Cosmos Health COSM
NASDAQ COSM
$0.22 +0.01 (+4.19%)
At close: Aug 21, 2026 · 4:00 PM EDT

Cosmos Health (COSM) Free Cash Flow (2010 - 2026)

Cosmos Health's (COSM) quarterly Free Cash Flow came in at -$1.1 million in Q1 2026, down 442.36% YoY from $315007.3 in Q1 2025, and up 76.58% on a QoQ basis from -$4.6 million in Q4 2025.

Cosmos Health (COSM) Free Cash Flow (2010 - 2026) Analysis & Trends

Cosmos Health (COSM) has 17 years of Free Cash Flow data on file, last reported at -$1.1 million in Q1 2026.

  • Quarterly Free Cash Flow fell 442.36% year-over-year to -$1.1 million in Q1 2026, while the trailing twelve-month figure through Mar 2026 was -$9.4 million (down 93.89% YoY) and the FY2025 annual result came in at -$8.5 million, down 4.53% from the prior year.
  • Free Cash Flow advanced to -$1.1 million in Q1 2026, from -$4.6 million in the prior quarter.
  • In the past five years, Free Cash Flow ranged from a high of $905022.0 in Q4 2023 to a low of -$10.4 million in Q4 2022.
  • A 5-year average of -$2.9 million and a median of -$2.3 million in 2022 frame the typical range for Free Cash Flow.
  • Annual changes were most pronounced in 2023 — Free Cash Flow slumped 873.18% — and 2024, when it jumped 111.26%.
  • Tracing COSM's Free Cash Flow over 5 years: stood at -$10.4 million in 2022, then jumped by 108.74% to $905022.0 in 2023, then slumped by 531.62% to -$3.9 million in 2024, then declined by 17.87% to -$4.6 million in 2025, then soared by 76.58% to -$1.1 million in 2026.
  • The last three Free Cash Flow figures came in at -$1.1 million (Q1 2026), -$4.6 million (Q4 2025), and -$2.5 million (Q3 2025), per Business Quant data.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Free Cash Flow (Qtr)
1 Mckesson 102.57 Bn 97.41 Bn 3.69 Bn -332.00 Mn
2 Cencora 61.35 Bn 58.53 Bn 3.61 Bn 2.43 Bn
3 Cardinal Health 54.15 Bn 49.30 Bn 2.56 Bn 1.43 Bn
4 Henry Schein 10.05 Bn 9.89 Bn 1.10 Bn 212.00 Mn
5 Akso Health 671.90 Mn 671.70 Mn - -
6 Edap Tms 154.62 Mn 133.07 Mn 7.34 Mn -3.89 Mn
7 Accendra Health 90.69 Mn 83.04 Mn 263.41 Mn -43.24 Mn
8 111 31.31 Mn -27.44 Mn 18.18 Mn -13.24 Mn
9 Cosmos Health 13.28 Mn 10.84 Mn 1.51 Mn -1.78 Mn
10 VitaNova Life Sciences 11.51 Mn 9.91 Mn 264,662.00 428,313.00

Historic Data

Download Data
DateValue
Mar 31, 2026 -1.08 Mn
Mar 31, 2026 -1.08 Mn
Dec 31, 2025 -4.60 Mn
Dec 31, 2025 -4.60 Mn
Sep 30, 2025 -2.47 Mn
Sep 30, 2025 -2.47 Mn
Jun 30, 2025 -1.23 Mn
Jun 30, 2025 -1.23 Mn
Mar 31, 2025 -198,846.00
Mar 31, 2025 -198,846.00
Dec 31, 2024 -3.91 Mn
Dec 31, 2024 -3.91 Mn
Sep 30, 2024 511,007.00
Sep 30, 2024 511,007.00
Jun 30, 2024 -1.25 Mn
Jun 30, 2024 -1.25 Mn
Mar 31, 2024 -3.49 Mn
Mar 31, 2024 -3.49 Mn
Dec 31, 2023 905,022.00
Dec 31, 2023 905,022.00