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Sarepta Therapeutics Quarterly Cash Flow Statements Chart

Quarterly
 | 
Annual
 
 Stock-Based Compensation  
 Operating Cash Flow  
 Investing Cash Flow  
 Financing Cash Flow  
 Free Cash Flow  
 Capital Expenditure  
20200930 20201231 20210331 20210630 20210930 20211231 20220331 20220630 20220930 20221231 20230331 20230630 20230930 20231231 20240331 20240630 20240930 20241231 20250331 20250630 -627.09-500.17-373.25-246.33-119.427.5134.42261.34Milllion

Sarepta Therapeutics Quarterly Cash Flow Statements Table

Quarterly
 | 
Annual
 
Unit: USD2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-07-22 2012-12-31 2012-07-22 2011-07-22 2011-03-31 2010-07-22 2008-06-30 2007-07-22 2006-07-22 2005-07-22 2004-03-31 2003-12-31 2003-07-22 2002-07-22 2001-12-31 2001-07-22 
                                                                 
  cash flows from operating activities:                                                               
  net income196,892,000 -447,508,000 159,049,000 33,611,000 6,460,000 36,119,000 45,655,000 -40,937,000 -23,940,000 -516,755,000 -109,244,000 -257,738,000 -231,481,000 -105,025,000 -121,981,000 -48,144,000 -81,405,000 -167,250,000 -189,317,000 -196,499,000 -150,820,000 -17,492,000 -235,703,000 -126,326,000 -276,403,000 -76,643,000 -140,895,000 -76,393,000 -109,267,000 -35,363,000 -23,998,000 -47,734,000 -63,046,000 84,090,000 -88,452,000 -56,742,000 -62,301,000 -59,770,000 -64,681,000 -51,939,000 -41,851,000 -61,559,000 -44,416,000 -29,226,000 -33,874,000 -28,273,000 -440,071,000 -42,084,000 -372,031,000 -17,704,000 308,925,000 -305,813,000 -584,000 -7,042,123 -9,722,975 -9,061,150 -5,499,179 -7,532,512 113,481,830 -3,418,817 -95,035,100 -64,898,088 -63,472,543 
  stock-based compensation37,025,000 41,428,000 49,676,000 43,450,000 50,482,000 40,692,000 45,826,000 48,061,000 47,377,000 41,250,000 50,510,000 50,418,000 102,892,000 29,198,000 29,782,000 26,684,000 28,969,000 28,508,000 29,527,000 26,903,000 27,616,000 24,024,000 22,064,000 20,637,000 19,762,000 16,139,000 12,838,000 11,484,000 15,279,000 10,526,000 7,366,000 6,922,000 10,465,000 5,712,000 6,869,000 9,428,000 6,830,000 6,835,000 6,348,000 5,683,000 5,930,000 14,156,000 5,767,000 4,649,000 5,587,000 4,342,000 35,724,000 1,671,000 30,233,000 708,000 -25,149,000 27,011,000 426,000 -260,433 2,360,770 1,937,271        
  gain on strategic investments-36,721,000 90,728,000                                                              
  depreciation and amortization10,840,000 9,978,000 10,455,000 9,806,000 8,719,000 8,744,000 11,372,000 10,928,000 10,792,000 11,305,000 10,553,000 10,703,000 9,889,000 10,719,000 10,145,000 10,495,000 8,447,000 8,930,000 7,288,000 6,619,000 6,475,000 6,529,000 8,206,000 8,277,000 7,694,000 6,370,000 3,527,000 3,593,000 2,873,000 2,252,000 2,124,000 2,559,000 1,772,000 1,637,000 1,664,000 1,074,000 1,476,000 1,397,000 1,364,000 1,312,000 1,291,000 1,280,000 1,158,000 1,049,000 960,000 523,000 22,249,000 451,000 20,880,000 353,000 -18,894,000 19,384,000 347,000 217,496 479,630 525,141 484,038 428,274 -4,903,656 333,186 4,292,464 3,706,574 3,563,080 
  reduction in the carrying amounts of the right of use assets4,022,000 3,934,000 3,878,000 4,325,000 4,012,000 3,952,000 3,859,000 3,825,000 3,593,000 3,218,000 3,553,000 3,668,000 1,859,000 3,655,000 1,213,000 4,089,000 3,803,000 2,220,000  3,360,000 3,236,000 2,153,000                                          
  accretion of investment discount-1,866,000 -1,912,000 -6,803,000 -10,615,000 -10,458,000 -12,401,000 -13,329,000 -12,602,000 -11,594,000 -8,651,000                                                      
  non-cash change in the fair value of derivatives  -727,000                                                             
  other1,611,000 1,692,000 308,000 2,889,000 -1,396,000 329,000 -1,487,000 2,001,000 -2,441,000 1,964,000 -5,785,000 -2,867,000 -2,829,000 1,838,000 3,656,000 178,000 1,012,000 2,774,000 -545,000 875,000 581,000 -1,381,000 -202,000                                        
  changes in operating assets and liabilities, net:                                                               
  decrease in accounts receivable                                                               
  decrease (increase) in manufacturing-related deposits and prepaids-2,267,000 71,136,000                                                              
  increase in inventory-59,189,000 -177,359,000 -161,659,000                                                             
  increase in other assets-22,191,000 -15,067,000 29,704,000                                                             
  decrease in deferred revenue25,572,000 -85,397,000 3,255,000                                                             
  decrease in accounts payable, accrued expenses, lease liabilities and other liabilities-24,467,000 -17,707,000                                                              
  net cash from operating activities261,337,000 -583,437,000 92,046,000 -70,699,000 14,942,000 -242,076,000 -54,657,000 -114,706,000 -122,234,000 -209,396,000 -92,392,000 -64,964,000 -66,815,000 -101,175,000 -29,326,000 -124,329,000 -109,146,000 -180,371,000 -174,535,000 -238,186,000 -107,603,000 627,790,000  -67,431,000 -79,004,000 -146,233,000  -113,318,000 -117,254,000 -35,668,000  -57,903,000 -85,147,000 -57,888,000  -60,615,000 -43,284,000 -60,688,000    -43,348,000 -25,449,000 -35,321,000 -39,504,000 -28,265,000 -277,730,000 -14,993,000 -237,372,000 -9,049,000 206,093,000 -216,601,000           -38,669,218 
  capex-31,796,000 -43,651,000 -38,082,000 -37,263,000 -29,167,000 -32,444,000 -19,039,000 -29,673,000 -17,909,000 -9,485,000 -7,964,000 -8,231,000 -9,078,000 -5,551,000 -2,206,000 -9,241,000 -5,894,000 -21,149,000 -28,610,000 -25,303,000 -19,169,000 -9,120,000  -9,429,000 -16,682,000 -16,263,000  -20,091,000 -8,697,000 -12,166,000  -765,000 -2,871,000 -4,465,000  -840,000 -419,000 -1,168,000    -532,000 -3,139,000 -12,464,000 -4,515,000 -5,326,000 -20,595,000 -9,000 -19,879,000 -9,000 18,252,000 -18,928,000           -4,814,759 
  free cash flows229,541,000 -627,088,000 53,964,000 -107,962,000 -14,225,000 -274,520,000 -73,696,000 -144,379,000 -140,143,000 -218,881,000 -100,356,000 -73,195,000 -75,893,000 -106,726,000 -31,532,000 -133,570,000 -115,040,000 -201,520,000 -203,145,000 -263,489,000 -126,772,000 618,670,000  -76,860,000 -95,686,000 -162,496,000  -133,409,000 -125,951,000 -47,834,000  -58,668,000 -88,018,000 -62,353,000  -61,455,000 -43,703,000 -61,856,000    -43,880,000 -28,588,000 -47,785,000 -44,019,000 -33,591,000 -298,325,000 -15,002,000 -257,251,000 -9,058,000 224,345,000 -235,529,000           -43,483,977 
  cash flows from investing activities:                                                               
  purchase of property and equipment-31,796,000 -43,651,000 -38,082,000 -37,263,000 -29,167,000 -32,444,000 -19,039,000 -29,673,000 -17,909,000 -9,485,000 -7,964,000 -8,231,000 -9,078,000 -5,551,000 -2,206,000 -9,241,000 -5,894,000 -21,149,000 -28,610,000 -25,303,000 -19,169,000 -9,120,000 -17,257,000 -9,429,000 -16,682,000 -16,263,000 -20,203,000 -20,091,000 -8,697,000 -12,166,000 -3,899,000 -765,000 -2,871,000 -4,465,000 -2,914,000 -840,000 -419,000 -1,168,000 -1,085,000 -1,147,000 -637,000 -532,000 -3,139,000 -12,464,000 -4,515,000 -5,326,000 -20,595,000 -9,000 -19,879,000 -9,000 18,252,000 -18,928,000           -4,814,759 
  purchase of available-for-sale securities-44,658,000 -162,911,000 -389,402,000 -330,832,000 -216,450,000 -569,536,000 -645,605,000 -403,036,000 -426,763,000 -427,540,000 -371,714,000 -357,832,000 -779,770,000 1,000 -29,989,000 -435,877,000 -140,953,000 -391,301,000 -365,437,000 -209,407,000 -252,937,000 -236,807,000 -494,481,000 -520,216,000 -355,564,000 -204,309,000 -91,514,000 -489,172,000       -112,369,000 -1,000   -2,179,000 -45,573,000 -49,947,000 -176,669,000                  
  maturity and sales of available-for-sale securities68,626,000 40,758,000    477,690,000                                                          
  purchase of intangible assets and other-188,000 -2,238,000                                                              
  acquisition of strategic investments                                                               
  net cash from investing activities32,211,000 -291,177,000 764,118,000 -128,825,000 -98,528,000 218,796,000 -64,358,000 -210,571,000 96,634,000 12,492,000 9,796,000 19,119,000 -289,991,000 -785,807,000 -2,577,000 20,265,000 321,059,000 156,666,000 -123,891,000 54,075,000 -34,225,000 -17,680,000  -17,959,000 152,373,000 135,231,000 -237,736,000 -63,400,000 -55,092,000 -14,260,000 -493,695,000 124,949,000 -20,054,000 209,985,000 -198,774,000 10,224,000 78,935,000 19,422,000 -69,819,000 31,019,000 3,383,000 43,827,000 46,677,000 -20,541,000 -2,877,000 -182,289,000 -28,996,000 -7,720,000 -27,452,000 -262,000 23,859,000 -25,060,000   299,732     3,108,743   -8,641,093 
  cash flows from financing activities:                                                               
  proceeds from exercise of stock options and purchase of stock under the employee stock purchase program1,500,000 15,681,000 3,710,000 13,757,000 39,918,000 22,140,000 1,943,000 15,405,000 5,861,000 28,037,000 11,303,000 13,411,000 339,000 4,990,000 2,148,000 5,902,000 3,526,000 9,226,000 35,826,000 18,789,000 21,860,000 7,482,000  5,181,000 7,092,000 12,299,000                                      
  repurchases of common stock                                                               
  payments related to revolving credit facility                                                               
  net cash from financing activities-23,817,000 12,471,000 48,991,000 13,757,000 39,918,000 22,140,000 1,943,000 15,405,000 5,861,000 101,795,000 10,749,000 216,429,000 339,000 4,990,000 549,248,000 5,902,000 3,526,000 2,893,000 326,937,000 18,789,000 17,575,000 319,022,000 256,966,000 1,733,000 6,292,000 377,563,000 521,283,000 -23,955,000 25,351,000 7,471,000 506,813,000 382,237,000 -1,174,000 206,000 7,287,000 333,712,000 38,167,000 -1,037,000 125,576,000 1,576,000 20,250,000 406,000 24,000 5,407,000 96,034,000 2,690,000 477,708,000 2,971,000 454,402,000 -20,000 -232,636,000 264,944,000    7,971,098 22,311,475 6,985,851 -88,087,728 26,152 101,657,406 69,509,268 69,312,047 
  decrease in cash, cash equivalents and restricted cash269,731,000 -862,143,000  -185,767,000 -43,668,000 -1,140,000  -309,872,000 -19,739,000 -95,109,000    -881,992,000                                                  
  cash, cash equivalents and restricted cash:                                                               
  beginning of period1,118,589,000  444,009,000  985,801,000  2,125,523,000  1,511,713,000  843,645,000 370,829,000 599,827,000 122,556,000 80,304,000 73,551,000 256,965,000  187,661,000  39,904,000   48,275,000 4,643,361 20,159,201 34,597,734 16,654,829 12,524,915  10,384,963    
  end of period269,731,000 256,446,000  -185,767,000 -43,668,000 442,869,000  -309,872,000 -19,739,000 890,692,000  170,584,000 -356,467,000 1,243,531,000  -98,162,000 215,439,000 1,490,901,000  -165,322,000 -124,253,000 1,772,777,000 110,251,000 -83,657,000 79,661,000 737,390,000 161,127,000 -200,673,000 -146,995,000 557,370,000 -17,940,000 449,283,000 -106,375,000 274,859,000 -272,720,000 283,321,000 73,818,000 38,001,000 24,485,000 -13,719,000 -4,898,000 74,436,000 21,252,000 -50,455,000 53,653,000 49,101,000 -16,679,000 167,919,000 149,674,000 30,573,000 30,905,000 23,283,000 41,438,000 3,544,559 14,964,915 36,867,301 34,356,842 8,687,362 5,994,891 7,171,723 29,885,643 -13,543,067 22,001,736 
  reconciliation of cash, cash equivalents and restricted cash:                                                               
  cash and cash equivalents269,731,000 240,867,000 905,155,000 -185,767,000 -43,668,000 427,290,000 -113,502,000 -309,997,000 -19,739,000 871,668,000 -71,847,000 170,059,000 -365,312,000 1,233,877,000 516,756,000 -98,162,000 215,439,000 1,481,836,000 28,011,000 -165,322,000 -124,253,000 1,764,212,000 110,251,000 -83,762,000 76,401,000 732,190,000 161,127,000 -200,673,000                                    
  restricted cash in other assets15,579,000 15,579,000 -3,570,000 125,000 19,024,000 525,000 8,845,000 9,654,000 589,000 9,065,000 500,000 8,565,000 105,000 3,260,000 5,200,000                                      
  total cash, cash equivalents and restricted cash269,731,000 256,446,000 905,155,000 -185,767,000 -43,668,000 442,869,000 -117,072,000 -309,872,000 -19,739,000 890,692,000 -71,847,000 170,584,000 -356,467,000 1,243,531,000 517,345,000 -98,162,000 215,439,000 1,490,901,000 28,511,000 -165,322,000 -124,253,000 1,772,777,000 110,251,000 -83,657,000 79,661,000 737,390,000 161,127,000 -200,673,000                                    
  supplemental disclosure of cash flow information:                                                               
  cash paid during the period for income taxes19,258,000 835,000 10,973,000 3,624,000 7,081,000 909,000 5,512,000                                                         
  cash paid during the period for interest7,188,000 687,000 7,188,000 793,000 7,188,000 794,000 7,312,000 794,000 7,023,000 3,145,000 13,493,000 16,092,000 11,688,000 16,222,000 11,947,000 16,092,000 11,688,000 13,956,000 5,430,000 9,647,000 5,385,000 4,275,000   4,447,000 803,000 5,205,000 853,000 988,000 386,000 247,000 291,000 363,000 371,000 419,000 409,000 410,000 322,000 19,000 18,000  20,000 20,000 20,000  22,000                
  supplemental schedule of non-cash activities:                                                               
  intangible assets and property and equipment included in accounts payable and accrued expenses-2,759,000 29,225,000 8,899,000 3,358,000 7,554,000 22,929,000 17,280,000 -4,869,000 9,792,000 11,136,000 1,254,000 -240,000 1,336,000 4,415,000 -482,000 -3,116,000                                                
  capitalized stock-based compensation and depreciation as inventory6,925,000 7,285,000 7,813,000 7,449,000 6,954,000 6,333,000                                                          
  lease liabilities arising from obtaining right of use assets5,232,000 14,994,000 18,349,000 1,743,000 275,000 357,000 3,971,000 75,595,000 280,000 27,725,000 874,000 7,301,000 4,106,000 77,000 2,566,000 9,681,000 901,000 21,680,000                                             
  common stock issued for conversion or exchange of 2024 notes  91,572,000 1,000                                                            
  increase in accounts receivable -57,383,000 -167,464,000                                                             
  acquisition of strategic investment -241,388,000                                                              
  payments related to obtaining revolving credit facility -3,210,000                                                              
  non-cash interest expense  1,204,000 1,246,000   1,237,000 1,231,000   1,525,000 2,039,000 2,031,000 1,957,000 1,964,000 1,926,000 1,875,000 1,816,000 6,922,000 6,315,000 5,875,000 6,342,000 5,557,000 5,374,000 5,305,000 5,208,000 4,984,000 5,248,000 5,018,000 4,940,000             -19,000                     
  non-cash termination charges                                                              
  impairment of strategic investments                                                               
  loss on debt extinguishment      387,329,000                                                     
  gain from sale of priority review voucher                   -108,069,000         -125,000,000                              
  increase in manufacturing-related deposits and prepaids  46,956,000                                                             
  increase in accounts payable, accrued expenses, lease liabilities and other liabilities                                                               
  purchase of intangible assets  -10,000,000                -1,034,000 -594,000 -599,000 -855,000 -555,000 -1,077,000 -883,000 -673,000 -624,000 -6,990,000 -356,000 -1,245,000                              
  proceeds from sale of priority review voucher                            125,000,000                              
  settlement of capped call share options for 2024 notes                                                               
  payment on maturity of 2024 notes                                                               
  debt conversion costs for 2024 notes      -6,887,000                                                      
  proceeds from 2027 notes offering, net of commissions                                                              
  purchase of capped call share options for 2027 notes                                                              
  debt issuance costs for 2027 notes          -554,000                                                     
  repurchase of 2024 notes                                                              
  repayment of principal amount due under 2019 term loan                                                              
  payment on debt extinguishment of 2019 term loan                                                              
  increase in cash and cash equivalents                          161,127,000 -200,673,000 -146,995,000 -42,457,000  449,283,000 -106,375,000 152,303,000 -272,720,000 283,321,000 73,818,000 -42,303,000    885,000 21,252,000   -207,864,000 170,982,000 -19,742,000 189,578,000 -9,331,000 -2,684,000 23,283,000    2,269,567 17,702,013  -4,390,072  29,885,643  22,001,736 
  beginning of year                                                               
  end of year                                                               
  lease liabilities terminated            20,166,000 19,967,000                                              
  maturity and sale of available-for-sale securities   297,840,000     415,624,000 448,834,000  399,571,000    30,000,000 226,000,000 210,000,000  221,000,000 376,980,000 250,000,000  245,001,000 579,017,000 646,830,000    90,093,000  132,704,000                                
  partial settlement of capped call share options for 2024 notes      80,645,000                                                     
  modification of 2017 capped calls                                                               
  proceeds from exercise of stock options not yet received                                                               
  adjustments to reconcile net income to cash flows from operating activities:                                                               
  non-cash change in the fair value of contingent consideration    10,100,000                                                          
  net decrease (increase) in accounts receivable    18,809,000 21,521,000                                     946,000                     
  net increase in manufacturing-related deposits and prepaids    -58,298,000 -145,046,000                                                          
  net increase in inventory    -102,460,000 -60,512,000 -94,104,000 -26,612,000 -26,692,000 -306,000 -8,880,000 -26,536,000 -10,677,000 -4,687,000 -27,264,000 -19,713,000 -28,423,000 -8,372,000 -11,843,000 -40,468,000 -6,482,000 -1,789,000 -5,019,000 -9,791,000 -16,102,000 -15,022,000 -9,629,000 -11,690,000 -4,751,000 -15,770,000  -22,939,000 -11,309,000 -17,632,000                              
  net decrease in other assets       -6,004,000    3,477,000 17,520,000 13,401,000                4,672,000                                  
  net decrease in deferred revenue    10,036,000 -50,416,000 -20,078,000 -22,495,000 -22,250,000 -22,005,000  -22,495,000 -22,250,000 -22,005,000                                                  
  net decrease in accounts payable, accrued expenses, lease liabilities and other liabilities    77,593,000 -92,843,000    -67,541,000    -5,022,000                                                  
  net increase in other assets     -2,315,000    -29,996,000         -52,201,000 -69,818,000 -16,343,000 -27,966,000 -7,381,000 -7,002,000 -8,144,000 -79,564,000 -52,294,000 -54,478,000    1,966,000    -7,809,000 2,786,000 -3,180,000     -4,845,000                     
  common stock issued for exchange of 2024 notes       693,377,000                                                      
  adjustments to reconcile net income to cash flows in operating activities:                                                               
  net increase in accounts receivable      -81,472,000 -82,047,000 -12,972,000 -9,208,000 -13,119,000 2,345,000 -25,660,000 -25,204,000 -3,203,000 -22,267,000 -9,317,000 -16,863,000 20,487,000 -17,799,000 2,847,000 -15,996,000 -22,847,000 -11,051,000 -6,471,000 -1,466,000 -443,000 -5,616,000 -3,137,000 -10,380,000  -6,960,000 -5,513,000 -7,050,000  -4,000 8,000 -13,000 -1,244,000                         
  net increase in accounts payable, accrued expenses, lease liabilities and other liabilities      61,088,000 -17,554,000   12,878,000 53,195,000                                                    
  taxes paid related to net share settlement of equity awards              -1,432,000 -6,333,000 -4,798,000 -3,448,000                                        
  proceeds from sales of common stock, net of offering costs                                                              
  impairment of equity investments                                                               
  maturity of available-for-sale securities                                 80,000,000    21,000,000 44,085,000 43,204,000   48,314,000 37,930,000                    
  supplemental schedule of non-cash investing and financing activities:                                                               
  accrued debt issuance costs for 2027 notes                                                               
  loss on disposal of assets          5,314,000 86,000              88,000 3,844,000 57,000 27,000 10,000 13,000                 196,000 2,454,000 65,000 -2,063,000 2,107,000 189,000 -53,059 53,498 164,253 1,028       
  supplemental schedule of non-cash investing activities and financing activities:                                                               
  (gain) loss on contingent consideration                                                              
  gain from sale of priority review voucher, net of commission                                                            
  impairment of equity investment                                                              
  net decrease (increase) in other assets              29,048,000 485,000 38,755,000 34,915,000                774,000     5,286,000 1,268,000 1,282,000 7,413,000                      
  net increase in deferred revenue              -22,494,000 -22,495,000 -22,250,000 -22,005,000 -22,494,000 -22,561,000 -25,953,000 820,437,000                                          
  proceeds from sale of priority review voucher, net of commission                 108,069,000                                          
  proceeds from 2019 term loan                                                               
  debt issuance costs for 2019 term loan                                                               
  proceeds from issuance of common stock to roche, net of offering costs                                                             
  shares withheld for tax included in accrued expenses                                                              
  accrued debt issuance costs                                                               
  gain on contingent consideration                                                               
  increase in cash, cash equivalents and restricted cash           170,584,000    -98,162,000 215,439,000 -20,812,000  -165,322,000 -124,253,000 929,132,000  -83,657,000 79,661,000 366,561,000                                      
  acquired in-process research and development                                              29,461,000  29,461,000         19,545,028  19,545,028 
  non-cash up-front payment to stridebio                                                               
  acquisition of myonexus therapeutics, inc., net of cash acquired                                                             
  proceeds from term loans                                                               
  debt issuance costs                                                               
  net increase in accounts payable, accrued expenses and other liabilities               -52,956,000    20,065,000 46,009,000 -57,718,000                     15,269,000   1,704,000                  
  amortization of investment discount                -19,000 -82,000 -80,000 -178,000 -644,000 -1,284,000 -996,000 -1,649,000 -2,324,000 -3,476,000  -1,914,000 -1,569,000 -1,259,000                                  
  net decrease in accounts payable, accrued expenses and other liabilities                 -44,962,000                                              
  intangible assets and property and equipment included in accrued expenses                 5,729,000 -3,141,000 -740,000 2,878,000 6,154,000                                          
  issuance costs related to the roche collaboration in accrued expenses                     4,285,000                                          
  loss on contingent consideration                                                              
  reduction in the carry amounts of the right of use assets                                                               
  income from debt extinguishment                                                               
  repayment of july 2017 term loan                                                               
  proceeds from revolving line of credit                          18,150,000 44,368,000 77,119,000 96,235,000 15,708,000                                 
  repayment of revolving line of credit                          -17,323,000                                     
  payment for debt extinguishment                                                               
  repayment of mortgage loans and notes payable                                                               
  reclassification of long term investments to short term investments                          9,980,000                                  
  proceeds from sale of common stock, net of offering costs                       89,000 365,264,000                                      
  right of use asset and lease liability additions                                                               
  sale of available-for-sale securities included in investment receivable                        -22,300,000 42,300,000                                      
  proceeds from issuance of common stock to roche                     316,338,000                                          
  manufacturing right of use asset additions                     27,554,000                                          
  manufacturing lease liability additions                     24,783,000                                          
  net cash from operations                                      -31,272,000 -46,314,000                        
  purchase of restricted investment                                                               
  maturity of restricted investment                              10,695,000                              
  net cash provided (used) in investing activities                                                               
  proceeds from exercise of options and employee stock purchase program                                                               
  proceeds from december 2019 term loan                                                               
  repayment of june 2015 and july 2017 term loan                                                              
  proceeds from july 2017 term loan                                                               
  purchase of capped call options                                                               
  proceeds from convertible debt offering                                                               
  accrued debt discount and issuance costs                                                               
  property and equipment included in accrued expenses                      -936,000 -785,000 24,000 2,878,000 2,906,000 2,226,000 -2,691,000 2,980,000 2,140,000   330,000   80,000 19,000 107,000   45,000 -888,000 743,000                    
  net increase in accounts payable, accrued expenses, deferred revenue and other liabilities                       54,100,000   58,578,000 14,069,000 12,811,000 4,704,000           4,518,000 -5,084,000                      
  purchases of restricted investment                                                              
  repayments on mortgage loans                                                               
  payment of debt extinguishment                                                               
  reclassification of revolving line of credit balance to other receivable                                                               
  intangible assets included in accrued expenses                       -16,000 -4,000 230,000 140,000 -60,000 92,000 202,000 85,000 -7,000 86,000 179,000 -67,000                             
  accrual for debt issuance costs related to the term loans                                                               
  net decrease in accounts payable, accrued expenses, deferred revenue and other liabilities                         2,133,000        -886,000    -6,214,000                          
  shares withheld for taxes                         889,000 8,000 3,303,000   436,000 1,482,000 144,000 165,000 213,000 1,851,000 60,000 44,000                          
  amortization of investment (discount) premium                                                               
  income from extinguishment of debt                                                               
  non-cash restructuring expense                                                               
  accrued exit and legal fees for debts                                                               
  reclassification of software licenses                                                              
  property and equipment reclassified to asset held for sale                                                              
  proceeds from july 2017 term loan, net of cash debt issuance costs                                                               
  asset held for sale                                                               
  debt issuance costs related to the term loans included in accrued expenses                                                               
  offering costs related to equity offerings included in accrued expenses                                                               
  payments on mortgage loans                            -1,265,000                                  
  payments on revolving line of credit                            -73,511,000 -100,142,000                                  
  proceeds from exercise of options and purchase of stock under the employee stock purchase program                            21,743,000 12,643,000  7,693,000 1,337,000 2,749,000    1,488,000                          
  repayments of long-term debt                                        -24,000 -25,000 -24,000 -23,000 -24,000 -23,000 -452,000 -22,000 -366,000 -21,000 244,000 -284,000            
  payment of term loan                                                               
  (accretion of discount) amortization of premium on available-for-sale securities                                                               
  increase in accounts payable, accrued expenses, deferred revenue and other liabilities                                                               
  proceeds from term loan                                                               
  payments of term loan and notes payable                                                               
  payment of revolving line of credit                                                               
  proceeds from exercise of options and warrants and employee stock purchase program                                                               
  accrual for offering costs related to the equity offerings                                  -169,000                             
  (accretion of discount) amortization of premium on available-for- sale securities and non-cash interest                                                               
  non-cash restructuring expenses                                                               
  proceeds from july 2017 term loan (defined in note 12), net of cash debt issuance costs                                                               
  payments on june 2015 term loan (defined in note 12) and mortgage loans                                                               
  accrual for offering costs related to equity offerings                                                               
  amortization of (discount) premium on available-for-sale securities and non-cash interest                                -125,000 -18,000                              
  loss on abandonment of patents                                119,000 485,000 248,000 21,000 9,000 15,000 17,000 48,000                        
  repayments of long-term debt and notes payable                                -2,511,000 -2,543,000 -2,527,000 -2,525,000 -26,000 -2,525,000 -25,000                         
  accrual for debt issuance costs related to the senior secured term loan                                400,000                             
  accrual for senior secured term loan principal payment                                                               
  accrual for offering costs related to the june 2016 equity offering                                                               
  amortization of premium, net of discount, on available-for-sale securities and income from sales of available-for-sale securities                                                               
  increase in warrant valuation                                             3,251,000                  
  release and maturity of restricted investments                                          4,000,000                    
  patent costs                                    -358,000 -410,000 -450,000 -342,000 -249,000 -391,000 -319,000 -434,000 -334,000 -294,000 -10,653,000 -461,000 -9,915,000 -253,000 7,949,000 -8,474,000           -1,696,468 
  proceeds from borrowings, net of debt issuance costs                                      -133,000                        
  cash and cash equivalents:                                                               
  accrued debt issuance costs related to the senior secured term loan                                                              
  issuance of common stock in satisfaction of warrants                                                               
  issuance of notes payable in relation to the purchase of certain real and personal property located in andover, massachusetts                                                               
  amortization of premium on available-for-sale securities, income from sale of available-for-sale securities and non-cash interest                                   79,000                            
  purchase of restricted investments                                             -90,000 -7,250,000                
  sale and maturity of available-for-sale securities                                   11,389,000                            
  proceeds from sales of common stock                                                               
  capitalized interest                                      99,000 101,000                     
  proceeds from exercise of options, purchase of stock under the employee stock purchase program and sales of common stock                                                               
  patent costs included in accrued expenses                                    67,000 192,000 230,000 -65,000 70,000 100,000                      
  amortization of premium on available-for-sale securities and non-cash interest                                     242,000                          
  amortization of premium on available-for-sale securities                                          615,000 690,000 608,000 519,000                  
  non-cash interest                                                               
  proceeds from exercise of options and warrants and the sale of common stock, net of offering costs                                      125,601,000 4,233,000   48,000 5,430,000                    
  other financing activities                                              -434,000                 
  tenant improvement paid by landlord                                                               
  issuance of note payable in relation to the purchase of certain real and personal property located in andover, massachusetts                                                               
  decrease in cash and cash equivalents                                       -13,719,000                        
  accrued legal and other fees for the october 9, 2015 common stock offering                                                               
  amortization of premium on available-for-sale securities and noncash interest                                                               
  issuance of common stock in satisfaction of warrants and other liabilities                                          5,570,000 3,171,000 3,044,000  1,022,000                
  accrual for the debt issuance costs related to the senior secured term loan                                                               
  adjustments to reconcile net income to net cash flows used in operating activities:                                                               
  amortization of premium on available-for-sale securities and other non-cash interest expense                                         315,000                      
  loss on abandonment of patents and disposal of property and equipment                                         131,000 76,000   6,000                  
  sale of available-for-sale securities                                         44,750,000                      
  proceeds from exercise of options and warrants                                         431,000                      
  supplemental disclosure of cash flow information                                                               
  supplemental schedule of noncash investing activities and financing activities:                                                               
  tenant improvements paid by landlord                                          -1,000 89,000 -528,000 593,000 2,522,000                 
  loss on change in warrant valuation                                          -4,256,000                    
  cash paid during the year for interest                                                510,000 22,000 -377,000 422,000 19,000           
  issuance of debt in relation to the purchase of certain real and personal property located in andover, massachusetts                                                               
  net increase in accounts receivable and other assets                                            -10,620,000 -10,337,000  -1,178,000                
  receivable for warrants exercised                                                               
  realized gain on sale of available-for-sale securities                                                               
  write-down of available-for-sale securities                                                               
  impairment charge on real estate owned                                                1,445,000  1,336,000            
  acquisition costs                                                -2,389,000  -2,389,000           -2,377,616 
  proceeds from exercise of options and warrants and the sale of common stock, warrants, and partnership units, net of offering costs                                             2,713,000                  
  available-for-sale securities received in connection with the private offering                                                               
  property and equipment included in accounts payable and other liabilities                                             3,533,000                  
  issuance of common stock for building purchase                                                750,000  750,000            
  assumption of long-term debt for building purchase                                                2,200,000  2,200,000            
  issuance of common stock to acquire assets                                                               
  assumption of liabilities to acquire assets                                                2,124,000               
  realized gain on sale of short-term securities—available-for-sale                                                   -3,863,000            
  write-down of short-term securities—available-for-sale                                                17,001,000   17,001,000            
  increase on warrant valuation                                                               
  net increase in accounts receivable, other current assets and other assets                                              -5,440,000                 
  net increase in accounts payable, accrued employee compensation, and other liabilities                                              20,014,000 -955,000   -1,229,000 11,326,000   1,195,910         
  purchase of marketable securities                                                -112,993,000  -112,993,000            
  sale of marketable securities                                                117,724,000  117,724,000   909,694 902,117 3,346,336 10,346,335 -5,463,808 4,989,198 2,696,377   
  proceeds from exercise of options and warrants, and the sale of common stock, warrants, and partnership units, net of offering costs                                                               
  short-term securities—available-for-sale received in connection with the private offering                                                17,897,000   17,897,000           17,897,000 
  loss on disposal of property and equipment                                                               
  realized gain on sale of short-term securities — available-for-sale                                                               
  write-down of short-term securities — available-for-sale                                                               
  increase on warrant liability                                                 10,926,000              
  changes in operating assets and liabilities:                                                               
  proceeds from sale of common stock, warrants, and partnership units, net of offering costs, and exercise of options and warrants                                               2,993,000 455,154,000 1,000 -233,266,000 265,614,000    7,971,098 22,311,475 6,985,851 -88,473,165 26,152 102,042,843 69,894,705 69,697,484 
  cash paid for interest                                                               
  short-term securities — available-for-sale received in connection with the private offering                                                               
  issuance of common stock in satisfaction of warrant liabilities                                                               
  increase in warrant liability                                               26,906,000                
  short-term securities — available-for-sale received in connection with private offerings                                                               
  issuance of common stock and warrants in satisfaction of liabilities                                                 -544,000 1,188,000            
  realized gain on sale of short-term securities— available-for-sale                                                               
  conversion of interest accrued to common stock                                                  8,000         7,860  7,860 
  (increase) in accounts receivable, other current assets and other assets                                                 -1,830,000              
  increase in accounts payable, accrued employee compensation, and other liabilities                                                 -1,567,000              
  buyback of common stock pursuant to rescission offering                                                  -289,000           -288,795 
  withdrawal of partnership net assets                                                  -177,000           -176,642 
  issuance of convertible debt                                                  80,000         80,000  80,000 
  issuance of common stock to acuire assets                                                               
  realized gain on sale of short-term securities - available-for-sale                                                              
  write-down of short-term securities - available-for-sale                                                              
  short-term securities - available-for-sale received in connection with the private offering                                                              
  issuance of common stock for ercole assets                                                  8,075,000            
  assumption of liabilities for ercole assets                                                  2,124,000            
  realized gain on sale of short-term securities–available-for-sale                                                               
  write-down of short-term securities–available-for-sale                                                               
  supplemental disclosure of cash flow                                                               
  information:                                                               
  short-term securities–available-for-sale received in connection with the private offering                                                               
  increase in:                                                               
  accounts receivable and other current assets                                                       281,612        
  change in unrealized gain on short-term securities—available-for-sale                                                      -2,041 1,890 132,641   -376,173    
  (gain) loss on warrant liability                                                   778,000            
  increase in accounts receivable, other current assets and other assets                                                   -15,337,000            
  write-down of short-term securities —available-for-sale                                                               
  accounts receivable, other current assets, and other assets                                                    334,000           
  net increase in accounts payable, accrued employee compensation, deferred revenue, and other liabilities                                                    85,000           
  short-term securities —available-for-sale received in connection with the private offering                                                               
  issuance of common stock and warrants to vendors                                                               
  compensation expense on issuance of common stock and partnership units                                                            371,992  251,992 
  other assets                                                       2,900       -29,847 
  investment in other lt assets                                                               
  issuance of common stock and warrants in satisfaction of employee bonuses                                                               
  compensation expense to non-employees on issuance of options and warrants to purchase common stock or partnership units                                                     -195,802 312,637 525,126        
  gain on warrant liability                                                               
  decrease (increase) in:                                                               
  short-term securities—available-for-sale received in                                                               
  connection with the private offering                                                               
  change in unrealized gain on short-term                                                               
  securities—available-for-sale                                                               
  issuance of common stock to vendors                                                      300,000 700,000        
  issuance of common stock and warrants for services                                                       175,000     370,000 -120,000 240,000 
  compensation expense on issuance of options and warrants to purchase common stock or partnership units                                                        206,329 332,890 -359,147  682,353  562,353 
  related party receivables and other current assets                                                        399,958 43,738  239,677    
  net increase in accounts payable and accrued employee compensation                                                        28,316    4,839,853   
  write-down of short-term securities-available-for-sale                                                            12,523,088   
  other current assets                                                              -738,192 
  change in unrealized loss on short-term securities– available-for-sale                                                         -128,874      
  change in unrealized gain on short-term securities-available-for-sale                                                               
  realized gain on sale of short-term securities                                                               
  compensation expense on issuance of common                                                               
  stock and partnership units                                                               
  accounts payable and accrued employee compensation                                                               
  short-term securities—available-for-sale received in connection with the private offering, related party                                                               
  realized gain on sale of short-term investments — available for sale                                                               
  proceeds from sale or redemption of short-term investments                                                            247,750  247,750 
  supplemental schedule of noncash investing                                                               
  activities and financing activities:                                                               
  short-term securities-available-for-sale received in connection with the private offering, related party                                                            17,897,000   
  change in unrealized gain on short-term securities— available-for-sale                                                            -2,852,652   
  realized gain on sale of short-term investments - available for sale                                                              -96,750 
  short-term securities — available-for-sale received in connection with the private offering, related party                                                               
  change in unrealized gain on short-term securities — available-for-sale                                                               
  write-down of short-term securities--available for sale                                                               
  short-term securities--available-for-sale received in connection with the private offering, related party                                                               
  change in unrealized gain on short-term securities--available-for-sale                                                               
  net increase in accounts payable and accrued liabilities                                                              1,737,801 
  unrealized gain on short-term securities-- available-for-sale                                                              -13,278,794 

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