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

Cosmos Health (COSM) posted Net Cash Flow of -$1.4 million for Q1 2026, down 47.68% on a QoQ basis from -$967226.0 in Q4 2025, and down 488.71% year-over-year from $367477.0 in Q1 2025.

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

Cosmos Health's Net Cash Flow history runs 17 years deep, the most recent figure standing at -$1.4 million for Q1 2026.

  • Quarterly Net Cash Flow fell 488.71% year-over-year to -$1.4 million in Q1 2026, while the trailing twelve-month figure through Mar 2026 was $1.8 million (up 8113.12% YoY) and the FY2025 annual result came in at $3.6 million, up 203.6% from the prior year.
  • Net Cash Flow was -$1.4 million for Q1 2026 at Cosmos Health, down from -$967226.0 in the prior quarter.
  • Across five years, Net Cash Flow topped out at $20.3 million in Q4 2022 and bottomed at -$9.9 million in Q2 2023.
  • A 5-year average of $126494.4 and a median of -$375183.0 in 2022 frame the typical range for Net Cash Flow.
  • Annual changes were most pronounced in 2022 — Net Cash Flow soared 2817.76% — and 2023, when it slumped 2529.47%.
  • Cosmos Health's Net Cash Flow stood at $20.3 million in 2022, then sank by 90.72% to $1.9 million in 2023, then tumbled by 270.96% to -$3.2 million in 2024, then soared by 69.95% to -$967226.0 in 2025, then plunged by 47.68% to -$1.4 million in 2026.
  • Business Quant data shows COSM's Net Cash Flow at -$1.4 million in Q1 2026, -$967226.0 in Q4 2025, and $3.7 million in Q3 2025.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Net Cash Flow (Qtr)
1 Mckesson 105.15 Bn 101.18 Bn 4.04 Bn 1.03 Bn
2 Cencora 60.58 Bn 58.40 Bn 3.59 Bn 442.31 Mn
3 Cardinal Health 53.81 Bn 49.87 Bn 2.50 Bn 1.16 Bn
4 Henry Schein 9.71 Bn 9.57 Bn 1.07 Bn -40.00 Mn
5 Akso Health 3.28 Bn 3.28 Bn - -
6 111 651.73 Mn 572.63 Mn 23.58 Mn 4.86 Mn
7 Accendra Health 248.02 Mn -88.86 Mn 278.03 Mn 54.93 Mn
8 Edap Tms 230.14 Mn 215.14 Mn 8.15 Mn -5.10 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 -1.43 Mn

Historic Data

Download Data
DateValue
Mar 31, 2026 -1.43 Mn
Mar 31, 2026 -1.43 Mn
Dec 31, 2025 -967,226.00
Dec 31, 2025 -967,226.00
Sep 30, 2025 3.73 Mn
Sep 30, 2025 3.73 Mn
Jun 30, 2025 466,265.00
Jun 30, 2025 466,265.00
Mar 31, 2025 367,477.00
Mar 31, 2025 367,477.00
Dec 31, 2024 -3.22 Mn
Dec 31, 2024 -3.22 Mn
Sep 30, 2024 3.38 Mn
Sep 30, 2024 3.38 Mn
Jun 30, 2024 -555,268.00
Jun 30, 2024 -555,268.00
Mar 31, 2024 -3.08 Mn
Mar 31, 2024 -3.08 Mn
Dec 31, 2023 1.88 Mn
Dec 31, 2023 1.88 Mn