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Segment Information and Concentration of Business Risk (Tables)
12 Months Ended
Dec. 31, 2018
Segment Information and Concentration of Business Risk [Abstract]  
Segment Information
The following tables show our segment revenue and income (loss) from operations for 2018, 2017 and 2016 (in thousands), respectively.

2018
 
Ionis Core
  
Akcea Therapeutics
  
Elimination of
Intercompany Activity
  
Total
 
Revenue:
            
Commercial revenue:
            
SPINRAZA royalties
 
$
237,930
  
$
  
$
  
$
237,930
 
TEGSEDI product sales, net
  
   
2,237
   
   
2,237
 
Licensing and other royalty revenue
  
2,755
   
12,000
   
   
14,755
 
Total commercial revenue
  
240,685
   
14,237
   
   
254,922
 
R&D revenue under collaborative agreements
  
401,259
   
50,630
   
(107,137
)
  
344,752
 
Total segment revenue
 
$
641,944
  
$
64,867
  
$
(107,137
)
 
$
599,674
 
Total operating expenses
 
$
380,212
  
$
295,683
  
$
(14,849
)
 
$
661,046
 
Income (loss) from operations
 
$
261,732
  
$
(230,816
)
 
$
(92,288
)
 
$
(61,372
)

2017 (as revised)
 
Ionis Core
  
Akcea Therapeutics
  
Elimination of
Intercompany Activity
  
Total
 
Revenue:
            
Commercial revenue:
            
SPINRAZA royalties
 
$
112,540
  
$
  
$
  
$
112,540
 
Licensing and other royalty revenue
  
7,474
   
   
   
7,474
 
Total commercial revenue
  
120,014
   
   
   
120,014
 
R&D revenue under collaborative agreements
  
405,171
   
43,401
   
(54,407
)
  
394,165
 
Total segment revenue
 
$
525,185
  
$
43,401
  
$
(54,407
)
 
$
514,179
 
Total operating expenses
 
$
373,788
  
$
163,871
  
$
(54,527
)
 
$
483,132
 
Income (loss) from operations
 
$
151,397
  
$
(120,470
)
 
$
120
  
$
31,047
 

2016 (as revised)
 
Ionis Core
  
Akcea Therapeutics
  
Elimination of
Intercompany Activity
  
Total
 
Revenue:
            
Commercial revenue:
            
SPINRAZA royalties
 
$
883
  
$
  
$
  
$
883
 
Licensing and other royalty revenue
  
21,884
   
   
   
21,884
 
Total commercial revenue
  
22,767
   
   
   
22,767
 
R&D revenue under collaborative agreements
  
362,657
   
   
(12,648
)
  
350,009
 
Total segment revenue
 
$
385,424
  
$
  
$
(12,648
)
 
$
372,776
 
Total operating expenses
 
$
322,192
  
$
83,512
  
$
(12,768
)
 
$
392,936
 
Income (loss) from operations
 
$
63,232
  
$
(83,512
)
 
$
120
  
$
(20,160
)

The following table shows our total assets by segment at December 31, 2018 and 2017 (in thousands), respectively.

Total Assets
 
Ionis Core
  
Akcea Therapeutics
  
Elimination of
Intercompany Activity
  
Total
 
December 31, 2018
 
$
2,975,491
  
$
365,261
  
$
(672,968
)
 
$
2,667,784
 
December 31, 2017 (as revised)
 
$
1,342,578
  
$
268,804
  
$
(288,608
)
 
$
1,322,774