Cosmos Health (COSM) EBITDA Margin (2014 - 2026)
Cosmos Health (COSM) posted EBITDA Margin of 12.18% for Q1 2026, down 146.86% on a QoQ basis from 26.0% in Q4 2025, and down 611.0% year-over-year from 2.38% in Q1 2025.
Cosmos Health (COSM) EBITDA Margin (2014 - 2026) Analysis & Trends
Cosmos Health's EBITDA Margin history runs 12 years deep, the most recent figure standing at 12.18% for Q1 2026.
- Quarterly EBITDA Margin fell 611.0% year-over-year to 12.18% in Q1 2026, while the trailing twelve-month figure through Mar 2026 was 305.22% (down 27806.0% YoY) and the FY2025 annual result came in at 982.56%, down 95400.0% from the prior year.
- EBITDA Margin was 12.18% for Q1 2026 at Cosmos Health, down from 26.0% in the prior quarter.
- Across five years, EBITDA Margin topped out at 26.0% in Q4 2025 and bottomed at 85.77% in Q4 2023.
- A 5-year average of 20.42% and a median of 17.94% in 2025 frame the typical range for EBITDA Margin.
- Annual changes were most pronounced in 2022 — EBITDA Margin sank 5740 bps — and 2025, when it jumped 8904 bps.
- Cosmos Health's EBITDA Margin stood at 60.56% in 2022, then sank by 42 bps to 85.77% in 2023, then rose by 27 bps to 63.04% in 2024, then soared by 141 bps to 26.0% in 2025, then plunged by 147 bps to 12.18% in 2026.
- Business Quant data shows COSM's EBITDA Margin at 12.18% in Q1 2026, 26.0% in Q4 2025, and 10.63% in Q3 2025.
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Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | EBITDA Margin (Qtr) |
|---|---|---|---|---|---|
| 1 | Mckesson | 105.15 Bn | 101.18 Bn | 4.04 Bn | 2.23% |
| 2 | Cencora | 60.58 Bn | 58.40 Bn | 3.59 Bn | 1.63% |
| 3 | Cardinal Health | 53.81 Bn | 49.87 Bn | 2.50 Bn | 0.84% |
| 4 | Henry Schein | 9.71 Bn | 9.57 Bn | 1.07 Bn | 5.40% |
| 5 | Akso Health | 3.28 Bn | 3.28 Bn | - | - |
| 6 | 111 | 651.73 Mn | 572.63 Mn | 23.58 Mn | -0.01% |
| 7 | Accendra Health | 248.02 Mn | -88.86 Mn | 278.03 Mn | 2.73% |
| 8 | Edap Tms | 230.14 Mn | 215.14 Mn | 8.15 Mn | -41.35% |
| 9 | VitaNova Life Sciences | 11.51 Mn | 11.01 Mn | 316,343.00 | 6.59% |
| 10 | Cosmos Health | 9.57 Mn | 7.41 Mn | 1.38 Mn | -12.18% |
Historic Data
Download Data| Date | Value |
|---|---|
| Mar 31, 2026 | -12.18% |
| Dec 31, 2025 | 26.00% |
| Sep 30, 2025 | -10.63% |
| Jun 30, 2025 | -17.94% |
| Mar 31, 2025 | -6.08% |
| Dec 31, 2024 | -63.04% |
| Sep 30, 2024 | -18.05% |
| Jun 30, 2024 | -18.95% |
| Mar 31, 2024 | -12.59% |
| Dec 31, 2023 | -85.77% |
| Sep 30, 2023 | -23.53% |
| Jun 30, 2023 | -20.84% |
| Mar 31, 2023 | -21.47% |
| Dec 31, 2022 | -60.56% |
| Sep 30, 2022 | -2.86% |
| Jun 30, 2022 | -0.56% |
| Mar 31, 2022 | 1.85% |
| Dec 31, 2021 | -3.16% |
| Sep 30, 2021 | -6.73% |
| Jun 30, 2021 | -9.27% |