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

Cosmos Health (COSM) posted Free Cash Flow of -$1.1 million for Q1 2026, up 76.58% on a QoQ basis from -$4.6 million in Q4 2025, and down 442.36% year-over-year from $315007.3 in Q1 2025.

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

Cosmos Health's Free Cash Flow history runs 17 years deep, the most recent figure standing at -$1.1 million for 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 was -$1.1 million for Q1 2026 at Cosmos Health, up from -$4.6 million in the prior quarter.
  • Across five years, Free Cash Flow topped out at $905022.0 in Q4 2023 and bottomed at -$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 sank 873.18% — and 2024, when it jumped 111.26%.
  • Cosmos Health's Free Cash Flow stood at -$10.4 million in 2022, then soared by 108.74% to $905022.0 in 2023, then plunged by 531.62% to -$3.9 million in 2024, then retreated by 17.87% to -$4.6 million in 2025, then surged by 76.58% to -$1.1 million in 2026.
  • Business Quant data shows COSM's Free Cash Flow at -$1.1 million in Q1 2026, -$4.6 million in Q4 2025, and -$2.5 million in Q3 2025.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Free Cash Flow (Qtr)
1 Mckesson 105.15 Bn 101.18 Bn 4.04 Bn 3.35 Bn
2 Cencora 60.58 Bn 58.40 Bn 3.59 Bn 1.17 Bn
3 Cardinal Health 53.81 Bn 49.87 Bn 2.50 Bn 1.68 Bn
4 Henry Schein 9.71 Bn 9.57 Bn 1.07 Bn -122.00 Mn
5 Akso Health 3.28 Bn 3.28 Bn - -
6 111 651.73 Mn 572.63 Mn 23.58 Mn 4.27 Mn
7 Accendra Health 248.02 Mn -88.86 Mn 278.03 Mn -91.72 Mn
8 Edap Tms 230.14 Mn 215.14 Mn 8.15 Mn -3.38 Mn
9 VitaNova Life Sciences 11.51 Mn 11.01 Mn 316,343.00 -90,377.00
10 Cosmos Health 9.57 Mn 7.41 Mn 1.38 Mn -1.08 Mn

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