IONS

Ionis Pharmaceuticals, Inc.

43
Fundamentals25/ 100
Valuation50/ 100
Upside potential59/ 100
Risk potential28/ 100

IONS lost money over the past year, so it has no meaningful PE right now. Analysts expect losses to shrink, though they disagree widely on how much.

IONS Fundamentals

MetricStatus
Under pressure
Weak
Weak
Strong

IONS's balance sheet is currently strong, but its revenue, profitability and cash flow are under pressure.

IONS PE Valuation

IONS has no meaningful PE right now: it lost money over the past year.

IONS Forward outlook

MetricOutlook
--
Losses shrinking
Strong growth
Strongly improving
Limited
Low

Analysts expect IONS's losses to shrink, with revenue growing. However, they disagree widely on these estimates.

IONS Risk to reward

ScenarioChangePrice
Upside+41%$38.56
Downside-28%$19.54

Calculated from the latest close: $27.31 on Nov 12.

IONS's one-year upside scenario is somewhat larger than its downside: +41% against −28%.

IONS Earnings Per Share

Q4 2023: $-2.56Q1 2024: $-2.67Q2 2024: $-2.52Q3 2024: $-2.44Q4 2024: $-3.04Q1 2025: $-2.99Q2 2025: $-1.84Q3 2025: $-1.69Q4 2025: $-2.44Q1 2026: $-2.07Q2 2026: $-3.46Q3 2026: $-3.32
Q4 2023: $-2.56Q1 2024: $-2.67Q2 2024: $-2.52Q3 2024: $-2.44Q4 2024: $-3.04Q1 2025: $-2.99Q2 2025: $-1.84Q3 2025: $-1.69Q4 2025: $-2.44Q1 2026: $-2.07Q2 2026: $-3.46Q3 2026: $-3.32
QuarterTTM EPSYoY
Q3 2026-$3.32-$1.63
Q2 2026-$3.46-$1.62
Q1 2026-$2.07+$0.92
Q4 2025-$2.44+$0.60
Q3 2025-$1.69+$0.75
Q2 2025-$1.84+$0.68
Q1 2025-$2.99-$0.32
Q4 2024-$3.04-$0.48

IONS is still losing money, but less than at its worst: $3.32 per share over the past year, against $4.23 at its worst in late 2021.

IONS Quarterly Revenue

Q4 2023: $325MQ1 2024: $119MQ2 2024: $225MQ3 2024: $134MQ4 2024: $227MQ1 2025: $132MQ2 2025: $452MQ3 2025: $157MQ4 2025: $203MQ1 2026: $246MQ2 2026: $268MQ3 2026: $243M
Q4 2023: $325MQ1 2024: $119MQ2 2024: $225MQ3 2024: $134MQ4 2024: $227MQ1 2025: $132MQ2 2025: $452MQ3 2025: $157MQ4 2025: $203MQ1 2026: $246MQ2 2026: $268MQ3 2026: $243M
QuarterRevenueYoY
Q3 2026$242.7M+55%
Q2 2026$267.9M-41%
Q1 2026$246.1M+87%
Q4 2025$203.3M-10%
Q3 2025$156.7M+17%
Q2 2025$452M+101%
Q1 2025$131.6M+10%
Q4 2024$226.6M-30%

IONS's revenue is recovering but still below its 2019 peak: $243M last quarter, up 55% from the same quarter a year ago.

IONS Free Cash Flow

Q4 2023: $34MQ1 2024: −$154MQ2 2024: −$126MQ3 2024: −$124MQ4 2024: −$142MQ1 2025: −$163MQ2 2025: $139MQ3 2025: −$137MQ4 2025: −$159MQ1 2026: −$815MQ2 2026: $549MQ3 2026: −$192M
Q4 2023: $34MQ1 2024: −$154MQ2 2024: −$126MQ3 2024: −$124MQ4 2024: −$142MQ1 2025: −$163MQ2 2025: $139MQ3 2025: −$137MQ4 2025: −$159MQ1 2026: −$815MQ2 2026: $549MQ3 2026: −$192M
QuarterFree cash flowYoY
Q3 2026-$192.1M-$55.4M
Q2 2026$549.5M+295%
Q1 2026-$814.6M-$651.2M
Q4 2025-$159M-$17.4M
Q3 2025-$136.7M-$12.7M
Q2 2025$139M+$265.1M
Q1 2025-$163.4M-$8.9M
Q4 2024-$141.6M-520%

IONS has burned cash in most quarters: −$616M over the past year, against −$303M the year before.

IONS Total Shares

Q4 2023: 143MQ1 2024: 146MQ2 2024: 146MQ3 2024: 149MQ4 2024: 150MQ1 2025: 159MQ2 2025: 182MQ3 2025: 160MQ4 2025: 160MQ1 2026: 165MQ2 2026: 165MQ3 2026: 166M
Q4 2023: 143MQ1 2024: 146MQ2 2024: 146MQ3 2024: 149MQ4 2024: 150MQ1 2025: 159MQ2 2025: 182MQ3 2025: 160MQ4 2025: 160MQ1 2026: 165MQ2 2026: 165MQ3 2026: 166M
PeriodChange %Net change
Quarterly+0.5%+786K shares
1 year+4%+6.4M shares
3 years+16%+22.9M shares
5 years+18%+25.1M shares
Available history+8.4%+12.9M shares

IONS has 166M diluted shares, up 4% from a year ago.

IONS Net Leverage

QuarterNet LeverageStatus
Q3 2022-8.8xNet Cash
Q2 2022-56.9xNet Cash
Q1 2022-24.7xNet Cash
Q3 2020-5.0xNet Cash
Q2 2020-3.2xNet Cash
Q1 2020-2.5xNet Cash
Q4 2019-1.8xNet Cash

IONS has more cash than debt.

IONS Weekly Momentum

MetricValueStatus
RSI21.4Oversold
Stochastic3.6Oversold

IONS's weekly RSI is 21 (oversold) and its Stochastic is 4 (oversold).

IONS PE vs Healthcare Sector

MetricIONSSector medianRelative
PEN/A26x—

IONS has no meaningful PE right now: it lost money over the past year.

IONS Weekly Moving Averages

Moving averageMA priceRelative
8 week MA$41.234% below
20 week MA$51.247% below
50 week MA$66.959% below
100 week MA$55.651% below
200 week MA$49.044% below

IONS is in a downtrend: it's below all five of its weekly moving averages, and 44% below its 200-week average.

IONS Yearly ROI

YearStart priceEnd priceROI
2020$60.8$59.7-1.8%
2021$59.7$32.7-45%
2022$32.7$38.2+17%
2023$38.2$50.6+33%
2024$50.6$35.9-29%
2025$35.9$79.9+123%
2026 YTD$79.9$27.3-66%

IONS's yearly returns have swung widely, from +123% in 2025 to −45% in 2021. It's down 66% so far in 2026.

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