Cosmos Health (COSM) Gross Margin (2016 - 2026)
Cosmos Health (COSM) recorded quarterly Gross Margin of 7.7% in Q1 2026, up 262.53% on a QoQ basis from 4.74% in Q4 2025, and down 724.0% year-over-year from 1.23% in Q1 2025.
Cosmos Health (COSM) Gross Margin (2016 - 2026) Analysis & Trends
Cosmos Health has disclosed Gross Margin across 11 years of filings, most recently posting 7.7% for Q1 2026.
- Quarterly Gross Margin fell 724.0% year-over-year to 7.7% in Q1 2026, while the trailing twelve-month figure through Mar 2026 was 122.17% (up 11278.0% YoY) and the FY2025 annual result came in at 464.45%, up 45652.0% from the prior year.
- Gross Margin improved to 7.7% in Q1 2026, from 4.74% in the prior quarter.
- Over five years, Gross Margin peaked at 15.21% in Q3 2025 and troughed at 4.74% in Q4 2025.
- A 5-year average of 8.96% and a median of 7.89% in 2025 frame the typical range for Gross Margin.
- Biggest YoY gain for Gross Margin was 586 bps in 2022; the steepest drop was 1460 bps in 2022.
- Tracing COSM's Gross Margin over 5 years: stood at 3.61% in 2022, then soared by 115 bps to 7.77% in 2023, then fell by 9 bps to 7.06% in 2024, then plunged by 167 bps to 4.74% in 2025, then jumped by 263 bps to 7.7% in 2026.
- Business Quant data shows COSM's Gross Margin at 7.7% in Q1 2026, 4.74% in Q4 2025, and 15.21% in Q3 2025.
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Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | Gross Margin (Qtr) |
|---|---|---|---|---|---|
| 1 | Akso Health | 2,315,158.81 Bn | 2,315,158.63 Bn | - | - |
| 2 | Mckesson | 92.76 Bn | 89.18 Bn | 4.04 Bn | 4.20% |
| 3 | Cencora | 52.82 Bn | 50.83 Bn | 3.59 Bn | 4.58% |
| 4 | Cardinal Health | 52.17 Bn | 48.39 Bn | 2.50 Bn | 4.10% |
| 5 | Henry Schein | 9.19 Bn | 9.71 Bn | 1.07 Bn | 31.77% |
| 6 | Accendra Health | 246.88 Mn | -90.00 Mn | 312.39 Mn | 49.76% |
| 7 | Edap Tms | 161.92 Mn | 146.92 Mn | 8.15 Mn | 45.73% |
| 8 | 111 | 107.47 Mn | 25.61 Mn | 23.58 Mn | 5.85% |
| 9 | Cosmos Health | 9.42 Mn | 7.26 Mn | 1.38 Mn | 7.70% |
| 10 | Cellyan Biotechnology | 5.69 | -2.48 Mn | - | - |
Historic Data
Download Data| Date | Value |
|---|---|
| Mar 31, 2026 | 7.70% |
| Dec 31, 2025 | -4.74% |
| Sep 30, 2025 | 15.21% |
| Jun 30, 2025 | 7.89% |
| Mar 31, 2025 | 14.95% |
| Dec 31, 2024 | 7.06% |
| Sep 30, 2024 | 9.72% |
| Jun 30, 2024 | 5.81% |
| Mar 31, 2024 | 9.14% |
| Dec 31, 2023 | 7.77% |
| Sep 30, 2023 | 9.47% |
| Jun 30, 2023 | 7.66% |
| Mar 31, 2023 | 7.75% |
| Dec 31, 2022 | 3.61% |
| Sep 30, 2022 | 14.85% |
| Jun 30, 2022 | 13.97% |
| Mar 31, 2022 | 14.47% |
| Dec 31, 2021 | 18.21% |
| Sep 30, 2021 | 17.25% |
| Jun 30, 2021 | 13.72% |