Cosmos Health CEO Greg Siokas wrote to shareholders that preliminary nine-month 2026 revenue was about $54.3 million, up 19%, and the company reaffirmed full-year revenue above $90 million, up about 38%. Fourth-quarter revenue is expected to be about $35.7 million or more, up roughly 81% from the same quarter of 2025, driven by pharmaceutical contract manufacturing and distribution, proprietary brands and U.S. e-commerce. U.S. e-commerce had 8,940 active subscriptions as of October 19, 2026, up 42% in five days, and is expected to generate about $15 million in fourth-quarter revenue. The company also repurchased more than 5.1 million shares for about $1.1 million and set 2029 targets of $200.6 million in revenue and $44.2 million in adjusted EBITDA, with the goal of becoming self-funding by 2027.
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