INSM

Insmed Incorporated

55
Fundamentals66/ 100
Valuation50/ 100
Upside potential61/ 100
Risk potential33/ 100

INSM offers stronger fundamentals, but that advantage does not outweigh its weaker overall profile.

UNH

UnitedHealth Group Incorporated

62
Fundamentals51/ 100
Valuation56/ 100
Upside potential71/ 100
Risk potential15/ 100

UNH has the edge over INSM overall, supported by lower modeled downside and stronger modeled upside.

INSM Fundamentals

MetricStatus
Strong
Under pressure
Under pressure
Unavailable

INSM's revenue is currently strong, but its profitability and cash flow are under pressure. There isn't enough data to rate its balance sheet.

UNH Fundamentals

MetricStatus
Stable
Stable
Healthy
Healthy

UNH's cash flow and balance sheet are currently healthy, and its revenue and profitability are stable.

INSM PE Valuation

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

UNH PE Valuation

CHEAPFAIREXPENSIVE10x21x31x42x
CHEAPFAIREXPENSIVE10x21x31x42x
LevelPEPriceVs current
Forward18x$405—
Cheap19x$325-20%
Fair23x$410+1.2%
Current23x$405—
Expensive30x$526+30%

Historical ranges are pointers, not guarantees.

UNH's PE is in its fair range at 23x. If earnings grow as analysts expect, today's price would be 18x next year's earnings, in its cheap range.

INSM Forward outlook

MetricOutlook
--
Losses shrinking
Strong growth
Strongly improving
Limited
Low

INSM has the edge over UNH on the outlook, with more favorable revenue expectations.

UNH Forward outlook

MetricOutlook
Strongly improving
Strong growth
Stable
Improving
Moderate
Low

Analysts expect UNH's earnings to grow and its profitability to improve, with its revenue holding steady. However, they disagree widely on these estimates.

INSM Risk to reward

ScenarioChangePrice
Upside+52%$179.35
Downside-33%$79.35

Calculated from the latest close: $118.07 on Nov 12.

INSM trails UNH on modeled risk to reward, with less potential upside relative to its potential downside.

UNH Risk to reward

ScenarioChangePrice
Upside+36%$550.65
Downside-15%$346.07

Calculated from the latest close: $405.13 on Nov 12.

UNH has a better modeled risk to reward balance than INSM, with more potential upside relative to its potential downside.

INSM Earnings Per Share

Q4 2023: $-5.34Q1 2024: $-5.23Q2 2024: $-5.39Q3 2024: $-5.55Q4 2024: $-5.57Q1 2025: $-5.93Q2 2025: $-5.69Q3 2025: $-6.17Q4 2025: $-6.42Q1 2026: $-5.76Q2 2026: $-4.12Q3 2026: $-2.83
Q4 2023: $-5.34Q1 2024: $-5.23Q2 2024: $-5.39Q3 2024: $-5.55Q4 2024: $-5.57Q1 2025: $-5.93Q2 2025: $-5.69Q3 2025: $-6.17Q4 2025: $-6.42Q1 2026: $-5.76Q2 2026: $-4.12Q3 2026: $-2.83
QuarterTTM EPSYoY
Q3 2026-$2.83+$3.34
Q2 2026-$4.12+$1.57
Q1 2026-$5.76+$0.17
Q4 2025-$6.42-$0.85
Q3 2025-$6.17-$0.62
Q2 2025-$5.69-$0.30
Q1 2025-$5.93-$0.70
Q4 2024-$5.57-$0.23

INSM lost $2.83 per share over the past year, a smaller loss than the year before.

UNH Earnings Per Share

Q4 2023: $23.86Q1 2024: $16.38Q2 2024: $15.10Q3 2024: $15.37Q4 2024: $15.51Q1 2025: $23.89Q2 2025: $23.09Q3 2025: $19.17Q4 2025: $13.23Q1 2026: $13.28Q2 2026: $15.58Q3 2026: $17.55Forward: $22.65
Q4 2023: $23.86Q1 2024: $16.38Q2 2024: $15.10Q3 2024: $15.37Q4 2024: $15.51Q1 2025: $23.89Q2 2025: $23.09Q3 2025: $19.17Q4 2025: $13.23Q1 2026: $13.28Q2 2026: $15.58Q3 2026: $17.55Forward: $22.65
QuarterTTM EPSYoY
Forward$22.65+29%
Q3 2026$17.55-8.5%
Q2 2026$15.58-33%
Q1 2026$13.28-44%
Q4 2025$13.23-15%
Q3 2025$19.17+25%
Q2 2025$23.09+53%
Q1 2025$23.89+46%
Q4 2024$15.51-35%

UNH has the edge over INSM on earnings quality, reporting a profit while its opponent remains loss making.

INSM Quarterly Revenue

Q4 2023: $84MQ1 2024: $76MQ2 2024: $90MQ3 2024: $93MQ4 2024: $104MQ1 2025: $93MQ2 2025: $107MQ3 2025: $142MQ4 2025: $264MQ1 2026: $306MQ2 2026: $425MQ3 2026: $524M
Q4 2023: $84MQ1 2024: $76MQ2 2024: $90MQ3 2024: $93MQ4 2024: $104MQ1 2025: $93MQ2 2025: $107MQ3 2025: $142MQ4 2025: $264MQ1 2026: $306MQ2 2026: $425MQ3 2026: $524M
QuarterRevenueYoY
Q3 2026$524.4M+268%
Q2 2026$425.5M+296%
Q1 2026$306M+230%
Q4 2025$263.8M+153%
Q3 2025$142.3M+52%
Q2 2025$107.4M+19%
Q1 2025$92.8M+23%
Q4 2024$104.4M+25%

INSM has the edge over UNH on sales, with more consistent year-over-year improvement.

UNH Quarterly Revenue

Q4 2023: $94.4BQ1 2024: $99.8BQ2 2024: $98.9BQ3 2024: $101BQ4 2024: $101BQ1 2025: $110BQ2 2025: $112BQ3 2025: $113BQ4 2025: $113BQ1 2026: $112BQ2 2026: $112BQ3 2026: $113B
Q4 2023: $94.4BQ1 2024: $99.8BQ2 2024: $98.9BQ3 2024: $101BQ4 2024: $101BQ1 2025: $110BQ2 2025: $112BQ3 2025: $113BQ4 2025: $113BQ1 2026: $112BQ2 2026: $112BQ3 2026: $113B
QuarterRevenueYoY
Q3 2026$112.7B-0.4%
Q2 2026$112B+0.4%
Q1 2026$111.7B+2%
Q4 2025$113.2B+12%
Q3 2025$113.2B+12%
Q2 2025$111.6B+13%
Q1 2025$109.6B+9.8%
Q4 2024$100.8B+6.8%

UNH's revenue has held roughly level: $113B last quarter, about level with the same quarter a year ago.

INSM Free Cash Flow

Q4 2023: −$133MQ1 2024: −$189MQ2 2024: −$130MQ3 2024: −$185MQ4 2024: −$203MQ1 2025: −$272MQ2 2025: −$209MQ3 2025: −$222MQ4 2025: −$264MQ1 2026: −$226MQ2 2026: −$95MQ3 2026: −$42M
Q4 2023: −$133MQ1 2024: −$189MQ2 2024: −$130MQ3 2024: −$185MQ4 2024: −$203MQ1 2025: −$272MQ2 2025: −$209MQ3 2025: −$222MQ4 2025: −$264MQ1 2026: −$226MQ2 2026: −$95MQ3 2026: −$42M
QuarterFree cash flowYoY
Q3 2026-$42.1M+$180.1M
Q2 2026-$95.1M+$114M
Q1 2026-$226.2M+$45.9M
Q4 2025-$264.2M-$61.4M
Q3 2025-$222.2M-$37.6M
Q2 2025-$209.1M-$79.3M
Q1 2025-$272.2M-$83.4M
Q4 2024-$202.8M-$69.8M

INSM has burned cash in almost every quarter: −$628M over the past year, against −$906M the year before.

UNH Free Cash Flow

Q4 2023: −$6.2BQ1 2024: $401MQ2 2024: $5.9BQ3 2024: $13BQ4 2024: $1.5BQ1 2025: $4.6BQ2 2025: $6.3BQ3 2025: $5.1BQ4 2025: $160MQ1 2026: $8.1BQ2 2026: $10.3BQ3 2026: $4.3B
Q4 2023: −$6.2BQ1 2024: $401MQ2 2024: $5.9BQ3 2024: $13BQ4 2024: $1.5BQ1 2025: $4.6BQ2 2025: $6.3BQ3 2025: $5.1BQ4 2025: $160MQ1 2026: $8.1BQ2 2026: $10.3BQ3 2026: $4.3B
QuarterFree cash flowYoY
Q3 2026$4.3B-16%
Q2 2026$10.3B+63%
Q1 2026$8.1B+79%
Q4 2025$160M-89%
Q3 2025$5.1B-61%
Q2 2025$6.3B+6.9%
Q1 2025$4.6B+1037%
Q4 2024$1.5B+$7.6B

UNH has the edge over INSM on cash generation, producing positive trailing cash flow while its opponent burns cash.

INSM Total Shares

Q4 2023: 140MQ1 2024: 148MQ2 2024: 155MQ3 2024: 174MQ4 2024: 164MQ1 2025: 181MQ2 2025: 189MQ3 2025: 212MQ4 2025: 199MQ1 2026: 215MQ2 2026: 217MQ3 2026: 219M
Q4 2023: 140MQ1 2024: 148MQ2 2024: 155MQ3 2024: 174MQ4 2024: 164MQ1 2025: 181MQ2 2025: 189MQ3 2025: 212MQ4 2025: 199MQ1 2026: 215MQ2 2026: 217MQ3 2026: 219M
PeriodChange %Net change
Quarterly+0.7%+1.4M shares
1 year+3.3%+7M shares
3 years+53%+75.9M shares
5 years+87%+102M shares
Available history+159%+134M shares

INSM has 219M diluted shares, up 3.3% from a year ago.

UNH Total Shares

Q4 2023: 938MQ1 2024: 922MQ2 2024: 928MQ3 2024: 930MQ4 2024: 929MQ1 2025: 918MQ2 2025: 910MQ3 2025: 908MQ4 2025: 911MQ1 2026: 910MQ2 2026: 906MQ3 2026: 902M
Q4 2023: 938MQ1 2024: 922MQ2 2024: 928MQ3 2024: 930MQ4 2024: 929MQ1 2025: 918MQ2 2025: 910MQ3 2025: 908MQ4 2025: 911MQ1 2026: 910MQ2 2026: 906MQ3 2026: 902M
PeriodChange %Net change
Quarterly-0.4%-4M shares
1 year-0.7%-6M shares
3 years-3.6%-34M shares
5 years-5.5%-53M shares
Available history-6.6%-64M shares

UNH has the edge over INSM on shareholder dilution, with a more favorable share count trend.

INSM Net Leverage

INSM's operating earnings (EBITDA) were negative over the past year, so its debt can't be measured against them.

UNH Net Leverage

Q4 2023: 1.0xQ1 2024: 1.3xQ2 2024: 1.4xQ3 2024: 1.3xQ4 2024: 1.4xQ1 2025: 1.3xQ2 2025: 1.5xQ3 2025: 1.7xQ4 2025: 2.3xQ1 2026: 2.2xQ2 2026: 1.7xQ3 2026: 1.7x
Q4 2023: 1.0xQ1 2024: 1.3xQ2 2024: 1.4xQ3 2024: 1.3xQ4 2024: 1.4xQ1 2025: 1.3xQ2 2025: 1.5xQ3 2025: 1.7xQ4 2025: 2.3xQ1 2026: 2.2xQ2 2026: 1.7xQ3 2026: 1.7x
QuarterNet LeverageStatus
Q3 20261.7xHealthy
Q2 20261.7xHealthy
Q1 20262.2xModerate
Q4 20252.3xModerate
Q3 20251.7xHealthy
Q2 20251.5xHealthy
Q1 20251.3xHealthy
Q4 20241.4xHealthy

UNH's net debt is about 1.7 years of its operating earnings (EBITDA), about the same as a year ago.

INSM Weekly Momentum

MetricValueStatus
RSI50.8Neutral
Stochastic50.6Neutral

INSM's weekly RSI is 51 (neutral) and its Stochastic is 51 (neutral).

UNH Weekly Momentum

MetricValueStatus
RSI56.4Neutral
Stochastic60.0Neutral

UNH's weekly RSI is 56 (neutral) and its Stochastic is 60 (neutral).

INSM PE vs Healthcare Sector

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

UNH PE vs Healthcare Sector

MetricUNHSector medianRelative
PE23x26x11% below
PE %472918 pts above

UNH is trading at 23x earnings, a 11% discount to the Healthcare sector's median of 26x.

INSM Weekly Moving Averages

Moving averageMA priceRelative
8 week MA$108.09.3% above
20 week MA$114.03.6% above
50 week MA$131.610% below
100 week MA$119.31% below
200 week MA$78.351% above

INSM's trend is mixed: it's above three of its five weekly moving averages, and 51% above its 200-week average.

UNH Weekly Moving Averages

Moving averageMA priceRelative
8 week MA$394.22.8% above
20 week MA$400.51.2% above
50 week MA$361.212% above
100 week MA$376.07.8% above
200 week MA$446.69.3% below

UNH has the edge over INSM on trend strength, trading above more of its moving averages.

INSM Yearly ROI

YearStart priceEnd priceROI
2020$23.7$35.4+49%
2021$35.4$28.3-20%
2022$28.3$19.4-32%
2023$19.4$31.0+60%
2024$31.0$69.6+125%
2025$69.6$177.9+156%
2026 YTD$177.9$118.1-34%

INSM is down 34% so far in 2026, after finishing higher in four of the previous six years.

UNH Yearly ROI

YearStart priceEnd priceROI
2020$296.0$340.8+15%
2021$340.8$495.4+45%
2022$495.4$531.3+7.3%
2023$531.3$526.5-0.9%
2024$526.5$510.0-3.1%
2025$510.0$331.8-35%
2026 YTD$331.8$405.1+22%

UNH has the edge over INSM on returns for 2026, with the stronger performance.

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