Financial Performance - Total revenues for the year ended December 31, 2023, were 1,828,292,a761,037,418 in 2022[221]. - Net product revenues increased to 1,241,474in2023,up39894,329 in 2022, primarily due to the launch of AMVUTTRA[225]. - Net revenues from collaborations surged to 546,185in2023,a305134,912 in 2022, driven by revenue from Roche and Novartis[226]. - The net loss for 2023 was 440,242,a611,131,156 in 2022[221]. - Total revenues for the year 2023 reached 1.83billion,a76.21.04 billion in 2022[270]. - The company recorded a net loss of 440.2millionfor2023,comparedtoanetlossof1.13 billion in 2022, indicating a 61.0% improvement[270]. Operating Costs and Expenses - Operating costs and expenses rose to 2,110,467in2023,reflectinga161,822,490 in 2022[221]. - Research and development expenses increased to 1.0billionin2023,a14883.0 million in 2022, driven by higher headcount and clinical trial costs[229][233]. - Selling, general and administrative expenses rose to 795.6millionin2023,a3770.7 million in 2022, attributed to investments supporting strategic growth[236]. - Total operating costs and expenses increased by 16% in 2023, reaching 2.1billioncomparedto1.8 billion in 2022[229]. Cash Flow and Liquidity - Net cash provided by operating activities for the year ended December 31, 2023, was 104.2million,asignificantincreasefromacashusedof(541.3) million in 2022, primarily due to a 310.0millionup−frontpaymentfromRocheanda100.0 million payment from Regeneron[241]. - As of December 31, 2023, the company had cash, cash equivalents, and marketable securities totaling 2.44billion,upfrom2.19 billion in 2022[245]. - Cash and cash equivalents decreased to 812.7millionin2023from866.4 million in 2022, a decline of 6.2%[265]. - The total cash, cash equivalents, and restricted cash shown in the consolidated statements of cash flows was 814,884asofDecember31,2023,downfrom868,556 in 2022, a decrease of about 6.2%[367]. Revenue Sources - ONPATTRO's total net revenues decreased by 36% to 354,546in2023,comparedto557,608 in 2022, due to patient switches to AMVUTTRA[225]. - AMVUTTRA generated total net revenues of 557,838in2023,markingasignificantincreaseof49593,795 in 2022[225]. - Royalty revenue increased to 40,633in2023,a3978,177 in 2022[226]. - GIVLAARI's total net revenues increased to 219.3millionin2023from173.1 million in 2022, reflecting a growth of approximately 26.7%[319]. - OXLUMO's total net revenues rose to 109.8millionin2023,comparedto69.8 million in 2022, marking a growth of about 57.3%[319]. Collaborations and Agreements - Revenue from collaborations recognized an additional 30.0millionin2023comparedto2022,primarilyfromcommercializationandregulatorymilestonesachievedundertheNovartisCollaborationAgreement[227].−Rochemadeanupfront,nonrefundablepaymentof310 million as part of a collaboration agreement for the development of zilebesiran, with potential contingent payments of up to 1.24billionbasedonmilestones[329].−RegeneronPharmaceuticalsmadeanupfrontpaymentof400.0 million as part of the collaboration agreement[336]. - The company will lead the global clinical development for zilebesiran, sharing development costs with Roche at a ratio of 40% to 60%[329]. Assets and Liabilities - The company had an accumulated deficit of 7.01billionasofDecember31,2023[218].−Totalassetsincreasedto3.83 billion in 2023, compared to 3.55billionin2022,markinga7.94.05 billion in 2023, up from 3.70billionin2022,reflectinga9.51.38 billion as of December 31, 2023, with an interest expense of 106.6millionrecognizedfortheyear[261].StockandCompensation−Thecompanyreportedstock−basedcompensationexpenseof221,680 thousand for 2023, slightly down from 230,649thousandin2022[277].−Thetotalstock−basedcompensationexpenseforresearchanddevelopmentin2023was97,273 thousand, compared to 92,161thousandin2022[378].−AsofDecember31,2023,therewere1,025thousandtime−basedrestrictedstockunitsoutstanding,withaweighted−averagefairvalueof185.24 per share[385]. Future Outlook - The company aims to achieve financial self-sustainability by the end of 2025 while continuing to incur operating losses[218]. - The company anticipates a decrease in net revenues from collaborations in 2024, primarily due to reduced revenues from the Roche Collaboration and License Agreement[227]. - The company expects research and development and selling, general and administrative expenses to increase in 2024 as it advances its product candidates and expands its global commercial infrastructure[236]. Legal and Regulatory Matters - The company has ongoing patent infringement lawsuits against Pfizer and Moderna related to its biodegradable cationic lipids used in mRNA COVID-19 vaccines[410].