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Ionis Pharmaceuticals Inc (IONS)

Ionis Pharmaceuticals Inc brought in $960.1M of revenue over the twelve months to September 30, 2026, down 0.7% from a year earlier. It posted a net loss of $546.5M. In fiscal 2025 capital spending exceeded operating cash flow by $320M. At September 30, 2026 it held $296.3M in cash. Its latest periodic report to the SEC is the quarterly report (10-Q) filed on November 9, 2026.

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Price
$28.19
-9.07% on the day · November 10, 2026
52-week range $27.75 to $86.74
Market cap
$4.7B
Revenue (last 12 months)
$960.1M
-0.7% year on year
Net margin
-56.9%

Key facts about Ionis Pharmaceuticals Inc

Net worth
Ionis Pharmaceuticals Inc has a market value (market cap) of $4.7B at the latest share price, and shareholders' equity of $393.6M on its balance sheet at September 30, 2026. A company's "net worth" usually means one of these: what the market pays for all its shares, or its assets minus its liabilities.
Revenue and profit
In fiscal 2025 revenue was $943.7M (+33.8% year on year), with a net loss of $381.4M. Over the 12 months to September 30, 2026: revenue $960.1M, net loss $546.5M.
Cash flow
In fiscal 2025 operations used $268.6M of cash.
Latest report
The latest periodic report (quarterly report, 10-Q) was filed with the SEC on November 9, 2026 and covers the period to September 30, 2026. Open on SEC EDGAR
Next earnings report
Ionis Pharmaceuticals Inc's next report is expected around January 11, 2027. That is an estimate from its filing rhythm, not a date the company has announced.

What Ionis Pharmaceuticals Inc does

Ionis Pharmaceuticals Inc is registered with the SEC under industry code SIC 2834 (Pharmaceutical Preparations). Its shares trade on NASDAQ under the ticker IONS.

Revenue and profit by year

Revenue
FY18: $599.7M $599.7M FY18FY19: $1.1B $1.1B FY19FY20: $729.3M $729.3M FY20FY21: $810.5M $810.5M FY21FY22: $587.4M $587.4M FY22FY23: $787.6M $787.6M FY23FY24: $705.1M $705.1M FY24FY25: $943.7M $943.7M FY25
Net income
FY18: $273.7M $273.7M FY18FY19: $278.1M $278.1M FY19FY20: -$444.3M -$444.3M FY20FY21: -$28.6M -$28.6M FY21FY22: -$269.7M -$269.7M FY22FY23: -$366.3M -$366.3M FY23FY24: -$453.9M -$453.9M FY24FY25: -$381.4M -$381.4M FY25

Fiscal years as reported in annual reports. Amounts in USD.

Key figures

Fiscal yearRevenueOperating incomeNet incomeDiluted EPSFree cash flow
2025$943.7M-$381.7M-$381.4M-$2.38-$320M
2024$705.1M-$475.1M-$453.9M-$3.04-$546.2M
2023$787.6M-$353.7M-$366.3M-$2.56-$331.3M
2022$587.4M-$410.2M-$269.7M-$1.90-$290.1M
2021$810.5M-$30.2M-$28.6M-$0.20$18.8M
2020$729.3M-$172.1M-$444.3M-$3.18$772K

Earnings: every quarter and the next report date

Full financial statements: income, balance sheet and cash flow

Next report expected around January 11, 2027.

Estimated from its filing rhythm: 52 weeks after its report of January 12, 2026. Not a date the company has announced. See the report calendar · Earnings, quarter by quarter

Where IONS ranks in Health care

Revenue$943.7M
#157 of 751 in Health care · Top 21%
Revenue growth+33.8%
#128 of 532 in Health care · Top 24%
Net margin-40.4%
#384 of 544 in Health care · Bottom 29%
Free cash flow margin-33.9%
#356 of 490 in Health care · Bottom 27%

Latest fiscal year of every company in the sector with the figure reported. Revenue is ranked among companies reporting in US dollars; growth and margins among companies with at least 10 million of revenue. Health care

Latest SEC filings

What Ionis Pharmaceuticals Inc has filed recently, newest first. Each links to the original document on SEC EDGAR.

  1. November 9, 2026
    Quarterly report 10-Q · period to September 30, 2026Revenue rose 55% to $242.7M versus the same quarter last year; diluted EPS -$0.66 versus -$0.80.
  2. November 9, 2026
  3. October 23, 2026
  4. October 21, 2026
  5. September 23, 2026
  6. September 4, 2026
  7. September 4, 2026
  8. July 31, 2026
  9. July 29, 2026
    Quarterly report 10-Q · period to June 30, 2026Revenue fell 41% to $267.9M versus the same quarter last year; diluted EPS -$0.69 versus $0.70.
  10. July 29, 2026

Recent insider filings (Forms 3, 4 and 144): 10, the latest on October 19, 2026. Insider transactions on SEC

Insider trades

What the people running Ionis Pharmaceuticals Inc did with its shares, from the Form 4 filings they must send the SEC within two business days.

Insiders sold $61.4K worth of shares in the last 90 days and bought none on the open market.

Bought (open market)
$0
last 90 days
Sold
$61.4K
last 90 days
Net sold
1,410
$61.4K
DateInsiderWhatSharesPriceValueFiling
October 16, 2026 Swayze EricEVP Research Soldindirect 53 $43.54 $2.3K Form 4
October 16, 2026 Devers Shannon L.EVP, Chief Human Resources Ofc Sold 1,357 $43.54 $59.1K Form 4
October 15, 2026 Swayze EricEVP Research Exercised optionsindirect 125 - - Form 4
October 15, 2026 Devers Shannon L.EVP, Chief Human Resources Ofc Exercised options 2,820 - - Form 4
August 31, 2026 Birchler BrianEVP, Corp and Development Ops Other change 58 $51.31 $3K Form 4
August 31, 2026 Monia Brett PChief Executive Officer, Director Other change 98 $51.31 $5K Form 4
August 31, 2026 O'Neil Patrick R.EVP CLO & General Counsel Other change 63 $51.31 $3.2K Form 4
August 31, 2026 Bennett C FrankEVP, Chief Scientific Officer Other change 110 $51.31 $5.6K Form 4

All insider filings on SEC.gov · Where insiders are buying across the market

Who owns IONS

Three views from three kinds of SEC filings, each with its own date. They overlap and are not added up.

5% holders

Anyone who owns more than 5% of a class of shares must say so on Schedule 13D (if they may seek to influence the company) or 13G (a passive holder). The latest filing of each holder is shown: 13G filings of the last 2 years, 13D of the last 3.

HolderOf classSharesFiled
Capital World Investors13G, passive 12.8% 21,186,369 May 14, 2026
Vanguard Capital Management13G, passive 5.05% 8,344,732 April 30, 2026
BB Biotech AG13G, passive with 1 related filers 5% 7 November 14, 2024

Latest filings below 5%: T. Rowe Price Investment Management, Inc. 3.7% (May 15, 2026); The Vanguard Group 0% (March 27, 2026); Wellington Management Group LLP 4.3% (August 12, 2025).

Largest institutional holders

Positions that investment managers reported on Form 13F for the quarter ended June 30, 2026, largest first, with the change on the quarter ended March 31, 2026. Managers file 13F up to 45 days after a quarter ends. 513 managers reported a position.

HolderSharesValueChange on quarter
Fmr LLC24,631,956$1.95B+75,319
Capital World Investors21,669,226$1.72B+482,857
BlackRock, Inc.10,704,660$848.8M+262,184
Vanguard Portfolio Management LLC7,859,529$623.2M+50,627
Wellington Management Group Llp7,651,415$606.7M+1,259,599
Vanguard Capital Management LLC7,211,497$571.8M+93,167
Two Sigma Investments, LP6,252,342$495.7M+394,713
Royal Bank of Canada6,182,479$490.2M+2,380,664
State Street Corp4,334,848$343.7M+339,284
Geode Capital Management, LLC3,584,024$294.8M-400,308
Jpmorgan Chase & Co2,671,717$216.2M+308,150
Artisan Partners Limited Partnership2,640,024$209.3M+581,716
Tweedy, Browne Co LLC2,280,311$180.8M+4,686
Deep Track Capital, LP2,200,000$174.4M+250,000
Goldman Sachs Group Inc2,109,945$167.3M+410,098
Baker Bros. Advisors LP2,047,727$162.4M0
Deerfield Management Company, L.P.1,979,669$157M0
American Century Companies Inc1,947,076$154.4M+283,273
Franklin Resources Inc1,623,377$128.7M+48,354
Charles Schwab Investment Management Inc1,605,054$127.3M+21,788

Insiders

Reported holdings of insiders who filed a Form 4 in the last 12 months: the shares each one held after their latest reported transaction. This is not the total held by all insiders.

20 insiders reported holding 1,159,110 shares in total, about $32.7M at the last price.

HolderSharesAs of
Monia Brett PChief Executive Officer, Director 242,760 August 31, 2026
Berthelsen Spencer RDirector 161,233 July 15, 2026
Birchler BrianEVP, Corp and Development Ops 102,883 August 31, 2026
Hougen Elizabeth LEVP, Finance & CFO 82,660 March 17, 2026
Schneider EugeneEVP, Chf Clinical Develop Ofcr 77,114 June 26, 2026
Bennett C FrankEVP, Chief Scientific Officer 60,128 August 31, 2026
O'Neil Patrick R.EVP CLO & General Counsel 59,205 August 31, 2026
Wender Joseph HDirector 52,03536,035 held indirectly December 1, 2025
Parshall B LynneDirector 51,344 April 15, 2026
Herman Joan EDirector 51,306 July 15, 2026

Schedule 13D/13G filings on SEC.gov

All filings on SEC EDGAR

Questions about IONS

What does Ionis Pharmaceuticals Inc do?

Ionis Pharmaceuticals Inc is a company in the Health care sector, listed on NASDAQ as IONS. Its shares trade on NASDAQ under the ticker IONS.

What is Ionis Pharmaceuticals Inc's net worth?

Ionis Pharmaceuticals Inc has a market value (market cap) of $4.7B at the latest share price, and shareholders' equity of $393.6M on its balance sheet at September 30, 2026. A company's "net worth" usually means one of these: what the market pays for all its shares, or its assets minus its liabilities.

Is Ionis Pharmaceuticals Inc profitable?

No. Over the twelve months to September 30, 2026 it reported a net loss of $546.5M on revenue of $960.1M.

How much revenue does Ionis Pharmaceuticals Inc make?

Over the twelve months to September 30, 2026 Ionis Pharmaceuticals Inc reported revenue of $960.1M. That is 0.7% less than a year earlier.

When did Ionis Pharmaceuticals Inc last report?

Its most recent periodic report is the quarterly report (10-Q) filed on November 9, 2026. It covers the period to September 30, 2026.

When is Ionis Pharmaceuticals Inc's next earnings report?

Ionis Pharmaceuticals Inc's next report is expected around January 11, 2027. That is an estimate from its filing rhythm, not a date the company has announced.

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Where the numbers come from

Financial figures are the values Ionis Pharmaceuticals Inc tagged in its own SEC filings (XBRL), taken from the latest filing for each period, so restatements replace older figures. Revenue, profit and cash flow are for full fiscal years unless marked as the last twelve months, which is the sum of the four most recent quarters. Where a company reports only the full year, the fourth quarter is the year minus the first three.

Prices are delayed end-of-day market data in the listing currency, and market cap moves with the price. P/E is shown only when earnings per share are positive. Nothing here is investment advice.