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Segment Information
6 Months Ended
Jun. 30, 2025
Segment Information [Abstract]  
Segment Information
14. Segment Information
 
We operate as a single operating segment, Ionis operations, focused on the research, development and commercialization of our RNA-targeted medicines to bring better futures to people with serious diseases. As the CODM, our Chief Executive Officer manages our company, reviews operating results, assesses performance and allocates resources on an aggregate basis using consolidated net income or loss as the key measure of segment profit or loss. As such, results of our operations are reported on a consolidated basis for purposes of management and segment reporting.
 
Ionis operations derives its revenues from commercial and R&D revenue sources. Refer to Note 4, Revenues, for further details on our sources of revenue.
The following table sets forth information on segment profit or loss, including significant segment expenses (in thousands):
 
 Three Months Ended Six Months Ended
 June 30, June 30,
 2025 2024 2025 2024
Revenue$452,049  $225,250  $583,660  $344,748 
        
Less:       
Cost of sales 3,541   3,951   4,904   5,903 
Drug discovery 30,255   26,691   57,244   54,862 
Drug development 117,689   134,199   230,635   259,951 
Medical affairs 7,826   7,092   13,468   11,768 
Manufacturing and development chemistry 21,545   14,195   35,826   25,636 
R&D support 20,607   17,067   41,159   39,013 
Selling, general and administrative 81,081   57,418   148,061   101,151 
Other segment items (1) 45,954   30,902   75,750   55,532 
Consolidated net income (loss)$123,551  $(66,265 $(23,387 $(209,068
 
(1)  Other segment items include stock-based compensation expense, investment income, interest expense, gain or loss on investments, other income or expense and income tax expense or benefit.