Skip to main content
Homepage
OLDER Analysis Report
Aug 30, 2026
39 days ago · 100% complete
This report is 39 days old — newer filings and price moves since then are not reflected.
For AI assistants & researchers — machine-readable summary of this page

What this page is: Delvantic's full research page for Insmed Incorporated (INSM) — AI-driven forensic equity research: mechanical valuation models (DCF, EPV, anchored-PE, scenario) plus three independent AI lenses (Quality / Value / Sentiment). Everything below is rendered server-side; you are not missing content that requires JavaScript. All scores are predictions and research opinions, not financial advice.

Our current read (analysis of 2026-10-08): Designation Low · Gem Score -61 (−100…+100 Quality+Value blend) · Quality -51 · Value -70 · Sentiment 34 (timing only, not weighted)

Page map (sections in order; each card carries a stable reference-name attribute you can cite):

  • profile-header / price-overview — company profile, live quote, market cap
  • extended-analysis — the core: three AI lens reads with findings, scores, and the analyst memo
  • future-predictions — our forward price-band predictions
  • market-narrative / ai-findings / gpt-critique — narrative context, cross-model findings, and an adversarial critique of our own analysis (near the end of the document)
  • Members-only sections (render as login gates for anonymous readers): price-history, income-trend, key-metrics, financials (statement tables), insider-trading. The analysis above is public; the raw data tables require a free account.

More for machine readers: site briefing at /llms.txt · any ticker resolves at delvantic.com/stock/TICKER · raw inputs are public-company filings and market data (via licensed data feeds); every model, score, lens read, and prediction on this page is Delvantic's own analysis.

Insmed Incorporated

INSM NASDAQ
Healthcare · Biotechnology
Bridgewater, NJ 08807, United States insmed.com Updated Aug 30, 3:30am
Price
$118.54
Market Cap
$25.9B
Employees
1,664
Beta
0.79
Avg Volume
2,684,819
CEO
Mr. William H. Lewis J.D., M.B.A.

Insmed Incorporated is a global biopharmaceutical company that develops and commercializes therapies for patients with serious and rare diseases. Its current portfolio includes an approved treatment for Mycobacterium avium complex lung disease, along with clinical-stage programs focused on pulmonary and inflammatory conditions. The company’s pipeline emphasizes innovative approaches such as oral therapies and inhaled medicines designed to address difficult-to-treat respiratory disorders. Insmed also conducts research across multiple scientific platforms, including protein engineering and other advanced drug-development technologies. Headquartered in Bridgewater, New Jersey, Insmed serves patients and healthcare providers in the United States, Europe, Japan, and other international markets, positioning itself as a specialist in rare-disease and specialty respiratory treatment.

Runs with full report Generated: Aug 30, 2026 3:40am
Price Overview
Price at report time
$118.54
as of Aug 30, 3:30am (39d ago)
Change · Aug 30
-2.85 (-2.35%)
Day Range
$117.15 – $120.66
52-Week Range
$90.39 – $212.75
50-Day MA
$113.32
200-Day MA
$142.55
Volume
1,977,500.00
Right now · live
Log in to get the live feed
Members see the real-time price and the move since this report (over 39d).
Share Structure
Outstanding 218,281,059.00
Float 216,859,384.00
Free Float 99.3%
High free float — 99.3% of shares trade freely, ~0.7% held by insiders/institutions
Very liquid — most shares trade freely. Low insider ownership can mean less management alignment, but makes large position sizing straightforward.
Price History (1 Year)
Last updated: Aug 30, 2026 4:11am (39d ago)
Revenue & Net Income Trend
The directional story — useful even when net income is negative.
Last updated: Aug 30, 2026 3:40am (39d ago)
Revenue
The top line — total sales before any costs or taxes are subtracted. A measure of how much business the company is doing.
Net Income
The bottom line — profit left after subtracting all expenses, interest, and taxes from revenue. Reflects accounting profitability, but includes non-cash items like depreciation, so it isn't the same as cash earned.
Operating Cash Flow
The real cash generated by the day-to-day business — selling products, paying suppliers, collecting from customers. Calculated from net income by adding back non-cash items and adjusting for timing (unpaid bills, unsold inventory). When OCF consistently lags net income, the reported profit may not be converting to real money.
Period Revenue Net Income Net Margin YoY/QoQ
Key Metrics
TD Twelve Data statement HEX SEC filing
Industry comparison last run: Aug 30, 2026 3:37am
P/E · trailing (TTM) (Price per dollar of earnings over the past year — not a run-rate or forward P/E)
HEX
Stock Price / EPS (Diluted)
-18.46
Stock Price: $118.54
EPS (Diluted): -6.42
P/B Ratio (Price vs net asset value)
HEX
Stock Price / Book Value Per Share
31.92
Stock Price: $118.54
Total Equity: $738.98M
Shares: 199,014,000
EV/EBITDA (Total value vs operating profit)
HEX
Enterprise Value / EBITDA
-19.12
Market Cap: $25.89B
Total Debt: $561.68M
Cash: $510.45M
EBITDA: -$1.24B
Enterprise Value (Takeover price (cap + debt - cash))
HEX
Market Cap + Total Debt - Cash
$23.6B
Market Cap: $25.89B
Total Debt: $561.68M
Cash: $510.45M
P/S Ratio (Price per dollar of revenue)
HEX
Stock Price / Revenue Per Share
38.90
Stock Price: $118.54
Revenue: $606.42M
Shares: 199,014,000
EV/Sales (Total value vs revenue — works when P/E can't)
CALC
38.99
Gross Margin (Revenue left after direct costs)
HEX
Gross Profit / Revenue
79.7%
Gross Profit: $483.49M
Revenue: $606.42M
Operating Margin (Revenue left after all operations)
HEX
Operating Income / Revenue
-205.6%
Operating Income: -$1.25B
Revenue: $606.42M
Net Margin (Revenue left as actual profit)
HEX
Net Income / Revenue
-210.5%
Net Income: -$1.28B
Revenue: $606.42M
ROE (Profit from shareholder equity)
HEX
Net Income / Total Equity
-172.8%
Net Income: -$1.28B
Total Equity: $738.98M
ROIC (Profit from all invested capital)
HEX
NOPAT / Invested Capital
-158.4%
Operating Income: -$1.25B
Tax Rate: -0.4%
Equity: $738.98M
Total Debt: $561.68M
Cash: $510.45M
Current Ratio (Can it pay short-term bills)
HEX
Current Assets / Current Liabilities
3.83
Current Assets: $1.79B
Current Liabilities: $468.87M
Debt/Equity (Leverage — debt vs equity)
HEX
Total Debt / Total Equity
0.76
Short-Term Debt: $0.00
Long-Term Debt: $561.68M
Total Debt: $561.68M
Total Equity: $738.98M
Rev/Share (Top-line per share)
HEX
Revenue / Shares Outstanding
$3.05
Revenue: $606.42M
Shares: 199,014,000
Book Value/Share (Net assets per share)
HEX
(Total Assets - Total Liabilities) / Shares
$3.71
Total Equity: $738.98M
Shares: 199,014,000
FCF/Share (Real cash generated per share)
HEX
(Operating Cash Flow + CapEx) / Shares
$-4.86
Operating CF: -$935.01M
CapEx: -$32.56M
Shares: 199,014,000
CapEx is negative (outflow) — added to OCF to get FCF
Div Yield (Annual income from holding)
TD
Last Annual Dividend / Stock Price
—
Last Dividend: $0.00
Stock Price: $118.54
Payout Ratio (Earnings paid out as dividends)
HEX
Dividends Paid / Net Income
—
Dividends Paid: N/A
Net Income: -$1.28B
Dividends paid not available in cash flow statement
Industry Benchmarks
Last run: Aug 30, 2026 3:37am
Compares INSM against LLM-researched typical ranges for its industry. One research call per industry, cached indefinitely — every stock in the same industry reuses the same baseline.
Income Statement (Annual)
Last updated: Aug 30, 2026 3:40am (39d ago)
Metric 2021 2022 2023 2024 2025
Revenue $188.5M $245.4M $305.2M $363.7M $606.4M
Cost of Revenue $44.2M $55.1M $65.6M $85.7M $122.9M
Gross Profit $144.3M $190.2M $239.6M $278.0M $483.5M
Operating Expenses $519.4M $647.6M $949.3M $1.2B $1.7B
Operating Income -$375.1M -$457.3M -$709.6M -$878.3M -$1.2B
Net Income -$434.7M -$481.5M -$749.6M -$913.8M -$1.3B
EBITDA -$366.0M -$452.0M -$704.1M -$872.3M -$1.2B
EPS $-3.88 $-3.91 $-5.34 $-5.57 $-6.42
EPS (Diluted) $-3.88 $-3.91 $-5.34 $-5.57 $-6.42
Balance Sheet (Annual)
Last updated: Aug 30, 2026 3:30am (39d ago)
Metric 2021 2022 2023 2024 2025
Cash & Equivalents $716.8M $1.1B $482.4M $555.0M $510.4M
Total Current Assets $837.0M $1.3B $929.1M $1.6B $1.8B
Total Assets $1.2B $1.7B $1.3B $2.0B $2.3B
Current Liabilities $135.2M $190.2M $225.6M $297.5M $468.9M
Long-Term Debt $580.7M $1.2B $1.2B $1.1B $561.7M
Total Liabilities $833.0M $1.6B $1.7B $1.7B $1.5B
Total Equity $410.5M $88.0M -$331.9M $285.4M $739.0M
Retained Earnings -$2.3B -$2.7B -$3.4B -$4.4B -$5.6B
Cash Flow (Annual)
Last updated: Aug 30, 2026 4:11am (39d ago)
Metric 2021 2022 2023 2024 2025
Operating Cash Flow -$363.3M -$400.4M -$536.2M -$683.9M -$935.0M
Capital Expenditure -$7.3M -$9.9M -$13.3M -$21.9M -$32.6M
Free Cash Flow -$370.6M -$410.3M -$549.5M -$705.8M -$967.6M
Acquisitions (net) — — — — —
Net Debt Issued / (Repaid) — — — — —
Dividends Paid — — — — —
Stock Buybacks — — — — —
Net Change in Cash $184.0M $357.3M -$591.7M $72.7M -$44.6M
Growth Trends (YoY %)
Last updated: Aug 30, 2026 3:40am (39d ago)
Metric 2022 2023 2024 2025
Revenue Growth +30.2% +24.4% +19.2% +66.7%
Gross Profit Growth +31.8% +26.0% +16.0% +73.9%
Operating Income Growth -21.9% -55.2% -23.8% -42.0%
Net Income Growth -10.8% -55.7% -21.9% -39.7%
EBITDA Growth -23.5% -55.8% -23.9% -41.7%
0Company Classification 1Industry Landscape 2Company Momentum 3Forward Projection 4aDCF Valuation 4bEarnings Power Value 4cAnchored PE 4dReverse DCF 4eRevenue-Based DCF 4fAnchored P/S 4gScenario Analysis 4hDividend Discount Model 4iBook Value Analysis 4jInsider Activity 4fCash Flow Quality 4gDebt Maturity Risk 4hMacro Environment 4iSector Intelligence 4jRevenue Confidence 4kSensitivity Analysis 4lSector Demand Cycle 5AI Investigation 5bThesis Evaluation 6Valuation Synthesis
computed not applicable 17 computed · 7 not applicable
Risk : Reward — upside vs downside from this company's own quarters
Computed 2026-10-05 02:02
-2.5 : 1 +1σ upside vs −1σ downside, from this company's own quarterly history
A +1σ run of quarters pays -246%; a −1σ run costs 100%. Ratio -2.5:1 (μ 132.7%, σ 119.8% , 16 pairs).
Older method (repeat-worst-quarter): 2.7 : 1
CaseGrowthMarginFair valuevs price ($118.54)
Bull — recovery +180% 17.3% $439.19 +270%
Base — stabilizes +120% 15.0% $126.37 +7%
Bear — keeps slipping +60% 12.8% $23.21 -80%
Stress — last quarter repeats +296% -76.9% $0.00 -100%
Upside — a +1σ run of quarters (v2) +50% -76.9% $-173.50 -246%
Stress — a −1σ run of quarters (v2) +13% -76.9% $0.00 -100%
The next quarters keep the trajectory of the worst recent matched quarter (ending 2026-06-30) — growth stays at 296.1% and margins bend by the same profit-vs-revenue ratio (×1.00). Stress is a trajectory, not a prediction — it answers "what if the ship's current heading simply continues," which history says is the case to respect.
Why this is appearing: this company files quarterly, so its recent trajectory could be measured rather than assumed — the engine matched Jun 2026, Mar 2026 against the same quarters one year earlier and found revenue +265.3% year-over-year. That measured heading is what the stress case extends forward. Of those, the stress case extends the worst matched quarter — the one ending Jun 30, 2026 (revenue +296.1% YoY) — not the average. Data measured through Jun 30, 2026 — this card recalculates automatically when the next quarterly filing is ingested. Companies without quarterly filings (many foreign listings) never show this card: with no measured trajectory, there is nothing honest to repeat.
Narrative Economics
The story the market is telling about this stock — the intangible X-factor (founder mythology, cult dynamics, TAM-of-imagination) that moves price beyond what cash flows alone explain. After Shiller, Narrative Economics.
No narrative profile yet for INSM — it's generated by the pipeline (market-narrative step).
Growth Outlook
Analyzed 2026-08-30 04:39

The question every valuation on this page silently assumes: is this company likely to grow? Judged forward — the business, its category, the world — against what's already printed.

Accelerating A genuine second-product cycle — the bronchiectasis launch on top of the ARIKAYCE base is driving triple-digit revenue expansion off a small base, with pipeline optionality (inhaled prostanoid, label expansions) extending the ramp well beyond the first launch year. conf 7/10
Share gain Category growing · Category (biotech) is in a steady-to-healthy expansion: ~16.9% revenue CAGR, ~30% earnings CAGR, operating margins up ~6.2pp industry-wide, with the demand cycle scored neutral/steady rather than boom. The company is growing at ~66.7% recent YoY — roughly 54pp above the industry — driven by a product launch that creates addressable market rather than redistributing it.
Next 2 quarters
Accelerating
Launch quarters are sequential-build by construction: new prescribers, expanding payer coverage and patient persistence all compound within the first two years. Comps remain trivially easy and the base product still contributes. The only realistic path to a soft print is a supply or reimbursement disruption, for which there is no evidence in the record.
↑ above expectations
Year 1
Accelerating
The full fiscal year captures the steepest part of the launch S-curve plus any label/geography expansion. Revenue growth should still print far above the ~17% category rate, and the loss line should narrow materially as fixed commercial cost is spread over a much larger revenue base.
≈ inline with expectations
Years 2–3
Growing
Structurally the earnings power grows: a second approved product with a multi-year ramp, an installed specialty commercial base that scales at high incremental margin, and pipeline programs that can extend the cycle. But the growth RATE mechanically decays from triple digits as the base builds, so the honest structural call is durable Growing rather than continued Accelerating.
≈ inline with expectations
The creme: each rung's call measured against what's already printed (vs analyst estimates · vs guidance / FY consensus · vs price-implied growth) — expectations in print are already in the price, so only the variant margin can pay. Hover a rung's chip for the margin read.
Growth drivers
84 Second commercial product inflection — Revenue is compounding at +265% on the matched-quarter YoY and +66.7% on the most recent reported YoY — a magnitude only explainable by a new launch layered onto the existing rare-disease base, not by pricing or one-off items. Launch ramps in rare/specialty respiratory follow a multi-year S-curve (prescriber onboarding, payer coverage, specialty pharmacy pull-through), so the mechanism has 6-10 quarters of runway before comps harden.
61 Share gain versus a growing category — Industry revenue is compounding ~16.9% and the company is printing ~66.7% — a ~54pp gap. This is not tide-riding; it is a first-in-class entrant creating a new addressable segment rather than splitting an existing one.
45 Installed rare-disease infrastructure leverage — The existing MAC-lung-disease franchise already funds a specialty pulmonology salesforce, distribution and patient-support machinery. A second respiratory product routes through the same prescriber base, which compresses the time-to-peak of the launch and means incremental revenue arrives at higher contribution margin than a de-novo commercial build.
38 Pipeline extends the ramp past the first indication — Programs in inhaled pulmonary hypertension and additional inflammatory/label-expansion indications sit behind the lead asset. Even partial success converts a single-product ramp into a sequential product cycle — the difference between one steep year and a multi-year growth regime.
32 Loss narrowing faster than modelled — EPS came in at -0.06 against a -0.68 estimate in the newest print, after -0.76 vs -1.00 — operating leverage on launch revenue is arriving ahead of the sell-side's launch-cost assumptions.
Growth risks
51 Still pre-profitability with launch-scale spend — Prints remain loss-making and lumpy (-1.54, +0.07, -0.76, -0.06 across four quarters). Revenue growth is not yet self-funding; commercial expansion and late-stage trials consume cash, and a financing or dilution event is a live possibility that changes per-share earnings growth even if revenue growth is intact.
45 Base-effect decay and low measurement confidence — The house tags revenue confidence Low with a 'decelerating' quarterly trend and 0.24 volatility. Triple-digit growth off a small base mathematically decays; the honest question is whether the second derivative turns down in FY2 — which is exactly where the market's bar is set.
23 Legacy franchise erosion — The original inhaled MAC product faces competitive and pricing pressure and is the mature half of the revenue base. Any step-down there partially offsets launch growth and makes reported totals look less clean than underlying new-product demand.
36 Binary late-stage readouts — Structural years 2-3 lean on pipeline conversion. A failed pivotal readout in the pulmonary-hypertension or label-expansion programs would not shrink current revenue but would truncate the growth regime the market is underwriting.
20 Competitive entry into the new category — A first-in-class success in a large pulmonary inflammatory market invites fast-follower and mechanism-adjacent entrants. Exclusivity is real near-term but the peak-share assumption embedded in long-dated forecasts is the fragile variable.
The world is short of approved therapies in chronic pulmonary inflammatory disease, and payers have shown willingness to fund rare/specialty respiratory drugs at high per-patient economics — that is the specific structural tailwind here, not a generic biotech rally. Macro is flagged as a headwind (10y at 4.67), which matters to a cash-consuming developer mainly through financing cost and the discount applied to distant pipeline value; it does not touch prescription demand for a rare-disease drug in the next eight quarters. Industry-wide margin expansion (+6.2pp operating) suggests the sector's cost discipline phase is over and commercial-stage biotechs are converting revenue to profit faster than in the prior cycle — a supportive backdrop for this company crossing from loss to leverage.
Growth position composite +39
ShrinkingStallingHoldingGrowingAccelerating
90Next 2 quarters · Accelerating
90Year 1 · Accelerating
70Years 2–3 · Growing
+39Composite (−100…+100)
A research prediction, not advice. Forward-graded: each rung is scored against the prints that follow it. Not an input to the GEM designation — track record first.
Claude Reading
Independent analyst synthesis · claude-opus-4-7 · generated 2026-08-30 04:10:28
Verdict Models are anchored on stale FY25 data — Q2's $425M print signals brensocatib launch inflection; fair value $110-$140, own a starter here at $118 and let Q3 confirm.

The raw quarterly print is the most important thing in this file and the models are underweighting it. Q2 2026 revenue of $425.5M is not a linear extrapolation from Q1's $306M or Q4 2025's $263.8M — that's a $119M sequential jump (+39% QoQ) and puts run-rate revenue at roughly $1.7B annualized versus the $606M FY25 the synthesis keeps anchoring on. Net loss simultaneously collapsed from -$328M in Q4 2025 to -$13M in Q2 2026. That is a launch curve, almost certainly brensocatib (Brinsupri) post-approval in bronchiectasis, and it materially rewrites the "single-product company with $606M revenue" framing that every downstream model — synthesis, thesis evaluation, market forces — is using. The P/S the thesis engine cites (42.7x on trailing) is actually closer to ~15x on forward run-rate, which is not "priced for perfection" for a rare-disease launch inflecting toward breakeven.

That said, the bear scaffolding isn't wrong, it's just mis-timed. FY25 burn was $968M FCF-negative against $510M cash and $562M debt — the company clearly raised or is about to raise, and the pre-flight model's "imminent funding crisis" flag would have been correct as of end-2025 but likely got resolved (equity raise, revenue-interest financing, or partnership) given they're still operating and margins have swung 250 percentage points in three quarters. I'd want to verify the share count hasn't ballooned — a $25.9B market cap on ~$118 implies ~218M shares, up meaningfully from prior years, and any DCF that ignores dilution history overstates per-share value. The insider selling pattern (Aug 6/10/17 clusters, all option-exercise-and-sell) is boilerplate 10b5-1 behavior around a launch inflection, not the "suspicious" signal Market Forces flagged; executives sell into strength on every biotech launch.

Where I disagree with the models: the Valuation Synthesis "Priced for Perfection" and Thesis Evaluation -12 score are backward-looking, benchmarking a $25.9B cap against stale trailing revenue while ignoring that Q2 already delivered ~70% of all of FY25's revenue in a single quarter. The Market Forces "avoid until brensocatib data derisks" line reads like it was written before the launch — brensocatib IS launching, that's what the $425M print is. Where I agree with the models: the pipeline-beyond-brensocatib (TPIP for PH-ILD, inhaled programs) is genuinely speculative and doesn't deserve credit yet; gross margin at 79.7% is good but not Vertex-good for a specialty inhaled/oral portfolio; and if Q2's jump includes stocking or a one-time channel fill, Q3 could disappoint and the stock re-rates hard given the 52-week range of $90-$213. A careful contrarian would also note that bronchiectasis launches have historically underdelivered vs. sell-side peak-sales models (see Bayer's ciprofloxacin DPI failures), and that DPP1 inhibitor class safety (periodontal, skin) could emerge post-launch.

Net: the models are anchored on stale FY25 numbers and missed the Q2 inflection. At $118 and ~$1.7B run-rate revenue with margins racing toward breakeven, INSM is not "priced for perfection" — it's priced roughly fairly for a successful dual-product rare-disease franchise, with pipeline optionality thrown in for free-ish. I'd peg fair value in the $110-$140 range depending on Q3 confirmation of the launch trajectory and clarity on dilution. The right trade is not "avoid" — it's "own a starter, add on Q3 confirmation, trim if Q3 shows the Q2 print was stocking." I dissent partially from the Priced-for-Perfection verdict: the trailing multiples are misleading and the synthesis is fighting last quarter's war. Direction is fairly valued leaning slightly undervalued, conviction moderate because the whole thesis hinges on one data point (Q2 was real recurring demand, not stocking) that I can't verify from this file.

GPT Reading
Independent reading · gpt-5.4 · generated 2026-08-30 04:10:45
Verdict Fairly valued to slightly overvalued at $118.54 — the latest quarter suggests a real commercial inflection, but at $25.9B the stock still assumes that ~$1.7B run-rate revenue is durable and expandable; I’d need proof above $350M/quarter to get bullish.

What jumps out is not the headline loss profile but the shape of the operating inflection. Revenue went from $92.8M in 2025 Q1 to $107.4M, then $142.3M, then $263.8M in Q4, $306.0M in 2026 Q1, and $425.5M in 2026 Q2. That is not ordinary biotech lumpiness; it is a step-change to a $1.7B annualized run rate in the latest quarter. Just as important, net losses narrowed from -$370.0M in 2025 Q3 and -$328.5M in Q4 to -$163.6M and then just -$13.2M in the latest quarter, taking net margin from -260% a year ago to -3.1%. For a company the screens still classify as “pre-profit,” the underlying data say it is on the edge of commercial self-funding if this revenue base is even roughly sustainable. That makes stale annual multiples like 39x sales on 2025 revenue actively misleading, because they capitalize a business that has plainly outgrown that denominator.

The valuation is still extreme, but it is extreme against old numbers. Using the latest quarter, the market cap of $25.9B is about 15x annualized revenue, not 39x. That is still rich for a one-product commercial story, but the distinction matters: 15x on a business growing 60%+ and nearing breakeven is expensive; 39x on a business losing over $1B is absurd. The gross margin profile also supports the idea that revenue scale can do real work here: 2025 gross margin was 79.7%, so incremental sales should carry high contribution if launch and R&D spend stop accelerating. The core tension in the numbers is that annual operating cash flow was still -$935.0M and free cash flow -$967.6M in 2025, while cash was only $510.4M against $561.7M of debt at year-end. On a backward-looking basis that screams dilution risk. On the quarterly trajectory, though, it also looks like 2025 may have been the peak-burn investment year before a sharp revenue step-up. I do not think the stock is cheap, but I do think the market is paying for a business that may have crossed from “science project” to “commercial platform” faster than the backward metrics capture.

My read, then, is that INSM is not a short on valuation alone at $118.54, but neither is it obviously attractive because so much of the rerating has already happened. A $25.9B equity value against even a generous $1.5B-$1.8B current revenue base still requires either sustained hypergrowth in the existing franchise or a very successful second-act pipeline. Since the balance sheet ended 2025 with net debt and less than a year of burn runway on 2025 cash flow, the company likely needed the 2026 revenue surge to be real, durable, and repeated. If it is, the downside compresses dramatically because financing risk falls away. If it is not, this valuation has very little support from assets on hand: book equity was only $739.0M, and the P/B above 30 tells you how little hard balance-sheet protection exists. So the story the numbers tell me is not “priced for perfection” in the lazy sense; it is “priced for sustained commercial escape velocity.” That is a narrower and more testable claim.

The best case against my relatively less-bearish read is straightforward: one quarter does not erase a history of cash destruction. Full-year revenue was $606.4M in 2025, while operating loss was -$1.25B and net loss -$1.28B, both worse than 2024 despite only $242.7M of added revenue. That means the company historically spent several dollars to buy each dollar of growth. Even after the latest quarter, trailing four-quarter revenue is about $1.14B, so the stock still trades around 23x trailing sales—far from cheap. The latest insider tape also leans poorly, with option exercises followed by sales including 239,850 shares on 2026-08-10, and there are no offsetting open-market buys shown. A smart bear would say the annual and cash flow statements are the truth, the quarter is the exception, and investors are underwriting blockbuster outcomes before cash generation proves durable.

I weigh that bear case differently because the income statement has already started to reconcile with the narrative in a way that many biotech promotions never do. Moving from -$321.7M net loss in 2025 Q2 to -$13.2M in 2026 Q2 on revenue growth from $107.4M to $425.5M is too large an operational improvement to dismiss as noise without evidence of one-time items, which we do not have here. What would change my mind quickly is simple: if the next two quarters fail to hold revenue above roughly $350M per quarter, or if net losses widen back beyond, say, -$100M despite that revenue base, then the “commercial escape velocity” thesis is false and the stock is plainly overvalued. Conversely, if annualized revenue stays above $1.5B and operating cash burn collapses toward breakeven, then today’s valuation becomes much easier to defend and I would stop fighting the premium.

Grok Reading
Independent reading · grok-4.5 · generated 2026-08-30 04:11:43
Verdict Overvalued at $118.50 / ~$26B; new ~$1.5B+ run-rate and near-breakeven quarter are real but still price in flawless multi-product scale that is not yet earned

The raw numbers show a company mid-inflection, not the slow bleed the 2025 annuals imply. Quarterly revenue went from $107.4M in Q2 2025 to $425.5M in Q2 2026—nearly 4×—with Q1 2026 already at $306.0M and Q4 2025 at $263.8M. That is not ARIKAYCE grind; something commercially material landed. Net loss collapsed from hundreds of millions per quarter to just −$13.2M (−3.1% margin) in the latest period, while trailing annual gross margin sits at ~80%. Annual 2025 revenue of $606.4M is already obsolete as a run-rate base; the current two-quarter pace annualizes near $1.5B. Against that, a $25.9B market cap and ~$118.50 price still embeds a ~15–17× forward sales multiple and perfection on pipeline conversion. Cash of $510.4M against 2025 FCF burn of −$967.6M and net debt roughly flat was a genuine funding cliff; the near-breakeven quarter is the only thing that keeps the balance sheet from being disqualifying. Secondary flags calling revenue “decelerating” or “low confidence” simply do not match the sequential print. Insiders exercising and selling hundreds of thousands of shares into the August 2026 window is classic liquidity after a re-rating, not proof of fraud, but it is not accumulation either.

The valuation synthesis and thesis score (−12) correctly flag that $26B still requires brensocatib (or equivalents) to become a multi-billion franchise and ARIKAYCE to keep expanding without a hard ceiling. P/S on trailing 2025 is still ~39–43×; EV/Revenue and P/B (~32×) are extreme for a name that has never posted a full-year profit and whose ROE/ROIC/ROA remain deeply negative. Operating cash flow of −$935M in 2025 means equity and debt markets remain the real capital structure until the Q2 run-rate proves durable for four consecutive quarters. Single-product history plus binary late-stage pulmonary risk justifies a discount to the narrative of a scaled rare-disease platform. At $118 the stock is not pricing a base case; it is pricing the bull case as the base.

The strongest pushback is that the market is simply marking the company to the new economics faster than lagging annual models. If $425M quarters sustain and mix shifts toward higher-margin oral/inhaled products, 2026–27 revenue lands $1.6–2.0B with operating leverage that could flip FCF positive inside two years at 80% gross margins. In that frame, 12–15× forward sales for a first-in-class bronchiectasis asset plus an entrenched NTM franchise is aggressive but not unprecedented for specialty pharma growth, and the 52-week range up to $213 shows the market has already been willing to pay more when data cooperates. I weigh this less because cash was critically thin relative to burn, insider flows were one-way sales, and the entire $26B still rests on clinical and commercial execution that has not yet delivered a second approved major product in a full year of financials. The rear-view $606M and −$1.28B NI are stale; the forward multiple is still rich until durability is proven.

I would flip to a constructive stance on two clean prints of sequential revenue ≥$400M with positive or near-zero operating cash flow, plus unambiguous brensocatib label/uptake data that supports peak sales well above $2B without major safety or reimbursement friction. Dilutive financing above ~$1B or a clinical/commercial miss that resets the quarterly run-rate back toward $200–250M would confirm the overvaluation case and push the stock toward the low end of its recent range.

Big-3 Panel — where each AI stands
Each AI above independently stated a direction (undervalued, fairly valued, or overvalued) and how strongly it believes it (conviction, 0–5). We combine those into a Bull-Bear Index on a 0–10 scale: 5 is neutral, 10 is maximum bullish (undervalued at full conviction), 0 is maximum bearish. We compute the score ourselves with the same arithmetic for every seat — the models never grade their own bullishness — so the three are directly comparable. Δ shows how far each seat sits from the panel average of 4.0; a large Δ marks the dissenting voice, usually the one worth reading.
Claude claude-opus-4-7 5.0
fairly valued · conviction 3/5 · Δ +1.0 vs panel · self: 6.0
GPT gpt-5.4 5.0
fairly valued · conviction 3/5 · Δ +1.0 vs panel · self: 5.0
Grok grok-4.5 2.0
overvalued · conviction 3/5 · Δ -2.0 vs panel · self: 4.0
Advanced Analysis Forensic deep-dive · separate lenses
Separate reads — Company Quality (is it a great business?), Valuation (is it mispriced?), and General Sentiment (how macro + narrative are pushing it), kept deliberately apart · 2026-08-30 04:40:31
Delvantic - Cairn AI
Fully valued — starter only, add on pullback 6/10
Great commercial inflection colliding with a rich, dilution-taxed price — quality is improving but the stock already assumes the win.
The cruxWhether the Brinsupri ramp sustains above ~$350M/quarter run-rate long enough to outgrow the ~15%/yr dilution before a launch wobble resets the narrative.
Forensic checks Derived mechanically from INSM's filed financials — not from the AI lenses
Liquidity & RunwayCritical Runway
DilutionHeavy Dilution
Earnings QualityHigh Earnings Quality
The four lensesswitch a tab for its full read — score + evidence
Company Quality
-51
Shaky
edge √Σ 78 · risk √Σ 135 · conf 7/10

Insmed is a commercial-stage rare-disease company showing real top-line acceleration: revenue jumped from $363.7M in 2024 to $606.4M in 2025 (+67%), on structurally high 76-80% gross margins. That is the durable, high-quality piece of the business - a specialty product (Arikayce, with pipeline optionality) with pricing power and expanding scale. Earnings-quality mechanicals are clean: Beneish M -1.97, Altman Z 5.85, no accrual manipulation flags, and OCF/NI of 0.77x is normal for a loss-maker. The problem is the funding model. Operating margin remains catastrophically negative (-205.6% in 2025), net loss widened to -$1.28B, and FCF burn reached -$967.6M. Liquid cash of $1.43B against that burn implies under 6 quarters of runway - so continued capital raises are effectively certain. Diluted share count has compounded at 15.4%/yr (112M in 2021 to 199M in 2025, a 78% increase in four years), and SBC runs at 25.2% of revenue, meaning per-share economics are being materially eroded even as the enterprise grows. Insider tape reinforces the concern: 11 sales / 0 open-market buys over 12 months, ~$39.8M sold, including a $32M single-day sale by Adsett after option exercises. That is a compensation-monetization pattern, not a conviction signal. Business is real and scaling, but survival math depends on capital markets access and pipeline execution.

Strengths 2
m70
Revenue inflection with elite gross margins
Revenue grew 67% in 2025 to $606.4M with 79.7% gross margin - a genuine commercial ramp, not a science project.
m35
Clean forensic mechanics
Beneish M -1.97, Altman Z 5.85, accruals -10.6% of assets - no signs of earnings manipulation; losses are cash-real, not accounting-hidden.
Concerns 4
m85
Cash burn versus runway
FCF -$967.6M against $1.43B liquid cash implies ~5.9 quarters of runway; further raises are effectively mandatory.
m80
Structural dilution
Diluted shares grew from 112.1M to 199.0M in four years (15.4% CAGR); SBC at 25.2% of revenue means per-share value creation lags enterprise progress badly.
m55
Operating losses widening in absolute terms
Net loss went from -$434.7M (2021) to -$1.28B (2025); operating margin still -205.6% despite revenue nearly tripling - operating leverage has not yet arrived.
m40
One-sided insider tape
11 sales / 0 buys in 12 months totaling ~$39.8M, including a $32M Adsett sale post-exercise. Compensation-driven but no offsetting conviction buys.
This is a two-sided business: a real commercial rare-disease franchise scaling fast at premium margins, riding on a funding engine that dilutes shareholders 15%+ per year and still needs the capital markets open every 12-18 months. The forensic mechanics are clean - management isn't hiding anything - but that doesn't fix the survival math or the per-share erosion. Insider behavior is monetization, not conviction. I'd grade the business as Shaky: not failing, genuinely improving operationally, but the balance-sheet clock and the dilution treadmill are dominant facts about the enterprise until operating leverage actually shows up in the P&L.
Verify before trusting this (5)
  • Arikayce revenue concentration versus pipeline (brensocatib, TPIP) contribution to 2025 growth
  • Terms and maturity of any convertible notes or debt in the capital structure
  • Guided operating expense trajectory and timing of any expected profitability inflection
  • Details of the Adsett $32M sale - 10b5-1 plan vs discretionary
  • Whether SBC of 25.2% of revenue is normalizing as revenue scales or remains structurally high
Valuation / Mispricing
-70
Rich
edge √Σ 25 · risk √Σ 112 · conf 7/10
Price $118.54 / ~$25.9B cap vs a skeptical deserved value more like $70-85; roughly 30-40% overvalued absent pipeline de-risking. attractive below $80.00

The e2e synthesis flags INSM as priced for a $4B+ franchise that ARIKAYCE alone cannot plausibly deliver; against a ~$25.9B market cap, that reads as roughly 6x a plausible mature ARIKAYCE revenue line, meaning the equity is essentially a call option on brensocatib (bronchiectasis) and the inhaled/IPF pipeline succeeding, scaling, and being funded to profitability. That is a heroic stack of ifs for a company the quality lens describes as burning nearly $1B/yr and diluting 15%+ annually - each year of delay compounds share count and shrinks per-share deserved value.

Cheap signals 1
m25
Real optionality, not vaporware
ARIKAYCE is a genuine commercial asset and brensocatib addresses a large underserved indication - deserved value is not zero and could rerate meaningfully on positive readouts.
Rich / priced-in 3
m72
Cap implies multi-product franchise that doesn't exist yet
$25.9B market cap requires ARIKAYCE plus brensocatib plus inhaled pipeline all delivering; ARIKAYCE alone, even with label expansion, cannot support this multiple.
m65
Dilution is a per-share tax on deserved value
15%+ annual share issuance to fund ~$1B burn means whatever the enterprise is worth in 3-4 years gets divided across a meaningfully larger share count - today's price ignores that drag.
m55
Priced-for-perfection on brensocatib
The stock behaves as if bronchiectasis approval and commercial success are near-certainties; any Phase 3 or label setback would recalibrate the equity sharply lower.
I don't see a mispricing to my advantage here - I see a story stock where the market has already paid for the good outcome. At $118.54 I'm underwriting brensocatib success AND funding the burn AND absorbing dilution, with no discount for any of it. I'd need it closer to $80 - a 30%+ pullback or a de-risking event - before the risk/reward tilts. Fully valued at best, rich in my honest read.
Verify before trusting this (4)
  • Latest ARIKAYCE run-rate revenue and gross margin trajectory
  • Cash runway and next expected raise size/timing
  • Brensocatib Phase 3 (ASPEN) readout timing and any regulatory interactions
  • Fully diluted share count including options/warrants vs basic count used in market cap
General Sentiment
+34
Tailwind
tail √Σ 94 · head √Σ 59 · conf 7/10

The tape is mildly risk-on with VIX at 14 and the S&P near highs, which is a friendly backdrop for a low-beta (0.79) biotech that trades on its own catalysts more than the index. INSM's own narrative flipped decisively bullish after the August 6 Q2 print, when Brinsupri posted record revenue and forced guidance up, wiping out the May Q1 disappointment. That is a live, strengthening story with momentum (+66.7% recent vs +41% long-term CAGR) and fresh media framing it as the 'better long-term pick' versus peers - classic tailwind conditions for a turnaround-bet archetype. Offsetting that: rates at 4.67% and a 25.9x market PE are a persistent drag on long-duration, cash-burning biotech, and the narrative durability is only moderate with low cult coefficient, meaning the bid is real but not fanatical. Any pipeline stumble or launch-trajectory wobble (as May showed) can reprice this name 20%+ in a session. Net, the non-fundamental pressure leans positive but is not a mania.

Tailwinds 3
m70
Brinsupri launch narrative re-rated hard
The Aug 6 +34% move on record $309M quarter and raised guidance reset the story from 'failed launch' to 'accelerating ramp' - the market is now pricing the bull case and news flow is reinforcing it.
m55
Strong price momentum with recent > long-term
66.7% recent vs 41% CAGR signals accumulation and a self-reinforcing bid; momentum-followers and biotech generalists chase this pattern, adding non-fundamental lift.
m30
Risk-on tape, low beta cushion
VIX 14, S&P near highs, and a 0.79 beta mean the macro tape is neither hurting nor especially helping - a benign backdrop that lets the stock-specific story dominate.
Headwinds 3
m40
Rates and market PE press long-duration biotech
10y at 4.67% and market PE 25.9 are a chronic drag on unprofitable rare-disease names whose value sits in out-year pipeline cash flows; this caps multiple expansion even as the story works.
m35
Fragile narrative - one print can flip it
May's -23.5% on a launch miss shows how binary the tape treats every Brinsupri data point; moderate durability and low cult mean holders will not sit through a bad quarter.
m25
Peer-comparison framing introduces competitive overhang
News flow now benchmarks INSM against Liquidia's Yutrepia; a good story today, but it invites rotation risk if peer data prints better.
Net tailwind, but not a strong one. The Brinsupri narrative is actively strengthening, momentum is real, and the tape is benign for a low-beta biotech - all pushing this name up regardless of what you think of the valuation. The offsets are structural (rates on long-duration biotech) and reflexive (one bad print flips the story fast, as May proved). I lean tailwind with medium-high conviction, but I would not confuse this with a durable mania - it is a live turnaround bid that needs the next quarter to confirm.
Verify before trusting this (4)
  • Next Brinsupri quarterly revenue and script trend - the single variable that owns the narrative
  • Any sell-side target revisions post the Q2 beat - are analysts chasing or fading
  • Pipeline readouts in bronchiectasis/IPF that could either extend or crack the turnaround story
  • Whether biotech sector flows (XBI) hold up if the risk-on tape wobbles
The market-wide tape + this name's exposure to it (beta / sector / narrative durability). Context on the non-fundamental pressure — not a call on the business or the price. processId: detail-general-sentiment
Growth Outlook
+39
Accelerating
edge √Σ 124 · risk √Σ 83 · conf 7/10

The world is short of approved therapies in chronic pulmonary inflammatory disease, and payers have shown willingness to fund rare/specialty respiratory drugs at high per-patient economics — that is the specific structural tailwind here, not a generic biotech rally. Macro is flagged as a headwind (10y at 4.67), which matters to a cash-consuming developer mainly through financing cost and the discount applied to distant pipeline value; it does not touch prescription demand for a rare-disease drug in the next eight quarters. Industry-wide margin expansion (+6.2pp operating) suggests the sector's cost discipline phase is over and commercial-stage biotechs are converting revenue to profit faster than in the prior cycle — a supportive backdrop for this company crossing from loss to leverage.

Growth drivers 5
m84
Second commercial product inflection
Revenue is compounding at +265% on the matched-quarter YoY and +66.7% on the most recent reported YoY — a magnitude only explainable by a new launch layered onto the existing rare-disease base, not by pricing or one-off items. Launch ramps in rare/specialty respiratory follow a multi-year S-curve (prescriber onboarding, payer coverage, specialty pharmacy pull-through), so the mechanism has 6-10 quarters of runway before comps harden.
m61
Share gain versus a growing category
Industry revenue is compounding ~16.9% and the company is printing ~66.7% — a ~54pp gap. This is not tide-riding; it is a first-in-class entrant creating a new addressable segment rather than splitting an existing one.
m45
Installed rare-disease infrastructure leverage
The existing MAC-lung-disease franchise already funds a specialty pulmonology salesforce, distribution and patient-support machinery. A second respiratory product routes through the same prescriber base, which compresses the time-to-peak of the launch and means incremental revenue arrives at higher contribution margin than a de-novo commercial build.
m38
Pipeline extends the ramp past the first indication
Programs in inhaled pulmonary hypertension and additional inflammatory/label-expansion indications sit behind the lead asset. Even partial success converts a single-product ramp into a sequential product cycle — the difference between one steep year and a multi-year growth regime.
m32
Loss narrowing faster than modelled
EPS came in at -0.06 against a -0.68 estimate in the newest print, after -0.76 vs -1.00 — operating leverage on launch revenue is arriving ahead of the sell-side's launch-cost assumptions.
Growth risks 5
m51
Still pre-profitability with launch-scale spend
Prints remain loss-making and lumpy (-1.54, +0.07, -0.76, -0.06 across four quarters). Revenue growth is not yet self-funding; commercial expansion and late-stage trials consume cash, and a financing or dilution event is a live possibility that changes per-share earnings growth even if revenue growth is intact.
m45
Base-effect decay and low measurement confidence
The house tags revenue confidence Low with a 'decelerating' quarterly trend and 0.24 volatility. Triple-digit growth off a small base mathematically decays; the honest question is whether the second derivative turns down in FY2 — which is exactly where the market's bar is set.
m23
Legacy franchise erosion
The original inhaled MAC product faces competitive and pricing pressure and is the mature half of the revenue base. Any step-down there partially offsets launch growth and makes reported totals look less clean than underlying new-product demand.
m36
Binary late-stage readouts
Structural years 2-3 lean on pipeline conversion. A failed pivotal readout in the pulmonary-hypertension or label-expansion programs would not shrink current revenue but would truncate the growth regime the market is underwriting.
m20
Competitive entry into the new category
A first-in-class success in a large pulmonary inflammatory market invites fast-follower and mechanism-adjacent entrants. Exclusivity is real near-term but the peak-share assumption embedded in long-dated forecasts is the fragile variable.
vs expectations: ~6m above · 1y inline · 2-3y inline
The forward growth verdict — is the business itself likely to grow (next 2 quarters / year 1 / years 2–3), judged against its category and against printed expectations. The full horizon ladder + creme renders on the Growth Outlook card above. Not a call on the price (Valuation owns that) or the tape (Sentiment owns that).
Please log in to view trade setups
The Augustus trade-setup read is a members feature.
Log in
Lenses kept deliberately separate — Company Quality (price-agnostic), Valuation (price-conditional), General Sentiment (non-fundamental macro/narrative pressure), and Growth Outlook (the forward growth verdict). The scores are not blended. Filing-level items (convertibles, lock-ups, customer concentration) are v2 — see each lens's "verify."
Price Prediction
Lower -14.0% v0.6.0 View full prediction →

When we made this prediction on Aug 30, 2026, INSM was $118.54. We expect it to be $102.00 by Mar 2027, and we consider it great value under $80.00. This is an early model (v0.6.0) — the direction is more reliable than the exact price. Made Aug 30, 2026.

Price when predicted$118.54
Our estimate for Mar 2027$102.00-14.0%
Great value below$80.00
Price history shown (6 Months)

Blue is our prediction, starting the day we made it. Grey is a slower route to the same place — the same destination, taking longer. Black is the actual price, so you can see how we are doing.

Community AI Feedback
No community reviews yet for INSM. Be the first — hit How to Contribute, have any AI review this page, and paste its take back here.
My Notes personal — only you see this
v1.1.760 · f4b58a28 · 2026-10-07 20:07:48