Ionis Pharmaceuticals (IONS) Net Cash Flow (2009 - 2026)

Ionis Pharmaceuticals' (IONS) quarterly Net Cash Flow came in at -$198.7 million in Q1 2026, down 1008.2% year-on-year from $21.9 million in Q1 2025, and down 685.19% quarter-over-quarter from $34.0 million in Q4 2025.

Ionis Pharmaceuticals (IONS) Net Cash Flow (2009 - 2026) Analysis & Trends

Ionis Pharmaceuticals' Net Cash Flow history runs 18 years deep, the most recent figure standing at -$198.7 million for Q1 2026.

  • On a quarterly basis, Net Cash Flow fell 1008.2% year-over-year to -$198.7 million in Q1 2026; TTM through Mar 2026 was -$91.1 million, a 7.52% decrease from a year earlier, with the FY2025 full-year figure at $129.5 million, up 182.52% from the prior year.
  • Net Cash Flow eased to -$198.7 million in Q1 2026 per IONS's latest filing, from $34.0 million in the prior quarter.
  • Across five years, Net Cash Flow topped out at $115.7 million in Q2 2023 and bottomed at -$326.5 million in Q1 2022.
  • The 5-year median for Net Cash Flow is -$20.2 million (2022), against an average of -$40.9 million.
  • Across the five-year window, Net Cash Flow sank 2065.0% in 2022 and jumped 673.14% in 2023, its largest moves.
  • Year by year, Net Cash Flow stood at -$39.1 million in 2022, then jumped by 219.99% to $46.9 million in 2023, then tumbled by 296.35% to -$92.0 million in 2024, then surged by 136.9% to $34.0 million in 2025, then slumped by 685.19% to -$198.7 million in 2026.
  • Per Business Quant, the three latest IONS Net Cash Flow figures stand at -$198.7 million (Q1 2026), $34.0 million (Q4 2025), and $41.1 million (Q3 2025).

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Net Cash Flow (Qtr)
1 Oculis Holding AG 67,072.09 Bn 67,072.09 Bn - 10.56 Mn
2 Nanobiotix 1,894.61 Bn 1,894.55 Bn - -
3 Akari Therapeutics 1,014.18 Bn 1,014.18 Bn - -2.44 Mn
4 BeOne Medicines 471.64 Bn 466.85 Bn 1.35 Bn 224.46 Mn
5 Vertex Pharmaceuticals 121.72 Bn 114.47 Bn 2.59 Bn 457.40 Mn
6 Regeneron Pharmaceuticals 68.28 Bn 59.52 Bn 3.31 Bn -152.20 Mn
7 Belite Bio 61.40 Bn 61.40 Bn - -
8 Argenx Se 56.94 Bn 56.94 Bn 1.18 Bn -
9 Revolution Medicines 37.37 Bn 37.37 Bn - 57.19 Mn
10 Ionis Pharmaceuticals 9.35 Bn 7.43 Bn 243.11 Mn -198.74 Mn

Historic Data

Download Data
DateValue
Mar 31, 2026 -198.74 Mn
Mar 31, 2026 -198.74 Mn
Dec 31, 2025 33.96 Mn
Dec 31, 2025 33.96 Mn
Sep 30, 2025 41.12 Mn
Sep 30, 2025 41.12 Mn
Jun 30, 2025 32.52 Mn
Jun 30, 2025 32.52 Mn
Mar 31, 2025 21.88 Mn
Mar 31, 2025 21.88 Mn
Dec 31, 2024 -92.04 Mn
Dec 31, 2024 -92.04 Mn
Sep 30, 2024 40.26 Mn
Sep 30, 2024 40.26 Mn
Jun 30, 2024 -54.87 Mn
Jun 30, 2024 -54.87 Mn
Mar 31, 2024 -50.26 Mn
Mar 31, 2024 -50.26 Mn
Dec 31, 2023 46.88 Mn
Dec 31, 2023 46.88 Mn