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Anika Therapeutics, Inc.

For the period ended Sep 30, 2026. Filed Nov 6, 2026.

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A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.

Sep 30, 2026 · Filed Nov 6, 2026

ANIK$14.57+0.1%Stored close · as of Nov 9, 2026

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Notes to Condensed 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 leader in the design, development, manufacturing and commercialization of hyaluronic acid (HA) innovations. In partnership with clinicians, the Company’s primary focus is dedicated to delivering and advancing osteoarthritis (OA) pain management and orthopedic regenerative solutions.

In early 2020, the Company expanded its overall technology platform through its acquisitions of Parcus Medical, LLC (“Parcus Medical”), a sports medicine implant and instrumentation company, and Arthrosurface Incorporated (“Arthrosurface”), a company specializing in less invasive, bone preserving partial and total joint replacement solutions. These acquisitions broadened the Company's product portfolio, developed over its 30 years of expertise in HA technology, into joint preservation and restoration, increased its commercial capabilities, diversified its revenue base, and expanded its research and development product pipeline.

In October 2024, the Company announced a strategic shift to focus on its OA pain management and regenerative solutions businesses. This strategic decision resulted in the sale of Arthrosurface on October 31, 2024, and the sale of Parcus Medical on March 7, 2025.

The Company is subject to risks common to companies in the life sciences industry 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.Basis of Presentation

The accompanying unaudited condensed consolidated financial statements and related notes have been prepared by the Company pursuant to the rules and regulations of the Securities and Exchange Commission (the “SEC”) and in accordance with accounting principles generally accepted in the United States (“U.S. GAAP”). The financial statements include the accounts of Anika Therapeutics, Inc. and its subsidiaries. Inter-company transactions and balances have been eliminated. Certain information and footnote disclosures normally included in annual financial statements prepared in accordance with U.S. GAAP have been omitted pursuant to SEC rules and regulations relating to interim financial statements. The December 31, 2025, balances reported herein were derived from the audited consolidated financial statements. In the opinion of management, these unaudited condensed consolidated financial statements contain all adjustments (consisting only of normal recurring adjustments) necessary to fairly state the condensed consolidated financial statements.

The accompanying unaudited condensed consolidated financial statements and related notes should be read in conjunction with the Company’s annual financial statements filed with its Annual Report on Form 10-K for the year ended December 31, 2025. The results of operations for the three and nine-month periods ended September 30, 2026, are not indicative of the results to be expected for the year ending December 31, 2026.

Recent Accounting Pronouncements

In November 2024, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2024-03,Income Statement - Reporting Comprehensive Income - Expense Disaggregation Disclosures (Subtopic 220-40):Disaggregation of Income Statement Expenses (“ASU 2024-03”), and in January 2025, the FASB issued ASU No. 2025-01,Income Statement - Reporting Comprehensive Income - Expense Disaggregation Disclosures (Subtopic 220-40): Clarifying the Effective Date (“ASU 2025-01”). ASU 2024-03 requires additional disclosure of the nature of expenses included in the income statement as well as disclosures about specific types of expenses included in the expense captions presented in the income statement. ASU 2024-03, as clarified by ASU 2025-01, is effective for public companies for annual periods beginning after December 15, 2026, and interim reporting periods beginning after December 15, 2027. Early adoption is permitted. The Company is evaluating the impact of ASU 2024-03 on its disclosures in future years as a result of the adoption of ASU 2024-03.

In December 2025, the FASB issued ASU 2025‑11 — Interim Reporting (Topic 270): Narrow‑Scope Improvements to clarify and reorganize the U.S. GAAP guidance on interim financial reporting consistent with Accounting Standards Codification (“ASC”) Topic 270. This new pronouncement will require registrants to use a comprehensive list of interim disclosure requirements compiled in accordance with ASC 270 and recognize this list as the complete population of required interim GAAP disclosures. ASU 2025-11 is effective for public companies with interim periods beginning after December 15, 2027. The Company is currently in the process of evaluating the impact of this pronouncement on its related disclosures.

3.Discontinued Operations

In October 2024, the Company announced a strategic shift to focus on its OA pain management and regenerative solutions businesses. This strategic decision resulted in the sale of Arthrosurface on October 31, 2024, and the sale of Parcus Medical on March 7, 2025.

Arthrosurface

On October 31, 2024 (the “Closing Date”), the Company completed the sale of all of the outstanding equity interests of Arthrosurface, a Delaware corporation and former wholly-owned subsidiary of the Company, which held the Company’s Arthrosurface business, to Phoenix Brio, Incorporated, a Delaware corporation (the “Buyer”), pursuant to the terms and conditions of a Share Purchase Agreement, dated as of the Closing Date (the “Purchase Agreement”), by and among the Company, Arthrosurface and Buyer (the “Arthrosurface Transaction”).

As consideration for the Arthrosurface Transaction, at the closing, the Buyer delivered to the Company a ten-year non-interest-bearing promissory note in the principal amount of $7.0 million. Under the terms of the Purchase Agreement, the Company is also eligible to receive: (i) for each calendar quarter, an amount equal to a percentage of the net sales (the “Revenue Payments”) for the sale of certain commercial and pipeline products during the period commencing on the Closing Date and ending on the earlier of the fifth (5th) anniversary of the Closing Date or the date on which the Buy-Out Payment (as defined below) is paid to the Company; and (ii) a percentage of the gross proceeds with respect to the sale of certain commercial and pipeline products in a bona-fide arm’s length transaction with a third party that is not an affiliate of Buyer or the Company occurring within the first twenty four (24) months following the Closing Date. The Buyer can also elect to make a payment in an amount equal to the greater of (A) $14.0 million or (B) ten (10) times the Revenue Payments ((A) and (B) together, the “Buy-Out Payment”) paid to the Company during the last full calendar year prior to the consummation of a change of control transaction or Buyer’s written notice to the Company that it is electing to make the Buy-Out Payment. Pursuant to the Purchase Agreement, the aggregate consideration is subject to customary post-closing adjustments. The Company determined the fair value of the consideration with the sale of the Arthrosurface asset group to be $5.9 million and recorded as Notes Receivable on its balance sheet at the time of divestiture. The carrying value of the Notes Receivable was $5.8 million and $5.6 million, as of September 30, 2026 and December 31, 2025, respectively.

Parcus Medical

On March 7, 2025, the Company completed the sale of all outstanding equity interests of Parcus Medical, to Medacta Americas Manufacturing, Inc. (“Medacta”), pursuant to the terms and conditions of a Membership Interest Purchase Agreement (the “Parcus Transaction”). As consideration for the Parcus Transaction, at closing, Medacta paid $4.5 million in cash. Pursuant to the terms of the agreement, the aggregate consideration is subject to customary post-closing adjustments.

The components of net income from discontinued operations for the three and nine months ended September 30, 2026, and 2025, consist of the following (in thousands):

Three Months Ended September 30, · Nine Months Ended September 30,
2026 · 2025 · 2026 · 2025
Revenue$-$-$-$2,710
Costs and expenses---3,611
Loss from discontinued operations before income taxes---(901)
Benefit from income taxes-(846)-(1,509)
Net income from discontinued operations$-$846$-$608

Selected financial information related to significant operating and investing cash flow items from discontinued operations (excluding working capital impacts) are as follows (in thousands):

Nine Months Ended September 30,
2026 · 2025
Depreciation$-$149
Non-cash operating lease cost$-$55
Stock-based compensation expense$-$132
Purchases of property and equipment$-$19
4.Accounts Receivable

The Company estimates an allowance for credit losses with its accounts receivable 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, management specifically analyzes individual accounts receivable, historical bad debts, customer concentrations, customer creditworthiness, current and reasonable and supportable forecasts of future economic conditions, accounts receivable aging trends, and changes in the Company’s customer payment terms.

The components of the Company’s accounts receivable are as follows:

As ofAs of
September 30,December 31,
20262025
Accounts Receivable$24,89524,817
Less: Allowance for credit losses6401,127
Net balance, end of period$24,25523,690

A summary of activity in the allowance for credit losses is as follows:

As of September 30,
20262025
Balance, beginning of the period$1,127$730
Amounts provided312344
Amounts recovered(369)(135)
Amounts written off(417)(136)
Translation adjustments(13)67
Balance, end of period$640$870
5.Fair Value Measurements

The Company has certain cash equivalents in money market funds that are classified within Level 1 of the fair value hierarchy and are valued based on quoted prices in active markets. For cash, accounts receivables, accounts payable, and accrued interest, 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. There were no transfers between fair value levels during the nine-month periods ended September 30, 2026, and the year ended December 31, 2025, respectively.

The classification of the Company’s cash equivalents within the fair value hierarchy was as follows:

September 30, · Active Markets for Identical Assets · Significant Other Observable Inputs · Significant Unobservable Inputs · Amortized
2026 · (Level 1) · (Level 2) · (Level 3) · Cost
Cash equivalents:
Money Market Funds$34,154$34,154$-$-$34,154
December 31, · Active Markets for Identical Assets · Significant Other Observable Inputs · Significant Unobservable Inputs · Amortized
2025 · (Level 1) · (Level 2) · (Level 3) · Cost
Cash equivalents:
Money Market Funds$48,758$48,758$-$-$48,758
6.Inventories

Inventories consist of the following:

September 30,December 31,
20262025
Raw materials$13,920$10,724
Work-in-process11,4088,105
Finished goods8,0923,508
Total$33,420$22,337
Inventories$30,351$18,787
Other long-term assets3,0693,550
Total$33,420$22,337

Inventories are stated net of inventory reserves of approximately $3.3 million and $4.8 million, as of September 30, 2026, and December 31, 2025, respectively.

7.Property and Equipment

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

September 30,December 31,
20262025
Equipment and software$54,994$49,503
Furniture and fixtures1,7641,696
Leasehold improvements37,10136,824
Construction in progress2,4203,729
Subtotal96,27991,752
Less accumulated depreciation(55,540)(51,428)
Total$40,739$40,324

Depreciation expense was $1.4 million for each of the three-month periods ended September 30, 2026, and 2025. Depreciation was $4.4 million and $4.0 million for the nine-month periods ended September 30, 2026, and 2025, respectively.

8.Goodwill and Intangible Assets

The Company assesses goodwill for impairment annually, or, under certain circumstances, more frequently, such as when events or changes in circumstances indicate there may be impairment.

Changes in the carrying value of goodwill for the nine-month period ended September 30, 2026 were as follows:

Nine Months Ended September 30,
Balance, beginning of period$8,054
Effect of foreign currency adjustments(273)
Balance, ending of period$7,781

The Company has intangible assets of $1.7 million as of September 30, 2026, and December 31, 2025, which is comprised of indefinite-lived in-process research and development assets.

9.Accrued Expenses and Other Current Liabilities

Accrued expenses and other current liabilities consist of the following:

September 30,December 31,
20262025
Compensation and related expenses$8,694$8,658
Stock-based compensation7,4632,448
Operating lease liability – current1,5842,052
Professional fees1,5011,800
Clinical trial costs589441
Deferred revenue261-
Other600468
Total$20,692$15,867
10.Commitments and Contingencies

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. or international patent or intellectual property right, 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 negligent 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 hadno accrued warranties as of September 30, 2026, or December 31, 2025, and has no history of claims paid.

The Company is also 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, the Company does not expect the resolution of these occasional legal proceedings to have a material adverse effect on its financial position, results of operations, or cash flow.

11.Revenue and Geographic Information

Revenue by product classification is as follows:

Three Months Ended September 30,Nine Months Ended September 30,
2026202520262025
Original Equipment Manufacturer (“OEM”) Channel$16,601$15,844$52,341$47,093
Commercial Channel13,99311,97340,47535,111
$30,594$27,817$92,816$82,204

Revenue from the Company’s sole significant customer, DePuy Synthes, formerly Johnson & Johnson MedTech, as a percentage of the Company’s total revenue was 47% and 51% for the three-months ended September 30, 2026, and 2025, respectively, and 49% and 50% for the nine-months ended September 30, 2026, and 2025, respectively.

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

Three Months Ended September 30,
2026 · 2025
Percentage ofPercentage of
RevenueRevenueRevenueRevenue
Geographic Location:
United States$18,28760%$17,44663%
Europe6,02020%5,66820%
Other6,28720%4,70317%
Total$30,594100%$27,817100%
Nine Months Ended September 30,
2026 · 2025
Percentage ofPercentage of
RevenueRevenueRevenueRevenue
Geographic Location:
United States$56,62361%$51,73363%
Europe19,52221%16,21820%
Other16,67118%14,25317%
Total$92,816100%$82,204100%
12.Equity Incentive Plans

Equity Incentive Plans

The Anika Therapeutics, Inc. 2017 Omnibus Incentive Plan (the “2017 Plan”) was approved by the Company’s stockholders on June 13, 2017, and subsequently amended most recently on June 18, 2026. On June 18, 2026, the Company’s stockholders approved a seventh amendment and restatement of the 2017 Plan increasing the number of shares by 350,000 shares from 5,760,000 shares to 6,110,000 shares. The 2017 Plan provides for the grant of incentive stock options, nonqualified stock options, stock appreciation rights (“SARs”), restricted stock awards, performance restricted stock units (“PSUs”), restricted stock units (“RSUs”), total shareholder return options (“TSRs”) and performance options that may be settled in cash, stock, or other property. In accordance with the 2017 Plan approved by the Company’s stockholders, including the amendments thereto, each share award other than stock options or SARs will reduce the number of total shares available for grant bytwo shares. Subject to adjustment for specified types of changes in the Company’s capitalization, no more than 6.1 million shares of common stock may be issued under the 2017 Plan. There were 0.9 million shares available for future grant at September 30, 2026, under the 2017 Plan.

The Anika Therapeutics, Inc. 2021 Inducement Plan (the “Inducement Plan”) was adopted by the Company’s board of directors on November 4, 2021, and subsequently amended on December 22, 2023, and May 2, 2024. On May 2, 2024, the Company’s board of directors approved an amendment to the Inducement Plan increasing the number of shares by 100,000 shares. The Inducement Plan reserves 350,000 shares of common stock for issuance pursuant to equity-based awards granted under the Inducement Plan. Such awards may be granted only to an individual who was not previously the Company’s employee or director with the Company. The Inducement Plan provides for the grant of awards under terms substantially similar to the 2017 Plan (as amended). Subject to adjustment for specified types of changes in the Company’s capitalization, no more than 350,000 shares of common stock may be issued under the Inducement Plan. There were 0.1 million shares available for future grant at September 30, 2026 under the Inducement Plan.

The Anika Therapeutics, Inc. 2021 Employee Stock Purchase Plan (the “ESPP”) was adopted by the Company’s board of directors on March 17, 2021, and approved by the Company’s stockholders on June 16, 2021, and subsequently amended on June 18, 2026. On June 18, 2026, the Company’s stockholders approved an amendment to the ESPP to increase the number of shares of common stock reserved for issuance by 200,000 shares, from 200,000 shares to 400,000 shares. Subject to adjustment for specified types of changes in the Company’s capitalization, no more than 400,000 shares of common stock may be issued under the ESPP. There were 0.2 million shares available for future purchase at September 30, 2026, under the ESPP.

The Company may satisfy share-settled 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 or greater than 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 three years with a maximum contractual term often years.

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 (in thousands):

Three Months Ended September 30,Nine Months Ended September 30,
2026202520262025
Cost of revenue$213$61$509$223
Research & development7162841,714909
Selling, general & administrative3,3151,87010,4956,626
Total stock-based compensation expense$4,244$2,215$12,718$7,758

Stock Options and Stock Appreciation Rights

Stock options and stock appreciation rights (“SARs”) are granted to purchase common shares at prices that are equal to the fair market value of the shares on the date the options/SARs are granted or, in the case of premium options, are granted with an exercise price at 110% of the market price of the Company’s common stock on the date of grant. Stock options entitle the holder to purchase common shares, while SARs provide the right to receive the appreciation in the value of the Company’s common stock over the grant price, that can be settled in shares or cash at the Company’s election. Options and SARs generally vest in equal annual installments over a period ofthree years and expire 10 years after the date of grant. The grant-date fair value of stock options and SARs is recognized as compensation expense on a straight-line basis over the requisite service period, which is generally the vesting period.

The following summarizes the activity under the Company’s stock option and SAR plans:

Weighted
Average
Weighted · Remaining · Aggregate
Average · Contractual · Intrinsic
Number of Shares · Exercise · Term · Value
(Options/SARs) · Price · (in years) · (in thousands)
Outstanding as of December 31, 20251,765,025$31.426.3$1
Granted476,221$11.45
Exercised(833)$14.46$-
Forfeited and canceled(319,717)$30.63
Outstanding as of September 30, 20261,920,696$26.606.4$3,924
Vested, September 30, 20261,334,840$31.705.3$75
Vested or expected to vest, September 30, 20261,920,696$26.606.4$3,924

There were 833 stock options exercised during the nine-month period ended September 30, 2026. The aggregate intrinsic value of stock options exercised for the nine-month period ended September 30, 2026, and 2025 was immaterial.

The Company granted 476,221 SARs during the nine months ended September 30, 2026, which can be settled in cash or stock at the Company’s election. The Company uses the Black-Scholes pricing model to determine the fair value of options and SARs granted. The calculation of the fair value of stock options and SARs is affected by the stock price on the grant date, the expected volatility of the Company’s common stock over the expected term of the award, the expected life of the award, the risk-free interest rate and the dividend yield.

Listed below are the assumptions used in the Black-Scholes pricing model for options and SARs granted during the nine months ended September 30, 2026.

The assumptions were as follows:

Nine Months Ended
September 30,
2026 · 2025
Risk free interest rate3.7%-3.9%3.7%-4.0%
Expected volatility44.9%-46.1%41.6%-45.7%
Expected life (years) & dividend yield4.50.0%4.50.0%
Fair value per option/SARs$4.53$5.13

As of September 30, 2026, there was $2.3 million of unrecognized compensation expense related to unvested stock options and SARs. This expense is expected to be recognized over a weighted average period of 1.9 years.

Restricted Stock Units

RSUs generally vest in equal annual installments over athree-year period. The grant-date fair value of RSUs is recognized as expense on a straight-line basis over the requisite service period, which is generally the vesting period. The Company determines the fair value of RSUs based on the closing price of its common stock on the date of grant.

RSU activity for the nine-month period ended September 30, 2026, was as follows:

Weighted Average
Number ofGrant Date
SharesFair Value
Outstanding as of December 31, 2025953,713$20.41
Granted585,101$13.10
Vested(383,847)$19.98
Forfeited and cancelled(99,691)$16.86
Outstanding as of September 30, 20261,055,276$16.41

The weighted-average grant-date fair value per share of RSUs granted was $13.10 and $14.85 for the nine-month periods ended September 30, 2026, and 2025, respectively. The total fair value of RSUs vested was $7.7 million and $8.2 million for the nine-month periods ended September 30, 2026, and 2025, respectively. As of September 30, 2026, there was $12.7 million of unrecognized compensation cost related to time-based RSUs, which was expected to be recognized over a weighted-average period of 2.0 years.

The Company’s annual grants of RSU awards in March 2025 and 2026 can be settled at vesting in cash or shares at the Company’s election. The Company has recorded these RSUs as a liability due to the expectation that the Company will settle the vesting of these RSU awards in cash due to a potential shortage of shares in the 2017 Plan at the time of vesting. As a result, these RSUs will be subject to change in value at the time of each reporting period. The first tranche of the March 2025 RSU awards,310,710 shares, vested in March 2026 and were settled in shares. As of September 30, 2026, the Company had 803,088 RSU shares outstanding for which a liability of $4.9** **million was recorded in Accrued Expenses and Other Liabilities and there is unrecognized compensation cost of $11.9 million which is to be recognized over a weighted-average period of 2.1 years.

Performance Stock Units

PSU activity for the nine-month period ended September 30, 2026, was as follows:

Weighted Average
Number of · Grant Date
Shares · Fair Value
Outstanding as of December 31, 2025279,754$15.36
Granted-$-
Vested(48,963)$15.91
Forfeited and cancelled(34,799)$15.25
Outstanding as of September 30, 2026195,992$15.24

On March 14, 2025, the Company granted 290,792 PSUs to certain senior management employees. The Company granted two different PSU awards to each PSU award recipient. One form of PSU award is a 3-year cliff vest subject to achievement of certain market-based metrics in which 50-200% of target shares granted may vest based on achievement of the specified market price targets during the performance period from March 14, 2025, through March 1, 2028. No shares will vest if these market price targets are not achieved. The Company estimated the fair value of these market-based PSUs using a Monte Carlo simulation model at the grant date and will continue to use the Monte- Carlo simulation model to update the fair value at the end of each reporting period. The second form of PSU awards is vesting in equal annual installments of target on each anniversary date of grant over three years, subject to annual achievement of the specified strategic performance objectives each year based upon certain regulatory milestones and financial targets. Subject to achievement of each milestone, these awards will vest annually on each anniversary date of the grant date over three years. The Company recognizes stock-based compensation expense based on the probability outcomes of achieving these milestones.

The Company’s grants of PSU awards can be settled at vesting in cash or shares at the Company’s election*.* The Company has recorded these PSUs as a liability due to the expectation that the Company will settle the vesting of these PSU awards in cash due to a potential shortage of shares in the 2017 Plan at the time of vesting. As a result, these PSUs will be subject to change in value at the time of each reporting period. The PSU awards that vested in March totaled 48,963 shares and were settled in shares. As of September 30, 2026, the Company had 195,992 shares outstanding for which a liability of $2.6 million was recorded in Accrued Expenses and Other Liabilities and there is unrecorded compensation cost of $1.5 million associated with these PSUs which is to be recognized over a weighted-average period of 1.5 years.

There were no PSUs granted in the nine-month period ended September 30, 2026.

13.Restructuring

During 2026, the Company initiated actions to reduce general and administrative and regulatory expenses to reflect a more focused cost structure following the recent strategic divestitures. This included a workforce reduction resulting in the recognition of severance and employee‑related** **costs, which primarily consist of cash severance payments, employer‑paid benefits during the severance period, and payroll‑related taxes. These costs were recognized in accordance with ASC 420,Exit or Disposal Cost Obligations. The Company incurred approximately $2.2 million in connection with the workforce reduction plan during the nine-month period ended September 30, 2026.

The following table is a summary of the changes in the severance liability, included with accrued expenses on the consolidated balance sheets related to the workforce reduction:

Balance, beginning of period · $ · -
Severance and other personnel costs2,246
Cash payments during the period(1,062)
Balance, ending of period$1,184

In addition, the Company announced a leadership transition in January 2026 in which its former Chief Executive Officer became Executive Chair of the Company’s Board of Directors. The Company and Dr. Cheryl Blanchard, its former Chief Executive Officer, entered into a Transitional Services and Separation Agreement (the “Transition Agreement”). Pursuant to the Transition Agreement, Dr. Blanchard stepped down from her role as the Company’s President and Chief Executive Officer, effective January 31, 2026. Dr. Blanchard will continue to serve on the Board of Directors through January 31, 2028. Pursuant to the Transition Agreement, Dr. Blanchard will be entitled to receive her base salary rate and related employee benefits for 18 months immediately at the time of transition, which will be paid over 24 months through January 31, 2028. Dr. Blanchard will also continue to serve on the Board of Directors through the Company’s 2028 annual stockholders meeting. Her equity awards granted under the Company’s 2017 Omnibus Incentive Plan and any other equity plan shall continue to vest throughout her service relationship, in accordance with the terms of the applicable award agreements and equity plans.

With this change in Dr. Blanchard’s role, the Company determined that the unrecognized stock-based compensation associated with her equity awards at the time of transition should be expensed immediately during the three-month period ended March 31, 2026, based on the premise that Dr. Blanchard would no longer be providing substantive services after January 31, 2026, commensurate with the value of the equity awards. As a result, the Company recorded $3.3 million in stock-based compensation during the three-month period ended March 31, 2026.

14.Income Taxes

There was a small income tax benefit for the three-month period ended September 30, 2026, and $0.3 million in income tax expense for the nine-month period ended September 30, 2026, resulting in effective tax rates of 3.4% and (16.7)%, respectively. The income tax expense was $0.9 million and $1.7 million for the three- and nine-month periods ended September 30, 2025, resulting in an effective tax rate of (42.0)% and (17.0)%, respectively. The Company’s effective tax rate for the three-month and nine-month periods ended September 30, 2026, was primarily driven by the full valuation on the Company's deferred tax assets in the US and the projected taxable income for the Company resulting in current tax expense in 2026.

The Company recognizes deferred tax assets to the extent that it believes that these assets are more likely than not to be realized. In making such a determination, the Company considers all available positive and negative evidence, including future reversals of existing taxable temporary differences, projected future taxable income, tax-planning strategies, carryback potential if permitted under the tax law, and results of recent operations. The Company has incurred operating losses in recent years. As a result, the Company anticipates that deferred tax assets will exceed the availability of reversing taxable temporary differences. Due to significant negative evidence, including the Company’s prior year operating losses, the Company concluded its anticipated net deferred tax assets in the U.S. are not more likely than not to be realizable. Accordingly, the income tax provision for the nine-month period ended September 30, 2026, includes an adjustment for the valuation allowance required against the U.S. deferred tax assets. As of September 30, 2026, the Company continues to believe its foreign deferred tax assets are realizable based upon future reversals of existing taxable temporary differences and projected future taxable income.

The Company files income tax returns in the United States on a federal basis, in certain U.S. states, and in certain foreign jurisdictions. 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, which varies by jurisdiction.

15.Earnings Per Share (“EPS”)

Basic EPS is calculated by dividing net income (loss) by the weighted average number of shares outstanding during the period. Unvested restricted shares, although legally issued and outstanding, are not considered outstanding for purposes of calculating basic EPS. Diluted EPS is calculated by dividing net income by the weighted average number of shares outstanding plus the dilutive effect, if any, of outstanding share-based awards using the treasury stock method. Due to the Company’s loss position, the share-based payment awards are anti-dilutive.

The Company had a net loss during the three- and nine-month periods ended September 30, 2026, and 2025, respectively, and therefore all potential common shares would have been anti-dilutive and accordingly were excluded from the computation of diluted EPS. Stock options of 1.9 million shares and 1.8 million shares were outstanding at September 30, 2026, and 2025, respectively. Restricted and performance stock units totaling 1.3 million shares and 1.2 million shares were outstanding at September 30, 2026, and 2025, respectively. These securities were not included in the computation of diluted EPS because the equity awards impact on EPS would have been anti-dilutive.

16.Share Repurchase

In May 2024, the Company implemented a share repurchase program for an aggregate purchase price of up to $40.0 million pursuant to the Cooperation Agreement dated May 28, 2024, with Caligan Partners LP, Caligan Partners Master Fund LP and David Johnson. The program was effected through two Rule 10b5-1 Plans: (i) a $15.0 million plan with Bank of America, initiated in May 2024, and (ii) a $15.0 million plan with Clear Street LLC, entered into in November 2025. As of April 30, 2026, the Company had repurchased an aggregate of 2,139,944 shares at a total cost of $30.0 million and is no longer actively purchasing stock. There were no share repurchases during the three months ended September 30, 2026.

17.Segment Information

Operating segments are defined as components of an enterprise about which separate financial information is available that is evaluated regularly by the chief operating decision-maker (“CODM”) in deciding how to allocate resources and assess performance. The Company operates inone business segment. The Company’s CODM is its President and Chief Executive Officer, who reviews financial information presented on a consolidated basis. The CODM’s financial review is focused on the consolidated financial results of the Company which is used as the basis for financial performance assessment and allocation of resources.

The following table presents financial information with respect to the Company’s single operating segment for the three and nine months ended September 30, 2026, and 2025 (in thousands):

For the Three Months Ended September 30,For the Nine Months Ended September 30,
2026202520262025
Revenue$30,594$27,817$92,816$82,204
Cost of revenue11,75712,23333,73837,576
Gross profit18,83715,58459,07844,628
Operating expenses:
Research & development7,8956,94621,94919,318
Selling, general & administrative11,65411,87140,37537,007
Total operating expenses19,54918,81762,32456,325
Loss from operations(712)(3,233)(3,246)(11,697)
Interest and other income, net3909971,4831,626
Loss before income taxes(322)(2,236)(1,763)(10,071)
(Benefit from) provision for income taxes(11)9392951,709
Loss from continuing operations(311)(3,175)(2,058)(11,780)
Income from discontinued operations, net of tax-846-608
Net loss$(311)$(2,329)$(2,058)$(11,172)
18.Subsequent Event

On November 5, 2026, the Company extended its license and distribution agreement with one of its non-orthopedic distributors effective January 1, 2027, through December 31, 2036. The agreement provides an increase in selling price, a royalty on end-market sales, higher contractual purchases and upfront and milestone payments. The Company expects to receive $8.0 million in payments, including a $4.0 million upfront payment in the first quarter of 2027 and the remaining $4.0 million tied to commercial volumes.

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