Cosmos HealthCOSM -10.91%29 Gross Margin % is 7.70% as of Mar. 2026, which is 15% below its 10-year median of 9.07. GuruFocus rates COSM with a GF Score™ of 29/100 and a GF Value™ of $0.36 (Possible Value Trap). The stock has 6 warning signs investors should review. Among 118 Medical Distribution companies, Cosmos Health ranks worse than 69.49% on this metric.
Cosmos Health Inc gross margin has been in long-term decline. The average rate of decline per year is -8.7%.
The historical rank and industry rank for Cosmos Health's Gross Margin % or its related term are showing as below:
COSM'
s Gross Margin % Range Over the Past 10 Years
Min: 6.5 Med: 9.07 Max: 14.81
Current: 10.4
During the past 13 years, the highestGross Margin % of Cosmos Health was 14.81%. The lowest was 6.50%. And the median was 9.07%.
COSM's Gross Margin % is ranked worse than 69.49% of 118
companies
in the Medical Distribution industry
Industry Median: 14.975
vs COSM: 10.40
Cosmos Health had a gross margin of 7.70% for the quarter that ended in Mar. 2026 => No sustainable competitive advantage
The 5-Year average Growth Rate of Gross Margin for Cosmos Health was -8.70% per year.
Cosmos Health (NAS:COSM) Gross Margin % Explanation
Warren Buffett believes that firms with excellent long term economics tend to have consistently higher margins.
Durable competitive advantage creates a high Gross Margin % because of the freedom to price in excess of cost. Companies can be categorized by their Gross Margin %
1. Greater than 40% = Durable competitive advantage
2. Less than 40% = Competition eroding margins
3. Less than 20% = no sustainable competitive advantage
Consistency of Gross Margin is key
Cosmos Health had a gross margin of 7.70% for the quarter that ended in Mar. 2026 => No sustainable competitive advantage
Be Aware
If a company loses its competitive advantages, usually its gross margin declines well before its sales declines. Watching Gross Margin % and Operating Margin % closely helps avoid value trap situations.
Cosmos Health Gross Margin % Related Terms
Cosmos Health Gross Margin % Historical Data
* Premium members only.
The historical data trend for Cosmos Health's Gross Margin % 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, VNOV, SNYR: Gross Margin % Comparison
For the Medical Distribution subindustry, Cosmos Health's Gross Margin %, along with its competitors' market caps and Gross Margin % 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 Gross Margin % vs Medical Distribution Industry
For the Medical Distribution industry and Healthcare sector, Cosmos Health's Gross Margin % distribution charts can be found below:
* The bar in red indicates where Cosmos Health's Gross Margin % falls into.
* 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.
A positive Gross Profit is only the first step for a company to make a net profit. The gross profit needs to be big enough to also cover related labor, equipment, rental, marketing/advertising, research and development and a lot of other costs in selling the products.
Cosmos Health (COSM) has a Gross Margin % of 7.70% as of Mar. 2026. Gross margin is the ratio of total gross profit to net sales. View historical data on Cosmos Health and its competitors. This is 15% below median its historical median of 9.07. Over the past decade, Cosmos Health's Gross Margin % has ranged from 6.50 to 14.81. According to the industry distribution chart, Cosmos Health ranks #82 out of 118 companies in the Medical Distribution industry, placing it in the top 69.5%.
Is Cosmos Health's Gross Margin % too high?
Cosmos Health's current Gross Margin % of 7.70% is 15% below median its 10-year median of 9.07. Over the past 10 years, this metric has ranged from a low of 6.50 to a high of 14.81. The Medical Distribution industry median Gross Margin % is 14.98. Cosmos Health's value of 7.70% is 48.6% below this industry median. Based on the distribution chart, Cosmos Health ranks #82 out of 118 companies in the Medical Distribution industry, which is below the industry midpoint. 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 Gross Margin % compare to HKPD and VNOV?
According to the Medical Distribution industry distribution chart, Cosmos Health ranks #82 out of 118 companies for Gross Margin %. This places Cosmos Health in the lower half of its industry. The industry median Gross Margin % is 14.98. Cosmos Health's value of 7.70% is 48.6% below this benchmark. Historically, Cosmos Health's own Gross Margin % has ranged from 6.50 to 14.81 over the past decade. While the company's 10-year median is 9.07 vs. the industry median of 14.98, Cosmos Health has consistently been below the industry average. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Gross Margin % for a Medical Distribution company?
The median Gross Margin % among Medical Distribution companies is 14.98, based on 118 companies in the industry. Companies in the top quartile (top 25%) have a Gross Margin % significantly above this median, while those in the bottom quartile fall well below. However, Gross Margin % should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Cosmos Health's current Gross Margin % of 7.70% is 48.6% below the industry median. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Gross Margin % mean?
A high Gross Margin % can signal that a stock is expensive relative to its fundamentals. Gross margin is the ratio of total gross profit to net sales. View historical data on Cosmos Health and its competitors. For the Medical Distribution industry, the median Gross Margin % is 14.98 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Cosmos Health's current Gross Margin % is 7.70%, which is 15% below median its own 10-year median of 9.07. 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 $0.19 — trading 48.5% below its estimated fair value. The current Gross Margin % is 7.70%, which is 15% below median its 10-year median of 9.07 and 48.6% below the Medical Distribution industry median of 14.98. 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 Gross Margin % calculated?
Gross Margin % is calculated from a company's financial statements. For Cosmos Health (COSM), the current Gross Margin % is 7.70% as of Mar. 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 $0.19 is trading 48.5% below its estimated GF Value™ of $0.36.
GuruFocus considers Cosmos Health to be Possible Value Trap.
Key valuation signals for COSM:
Gross Margin %: 7.70% (15% below median its 10-year median of 9.07)
GF Value™: $0.36 vs. price of $0.19 (48.5% below fair value)
Industry Position: 48.6% below the Medical Distribution median (#82 of 118)
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.
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