Cosmos Health Inc.(COSM)Stock Analysis
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Rank #2,424 of 2,879 stocks
Rankings refresh quarterly once 80% of peers have filed (~45 days after quarter-end). Next update: ~Aug 14, 2026.
Revenue Growth
Profitability
Balance Sheet
Earnings Quality
Free Cash Flow
Institutional Flow
Revenue Scale
Dilution Risk
COSM Stock Analysis & AI Quality Score
AI stock analysis and institutional research for Cosmos Health Inc. (COSM), a Consumer Staples sector company. 13F Pro's AI-powered ranking engine scores COSM at 28.9/100 on a 32-signal composite quality model, placing it at rank #2,424 of 2,879 stocks — the bottom half of the AI-ranked universe. Areas of concern include balance sheet strength (12.5) and revenue scale (13.3), which score below median versus the broader universe. Shareholder dilution risk is elevated at 31.1/100, reflecting ongoing share issuance or stock-based compensation. Based on the latest XBRL financial filings (Q1 2026), Cosmos Health Inc. reports quarterly revenue of $17.9M, net income of $-2.8M, free cash flow of $-1.1M. Top institutional holders of COSM by reported 13-F value include RENAISSANCE TECHNOLOGIES, GEODE CAPITAL MANAGEMENT,, CITADEL ADVISORS, based on the most recent SEC filings. COSM trades on the Nasdaq exchange and files with the SEC under CIK 1474167. 13F Pro's AI research platform runs 10 specialized AI analysts — value, growth, momentum, macro, and activist specialists — that debate COSM daily and publish AI-generated analysis with cited SEC sources. The platform aggregates historical XBRL financial facts, 10-Q and 10-K filings, insider Form 4 transactions, and institutional 13-F holdings for Cosmos Health Inc. directly from SEC EDGAR. Cosmos Health Inc.'s 13F Pro composite quality score has ranged between 17 and 29 since 2023, currently 28.9 — an improving long-term trajectory across 20 quarterly and live scoring snapshots.
Revenue
Q1 2026
$17.9M
Net Income
Q1 2026
$-2.8M
Free Cash Flow
Q1 2026
$-1.1M
D/E Ratio
Q1 2026
0.17
Revenue & Net Income
Earnings Per Share
Key Financials Over Time
Export Financial Table · Pro+Revenue
+2.0% YoYNet Income
+12.7% YoYOperating Income
+28.8% YoYEPS (Diluted)
+45.6% YoYTotal Assets
-17.7% YoYTotal Debt
-36.9% YoYOp. Cash Flow
+50.6% YoY| Metric | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 | FY 2016 |
|---|---|---|---|---|---|---|
| Revenue | $54.4M +2.0% | $53.4M +6.0% | $50.3M -10.5% | $56.2M +1.5% | $55.4M +720.2% | $6.8M |
| Net Income | $-16.2M +12.7% | $-18.5M -34.1% | $-13.8M -73.7% | $-8.0M -1070.0% | $820.8K +236.6% | $-601.0K |
| Operating Income | $-15.5M +28.8% | $-21.8M -192.1% | $-7.5M -64.9% | $-4.5M -267.0% | $2.7M +1440.3% | $-202.5K |
| EPS (Diluted) | $-1.17 +45.6% | $-2.15 +93.5% | $-33.16 -3390.5% | $-0.95 -1683.3% | $0.06 -100.0% | $80741.00 |
| Total Assets | $54.3M -17.7% | $66.0M -3.0% | $68.0M +37.6% | $49.4M +12.7% | $43.8M +1305.9% | $3.1M |
| Total Debt | $4.1M -36.9% | $6.5M +29.8% | $5.0M -72.0% | $17.9M +66.2% | $10.8M | — |
| Operating Cash Flow | $-7.7M +50.6% | $-15.6M -5.1% | $-14.9M -109.5% | $-7.1M +38.3% | $-11.5M -441.0% | $-2.1M |
AI Insight: COSM Financial Trends
Revenue grew 38% from Q2 2024 to Q1 2026, but persistent operating losses and deteriorating Q4 2025 cash burn signal operational struggles despite top-line expansion.
• Revenue increased from $13M (Q2 2024) to $18M (Q1 2026), a 38% gain over nine quarters.
• Total debt declined from $8M (Q2 2024) to $4M (Q1 2026), improving leverage profile.
• Operating income remained negative across all periods; Q4 2025 saw -$11M operating loss, the worst quarter recorded.
⚠ Q4 2025 operating cash flow collapsed to -$5M, sharply worse than prior quarters; only partially recovered to -$1M in Q1 2026.
⚠ Net losses persist despite revenue growth; Q4 2025 loss of -$10M suggests scale-up costs outpacing sales gains.
AI Insight: COSM Ratio Trends
Cosmos Health remains deeply unprofitable with deteriorating margins and erratic quarterly swings; no clear path to profitability visible.
• Operating margin contracted to -12.2% in Q1 2026 from -6.1% in Q1 2025, reversing prior-year improvement.
• TTM operating margin stands at -26.0%, net profit margin at -30.4%; company lost money on operations across trailing twelve months.
• Leverage spiked to 0.42x D/E in Q4 2025 before retreating to 0.20x in Q1 2026; elevated volatility suggests structural weakness.
⚠ Q4 seasonal cliff persists: OpMargin fell to -57.9% in Q4 2025, mirroring -63.0% in Q4 2024; investigate underlying cause.
⚠ Net profit margin swung wildly from -6.0% (Q1 2025) to -31.3% (Q3 2025); earnings stability absent, forecasting difficult.
⚠ ROA has remained deeply negative (range: -5.7% to -70.3%); no quarter shows asset productivity improvement.
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Available Research
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Top Institutional Holders of COSM
RENAISSANCE TECHNOLOGIES LLC
$123.9K390,500 shGEODE CAPITAL MANAGEMENT, LLC
$100.9K318,111 shCITADEL ADVISORS LLC
$94.0K296,300 shBlackRock, Inc.
$84.9K267,797 shVANGUARD CAPITAL MANAGEMENT LLC
$44.4K140,007 shVANGUARD FIDUCIARY TRUST CO
$30.3K95,735 shSTATE STREET CORP
$14.4K45,243 shXTX Topco Ltd
$12.8K40,477 shCITADEL ADVISORS LLC
$12.8K40,306 shNORTHERN TRUST CORP
$6.5K20,554 sh
| Fund | Value | Shares |
|---|---|---|
| RENAISSANCE TECHNOLOGIES LLC | $123.9K | 390,500 |
| GEODE CAPITAL MANAGEMENT, LLC | $100.9K | 318,111 |
| CITADEL ADVISORS LLC | $94.0K | 296,300 |
| BlackRock, Inc. | $84.9K | 267,797 |
| VANGUARD CAPITAL MANAGEMENT LLC | $44.4K | 140,007 |
| VANGUARD FIDUCIARY TRUST CO | $30.3K | 95,735 |
| STATE STREET CORP | $14.4K | 45,243 |
| XTX Topco Ltd | $12.8K | 40,477 |
| CITADEL ADVISORS LLC | $12.8K | 40,306 |
| NORTHERN TRUST CORP | $6.5K | 20,554 |
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Popular Research
Is COSM a good stock to buy?
13F Pro's AI-powered analysis of Cosmos Health Inc. (COSM) draws on SEC EDGAR-sourced fundamentals, institutional 13F holdings, and insider Form 4 transactions in the Consumer Staples sector (listed on Nasdaq). The 32-signal AI Quality Score, current rank, and full bull/bear verdict for COSM are available on the COSM stock profile dashboard — with the same data, AI insights, ratios, and institutional activity refreshed after every 10-K, 10-Q, 13F, and Form 4 filing.
Which hedge funds own COSM?
Institutional investors are required to disclose their holdings quarterly via SEC Form 13F. 13F Pro aggregates these filings to show which hedge funds, mutual funds, and asset managers are buying or selling COSM. Combined with insider transaction data from Form 4 filings and AI-powered analysis from 10 specialized research agents, 13F Pro provides a comprehensive view of Cosmos Health Inc.'s investment landscape.