Cosmos Health Inc. (COSM) Revenue History
Annual and quarterly revenue from 2009 to present
COSM Revenue Over Time (2009–2025)
COSM Revenue Growth History
10 of 12 years with positive growth- FY2009 revenue growth
- N/A
- FY2010 revenue growth
- N/A
- FY2011 revenue growth
- N/A
- FY2012 revenue growth
- N/A
- FY2013 revenue growth
- N/A
- FY2014 revenue growth
- +746.6%
- FY2015 revenue growth
- -93.0%
- FY2016 revenue growth
- +1165.5%
- FY2017 revenue growth
- +344.3%
- FY2018 revenue growth
- +23.6%
- FY2019 revenue growth
- +7.0%
- FY2020 revenue growth
- +39.6%
- FY2021 revenue growth
- +1.5%
- FY2022 revenue growth
- -10.5%
- FY2023 revenue growth
- +6.0%
- FY2024 revenue growth
- +2.0%
- FY2025 revenue growth
- +19.9%
| Quarter | Revenue | YoY |
|---|---|---|
| Q1 2026 | $17.9M | +30.7% |
| Q4 2025 | $19.7M | +38.5% |
| Q3 2025 | $17.1M | +37.9% |
| Q2 2025 | $14.7M | +11.7% |
| Q1 2025 | $13.7M | -6.0% |
| Q4 2024 | $14.2M | -10.2% |
| Q3 2024 | $12.4M | -3.2% |
| Q2 2024 | $13.2M | +6.8% |
Multi-year avg. share of annual revenue by fiscal quarter
Revenue Breakdown (FY 2025)
COSM's revenue distribution by segment and geography for fiscal year 2025
By Product/Segment
COSM Revenue Analysis (2009–2025)
Current Revenue & Growth
As of June 29, 2026, Cosmos Health Inc. (COSM) generated trailing twelve-month (TTM) revenue of $69.5 million, reflecting explosive growth of +30.7% year-over-year. The most recent quarter (Q1 2026) recorded $17.9 million in revenue, down 9.0% sequentially.
Historical Growth Trajectory
COSM's 5-year compound annual growth rate (CAGR) stands at +3.3%, indicating moderate growth over time. The 3-year CAGR of +9.0% exceeds the 5-year average, indicating an acceleration in the most recent period. Cosmos Health Inc.'s highest annual revenue of $65.3 million was recorded in 2025, an all-time high.
Revenue by Segment
COSM's revenue is primarily driven by Wholesale (91%), Nutraceuticals and Pharmaceuticals (7%), and Pharma manufacturing (3%). With over half of revenue concentrated in Wholesale, the company has a focused business model while developing other growth vectors.
Peer Comparison
Compared to Healthcare sector peers — including HROW (+26.2% YoY), NTRB (-24.8% YoY), and XTLB — COSM has outperformed the peer group in revenue growth. Compare COSM vs HROW →
COSM Revenue vs Peers
Revenue metrics vs comparable public companies
| Company | TTM Revenue | YoY Growth | 5Y CAGR | Op. Margin | Compare |
|---|---|---|---|---|---|
| COSMCurrent | $69M | +30.7% | +3.3% | -25.3% | |
 HROW | $272M | +26.2% | +41.0% | 14.2% | |
 NTRB | $2M | -24.8% | +16.6% | -408.4% | |
 XTLB | $451,000 | - | - | -481.6% | |
 CODA | $27M | +22.8% | +5.8% | 17.1% |
COSM Historical Revenue Data (2009–2025)
| Year | Revenue | YoY % | Gross Profit | Gross Margin | Op. Income | Op. Margin |
|---|---|---|---|---|---|---|
| 2025 | $65.3M | +19.9% | $7.9M | 12.1% | $-16,540,819 | -25.3% |
| 2024 | $54.4M | +2.0% | $4.3M | 7.9% | $-15,544,830 | -28.6% |
| 2023 | $53.4M | +6.0% | $4.3M | 8.1% | $-21,831,217 | -40.9% |
| 2022 | $50.3M | -10.5% | $6.0M | 11.8% | $-7,474,036 | -14.8% |
| 2021 | $56.2M | +1.5% | $8.3M | 14.8% | $-4,533,404 | -8.1% |
| 2020 | $55.4M | +39.6% | $8.1M | 14.5% | $2.7M | 4.9% |
| 2019 | $39.7M | +7.0% | $3.7M | 9.2% | $-255,809 | -0.6% |
| 2018 | $37.1M | +23.6% | $2.4M | 6.5% | $-1,228,422 | -3.3% |
| 2017 | $30.0M | +344.3% | $2.0M | 6.5% | $-4,872,321 | -16.2% |
| 2016 | $6.8M | +1165.5% | $601K | 8.9% | $-202,507 | -3.0% |
| 2015 | $534K | -93.0% | $49K | 9.2% | $-442,459 | -82.9% |
| 2014 | $7.6M | +746.6% | $7.6M | 99.1% | $7.1M | 93.2% |
| 2013 | $902K | - | $345K | 38.2% | $289K | 32.0% |
| 2012 | $0 | - | $0 | - | $-455 | - |
| 2011 | $0 | - | $0 | - | $-169,245 | - |
Intrinsic Valuation
DCF models, multiple analysis, and analyst estimates.
Historical Returns
17+ years return with dividends reinvested.
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Peer Comparison
Compare growth, multiples, and margins vs sector.
COSM — Frequently Asked Questions
Quick answers to the most common questions about buying COSM stock.
Is COSM's revenue growth accelerating or slowing?
COSM revenue growth is accelerating. TTM revenue reached $69M, up +30.7% year-over-year — ahead of the 5-year CAGR of +3.3%. This indicates the business is expanding faster than its historical baseline.
What is COSM's revenue history from 2009 to 2026?
Cosmos Health Inc. (COSM) revenue history spans 2009 to 2026. TTM revenue as of 2026 is $69M, growing at +30.7% YoY. The 5-year CAGR is +3.3%. Complete annual and quarterly revenue figures are available on this page, including gross profit, operating income, and margin trends.
What is COSM's long-term revenue growth rate (CAGR)?
Cosmos Health Inc.'s 5-year revenue CAGR of +3.3% reflects the sustained nature of its business expansion. As of 2026, the current YoY growth rate of +30.7% is above this long-term average. CAGR is the most reliable measure of sustained revenue momentum for COSM.
Why does COSM's quarterly revenue fluctuate?
COSM quarterly revenue can fluctuate significantly between periods. A quarter-over-quarter (QoQ) change does not always indicate a trend; comparing the same quarter year-over-year (YoY) is a more reliable signal for underlying growth. Cosmos Health Inc.'s revenue data from 2009 to 2026 shows full historical quarterly detail on this page.
How is COSM's revenue distributed by segment?
COSM reports revenue broken down by product line and geographic region. The segment breakdown on this page shows which business units contribute the most to total revenue as of the latest fiscal year. Concentration in a single segment above 50% indicates category dependence, while a diversified mix signals more resilient revenue streams.
How does COSM's revenue compare to industry peers?
Cosmos Health Inc. (COSM) with TTM revenue of $69M and +30.7% YoY growth can be benchmarked against sector peers using the comparison table on this page. Revenue growth relative to peers indicates market share gains or losses. The peer section shows TTM revenue, YoY growth, and operating margin for direct comparisons.