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COSM vs PHVS vs HROW vs KALV vs PAHC

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
COSM
Cosmos Health Inc.

Drug Manufacturers - Specialty & Generic

HealthcareNASDAQ • US
Market Cap$11M
5Y Perf.-93.0%
PHVS
Pharvaris N.V.

Biotechnology

HealthcareNASDAQ • NL
Market Cap$1.95B
5Y Perf.-20.8%
HROW
Harrow Health, Inc.

Drug Manufacturers - Specialty & Generic

HealthcareNASDAQ • US
Market Cap$1.42B
5Y Perf.+398.4%
KALV
KalVista Pharmaceuticals, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$1.37B
5Y Perf.-18.7%
PAHC
Phibro Animal Health Corporation

Drug Manufacturers - Specialty & Generic

HealthcareNASDAQ • US
Market Cap$1.62B
5Y Perf.+85.4%

COSM vs PHVS vs HROW vs KALV vs PAHC — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
COSM logoCOSM
PHVS logoPHVS
HROW logoHROW
KALV logoKALV
PAHC logoPAHC
IndustryDrug Manufacturers - Specialty & GenericBiotechnologyDrug Manufacturers - Specialty & GenericBiotechnologyDrug Manufacturers - Specialty & Generic
Market Cap$11M$1.95B$1.42B$1.37B$1.62B
Revenue (TTM)$60M$0.00$272M$15M$1.46B
Net Income (TTM)$-19M$-166M$-5M$-210M$92M
Gross Margin11.4%75.1%-17.2%31.9%
Operating Margin-23.9%11.2%-13.4%11.6%
Forward P/E81.1x13.1x
Total Debt$12M$861K$252M$6M$762M
Cash & Equiv.$315K$281M$73M$99M$68M

COSM vs PHVS vs HROW vs KALV vs PAHCLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

COSM
PHVS
HROW
KALV
PAHC
StockFeb 21May 26Return
Cosmos Health Inc. (COSM)1007.0-93.0%
Pharvaris N.V. (PHVS)10079.2-20.8%
Harrow Health, Inc. (HROW)100498.4+398.4%
KalVista Pharmaceut… (KALV)10081.3-18.7%
Phibro Animal Healt… (PAHC)100185.4+85.4%

Price return only. Dividends and distributions are not included.

Quick Verdict: COSM vs PHVS vs HROW vs KALV vs PAHC

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: PAHC leads in 3 of 7 categories (5-stock set), making it the strongest pick for valuation and capital efficiency and profitability and margin quality. KalVista Pharmaceuticals, Inc. is the stronger pick specifically for capital preservation and lower volatility and recent price momentum and sentiment. COSM and HROW also each lead in at least one category. As sector peers, any of these can serve as alternatives in the same allocation.
COSM
Cosmos Health Inc.
The Income Pick

COSM ranks third and is worth considering specifically for income & stability.

  • Dividend streak 1 yrs, beta 1.73, yield 97.4%
  • 97.4% yield, 1-year raise streak, vs PAHC's 1.2%, (3 stocks pay no dividend)
Best for: income & stability
PHVS
Pharvaris N.V.
The Defensive Pick

PHVS is the clearest fit if your priority is sleep-well-at-night.

  • Lower volatility, beta 0.95, Low D/E 0.3%, current ratio 12.60x
Best for: sleep-well-at-night
HROW
Harrow Health, Inc.
The Growth Play

HROW is the clearest fit if your priority is growth exposure and long-term compounding.

  • Rev growth 36.4%, EPS growth 71.4%, 3Y rev CAGR 45.4%
  • 8.9% 10Y total return vs PAHC's 113.5%
  • 36.4% revenue growth vs KALV's -34.5%
Best for: growth exposure and long-term compounding
KALV
KalVista Pharmaceuticals, Inc.
The Defensive Pick

KALV is the #2 pick in this set and the best alternative if defensive is your priority.

  • Beta 0.79, current ratio 5.35x
  • Beta 0.79 vs HROW's 2.08, lower leverage
  • +119.3% vs COSM's -22.9%
Best for: defensive
PAHC
Phibro Animal Health Corporation
The Value Play

PAHC carries the broadest edge in this set and is the clearest fit for value and quality.

  • Better valuation composite
  • 6.3% margin vs KALV's -13.9%
  • 6.7% ROA vs KALV's -77.7%, ROIC 9.8% vs -152.3%
Best for: value and quality
See the full category breakdown
CategoryWinnerWhy
GrowthHROW logoHROW36.4% revenue growth vs KALV's -34.5%
ValuePAHC logoPAHCBetter valuation composite
Quality / MarginsPAHC logoPAHC6.3% margin vs KALV's -13.9%
Stability / SafetyKALV logoKALVBeta 0.79 vs HROW's 2.08, lower leverage
DividendsCOSM logoCOSM97.4% yield, 1-year raise streak, vs PAHC's 1.2%, (3 stocks pay no dividend)
Momentum (1Y)KALV logoKALV+119.3% vs COSM's -22.9%
Efficiency (ROA)PAHC logoPAHC6.7% ROA vs KALV's -77.7%, ROIC 9.8% vs -152.3%

COSM vs PHVS vs HROW vs KALV vs PAHC — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

COSMCosmos Health Inc.
FY 2024
Pharma manufacturing
100.0%$865,373
PHVSPharvaris N.V.

Segment breakdown not available.

HROWHarrow Health, Inc.
FY 2025
Product Sales Net
99.9%$272M
Other Revenues
0.1%$394,000
KALVKalVista Pharmaceuticals, Inc.

Segment breakdown not available.

PAHCPhibro Animal Health Corporation
FY 2025
Vaccines
100.0%$137M

COSM vs PHVS vs HROW vs KALV vs PAHC — Financial Metrics

Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLCOSMLAGGINGHROW

Income & Cash Flow (Last 12 Months)

PAHC leads this category, winning 3 of 6 comparable metrics.

PAHC and PHVS operate at a comparable scale, with $1.5B and $0 in trailing revenue. PAHC is the more profitable business, keeping 6.3% of every revenue dollar as net income compared to KALV's -13.9%. On growth, COSM holds the edge at +37.9% YoY revenue growth, suggesting stronger near-term business momentum.

MetricCOSM logoCOSMCosmos Health Inc.PHVS logoPHVSPharvaris N.V.HROW logoHROWHarrow Health, In…KALV logoKALVKalVista Pharmace…PAHC logoPAHCPhibro Animal Hea…
RevenueTrailing 12 months$60M$0$272M$15M$1.5B
EBITDAEarnings before interest/tax-$13M-$86M$59M-$202M$220M
Net IncomeAfter-tax profit-$19M-$166M-$5M-$210M$92M
Free Cash FlowCash after capex-$10M-$134M$73M-$160M$47M
Gross MarginGross profit ÷ Revenue+11.4%+75.1%-17.2%+31.9%
Operating MarginEBIT ÷ Revenue-23.9%+11.2%-13.4%+11.6%
Net MarginNet income ÷ Revenue-31.0%-1.9%-13.9%+6.3%
FCF MarginFCF ÷ Revenue-17.2%+26.8%-10.6%+3.2%
Rev. Growth (YoY)Latest quarter vs prior year+37.9%+33.3%+20.9%
EPS Growth (YoY)Latest quarter vs prior year+62.2%+22.1%-5.3%-1.1%+7.4%
PAHC leads this category, winning 3 of 6 comparable metrics.

Valuation Metrics

COSM leads this category, winning 2 of 4 comparable metrics.
MetricCOSM logoCOSMCosmos Health Inc.PHVS logoPHVSPharvaris N.V.HROW logoHROWHarrow Health, In…KALV logoKALVKalVista Pharmace…PAHC logoPAHCPhibro Animal Hea…
Market CapShares × price$11M$2.0B$1.4B$1.4B$1.6B
Enterprise ValueMkt cap + debt − cash$22M$1.6B$1.6B$1.3B$2.3B
Trailing P/EPrice ÷ TTM EPS-0.28x-10.34x-273.07x-7.24x33.61x
Forward P/EPrice ÷ next-FY EPS est.81.12x13.10x
PEG RatioP/E ÷ EPS growth rate4.50x
EV / EBITDAEnterprise value multiple14.83x
Price / SalesMarket cap ÷ Revenue0.19x5.23x1.25x
Price / BookPrice ÷ Book value/share0.26x5.17x26.98x13.91x5.70x
Price / FCFMarket cap ÷ FCF38.76x
COSM leads this category, winning 2 of 4 comparable metrics.

Profitability & Efficiency

PAHC leads this category, winning 6 of 9 comparable metrics.

PAHC delivers a 30.8% return on equity — every $100 of shareholder capital generates $31 in annual profit, vs $-3 for KALV. PHVS carries lower financial leverage with a 0.00x debt-to-equity ratio, signaling a more conservative balance sheet compared to HROW's 4.84x. On the Piotroski fundamental quality scale (0–9), PAHC scores 5/9 vs PHVS's 1/9, reflecting solid financial health.

MetricCOSM logoCOSMCosmos Health Inc.PHVS logoPHVSPharvaris N.V.HROW logoHROWHarrow Health, In…KALV logoKALVKalVista Pharmace…PAHC logoPAHCPhibro Animal Hea…
ROE (TTM)Return on equity-80.1%-53.2%-10.1%-2.8%+30.8%
ROA (TTM)Return on assets-26.7%-49.0%-1.4%-77.7%+6.7%
ROICReturn on invested capital-28.9%+9.5%-152.3%+9.8%
ROCEReturn on capital employed-44.3%-44.7%+10.2%-89.9%+12.0%
Piotroski ScoreFundamental quality 0–931425
Debt / EquityFinancial leverage0.48x0.00x4.84x0.07x2.67x
Net DebtTotal debt minus cash$12M-$280M$179M-$92M$694M
Cash & Equiv.Liquid assets$315,105$281M$73M$99M$68M
Total DebtShort + long-term debt$12M$861,470$252M$6M$762M
Interest CoverageEBIT ÷ Interest expense-9.42x0.53x-13.75x3.64x
PAHC leads this category, winning 6 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

Evenly matched — PHVS and HROW and KALV each lead in 2 of 6 comparable metrics.

A $10,000 investment in HROW five years ago would be worth $48,763 today (with dividends reinvested), compared to $558 for COSM. Over the past 12 months, KALV leads with a +119.3% total return vs COSM's -22.9%. The 3-year compound annual growth rate (CAGR) favors PHVS at 48.1% vs COSM's -53.6% — a key indicator of consistent wealth creation.

MetricCOSM logoCOSMCosmos Health Inc.PHVS logoPHVSPharvaris N.V.HROW logoHROWHarrow Health, In…KALV logoKALVKalVista Pharmace…PAHC logoPAHCPhibro Animal Hea…
YTD ReturnYear-to-date-35.5%+13.6%-23.4%+72.9%+7.6%
1-Year ReturnPast 12 months-22.9%+76.6%+62.1%+119.3%+81.9%
3-Year ReturnCumulative with dividends-90.0%+224.9%+40.0%+180.2%+188.4%
5-Year ReturnCumulative with dividends-94.4%+35.2%+387.6%+8.4%+57.5%
10-Year ReturnCumulative with dividends+30.9%+3.8%+893.0%+154.6%+113.5%
CAGR (3Y)Annualised 3-year return-53.6%+48.1%+11.9%+41.0%+42.3%
Evenly matched — PHVS and HROW and KALV each lead in 2 of 6 comparable metrics.

Risk & Volatility

KALV leads this category, winning 2 of 2 comparable metrics.

KALV is the less volatile stock with a 0.79 beta — it tends to amplify market swings less than HROW's 2.08 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. KALV currently trades 99.6% from its 52-week high vs COSM's 25.2% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricCOSM logoCOSMCosmos Health Inc.PHVS logoPHVSPharvaris N.V.HROW logoHROWHarrow Health, In…KALV logoKALVKalVista Pharmace…PAHC logoPAHCPhibro Animal Hea…
Beta (5Y)Sensitivity to S&P 5001.73x0.95x2.08x0.79x1.35x
52-Week HighHighest price in past year$1.32$31.47$54.85$26.84$60.08
52-Week LowLowest price in past year$0.28$14.59$21.12$9.83$19.17
% of 52W HighCurrent price vs 52-week peak+25.2%+95.6%+69.7%+99.6%+66.6%
RSI (14)Momentum oscillator 0–10048.154.748.775.432.0
Avg Volume (50D)Average daily shares traded801K236K730K3.0M315K
KALV leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

COSM leads this category, winning 2 of 2 comparable metrics.

Analyst consensus: PHVS as "Buy", HROW as "Buy", KALV as "Buy", PAHC as "Buy". Consensus price targets imply 97.9% upside for HROW (target: $76) vs 6.6% for KALV (target: $29). For income investors, COSM offers the higher dividend yield at 97.36% vs PAHC's 1.19%.

MetricCOSM logoCOSMCosmos Health Inc.PHVS logoPHVSPharvaris N.V.HROW logoHROWHarrow Health, In…KALV logoKALVKalVista Pharmace…PAHC logoPAHCPhibro Animal Hea…
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuy
Price TargetConsensus 12-month target$43.67$75.67$28.50$49.00
# AnalystsCovering analysts11101313
Dividend YieldAnnual dividend ÷ price+97.4%+1.2%
Dividend StreakConsecutive years of raises100
Dividend / ShareAnnual DPS$0.32$0.48
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%0.0%0.0%0.0%
COSM leads this category, winning 2 of 2 comparable metrics.
Key Takeaway

PAHC leads in 2 of 6 categories (Income & Cash Flow, Profitability & Efficiency). COSM leads in 2 (Valuation Metrics, Analyst Outlook). 1 tied.

Best OverallCosmos Health Inc. (COSM)Leads 2 of 6 categories
Loading custom metrics...

COSM vs PHVS vs HROW vs KALV vs PAHC: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is COSM or PHVS or HROW or KALV or PAHC a better buy right now?

For growth investors, Harrow Health, Inc.

(HROW) is the stronger pick with 36. 4% revenue growth year-over-year, versus 2. 0% for Cosmos Health Inc. (COSM). Phibro Animal Health Corporation (PAHC) offers the better valuation at 33. 6x trailing P/E (13. 1x forward), making it the more compelling value choice. Analysts rate Pharvaris N. V. (PHVS) a "Buy" — based on 11 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.

02

Which has the better valuation — COSM or PHVS or HROW or KALV or PAHC?

On forward P/E, Phibro Animal Health Corporation is actually cheaper at 13.

1x.

03

Which is the better long-term investment — COSM or PHVS or HROW or KALV or PAHC?

Over the past 5 years, Harrow Health, Inc.

(HROW) delivered a total return of +387. 6%, compared to -94. 4% for Cosmos Health Inc. (COSM). Over 10 years, the gap is even starker: HROW returned +893. 0% versus PHVS's +3. 8%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

04

Which is safer — COSM or PHVS or HROW or KALV or PAHC?

By beta (market sensitivity over 5 years), KalVista Pharmaceuticals, Inc.

(KALV) is the lower-risk stock at 0. 79β versus Harrow Health, Inc. 's 2. 08β — meaning HROW is approximately 163% more volatile than KALV relative to the S&P 500. On balance sheet safety, Pharvaris N. V. (PHVS) carries a lower debt/equity ratio of 0% versus 5% for Harrow Health, Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — COSM or PHVS or HROW or KALV or PAHC?

By revenue growth (latest reported year), Harrow Health, Inc.

(HROW) is pulling ahead at 36. 4% versus 2. 0% for Cosmos Health Inc. (COSM). On earnings-per-share growth, the picture is similar: Phibro Animal Health Corporation grew EPS 1883% year-over-year, compared to -7. 3% for KalVista Pharmaceuticals, Inc.. Over a 3-year CAGR, HROW leads at 45. 4% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.

06

Which has better profit margins — COSM or PHVS or HROW or KALV or PAHC?

Phibro Animal Health Corporation (PAHC) is the more profitable company, earning 3.

7% net margin versus -1391. 1% for KalVista Pharmaceuticals, Inc. — meaning it keeps 3. 7% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: HROW leads at 11. 2% versus -1343. 0% for KALV. At the gross margin level — before operating expenses — HROW leads at 75. 1%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.

07

Is COSM or PHVS or HROW or KALV or PAHC more undervalued right now?

On forward earnings alone, Phibro Animal Health Corporation (PAHC) trades at 13.

1x forward P/E versus 81. 1x for Harrow Health, Inc. — 68. 0x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for HROW: 97. 9% to $75. 67.

08

Which pays a better dividend — COSM or PHVS or HROW or KALV or PAHC?

In this comparison, COSM (97.

4% yield), PAHC (1. 2% yield) pay a dividend. PHVS, HROW, KALV do not pay a meaningful dividend and should not be held primarily for income.

09

Is COSM or PHVS or HROW or KALV or PAHC better for a retirement portfolio?

For long-horizon retirement investors, KalVista Pharmaceuticals, Inc.

(KALV) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 79), +154. 6% 10Y return). Harrow Health, Inc. (HROW) carries a higher beta of 2. 08 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (KALV: +154. 6%, HROW: +893. 0%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.

10

What are the main differences between COSM and PHVS and HROW and KALV and PAHC?

Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.

In terms of investment character: COSM is a small-cap income-oriented stock; PHVS is a small-cap quality compounder stock; HROW is a small-cap high-growth stock; KALV is a small-cap quality compounder stock; PAHC is a small-cap high-growth stock. COSM, PAHC pay a dividend while PHVS, HROW, KALV do not, making them suitable for different income and tax situations. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.

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