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EV-to-OCF is calculated as enterprise value divided by its cash flow from operations. As of today, Cosmos Health's Enterprise Value is $31.45 Mil.
Cosmos Health's Cash Flow from Operations for the trailing twelve months (TTM) ended in Mar. 2026 was $-9.33 Mil. Therefore, Cosmos Health's EV-to-OCF for today is -3.37.
The historical rank and industry rank for Cosmos Health's EV-to-OCF or its related term are showing as below:
COSM'
s EV-to-OCF Range Over the Past 10 Years
Min: -376.66 Med: -8.83 Max: -0.79
Current: -3.37
During the past 13 years, the highest EV-to-OCF of Cosmos Health was -0.79. The lowest was -376.66. And the median was -8.83.
COSM's EV-to-OCF is ranked better than 75% of 116
companies
in the Medical Distribution industry
Industry Median: 8.505
vs COSM: -3.37
EV-to-OCF is a valuation multiple that allows analysts and investors to compare stocks, preferably in the same sector or industry. This important multiple is often used in conjunction with, or as an alternative to, the PE Ratio (TTM) to determine the fair market value of a company.
EV-to-OCF is a valuation multiple that allows analysts and investors to compare stocks, preferably in the same sector or industry. This important multiple is often used in conjunction with, or as an alternative to, the PE Ratio (TTM) to determine the fair market value of a company.
Cosmos Health's PE Ratio (TTM) for today is calculated as:
Cosmos Health's share price for today is $0.2348.
Cosmos Health's Earnings per Share (Diluted) for the trailing twelve months (TTM) ended in Mar. 2026 adds up the quarterly data reported by the company within the most recent 12 months, which was $-0.640.
* 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.
Enterprise Value is used because it is a more complete measure in reflecting how much an investor pays when buying a company. Cash Flow from Operations is an important financial metric because it represents the cash generated from operating activities at a company's disposal. Companies with a low EV-to-OCF ratio, combined with a strong balance sheet are generally considered as undervalued.
Cosmos Health EV-to-OCF Related Terms
Cosmos Health EV-to-OCF Historical Data
* Premium members only.
The historical data trend for Cosmos Health's EV-to-OCF 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.
For the Medical Distribution subindustry, Cosmos Health's EV-to-OCF, along with its competitors' market caps and EV-to-OCF 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 EV-to-OCF vs Medical Distribution Industry
For the Medical Distribution industry and Healthcare sector, Cosmos Health's EV-to-OCF distribution charts can be found below:
* The bar in red indicates where Cosmos Health's EV-to-OCF falls into.
Cosmos Health's current Enterprise Value is $31.45 Mil.
Cosmos Health's Cash Flow from Operations for the trailing twelve months (TTM) ended in Mar. 2026 adds up the quarterly data reported by the company within the most recent 12 months, which was $-9.33 Mil.
* 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.
Cosmos Health (COSM) has a EV-to-OCF of -3.37 as of Jul. 19, 2026. According to the industry distribution chart, Cosmos Health ranks #29 out of 116 companies in the Medical Distribution industry, placing it in the top 25%.
Is Cosmos Health's EV-to-OCF too high?
Cosmos Health's current EV-to-OCF is -3.37. Based on the distribution chart, Cosmos Health ranks #29 out of 116 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 Possible Value Trap, reflecting its overall financial health beyond just this single metric.
How does Cosmos Health's EV-to-OCF compare to HKPD and SNYR?
According to the Medical Distribution industry distribution chart, Cosmos Health ranks #29 out of 116 companies for EV-to-OCF. This places Cosmos Health in the top 25% of its industry — outperforming the majority of peers. The industry median EV-to-OCF is 8.51. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good EV-to-OCF for a Medical Distribution company?
The median EV-to-OCF among Medical Distribution companies is 8.51, based on 116 companies in the industry. Companies in the top quartile (top 25%) have a EV-to-OCF significantly above this median, while those in the bottom quartile fall well below. However, EV-to-OCF 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 EV-to-OCF mean?
A high EV-to-OCF can signal that a stock is expensive relative to its fundamentals. For the Medical Distribution industry, the median EV-to-OCF is 8.51 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Cosmos Health's current EV-to-OCF is -3.37. 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 Possible Value Trap. The stock's GF Value™ is $0.36, compared to a current price of $0.23 — trading 34.8% below its estimated fair value. The current EV-to-OCF is -3.37. 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 EV-to-OCF calculated?
EV-to-OCF is calculated from a company's financial statements. For Cosmos Health (COSM), the current EV-to-OCF is -3.37 as of Jul. 19, 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 $0.23 is trading 34.8% below its estimated GF Value™ of $0.36.
GuruFocus considers Cosmos Health to be Possible Value Trap.
Key valuation signals for COSM:
EV-to-OCF: -3.37
GF Value™: $0.36 vs. price of $0.23 (34.8% 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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