Cosmos Health IncCosmos Health Inc
Cosmos Health Inc

Cosmos Health Inc

COSM
Health Care·Health Care Providers & Services

Cosmos Health, Inc. is a pharmaceutical company, which engages in the importation, exportation, distribution, and sale of pharmaceutical products. It is also involved in the research and development of its business units, and acquisition of pharmaceutical companies. The firm offers over-the-counter drugs, branded and generic medicines, and dietary and vitamin supplements. The company was founded on July 21, 2009 and is headquartered in Thessaloniki, Greece.

Greece
Market cap
No dataNo data
Revenue
$65.3M+19.9% YoY
Net income
$-19.1M−18.3% YoY
Free cash flow
$-8.5M−4.5% YoY

Market

Listed stock
COSMPriceNasdaq
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Financial performance

Revenue
$65.3M+19.9% YoY
Operating income
$-16.7M−7.5% YoY
Net income
$-19.1M−18.3% YoY
Free cash flow
$-8.5M−4.5% YoY

Revenue, profit & cash trend

Revenue
Operating income
Net income
Free cash flow
Reference
Revenue: 2021 $56.2M, 2022 $50.3M, 2023 $53.4M, 2024 $54.4M, 2025 $65.3M. Operating income: 2021 $-4.5M, 2022 $-7.5M, 2023 $-21.8M, 2024 $-15.5M, 2025 $-16.7M. Net income: 2021 $-8M, 2022 $-13.8M, 2023 $-18.5M, 2024 $-16.2M, 2025 $-19.1M. Free cash flow: 2021 $-7.7M, 2022 $-14.9M, 2023 $-16.9M, 2024 $-8.1M, 2025 $-8.5M. Reference line: Reference at $0.

Growth & profitability

Revenue growth
19.9%+1796 bps YoY
Gross margin
No dataNo data
Operating margin
No dataNo data
FCF margin
No dataNo data

Earnings power over time

Operating income
Net income
Free cash flow
Operating income: 2021-12-31 $-4.5M, 2022-12-31 $-7.5M, 2023-12-31 $-21.8M, 2024-12-31 $-15.5M, 2025-12-31 $-16.7M. Net income: 2021-12-31 $-8M, 2022-12-31 $-13.8M, 2023-12-31 $-18.5M, 2024-12-31 $-16.2M, 2025-12-31 $-19.1M. Free cash flow: 2021-12-31 $-7.7M, 2022-12-31 $-14.9M, 2023-12-31 $-16.9M, 2024-12-31 $-8.1M, 2025-12-31 $-8.5M

Growth heatmap

2022202320242025CAGR
Revenue
-10.5%
+6.0%
+2.0%
+19.9%
+3.8%
Gross profit
-28.5%
-27.0%
-0.9%
+83.1%
-1.3%
Operating income
-64.9%
-192.1%
+28.8%
-7.5%
No data
Free cash flow
-94.6%
-13.4%
+52.0%
-4.5%
No data

Earnings quality

Operating cash flow
$-8.4M−9.5% YoY
Net income
$-19.1M−18.3% YoY
Free cash flow
$-8.5M−4.5% YoY
Diluted EPS
No dataNo data

Cash conversion quality

Operating cash flow
Free cash flow
Net income = 100%
Operating cash flow: 2025-12-31 44%, 2024-12-31 48%, 2023-12-31 84%, 2022-12-31 108%, 2021-12-31 89%. Free cash flow: 2025-12-31 44%, 2024-12-31 50%, 2023-12-31 91%, 2022-12-31 108%, 2021-12-31 96%. Reference line: Net income = 100% at 100%.

Per-share economics

Diluted EPS
Latest
No data
FCF / share
Latest
No data
Diluted shares
Latest
No data

Financial flexibility

Cash & equivalents
No dataNo data
Total debt
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Net debt
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Current ratio
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Cash Coverage of Debt

Cash / Total debt
No data

Returns

Return on equity
No dataNo data
Return on assets
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Return on invested capital
No dataNo data
Asset turnover
No dataNo data

Return on capital

No data

Valuation

Price to earnings
No dataNo data
Price to sales
No dataNo data
EV / EBITDA
No dataNo data
Free cash flow yield
No dataNo data

Valuation vs its own 5Y history

Metric
Own five-year range
Current
Own 5Y median
Position in own range
Price to earnings
No data
No data
No data
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Price to sales
No data
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No data
EV / EBITDA
No data
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Free cash flow yield
No data
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