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INSM

BEARISH
$154.81 Live
Insmed Incorporated · NASDAQ
Target $212.15 (+37.0%)
$63.81 52W Range $212.75

At a glance

Key valuation, profitability, growth, and risk metrics.

Updated Apr 12, 2026
Market cap
$33.42B
P/E
N/A
ROE
-249.3%
Profit margin
-210.5%
Debt/Equity
1.01
Dividend yield
N/A

AI Analysis

AI-powered fundamental assessment

Confidence
85%
Insmed Incorporated exhibits a weak deterministic health profile with a Piotroski F-Score of 3/9, indicating significant fundamental instability. While the company shows explosive revenue growth of 152.6%, this is offset by extreme valuation metrics (Price/Sales of 55.10) and a consistent track record of missing earnings estimates (0/4 beats in the last year). The stark disconnect between the 'Strong Buy' analyst consensus and the bearish insider activity—including significant sales by the CEO and COO—suggests a high-risk speculative profile rather than a value-driven investment.

Key Strengths

Hyper-growth revenue increase of 152.60% YoY
Strong gross margins of 79.73% typical of high-value biotech
Robust short-term liquidity with a current ratio of 3.83
Strong long-term price appreciation (402.3% over 5 years)
High analyst conviction with a 'Strong Buy' consensus

Key Risks

Extreme valuation with a Forward P/E of 211.70 and P/S of 55.10
Severe lack of profitability with a profit margin of -210.54%
Chronic failure to meet earnings expectations (0/4 recent beats)
Bearish insider sentiment with $29.76M in net sales by executives
Negative ROE of -249.28% indicating poor capital efficiency

Performance Snowflake

Multi-dimensional analysis across 5 key categories

Overall
31
Weak
Value
10
Future
75
Past
40
Health
30
Dividend
0
AI Verdict
Speculative Growth
Key drivers: Revenue Growth, Valuation Bubble, Fundamental Weakness, Insider Divergence
Confidence
90%
Value
10/100

Graham Number is N/A due to negative earnings; stock trades at a massive premium to book and sales.

Positives
No standout positives identified.
Watchpoints
  • P/S ratio of 55.10 is unsustainable
  • P/B ratio of 44.89 is extreme
  • Forward P/E of 211.70
Future
75/100

Growth is the primary driver, but efficiency is lacking.

Positives
  • 152.6% YoY Revenue growth
  • Strong analyst target price of $212.15
Watchpoints
  • Consistent earnings misses suggest growth is not translating to profit
Past
40/100

Historical price action is bullish, but historical earnings performance is poor.

Positives
  • Strong 3Y and 5Y price returns
Watchpoints
  • 25-quarter history of frequent earnings misses
  • Negative EPS progression
Health
30/100

Low Piotroski score indicates deteriorating fundamental health.

Positives
  • Current ratio of 3.83 provides a liquidity cushion
Watchpoints
  • Piotroski F-Score of 3/9 (Weak)
  • Deeply negative ROE and ROA
Dividend
0/100

Company is in a growth/burn phase; no capital returned to shareholders.

Positives
No standout positives identified.
Watchpoints
  • No dividend paid
  • 0/100 dividend strength

Stock Price & Analyst Targets

Real-time price movements and analyst price targets

Current Price
$154.81
Analyst Target
$212.15
Upside/Downside
+37.0%

Multi-Horizon Performance vs Peers

Price momentum across 5Y → 1W horizons for INSM and closest competitors.

Updated 2026-04-10
INS
Insmed Incorporated
Primary
5Y
+402.3%
3Y
+817.7%
1Y
+138.9%
6M
-4.6%
1M
+11.1%
1W
-4.7%
GEH
GE HealthCare Technologies Inc.
Peer
5Y
+22.2%
3Y
-9.0%
1Y
+12.5%
6M
-1.6%
1M
+0.3%
1W
+3.6%
A
Agilent Technologies, Inc.
Peer
5Y
+11.4%
3Y
-11.3%
1Y
-10.7%
6M
+12.8%
1M
-2.2%
1W
-3.3%
ALC
Alcon Inc.
Peer
5Y
+8.8%
3Y
+9.9%
1Y
-9.6%
6M
-12.6%
1M
+0.1%
1W
+1.6%
BII
Biogen Inc.
Peer
5Y
-34.2%
3Y
-34.1%
1Y
+34.0%
6M
+30.9%
1M
-2.5%
1W
-0.3%

Positive values indicate cumulative gains over the specified period. Comparables pulled from the same sector to highlight whether momentum is stock-specific or industry-wide.

Historical Performance Trends

Long-term financial metrics and growth patterns

Revenue & Net Income

Profit & Operating Margins

Return on Equity (ROE)

Quarterly Revenue Growth

Historical data shows last 12 quarters (3 years)

Valuation Metrics

Key valuation ratios and pricing indicators

P/E Ratio
N/A
Forward P/E
211.7
PEG Ratio
N/A
P/B Ratio
44.89
P/S Ratio
55.1
EV/Revenue
53.91
EV/EBITDA
-33.34
Market Cap
$33.42B

Profitability

Profit margins and return metrics

Profit Margin -210.54%
Operating Margin -94.64%
Gross Margin 79.73%
ROE -249.28%
ROA -28.99%

Growth

Revenue and earnings growth rates

Revenue Growth +152.6%
Earnings Growth N/A
Q/Q Revenue Growth +152.62%
Q/Q Earnings Growth N/A

Financial Health

Balance sheet strength and liquidity metrics

Debt/Equity
1.01
Moderate
Current Ratio
3.83
Strong
Quick Ratio
3.35
Excellent
Cash/Share
$6.63

Financial Statement Flow

Interactive flow visualization showing how money moves through the company Q4 2025

Revenue
$0.3B
Gross Margin
83.2%
Op. Margin
-94.6%
Net Margin
-124.5%
Total Assets
$2.3B
Liabilities
$1.5B
Equity
$0.7B
Debt/Equity
2.06x
Operating CF
$-0.2B
CapEx
$-0.0B
Free Cash Flow
$-0.3B
FCF Yield
107%

Quarterly Earnings History

EPS performance vs analyst estimates

2026-05-07
$N/A
2026-02-19
$-1.54
-31.9% surprise
2025-10-30
$-1.75
-27.8% surprise
2025-08-07
$-1.7
-29.6% surprise

Healthcare Sector Comparison

Comparing INSM against 264 companies in the Healthcare sector (20 bullish, 87 neutral, 157 bearish)
Return on Equity (ROE)
-249.28%
This Stock
vs
-46.09%
Sector Avg
+440.9% (Excellent)
Profit Margin
-210.54%
This Stock
vs
-19.58%
Sector Avg
+975.1% (Superior)
Debt to Equity
1.01
This Stock
vs
4.1
Sector Avg
-75.2% (Less Debt)
Revenue Growth
152.6%
This Stock
vs
88.16%
Sector Avg
+73.1% (Fast Growth)
Current Ratio
3.83
This Stock
vs
3.58
Sector Avg
+7.0% (Better)

Similar Companies

Peer comparison within the same industry

Recent Insider Trading

Insider buy and sell transactions from the last 6 months

LEWIS WILLIAM H
Chief Executive Officer
Sell
2026-04-06
10,699 shares · $1,746,336
LEWIS WILLIAM H
Chief Executive Officer
Option Exercise
2026-04-06
10,699 shares · $266,840
ADSETT ROGER
Chief Operating Officer
Sell
2026-04-01
88,060 shares · $14,497,651
ADSETT ROGER
Chief Operating Officer
Option Exercise
2026-04-01
88,060 shares · $1,282,154
SMITH MICHAEL ALEXANDER
Officer
Sell
2026-03-30
19,638 shares · $2,964,945
SMITH MICHAEL ALEXANDER
Officer
Option Exercise
2026-03-30
19,638 shares · $486,582
LEWIS WILLIAM H
Chief Executive Officer
Sell
2026-03-19
10,699 shares · $1,535,542
LEWIS WILLIAM H
Chief Executive Officer
Option Exercise
2026-03-19
10,699 shares · $266,840
LEWIS WILLIAM H
Chief Executive Officer
Sell
2026-03-05
10,699 shares · $1,562,328
LEWIS WILLIAM H
Chief Executive Officer
Option Exercise
2026-03-05
10,699 shares · $266,840
SHAROKY MELVIN A
Director
Gift
2026-03-03
100 shares
SHAROKY MELVIN A
Director
Gift
2026-02-25
1,072 shares
SMITH MICHAEL ALEXANDER
Officer
Sell
2026-02-24
24,774 shares · $3,859,157
SMITH MICHAEL ALEXANDER
Officer
Option Exercise
2026-02-24
20,248 shares · $345,633
BRENNAN DAVID R
Director
Gift
2026-02-23
6,000 shares
Insider transactions can signal confidence or concerns about company prospects

Wall Street Analysts

Professional analyst ratings and price targets

Consensus
STRONG_BUY
20 analysts
Barclays
2026-04-01
Maintains
Overweight Overweight
Morgan Stanley
2026-03-30
up
Equal-Weight Overweight
HC Wainwright & Co.
2026-03-26
Maintains
Buy Buy
Mizuho
2026-03-25
Maintains
Outperform Outperform
Leerink Partners
2026-03-24
Maintains
Outperform Outperform
Stifel
2026-03-24
Maintains
Buy Buy
Wells Fargo
2026-03-24
Maintains
Overweight Overweight
B of A Securities
2026-03-24
Maintains
Buy Buy
Wells Fargo
2026-03-23
Maintains
Overweight Overweight
Mizuho
2026-02-24
Maintains
Outperform Outperform

Past News Coverage

Recent headlines mentioning INSM from our newsroom.

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