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Cardinal Health vs Cosmos Health: revenue, profit, margins and growth compared

Cardinal Health brought in $254.2B of revenue in fiscal 2026, Cosmos Health $65.3M in fiscal 2025. Revenue changed by +14.2% at Cardinal Health and +19.9% at Cosmos Health on the year before, so Cosmos Health grew faster. Cardinal Health kept 0.7% of its revenue as net profit, Cosmos Health -29.3%. Free cash flow was $4.5B at Cardinal Health and -$8.5M at Cosmos Health.

Side by side, latest fiscal year

CAHCOSM
Fiscal year endedFY2026 (June 30, 2026)FY2025 (December 31, 2025)
Revenue$254.2B$65.3M
Revenue growth+14.2%+19.9%
Net income$1.7B-$19.1M
Net margin0.7%-29.3%
Free cash flow$4.5B-$8.5M
Free cash flow margin1.8%-13.0%
Earnings per share (diluted)$7.23-$0.63
Cash$4.9B$715.7K
Debt$8.9B$3.8M
Price to earnings30.5n/a
Market value$51.2B$21.8M
Dividend yield0.93%n/a
Rank by revenue in sector#5 of 646 · Health care#353 of 646 · Health care

Over the years

Revenue
CAH FY2019: $145.5BCAH FY2020: $152.9BCAH FY2021: $162.5BCAH FY2022: $181.3BCAH FY2023: $205BCAH FY2024: $226.8BCAH FY2025: $222.6BCAH FY2026: $254.2BCOSM FY2018: $37.1MCOSM FY2019: $39.7MCOSM FY2020: $55.4MCOSM FY2021: $56.2MCOSM FY2022: $50.3MCOSM FY2023: $53.4MCOSM FY2024: $54.4MCOSM FY2025: $65.3MFY18FY19FY20FY21FY22FY23FY24FY25FY26
CAH $254.2BCOSM $65.3M
Net income
CAH FY2019: $1.4BCAH FY2020: -$3.7BCAH FY2021: $611MCAH FY2022: -$938MCAH FY2023: $330MCAH FY2024: $852MCAH FY2025: $1.6BCAH FY2026: $1.7BCOSM FY2018: -$9.1MCOSM FY2019: -$3.3MCOSM FY2020: $820.8KCOSM FY2021: -$8MCOSM FY2022: -$13.8MCOSM FY2023: -$18.5MCOSM FY2024: -$16.2MCOSM FY2025: -$19.1MFY18FY19FY20FY21FY22FY23FY24FY25FY26
CAH $1.7BCOSM -$19.1M
Net margin
CAH FY2019: 0.9%CAH FY2020: -2.4%CAH FY2021: 0.4%CAH FY2022: -0.5%CAH FY2023: 0.2%CAH FY2024: 0.4%CAH FY2025: 0.7%CAH FY2026: 0.7%COSM FY2018: -24.4%COSM FY2019: -8.3%COSM FY2020: 1.5%COSM FY2021: -14.2%COSM FY2022: -27.5%COSM FY2023: -34.7%COSM FY2024: -29.7%COSM FY2025: -29.3%FY18FY19FY20FY21FY22FY23FY24FY25FY26
CAH 0.7%COSM -29.3%
Revenue growth
CAH FY2020: +5.1%CAH FY2021: +6.2%CAH FY2022: +11.6%CAH FY2023: +13.0%CAH FY2024: +10.7%CAH FY2025: -1.9%CAH FY2026: +14.2%COSM FY2019: +7.0%COSM FY2020: +39.6%COSM FY2021: +1.5%COSM FY2022: -10.5%COSM FY2023: +6.0%COSM FY2024: +2.0%COSM FY2025: +19.9%FY19FY20FY21FY22FY23FY24FY25FY26
CAH +14.2%COSM +19.9%
Free cash flow
CAH FY2019: $2.4BCAH FY2020: $1.6BCAH FY2021: $2BCAH FY2022: $2.8BCAH FY2023: $2.4BCAH FY2024: $3.3BCAH FY2025: $1.9BCAH FY2026: $4.5BCOSM FY2018: -$2.1MCOSM FY2020: -$11.6MCOSM FY2021: -$7.7MCOSM FY2022: -$14.9MCOSM FY2023: -$16.9MCOSM FY2024: -$8.1MCOSM FY2025: -$8.5MFY18FY19FY20FY21FY22FY23FY24FY25FY26
CAH $4.5BCOSM -$8.5M

Fiscal years as each company reports them; the two may end in different months.

Questions about Cardinal Health and Cosmos Health

Which is bigger by revenue, Cardinal Health or Cosmos Health?

Cardinal Health is bigger by revenue: $254.2B in fiscal 2026, against $65.3M for Cosmos Health in fiscal 2025.

Which keeps more of its revenue as profit, Cardinal Health or Cosmos Health?

Cardinal Health had a net margin of 0.7% in fiscal 2026; Cosmos Health had -29.3% in fiscal 2025.

Which grew revenue faster, Cardinal Health or Cosmos Health?

In their latest fiscal years revenue changed by +14.2% at Cardinal Health and +19.9% at Cosmos Health.

Where do these numbers come from?

From the annual reports each company files with the SEC (10-K, or 20-F and 40-F for foreign companies), read from their XBRL data. Margins and growth are simple arithmetic on those figures. Nothing here is a recommendation.

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