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COSM logoCosmos Health Inc.(COSM)Earnings, Financials & Key Ratios

COSM•NASDAQ
$0.35
$11M mkt cap·Price updated May 6, 2026
SectorHealthcareIndustrySpecialty & Generic PharmaSub-IndustryConsumer health and OTC self-care
AboutCosmos Health Inc. operates as a vertically integrated pharmaceutical company. It offers a proprietary line of branded and generic pharmaceuticals, nutraceuticals, over-the-counter medications, health care and baby products, medical devices, and other products through its distribution channels and an ecommerce marketplace. The company identifies, acquires, develops, and commercializes products that enhance patients' lives and outcomes, as well as has distribution centers in Greece and the United Kingdom; and operates a warehousing facility. It serves wholesale pharmaceutical distributors and independent retail pharmacies. Cosmos Health Inc. was incorporated in 2009 and is headquartered in Chicago, Illinois.Show more
  • Revenue$54M+2.0%
  • EBITDA-$14M+32.6%
  • Net Income-$16M+12.7%
  • EPS (Diluted)-1.17+45.6%
  • Gross Margin7.92%-2.8%
  • EBITDA Margin-26.27%+33.9%
  • Operating Margin-28.56%+30.2%
  • Net Margin-29.73%+14.4%
  • ROE-53.43%-9.1%
  • ROIC-28.9%+33.3%
  • Debt/Equity0.48+39.8%
  • Interest Coverage-15.36+39.1%
Technical→

COSM Key Insights

Cosmos Health Inc. (COSM) fundamental analysis — strengths, weaknesses & financial health based on data analysis

✓Strengths

  • ✓Trading at only 0.3x book value
  • ✓Efficient asset utilization: 1.0x turnover

✗Weaknesses

  • ✗Weak Piotroski F-Score: 3/9
  • ✗Negative free cash flow
  • ✗Weak momentum: RS Rating 12 (bottom 12%)
  • ✗Low quality earnings: Net income not backed by cash flow
  • ✗Shares diluted 60.0% in last year
  • ✗Trading more than 30% below 52-week high

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

COSM Price & Volume

Cosmos Health Inc. (COSM) stock price & volume — 10-year historical chart

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COSM Growth Metrics

Cosmos Health Inc. (COSM) revenue, earnings & EPS growth — 3, 5 & 10-year CAGR

Revenue CAGR

10 Years21.7%
5 Years6.53%
3 Years-1.09%
TTM6.69%

Profit CAGR

10 Years-
5 Years-
3 Years-
TTM9.07%

EPS CAGR

10 Years-
5 Years-
3 Years-
TTM49.2%

Return on Capital

10 Years-19.93%
5 Years-8.65%
3 Years-38.87%
Last Year-44.26%

COSM Peer Comparison

Cosmos Health Inc. (COSM) competitors in Consumer health and OTC self-care — business model, growth, and fundamentals comparison

Select Columns
Stock Universe
Valuation
Growth
Profitability
Financial Health
Dividends & Buybacks
Price Performance
Technical
Fundamentals ($)
Sector-Specific
CompanyMarket CapStock PriceP/E Ratio (TTM)Revenue Growth 1YNet MarginReturn on Equity (ROE)FCF YieldDebt / Equity
HROW logoHROWHarrow Health, Inc.Direct Competitor1.5B40.27-287.6436.41%-1.89%-10.07%4.84
NTRB logoNTRBNutriband Inc.Direct Competitor48.33M3.97-1.54-4.83%-404.08%-118.3%0.03
XTLB logoXTLBXTL Biopharmaceuticals Ltd.Direct Competitor357.58K3.25-0.34-227.72%-25.53%0.03
CODA logoCODACoda Octopus Group, Inc.Direct Competitor134.35M11.9232.2230.75%14.78%7.17%0.01
PHVS logoPHVSPharvaris N.V.Direct Competitor1.96B30.11-10.35-53.18%0.00
PAHC logoPAHCPhibro Animal Health CorporationProduct Competitor2.38B58.6449.2827.37%6.29%30.81%2.67
PRGO logoPRGOPerrigo Company plcProduct Competitor1.69B12.26-1.19-2.75%-43.5%-50.65%1.35
AMRX logoAMRXAmneal Pharmaceuticals, Inc.Product Competitor4.28B13.6261.918.05%2.39%7.47%0.13

Compare COSM vs Peers

Cosmos Health Inc. (COSM) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs HROW

Most directly comparable listed peer for COSM.

Scale Benchmark

vs MCK

Larger-name benchmark to compare COSM against a more recognizable public peer.

Peer Set

Compare Top 5

vs HROW, NTRB, XTLB, CODA

COSM Income Statement

Cosmos Health Inc. (COSM) annual income statement — 10-year revenue, gross profit & net income history

10Y historyFree accessUpdated daily
Line itemDec'16Dec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24TTM
Sales/Revenue6.76M30.01M37.08M39.68M55.41M56.24M50.35M53.38M54.43M59.79M
Revenue Growth %1165.53%344.28%23.56%6.99%39.65%1.5%-10.48%6.02%1.97%6.69%
Cost of Goods Sold6.15M28.06M34.68M36.01M47.35M47.91M44.39M49.03M50.12M52.97M
COGS % of Revenue91.1%93.48%93.5%90.77%85.45%85.19%88.17%91.85%92.08%-
Gross Profit
601.04K▲ 0%
1.96M▲ 225.5%
2.41M▲ 23.1%
3.66M▲ 52.0%
8.06M▲ 120.1%
8.33M▲ 3.4%
5.96M▼ 28.5%
4.35M▼ 27.0%
4.31M▼ 0.9%
6.82M▲ 0%
Gross Margin %8.9%6.52%6.5%9.23%14.55%14.81%11.83%8.15%7.92%11.41%
Gross Profit Growth %1126.79%225.48%23.12%52.05%120.09%3.35%-28.49%-26.98%-0.88%-
Operating Expenses803.55K6.83M3.64M3.92M5.35M12.86M13.43M26.18M19.86M21.08M
OpEx % of Revenue11.89%22.75%9.81%9.88%9.65%22.87%26.68%49.05%36.48%-
Selling, General & Admin794.1K4.85M3.59M3.52M4.95M12.41M13.24M25.57M12.09M16.87M
SG&A % of Revenue11.76%16.17%9.69%8.88%8.93%22.07%26.3%47.9%22.21%-
Research & Development00000000533.29K108.6K
R&D % of Revenue--------0.98%-
Other Operating Expenses9.45K1.98M43.93K394.63K397.6K449.69K188.89K614.38K7.23M2.67M
Operating Income
-202.51K▲ 0%
-4.87M▼ 2306.0%
-1.23M▲ 74.8%
-255.81K▲ 79.2%
2.71M▲ 1161.1%
-4.53M▼ 267.0%
-7.47M▼ 64.9%
-21.83M▼ 192.1%
-15.54M▲ 28.8%
-14.26M▲ 0%
Operating Margin %-3%-16.23%-3.31%-0.64%4.9%-8.06%-14.84%-40.9%-28.56%-23.86%
Operating Income Growth %54.23%-2306%74.79%79.18%1161.06%-267.02%-64.87%-192.09%28.8%-
EBITDA-193.06K-4.85M-1.18M138.82K3.11M-4.08M-7.29M-21.22M-14.3M-12.9M
EBITDA Margin %-2.86%-16.15%-3.19%0.35%5.62%-7.26%-14.47%-39.75%-26.27%-21.57%
EBITDA Growth %55.83%-2410.33%75.56%111.72%2141.69%-231.23%-78.4%-191.23%32.62%32.43%
D&A (Non-Cash Add-back)9.45K25.9K43.93K394.63K397.6K449.69K188.89K614.38K1.25M1.36M
EBIT-394.22K-4.57M-2.24M-1.38M3.99M-4.27M-9.09M-17.68M-15.17M-16.28M
Net Interest Income-206.01K-1.64M-6.81M-1.73M-2.73M-3.53M-3.73M-203.62K-605.87K-1.33M
Interest Income000065.86K46.32K236.35K662.86K406.45K395.23K
Interest Expense206.01K1.64M6.81M1.73M2.8M3.58M3.97M866.48K1.01M1.73M
Other Income/Expense-397.73K-1.33M-7.81M-2.86M-1.52M-3.31M-5.58M3.29M-638.19K-4.28M
Pretax Income
-600.23K▲ 0%
-6.21M▼ 934.1%
-9.04M▼ 45.7%
-3.12M▲ 65.5%
1.2M▲ 138.5%
-7.85M▼ 754.9%
-13.06M▼ 66.4%
-18.54M▼ 42.0%
-16.18M▲ 12.7%
-18.54M▲ 0%
Pretax Margin %-8.89%-20.68%-24.39%-7.85%2.16%-13.95%-25.93%-34.74%-29.73%-31.01%
Income Tax7692.8K17.33K182.81K377.54K114.01K775.05K000
Effective Tax Rate %-0.13%-0.05%-0.19%-5.87%31.51%-1.45%-5.94%0%0%0%
Net Income
-601K▲ 0%
-6.21M▼ 933.2%
-9.06M▼ 45.9%
-3.3M▲ 63.6%
820.79K▲ 124.9%
-7.96M▼ 1070.0%
-13.83M▼ 73.7%
-18.54M▼ 34.1%
-16.18M▲ 12.7%
-18.54M▲ 0%
Net Margin %-8.9%-20.69%-24.43%-8.31%1.48%-14.16%-27.47%-34.74%-29.73%-31.01%
Net Income Growth %91.01%-933.24%-45.91%63.59%124.88%-1070%-73.71%-34.07%12.73%9.07%
Net Income (Continuing)-601K-6.21M-9.06M-3.3M820.79K-7.96M-13.83M-18.54M-16.18M-18.54M
Discontinued Operations0000000000
Minority Interest0000000000
EPS (Diluted)
-1.20▲ 0%
-12.25▼ 920.8%
-17.02▼ 38.9%
-6.21▲ 63.5%
1.54▲ 124.8%
-23.74▼ 1641.6%
-33.16▼ 39.7%
-2.15▲ 93.5%
-1.17▲ 45.6%
-0.61▲ 0%
EPS Growth %90.98%-920.83%-38.94%63.51%124.8%-1641.56%-39.68%93.52%45.58%49.2%
EPS (Basic)-1.25-12.25-17.02-6.211.55-23.74-33.16-2.15-1.17-
Diluted Shares Outstanding502.59K511.2K532.26K530.94K532.31K656.93K1.93M11.97M19.15M30.63M
Basic Shares Outstanding480.8K506.92K532.26K530.94K530.8K656.93K1.93M11.97M19.15M30.63M
Dividend Payout Ratio----------

COSM Balance Sheet

Cosmos Health Inc. (COSM) balance sheet — assets, liabilities & shareholders' equity

Line itemDec'16Dec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24TTM
Total Current Assets2.64M9.51M18.35M21.18M40.77M39.83M56.04M36.61M25.46M38.1M
Cash & Short-Term Investments716.59K782.85K3.58M277.48K851.19K297.95K20.76M3.85M336.25K922.62K
Cash Only716.59K782.85K864.34K38.54K628.39K286.49K20.75M3.83M315.11K889.44K
Short-Term Investments002.72M238.94K222.79K11.47K14.88K20.07K21.15K33.18K
Accounts Receivable793.75K1.43M4.94M9.27M26.91M30.14M22.76M21.71M15.88M19.64M
Days Sales Outstanding42.8917.3548.6585.26177.27195.59165.02148.47106.5108.3
Inventory464.22K3.09M3.2M3.47M3.29M3.15M3.45M4.79M4.36M5.68M
Days Inventory Outstanding27.5340.2433.7135.2125.3823.9828.3835.6531.7234.26
Other Current Assets0772.62K189.76K665.49K1.1M-4.77K9.07M1.95M4.89M5.58M
Total Non-Current Assets481.92K1.17M2.35M2.7M3.07M9.6M11.67M29.41M28.85M31.39M
Property, Plant & Equipment52.72K114.57K1.43M1.73M1.76M2.93M2.93M11.62M10.4M11.32M
Fixed Asset Turnover128.15x261.97x26.01x22.87x31.53x19.17x17.18x4.60x5.23x4.99x
Goodwill0049.7K49.7K49.7K49.7K49.7K49.7K49.7K0
Intangible Assets041.99K247.07K213.98K180.81K436.07K657.22K7.63M7.71M7.96M
Long-Term Investments0004.38K000165.93K5.77M5.77M
Other Non-Current Assets429.2K1.01M624.48K698.06K905.32K5.33M8.03M9.94M4.92M35.42M
Total Assets
3.12M▲ 0%
10.68M▲ 242.3%
20.69M▲ 93.9%
23.88M▲ 15.4%
43.84M▲ 83.6%
49.43M▲ 12.7%
68.04M▲ 37.6%
66.01M▼ 3.0%
54.31M▼ 17.7%
69.49M▲ 0%
Asset Turnover2.17x2.81x1.79x1.66x1.26x1.14x0.74x0.81x1.00x0.98x
Asset Growth %374.21%242.33%93.85%15.39%83.61%12.74%37.65%-2.97%-17.73%-16.63%
Total Current Liabilities4.87M13.7M22.27M28.24M34.29M29.93M21.75M24.32M25.76M38.53M
Accounts Payable591.69K2.17M5.93M8M11.97M12.13M10.26M11.91M11.16M14.68M
Days Payables Outstanding35.0928.1862.4681.192.3192.3984.3688.6881.2686.97
Short-Term Debt3.2M10.18M15.02M18.65M19.7M13.34M8.04M8.23M9.55M14.7M
Deferred Revenue (Current)001.07M247.32K22.34K00000
Other Current Liabilities00111.21K165.27K799.73K1.3M2.7M3.47M3.35M8.4M
Current Ratio0.54x0.69x0.82x0.75x1.19x1.33x2.58x1.51x0.99x0.99x
Quick Ratio0.45x0.47x0.68x0.63x1.09x1.23x2.42x1.31x0.82x0.82x
Cash Conversion Cycle35.3329.4219.9139.37110.34127.18109.0395.4556.9655.58
Total Non-Current Liabilities001.74M2.1M13.72M15.12M6.63M5.65M4.02M7.82M
Long-Term Debt001.55M011.27M12.72M2.86M3.04M1.56M5.71M
Capital Lease Obligations000435.55K778.71K844.42K860.1K850.13K501.8K1.85M
Deferred Tax Liabilities0000000000
Other Non-Current Liabilities00183.58K1.66M1.66M1.55M2.91M1.76M1.96M7.67M
Total Liabilities4.87M13.7M24.01M30.34M48.01M45.05M28.38M29.97M29.78M46.36M
Total Debt3.2M10.18M16.58M19.29M32.04M27.12M12.03M12.42M11.82M21.07M
Net Debt2.48M9.4M15.71M19.25M31.41M26.84M-8.72M8.59M11.51M20.18M
Debt / Equity-----6.19x0.30x0.34x0.48x0.48x
Debt / EBITDA---138.93x10.30x-----1.63x
Net Debt / EBITDA---138.65x10.10x-----1.56x
Interest Coverage-0.98x-2.98x-0.18x-0.15x0.97x-1.27x-1.88x-25.20x-15.36x-9.42x
Total Equity
-1.75M▲ 0%
-3.03M▼ 72.7%
-3.32M▼ 9.6%
-6.46M▼ 94.8%
-4.16M▲ 35.6%
4.38M▲ 205.2%
39.66M▲ 805.5%
36.04M▼ 9.1%
24.53M▼ 31.9%
23.13M▲ 0%
Equity Growth %-40.47%-72.74%-9.56%-94.75%35.6%205.25%805.52%-9.11%-31.93%-109%
Book Value per Share-3.49-5.92-6.23-12.17-7.826.6720.573.011.280.76
Total Shareholders' Equity-1.75M-3.03M-3.32M-6.46M-4.16M4.38M39.66M36.04M24.53M23.13M
Common Stock125.87K12.82K13.88K13.22K13.48K70210.61K15.98K23.69K31.96K
Retained Earnings-1M-7.21M-16.27M-19.57M-18.75M-34.35M-66.23M-91.64M-114.02M-123.02M
Treasury Stock0-95.88K-225.49K-411.85K-611.85K-816.71K-816.71K-917.16K-917.16K-917.16K
Accumulated OCI-1.05M-1.39M32.83K-16.34K854.9K-151.62K-1.13M-419.84K-2.13M714.05K
Minority Interest0000000000

COSM Cash Flow Statement

Cosmos Health Inc. (COSM) cash flow — operating, investing & free cash flow history

Line itemDec'16Dec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24TTM
Cash from Operations-2.13M-8.76M-1.56M-4.79M-11.5M-7.1M-14.87M-15.64M-7.72M-7.72M
Operating CF Margin %-31.47%-29.19%-4.19%-12.07%-20.76%-12.62%-29.54%-29.29%-14.18%-
Operating CF Growth %-327.71%-312.03%82.25%-207.9%-140.18%38.29%-109.53%-5.15%50.65%-1045.02%
Net Income-601K-6.21M-9.06M-3.3M820.79K-7.96M-13.83M-18.54M-16.18M-18.54M
Depreciation & Amortization9.45K25.9K43.93K394.63K397.6K449.69K188.89K614.38K1.25M1.36M
Stock-Based Compensation16.64K740.59K242K005.9M24.4K577.93K1.69M1.75M
Deferred Taxes0000-178.43K-714.11K780.1K656.98K-11.84K10.64K
Other Non-Cash Items16.06K2.84M6.55M1.73M-667.16K1.52M6.66M8.96M5.38M7.41M
Working Capital Changes-1.57M-6.15M667.35K-3.61M-11.87M-6.3M-8.69M-7.9M159.68K-1.19M
Change in Receivables-565.31K-706.3K465.45K-4.32M-15.72M-8.46M-7.46M-4.03M1.23M-3.84M
Change in Inventory-272.35K-2.62M1.43M-271.45K393.15K-89.58K-485.47K-890.9K146.45K-535.07K
Change in Payables254.76K809.12K-629.72K2.73M3.21M3.82M1.73M716.62K1.05M2.95M
Cash from Investing-144.72K-14.48K-195.77K588.93K-117.74K-826.82K-21.5K-13.76M-798.27K-1.95M
Capital Expenditures-12.82K-55.34K-503.36K-672.79K-117.74K-581.4K-74.21K-2.98M-418.07K-119.94K
CapEx % of Revenue0.19%0.18%1.36%1.7%0.21%1.03%0.15%5.58%0.77%-
Acquisitions040.86K307.59K0000-5.23M00
Investments----------
Other Investing-131.9K0000-245.42K55.34K-5.55M-380.19K-830.58K
Cash from Financing2.74M9.29M1.99M3.59M12.46M7.27M35.05M12.69M5.05M12.49M
Debt Issued (Net)2.72M9.23M2.07M4.43M12.66M7.39M-13.86M-21.41K548.24K11.65M
Equity Issued (Net)057.32K-80.05K-845.25K-200K-126.86K1000K1000K649.04K1000K
Dividends Paid00000000-6.2M0
Share Repurchases0-34.46K-80.05K-845.25K-200K-376.86K0-100.45K00
Other Financing24.14K000007.63M2.82M10.04M-182.45K
Net Change in Cash
518.54K▲ 0%
66.26K▼ 87.2%
81.49K▲ 23.0%
-825.81K▼ 1113.4%
589.86K▲ 171.4%
-341.91K▼ 158.0%
20.46M▲ 6085.0%
-16.92M▼ 182.7%
-3.52M▲ 79.2%
1.32M▲ 0%
Free Cash Flow
-2.14M▲ 0%
-8.82M▼ 312.2%
-2.06M▲ 76.6%
-5.46M▼ 165.3%
-11.62M▼ 112.7%
-7.99M▲ 31.3%
-15.25M▼ 91.0%
-24.8M▼ 62.6%
-8.14M▲ 67.2%
-10.27M▲ 0%
FCF Margin %-31.66%-29.37%-5.55%-13.77%-20.97%-14.2%-30.3%-46.47%-14.95%-17.17%
FCF Growth %-295.33%-312.15%76.65%-165.3%-112.75%31.26%-90.97%-62.61%67.2%-50.22%
FCF per Share-4.26-17.24-3.87-10.29-21.83-12.16-7.91-2.07-0.42-0.42
FCF Conversion (FCF/Net Income)3.54x1.41x0.17x1.45x-14.01x0.89x1.08x0.84x0.48x0.55x
Interest Paid000447.73K955.38K2.06M588.05K406.88K0886.87K
Taxes Paid00011.61K14.13K00000

COSM Key Ratios

Cosmos Health Inc. (COSM) financial ratios — P/E, ROE, debt and 30+ core market and balance-sheet ratios

Metric201620172018201920202021202220232024TTM
Return on Equity (ROE)------7289.22%-62.81%-48.99%-53.43%-80.15%
Return on Invested Capital (ROIC)-20.82%-102.97%-9.82%-1.52%10.17%-11.63%-18.04%-43.34%-28.9%-28.9%
Gross Margin8.9%6.52%6.5%9.23%14.55%14.81%11.83%8.15%7.92%11.41%
Net Margin-8.9%-20.69%-24.43%-8.31%1.48%-14.16%-27.47%-34.74%-29.73%-31.01%
Debt / Equity-----6.19x0.30x0.34x0.48x0.48x
Interest Coverage-0.98x-2.98x-0.18x-0.15x0.97x-1.27x-1.88x-25.20x-15.36x-9.42x
FCF Conversion3.54x1.41x0.17x1.45x-14.01x0.89x1.08x0.84x0.48x0.55x
Revenue Growth1165.53%344.28%23.56%6.99%39.65%1.5%-10.48%6.02%1.97%6.69%

COSM Frequently Asked Questions

Cosmos Health Inc. (COSM) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials

Cosmos Health Inc. (COSM) reported $59.8M in revenue for fiscal year 2024.

Cosmos Health Inc. (COSM) grew revenue by 2.0% over the past year. Growth has been modest.

Cosmos Health Inc. (COSM) reported a net loss of $18.5M for fiscal year 2024.

Dividend & Returns

Yes, Cosmos Health Inc. (COSM) pays a dividend with a yield of 91.91%. This makes it attractive for income-focused investors.

Cosmos Health Inc. (COSM) has a return on equity (ROE) of -53.4%. Negative ROE indicates the company is unprofitable.

Cosmos Health Inc. (COSM) had negative free cash flow of $10.3M in fiscal year 2024, likely due to heavy capital investments.

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Cosmos Health Inc. (COSM) financial analysis — history, returns, DCA and operating performance tools

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Valuation

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