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Side-by-side financial comparison of Cosmos Health Inc. (COSM) and OptimizeRx Corp (OPRX). Click either name above to swap in a different company.

OptimizeRx Corp is the larger business by last-quarter revenue ($32.2M vs $19.7M, roughly 1.6× Cosmos Health Inc.). OptimizeRx Corp runs the higher net margin — 15.6% vs -51.5%, a 67.1% gap on every dollar of revenue. On growth, Cosmos Health Inc. posted the faster year-over-year revenue change (38.5% vs -0.2%). OptimizeRx Corp produced more free cash flow last quarter ($7.1M vs $-4.6M). Over the past eight quarters, OptimizeRx Corp's revenue compounded faster (28.0% CAGR vs 16.2%).

AgniKul Cosmos Private Limited is a private Indian aerospace manufacturer and commercial launch service provider based in National Centre for Combustion Research and Development (NCCRD) of IIT Madras, Chennai. The start up aims to develop and launch its own small-lift launch vehicle such as the Agnibaan, capable of placing 100 kg (220 lb) payload into a 700 km (430 mi) orbit.

OptimizeRx Corp is a U.S.-headquartered digital health technology company that delivers patient engagement, medication affordability and clinical communication solutions to life sciences enterprises, healthcare providers and pharmacy partners. Its core offerings include digital medication savings tools, patient support programs, and therapeutic area-specific resources to boost medication access and treatment adherence.

COSM vs OPRX — Head-to-Head

Bigger by revenue
OPRX
OPRX
1.6× larger
OPRX
$32.2M
$19.7M
COSM
Growing faster (revenue YoY)
COSM
COSM
+38.8% gap
COSM
38.5%
-0.2%
OPRX
Higher net margin
OPRX
OPRX
67.1% more per $
OPRX
15.6%
-51.5%
COSM
More free cash flow
OPRX
OPRX
$11.7M more FCF
OPRX
$7.1M
$-4.6M
COSM
Faster 2-yr revenue CAGR
OPRX
OPRX
Annualised
OPRX
28.0%
16.2%
COSM

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
COSM
COSM
OPRX
OPRX
Revenue
$19.7M
$32.2M
Net Profit
$-10.1M
$5.0M
Gross Margin
10.6%
74.8%
Operating Margin
-57.9%
26.6%
Net Margin
-51.5%
15.6%
Revenue YoY
38.5%
-0.2%
Net Profit YoY
-203.0%
6535.9%
EPS (diluted)
$-0.33
$0.27

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
COSM
COSM
OPRX
OPRX
Q4 25
$19.7M
$32.2M
Q3 25
$17.1M
$26.1M
Q2 25
$14.7M
$29.2M
Q1 25
$13.7M
$21.9M
Q4 24
$14.2M
$32.3M
Q3 24
$12.4M
$21.3M
Q2 24
$13.2M
$18.8M
Q1 24
$14.6M
$19.7M
Net Profit
COSM
COSM
OPRX
OPRX
Q4 25
$-10.1M
$5.0M
Q3 25
$-5.4M
$779.0K
Q2 25
$-2.8M
$1.5M
Q1 25
$-818.1K
$-2.2M
Q4 24
$-3.3M
$-78.0K
Q3 24
$-8.4M
$-9.1M
Q2 24
$-2.6M
$-4.0M
Q1 24
$-1.9M
$-6.9M
Gross Margin
COSM
COSM
OPRX
OPRX
Q4 25
10.6%
74.8%
Q3 25
15.2%
67.2%
Q2 25
7.9%
63.8%
Q1 25
14.9%
60.9%
Q4 24
7.1%
68.1%
Q3 24
9.7%
63.1%
Q2 24
5.8%
62.2%
Q1 24
9.1%
62.0%
Operating Margin
COSM
COSM
OPRX
OPRX
Q4 25
-57.9%
26.6%
Q3 25
-10.6%
7.9%
Q2 25
-17.9%
10.9%
Q1 25
-6.1%
-9.6%
Q4 24
-63.0%
11.2%
Q3 24
-18.0%
-40.2%
Q2 24
-18.9%
-19.9%
Q1 24
-12.6%
-25.5%
Net Margin
COSM
COSM
OPRX
OPRX
Q4 25
-51.5%
15.6%
Q3 25
-31.3%
3.0%
Q2 25
-19.2%
5.2%
Q1 25
-6.0%
-10.0%
Q4 24
-23.5%
-0.2%
Q3 24
-67.5%
-42.8%
Q2 24
-19.6%
-21.3%
Q1 24
-12.8%
-35.0%
EPS (diluted)
COSM
COSM
OPRX
OPRX
Q4 25
$-0.33
$0.27
Q3 25
$-0.17
$0.04
Q2 25
$-0.10
$0.08
Q1 25
$-0.03
$-0.12
Q4 24
$-0.46
$0.00
Q3 24
$-0.45
$-0.50
Q2 24
$-0.15
$-0.22
Q1 24
$-0.11
$-0.38

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
COSM
COSM
OPRX
OPRX
Cash + ST InvestmentsLiquidity on hand
$761.8K
$23.4M
Total DebtLower is stronger
$3.8M
$26.3M
Stockholders' EquityBook value
$18.4M
$128.3M
Total Assets
$65.5M
$176.9M
Debt / EquityLower = less leverage
0.20×
0.20×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
COSM
COSM
OPRX
OPRX
Q4 25
$761.8K
$23.4M
Q3 25
$922.6K
$19.5M
Q2 25
$30.3K
$16.6M
Q1 25
$25.3K
$16.6M
Q4 24
$336.3K
$13.4M
Q3 24
$22.8K
$16.1M
Q2 24
$21.5K
Q1 24
$21.3K
Total Debt
COSM
COSM
OPRX
OPRX
Q4 25
$3.8M
$26.3M
Q3 25
$5.4M
$28.8M
Q2 25
$5.2M
$29.3M
Q1 25
$4.9M
$33.8M
Q4 24
$4.1M
$34.3M
Q3 24
$4.3M
$36.8M
Q2 24
$3.9M
$37.3M
Q1 24
$4.1M
$37.8M
Stockholders' Equity
COSM
COSM
OPRX
OPRX
Q4 25
$18.4M
$128.3M
Q3 25
$23.1M
$122.3M
Q2 25
$26.2M
$119.3M
Q1 25
$26.0M
$116.3M
Q4 24
$24.5M
$117.0M
Q3 24
$35.0M
$114.5M
Q2 24
$32.1M
$121.0M
Q1 24
$34.5M
$122.5M
Total Assets
COSM
COSM
OPRX
OPRX
Q4 25
$65.5M
$176.9M
Q3 25
$69.5M
$170.3M
Q2 25
$61.8M
$169.3M
Q1 25
$57.2M
$167.8M
Q4 24
$54.3M
$171.2M
Q3 24
$64.5M
$165.2M
Q2 24
$60.8M
$172.9M
Q1 24
$62.3M
$176.4M
Debt / Equity
COSM
COSM
OPRX
OPRX
Q4 25
0.20×
0.20×
Q3 25
0.23×
0.24×
Q2 25
0.20×
0.25×
Q1 25
0.19×
0.29×
Q4 24
0.17×
0.29×
Q3 24
0.12×
0.32×
Q2 24
0.12×
0.31×
Q1 24
0.12×
0.31×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
COSM
COSM
OPRX
OPRX
Operating Cash FlowLast quarter
$-4.6M
$7.1M
Free Cash FlowOCF − Capex
$-4.6M
$7.1M
FCF MarginFCF / Revenue
-23.4%
22.0%
Capex IntensityCapex / Revenue
0.0%
0.0%
Cash ConversionOCF / Net Profit
1.41×
TTM Free Cash FlowTrailing 4 quarters
$-8.5M
$18.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
COSM
COSM
OPRX
OPRX
Q4 25
$-4.6M
$7.1M
Q3 25
$-2.5M
$3.2M
Q2 25
$-1.2M
$4.6M
Q1 25
$-186.3K
$3.9M
Q4 24
$-3.8M
$198.0K
Q3 24
$739.8K
$1.8M
Q2 24
$-1.2M
$782.0K
Q1 24
$-3.4M
$2.1M
Free Cash Flow
COSM
COSM
OPRX
OPRX
Q4 25
$-4.6M
$7.1M
Q3 25
$-2.5M
$3.2M
Q2 25
$-1.2M
$4.6M
Q1 25
$-198.8K
$3.8M
Q4 24
$-3.9M
$181.0K
Q3 24
$511.0K
$1.8M
Q2 24
$-1.2M
$737.0K
Q1 24
$-3.5M
$2.1M
FCF Margin
COSM
COSM
OPRX
OPRX
Q4 25
-23.4%
22.0%
Q3 25
-14.4%
12.2%
Q2 25
-8.4%
15.6%
Q1 25
-1.5%
17.5%
Q4 24
-27.5%
0.6%
Q3 24
4.1%
8.3%
Q2 24
-9.4%
3.9%
Q1 24
-24.0%
10.6%
Capex Intensity
COSM
COSM
OPRX
OPRX
Q4 25
0.0%
0.0%
Q3 25
0.1%
0.0%
Q2 25
0.2%
0.0%
Q1 25
0.1%
0.1%
Q4 24
0.5%
0.1%
Q3 24
1.8%
0.1%
Q2 24
0.3%
0.2%
Q1 24
0.6%
0.2%
Cash Conversion
COSM
COSM
OPRX
OPRX
Q4 25
1.41×
Q3 25
4.11×
Q2 25
2.98×
Q1 25
Q4 24
Q3 24
Q2 24
Q1 24

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

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