Cosmos Health (COSM) Gross Margin (2016 - 2026)
Cosmos Health's (COSM) quarterly Gross Margin came in at 7.7% in Q1 2026, down 724.0% YoY from 1.23% in Q1 2025, and up 262.53% on a QoQ basis from 4.74% in Q4 2025.
Cosmos Health (COSM) Gross Margin (2016 - 2026) Analysis & Trends
Cosmos Health (COSM) has 11 years of Gross Margin data on file, last reported at 7.7% in 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 grew to 7.7% in Q1 2026, from 4.74% in the prior quarter.
- In the past five years, Gross Margin ranged from a high of 15.21% in Q3 2025 to a low of 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.
- The widest YoY moves for Gross Margin: up 586 bps in 2022, down 1460 bps in 2022.
- Tracing COSM's Gross Margin over 5 years: stood at 3.61% in 2022, then jumped by 115 bps to 7.77% in 2023, then dropped by 9 bps to 7.06% in 2024, then slumped by 167 bps to 4.74% in 2025, then surged by 263 bps to 7.7% in 2026.
- The last three Gross Margin figures came in at 7.7% (Q1 2026), 4.74% (Q4 2025), and 15.21% (Q3 2025), per Business Quant data.
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Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | Gross Margin (Qtr) |
|---|---|---|---|---|---|
| 1 | Mckesson | 102.11 Bn | 96.95 Bn | 3.69 Bn | 3.50% |
| 2 | Cencora | 61.64 Bn | 58.83 Bn | 3.61 Bn | 4.26% |
| 3 | Cardinal Health | 54.25 Bn | 49.39 Bn | 2.56 Bn | 4.02% |
| 4 | Henry Schein | 10.08 Bn | 9.92 Bn | 1.10 Bn | 31.84% |
| 5 | Akso Health | 820.26 Mn | 820.04 Mn | - | - |
| 6 | Edap Tms | 157.62 Mn | 136.08 Mn | 7.34 Mn | 55.58% |
| 7 | Accendra Health | 94.72 Mn | 87.07 Mn | 263.41 Mn | 42.95% |
| 8 | 111 | 30.87 Mn | 109.39 Mn | 18.18 Mn | 5.31% |
| 9 | Cosmos Health | 13.50 Mn | 11.06 Mn | 1.51 Mn | 7.96% |
| 10 | VitaNova Life Sciences | 11.51 Mn | 9.91 Mn | 264,662.00 | 14.83% |
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% |