Assay

Financial-condition grades for SEC filers

Company Report · as of Oct 9, 2026


HomeCompaniesSectorsCalendarLast night

Insmed Inc.INSM · healthcare
GradeElkBsecond fifth of 371 graded peers; percentile 35.4, sampling error 2.5 points; lower is stronger
Rank132 of 371
ProfitabilityBpercentile 36.4
SolvencyCpercentile 56.7
Growth and financingBpercentile 36.5
Reliability0.91 AUCfailure model, filers with $591M to $2.67B assets; 95% interval 0.88 to 0.94; 160 events, 2020 to 2025
Peer failure rate1.01% a yearItem 1.03 bankruptcies, same asset band, 2012 to 2025
Size band$591M to $2.67B assetstotal assets $2.3B[1]
Standard universeinsiderevenue above $1M and assets above $10M[1-2]
Warningsnone active
Inputs computable10 of 14
Graded fromfilings received through Feb 19, 2026232 days before the rescan; every figure keyed to the SEC receipt date
Last close$100.572026-10-08; market equity $22.0B; iex feed
Price used in gradeNone
Share price, twelve months to the rescansplit-adjusted close; a lollipop at every rescan carries the letter held then; baseline ticks are SEC receipt dates of the inputs; ranges and dragging scroll the full history
$100$150$200NovDecJanFebMarAprMayJunJulAugSepOctB$100.48
ABCDE20132014201520162017201820192020202120222023202420252026

Percentile at every rescan on file, Jan 21, 2012 to Oct 9, 2026; stronger toward the top. Hover for the date.

Open this report as it stood on

Letter setLetterPercentileBand
Jan 21, 2012nonen/a
Mar 21, 2012nonen/aQ3
Mar 21, 2019nonen/aQ4
Feb 21, 2022D68.9Q4
Apr 21, 2023C/D58.0Q4
Mar 21, 2024B/C40.6Q4
Jul 21, 2024B36.8Q4

Each date opens the report as it stood on that rescan.

Business, in the company's words. Opening of Item 1 of the 10-K received Feb 19, 2026; the document on sec.gov.

We are a people-first global biopharmaceutical company striving to deliver first- and best-in-class therapies to transform the lives of patients facing serious diseases. Our commercial portfolio and clinical pipeline are organized around three therapeutic areas: Respiratory, Immunology & Inflammation, and Neuro & Other Rare. To complement our internal research and development, we also actively evaluate in-licensing and acquisition opportunities for commercial products, product candidates and technologies. Our two commercial products, ARIKAYCE® and BRINSUPRI®, are both part of the Respiratory therapeutic area.

The Fourteen Inputs [top]

Lower percentile is stronger. Source numbers open the SEC filing; a range that spans filings opens the sources table.

InputPercentile, 0 to 100ValueSourcePeer medianPercentilePeersPeriod end
Profitability, sleeve percentile 36.4
Gross profitability21.4%[1-3]32.2%62.53722025-12-31
Return on invested capitalnot computable9.3%
pretax income must exceed the validity floor and imply a 0%-100% tax rate
Accruals ratio(15.9%)[1,4-6](6.6%)27.88112025-12-31
Gross margin stability, five years1.2 pts[2-3,7-14]2.8 pts19.02432025-12-31
Solvency, sleeve percentile 56.7
Twelve-month failure probability0.09%0.07%55.92482026-06-30
Altman Z double-prime(7.47)[1,15-20](0.31)57.57562025-12-31
Net debt to EBITDAnot computable1.82x
EBITDA must exceed $100,000
Interest coverage(14.88x)[18,21](4.51x)66.2812025-12-31
Current ratio3.83x[15-16]2.96x47.48392025-12-31
Growth and financing, sleeve percentile 36.5
Revenue growth, three-year compound35.2%[2,7,9,11]10.0%19.34152025-12-31
Free cash flow growth, three-year compoundnot computable10.9%
current FCF must be positive and base FCF must exceed $100,000
Reinvestment ratenot computable37.1%
pretax income must exceed the validity floor and imply a 0%-100% tax rate
Asset growth, three years11.0%[1,6,22-23]2.1%30.77042025-12-31
Net share issuance, one year19.1%[24-25]2.5%59.66342026-02-13

Gross profitability. Revenue less cost of goods sold, over total assets.

Accruals ratio. Net income less operating cash flow, over average assets; lower is stronger.

Gross margin stability, five years. Standard deviation of gross margin; lower is stronger.

Twelve-month failure probability. CHS model; lower is stronger.

Net debt to EBITDA. Lower is stronger.

Net share issuance, one year. Split-adjusted; lower is stronger.

Sleeves are equal-weighted; within a sleeve each computable input carries equal weight. Composite -0.145; sampling error 2.5 percentile points on 371 peers.

Among 371 Peers [top]

ABCDEJNJ, Johnson & Johnson; C, percentile 44.9; market equity $618.1BJNJLLY, ELI Lilly & Co.; C, percentile 55.7; market equity $1.1TLLYABBV, AbbVie Inc.; D, percentile 63.2; market equity $481.4BABBVGILD, Gilead Sciences, Inc.; D/E, percentile 78.9; market equity $182.4BGILDMRK, Merck & Co., Inc.; D/E, percentile 80.8; market equity $351.3BMRKAMGN, Amgen Inc.; E, percentile 85.1; market equity $220.3BAMGNINSM 35.4strongerweaker

Composite score of every graded peer, smoothed. Vertical rules are the letter band edges at the 20th, 40th, 60th and 80th percentiles. Small dots are the six largest peers by market equity.

RankCompanyPercentileLetterWarnings
127Tandem Diabetes Care Inc. (TNDM)

Tandem Diabetes Care Inc. (TNDM)

Bsecond fifth; percentile 34.1

Nasdaq · Surgical & Medical Instruments & Apparatus

market equity $1.1B; last close $15.68

No active warnings; 9 of 14 inputs

34.1B
128BrightSpring Health Services, Inc. (BTSG)

BrightSpring Health Services, Inc. (BTSG)

Bsecond fifth; percentile 34.5

Nasdaq · Services-Home Health Care Services

last close $63.69

No active warnings; 8 of 14 inputs

34.5B
129BrightSpring Health Services, Inc. (BTSGU)

BrightSpring Health Services, Inc. (BTSGU)

Bsecond fifth; percentile 34.5

Nasdaq · Services-Home Health Care Services

last close $185.87

No active warnings; 8 of 14 inputs

34.5B
130Glaukos Corp. (GKOS)

Glaukos Corp. (GKOS)

Bsecond fifth; percentile 34.9

NYSE · Surgical & Medical Instruments & Apparatus

market equity $9.5B; last close $161.17

Warnings: fortress balance sheet; 8 of 14 inputs

34.9Bfortress balance sheet
131Fitlife Brands, Inc. (FTLF)

Fitlife Brands, Inc. (FTLF)

Bsecond fifth; percentile 35.1

Nasdaq · Medicinal Chemicals & Botanical Products

market equity $81.7M; last close $8.56

No active warnings; 8 of 14 inputs

35.1B
132Insmed Inc. (INSM)

Insmed Inc. (INSM)

Bsecond fifth; percentile 35.4

Nasdaq · Pharmaceutical Preparations

market equity $21.9B; last close $100.57

No active warnings; 10 of 14 inputs

35.4B
133Establishment Labs Holdings Inc. (ESTA)

Establishment Labs Holdings Inc. (ESTA)

Bsecond fifth; percentile 35.7

Nasdaq · Orthopedic, Prosthetic & Surgical Appliances & Supplies

market equity $1.8B; last close $60.54

Warnings: fortress balance sheet; 8 of 14 inputs

35.7Bfortress balance sheet
134Ionis Pharmaceuticals Inc. (IONS)

Ionis Pharmaceuticals Inc. (IONS)

Bsecond fifth; percentile 35.9

Nasdaq · Pharmaceutical Preparations

market equity $7.2B; last close $43.29

No active warnings; 10 of 14 inputs

35.9B
135Biocryst Pharmaceuticals Inc. (BCRX)

Biocryst Pharmaceuticals Inc. (BCRX)

Bsecond fifth; percentile 36.2

Nasdaq · Biological Products, (No Diagnostic Substances)

market equity $2.1B; last close $8.29

Warnings: fortress balance sheet; 10 of 14 inputs

36.2Bfortress balance sheet
136Tenet Healthcare Corp. (THC)

Tenet Healthcare Corp. (THC)

Bsecond fifth; percentile 36.5

NYSE · Services-General Medical & Surgical Hospitals, NEC

market equity $21.0B; last close $260.68

No active warnings; 10 of 14 inputs

36.5B
137Sanuwave Health, Inc. (SNWV)

Sanuwave Health, Inc. (SNWV)

Bsecond fifth; percentile 36.8

Nasdaq · Surgical & Medical Instruments & Apparatus

market equity $50.3M; last close $5.78

No active warnings; 10 of 14 inputs

36.8B
Peer policyLetterPercentilePeers
all graded filers, equal sleevesB/C40.92204
sector peers, equal sleeves (the grade)B35.4371
same exchange, equal sleevesB/C40.91219
sector peers, equal inputsB/C40.8371

Each letter is one fifth of the 371 graded peers, about 74 companies. A boundary letter (A/B, B/C, C/D, D/E) marks a percentile within one sampling error of a band edge.

What the Price Implies [top]

Market measures at the 2026-10-08 close. None enters the grade. Percentile among graded peers with the same measure.

MeasureValuePeer medianPercentileReading
Twelve-month price change, skipping the latest month(15.4%)8.0%35hotter than 35 of 100 peers
Distance from 52-week high(52.5%)(31.4%)25closer to its high than 25 of 100 peers
EBIT to enterprise value(5.7%)(1.5%)41pricier than 59 of 100 peers
Free cash flow yield(4.4%)(1.0%)42pricier than 58 of 100 peers
Book value to price0.030.2817pricier than 83 of 100 peers
Sales to price0.030.3110pricier than 90 of 100 peers
Composite equity issuance, five years75.1%20.3%72more equity-funded than 72 of 100 peers
Relative strength against the sector, log excess return(0.38)(0.14)35ahead of 35 of 100 peers

Inputs: market equity $21.9B; EBIT -$1.2B; free cash flow -$967.6M; book equity $757.5M; sales $606.4M; debt $546.8M; cash $544.8M[26].

Diagnostics [top]

Diagnostics do not feed the grade.

Piotroski F-score: 5 of 9, period end 2025-12-31
Return on assets above zero(63.0%)✗ fail[4,6]
Operating cash flow above zero-$935.0M✗ fail[5]
Return on assets improved5.7 pts✓ pass[4,6,22,27]
Operating cash flow exceeds net income$341.8M✓ pass[4-5]
Long-term leverage fell(40.6 pts)✓ pass[1,6,22,28-29]
Current ratio improved(162.4 pts)✗ fail[15-16,30-31]
No new shares issued19.1%✗ fail[24-25]
Gross margin improved3.3 pts✓ pass[2-3,7-8]
Asset turnover improved2.6 pts✓ pass[2,6-7,22]
Cash, filings, liquidity
Cash and equivalents$544.8M[32]
Operating cash flow, four quarters-$778.9M[5,32-36]
Months of runway8.4
Late filings, two years0
NT 10-K or NT 10-Q
Days since last periodic filing64
10-Q received Aug 6, 2026
Median daily dollar volume$243.6M
63 sessions
Days since newest grade input232

Downloads [top]

Sources [top]

Every citation on this page. Filing opens the SEC index page for that submission; viewer opens the SEC interactive data for the same filing; series opens the SEC XBRL API record for that tag and company.

#ConceptXBRL tagValuePeriod endReceivedFormLinks
1assetsus-gaap:Assets$2.3B2025-12-312026-02-1910-Kfiling · viewer · series
2revenueus-gaap:RevenueFromContractWithCustomerExcludingAssessedTax$606.4M2025-12-312026-02-1910-Kfiling · viewer · series
3cost of revenueus-gaap:CostOfGoodsAndServicesSold$122.9M2025-12-312026-02-1910-Kfiling · viewer · series
4net incomeus-gaap:NetIncomeLoss-$1.3B2025-12-312026-02-1910-Kfiling · viewer · series
5operating cash flowus-gaap:NetCashProvidedByUsedInOperatingActivities-$935.0M2025-12-312026-02-1910-Kfiling · viewer · series
6assetsus-gaap:Assets$2.0B2024-12-312026-02-1910-Kfiling · viewer · series
7revenueus-gaap:RevenueFromContractWithCustomerExcludingAssessedTax$363.7M2024-12-312026-02-1910-Kfiling · viewer · series
8cost of revenueus-gaap:CostOfGoodsAndServicesSold$85.7M2024-12-312026-02-1910-Kfiling · viewer · series
9revenueus-gaap:RevenueFromContractWithCustomerExcludingAssessedTax$305.2M2023-12-312026-02-1910-Kfiling · viewer · series
10cost of revenueus-gaap:CostOfGoodsAndServicesSold$65.6M2023-12-312026-02-1910-Kfiling · viewer · series
11revenueus-gaap:RevenueFromContractWithCustomerExcludingAssessedTax$245.4M2022-12-312025-02-2010-Kfiling · viewer · series
12cost of revenueus-gaap:CostOfGoodsAndServicesSold$55.1M2022-12-312025-02-2010-Kfiling · viewer · series
13revenueus-gaap:RevenueFromContractWithCustomerExcludingAssessedTax$188.5M2021-12-312024-02-2210-Kfiling · viewer · series
14cost of revenueus-gaap:CostOfGoodsAndServicesSold$44.2M2021-12-312024-02-2210-Kfiling · viewer · series
15current assetsus-gaap:AssetsCurrent$1.8B2025-12-312026-02-1910-Kfiling · viewer · series
16current liabilitiesus-gaap:LiabilitiesCurrent$468.9M2025-12-312026-02-1910-Kfiling · viewer · series
17retained earningsus-gaap:RetainedEarningsAccumulatedDeficit-$5.6B2025-12-312026-02-1910-Kfiling · viewer · series
18operating incomeus-gaap:OperatingIncomeLoss-$1.2B2025-12-312026-02-1910-Kfiling · viewer · series
19book equityus-gaap:StockholdersEquity$739.0M2025-12-312026-02-1910-Kfiling · viewer · series
20liabilitiesus-gaap:Liabilities$1.5B2025-12-312026-02-1910-Kfiling · viewer · series
21interest expenseus-gaap:InterestExpense$83.8M2025-12-312026-02-1910-Kfiling · viewer · series
22assetsus-gaap:Assets$1.3B2023-12-312025-02-2010-Kfiling · viewer · series
23assetsus-gaap:Assets$1.7B2022-12-312024-02-2210-Kfiling · viewer · series
24shares outstandingdei:EntityCommonStockSharesOutstanding215,551,8962026-02-132026-02-1910-Kfiling · viewer · series
25shares outstandingdei:EntityCommonStockSharesOutstanding180,999,3502025-02-142025-02-2010-Kfiling · viewer · series
26shares outstandingdei:EntityCommonStockSharesOutstanding218,381,5032026-07-312026-08-0610-Qfiling · viewer · series
27net incomeus-gaap:NetIncomeLoss-$913.8M2024-12-312026-02-1910-Kfiling · viewer · series
28long term debtus-gaap:LongTermDebtNoncurrent$541.0M2025-12-312026-02-1910-Kfiling · viewer · series
29long term debtus-gaap:LongTermDebtNoncurrent$1.1B2024-12-312026-02-1910-Kfiling · viewer · series
30current assetsus-gaap:AssetsCurrent$1.6B2024-12-312026-02-1910-Kfiling · viewer · series
31current liabilitiesus-gaap:LiabilitiesCurrent$297.5M2024-12-312026-02-1910-Kfiling · viewer · series
32cashus-gaap:CashAndCashEquivalentsAtCarryingValue$544.8M2026-06-302026-08-0610-Qfiling · viewer · series
33operating cash flowus-gaap:NetCashProvidedByUsedInOperatingActivities-$311.6M2026-06-302026-08-0610-Qfiling · viewer · series
34operating cash flowus-gaap:NetCashProvidedByUsedInOperatingActivities-$222.7M2026-03-312026-05-0710-Qfiling · viewer · series
35operating cash flowus-gaap:NetCashProvidedByUsedInOperatingActivities-$687.4M2025-09-302025-10-3010-Qfiling · viewer · series
36operating cash flowus-gaap:NetCashProvidedByUsedInOperatingActivities-$467.7M2025-06-302026-08-0610-Qfiling · viewer · series

Limitations [top]

Grade boundary. Percentile 35.4 is 4.6 points from the nearest band edge; sampling error is 2.5 points.

Peer group. Sector assignment from four-digit SIC codes, hand-tuned and published. The grade under three alternative peer policies is tabled above.

Size. Within a sector the letter tracks size. Among graded filers in the smallest asset band, 72% grade E and 0% grade A; in the largest, 13% grade E and 21% grade A. Universe as of Oct 9, 2026.

Failure model. filings 2012-01-01 to 2019-12-31 fit, filings 2020-01-01 to 2025-12-31 test; status post hoc pending confirmation. pre-registered on 2026 filings once their 12-month outcome windows close; supported if the paired per-quintile gain over the pooled model has a lower bound above 0.05.

Input validity. Revenue or total assets at or below $100,000 sets the degenerate-inputs flag. An input whose denominator is at or below $100,000 is left not computable rather than ranked.

Returns. No input on this page has a post-2015 confidence interval on returns that excludes zero. The grade ranks reported financial condition and is not a return forecast.