Cosmos Health (COSM) FCF Margin (2014 - 2026)

Cosmos Health (COSM) posted FCF Margin of 6.02% for Q1 2026, down 157.32% on a QoQ basis from 10.5% in Q4 2025, and down 457.0% year-over-year from 1.69% in Q1 2025.

Cosmos Health (COSM) FCF Margin (2014 - 2026) Analysis & Trends

Cosmos Health's FCF Margin history runs 12 years deep, the most recent figure standing at 6.02% for Q1 2026.

  • Quarterly FCF Margin fell 457.0% year-over-year to 6.02% in Q1 2026, while the trailing twelve-month figure through Mar 2026 was 158.62% (down 14958.0% YoY) and the FY2025 annual result came in at 500.19%, down 48525.0% from the prior year.
  • FCF Margin was 6.02% for Q1 2026 at Cosmos Health, down from 10.5% in the prior quarter.
  • Across five years, FCF Margin topped out at 10.5% in Q4 2025 and bottomed at 85.93% in Q4 2022.
  • A 5-year average of 19.76% and a median of 12.77% in 2022 frame the typical range for FCF Margin.
  • Annual changes were most pronounced in 2022 — FCF Margin sank 7599 bps — and 2023, when it surged 9164 bps.
  • Cosmos Health's FCF Margin stood at 85.93% in 2022, then jumped by 107 bps to 5.71% in 2023, then sank by 581 bps to 27.46% in 2024, then jumped by 138 bps to 10.5% in 2025, then slumped by 157 bps to 6.02% in 2026.
  • Business Quant data shows COSM's FCF Margin at 6.02% in Q1 2026, 10.5% in Q4 2025, and 14.42% in Q3 2025.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) FCF Margin (Qtr)
1 Mckesson 105.15 Bn 101.18 Bn 4.04 Bn 3.48%
2 Cencora 60.58 Bn 58.40 Bn 3.59 Bn 1.50%
3 Cardinal Health 53.81 Bn 49.87 Bn 2.50 Bn 2.75%
4 Henry Schein 9.71 Bn 9.57 Bn 1.07 Bn -3.62%
5 Akso Health 3.28 Bn 3.28 Bn - -
6 111 651.73 Mn 572.63 Mn 23.58 Mn 1.06%
7 Accendra Health 248.02 Mn -88.86 Mn 278.03 Mn -14.61%
8 Edap Tms 230.14 Mn 215.14 Mn 8.15 Mn -18.96%
9 VitaNova Life Sciences 11.51 Mn 11.01 Mn 316,343.00 -12.74%
10 Cosmos Health 9.57 Mn 7.41 Mn 1.38 Mn -6.02%

Historic Data

Download Data
DateValue
Mar 31, 2026 -6.02%
Dec 31, 2025 10.50%
Sep 30, 2025 -14.42%
Jun 30, 2025 -8.36%
Mar 31, 2025 -1.45%
Dec 31, 2024 -27.46%
Sep 30, 2024 4.12%
Jun 30, 2024 -9.43%
Mar 31, 2024 -23.96%
Dec 31, 2023 5.71%
Sep 30, 2023 -35.40%
Jun 30, 2023 -56.16%
Mar 31, 2023 -51.58%
Dec 31, 2022 -85.93%
Sep 30, 2022 -12.77%
Jun 30, 2022 -5.40%
Mar 31, 2022 -17.91%
Dec 31, 2021 -9.94%
Sep 30, 2021 -26.03%
Jun 30, 2021 -12.55%