%
GAAP Diluted EPS (Continuing Ops) ($)-$0.28 -$0.33 -$0.22
Adjusted Diluted EPS ($)-$0.06 -$0.13 $0.04
Operating Expenses ($USD Millions)$19.0 $18.5 $18.817
Adjusted EBITDA ($USD Millions)$0.127 -$0.188 $0.865
Cash from Operations ($USD Millions)-$0.1 -$0.2 $6.9
Cash Balance ($USD Millions)$53.4 $53.2 $58.0

Segment Revenue

MetricQ1 2025Q2 2025Q3 2025
OEM Channel ($USD Millions)$14.909 $16.340 $15.844
Commercial Channel ($USD Millions)$11.259 $11.879 $11.973
Total Revenue ($USD Millions)$26.168 $28.219 $27.817

Q3 2025 vs Estimates

MetricConsensus EstimateActualSurprise
Revenue ($USD Millions)$27.800*$27.817 In line ( +$0.017M )
EPS (Adjusted Diluted) ($)$0.02*$0.04 Beat (+$0.02)

Values retrieved from S&P Global.*

KPIs and Operating Drivers

KPIQ1 2025Q2 2025Q3 2025
Integrity procedures (approx.)>300 ~500
Integrity surgeon users (approx.)~300; >60% multi-case users
Int’l OA Pain Mgmt growth (YoY)+13% -10% YoY; +5% seq. +21% YoY
Cingal cumulative injections (OUS)>1,000,000 since 2016

Guidance Changes

MetricPeriodPrevious GuidanceCurrent GuidanceChange
Commercial Channel RevenueFY 2025$47–$49.5M $47–$49.5M Maintained
OEM Channel RevenueFY 2025$62–$65M $62–$65M Maintained
Adjusted EBITDA (% of Revenue)FY 2025-3% to +3% +3% to -3% Maintained (range wording)
Share RepurchaseThrough Jun 2026Prior $15M program completed Mar 2025 New $15M 10b5-1 program commencing Raised (new authorization)
Long-term Commercial GrowthFY 2026–2027+10% to +20% updated for Hyalofast timing Reaffirmed long-term outlook (no change) Maintained (qualitative reaffirm)

Earnings Call Themes & Trends

TopicPrevious Mentions (Q2 & Q1)Current Period (Q3)Trend
Integrity adoption & expansionFDA 510(k) for larger SKUs; on pace to double in 2025 ; >300 surgeries, prospective study enrollment underway ~500 procedures; ~300 surgeons; >60% repeat users; limited release of larger shapes (Achilles, knee/hip) Strengthening adoption; SKU expansion catalyzing growth
OEM pricing dynamics (J&J)Pricing rebound in Q2 expected to be yearly high; more pronounced decline H2; normalization into 2026 Monovisc units +11% YTD, price -17%; Orthovisc pressured; J&J renewed Monovisc term to 2031 Unit growth offsets price; stabilization expected into 2026
Gross margin trajectory51% in Q2 including ~$3.0M reserves; recovery expected H2 56% in Q3; CFO targets 55–60% normalized, subject to J&J pricing Sequential recovery; pricing-dependent ceiling
Hyalofast PMA & FastTRACK outcomesTopline: primary endpoints not met; secondary endpoints significant; PMA final module planned H2’25 Final PMA module filed; observed data and responder analyses show KOOS Pain significance; secondary endpoints significant Regulatory momentum despite primary endpoints
Cingal U.S. NDA pathType-C feedback cleared BE design; materials secured; studies are final requirements First toxicity study completed; BE study screening started; timeline update next call Advancing toward NDA; timeline clarity pending
Production/yield issuesResolved by June; replenishing distributor inventories Residual backlog being cleared; normalization by year-end Improving operations; capacity expansion underway

Management Commentary

  • “Commercial Channel revenue increased 22%…Regenerative Solutions revenue increasing 25%…J&J MedTech has exercised its option to continue our license and supply agreement for Monovisc for another 5-year term through December 2031.” — Cheryl Blanchard .
  • “Integrity procedures…outpace the U.S. soft tissue augmentation market…on pace to more than double procedures and revenue in 2025.” — Press release .
  • “Third quarter gross margin was 56%…year-over-year decline primarily driven by a $3.2M reduction in Monovisc and Orthovisc sales to J&J, largely due to lower pricing.” — Steve Griffin .
  • “We submitted the third and final module of our PMA to the FDA…statistically significant improvements in KOOS sports, QoL, and Total KOOS…observed data analysis achieved significance for KOOS pain.” — Cheryl Blanchard .
  • “We are commencing a second $15 million share repurchase…expected to complete by June of 2026.” — Steve Griffin .

Q&A Highlights

  • Integrity growth strategy: Balanced focus on expanding surgeon base and deepening utilization with training/education; larger SKUs to drive tendon applications (hip/knee/foot/ankle) .
  • Cingal timeline: BE study to start by year-end; toxicity study in Q1; fuller timeline next call; all on track .
  • Capital allocation: Priority order — internal investment (Integrity/Hyalofast), capacity CapEx in Bedford, then repurchases; M&A not near-term .
  • Production issues: Residual “hangover” from yield disruptions, capacity catch-up underway; minimal U.S. impact; healthy by year-end .
  • Gross margin outlook: Normalized 55–60% depending on J&J pricing volatility; Q4 expected modestly higher than Q3 .

Estimates Context

  • Q3 results vs consensus: Revenue $27.8M* actual $27.817M (in line); EPS $0.02* vs adjusted diluted $0.04 (beat). Values retrieved from S&P Global.*
  • Forward quarter (Q4 2025) consensus: Revenue $28.875M*; EPS $0.02*. Values retrieved from S&P Global.*
  • Note: Consensus “EBITDA” reflects SPGI standard definition (Q3 estimate ~$0.685M* vs actual -$1.83M*), while company reports Adjusted EBITDA of $0.865M; differences are due to non-GAAP adjustments (stock-based comp, non-recurring fees) and SPGI standardization . Values retrieved from S&P Global.*

Key Takeaways for Investors

  • Commercial Channel momentum (Integrity, Hyalofast OUS, Int’l OA Pain) is offsetting OEM pricing pressure; mix shift and cost discipline are stabilizing profitability and cash flow .
  • Q3 printed an EPS beat vs consensus and sequential margin recovery; near-term stock reaction likely hinges on OEM pricing stabilization signals and execution on Integrity SKUs .
  • OEM visibility improved with J&J’s Monovisc extension through 2031; unit growth +11% YTD suggests price pressure may be partly offset by volume into 2026 .
  • Hyalofast PMA filing and meaningful secondary endpoints create a regulatory catalyst; FDA’s view of post-hoc analyses and responder results will be critical to U.S. approval odds .
  • Cingal NDA path advancing (toxicity done, BE screening started); timeline update next quarter is a key watch item; OUS traction (>1M injections) underscores product value .
  • Operational normalization and capacity expansions aim to support demand and margin; CFO frames normalized GM at 55–60% subject to J&J pricing dynamics .
  • Capital returns continue with new $15M 10b5-1 through June 2026, supported by $58M cash and no debt; preserves flexibility for pipeline and capacity investments .

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