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Cosmos HealthCOSM -5.76%29 Operating Cash Flow per Share is $-0.26 as of Jun. 2026. GuruFocus rates COSM with a GF Score™ of 29/100 and a GF Value™ of $0.30 (Modestly Undervalued). The stock has 6 warning signs investors should review. Among 82 Medical Distribution companies, Cosmos Health ranks better than 92.68% on this metric.
Cosmos Health's operating cash flow per share for the
three
months ended in Jun. 2026 was $-0.03.
Cosmos Health's operating cash flow per share for the trailing twelve months (TTM) ended in Jun. 2026 was $-0.26.
During the past 3 years, the average Operating Cash Flow per Share Growth Rate was 66.90% per year.
During the past 5 years, the average Operating Cash Flow per Share Growth Rate was 61.50% per year.
During the past 10 years, the average Operating Cash Flow per Share Growth Rate was 17.60% per year.
Please click Growth Rate Calculation Example (GuruFocus) to see how GuruFocus calculates Wal-Mart Stores Inc (WMT)'s revenue growth rate. You can apply the same method to get the OCF Growth Rate using Operating Cash Flow per Share data.
The historical rank and industry rank for Cosmos Health's Operating Cash Flow per Share or its related term are showing as below:
COSM'
s 3-Year OCF Growth Rate Range Over the Past 10 Years
Min: -79.6 Med: -8 Max: 66.9
Current: 66.9
During the past 13 years, Cosmos Health's highest 3-Year average Operating Cash Flow per Share Growth Rate was 66.90% per year. The lowest was -79.60% per year. And the median was -8.00% per year.
COSM's 3-Year OCF Growth Rate is ranked better than 92.68% of 82
companies
in the Medical Distribution industry
Industry Median: 9.6
vs COSM: 66.90
Cosmos Health Operating Cash Flow per Share Related Terms
Cosmos Health Operating Cash Flow per Share Historical Data
* Premium members only.
The historical data trend for Cosmos Health's Operating Cash Flow per Share can be seen below:
* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD. * For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.
COSM vs HKPD, YI, MEDS: Operating Cash Flow per Share Comparison
For the Medical Distribution subindustry, Cosmos Health's Price-to-Operating-Cash-Flow, along with its competitors' market caps and Price-to-Operating-Cash-Flow data, can be viewed below:
* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.
Cosmos Health Price-to-Operating-Cash-Flow vs Medical Distribution Industry
For the Medical Distribution industry and Healthcare sector, Cosmos Health's Price-to-Operating-Cash-Flow distribution charts can be found below:
* The bar in red indicates where Cosmos Health's Price-to-Operating-Cash-Flow falls into.
Operating Cash Flow per Share for the trailing twelve months (TTM) ended in Jun. 2026 adds up the quarterly data reported by the company within the most recent 12 months, which was $-0.26
* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD. * For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.
What does a Operating Cash Flow per Share of $-0.26 mean?
Cosmos Health (COSM) has a Operating Cash Flow per Share of $-0.26 as of Jun. 2026. Operating cash flow per share equals the per-share amount of cash flow from operations. View historical data on Cosmos Health and its competitors. According to the industry distribution chart, Cosmos Health ranks #6 out of 82 companies in the Medical Distribution industry, placing it in the top 7.3%.
Is Cosmos Health's Operating Cash Flow per Share too high?
Cosmos Health's current Operating Cash Flow per Share is $-0.26. Based on the distribution chart, Cosmos Health ranks #6 out of 82 companies in the Medical Distribution industry, which is in the top quartile — a strong position relative to peers. Overall, Cosmos Health has a GF Score™ of 29/100 and is considered Modestly Undervalued, reflecting its overall financial health beyond just this single metric.
How does Cosmos Health's Operating Cash Flow per Share compare to HKPD and YI?
According to the Medical Distribution industry distribution chart, Cosmos Health ranks #6 out of 82 companies for Operating Cash Flow per Share. This places Cosmos Health in the top 7% of its industry — outperforming the majority of peers. The industry median Operating Cash Flow per Share is 9.60. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Operating Cash Flow per Share for a Medical Distribution company?
The median Operating Cash Flow per Share among Medical Distribution companies is 9.60, based on 82 companies in the industry. Companies in the top quartile (top 25%) have a Operating Cash Flow per Share significantly above this median, while those in the bottom quartile fall well below. However, Operating Cash Flow per Share should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Operating Cash Flow per Share mean?
A high Operating Cash Flow per Share can signal that a stock is expensive relative to its fundamentals. Operating cash flow per share equals the per-share amount of cash flow from operations. View historical data on Cosmos Health and its competitors. For the Medical Distribution industry, the median Operating Cash Flow per Share is 9.60 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Cosmos Health's current Operating Cash Flow per Share is $-0.26. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Cosmos Health stock overvalued right now?
Based on GuruFocus' analysis, Cosmos Health (COSM) is currently considered Modestly Undervalued. The stock's GF Value™ is $0.30, compared to a current price of $0.26 — trading 14.7% below its estimated fair value. The current Operating Cash Flow per Share is $-0.26. Cosmos Health's overall GF Score™ is 29/100 with 6 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Operating Cash Flow per Share calculated?
Operating Cash Flow per Share is calculated from a company's financial statements. For Cosmos Health (COSM), the current Operating Cash Flow per Share is $-0.26 as of Jun. 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.
Is Cosmos Health (COSM) Overvalued in 2026?
Based on GuruFocus' analysis, Cosmos Health stock appears to be undervalued.
The current stock price of $0.26 is trading 14.7% below its estimated GF Value™ of $0.30.
GuruFocus considers Cosmos Health to be Modestly Undervalued.
Key valuation signals for COSM:
Operating Cash Flow per Share: $-0.26
GF Value™: $0.30 vs. price of $0.26 (14.7% below fair value)
No single metric tells the full story. See the COSM stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.
Cosmos Health Inc is a diversified, vertically integrated healthcare group, owner of proprietary pharmaceutical and nutraceutical brands, generics, manufacturer and distributor of healthcare products, engaged in research & development of medicines and repurposing drugs as well as operator of a telehealth platform. The company has developed its own proprietary branded nutraceutical products, named 'Sky Premium Life' and 'Mediterranation'. Its product portfolio includes generics and over-the-counter pharmaceutical products, medicines, as well as nutraceuticals and biocides. The company's Reportable segments are Wholesale, Pharma manufacturing, and Nutraceutical and pharmaceuticals, with the majority of revenue generated from the Wholesale segment.
29GF Score
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