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Cosmos Health

COSM
25
Drug Manufacturers - Specialty & Generic · Healthcare
Price
$0.22
+0.01 (+4.19%)
Market Cap
$12.1M
Exchange
NASDAQ Capital Market
Winston Score
25
Winston is worried
Below-average fundamentals — multiple weak pillars.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Weak
Growth
Good
Cash Flow
Weak
Stability
Mixed
Valuation
Data not available

Share count rising — dilution

+4510.7% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 657K (2021) → 30.3M (2025)

Winston Score History

The full picture

Cosmos Health Inc. is a specialty pharmaceutical and healthcare company that develops, manufactures, and distributes generic and branded drugs, nutraceuticals, and health products. Its brands include Sky Premium Life, a line of nutritional supplements, and it also operates a pharmaceutical distribution business serving pharmacies and healthcare providers primarily in Europe.

The company earns revenue through product sales — both direct-to-consumer supplements and wholesale drug distribution — with operations centered in Greece and the United Kingdom, plus early-stage expansion efforts in the United States. Cosmos Health is a small-cap company with a market capitalization near zero, and it currently operates at a significant loss, with negative operating and return-on-capital margins. The main risk is its heavy cash burn and reliance on continued financing to fund operations, which creates ongoing dilution risk for shareholders; meaningful profitability will depend on whether it can scale its U.S. pharmaceutical pipeline and proprietary brands fast enough to offset costs.

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+28.8% YoY

YoY Growth Rate

Revenue accelerating

EPS Growth

-1.6% YoY

YoY Growth Rate

Earnings declining

R&D Spend

$519,363/ year

Flat (-3% vs prior year)

0.8% of revenue

Below sector average (18%)

Steady R&D investment year-over-year

Insider Activity

40.3%ownership

Rising

Insiders increasing their stake — aligned with shareholders

Cash Runway

~3 months

$2M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Short runway — potential dilution ahead through share issuance

Revenue accelerating

Cosmos Health grew revenue 29% year-over-year and the growth rate is speeding up. That's the kind of momentum growth investors look for — the question is whether margins can follow.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

Every number that matters to educated investors.

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Quality

Profit per sale
Gross Margin
8.0%
Thin — 8.0% gross margin
Profit after running costs
Operating Margin
-15.4%
Losing money on operations — -15.4%
Return on the money invested
ROCE
-50.5%
Weak — -50.5% return on capital

Negative ROIC means the business is losing money on every dollar invested in it.

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Growth

Sales growth
Sales YoY
+33.8%
Fast-growing sales (+33.8% YoY)
Profit growth
EPS YoY
N/A
Data not available
How steady the profit is
EPS Consistency
5/8 quarters
Mixed — about half the quarters showed growth

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Cash Flow

Profit that turns into cash
Cash Conversion
N/A
Data not available
Spare cash per sale
FCF Margin
-15.7%
Burning cash (-15.7%)

Free cash flow is negative. They are burning cash, not generating it.

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Stability

What it owes vs what it owns
Debt / Equity
0.74
Moderate — manageable debt (0.74)
Covers its interest
Interest Cover
N/A
Data not available

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Valuation

Price vs profit
P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
Cheaper or dearer next year
P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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