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Stock Comparison

COSM vs XTLB vs NUVB vs HROW

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.
XTLB
XTL Biopharmaceuticals Ltd.

Biotechnology

HealthcareNASDAQ • IL
Market Cap$294K
5Y Perf.-60.7%
NUVB
Nuvation Bio Inc.

Biotechnology

HealthcareNYSE • US
Market Cap$1.67B
5Y Perf.-51.8%
HROW
Harrow Health, Inc.

Drug Manufacturers - Specialty & Generic

HealthcareNASDAQ • US
Market Cap$1.45B
5Y Perf.+466.8%

COSM vs XTLB vs NUVB vs HROW — Key Financials

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

Company Snapshot
COSM logoCOSM
XTLB logoXTLB
NUVB logoNUVB
HROW logoHROW
IndustryDrug Manufacturers - Specialty & GenericBiotechnologyBiotechnologyDrug Manufacturers - Specialty & Generic
Market Cap$11M$294K$1.67B$1.45B
Revenue (TTM)$60M$451K$143M$272M
Net Income (TTM)$-19M$-1M$-146M$-5M
Gross Margin11.4%26.4%91.6%75.1%
Operating Margin-23.9%-481.6%-105.0%11.2%
Forward P/E82.9x
Total Debt$12M$138K$10M$252M
Cash & Equiv.$315K$371K$164M$73M

COSM vs XTLB vs NUVB vs HROWLong-Term Stock Performance

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

COSM
XTLB
NUVB
HROW
StockAug 20May 26Return
Cosmos Health Inc. (COSM)100Infinity+Infinity%
XTL Biopharmaceutic… (XTLB)10039.3-60.7%
Nuvation Bio Inc. (NUVB)10048.2-51.8%
Harrow Health, Inc. (HROW)100566.8+466.8%

Price return only. Dividends and distributions are not included.

Quick Verdict: COSM vs XTLB vs NUVB vs HROW

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

Bottom line: NUVB and HROW are tied at the top with 2 categories each — the right choice depends on your priorities. Harrow Health, Inc. is the stronger pick specifically for profitability and margin quality and operational efficiency and capital deployment. COSM and XTLB 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 is the clearest fit if your priority is income & stability.

  • Dividend streak 1 yrs, beta 1.72, yield 92.4%
  • 92.4% yield; 1-year raise streak; the other 3 pay no meaningful dividend
Best for: income & stability
XTLB
XTL Biopharmaceuticals Ltd.
The Defensive Pick

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

  • Lower volatility, beta 1.71, Low D/E 2.5%, current ratio 0.61x
  • Beta 1.71 vs HROW's 2.13, lower leverage
Best for: sleep-well-at-night
NUVB
Nuvation Bio Inc.
The Growth Play

NUVB carries the broadest edge in this set and is the clearest fit for growth exposure and defensive.

  • Rev growth 7.0%, EPS growth 71.6%
  • Beta 2.04, current ratio 6.95x
  • 7.0% revenue growth vs XTLB's -173.2%
  • +136.3% vs XTLB's -50.9%
Best for: growth exposure and defensive
HROW
Harrow Health, Inc.
The Long-Run Compounder

HROW is the #2 pick in this set and the best alternative if long-term compounding is your priority.

  • 9.1% 10Y total return vs NUVB's -51.8%
  • -1.9% margin vs XTLB's -227.7%
  • -1.4% ROA vs COSM's -26.7%, ROIC 9.5% vs -28.9%
Best for: long-term compounding
See the full category breakdown
CategoryWinnerWhy
GrowthNUVB logoNUVB7.0% revenue growth vs XTLB's -173.2%
Quality / MarginsHROW logoHROW-1.9% margin vs XTLB's -227.7%
Stability / SafetyXTLB logoXTLBBeta 1.71 vs HROW's 2.13, lower leverage
DividendsCOSM logoCOSM92.4% yield; 1-year raise streak; the other 3 pay no meaningful dividend
Momentum (1Y)NUVB logoNUVB+136.3% vs XTLB's -50.9%
Efficiency (ROA)HROW logoHROW-1.4% ROA vs COSM's -26.7%, ROIC 9.5% vs -28.9%

COSM vs XTLB vs NUVB vs HROW — 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
XTLBXTL Biopharmaceuticals Ltd.

Segment breakdown not available.

NUVBNuvation Bio Inc.
FY 2025
License
60.8%$38M
Product
39.2%$25M
HROWHarrow Health, Inc.
FY 2025
Product Sales Net
99.9%$272M
Other Revenues
0.1%$394,000

COSM vs XTLB vs NUVB vs HROW — Financial Metrics

Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLCOSMLAGGINGXTLB

Income & Cash Flow (Last 12 Months)

Evenly matched — NUVB and HROW each lead in 3 of 6 comparable metrics.

HROW is the larger business by revenue, generating $272M annually — 603.8x XTLB's $451,000. Profitability is closely matched — net margins range from -1.9% (HROW) to -2.3% (XTLB). On growth, NUVB holds the edge at +26.0% YoY revenue growth, suggesting stronger near-term business momentum.

MetricCOSM logoCOSMCosmos Health Inc.XTLB logoXTLBXTL Biopharmaceut…NUVB logoNUVBNuvation Bio Inc.HROW logoHROWHarrow Health, In…
RevenueTrailing 12 months$60M$451,000$143M$272M
EBITDAEarnings before interest/tax-$13M-$1M-$145M$59M
Net IncomeAfter-tax profit-$19M-$1M-$146M-$5M
Free Cash FlowCash after capex-$10M$0-$126M$73M
Gross MarginGross profit ÷ Revenue+11.4%+26.4%+91.6%+75.1%
Operating MarginEBIT ÷ Revenue-23.9%-4.8%-105.0%+11.2%
Net MarginNet income ÷ Revenue-31.0%-2.3%-102.1%-1.9%
FCF MarginFCF ÷ Revenue-17.2%-3.7%-88.1%+26.8%
Rev. Growth (YoY)Latest quarter vs prior year+37.9%+26.0%+33.3%
EPS Growth (YoY)Latest quarter vs prior year+62.2%+20.0%+106.3%-5.3%
Evenly matched — NUVB and HROW each lead in 3 of 6 comparable metrics.

Valuation Metrics

Evenly matched — COSM and XTLB and HROW each lead in 1 of 3 comparable metrics.
MetricCOSM logoCOSMCosmos Health Inc.XTLB logoXTLBXTL Biopharmaceut…NUVB logoNUVBNuvation Bio Inc.HROW logoHROWHarrow Health, In…
Market CapShares × price$11M$293,767$1.7B$1.5B
Enterprise ValueMkt cap + debt − cash$23M$60,767$1.5B$1.6B
Trailing P/EPrice ÷ TTM EPS-0.30x-0.28x-8.03x-278.93x
Forward P/EPrice ÷ next-FY EPS est.82.86x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple
Price / SalesMarket cap ÷ Revenue0.20x0.65x26.61x5.34x
Price / BookPrice ÷ Book value/share0.27x0.05x5.38x27.56x
Price / FCFMarket cap ÷ FCF
Evenly matched — COSM and XTLB and HROW each lead in 1 of 3 comparable metrics.

Profitability & Efficiency

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

HROW delivers a -10.1% return on equity — every $100 of shareholder capital generates $-10 in annual profit, vs $-80 for COSM. XTLB carries lower financial leverage with a 0.03x debt-to-equity ratio, signaling a more conservative balance sheet compared to HROW's 4.84x. On the Piotroski fundamental quality scale (0–9), NUVB scores 4/9 vs XTLB's 3/9, reflecting mixed financial health.

MetricCOSM logoCOSMCosmos Health Inc.XTLB logoXTLBXTL Biopharmaceut…NUVB logoNUVBNuvation Bio Inc.HROW logoHROWHarrow Health, In…
ROE (TTM)Return on equity-80.1%-25.5%-44.1%-10.1%
ROA (TTM)Return on assets-26.7%-17.7%-23.8%-1.4%
ROICReturn on invested capital-28.9%-54.1%-54.3%+9.5%
ROCEReturn on capital employed-44.3%-50.7%-42.8%+10.2%
Piotroski ScoreFundamental quality 0–93344
Debt / EquityFinancial leverage0.48x0.03x0.03x4.84x
Net DebtTotal debt minus cash$12M-$233,000-$154M$179M
Cash & Equiv.Liquid assets$315,105$371,000$164M$73M
Total DebtShort + long-term debt$12M$138,000$10M$252M
Interest CoverageEBIT ÷ Interest expense-9.42x-13.31x-162.11x0.53x
HROW leads this category, winning 6 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

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

A $10,000 investment in HROW five years ago would be worth $47,797 today (with dividends reinvested), compared to $547 for COSM. Over the past 12 months, NUVB leads with a +136.3% total return vs XTLB's -50.9%. The 3-year compound annual growth rate (CAGR) favors NUVB at 43.8% vs COSM's -52.8% — a key indicator of consistent wealth creation.

MetricCOSM logoCOSMCosmos Health Inc.XTLB logoXTLBXTL Biopharmaceut…NUVB logoNUVBNuvation Bio Inc.HROW logoHROWHarrow Health, In…
YTD ReturnYear-to-date-32.0%+11.3%-43.8%-21.8%
1-Year ReturnPast 12 months-17.0%-50.9%+136.3%+58.8%
3-Year ReturnCumulative with dividends-89.5%-45.7%+197.5%+43.0%
5-Year ReturnCumulative with dividends-94.5%-80.4%-58.3%+378.0%
10-Year ReturnCumulative with dividends+37.8%-87.3%-51.8%+914.3%
CAGR (3Y)Annualised 3-year return-52.8%-18.4%+43.8%+12.7%
NUVB leads this category, winning 3 of 6 comparable metrics.

Risk & Volatility

Evenly matched — XTLB and HROW each lead in 1 of 2 comparable metrics.

XTLB is the less volatile stock with a 1.71 beta — it tends to amplify market swings less than HROW's 2.13 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. HROW currently trades 71.2% from its 52-week high vs XTLB's 26.0% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricCOSM logoCOSMCosmos Health Inc.XTLB logoXTLBXTL Biopharmaceut…NUVB logoNUVBNuvation Bio Inc.HROW logoHROWHarrow Health, In…
Beta (5Y)Sensitivity to S&P 5001.72x1.71x2.04x2.13x
52-Week HighHighest price in past year$1.32$10.28$9.75$54.85
52-Week LowLowest price in past year$0.28$1.05$1.57$21.12
% of 52W HighCurrent price vs 52-week peak+26.5%+26.0%+49.4%+71.2%
RSI (14)Momentum oscillator 0–10048.657.059.154.6
Avg Volume (50D)Average daily shares traded793K2.4M4.3M733K
Evenly matched — XTLB and HROW each lead in 1 of 2 comparable metrics.

Analyst Outlook

COSM leads this category, winning 1 of 1 comparable metric.

Analyst consensus: NUVB as "Buy", HROW as "Buy". Consensus price targets imply 157.3% upside for NUVB (target: $12) vs 93.8% for HROW (target: $76). COSM is the only dividend payer here at 92.44% yield — a key consideration for income-focused portfolios.

MetricCOSM logoCOSMCosmos Health Inc.XTLB logoXTLBXTL Biopharmaceut…NUVB logoNUVBNuvation Bio Inc.HROW logoHROWHarrow Health, In…
Analyst RatingConsensus buy/hold/sellBuyBuy
Price TargetConsensus 12-month target$12.40$75.67
# AnalystsCovering analysts910
Dividend YieldAnnual dividend ÷ price+92.4%
Dividend StreakConsecutive years of raises10
Dividend / ShareAnnual DPS$0.32
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%0.0%0.0%
COSM leads this category, winning 1 of 1 comparable metric.
Key Takeaway

HROW leads in 1 of 6 categories (Profitability & Efficiency). NUVB leads in 1 (Total Returns). 3 tied.

Best OverallCosmos Health Inc. (COSM)Leads 1 of 6 categories
Loading custom metrics...

COSM vs XTLB vs NUVB vs HROW: Key Questions Answered

9 questions · data-driven answers · updated daily

01

Is COSM or XTLB or NUVB or HROW a better buy right now?

For growth investors, Nuvation Bio Inc.

(NUVB) is the stronger pick with 699. 0% revenue growth year-over-year, versus 2. 0% for Cosmos Health Inc. (COSM). Analysts rate Nuvation Bio Inc. (NUVB) a "Buy" — based on 9 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 is the better long-term investment — COSM or XTLB or NUVB or HROW?

Over the past 5 years, Harrow Health, Inc.

(HROW) delivered a total return of +378. 0%, compared to -94. 5% for Cosmos Health Inc. (COSM). Over 10 years, the gap is even starker: HROW returned +914. 3% versus XTLB's -87. 3%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

03

Which is safer — COSM or XTLB or NUVB or HROW?

By beta (market sensitivity over 5 years), XTL Biopharmaceuticals Ltd.

(XTLB) is the lower-risk stock at 1. 71β versus Harrow Health, Inc. 's 2. 13β — meaning HROW is approximately 25% more volatile than XTLB relative to the S&P 500. On balance sheet safety, XTL Biopharmaceuticals Ltd. (XTLB) carries a lower debt/equity ratio of 3% versus 5% for Harrow Health, Inc. — giving it more financial flexibility in a downturn.

04

Which is growing faster — COSM or XTLB or NUVB or HROW?

By revenue growth (latest reported year), Nuvation Bio Inc.

(NUVB) is pulling ahead at 699. 0% versus 2. 0% for Cosmos Health Inc. (COSM). On earnings-per-share growth, the picture is similar: Nuvation Bio Inc. grew EPS 71. 6% year-over-year, compared to 45. 6% for Cosmos Health 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.

05

Which has better profit margins — COSM or XTLB or NUVB or HROW?

Harrow Health, Inc.

(HROW) is the more profitable company, earning -1. 9% net margin versus -325. 3% for Nuvation Bio Inc. — meaning it keeps -1. 9% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: HROW leads at 11. 2% versus -481. 6% for XTLB. At the gross margin level — before operating expenses — NUVB leads at 86. 6%, 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.

06

Is COSM or XTLB or NUVB or HROW more undervalued right now?

Analyst consensus price targets imply the most upside for NUVB: 157.

3% to $12. 40.

07

Which pays a better dividend — COSM or XTLB or NUVB or HROW?

In this comparison, COSM (92.

4% yield) pays a dividend. XTLB, NUVB, HROW do not pay a meaningful dividend and should not be held primarily for income.

08

Is COSM or XTLB or NUVB or HROW better for a retirement portfolio?

For long-horizon retirement investors, Cosmos Health Inc.

(COSM) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (92. 4% yield). Nuvation Bio Inc. (NUVB) carries a higher beta of 2. 04 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (COSM: +37. 8%, NUVB: -51. 8%), 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.

09

What are the main differences between COSM and XTLB and NUVB and HROW?

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; XTLB is a small-cap quality compounder stock; NUVB is a small-cap high-growth stock; HROW is a small-cap high-growth stock. COSM pays a dividend while XTLB, NUVB, HROW 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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COSM

High-Growth Disruptor

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 18%
  • Dividend Yield > 36.9%
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XTLB

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  • Sector: Healthcare
  • Market Cap > $20B
  • Gross Margin > 15%
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NUVB

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  • Market Cap > $100B
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High-Growth Disruptor

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