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Fourth Quarter Financial Data (Unaudited) (Tables)
12 Months Ended
Dec. 31, 2021
Fourth Quarter Financial Data (Unaudited) [Abstract]  
Fourth Quarter Financial Data (Unaudited)

The following financial information reflects all normal recurring adjustments, which are, in the opinion of management, necessary for a fair statement of the results of the interim periods. Summarized fourth quarter data for 2021 and 2020 are as follows (in thousands, except per share data).

Three Months Ended December 31,
 
2021
   
2020
 
Revenue
 
$
440,006
   
$
290,281
 
Operating expenses
 
$
219,403
   
$
312,945
 
Income (loss) from operations
 
$
220,603
   
$
(22,664
)
Net income (loss)
 
$
224,613
   
$
(355,687
)
Net income (loss) attributable to Ionis Pharmaceuticals, Inc. common stockholders
 
$
224,613
   
$
(354,532
)
Basic net income (loss) per share (1) (2)
 
$
1.59
   
$
(2.54
)
Diluted net income (loss) per share (1) (3)
 
$
1.41
   
$
(2.54
)
________________
(1)
We compute net income (loss) per share independently for each quarter during the year.

(2)
As discussed in Note 1, Organization and Significant Accounting Policies, we compute basic net income (loss) per share by dividing the total net income (loss) attributable to our common stockholders by our weighted-average number of common shares outstanding during the period. Our basic net income per share for the fourth quarter of 2021 was $1.59.

Our basic net loss per share calculation for the fourth quarter of 2020 considered our net loss for Ionis on a stand-alone basis plus our share of Akcea’s net loss for the period. To calculate the portion of Akcea’s net loss attributable to our ownership, we multiplied Akcea’s loss per share by the weighted average shares we owned in Akcea during the period. As a result of this calculation, our total net loss available to Ionis common stockholders for the calculation of net loss per share is different than net loss attributable to Ionis Pharmaceuticals, Inc. common stockholders in the consolidated statements of operations.

Our basic net loss per share for the fourth quarter of 2020 was calculated as follows (in thousands, except per share amounts):

Three Months Ended December 31, 2020
 
Weighted
Average Shares
Owned in Akcea
   
Akceas
Net Loss
Per Share
   
Basic Net Loss
Per Share
Calculation
 
Akcea’s net loss in the pre-merger period attributable to our ownership
   
77,095
   
$
(0.05
)
 
$
(3,603
)
Akcea’s net loss in the post-merger period attributable to our ownership
                   
(85,987
)
Akcea’s total net loss attributable to our ownership
                 
$
(89,590
)
Ionis’ stand-alone net loss
                   
(266,418
)
Net loss available to Ionis common stockholders
                 
$
(356,008
)
Weighted average shares outstanding
                   
139,956
 
Basic net loss per share
                 
$
(2.54
)

(3)
We had net income available to Ionis common stockholders for the fourth quarter of 2021. As a result, we computed diluted net income per share using the weighted-average number of common shares and dilutive common equivalent shares outstanding during the period as follows (in thousands except per share amounts):

Three Months Ended December 31, 2021
 
Income
(Numerator)
   
Shares
(Denominator)
   
Per-Share
Amount
 
Net income available to Ionis common stockholders
 
$
224,612
     
141,205
   
$
1.59
 
Effect of dilutive securities:
                       
Shares issuable upon exercise of stock options
   
     
46
         
Shares issuable upon restricted stock award issuance
   
     
1,065
         
Shares issuable related to our ESPP
   
     
34
         
Shares issuable related to our 0 percent convertible notes
   
777
     
10,936
         
Shares issuable related to our 0.125 percent convertible notes
   
716
     
6,590
         
Shares issuable related to our 1 percent convertible notes
   
105
     
464
         
Income available to Ionis common stockholders, plus assumed conversions
 
$
226,210
     
160,340
   
$
1.41