COSMNasdaqWholesale-Drugs, Proprietaries & Druggists' SundriesUS GAAP · USD

Cosmos Health Inc.

Cosmos Health Inc. is a U.S.-listed healthcare distribution and branded-products company with operations centered in Greece, the UK and other European markets. It wholesales pharmaceuticals and healthcare products, manufactures and markets branded generics and OTC products, and also sells its proprietary Sky Premium Life nutraceutical line through retail and e-commerce channels.

Liikevaihto65,3milj. USD
+19,9 %v/v
Liikevoitto (EBIT)−16,7milj. USD
−7,5 %v/v
EBIT-marginaali−25,6%
+3,0 %-yks.v/v
Nettotulos−19,1milj. USD
−18,3 %v/v
Vapaa kassavirta−8,5milj. USD
−4,5 %v/v

Tilikausi 2025 · muutos edellisvuodesta

Kehitys 2020–2025

−40−20020406080milj. USD2020: 55 milj. USD2020: EBIT 2,7 milj. USD20202021: 56 milj. USD2021: EBIT −4,5 milj. USD20212022: 50 milj. USD2022: EBIT −7,5 milj. USD20222023: 53 milj. USD2023: EBIT −22 milj. USD20232024: 54 milj. USD2024: EBIT −16 milj. USD20242025: 65 milj. USD2025: EBIT −17 milj. USD202565−17
LiikevaihtoLiikevoitto (EBIT)

Liiketoiminta

Osuus liikevaihdosta
Pharmaceutical wholesale and healthcare distribution45 %

Distribution of prescription drugs, OTC products, medical devices and related healthcare goods to pharmacies and other healthcare buyers.

Branded pharmaceuticals and generics25 %

Production, promotion and sale of licensed branded generics and OTC products in Europe.

Nutraceuticals15 %

Proprietary Sky Premium Life supplements sold through retail, e-commerce and distribution partners.

Contract manufacturing and pharma production10 %

GMP-based manufacturing services and production capacity used for third-party and in-house products.

Digital health and telemedicine5 %

Direct-to-consumer telemedicine platform and related healthcare services through ZipDoctor.

Asiakkaat

Cosmos sells primarily to pharmacies, hospitals, private clinics and other pharmaceutical wholesalers that need reliable supply of medicines and healthcare products. It also serves end consumers through Sky Premium Life on Amazon UK and through distribution partners such as Pharmalink in the UAE. The customer mix reflects a hybrid model: B2B wholesale and manufacturing on one side, and branded consumer health products on the other.

Retail pharmacies

Buy pharmaceuticals, OTC products and supplements for daily resale and patient demand.

Hospitals and private clinics

Purchase medicines, medical devices and healthcare consumables for clinical use.

Wholesale distributors

Source broad product assortments for onward distribution in local markets.

Consumer nutraceutical buyers

Purchase Sky Premium Life products through Amazon UK and partner channels for wellness use.

Telemedicine subscribers

Use ZipDoctor for affordable 24/7 access to physicians and mental health counselors.

Strategia

Cosmos is pursuing a mix of organic growth and acquisitions to expand its distribution network, product portfolio and manufacturing capacity. Management is emphasizing vertical integration, R&D for proprietary pharmaceuticals and nutraceuticals, and broader international reach through retailers, pharmacies, e-commerce and contract manufacturing partnerships.

Acquisition-led network expansionLyhyt aikaväli

Adds customer bases, distribution routes and scale quickly in fragmented markets.

Brand and product expansionKeskipitkä aikaväli

Higher-margin proprietary products can improve mix versus pure wholesale.

Vertical integration and manufacturingKeskipitkä aikaväli

Own manufacturing and GMP capabilities can support margin expansion and control.

International channel expansionKeskipitkä aikaväli

Broader market access reduces reliance on any single country or channel.

Maantiede

The company’s operating footprint is centered in Greece and the UK, with distribution and manufacturing assets supporting broader European sales. It also has commercial expansion into the UAE through an exclusive Sky Premium Life distribution agreement, and management has described opportunities to distribute test kits across Europe on a non-exclusive basis. Geography matters because the business depends on local regulatory approvals, GDP-compliant logistics and country-specific healthcare spending patterns.

Riskit

The company has disclosed substantial doubt about its ability to continue as a going concern, making financing access a central risk. Its business is also exposed to execution risk from acquisitions, regulatory and supply-chain complexity across multiple countries, and margin pressure in wholesale healthcare markets where pricing and reimbursement can be volatile.

Järjestetty vakavuuden mukaan
Going concern and liquidity dependenceKriittinen

Management says substantial doubt exists and expects to rely on cash, debt/equity financing or loans.

Kohdistuu: Corporate funding and operating continuity

Acquisition integration and synergy realizationKorkea

Growth depends on integrating acquired networks, systems and customer bases without disrupting service.

Kohdistuu: Bikas and other acquired distribution assets

Regulatory and licensing complianceKorkea

Pharmaceutical wholesale, GMP manufacturing and cross-border sales require ongoing compliance.

KohdistuuGreeceUKEUUAE operations
Supply-chain and inventory availabilityKeskitaso

Wholesale and manufacturing depend on timely sourcing of quality raw materials and finished goods.

KohdistuuPharmaceuticalsNutraceuticalsMedical devices
Foreign exchange and tax complexityKeskitaso

The company operates in multiple currencies and tax jurisdictions, affecting earnings and cash flow.

KohdistuuGreeceUKOther foreign operations

Kirjanpito

Harkinnanvaraiset erät
Revenue recognition under ASC 606

Different sales channels may recognize revenue at different points in the transaction cycle.

Vaikutus: Affects quarterly revenue timing and gross margin comparability

Foreign currency translation

Foreign subsidiaries are translated using period-end and average exchange rates.

Vaikutus: Can create volatility in equity and reported earnings

Deferred tax assets and NOL carryforwards

The company has U.S. net operating losses and foreign tax liabilities that require judgment.

Vaikutus: Affects tax expense and realizability of tax assets

Acquired intangibles and customer bases

Acquisitions such as Bikas created intangible assets that must be supported by future cash flows.

Vaikutus: Potential impairment charges if synergies do not materialize

Julkisesti listattuja yhtiöitä, joilla on samankaltainen liiketoiminta.

Päivitetty: 24.9.2026

Cosmos Health Inc. (COSM) liikevaihto, tulos ja tunnusluvut 2025 – Clarifo