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Cosmos Health Inc.

For the period ended Jun 30, 2026. Filed Aug 18, 2026.

View on SEC.gov

About this filing

A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.

Jun 30, 2026 · Filed Aug 18, 2026

COSM$0.30+5.2%Stored close · as of Nov 6, 2026

What changed in Management’s Discussion and Analysis?

Read the current filing

Previous report: 10-Q

Period ended 2026-03-31; filed 2026-05-20.

0001477932-26-003357

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Current report: 10-Q

Period ended 2026-06-30; filed 2026-08-18.

0001477932-26-005146

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

The baseline is this issuer’s latest earlier reporting period of the same form that was filed before the current report. A previous 10-Q is a different quarter, not a year-over-year comparison. Amendments are excluded.

Compared 137 previous paragraphs and 141 current paragraphs.

117 unchanged; 13 reworded; 10 added; 7 removed; 0 previous and 1 current paragraphs rearranged.

Tables are not compared: 6 previous and 7 current tables excluded. Dates, whitespace, punctuation and numbering changes are ignored; changes to financial figures remain significant.

A changed paragraph is not evidence that risk increased or decreased. An unchanged paragraph does not establish that risk stayed the same.

Added paragraphs (10)

Current report

For the six months ended June 30, 2026, the Company reported revenue of $36,914,268 and a net loss of $8,891,945, compared to revenue of $28,458,230 and a net loss of $3,646,165 for the corresponding period in 2025.

Current report

Our other operating subsidiary, SkyPharm SA continued to expand the distribution of its proprietary nutraceutical brand, Sky Premium Life ("SPL"), in the United Arab Emirates, Cyprus, and Greece, achieving strong growth across export channels. However, its revenue growth was partially impacted by revenue reversals related to Medihelm, as discussed in Note 2, Revenue Recognition. Due to the limited collectability history with this customer, the Company recorded revenue reversals for amounts not collected during the period in accordance with the variable consideration constraint under ASC 606. As a result, reported SkyPharm revenue for the three and six months ended June 30, 2026 reflects the impact of these reversals. To provide additional transparency regarding the underlying performance of the business, the Company has included a supplemental table at the end of the revenue and gross profit analysis presenting revenue and gross profit excluding the impact of these reversals.

Current report

Net loss for the three months ended June 30, 2026 increased by approximately 115.2% (or $3,258,454) compared to the same period in 2025. For the six months ended June 30, 2026, net loss increased by approximately 143.9% (or $5,245,780) compared to the same period in 2025. The wider loss in both periods reflects several non-cash items recognized during the three months ended June 30, 2026, including a $401,413 non-cash interest expense on convertible notes, a $404,145 loss on digital assets, and a $2,384,374 charge from the change in fair value of convertible notes, partially offset by a $577,347 gain from the change in fair value of the derivative liability.

Current report

For the three months ended June 30, 2026 and 2025, the Company reported cost of goods sold ("COGS") of $17,474,714 and $13,581,888, respectively, representing an increase of $3,892,826, or approximately 28.7%. For the six months ended June 30, 2026 and 2025, COGS was $34,021,435 and $25,244,617, respectively, representing an increase of $8,776,818, or approximately 34.8%. The increase in COGS was primarily attributable to higher sales volumes across the Company's wholesale, manufacturing, and proprietary nutraceutical businesses, particularly at Cosmofarm S.A., Decahedron Ltd, and CANA S.A. The increase in COGS generally reflects the higher level of business activity during the period and changes in product mix.

Current report

For the three months ended June 30, 2026, the Company reported gross profit of $1,511,662, an increase of approximately 29.9% compared to $1,163,814 for the same period in 2025. Gross margin was approximately 8.0% for the three months ended June 30, 2026, compared to approximately 7.9% for the same period in 2025.

Current report

For the six months ended June 30, 2026, gross profit was $2,892,833, a decrease of approximately 10.0% compared to $3,213,613 for the same period in 2025. Gross margin was approximately 7.8% for the six months ended June 30, 2026, compared to approximately 11.3% for the same period in 2025. The decrease in gross profit and gross margin for the six-month period was primarily attributable to the revenue reversal recognized in connection with Medihelm, as discussed in Note 2, Revenue Recognition. Because the related cost of goods sold had previously been recognized, the revenue reversal reduced gross profit and gross margin for the period. Excluding the impact of this accounting adjustment, the Company's underlying gross profit and gross margin would have been higher, as reflected in the supplemental information below.

Current report

Supplemental Impact of Medihelm Revenue Reversal (Unaudited) - (6 Months)

Current report

For the three months ended June 30, 2026, total operating expenses were $4,437,269, an increase of $628,136 (approximately 16.5%) compared to $3,809,133 for the same period in 2025. For the six months ended June 30, 2026, total operating expenses were $8,002,619, an increase of $1,310,542 (approximately 19.6%) compared to $6,692,077 for the same period in 2025.

Current report

The translation losses during the three and six months ended June 30, 2026 primarily reflected fluctuations in foreign currency exchange rates, including changes in the relative value of the U.S. dollar against the euro, which impacted the USD-translated carrying values of the Company's European subsidiaries. The prior-year translation gains reflected the opposite impact of exchange rate movements, as changes in the euro-to-U.S. dollar exchange rate increased the USD value of the Company's foreign operations upon translation.

Current report

In summary, for the six months ended June 30, 2026, total cash and restricted cash decreased by $1,014,725, from $3,459,893 at December 31, 2025 to $2,445,168 at June 30, 2026, primarily reflecting net cash outflows from operating and investing activities, partially offset by financing inflows. Operating activities used $2,785,320 of cash, while investing activities resulted in a net outflow of $594,358, primarily due to the acquisition of digital assets, partially offset by the return of advances previously made for a property acquisition. Financing activities generated net cash inflows of $2,136,372, supported by ATM equity issuances, convertible note proceeds, and active management of the Company’s short-term debt facilities.
Removed paragraphs (7)

Previous report

Gross profit for the three months ended March 31, 2026 was $1,381,171, compared to $2,049,799 for the same period in 2025, representing a decline of approximately 32.6% despite the 30.7% increase in revenue. Gross margin compressed to approximately 7.7% from approximately 15.0% in the prior year period. This compression reflects two principal factors: first, a higher proportion of revenue was derived from Cosmofarm S.A.'s wholesale distribution business, which operates at structurally lower gross margins relative to our nutraceutical and contract manufacturing segments; and second, $375,337 of nutraceutical revenue attributable to sales to Medihelm S.A. — a customer with a significant historical allowance — was reversed during the period, as the Company recognizes revenue from this customer only to the extent that cash is actually received.

Previous report

The net loss increased $1,987,326 (approximately 243%) for the three-month period. The wider loss reflects the gross margin compression described above, as well as newly recognized non-cash charges, including:

Previous report

partially offset by a $239,480 gain on the change in fair value of convertible notes and a $231,968 gain on the change in fair value of derivative liabilities.

Previous report

For the three months ended March 31, 2026 and 2025, the Company reported cost of goods sold ("COGS") of $16,546,721 and $11,662,729, respectively — an increase of $4,883,992 (approximately 41.9%). The growth in COGS is consistent with the significant increase in revenue over the period; however, because a higher proportion of revenue was derived from Cosmofarm S.A.'s wholesale distribution business, which carries structurally lower gross margins, COGS grew at a faster rate than revenue. This dynamic, combined with the reversal of $375,337 in nutraceutical revenue related to Medihelm S.A., resulted in gross margin compression to approximately 7.7% for the three months ended March 31, 2026, compared to approximately 15.0% for the same period in 2025.

Previous report

For the three months ended March 31, 2026, gross profit was $1,381,171, compared to $2,049,799 for the same period in 2025, representing a decrease of $668,628 (approximately 32.6%). As discussed above, the decline in gross profit and the compression in gross margin to approximately 7.7% from approximately 15.0% in the prior year period reflect the shift in revenue mix toward wholesale distribution and the Medihelm S.A. revenue reversal.

Previous report

For the three months ended March 31, 2026, total operating expenses were $3,565,350, an increase of $682,406 (approximately 23.7%) compared to $2,882,944 for the same period in 2025. The increase was primarily driven by higher personnel costs consistent with the Company's operational expansion.

Previous report

In summary, for the three months ended March 31, 2026, net cash decreased by $1,300,972 with operating and investing outflows exceeding financing inflows. Total cash and restricted cash at March 31, 2026 stood at $2,158,921, compared to $3,459,893 at December 31, 2025. The restricted cash balance of $1,644,219, earmarked for crypto purchases under the August 5, 2025 convertible note agreement, represents a planned and strategic deployment of funds. The Company continues to rely on a combination of lines of credit, ATM equity issuances, and convertible note financing to sustain working capital and fund its operational and strategic requirements.
Reworded paragraphs (13)

Previous wording

For the three months ended March 31, 2026, the Company reported revenue of $17,927,892 and a net loss of $2,805,423, compared to revenue of $13,712,528 and a net loss of $818,097 for the corresponding period in 2025. Revenue for the three-month period increased 30.7% year-over-year, primarily driven by higher sales generated by our wholly owned subsidiaries SkyPharm S.A., Cosmofarm S.A. and Cana S.A. SkyPharm continued to expand distribution of its proprietary nutraceutical brand Sky Premium Life ("SPL") in the United Arab Emirates, Cyprus, and Greece, achieving strong growth across export channels. Cana, our pharmaceutical manufacturing subsidiary, further expanded contract manufacturing agreements and renewed existing relationships, resulting in a material uplift in revenue. Additionally, our wholesale subsidiary, Cosmofarm S.A., was the primary driver of revenue growth, having significantly expanded its client portfolio with approximately 75 new pharmacies during the period, reflecting consistent momentum across its growing customer base in nutraceutical and pharmaceutical distribution.

Current wording

Revenue for the three months ended June 30, 2026 increased by approximately 28.8% compared to the same period in 2025. For the six months ended June 30, 2026, revenue increased by approximately 29.7% compared to the same period in 2025, primarily driven by higher sales generated by our wholly owned subsidiaries, Decahedron Ltd, Cosmofarm S.A., and Cana S.A. Decahedron Ltd, our U.K. wholesale subsidiary, nearly doubled its revenue compared to the same period in 2025, driven by increased sales of the Company's nutraceutical and pharmaceutical products. Cana, our pharmaceutical manufacturing subsidiary, further expanded its contract manufacturing agreements and renewed existing customer relationships, resulting in a material increase in revenue. Additionally, our wholesale subsidiary, Cosmofarm S.A., was the key contributor to revenue growth, having expanded its client portfolio by adding more than 75 new pharmacies during the period, reflecting continued momentum across its growing customer base in nutraceutical and pharmaceutical distribution.

Previous wording

Total other income (expense), net, amounted to a loss of $621,244 for the three months ended March 31, 2026, compared to income of $15,048 for the three months ended March 31, 2025. The adverse movement is primarily explained by new non-cash financial items introduced during 2025, as follows:

Current wording

Total other income (expense), net, was a loss of $3,160,915 for the three months ended June 30, 2026, compared to a loss of $182,749 for the three months ended June 30, 2025. For the six months ended June 30, 2026, total other income (expense), net, was a loss of $3,782,159, compared to a loss of $167,701 for the same period in 2025. The wider loss in both periods is primarily explained by the non-cash items discussed above, as follows:

Previous wording

The overall decline in other income (expense) results primarily from the introduction of non-cash valuation and fair value remeasurement items which did not exist in the prior year period, together with higher interest expense from new financing arrangements, partially offset by the gains on fair value remeasurement of convertible notes and derivative liabilities noted above.

Current wording

The overall decline in other income (expense) results primarily from the introduction of non-cash valuation and fair value remeasurement items which did not exist in the prior year period (including the $2,384,374 charge from the change in fair value of convertible notes), together with higher interest expense, partially offset by the $577,347 gain on the change in fair value of the derivative liability noted above.

Previous wording

For the three months ended March 31, 2026, the Company recognized a foreign currency translation loss of $295,061, compared to a gain of $1,031,268 for the same period in 2025. The current period loss reflects the strengthening of the U.S. dollar relative to the euro during Q1 2026, which reduced the USD-translated carrying value of the Company's European subsidiaries. The prior year gain reflected the opposite dynamic, as the euro appreciated against the U.S. dollar during Q1 2025, increasing the USD value of European net assets upon translation.

Current wording

For the three months ended June 30, 2026, the Company recognized a foreign currency translation loss of $56,360, compared to a gain of $1,562,470 for the same period in 2025. For the six months ended June 30, 2026, the Company recognized a foreign currency translation loss of $351,421, compared to a gain of $2,593,738 for the same period in 2025.

Previous wording

Quarter-to-quarter fluctuations in translation gains and losses are driven by the timing of period-end exchange rates, the relative strength of the U.S. dollar, and the composition of foreign-currency-denominated assets and liabilities across the Group, highlighting the Company's ongoing exposure to currency translation risk.

Current wording

Period-to-period fluctuations in foreign currency translation gains and losses are driven by changes in period-end exchange rates, the relative strength of the U.S. dollar, and the composition of foreign-currency-denominated assets and liabilities across the Group, highlighting the Company's ongoing exposure to currency translation risk.

Previous wording

As of March 31, 2026, the Company held total cash and restricted cash of $2,158,921, compared to $3,459,893 at December 31, 2025, reflecting net cash outflows during the quarter primarily from operating and investing activities. Of the March 31, 2026 balance, $1,644,219 represents restricted cash specifically earmarked for the purchase of certain crypto assets in accordance with the convertible note agreement signed on August 5, 2025, with the remaining $514,702 representing unrestricted cash and cash equivalents.

Current wording

As of June 30, 2026, the Company held total cash and restricted cash of $2,445,168, compared to $3,459,893 at December 31, 2025, reflecting net cash outflows during the six-month period ended June 30, 2026, primarily from operating and investing activities. Of the June 30, 2026 balance, $644,219 represents restricted cash specifically earmarked for the purchase of certain crypto assets in accordance with the convertible note agreement signed on August 5, 2025, with the remaining $1,800,949 representing unrestricted cash and cash equivalents.

Previous wording

Cash flows used in operating activities amounted to $1,067,066 for the three months ended March 31, 2026, compared to $186,316 for the same period in 2025. The outflow was driven primarily by the consolidated net loss of $2,805,423, partially offset by non-cash adjustments including stock-based compensation of $535,786, depreciation and amortization of $346,520, non-cash financing expense of $448,697, and a loss on digital assets of $442,439, partially offset by gains on the change in fair value of convertible notes and derivative liabilities of $239,480 and $231,968, respectively. Working capital movements had a mixed impact, with reductions in accounts receivable and increases in other current liabilities providing partial offsets to the net loss, while increases in prepaid expenses and related party prepayments represented additional cash outflows.

Current wording

Cash flows used in operating activities amounted to $2,785,320 for the six months ended June 30, 2026, compared to $1,396,236 for the same period in 2025. The outflow was driven primarily by the consolidated net loss of $8,891,945, partially offset by non-cash adjustments including stock-based compensation of $1,094,644, depreciation and amortization of $694,053, non-cash financing expense of $850,110, loss from the change in fair value of convertible notes of $2,144,894 and a loss on digital assets of $846,584, partially offset by gains on the change in fair value of derivative liabilities of $809,315. Working capital movements had a mixed impact, with an increase in other current liabilities providing a partial offset to the net loss, while an increase in accounts receivable, a decrease in accounts payable and accrued expenses, and increases in related party prepayments represented additional cash outflows.

Previous wording

Investing activities during the three months ended March 31, 2026, resulted in a net cash outflow of $708,963, primarily driven by the purchase of $1,100,000 in digital assets, partially offset by the return of $399,809 in advances previously made for a property acquisition. Expenditures on property and equipment and intangible assets were minimal during the period. Net cash used in investing activities compared to $7,069 in the same period in 2025, with the variance driven almost entirely by the digital asset purchase, which had no equivalent in the prior year period.

Current wording

Investing activities during the six months ended June 30, 2026, resulted in a net cash outflow of $594,358, primarily driven by the purchase of $1,100,000 in digital assets, partially offset by the return of $599,714 in advances previously made for a property acquisition. Expenditure on property and equipment and intangible assets were minimal during the period. Net cash provided by investing activities in the same period in 2025 was $64,751, with the variance driven almost entirely by the digital asset purchase, which had no equivalent in the prior year period.

Previous wording

Financing activities generated net cash inflows of $347,627 for the three months ended March 31, 2026, compared to $560,862 for the same period in 2025. The Company actively managed its lines of credit during the period, drawing $7,972,951 and repaying $9,142,284, reflecting ongoing oversight of short-term debt facilities. Proceeds from the issuance of common stock totalling $1,832,524 were related to sales conducted pursuant to the Company's at-the-market (ATM) equity program. Financing cash outflows included payments of financing fees of $54,976, repayments of notes payable of $258,640, and payments of finance lease liabilities of $1,948. No proceeds were received from convertible notes, new note payables, or related party loans during the period.

Current wording

Financing activities generated net cash inflows of $2,136,372 for the six months ended June 30, 2026, compared to $2,165,227 for the same period in 2025. The Company actively managed its lines of credit during the period, drawing $17,045,999 and repaying $17,232,393, reflecting ongoing oversight of short-term debt facilities. Proceeds from the issuance of common stock totaling $2,941,760 were related to sales conducted pursuant to the Company's at-the-market (ATM) equity program. Additionally, the Company received proceeds of $516,000 from the issuance of convertible notes entered into during April 2026. Financing cash outflows included payments of financing fees of $129,253, repayments of notes payable of $488,859, payments of finance lease liabilities of $3,885, and the repurchase of treasury stock totaling $512,997. No proceeds were received from new note payables or related party loans during the period.

Previous wording

The Company’s unaudited condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”), which contemplates the continuation of the Company as a going concern. For the three-month period ended March 31, 2026, the Company generated revenue of $17,927,892, incurred a net loss of $2,805,423, and used $1,067,067 of net cash in operating activities. As of March 31, 2026, the Company had cash and cash equivalents of $514,702 and restricted cash of $1,644,219, compared to $715,674 and $2,744,219 as of December 31, 2025. The Company also had positive working capital of $2,812,487, an accumulated deficit of $135,972,696, and stockholders’ equity of $19,826,359.

Current wording

The Company's unaudited consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America ("U.S. GAAP"), which contemplates the continuation of the Company as a going concern. For the six-month period ended June 30, 2026, the Company generated revenue of $36,914,268, incurred a net loss of $8,891,945, and used $2,785,320 of net cash in operating activities. As of June 30, 2026, the Company had cash and cash equivalents of $1,800,949 and restricted cash of $644,219, compared to $715,674 and $2,744,219 as of December 31, 2025. The Company also had positive working capital of $1,825,987, an accumulated deficit of $142,059,218, and stockholders' equity of $20,674,483.

Previous wording

From a financing perspective, during the three-month period ended March 31, 2026, the Company raised capital through its At-the-Market (“ATM”) program, generating gross proceeds of approximately $1,832,524, which enhanced its liquidity position. In addition, on August 5, 2025, the Company entered into a Securities Purchase Agreement for the issuance of up to $300 million of senior secured convertible promissory notes, with an initial $8 million closing completed on August 6, 2025, and potential additional tranches subject to certain conditions; this agreement remains in effect. The Company may also enter into new convertible financing arrangements and intends to continue and potentially expand its ATM program to support future liquidity needs. Moreover, on November 7, 2025, the Company filed a shelf Registration Statement on Form S-3 (File No. 333-286550) with the Securities and Exchange Commission to register up to $200.0 million of securities, including common stock, preferred stock, warrants, units, and subscription rights, for potential future capital raising activities. The filing also served as a replacement registration statement pursuant to Rule 415(a)(6) under the Securities Act for previously unsold securities registered under the prior Registration Statement on Form S-3 (File No. 333-267550). As of the filing date of these unaudited condensed consolidated financial statements, the registration statement has not yet been declared effective by the SEC.

Current wording

From a financing perspective, during the three-month period ended June 30, 2026, the Company raised capital through its At-the-Market (“ATM”) program, generating gross proceeds of approximately $2,941,760, which enhanced its liquidity position. In addition, on August 5, 2025, the Company entered into a Securities Purchase Agreement for the issuance of up to $300 million of senior secured convertible promissory notes, with an initial $8 million closing completed on August 6, 2025, and potential additional tranches subject to certain conditions; this agreement remains in effect. The Company may also enter into new convertible financing arrangements and intends to continue and potentially expand its ATM program to support future liquidity needs.

Previous wording

As noted above, the accompanying condensed consolidated financial statements have been prepared assuming that the Company will continue as a going concern. However, the Company’s ability to continue as a going concern is dependent upon its ability to obtain additional financing to fund its operations and meet its obligations as they become due. Considering the Company’s significant net loss and negative operating cash flows for the reporting period, management has concluded that substantial doubt exists about the Company’s ability to continue as a going concern within one year after the date that the condensed consolidated financial statements are issued.

Current wording

As noted above, the accompanying unaudited condensed consolidated financial statements have been prepared assuming that the Company will continue as a going concern. However, the Company’s ability to continue as a going concern is dependent upon its ability to obtain additional financing to fund its operations and meet its obligations as they become due. Considering the Company’s significant net loss and negative operating cash flows for the reporting period, management has concluded that substantial doubt exists about the Company’s ability to continue as a going concern within one year after the date that the condensed consolidated financial statements are issued.

Previous wording

As of March 31, 2026, we had 49,867,750 shares of our common stock issued, respectively, and 49,781,253 shares outstanding. In addition, there were 39,816,918 common shares issuable upon the conversion of our outstanding convertible notes and the exercise of our outstanding warrants.

Current wording

As of June 30, 2026, we had 83,407,714 shares of our common stock issued and 80,671,717 shares outstanding. In addition, there were 34,209,667 common shares issuable upon the conversion of our outstanding convertible notes and the exercise of our outstanding warrants.
Rearranged current paragraphs (1)

Current report — wording carried from elsewhere

For the three months ended June 30, 2026, the Company reported revenue of $18,986,376 and a net loss of $ 6,086,522, compared to revenue of $14,745,702 and a net loss of $2,828,068 for the corresponding period in 2025.