Financial Data and Key Metrics Changes - Total revenue for Q4 2023 grew to 43million,exceedingexpectations,drivenbygrowthinU.S.andinternationalOApainmanagement[19]−RevenueinOApainmanagementincreased1225.1 million, with international business showing strong growth [20] - Adjusted EBITDA for Q4 was 5.8million,upfrom1.4 million in the same quarter last year, with an adjusted EBITDA margin of 13% [23][24] - For the full year, Anika generated revenue of 166.7million,a7101.9 million, driven by strong international growth [26] - Joint preservation and restoration revenue grew 9% to 54.9million,supportedbynewproductmomentum[27]−Non−orthopedicrevenuesdecreased299.9 million, primarily due to order timing and last-time buys [27] Market Data and Key Metrics Changes - Cingal experienced over 20% growth internationally, contributing to the overall success in OA pain management [26] - The U.S. market for OA pain management is expected to double from 1billionto2 billion with Cingal's expansion [8] Company Strategy and Development Direction - The company is focusing on optimizing performance and driving stronger results, particularly in OA pain management and regenerative solutions [6][15] - A strategic review was undertaken to evaluate options for increasing shareholder value, including potential sales [16] - The company plans to reduce spending and has initiated a workforce reduction of about 9% to drive annualized cost savings of approximately 10million[17][30]Management′sCommentsonOperatingEnvironmentandFutureOutlook−Managementexpressedconfidenceinthegrowthpotentialofnewproductsandtheoverallbusinessstrategy,aimingforacceleratedprofitabilityin2024[6][33]−ThecompanyanticipatesadjustedEBITDAfor2024tobebetween25 million and 30million,representingasignificantincrease[31]−ManagementhighlightedtheimportanceofongoingdialoguewiththeFDAregardingCingalandthepositivefeedbackfromsurgeonsonnewproducts[43][64]OtherImportantInformation−Thecompanyrecordedanon−cashimpairmentchargeof62.2 million related to intangible assets from previous acquisitions due to lower-than-expected growth in mature products [21][22] - Anika ended Q4 with $72.9 million in cash and no outstanding debt, maintaining a healthy balance sheet [24][25] Q&A Session Summary Question: What areas of the company will be impacted by the workforce reduction? - The main areas impacted are R&D and SG&A, primarily in marketing [38] Question: Are you happy with the results from changes to distributors for the joint preservation business? - Top distributors are performing well, and there is a significant pull for new products like Integrity and X-Twist [41] Question: When do you expect the next meeting with the FDA regarding Cingal? - Ongoing dialogue with the FDA is productive, and clarity on nonclinical data requirements is being sought [43] Question: What contribution did RevoMotion make in the quarter? - Training for about 600 surgeons occurred last year, and focused training will continue for new products [46] Question: Can you provide additional color on the impairment charge related to the Sports Med business? - The impairment charge was due to a reassessment of growth trajectories, with mature products underperforming expectations [52]