Cosmos Health Inc.

COSM.US · Healthcare · Medical Distribution · USD · Fundamentals
Asset-light

Physical assets are 26.8% of total assets, a light footprint. Capex is 0.04x depreciation and free cash flow yield is weak, which fits a cash drain on aging assets. EBITDA after capex covers debt service by -0.94x, which is below 1.

Fixed-asset turnover is 5.54x. Compare it with other names in the same basket.

Physical asset ratio
26.8%Physical asset ratio · 2025-12-31(Net PP&E + inventory) / total assetsNet PP&E$11.78MpropertyPlantAndEquipmentNetInventory$5.78MinventoryTotal assets$65.48MtotalAssetsResult 26.8%
Net PP&E plus inventory, divided by total assets. Above 50% is a heavy footprint.
Fixed asset turnover
5.54xFixed asset turnover · 2025-12-31Revenue / net PP&ERevenue$65.27MtotalRevenueNet PP&E$11.78MpropertyPlantAndEquipmentNetResult 5.54x
Revenue per dollar of the physical asset base.
Capex / D&A
0.04xCapex / D&A · 2025-12-31Capital expenditures / depreciation and amortizationCapex$55.68KcapitalExpendituresD&A$1.37MdepreciationAndAmortizationResult 0.04x
Above 1.0x means the physical base is being replaced or expanded.
Tangible book / share
$0.36Tangible book / share · 2025-12-31(Total assets − goodwill − intangibles − liabilities) / sharesTotal assets$65.48MtotalAssetsGoodwill$49.70KgoodWillIntangibles$7.52MintangibleAssetsLiabilities$47.05MtotalLiabTangible book$10.85MShares30,289,072commonStockSharesOutstandingResult $0.36
Assets minus goodwill, intangibles, and liabilities, per share.
Price / tangible book
0.77xPrice / tangible bookPrice / tangible book per sharePrice$0.28Latest quoteTangible book / share$0.362025-12-31Result 0.77x
Price $0.28.
Fixed-charge coverage
-0.94xFixed-charge coverage · 2025-12-31(EBITDA − capex) / (interest + short-term debt)EBITDA-$15.15MebitdaCapex$55.68KcapitalExpendituresInterest$2.62MinterestExpenseShort-term debt$13.52MshortLongTermDebtEBITDA − capex-$15.21MPrincipal due is the current portion of debt.Result -0.94x
EBITDA minus capex, divided by interest plus short-term debt.
FCF yield
-33.9%Free cash flow yield · 2025-12-31Latest free cash flow / current market capFree cash flow-$8.50MfreeCashFlowMarket cap$25.06MMarketCapitalizationResult -33.9%
Latest free cash flow divided by current market cap ($25.06M).
ROIC
—ROIC · 2025-12-31Operating income × (1 − tax rate) / (equity + debt − cash)Operating income-$16.54MoperatingIncomeTax expense$0.00taxProvisionPretax income-$19.14MincomeBeforeTaxTax rate—Equity$18.42MtotalStockholderEquityDebt$19.97MshortLongTermDebtTotalCash$761.83KcashAndShortTermInvestmentsInvested capital$37.63MROIC needs a positive pretax income so an effective tax rate can be calculated.Result —
After-tax operating income over equity plus debt minus cash. Operating income / net PP&E is -1.40x.

Footprint and return

Turnover and reinvestment

Year Physical FAT Capex/D&A TBV/sh Coverage FCF ROIC EBIT/PP&E
2018 22.4%Physical asset ratio · 2018-12-31(Net PP&E + inventory) / total assetsNet PP&E$1.43MpropertyPlantEquipmentInventory$3.20MinventoryTotal assets$20.69MtotalAssetsResult 22.4% 26.01xFixed asset turnover · 2018-12-31Revenue / net PP&ERevenue$37.08MtotalRevenueNet PP&E$1.43MpropertyPlantEquipmentResult 26.01x 11.46xCapex / D&A · 2018-12-31Capital expenditures / depreciation and amortizationCapex$503.36KcapitalExpendituresD&A$43.93KdepreciationAndAmortizationResult 11.46x -$6.79Tangible book / share · 2018-12-31(Total assets − goodwill − intangibles − liabilities) / sharesTotal assets$20.69MtotalAssetsGoodwill$49.70KgoodWillIntangibles$247.07KintangibleAssetsLiabilities$24.01MtotalLiabTangible book-$3.61MShares532,264commonStockSharesOutstandingResult -$6.79 -0.12xFixed-charge coverage · 2018-12-31(EBITDA − capex) / (interest + short-term debt)EBITDA-$2.19MebitdaCapex$503.36KcapitalExpendituresInterest$6.81MinterestExpenseShort-term debt$15.02MshortTermDebtEBITDA − capex-$2.70MPrincipal due is short-term debt.Result -0.12x -$2.06MFree cash flow · 2018-12-31Reported free cash flowOperating cash flow-$1.56MtotalCashFromOperatingActivitiesCapex$503.36KcapitalExpendituresFree cash flow-$2.06MfreeCashFlowFree cash flow is the amount reported on the cash-flow statement.Result -$2.06M —ROIC · 2018-12-31Operating income × (1 − tax rate) / (equity + debt − cash)Operating income-$1.23MoperatingIncomeTax expense$17.33KincomeTaxExpensePretax income-$9.04MincomeBeforeTaxTax rate—Equity-$3.32MtotalStockholderEquityDebt$16.58MshortLongTermDebtTotalCash$3.58McashAndShortTermInvestmentsInvested capital$9.68MROIC needs a positive pretax income so an effective tax rate can be calculated.Result — -0.86xEBIT / PP&E · 2018-12-31Operating income / net PP&EOperating income-$1.23MoperatingIncomeNet PP&E$1.43MpropertyPlantEquipmentResult -0.86x
2019 21.8%Physical asset ratio · 2019-12-31(Net PP&E + inventory) / total assetsNet PP&E$1.73MpropertyPlantEquipmentInventory$3.47MinventoryTotal assets$23.88MtotalAssetsResult 21.8% 22.87xFixed asset turnover · 2019-12-31Revenue / net PP&ERevenue$39.68MtotalRevenueNet PP&E$1.73MpropertyPlantEquipmentResult 22.87x 1.70xCapex / D&A · 2019-12-31Capital expenditures / depreciation and amortizationCapex$672.79KcapitalExpendituresD&A$394.63KdepreciationAndAmortizationResult 1.70x -$12.67Tangible book / share · 2019-12-31(Total assets − goodwill − intangibles − liabilities) / sharesTotal assets$23.88MtotalAssetsGoodwill$49.70KgoodWillIntangibles$213.98KintangibleAssetsLiabilities$30.34MtotalLiabTangible book-$6.72MShares530,943commonStockSharesOutstandingResult -$12.67 -0.08xFixed-charge coverage · 2019-12-31(EBITDA − capex) / (interest + short-term debt)EBITDA-$988.59KebitdaCapex$672.79KcapitalExpendituresInterest$1.73MinterestExpenseShort-term debt$18.65MshortLongTermDebtEBITDA − capex-$1.66MPrincipal due is the current portion of debt.Result -0.08x -$5.46MFree cash flow · 2019-12-31Reported free cash flowOperating cash flow-$4.79MtotalCashFromOperatingActivitiesCapex$672.79KcapitalExpendituresFree cash flow-$5.46MfreeCashFlowFree cash flow is the amount reported on the cash-flow statement.Result -$5.46M —ROIC · 2019-12-31Operating income × (1 − tax rate) / (equity + debt − cash)Operating income-$255.81KoperatingIncomeTax expense$182.82KincomeTaxExpensePretax income-$3.12MincomeBeforeTaxTax rate—Equity-$6.46MtotalStockholderEquityDebt$19.29MshortLongTermDebtTotalCash$277.48KcashAndShortTermInvestmentsInvested capital$12.55MROIC needs a positive pretax income so an effective tax rate can be calculated.Result — -0.15xEBIT / PP&E · 2019-12-31Operating income / net PP&EOperating income-$255.81KoperatingIncomeNet PP&E$1.73MpropertyPlantEquipmentResult -0.15x
2020 11.5%Physical asset ratio · 2020-12-31(Net PP&E + inventory) / total assetsNet PP&E$1.76MpropertyPlantEquipmentInventory$3.29MinventoryTotal assets$43.84MtotalAssetsResult 11.5% 31.53xFixed asset turnover · 2020-12-31Revenue / net PP&ERevenue$55.41MtotalRevenueNet PP&E$1.76MpropertyPlantEquipmentResult 31.53x 0.30xCapex / D&A · 2020-12-31Capital expenditures / depreciation and amortizationCapex$117.74KcapitalExpendituresD&A$397.60KdepreciationAndAmortizationResult 0.30x -$8.25Tangible book / share · 2020-12-31(Total assets − goodwill − intangibles − liabilities) / sharesTotal assets$43.84MtotalAssetsGoodwill$49.70KgoodWillIntangibles$180.81KintangibleAssetsLiabilities$48.01MtotalLiabTangible book-$4.39MShares532,311commonStockSharesOutstandingResult -$8.25 0.19xFixed-charge coverage · 2020-12-31(EBITDA − capex) / (interest + short-term debt)EBITDA$4.39MebitdaCapex$117.74KcapitalExpendituresInterest$2.80MinterestExpenseShort-term debt$19.99MshortTermDebtEBITDA − capex$4.27MPrincipal due is short-term debt.Result 0.19x -$11.62MFree cash flow · 2020-12-31Reported free cash flowOperating cash flow-$11.50MtotalCashFromOperatingActivitiesCapex$117.74KcapitalExpendituresFree cash flow-$11.62MfreeCashFlowFree cash flow is the amount reported on the cash-flow statement.Result -$11.62M 6.9%ROIC · 2020-12-31Operating income × (1 − tax rate) / (equity + debt − cash)Operating income$2.71MoperatingIncomeTax expense$377.54KincomeTaxExpensePretax income$1.20MincomeBeforeTaxTax rate31.5%Equity-$4.16MtotalStockholderEquityDebt$32.04MshortLongTermDebtTotalCash$851.19KcashAndShortTermInvestmentsInvested capital$27.03MResult 6.9% 1.54xEBIT / PP&E · 2020-12-31Operating income / net PP&EOperating income$2.71MoperatingIncomeNet PP&E$1.76MpropertyPlantEquipmentResult 1.54x
2021 10.2%Physical asset ratio · 2021-12-31(Net PP&E + inventory) / total assetsNet PP&E$1.88MpropertyPlantEquipmentInventory$3.15MinventoryTotal assets$49.43MtotalAssetsResult 10.2% 29.90xFixed asset turnover · 2021-12-31Revenue / net PP&ERevenue$56.24MtotalRevenueNet PP&E$1.88MpropertyPlantEquipmentResult 29.90x 2.19xCapex / D&A · 2021-12-31Capital expenditures / depreciation and amortizationCapex$890.52KcapitalExpendituresD&A$407.13KdepreciationAndAmortizationResult 2.19x $5.92Tangible book / share · 2021-12-31(Total assets − goodwill − intangibles − liabilities) / sharesTotal assets$49.43MtotalAssetsGoodwill$49.70KgoodWillIntangibles$443.46KintangibleAssetsLiabilities$45.05MtotalLiabTangible book$3.89MShares656,933commonStockSharesOutstandingResult $5.92 -0.30xFixed-charge coverage · 2021-12-31(EBITDA − capex) / (interest + short-term debt)EBITDA-$4.13MebitdaCapex$890.52KcapitalExpendituresInterest$3.58MinterestExpenseShort-term debt$13.34MshortLongTermDebtEBITDA − capex-$5.02MPrincipal due is the current portion of debt.Result -0.30x -$7.99MFree cash flow · 2021-12-31Reported free cash flowOperating cash flow-$7.10MtotalCashFromOperatingActivitiesCapex$890.52KcapitalExpendituresFree cash flow-$7.99MfreeCashFlowFree cash flow is the amount reported on the cash-flow statement.Result -$7.99M —ROIC · 2021-12-31Operating income × (1 − tax rate) / (equity + debt − cash)Operating income-$4.53MoperatingIncomeTax expense$114.01KincomeTaxExpensePretax income-$7.85MincomeBeforeTaxTax rate—Equity$4.38MtotalStockholderEquityDebt$27.12MshortLongTermDebtTotalCash$293.18KcashAndShortTermInvestmentsInvested capital$31.21MROIC needs a positive pretax income so an effective tax rate can be calculated.Result — -2.41xEBIT / PP&E · 2021-12-31Operating income / net PP&EOperating income-$4.53MoperatingIncomeNet PP&E$1.88MpropertyPlantEquipmentResult -2.41x
2022 9.4%Physical asset ratio · 2022-12-31(Net PP&E + inventory) / total assetsNet PP&E$2.93MpropertyPlantAndEquipmentNetInventory$3.45MinventoryTotal assets$68.04MtotalAssetsResult 9.4% 17.18xFixed asset turnover · 2022-12-31Revenue / net PP&ERevenue$50.35MtotalRevenueNet PP&E$2.93MpropertyPlantAndEquipmentNetResult 17.18x 2.03xCapex / D&A · 2022-12-31Capital expenditures / depreciation and amortizationCapex$383.07KcapitalExpendituresD&A$188.89KdepreciationAndAmortizationResult 2.03x $20.20Tangible book / share · 2022-12-31(Total assets − goodwill − intangibles − liabilities) / sharesTotal assets$68.04MtotalAssetsGoodwill$49.70KgoodWillIntangibles$657.22KintangibleAssetsLiabilities$28.38MtotalLiabTangible book$38.95MShares1,928,172commonStockSharesOutstandingResult $20.20 -0.77xFixed-charge coverage · 2022-12-31(EBITDA − capex) / (interest + short-term debt)EBITDA-$8.90MebitdaCapex$383.07KcapitalExpendituresInterest$3.97MinterestExpenseShort-term debt$8.04MshortLongTermDebtEBITDA − capex-$9.28MPrincipal due is the current portion of debt.Result -0.77x -$15.25MFree cash flow · 2022-12-31Reported free cash flowOperating cash flow-$14.87MtotalCashFromOperatingActivitiesCapex$383.07KcapitalExpendituresFree cash flow-$15.25MfreeCashFlowFree cash flow is the amount reported on the cash-flow statement.Result -$15.25M —ROIC · 2022-12-31Operating income × (1 − tax rate) / (equity + debt − cash)Operating income-$7.47MoperatingIncomeTax expense$775.05KincomeTaxExpensePretax income-$13.06MincomeBeforeTaxTax rate—Equity$39.66MtotalStockholderEquityDebt$12.03MshortLongTermDebtTotalCash$20.76McashAndShortTermInvestmentsInvested capital$30.92MROIC needs a positive pretax income so an effective tax rate can be calculated.Result — -2.55xEBIT / PP&E · 2022-12-31Operating income / net PP&EOperating income-$7.47MoperatingIncomeNet PP&E$2.93MpropertyPlantAndEquipmentNetResult -2.55x
2023 27.9%Physical asset ratio · 2023-12-31(Net PP&E + inventory) / total assetsNet PP&E$13.62MpropertyPlantAndEquipmentNetInventory$4.79MinventoryTotal assets$66.01MtotalAssetsResult 27.9% 3.92xFixed asset turnover · 2023-12-31Revenue / net PP&ERevenue$53.38MtotalRevenueNet PP&E$13.62MpropertyPlantAndEquipmentNetResult 3.92x 14.92xCapex / D&A · 2023-12-31Capital expenditures / depreciation and amortizationCapex$9.17McapitalExpendituresD&A$614.38KreconciledDepreciationResult 14.92x $1.78Tangible book / share · 2023-12-31(Total assets − goodwill − intangibles − liabilities) / sharesTotal assets$66.01MtotalAssetsGoodwill$49.70KgoodWillIntangibles$7.63MintangibleAssetsLiabilities$29.97MtotalLiabTangible book$28.36MShares15,895,975commonStockSharesOutstandingResult $1.78 -2.88xFixed-charge coverage · 2023-12-31(EBITDA − capex) / (interest + short-term debt)EBITDA-$17.06MebitdaCapex$9.17McapitalExpendituresInterest$866.48KinterestExpenseShort-term debt$8.23MshortLongTermDebtEBITDA − capex-$26.23MPrincipal due is the current portion of debt.Result -2.88x -$24.80MFree cash flow · 2023-12-31Reported free cash flowOperating cash flow-$15.64MtotalCashFromOperatingActivitiesCapex$9.17McapitalExpendituresFree cash flow-$24.80MfreeCashFlowFree cash flow is the amount reported on the cash-flow statement.Result -$24.80M —ROIC · 2023-12-31Operating income × (1 − tax rate) / (equity + debt − cash)Operating income-$21.83MoperatingIncomeTax expense$0.00taxProvisionPretax income-$18.54MincomeBeforeTaxTax rate—Equity$36.04MtotalStockholderEquityDebt$11.26MlongTermDebt + shortLongTermDebtCash$3.83McashInvested capital$43.47MROIC needs a positive pretax income so an effective tax rate can be calculated.Result — -1.60xEBIT / PP&E · 2023-12-31Operating income / net PP&EOperating income-$21.83MoperatingIncomeNet PP&E$13.62MpropertyPlantAndEquipmentNetResult -1.60x
2024 27.2%Physical asset ratio · 2024-12-31(Net PP&E + inventory) / total assetsNet PP&E$10.40MpropertyPlantAndEquipmentNetInventory$4.36MinventoryTotal assets$54.31MtotalAssetsResult 27.2% 5.23xFixed asset turnover · 2024-12-31Revenue / net PP&ERevenue$54.43MtotalRevenueNet PP&E$10.40MpropertyPlantAndEquipmentNetResult 5.23x 0.33xCapex / D&A · 2024-12-31Capital expenditures / depreciation and amortizationCapex$418.08KcapitalExpendituresD&A$1.25MdepreciationAndAmortizationResult 0.33x $0.88Tangible book / share · 2024-12-31(Total assets − goodwill − intangibles − liabilities) / sharesTotal assets$54.31MtotalAssetsGoodwill$49.70KgoodWillIntangibles$7.71MintangibleAssetsLiabilities$29.78MtotalLiabTangible book$16.78MShares19,147,726commonStockSharesOutstandingResult $0.88 -1.36xFixed-charge coverage · 2024-12-31(EBITDA − capex) / (interest + short-term debt)EBITDA-$13.92MebitdaCapex$418.08KcapitalExpendituresInterest$1.01MinterestExpenseShort-term debt$9.55MshortLongTermDebtEBITDA − capex-$14.34MPrincipal due is the current portion of debt.Result -1.36x -$8.14MFree cash flow · 2024-12-31Reported free cash flowOperating cash flow-$7.72MtotalCashFromOperatingActivitiesCapex$418.08KcapitalExpendituresFree cash flow-$8.14MfreeCashFlowFree cash flow is the amount reported on the cash-flow statement.Result -$8.14M —ROIC · 2024-12-31Operating income × (1 − tax rate) / (equity + debt − cash)Operating income-$15.54MoperatingIncomeTax expense$6.20MincomeTaxExpensePretax income-$16.18MincomeBeforeTaxTax rate—Equity$24.53MtotalStockholderEquityDebt$11.82MshortLongTermDebtTotalCash$336.25KcashAndShortTermInvestmentsInvested capital$36.02MROIC needs a positive pretax income so an effective tax rate can be calculated.Result — -1.49xEBIT / PP&E · 2024-12-31Operating income / net PP&EOperating income-$15.54MoperatingIncomeNet PP&E$10.40MpropertyPlantAndEquipmentNetResult -1.49x
2025 26.8%Physical asset ratio · 2025-12-31(Net PP&E + inventory) / total assetsNet PP&E$11.78MpropertyPlantAndEquipmentNetInventory$5.78MinventoryTotal assets$65.48MtotalAssetsResult 26.8% 5.54xFixed asset turnover · 2025-12-31Revenue / net PP&ERevenue$65.27MtotalRevenueNet PP&E$11.78MpropertyPlantAndEquipmentNetResult 5.54x 0.04xCapex / D&A · 2025-12-31Capital expenditures / depreciation and amortizationCapex$55.68KcapitalExpendituresD&A$1.37MdepreciationAndAmortizationResult 0.04x $0.36Tangible book / share · 2025-12-31(Total assets − goodwill − intangibles − liabilities) / sharesTotal assets$65.48MtotalAssetsGoodwill$49.70KgoodWillIntangibles$7.52MintangibleAssetsLiabilities$47.05MtotalLiabTangible book$10.85MShares30,289,072commonStockSharesOutstandingResult $0.36 -0.94xFixed-charge coverage · 2025-12-31(EBITDA − capex) / (interest + short-term debt)EBITDA-$15.15MebitdaCapex$55.68KcapitalExpendituresInterest$2.62MinterestExpenseShort-term debt$13.52MshortLongTermDebtEBITDA − capex-$15.21MPrincipal due is the current portion of debt.Result -0.94x -$8.50MFree cash flow · 2025-12-31Reported free cash flowOperating cash flow-$8.45MtotalCashFromOperatingActivitiesCapex$55.68KcapitalExpendituresFree cash flow-$8.50MfreeCashFlowFree cash flow is the amount reported on the cash-flow statement.Result -$8.50M —ROIC · 2025-12-31Operating income × (1 − tax rate) / (equity + debt − cash)Operating income-$16.54MoperatingIncomeTax expense$0.00taxProvisionPretax income-$19.14MincomeBeforeTaxTax rate—Equity$18.42MtotalStockholderEquityDebt$19.97MshortLongTermDebtTotalCash$761.83KcashAndShortTermInvestmentsInvested capital$37.63MROIC needs a positive pretax income so an effective tax rate can be calculated.Result — -1.40xEBIT / PP&E · 2025-12-31Operating income / net PP&EOperating income-$16.54MoperatingIncomeNet PP&E$11.78MpropertyPlantAndEquipmentNetResult -1.40x
  • Receivables are larger than the physical asset base, so a finance or credit book may sit outside the physical ratio and inside the debt used for coverage.
  • Principal due is the current portion of debt.
Latest year inputs (2025)
Net PP&E: $11.78M
Inventory: $5.78M
Total assets: $65.48M
Goodwill: $49.70K
Intangibles: $7.52M
Liabilities: $47.05M
Tangible book: $10.85M
Shares: 30,289,072
Revenue: $65.27M
Capex: $55.68K
D&A: $1.37M
EBITDA: -$15.15M
Interest: $2.62M
Short-term debt: $13.52M
Free cash flow: -$8.50M
Operating income: -$16.54M
Invested capital: $37.63M
Tax rate: —