You should read the following discussion and analysis of our financial condition
and results of operations together with the section titled "Selected financial
data" and the consolidated financial statements and related notes included
elsewhere in this Annual Report on Form 10-K, or Annual Report. Unless the
context otherwise requires, all references to "we," "us," "our," or the
"Company" refer to SpringWorks Therapeutics, Inc., together with its
subsidiaries. This discussion contains forward-looking statements based upon
current expectations that involve risks and uncertainties. We caution you that
forward-looking statements are not guarantees of future performance, and that
our actual results of operations, financial condition and liquidity, and the
developments in our business and the industry in which we operate, may differ
materially from the results discussed or projected in the forward-looking
statements contained in this Annual Report. We discuss risks and other factors
that we believe could cause or contribute to these potential differences
elsewhere in this Annual Report, including under Item 1A. "Risk Factors" and
under "Special Note Regarding Forward-Looking Statements". In addition, even if
our results of
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operations, financial condition and liquidity, and the developments in our
business and the industry in which we operate are consistent with the
forward-looking statements contained in this Annual Report, they may not be
predictive of results or developments in future periods. We caution readers not
to place undue reliance on any forward-looking statements made by us, which
speak only as of the date they are made. We disclaim any obligation, except as
specifically required by law and the rules of the Securities and Exchange
Commission, or SEC, to publicly update or revise any such statements to reflect
any change in our expectations or in events, conditions or circumstances on
which any such statements may be based, or that may affect the likelihood that
actual results will differ from those set forth in the forward-looking
statements.

Overview



We are a clinical-stage biopharmaceutical company applying a precision medicine
approach to acquiring, developing and commercializing life-changing medicines
for underserved patient populations suffering from devastating rare diseases and
cancer. We have a differentiated portfolio of small molecule targeted oncology
product candidates and are advancing two potentially registrational clinical
trials in rare tumor types, as well as several other programs addressing highly
prevalent, genetically defined cancers. Our strategic approach and operational
excellence across research, translational science, and clinical development have
enabled us to rapidly advance our two lead product candidates into late-stage
clinical trials while simultaneously entering into multiple shared-value
partnerships with industry leaders to expand our portfolio. From this
foundation, we are continuing to build a differentiated global biopharmaceutical
company intensely focused on understanding patients and their diseases in order
to develop transformative targeted medicines.

As described in Part I, Item 1. "Business," we currently have three product candidates in clinical development. Refer to Part I, Item 1. "Business" for a summary of our clinical programs.



In February 2021, we entered into a Sales Agreement with Cowen and Company, LLC,
pursuant to which we may issue
and sell shares of our common stock having aggregate offering proceeds of up to
$200.0 million (the Shares) from time
to time through Cowen as our sales agent. Upon delivery of a placement notice
and subject to the terms and conditions
of the Sales Agreement, Cowen may sell the Shares by any method permitted by law
deemed to be an "at the market
offering" as defined in Rule 415(a)(4) promulgated under the Securities Act of
1933, as amended. We may sell the
Shares in amounts and at times to be determined by us from time to time subject
to the terms and conditions of the Sales
Agreement, but we have no obligation to sell any Shares under the Sales
Agreement. We or Cowen may suspend or
terminate the offering of Shares upon notice to the other party and subject to
other conditions. As of December 31,
2021, we had not made any sales of Shares under the Sales Agreement.

On October 13, 2020, we completed a follow-on public offering of our common
stock. In connection with the
offering, we issued and sold 5,637,254 shares of our common stock at a price to
the public of $51.00 per share. The net proceeds from the offering were $269.5
million after deducting underwriting discounts and commissions of $17.2 million
and offering expenses of approximately $0.8 million.

On September 12, 2019, we completed the initial public offering, or IPO, of our
common stock. In connection with the IPO, we issued and sold 10,350,000 shares
of our common stock at a price to the public of $18.00 per share. The net
proceeds from the IPO were $169.7 million after deducting underwriting discounts
and commissions of $13.0 million and offering expenses of approximately $3.5
million.

At the closing of the IPO, 196,076,779 shares of outstanding convertible
preferred stock were automatically converted into 29,794,359 shares of common
stock at a conversion rate of one-for-6.5810. Following the IPO, there were no
shares of preferred stock outstanding.

We were originally formed as SpringWorks Therapeutics, LLC, a Delaware limited
liability company in August 2017. Concurrent with our formation, we acquired
exclusive worldwide licenses to nirogacestat and mirdametinib from Pfizer Inc.,
or Pfizer. From our inception to March 29, 2019, we conducted our business
through SpringWorks Therapeutics, LLC and were treated as a partnership for
income tax purposes. Pursuant to the terms of a corporate reorganization that
was completed on March 29, 2019, all of the equity interests in SpringWorks
Therapeutics, LLC were exchanged for the same number and class of newly issued
securities of SpringWorks Therapeutics, Inc., and, as a result, SpringWorks
Therapeutics, LLC became a wholly owned subsidiary of SpringWorks
Therapeutics, Inc. Following the Reorganization, we now conduct our business as
SpringWorks Therapeutics, Inc.

Since our inception in August 2017, we have devoted substantially all of our resources to conducting research and development activities for our product candidates, executing our business development strategy, building our intellectual property portfolio,


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organizing and staffing our company, building commercialization capabilities, business planning, raising capital and providing general and administrative support for these activities.



To date, we have derived all of our revenue from the nonrefundable upfront
payment we received under the asset purchase and license agreement with Jazz
Pharmaceuticals Ireland Limited, or Jazz in October 2020. We do not have any
products approved for commercial sale or sources of recurring revenue. We had
cash, cash equivalents and available-for-sale marketable securities of $432.7
million and $561.8 million as of December 31, 2021 and December 31, 2020,
respectively. Since inception, we have funded our operations primarily with net
proceeds of $102.3 million from the sale of our Series A convertible preferred
units prior to the Reorganization, $124.6 million in net proceeds from the sale
of our Series B convertible preferred stock following the Reorganization, net
proceeds of $169.7 from our IPO in September 2019 and net proceeds of $269.5
million from our follow-on financing in October 2020. We believe that our cash,
cash equivalents and marketable securities will enable us to fund our
operational expenses and capital expenditure requirements through at least 12
months after the date this Annual Report is filed.

Since inception, we have incurred significant operating losses. Our net losses
were $173.9 million, $45.6 million, and $58.3 million for the years ended
December 31, 2021, December 31, 2020, and December 31, 2019, respectively. We
had an accumulated deficit of $292.5 million and $118.6 million as of
December 31, 2021 and December 31, 2020, respectively. We expect to continue to
incur significant expenses and operating losses for the foreseeable future. In
addition, we anticipate that our expenses will increase significantly in
connection with our ongoing activities, as we:

•advance our product candidates through clinical development, including our
ongoing potentially registrational Phase 3 clinical trial for nirogacestat and
ongoing potentially registrational Phase 2b clinical trial for mirdametinib;

•advance our other preclinical and clinical development programs, including our combination therapies, into and through clinical development;

•seek regulatory approvals for any product candidates that successfully complete clinical trials;

•increase the amount of research and development activities to identify, acquire and develop product candidates;

•hire additional clinical, quality control, medical, scientific and other technical personnel;

•expand our operational, financial and management systems and increase personnel, including personnel to support our clinical development, manufacturing, business development and commercialization efforts and our operations as a public company;

•maintain, expand and protect our intellectual property portfolio;

•complete commercial-scale outsourced manufacturing activities;

•establish sales, marketing and distribution capabilities for any product candidates for which we may receive regulatory approval in regions where we choose to commercialize our products on our own or jointly with third parties; and

•invest in or in-license other technologies or product candidates.



We will not generate revenue from product sales unless and until we successfully
complete clinical development and obtain regulatory approval for our product
candidates. In addition, if we obtain regulatory approval for nirogacestat or
mirdametinib, we expect to incur significant expenses related to developing our
commercialization capabilities to support product sales, marketing and
distribution activities, either alone or in collaboration with others.

Our license and collaboration agreements

Pfizer license agreements



In August 2017, we entered into a license agreement, or the Nirogacestat License
Agreement, with Pfizer pursuant to which we acquired exclusive worldwide rights
to nirogacestat. We subsequently amended the Nirogacestat License Agreement in
July of 2019 with regard to certain provisions relating to intellectual
property. Pursuant to the Nirogacestat License Agreement, as amended, we are
required to pay Pfizer payments of up to an aggregate of $232.5 million upon
achievement of certain commercial milestone events. We will pay Pfizer tiered
royalties on sales of nirogacestat at percentages ranging from the mid-
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single digits to the low 20s, which may be subject to deductions for expiration of valid claims, amounts due under third-party licenses and generic competition.



In August 2017, we entered into a license agreement, or the Mirdametinib License
Agreement, with Pfizer (collectively with the Nirogacestat License Agreement
referred to as the "Pfizer License Agreements") pursuant to which we acquired
exclusive worldwide rights to mirdametinib. We subsequently amended the
Mirdametinib License Agreement in August of 2019 with regard to certain
provisions relating to intellectual property. Pursuant to the Mirdametinib
License Agreement, as amended, we are required to pay Pfizer up to an aggregate
of $229.8 million upon achievement of certain commercial milestone events. We
will pay Pfizer tiered royalties on sales of mirdametinib at percentages ranging
from the mid-single digits to the low 20s, which may be subject to deductions
for expiration of valid claims, amounts due under third-party licenses and
generic competition.

In connection with entering into the Pfizer License Agreements, we issued an
aggregate of 6,437,500 Junior Series A convertible preferred units to Pfizer,
which units were converted into 6,437,500 shares of our Junior Series A
convertible preferred stock pursuant to the Reorganization. At the closing of
the IPO, the Junior Series A shares were automatically converted into shares of
common stock at a conversion rate of 6.5810-for-one (or 978,194 common shares).
As of December 31, 2020, we had not made any milestone or royalty payments under
the Pfizer License Agreements.

TEAD license agreement



In May 2021, we entered into an exclusive worldwide license agreement with KU
Leuven and VIB, pursuant to which we in-licensed a portfolio of novel small
molecule inhibitors of the TEAD family of transcription factors, designed for
the potential treatment of biomarker-defined solid tumors driven by aberrant
Hippo pathway signaling. Under the terms of the agreement, we made an upfront
payment of $11 million to KU Leuven and VIB. Pursuant to the terms of the
agreement, KU Leuven and VIB are also eligible to receive up to $285 million in
development, regulatory and commercial milestones, and tiered single-digit
percentage royalties based on any future net sales of products developed based
on the in-licensed technology.

EGFR license agreement



In October 2021, we entered into an exclusive worldwide license agreement with
Dana-Farber and a sponsored research agreement with Stanford Medicine for a
portfolio of novel small molecule inhibitors of Epidermal Growth Factor
Receptor, or EGFR, designed for the treatment of EGFR-mutant cancers. Under the
terms of the license agreement with Dana-Farber, the Company made an upfront
payment to Dana-Farber and Dana-Farber will be eligible to receive development
and commercial milestones and royalties based on any future net sales generated
based on the in-licensed technology.

Concurrent with this license agreement, we entered a multi-year sponsored
research agreement with Stanford Medicine
to fund continued research and development in a laboratory at Stanford Medicine
as well as collaborating laboratories
at Dana-Farber. This sponsored research agreement is intended to support lead
optimization and translational biology
efforts as the EGFR inhibitor portfolio advances towards development candidate
nomination. Pursuant to the sponsored research agreement with Stanford, the
Company has been granted the option to negotiate for licenses to further
intellectual property which might arise from performance of the sponsored
research.

BeiGene clinical collaboration agreement



In August 2018, we entered into a clinical collaboration agreement with BeiGene,
Ltd., or BeiGene, to evaluate the safety, tolerability and preliminary efficacy
of combining lifirafenib and mirdametinib, in a Phase 1b clinical trial for
patients with advanced or refractory solid tumors. Each party will be solely
responsible for its costs associated with manufacturing and supply of its
compound for the clinical trial. We and BeiGene will share equally the other
costs associated with the clinical trial.

GSK clinical trial collaboration and supply agreement



In June 2019, we entered into a clinical trial collaboration and supply
agreement with GlaxoSmithKline, or GSK, to evaluate nirogacestat in combination
with belantamab mafodotin in patients with relapsed or refractory multiple
myeloma, in an adaptive Phase 1b clinical trial. In October 2021, we announced
the initiation of an expanded Phase 2 cohort from the first combination dose
level that evaluated 0.95 mg/kg dose of BLENREP every three weeks plus
nirogacestat based on encouraging preliminary data observed in the Phase 1
portion. We also announced the addition of two new sub-studies that will explore
BLENREP plus nirogacestat in combination with pomalidomide and dexamethasone and
in combination with lenalidomide plus dexamethasone. GSK is responsible for the
conduct and expenses of the trial, which is governed by a joint development
committee with equal representation from each party.
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Allogene clinical trial collaboration and supply agreement



In January 2020, we entered into a clinical trial collaboration and supply
agreement with Allogene Therapeutics, Inc., or Allogene, to evaluate
nirogacestat in combination with ALLO-715, Allogene's investigational allogeneic
B-cell maturation antigen, or BCMA, targeted chimeric antigen receptor, or CAR,
T cell product, in patients with relapsed or refractory multiple myeloma.
Allogene is responsible for administering the Phase 1 clinical trial and is
responsible for all costs associated with the direct conduct of the clinical
trial, other than the manufacture and supply of nirogacestat and certain
expenses related to intellectual property rights. The collaboration is managed
by a joint development committee with equal representation by us and Allogene.

Janssen clinical collaboration agreement



In September 2020, we entered into a clinical collaboration and supply agreement
with Janssen Biotech, Inc., or Janssen, to evaluate our investigational gamma
secretase inhibitor, or GSI, nirogacestat, in combination with Janssen's
bispecific antibody targeting BCMA, and CD3, teclistamab, in patients with
relapsed or refractory multiple myeloma. Janssen is responsible for
administering the Phase 1 clinical trial and is responsible for all costs
associated with the direct conduct of the clinical trial, other than the
manufacture and supply of nirogacestat and certain expenses related to
intellectual property rights. The collaboration is managed by a joint oversight
committee of equal representation by us and Janssen.

Precision BioSciences clinical collaboration agreement



In September 2020, we entered into a clinical trial collaboration agreement with
Precision BioSciences, Inc., or Precision Biosciences, to evaluate nirogacestat
in combination with PBCAR269A, an investigational allogeneic CAR-T cell therapy
candidate targeting BCMA, in patients with relapsed or refractory multiple
myeloma. Precision Biosciences is responsible for administering the Phase 1/2a
clinical trial and is responsible for all costs associated with the direct
conduct of the clinical trial, other than the manufacture and supply of
nirogacestat and certain expenses related to intellectual property rights. The
collaboration is managed by a joint steering committee of equal representation
by us and Precision Biosciences.

Pfizer clinical collaboration agreement



In October 2020, we entered into a clinical trial collaboration and supply
agreement with Pfizer, to evaluate nirogacestat in combination with Pfizer's
bispecific antibody targeting BCMA and CD3, elranatamab, in patients with
relapsed or refractory multiple myeloma. Pfizer is responsible for administering
the Phase 1b/2 clinical trial and is responsible for all costs associated with
the direct conduct of the clinical trial, other than the manufacture and supply
of nirogacestat and certain expenses related to intellectual property rights.
The collaboration is managed by a joint development committee of equal
representation by us and Pfizer.

Seagen clinical collaboration agreement



In June 2021, we entered into a clinical collaboration with Seagen to evaluate
nirogacestat in combination with SEA-BCMA, Seagen's investigational monoclonal
antibody targeting BCMA in patients with relapsed or refractory multiple
myeloma. Pursuant to the terms of the agreement, other than the manufacturing of
nirogacestat and certain expenses related to intellectual property rights,
Seagen is responsible for the conduct and expenses of the collaboration, which
is governed by a joint development committee with equal representation from each
party.

AbbVie clinical collaboration agreement



In December 2021, we entered into a clinical collaboration with AbbVie to
evaluate nirogacestat in combination with ABBV-383, AbbVie's investigational CD3
bispecific antibody directed against BCMA, in patients with relapsed or
refractory multiple myeloma. Pursuant to the terms of the agreement, other than
the manufacturing of nirogacestat and certain expenses related to intellectual
property rights, AbbVie is responsible for the conduct and expenses of the
collaboration, which will be governed by a joint steering committee with equal
representation from each party

Jazz Pharmaceuticals asset purchase and exclusive license agreement



In October 2020, we and Jazz announced an asset purchase and exclusive license
agreement, pursuant to which Jazz acquired our fatty acid amide hydrolase, or
FAAH, inhibitor program including PF-04457845. Jazz made an upfront payment of
$35 million to us with potential future payments of up to $375 million based
upon the achievement of certain clinical development,
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regulatory, and commercial milestones. In addition, Jazz is obligated to pay us sales-based royalties on future net sales of PF-04457845.

See "Business-License and collaboration agreements" for more information on our license and collaboration agreements.

COVID-19 Impact



In December 2019, a novel strain of coronavirus, severe acute respiratory
syndrome coronavirus 2, or SARS-CoV-2, was identified in Wuhan, China. On March
11, 2020, the World Health Organization designated the outbreak of COVID-19, the
disease associated with SARS-CoV-2, as a global pandemic. Governments and
businesses around the world have taken unprecedented actions to mitigate the
spread of COVID-19, including, but not limited to, shelter- in-place orders,
quarantines, significant restrictions on travel, as well as restrictions that
prohibit many employees from going to work. Since the onset of the COVID-19
pandemic, we have undertaken a number of business continuity measures to
mitigate potential disruption to our operations and in order to preserve the
integrity of our research and development programs. To date, we have not
experienced any material disruptions to the execution of the research and
development activities that we currently have underway; however, as a result of
the pandemic, or any impacts of emerging variant strains of the COVID-19 virus,
we may experience disruptions that could impact our research and development
timelines and outcomes. We will continue to evaluate the impact of the ongoing
COVID-19 pandemic, along with the impact of emerging variants, on our business.
While the extent to which COVID-19 impacts our future results will depend on
future developments, including the duration, spread and intensity of the
pandemic (including any resurgences), the impact of emerging variant strains of
the COVID-19 virus and the rollout of COVID-19 vaccines, all of which remain
uncertain and difficult to predict, it is possible that the global pandemic and
its associated economic impacts could result in a material impact to our
business, future financial condition, results of operations and cash flows.

Components of our results of operations

Revenue



To date, we have derived all of our revenue from the nonrefundable upfront
payment we received under the Jazz asset purchase and license agreement in
October 2020. We have not generated any commercial revenue from the sale of
products. If our development efforts for our current product candidates or
additional product candidates that we may develop in the future are successful
and can be commercialized, we may generate revenue in the future from product
sales. We do not have any sources of recurring revenue. We may enter into
collaboration and license agreements from time to time that provide for certain
payments due to us. Accordingly, we may generate revenue from such collaboration
or license agreements in the future.

Research and development expenses

Our research and development expenses consist of expenses incurred in connection with the development of our product candidates. These expenses include:

•employee-related expenses, which include salaries, benefits and stock-based compensation for our research and development personnel;

•fees paid to consultants for services directly related to our research and development programs;

•expenses incurred under agreements with third-party contract research organizations, or CROs, investigative clinical trial sites, academic institutions and consultants that conduct research and development activities on our behalf or in collaboration with us;

•costs associated with preclinical studies and clinical trials;

•costs associated with the manufacture of drug substance and finished drug product for preclinical testing and clinical trials;

•costs associated with technology and intellectual property licenses; and

•certain facilities and facility-related costs, which include expenses for rent and other facility-related costs and other supplies.


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A significant portion of our research and development expenses are external
costs, which we track on a program-by-program basis. Other research and
development expenses include internal research and development costs, such as
compensation-related costs for our research and development employees, as well
as depreciation and other indirect costs, which we do not track on a
program-by-program basis.

Expenditures for clinical development, including upfront licensing fees and
milestone payments associated with our product candidates, are charged to
research and development expense as incurred. These expenses consist of expenses
incurred in performing development activities, including salaries and benefits,
materials and supplies, preclinical expenses, clinical trial and related
clinical manufacturing expenses, depreciation of equipment, contract services
and other outside expenses. Costs for certain development activities, such as
manufacturing and clinical trials, are recognized based on an evaluation of the
progress to completion of specific tasks using either time-based measures or
data such as information provided to us by our vendors on their actual
activities completed or costs incurred.

We expect our research and development expenses to increase substantially for
the foreseeable future as we continue to invest in activities related to
developing our product candidates and our preclinical programs, and as certain
product candidates advance into later stages of development, including our
ongoing potentially registrational Phase 3 clinical trial for nirogacestat, or
the DeFi trial, and our ongoing potentially registrational Phase 2b clinical
trial for mirdametinib, or the ReNeu trial. The process of conducting the
necessary clinical trials to obtain regulatory approval is costly and
time-consuming, and the successful development of our product candidates is
highly uncertain. As a result, we are unable to determine the duration and
completion costs of our research and development projects or when and to what
extent we will generate revenue from the commercialization and sale of any of
our product candidates.

General and administrative expenses



General and administrative expenses consist primarily of salaries and related
costs, including stock-based compensation, for personnel in executive, finance,
commercial, corporate and business development and administrative functions.
General and administrative expenses also include legal fees relating to patent
and corporate matters; professional fees for accounting, auditing, tax and
administrative consulting services; insurance costs; administrative travel
expenses; and facility-related expenses, which include direct depreciation costs
and allocated expenses for rent and maintenance of facilities and other
operating costs.

We anticipate that our general and administrative expenses will increase in the
future as we increase our headcount to support the continued development of our
product candidates and expand operations to support the organization.

Interest and other income



Interest and other income consists primarily of interest income. Interest income
consists of interest earned on our cash, cash equivalents and available-for-sale
marketable securities.

Equity investment loss

The equity investment loss represents the Company's share of the losses from the MapKure investment, which is accounted for using the equity method of accounting.

Income taxes



Income taxes are accounted for using the asset-and-liability method. Deferred
tax assets and liabilities are recognized for the future tax consequences
attributable to differences between the financial statement carrying amounts of
existing assets and liabilities and their respective tax basis and operating
loss and tax credit carryforwards. Deferred tax assets and liabilities are
measured using enacted tax rates expected to apply to taxable income in the
years in which those temporary differences are expected to be recovered or
settled. The effect on deferred tax assets and liabilities of a change in tax
rates is recognized as income in the period that includes the enactment date.
Changes in deferred tax assets and liabilities are recorded in the provision for
income taxes.

We recognize deferred tax assets to the extent that we believe that these assets
are more likely than not to be realized. In making such a determination,
management considers all available positive and negative evidence, including
future reversals of existing taxable temporary differences, projected future
taxable income, tax-planning strategies and results of recent operations.
Valuation allowances are provided, if based upon the weight of available
evidence, it is more likely than not that some or all of the deferred tax assets
will not be realized. If management determines that we would be able to realize
our deferred tax assets in
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the future in excess of our net recorded amount, management would make an adjustment to the deferred tax asset valuation allowance, which would reduce the provision for income taxes.



We record uncertain tax positions in accordance with Accounting Standards
Codification, or ASC, Topic 740 on the basis of a two-step process in which (1)
management determines whether it is more likely than not that the tax positions
will be sustained on the basis of the technical merits of the position and (2)
for those tax positions that meet the more-likely-than-not recognition
threshold, management recognizes the largest amount of tax benefit that is more
than 50% likely to be realized upon ultimate settlement with the related tax
authority.

We provide reserves for potential payments of tax to various tax authorities
related to uncertain tax positions. These reserves are based on a determination
of whether and how much of a tax benefit taken by us in its filings or positions
is more likely than not to be realized following resolution of any potential
contingencies related to the tax benefit. Potential interest related to the
underpayment of income taxes will be classified as a component of income tax
expense and any related penalties will be classified in income tax expenses in
the statement of operations.

SpringWorks Therapeutics, LLC elected to be treated under the partnership provisions of the Internal Revenue Service Code prior to the reorganization in March 29, 2019. However, its five wholly owned subsidiaries, SpringWorks Operating Company, SpringWorks Subsidiary 1, SpringWorks Subsidiary 2, SpringWorks Subsidiary 3, and SpringWorks Subsidiary 4, or the Combined Subsidiaries, are taxable corporations.



Subsequent to the Reorganization, SpringWorks Therapeutics, Inc. became the 100%
owner of SpringWorks Therapeutics, LLC, creating a new ultimate parent company,
and a consolidated group for income tax reporting. The Reorganization and change
in tax status of the reporting entity did not have an impact on the consolidated
tax provision.

As of December 31, 2021, we have federal, state and city net operating loss
carryforwards of $257.8 million, $151.1 million and $3.7 million, respectively,
which are available to reduce future taxable income. Federal net operating loss
carryforwards generated 2018 through 2021 of $253.5, will be available to offset
80% of taxable income for an indefinite period of time, until fully utilized.
Federal net operating loss carryforwards of $4.3 million reported in 2017, and
the state and city net operating loss carryforwards expire at various dates
through 2040. We also have federal tax credits of $16.7 million, which may be
used to offset future tax liabilities. These tax credit carryforwards will
expire at various dates beginning in 2038.

Results of operations

Comparison of the Years Ended December 31, 2021 and December 31, 2020

The following table summarizes our results of operations for the years ended December 31, 2021 and December 31, 2020.




                                                            Twelve Months Ended December 31,
(in thousands)                                                   2021                2020             $ Change              % Change
Licensing Revenue                                           $         -          $  35,000          $  (35,000)                   (100) %
Operating Expenses:
Research and development                                        101,676             51,859              49,817                      96  %
General and administrative                                       71,792             29,465              42,327                     144  %
Total operating expenses                                        173,468             81,324              92,144                     113  %
Loss from operations                                           (173,468)           (46,324)           (127,144)                    274  %
Other income:
Interest income, net                                                698              1,330                (632)                    (48) %
Other income (loss)                                                (152)                25                (177)                   (708) %
Total other income                                                  546              1,355                (809)                    (60) %
Equity investment loss                                             (988)              (605)               (383)                     63  %
Net loss                                                    $  (173,910)         $ (45,574)         $ (128,336)                    282  %


Revenue
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We did not recognize any revenue for the year ended December 31, 2021, and do
not currently have any sources of recurring revenue. Revenue of $35.0 million
for the year ended December 31, 2020 was attributable to the nonrefundable
upfront payment from Jazz in October 2020 related to the asset purchase and
exclusive license agreement between us and Jazz.

Research and development expenses

Research and development expense increased by $49.8 million to $101.7 million for the year ended December 31, 2021 from $51.9 million for the year ended December 31, 2020, an increase of 96%.



The increase in research and development expense was attributable to a $25.4
million increase in external costs related to licensing, drug manufacturing and
trial costs, a $23.2 million increase in internal costs driven by the growth in
employee costs associated with increases in the number of personnel and an
increase in non-cash share-based compensation expense, and a $1.2 million
increase in facility-related, and other miscellaneous department expenses. The
increase in external costs was driven by an increase of $14.4 million in
external costs related to drug manufacturing and trial costs and the $11.0
million nonrefundable upfront payment to KU Leuven and VIB for the in-licensing
of the TEAD inhibitor program.

Our research and development expenses are summarized in the table below:



                                                                  Twelve Months Ended December
                                                                               31,
(in thousands)                                                       2021               2020            $ Change
Personnel-related                                                $   39,102          $ 15,900          $ 23,202
Licensing, trial and drug manufacturing                              57,181            31,766            25,415
Facility-related and other                                            5,393             4,193             1,200
Total research and development expenses                          $  101,676

$ 51,859 $ 49,817

General and administrative expenses



General and administrative expenses were $71.8 million and $29.5 million for the
years ended December 31, 2021 and December 31, 2020, respectively, as follows:

                                                                  Twelve Months Ended December
                                                                              31,
(in thousands)                                                       2021              2020            $ Change
Personnel-related                                                $  44,861          $ 16,476          $ 28,385
Professional and consulting fees                                    20,923            10,437            10,486
Facility-related and other                                           6,008             2,552             3,456
Total general and administrative expenses                        $  71,792

$ 29,465 $ 42,327




The increase in general and administrative expense was primarily attributable to
the hiring of additional personnel in our general and administrative functions,
as we continued to expand our operations to support the organization, including
commercialization capabilities, and an increase in non-cash share-based
compensation expense. In addition, general and administrative expense included a
$10.5 million increase in information technology costs and consulting and
professional services, including legal, regulatory and compliance.

Other income



The decrease in other income was driven by a decrease in interest income, net,
during the year ended December 31, 2021 as compared to the year ended
December 31, 2020. This decrease was attributable to a significant decline in
interest rates as a result of the economic impact of the COVID-19 pandemic,
which drove a lower return on cash, cash equivalents and marketable securities
for a portion of 2020, and continued for the full year ended December 31, 2021.
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Comparison of the Years Ended December 31, 2020 and December 31, 2019

The following table summarizes our results of operations for the years ended December 31, 2020 and December 31, 2019.



                                                            Twelve Months Ended December 31,
(in thousands)                                                  2020                2019            $ Change             % Change
Licensing Revenue                                           $   35,000          $       -          $ 35,000                     100  %
Operating Expenses:
Research and development                                    $   51,859          $  42,545          $  9,314                      22  %
General and administrative                                      29,465             16,694            12,771                      77  %
Total operating expenses                                        81,324             59,239            22,085                      37  %
Loss from operations                                           (46,324)           (59,239)           12,915                     (22) %
Other income:
Interest income, net                                             1,330              3,547            (2,217)                    (63) %
Other income (loss)                                                 25                  -                25                     100  %
Total other income                                               1,355              3,547            (2,192)                    (62) %
Equity investment loss                                            (605)            (2,614)            2,009                     (77) %
Net loss                                                    $  (45,574)         $ (58,306)         $ 12,732                     (22) %


Revenue

Revenue of $35.0 million for the year ended December 31, 2020 was attributable
to the nonrefundable upfront payment from Jazz in October 2020 related to the
asset purchase and exclusive license agreement between us and Jazz.

Research and development expenses

Research and development expense increased by $9.3 million to $51.9 million for the year ended December 31, 2020 from $42.5 million for the year ended December 31, 2019, an increase of 22%.



The increase in research and development expense was attributable to a $6.1
million increase in internal costs driven by the growth in employee costs
associated with increases in the number of personnel and an increase in non-cash
share-based compensation expense. In addition, research and development expense
included a $2.4 million increase in external costs related to drug manufacturing
and trial costs, and a $0.9 million increase in facility-related, and other
miscellaneous department expenses.

Our research and development expenses are summarized in the table below:



                                                                  Twelve Months Ended December
                                                                              31,
(in thousands)                                                       2020              2019             $ Change
Personnel-related                                                $  15,900          $  9,814          $   6,086
Trial and drug manufacturing                                        31,766            29,415              2,351
Facility-related and other                                           4,193             3,316                877
Total research and development expenses                          $  51,859

$ 42,545 $ 9,314

General and administrative expenses

General and administrative expenses were $29.5 million and $16.7 million for the years ended December 31, 2020 and December 31, 2019, respectively, as follows:


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                                                                  Twelve Months Ended December
                                                                              31,
(in thousands)                                                       2020              2019            $ Change
Personnel-related                                                $  16,476          $  8,745          $  7,731
Professional and consulting fees                                    10,437             6,061             4,376
Facility-related and other                                           2,552             1,888               664
Total general and administrative expenses                        $  29,465

$ 16,694 $ 12,771




The increase in general and administrative expense was primarily attributable to
the hiring of additional personnel in our general and administrative functions,
as we continued to expand our operations to support the organization, and an
increase in non-cash share-based compensation expense. In addition, general and
administrative expense included a $4.4 million increase in consulting and
professional services, including legal, regulatory and compliance.

Other income



The decrease in other income is driven by a decrease in interest income, net,
during the year ended December 31, 2020 as compared to the year ended
December 31, 2019. This decrease was attributable to a significant decline in
interest rates as a result of the economic impact of the COVID-19 pandemic,
which drove a lower return on cash, cash equivalents and marketable securities
during the year ended December 31, 2020.

Liquidity and capital resources

Sources of Liquidity



We have incurred operating losses and experienced negative operating cash flows
since our inception and anticipate that we will continue to incur losses for at
least the foreseeable future. Our net loss was $173.9 million, $45.6 million and
$58.3 million for the years ended December 31, 2021, December 31, 2020 and
December 31, 2019, respectively. We had an accumulated deficit of $292.5 million
and $118.6 million at December 31, 2021 and December 31, 2020, respectively. Our
marketable securities consist of high-quality, highly liquid available-for-sale
debt securities including corporate debt securities, U.S. government securities
and commercial paper.

Funding requirements

Our primary use of cash is to fund operating expenses, primarily research and
development expenditures. Cash used to fund operating expenses is impacted by
the timing of when we pay these expenses, as reflected in the change in our
outstanding accounts payable, accrued expenses and prepaid expenses.

We believe that our cash, cash equivalents and marketable securities balance as
of December 31, 2021, will be sufficient to fund our operating expenses and
capital expenditure requirements through at least twelve months after the date
this Annual Report is filed. We have based this estimate on assumptions that may
prove to be wrong, and we could utilize our available capital resources sooner
than we currently expect.

Our future funding requirements will depend on many factors, including the following:



•the initiation, progress, timing, costs and results of preclinical studies and
clinical trials for our product candidates, including the DeFi trial and the
ReNeu trial;

•the clinical development plans we establish for these product candidates;

•the number and characteristics of product candidates that we develop;



•the outcome, timing and cost of meeting regulatory requirements established by
the U.S. Food and Drug Administration, or FDA, European Medicines Agency, or
EMA, and other comparable foreign regulatory authorities;

•the terms of our existing and any future license or collaboration agreements we
may choose to enter into, including the amount of upfront, milestone and royalty
obligations;

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•the other costs associated with in-licensing new technologies, such as any increased costs of research and development and personnel;

•the cost of filing, prosecuting, defending and enforcing our patent claims and other intellectual property rights;

•the cost of defending intellectual property disputes, including patent infringement actions brought by third parties against us or our product candidates;

•the effect of competing technological and market developments;

•the cost and timing of completion of commercial-scale outsourced manufacturing activities;



•the cost of establishing sales, marketing and distribution capabilities for any
product candidates for which we may receive regulatory approval in regions where
we choose to commercialize our products on our own; and

•the degree of commercial success achieved following the successful completion of development and regulatory approval activities for a product candidate.



We will need additional funds to meet operational needs and capital requirements
for clinical trials, other research and development expenditures, commercial
activities and business development efforts. Because of the numerous risks and
uncertainties associated with the development and commercialization of our
product candidates, we are unable to estimate the amounts of increased capital
outlays and operating expenditures associated with our current and anticipated
clinical studies.

Until such time, if ever, as we can generate substantial product revenue, we
expect to finance our operations through a combination of equity offerings, debt
financings, collaborations, strategic alliances and marketing, distribution or
licensing arrangements. To the extent that we raise additional capital through
the sale of equity or convertible debt securities, current ownership interests
will be diluted, and the terms of these securities may include liquidation or
other preferences that adversely affect rights of common stockholders. Debt
financing and preferred equity financing, if available, may involve agreements
that include covenants limiting or restricting our ability to take specific
actions, such as incurring additional debt, making acquisitions or capital
expenditures or declaring dividends. If we raise additional funds through
collaborations, strategic alliances or marketing, distribution or licensing
arrangements with third parties, we may have to relinquish valuable rights to
our technologies, future revenue streams, research programs or drug candidates,
or grant licenses on terms that may not be favorable to us. If we are unable to
raise additional funds through equity or debt financings or other arrangements
when needed, we may be required to delay, limit, reduce or terminate our
research, product development or future commercialization efforts, or grant
rights to develop and market product candidates that we would otherwise prefer
to develop and market ourselves.

Cash flows

The following table summarizes our sources and uses of cash for each of the periods presented:



                                                                         Twelve Months Ended December 31,
(in thousands)                                                     2021                  2020                2019
Net cash used in operating activities                        $   (127,877)           $  (32,191)         $ (47,444)
Net cash provided by (used in) investing activities                83,592              (418,832)            (4,260)
Net cash provided by financing activities                           1,157               270,485            333,708

Net increase (decrease) in cash and cash equivalents $ (43,128)

$ (180,538) $ 282,004

Cash flows used in operating activities

Net cash used in operating activities was $127.9 million, $32.2 million, and $47.4 million for the years ended December 31, 2021, December 31, 2020, and December 31, 2019, respectively.



Net cash used in operating activities for the year ended December 31, 2021, was
primarily due to our net loss for the year of $173.9 million, adjusted by
non-cash charges of $40.9 million and a net change of $5.1 million in our net
operating assets and liabilities. The non-cash charges primarily consisted of
$38.4 million for equity-based compensation expense, $1.0 million for non-cash
operating lease expense amortization and $1.0 million for the equity investment
loss associated with our investment in
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MapKure. The change in our net operating assets and liabilities was primarily
due to a net increase of $12.0 million in accounts payable and accrued expenses,
partially offset by a $5.3 million increase in prepaid expenses and other
non-current assets, and a $1.4 million decrease in lease liability, driven by
cash payments for operating leases.

Net cash used in operating activities for the year ended December 31, 2020, was
primarily due to our net loss for the year of $45.6 million, adjusted by
non-cash charges of $12.0 million and a net change of $1.3 million in our net
operating assets and liabilities. The non-cash charges primarily consisted of
$10.0 million for equity-based compensation expense, $1.0 million for non-cash
operating lease expense amortization and $0.6 million for the equity investment
loss associated with our investment in MapKure. The change in our net operating
assets and liabilities was primarily due to a net increase of $4.6 million in
accounts payable and accrued expenses, partially offset by a $2.0 million
increase in prepaid expenses and other non-current assets, and a $1.4 million
decrease in lease liability, driven by cash payments for operating leases.

Net cash used in operating activities for the year ended December 31, 2019, was
primarily due to our net loss for the year of $58.3 million, adjusted by
non-cash charges of $5.9 million and a net change of $4.9 million in our net
operating assets and liabilities. The non-cash charges primarily consisted of
$3.1 million for equity-based compensation expense and the equity investment
loss associated with our investment in MapKure of $2.6 million. The change in
our net operating assets and liabilities was primarily due to an increase of
$8.3 million in accounts payable and accrued expenses, partially offset by a
$3.0 million increase of prepaid expenses and other non-current assets.

Cash flows from investing activities



Net cash provided by investing activities was $83.6 million for the year ended
December 31, 2021, driven by net sales of available-for-sale marketable
securities of $85.6 million. Net cash used in investing activities was
$418.8 million for the year ended December 31, 2020 related to the purchase of
available-for-sale debt securities of $442.7 million, our June 2020 investment
in MapKure of $3.5 million and capital expenditures of $0.6 million, offset by
the proceeds from the sale and maturity of available-for-sale debt securities of
$28.0 million. Net cash used in investing activities was $4.3 million for the
year ended December 31, 2019, primarily related to the $3.6 million investment
in MapKure and $0.7 million related to capital expenditures.

Cash flows provided by financing activities



Net cash provided by financing activities was $1.2 million for the year ended
December 31, 2021, as a result of proceeds from stock option exercises. Net cash
provided by financing activities was $270.5 million for the year ended
December 31, 2020 and consisted of proceeds from issuance of common stock, net
of issuance costs of $269.6 million as well as stock option exercises of $0.9
million. Net cash provided by financing activities was $333.7 million for the
year ended December 31, 2019 and $50.4 million for the year ended December 31,
2018. Net cash provided by financing activities for the year ended December 31,
2019 consisted primarily of proceeds from Series A and B convertible preferred
shares and the IPO.

Contractual obligations and other commitments



We enter into contracts in the normal course of business for clinical trials,
preclinical studies, manufacturing and other services and products for operating
purposes. These contracts generally provide for termination following a certain
period after notice and therefore we believe that our non-cancelable obligations
under these agreements are not material.

We have not recorded any reserves for uncertain tax positions as of December 31, 2021.

Off-balance sheet arrangements

We do not currently have, any off-balance sheet arrangements, as defined under applicable SEC rules.


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Critical accounting policies and estimates



This management's discussion and analysis of our financial condition and results
of operations is based on our consolidated financial statements, which have been
prepared in accordance with accounting principles generally accepted in the
United States. The preparation of these consolidated financial statements
requires us to make estimates and assumptions that affect the reported amounts
of assets and liabilities and the disclosure of contingent assets and
liabilities at the date of the consolidated financial statements, as well as the
reported expenses incurred during the reporting periods. Our estimates are based
on our historical experience and on various other factors that we believe are
reasonable under the circumstances, the results of which form the basis for
making judgments about the carrying value of assets and liabilities that are not
readily apparent from other sources. Actual results may differ from these
estimates under different assumptions or conditions.

While our significant accounting policies are described in more detail in Note 3 to our consolidated financial statements appearing elsewhere in this Annual Report, we believe that the following accounting policies are those most critical to the judgments and estimates used in the preparation of our consolidated financial statements.

Revenue



We recognize revenue for consideration received related to the development and
commercialization of medicines, which is conducted through various means,
including in-house development by the Company, joint development or
collaboration agreements with third parties, sale or out licensing of product
rights, and others. The terms of these arrangements and agreements may contain
multiple promised goods and services, which may include licenses, know-how, drug
product, related agreements and other deliverables. Payments to us under these
arrangements may include one or more of the following: upfront license fees;
milestone payments; and royalties on future product sales.

Arrangements Within the Scope of ASC 606, Revenue from Contracts with Customers

We recognize revenue in accordance with ASC 606, which applies to all contracts with customers, except for contracts that are within the scope of other standards, such as collaboration arrangements and leases.



Pursuant to ASC 606, we recognize revenue when our customers obtain control of
promised goods or services, in an amount that reflects the consideration which
we determine we expect to receive in exchange for those goods or services. To
determine revenue recognition for arrangements that we determine are within the
scope of ASC 606, we perform the following five steps: (i) identify the
contract(s) with a customer; (ii) identify the performance obligation(s) in the
contract; (iii) determine the transaction price; (iv) allocate the transaction
price to the performance obligation(s) in the contract; and (v) recognize
revenue when (or as) we satisfy our performance obligation(s). As part of the
accounting for these arrangements, we may be required to make significant
judgments, including identifying performance obligations in the contract,
estimating the amount of variable consideration to include in the transaction
price and allocating the transaction price to each performance obligation.

Once a contract is determined to be within the scope of ASC 606, we assess the goods or services promised within the contract and determine those that are performance obligations.



We assess whether each promised good or service is distinct for the purpose of
identifying the performance obligations in the contract. This assessment
involves subjective determinations and may require management to make judgments
about the individual promised goods or services and whether such are separable
from the other aspects of the contractual relationship. Promised goods and
services are considered distinct provided that: (i) the customer can benefit
from the good or service either on its own or together with other resources that
are readily available to the customer (that is, the good or service is capable
of being distinct) and (ii) the entity's promise to transfer the good or service
to the customer is separately identifiable from other promises in the contract
(that is, the promise to transfer the good or service is distinct within the
context of the contract). In assessing whether a promised good or service is
distinct, we consider factors such as the research, manufacturing and
commercialization capabilities of the customer and the availability of the
associated expertise in the general marketplace. We also consider the intended
benefit of the contract in assessing whether a promised good or service is
separately identifiable from other promises in the contract. If a promised good
or service is not distinct, an entity is required to combine that good or
service with other promised goods or services until it identifies a bundle of
goods or services that is distinct.

If the consideration promised in a contract includes a variable amount, we
estimate the amount of consideration to which we will be entitled in exchange
for transferring the promised goods or services to a customer. We determine the
amount of variable consideration by using the expected value method or the most
likely amount method. We include the unconstrained amount of estimated variable
consideration in the transaction price. The amount included in the transaction
price is constrained to the amount for which it is probable that a significant
reversal of cumulative revenue recognized will not occur. At the end of each
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subsequent reporting period, we re-evaluate the estimated variable consideration
included in the transaction price and any related constraint, and if necessary,
adjust our estimate of the overall transaction price. Any such adjustments are
recorded on a cumulative catch-up basis in the period of adjustment.

We then recognize as revenue the amount of the transaction price that is
allocated to the respective performance obligation when (or as) each performance
obligation is satisfied at a point in time or over time, and if over time based
on the use of an output or input method.

Licenses of intellectual property: The terms of our license agreements include
the license of functional intellectual property, given the functionality of the
intellectual property is not expected to change substantially as a result of our
ongoing activities. For licenses that are bundled with other promises (that is,
for licenses that are not distinct from other promised goods and services in an
arrangement), we utilize judgment to assess the nature of the combined
performance obligation to determine whether the combined performance obligation
is satisfied over time or at a point in time and, if over time, the appropriate
method of measuring progress for purposes of recognizing revenue.

Up-front Fees: If a license agreement is determined to be distinct from the
other performance obligations identified in the arrangement, we recognize
revenue from the transaction price allocated to the license when the license is
transferred to the licensee and the licensee is able to use and benefit from the
license. For licenses that are bundled with other promises, we utilize judgment
to assess the nature of the combined performance obligation to determine whether
the license is deemed to be the predominant item and if the combined performance
obligation is satisfied over time or at a point in time.

Milestone Payments: At the inception of each arrangement that includes milestone
payments (variable consideration), we evaluate whether the milestones are
considered probable of being reached and estimate the amount to be included in
the transaction price using the most likely amount method. If it is probable
that a significant revenue reversal would not occur, the associated milestone
value is included in the transaction price. Milestone payments such as
developmental and regulatory approval milestones, are generally not considered
probable of being achieved until the related activity has been achieved, due to
the uncertain nature of the success of clinical trials and obtaining regulatory
approvals, which make it unlikely that a significant revenue reversal could be
deemed not probable, until such time that the related event has occurred.

Royalties: For arrangements that include sales-based royalties, including
commercial milestone payments based on the level of sales, and the license is
deemed to be the predominant item to which the royalties relate, we recognize
revenue at the later of (i) when the related sales occur, or (ii) when the
performance obligation to which some or all the royalty has been allocated has
been satisfied (or partially satisfied).

Reimbursement, cost-sharing and profit-sharing payments: Under certain
arrangements, we have been reimbursed for a portion of our research and
development expenses or participates in the cost-sharing of such research and
development expenses. Such reimbursements and cost-sharing arrangements have
been reflected as a reduction of research and development expense in our
consolidated statements of operations, as we do not consider performing research
and development services for reimbursement to be a part of our ongoing major or
central operations.

Accrued research and development costs



Research and Development expenditures are charged to research and development
expense as incurred. These expenses consist of expenses incurred in performing
development activities, including salaries and benefits, equity-based
compensation expense, preclinical expenses, clinical trial and related clinical
manufacturing expenses, contract services and other outside expenses. Expenses
incurred for certain research and development activities, including expenses
associated with particular activities performed by contract research
organizations, investigative sites in connection with clinical trials and
contract manufacturing organizations, are recognized based on an evaluation of
the progress or completion of specific tasks using either time-based measures or
data such as information provided to us by our vendors on actual costs incurred.
Payments for these activities are based on the terms of the individual
arrangements, which may differ from the pattern of expense recognition. Expenses
for research and development activities incurred that have yet to be invoiced by
the vendors that perform the related activities are reflected in the
consolidated financial statements as accrued research and development expenses.
Advance payments for goods or services to be received in the future for research
and development activities are deferred and capitalized. The capitalized amounts
are expensed as the related goods are delivered or the services are performed.

We do not expect our estimates to be materially different from amounts actually
incurred. For the periods presented, we have experienced no material differences
between our accrued expenses and actual expenses.
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Recent accounting pronouncements

See Note 3 to our consolidated financial statements "Summary of Significant Accounting Policies-Recently Issued Accounting Pronouncements" for more information.

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