Cosmos Health (COSM) Gross Margin (2016 - 2026)
Cosmos Health (COSM) posted Gross Margin of 7.7% for 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's Gross Margin history runs 11 years deep, the most recent figure standing at 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 was 7.7% for Q1 2026 at Cosmos Health, up from 4.74% in the prior quarter.
- Across five years, Gross Margin topped out at 15.21% in Q3 2025 and bottomed 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.
- Peak annual rise in Gross Margin reached 586 bps in 2022, while the deepest fall reached 1460 bps in 2022.
- Cosmos Health's Gross Margin 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 | Mckesson | 105.15 Bn | 101.18 Bn | 4.04 Bn | 4.20% |
| 2 | Cencora | 60.58 Bn | 58.40 Bn | 3.59 Bn | 4.58% |
| 3 | Cardinal Health | 53.81 Bn | 49.87 Bn | 2.50 Bn | 4.10% |
| 4 | Henry Schein | 9.71 Bn | 9.57 Bn | 1.07 Bn | 31.77% |
| 5 | Akso Health | 3.28 Bn | 3.28 Bn | - | - |
| 6 | 111 | 651.73 Mn | 572.63 Mn | 23.58 Mn | 5.85% |
| 7 | Accendra Health | 248.02 Mn | -88.86 Mn | 278.03 Mn | 44.29% |
| 8 | Edap Tms | 230.14 Mn | 215.14 Mn | 8.15 Mn | 45.73% |
| 9 | VitaNova Life Sciences | 11.51 Mn | 11.01 Mn | 316,343.00 | 44.58% |
| 10 | Cosmos Health | 9.57 Mn | 7.41 Mn | 1.38 Mn | 7.70% |
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% |