Ionis Pharmaceuticals, Inc. (IONS) Cash Flow Statement

NASDAQ: IONSOperating cash, capex, free cash flow and buybacks.

Where IONS’s cash came from and went, 2025

December 31, 2025 · U.S. dollars
Cash from operations
−$268.6M
Capital expenditures
$51.4M
5.4% of revenue
Free cash flow
−$320.0M
−33.9% margin
Returned to shareholders
—
Change in cash
$130.2M
cash at year-end $372.3M
Borrowing: $502.2MBorrowing$502.2MShares issued: $192.6MShares issued$192.6MCash used in operations: $268.6MCash used in operations$268.6M · 39%Investments (net): $220.7MInvestments (net)$220.7M · 32%Capital expenditures: $51.4MCapital expenditures$51.4M · 7%Added to cash: $130.2MAdded to cash$130.2M · 19%Other financing, Acquisitions & other: $24.6MOther uses$24.6M · 4%$695.5M
Cash from operations
−$268.6M
Capital expenditures
−$51.4M
Investments (net)
−$220.7M
Acquisitions & other
−$5.6M
Net borrowing (repayment)
+$502.2M
Shares issued
+$192.6M
Other financing
−$18.9M
Change in cash
$130.2M

Drawn to scale: where the cash came from and how it was used. Hover for values.

IONS operating cash flow, capex and free cash flow

Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)

IONS cash flow trends, 2016–2025

Ionis Pharmaceuticals, Inc. cash flow trends
MetricTrendThenLatestChange
Operating cash flow−$112.1M2016−$268.6M2025—
Capital expenditures$11.5M2016$51.4M2025+18.1%/yr
Free cash flow−$123.6M2016−$320.0M2025—
Free cash flow margin−35.7%2016−33.9%2025+1.8 pts
Operating cash flow / net income2.8020181.142019−1.66
Stock-based compensation$72.1M2016$133.9M2025+7.1%/yr
Dividends paid$02016$11.0M2022—
Share buybacks (net)$02016$11.0M2022—
Capex / revenue3.3%20165.4%2025+2.1 pts

Change is the average annual growth (CAGR) or the difference between the first and latest year.

IONS cash flow by activity

OperatingInvestingFinancingChange in cash

IONS net income vs operating cash flow

Net incomeOperating cash flow

Operating cash flow above net income usually means earnings are backed by cash (depreciation and stock-based pay are non-cash expenses).

IONS cash flow statement

Ionis Pharmaceuticals, Inc. annual cash flow statement
2025202420232022202120202019201820172016
Operating activities
Net income−$381.4M−$453.9M−$366.3M−$269.7M−$28.6M−$486.8M$303.3M$215.0M−$17.3M−$86.6M
Depreciation & amortization$22.7M$22.0M$22.5M$22.1M$19.6M$17.2M$16.0M$12.5M$8.3M$9.0M
Stock-based compensation$133.9M$130.2M$105.8M$100.3M$120.7M$230.1M$146.6M$131.3M$86.0M$72.1M
Change in working capital−$51.2M−$209.4M−$77.3M$7.6M−$113.8M−$73.6M−$168.7M$499.4M$43.6M−$151.5M
Other non-cash items$7.5M$10.2M$7.7M−$134.6M$33.0M$348.9M$48.6M−$255.3M$53.6M$44.8M
Cash from operating activities−$268.6M−$500.9M−$307.5M−$274.4M$30.8M$35.9M$345.7M$602.9M$174.1M−$112.1M
Investing activities
Capital expenditures−$51.4M−$45.3M−$28.0M−$20.1M−$17.9M−$41.0M−$36.3M−$17.7M−$37.9M−$11.5M
Investments (net)−$220.7M−$134.0M$24.7M−$262.6M$212.8M$315.5M−$5.0M−$911.9M−$320.4M$68.1M
Acquisitions & other investing−$5.6M$45.3M−$210.8M$20.1M$0$0$0$0$0$0
Cash from investing activities−$277.8M−$134.0M−$214.1M−$262.6M$194.9M$274.5M−$41.3M−$929.6M−$358.3M$56.6M
Financing activities
Dividends paid———−$11.0M−$16.7M—−$165.6M—$0$0
Share repurchases & issuance (net)———−$11.0M−$16.7M−$90.5M−$34.4M$475.9M$253.1M$12.6M
Net borrowing (repayment)$502.2M−$44.7M$86.9M−$50.7M$418.3M$313.6M−$22.1M$97.0M$56.2M−$3.1M
Shares issued$192.6M$522.7M$9.0M$6.4M$11.6M$52.0M$119.7M$475.9M$0$0
Other financing−$18.9M$0$548.2M$10.9M−$150.5M−$871.7M$202.5M−$572.9M−$80.1M$1.9M
Cash from financing activities$675.8M$478.1M$644.1M−$55.3M$245.9M−$596.6M$100.0M$475.9M$229.1M$11.4M
Summary
Net change in cash$130.2M−$157.2M$122.8M−$592.7M$471.5M−$285.6M$404.5M$149.2M$44.9M−$44.1M
Cash at end of period$372.3M$242.1M$399.3M$276.5M$869.2M$397.7M$683.3M$278.8M$129.6M$84.7M
Free cash flow−$320.0M−$546.2M−$335.5M−$294.5M$12.9M−$5.2M$309.4M$585.2M$136.3M−$123.6M
Free cash flow margin−33.9%−77.5%−42.6%−50.1%1.6%−0.7%27.6%97.6%26.5%−35.7%
Capex / revenue5.4%6.4%3.6%3.4%2.2%5.6%3.2%2.9%7.4%3.3%
Operating cash flow / net income——————1.142.80——

Negative numbers are cash paid out. Quarterly columns are labeled by the month the quarter ended. Figures in U.S. dollars as reported; data from EODHD.

IONS cash generation

In fiscal 2025 (ended December 31, 2025), Ionis Pharmaceuticals generated -$268.6 million of cash from operations and spent $51.4 million on capital expenditures, leaving free cash flow of -$320.0 million, −33.9% of revenue. Cash and equivalents rose by $130.2 million over the year.

Related: IONS income statement, IONS balance sheet. See the IONS stock overview for the latest quote and news.

IONS cash flow FAQ

What is Ionis Pharmaceuticals's free cash flow?

Ionis Pharmaceuticals's free cash flow was -$320.0 million in fiscal 2025: -$268.6 million of operating cash flow minus $51.4 million of capital expenditures It was -$546.2 million a year earlier..

How much cash does Ionis Pharmaceuticals generate from operations?

Ionis Pharmaceuticals generated -$268.6 million of cash from operating activities in fiscal 2025.

How much does Ionis Pharmaceuticals spend on capital expenditures?

Ionis Pharmaceuticals spent $51.4 million on capital expenditures in fiscal 2025, 5.4% of revenue, compared with $45.3 million the year before.

Biotechnology: cash flow