UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

FORM 10-Q

 

QUARTERLY REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the quarterly period ended March 31, 2026

 

TRANSITION REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT

 

For the transition period from __________ to __________

 

Commission file number: 000-54436

 

COSMOS HEALTH INC.

(Exact name of registrant as specified in its charter)

 

Nevada

 

27-0611758

(State or other jurisdiction of

Company or organization)

 

(I.R.S. Employer

Identification No.)

 

5 Agiou Georgiou Str, Pilea, Thessaloniki, Greece

 

55438

(Address of principal executive offices)

 

(Zip Code)

 

Registrant’s telephone number: (312) 536-3102

 

Securities registered under Section 12(b) of the Exchange Act:

 

Title of each class

 

Name of each exchange on which registered

Common Stock, par value $0.001

The Nasdaq Capital Market

 

Securities registered under Section 12(g) of the Exchange Act:

 

Title of each class

 

Name of each exchange on which registered

 

Check whether the Issuer (1) filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act during the past 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒     No ☐

 

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒     No ☐

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer

Accelerated filer

Non-accelerated Filer

Smaller reporting company

(Do not check if a smaller reporting company) 

Emerging growth company

 

If an emerging growth company, indicate by checkmark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes      No ☒

 

Applicable only to Corporate Issuers:

 

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date: 54,428,491 as of May 18, 2026.

 

 

 

TABLE OF CONTENTS

 

PART I

Item 1.

Condensed Consolidated Financial Statements (Unaudited).

3

 

Item 2.

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

45

 

Item 3.

Quantitative and Qualitative Disclosures about Market Risk.

56

 

 

 

 

 

Item 4.

Controls and Procedures.

 

56

 

 

PART II

 

Item 1.

Legal Proceedings.

58

 

Item 1A.

Risk Factors.

58

 

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

58

 

Item 3.

Defaults Upon Senior Securities.

58

Item 4.

Mine Safety Disclosures.

58

Item 5.

Other Information.

58

 

Item 6.

Exhibits.

59

 

SIGNATURES

 

60

 

 
2

Table of Contents

   

COSMOS HEALTH INC.

UNAUDITED CONDENSED CONSOLIDATED BALANCE SHEETS

 

 

 

March 31,

2026

 

 

December 31,

2025

 

 

 

 

 

 

 (Audited)

 

ASSETS

 

 

 

 

 

 

 

CURRENT ASSETS:

 

 

 

 

 

 

Cash and cash equivalents

 

$514,702

 

 

$715,674

 

Restricted cash

 

 

1,644,219

 

 

 

2,744,219

 

Accounts receivable, net

 

 

18,186,637

 

 

 

19,628,825

 

Accounts receivable - related party

 

 

2,365,955

 

 

 

2,443,975

 

Marketable securities

 

 

34,225

 

 

 

46,158

 

Inventory

 

 

5,650,458

 

 

 

5,778,142

 

Loans receivable

 

 

485,191

 

 

 

487,638

 

Loans receivable - related party

 

 

-

 

 

 

-

 

Prepaid expenses and other current assets

 

 

2,336,367

 

 

 

2,007,442

 

Prepaid expenses and other current assets - related party

 

 

5,671,568

 

 

 

4,536,183

 

 

 

 

 

 

 

 

 

 

TOTAL CURRENT ASSETS

 

 

36,889,322

 

 

 

38,388,256

 

 

 

 

 

 

 

 

 

 

Property and equipment, net

 

 

10,280,203

 

 

 

10,578,858

 

Goodwill and intangible assets, net

 

 

7,225,011

 

 

 

7,569,695

 

Digital assets

 

 

2,068,645

 

 

 

1,411,084

 

Loans receivable - long term portion

 

 

3,120,197

 

 

 

3,146,201

 

Loans receivable - related party - long term

 

 

-

 

 

 

-

 

Operating lease right-of-use asset

 

 

669,144

 

 

 

596,779

 

Financing lease right-of-use asset

 

 

2,127

 

 

 

3,831

 

Advances for building's acquisition

 

 

200,191

 

 

 

600,000

 

Other assets

 

 

1,107,911

 

 

 

1,539,774

 

Other assets - related party

 

 

806,260

 

 

 

1,643,040

 

TOTAL ASSETS

 

$62,369,011

 

 

$65,477,518

 

 

 

 

 

 

 

 

 

 

LIABILITIES AND STOCKHOLDERS' EQUITY

 

 

 

 

 

 

 

 

 

CURRENT LIABILITIES:

 

 

 

 

 

 

 

 

Accounts payable and accrued expenses

 

$13,938,594

 

 

$14,624,006

 

Accounts payable and accrued expenses - related party

 

 

878,507

 

 

 

2,002,470

 

Accrued interest

 

 

871,960

 

 

 

786,497

 

Lines of credit

 

 

7,856,208

 

 

 

9,177,684

 

Notes payable

 

 

2,111,574

 

 

 

2,191,274

 

Notes payable - related party

 

 

11,748

 

 

 

11,971

 

Convertible notes payable

 

 

646,963

 

 

 

2,137,804

 

Derivative liability - convertible note

 

 

1,060,230

 

 

 

1,292,198

 

Operating lease liability, current portion

 

 

204,588

 

 

 

222,115

 

Financing lease liability, current portion

 

 

1,907

 

 

 

3,854

 

Other current liabilities

 

 

6,494,556

 

 

 

5,821,971

 

 

 

 

 

 

 

 

 

 

TOTAL CURRENT LIABILITIES

 

 

34,076,835

 

 

 

38,271,844

 

 

 

 

 

 

 

 

 

 

Notes payable - long term portion

 

 

1,339,023

 

 

 

1,584,063

 

Convertible notes payable - long term portion

 

 

4,785,274

 

 

 

4,267,774

 

Operating lease liability, net of current portion

 

 

463,388

 

 

 

373,473

 

Other liabilities

 

 

1,878,132

 

 

 

2,555,735

 

TOTAL LIABILITIES

 

 

42,542,652

 

 

 

47,052,889

 

 

 

 

 

 

 

 

 

 

Commitments and Contingencies (see Note 14)

 

 

-

 

 

 

-

 

 

 

 

 

 

 

 

 

 

STOCKHOLDERS' EQUITY:

 

 

 

 

 

 

 

 

Common stock, $0.001 par value;1,500,000,000 shares authorized; 41,153,809 and 23,689,135 shares issued and 41,067,312 and 23,602,638 outstanding as of December 31, 2025 and December 31, 2024, respectively

 

 

49,868

 

 

 

41,154

 

Additional paid-in capital

 

 

156,629,904

 

 

 

152,136,404

 

Treasury stock, at cost, 86,497 shares as of December 31, 2025 and December 31, 2024

 

 

(917,159)

 

 

(917,159)

Accumulated deficit

 

 

(135,972,696)

 

 

(133,167,273)

Accumulated other comprehensive income/(loss)

 

 

36,442

 

 

 

331,503

 

 

 

 

 

 

 

 

 

 

TOTAL STOCKHOLDERS' EQUITY

 

 

19,826,359

 

 

 

18,424,629

 

 

 

 

 

 

 

 

 

 

TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY

 

$62,369,011

 

 

$65,477,518

 

 

The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.

 

 
3

Table of Contents

 

COSMOS HEALTH INC.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS

 

 

 

Three months ended

March 31,

 

 

 

2026

 

 

2025

 

 

 

 

 

 

 

 

REVENUE

 

17,927,892

 

 

$13,712,528

 

 

 

 

 

 

 

 

 

 

COST OF GOODS SOLD

 

 

16,546,721

 

 

 

11,662,729

 

 

 

 

 

 

 

 

 

 

GROSS PROFIT

 

 

1,381,171

 

 

 

2,049,799

 

 

 

 

 

 

 

 

 

 

OPERATING EXPENSES

 

 

 

 

 

 

 

 

General and administrative expenses

 

 

1,800,162

 

 

 

1,478,702

 

Salaries and wages

 

 

1,397,657

 

 

 

1,040,019

 

Sales and marketing expenses

 

 

19,352

 

 

 

28,155

 

Research and development costs

 

 

-

 

 

 

15,629

 

Depreciation and amortization expense

 

 

348,179

 

 

 

320,439

 

TOTAL OPERATING EXPENSES

 

 

3,565,350

 

 

 

2,882,944

 

 

 

 

 

 

 

 

 

 

LOSS FROM OPERATIONS

 

 

(2,184,179)

 

 

(833,145)

 

 

 

 

 

 

 

 

 

OTHER INCOME (EXPENSE)

 

 

 

 

 

 

 

 

Other income (expense), net

 

 

441,062

 

 

 

(68,137)

Interest expense

 

 

(423,229)

 

 

(187,107)

Interest income

 

 

46,673

 

 

 

91,326

 

Gain on equity investments, net

 

 

(11,252)

 

 

3,142

 

Non-cash interest expense

 

 

(390,350)

 

 

-

 

Change in fair value of derivative liability

 

 

231,968

 

 

 

-

 

Gain/(Loss) on digital assets

 

 

(442,439)

 

 

-

 

Change in fair value of convertible notes

 

 

239,480

 

 

 

-

 

Foreign currency transaction, net

 

 

(313,157)

 

 

175,824

 

TOTAL OTHER INCOME (EXPENSE), NET

 

 

(621,244)

 

 

15,048

 

 

 

 

 

 

 

 

 

 

LOSS BEFORE INCOME TAXES

 

 

(2,805,423)

 

 

(818,097)

 

 

 

 

 

 

 

 

 

INCOME TAX EXPENSE

 

 

-

 

 

 

-

 

 

 

 

 

 

 

 

 

 

NET LOSS

 

 

(2,805,423)

 

 

(818,097)

 

 

 

 

 

 

 

 

 

NET LOSS ATTRIBUTABLE TO COMMON STOCKHOLDERS

 

 

(2,805,423)

 

 

(818,097)

 

 

 

 

 

 

 

 

 

OTHER COMPREHENSIVE INCOME (LOSS)

 

 

 

 

 

 

 

 

Foreign currency translation adjustment, net

 

 

(295,061)

 

 

1,031,268

 

 

 

 

 

 

 

 

 

 

TOTAL COMPREHENSIVE LOSS

 

(3,100,484)

 

$213,171

 

 

 

 

 

 

 

 

 

 

BASIC NET LOSS PER SHARE

 

(0.06)

 

$(0.03)

DILUTED NET LOSS PER SHARE

 

(0.06)

 

$(0.03)

 

 

 

 

 

 

 

 

 

WEIGHTED AVERAGE NUMBER OF SHARES OUTSTANDING

 

 

 

 

 

 

 

 

Basic

 

 

47,087,621

 

 

 

26,037,608

 

Diluted

 

 

47,087,621

 

 

 

26,037,608

 

 

The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.

 

 
4

Table of Contents

 

COSMOS HEALTH INC.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Accumulated

 

 

 

 

 

 

 

 

 

 

 

 

Additional

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

Total

 

 

 

Common Stock

 

 

Paid-in

 

 

 Subscription

 

 

Treasury Stock

 

 

Accumulated

 

 

Comprehensive Income/

 

 

Stockholders'

 

 

 

No. of Shares

 

 

Value

 

 

Capital

 

 

 Receivable

 

 

No. of Shares

 

 

Value

 

 

Deficit

 

 

(Loss)

 

 

Equity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance at January 1, 2025

 

 

23,689,135

 

 

23,689

 

 

$141,583,625

 

 

$(20)

 

 

86,497

 

 

$(917,159)

 

$(114,022,275)

 

$(2,134,931)

 

$24,532,930

 

Foreign currency translation adjustment, net

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

1,031,268

 

 

 

1,031,268

 

Stock-based compensation

 

 

-

 

 

 

-

 

 

 

556,611

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

556,611

 

Shares issued pursuant to warrant exchange agreement

 

 

2,542,126

 

 

 

2,542

 

 

 

(2,542)

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

Debt exchanges

 

 

1,053,372

 

 

 

1,053

 

 

 

647,947

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

649,000

 

Net loss

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(818,097)

 

 

-

 

 

 

(818,097)

Balance at March 31, 2025

 

 

27,284,633

 

 

$27,284

 

 

$142,785,641

 

 

$(20)

 

 

86,497

 

 

$(917,159)

 

$(114,840,372)

 

$(1,103,663)

 

$25,951,712

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Accumulated

 

 

 

 

 

 

 

 

 

Additional

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

Total

 

 

 

Common Stock

 

 

Paid-in

 

 

Subscription

 

 

Treasury Stock

 

 

Accumulated

 

 

Comprehensive Income/

 

 

Stockholders'

 

 

 

No. of Shares

 

 

Value

 

 

Capital

 

 

Receivable

 

 

No. of Shares

 

 

Value

 

 

Deficit

 

 

(Loss)

 

 

Equity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance at January 1, 2026

 

 

41,153,809

 

 

$41,154

 

 

$152,136,404

 

 

$-

 

 

 

86,497

 

 

$(917,159)

 

$(133,167,273)

 

$331,503

 

 

$18,424,629

 

Foreign currency translation adjustment, net

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(295,061)

 

 

(295,061)

Stock-based compensation - consultants

 

 

-

 

 

 

-

 

 

 

80,201

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

80,201

 

Stock-based compensation - employees

 

 

-

 

 

 

-

 

 

 

455,585

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

455,585

 

Shares issued in settlement of default interest on convertible notes

 

 

159,856

 

 

 

160

 

 

 

58,188

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

58,347

 

Debt exchanges

 

 

2,145,143

 

 

 

2,145

 

 

 

977,855

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

980,000

 

Proceeds from issuance of common stock, net of issuance costs

 

 

3,985,509

 

 

 

3,986

 

 

 

1,773,562

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

1,777,548

 

Conversion of convertible debt into common stock

 

 

2,423,433

 

 

 

2,423

 

 

 

1,148,109

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

1,150,533

 

Net loss

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(2,805,423)

 

 

-

 

 

 

(2,805,423)

Balance at March 31, 2026

 

 

49,867,750

 

 

$49,868

 

 

$156,629,904

 

 

$-

 

 

 

86,497

 

 

$(917,159)

 

$(135,972,696)

 

$36,442

 

 

$19,826,359

 

 

The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.

 

 
5

Table of Contents

 

COSMOS HEALTH INC.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

 

 

 

Three Months Ended

March 31,

 

 

 

2026

 

 

2025

 

 

 

 

 

 

 

 

CASH FLOWS FROM OPERATING ACTIVITIES:

 

 

 

 

 

 

Net Loss

 

$(2,805,423)

 

$(818,097)

Adjustments to Reconcile Net Loss to Net Cash Used In Operating Activities:

 

 

 

 

 

 

 

 

Depreciation and amortization expense

 

 

346,520

 

 

 

315,836

 

Amortization of right-of-use assets

 

 

1,659

 

 

 

4,603

 

Bad debt expense

 

 

-

 

 

 

(18,687)

Change in fair value of derivative liability

 

 

(231,968)

 

 

-

 

Gain/(Loss) on crypto assets

 

 

442,439

 

 

 

-

 

Lease expense

 

 

74,117

 

 

 

63,236

 

Interest on finance leases

 

 

43

 

 

 

195

 

Stock based compensation

 

 

535,786

 

 

 

556,611

 

Deferred income taxes

 

 

(3,326)

 

 

7,392

 

Non-cash financing expense

 

 

448,697

 

 

 

-

 

Change in fair value of convertible notes

 

 

(239,480)

 

 

-

 

Gain on net change in fair value of equity investments

 

 

11,252

 

 

 

(3,142)

Interest on loan receivable

 

 

(39,671)

 

 

-

 

Revenue reversals

 

 

375,337

 

 

 

-

 

Changes in assets and liabilities:

 

 

 

 

 

 

 

 

Accounts receivable, net

 

 

755,723

 

 

 

(170,948)

Accounts receivable - related party

 

 

33,245

 

 

 

(134,483)

Inventory

 

 

21,690

 

 

 

(192,792)

Prepaid expenses and other current assets

 

 

154,709

 

 

 

92,249

 

Prepaid expenses and other current assets - related party

 

 

(426,495)

 

 

(134,754)

Accounts payable and accrued expenses

 

 

(514,942)

 

 

83,627

 

Accounts payable and accrued expenses - related party

 

 

(133,056)

 

 

(18,934)

Accrued interest

 

 

119,648

 

 

 

23,308

 

Lease liabilities

 

 

(74,118)

 

 

(63,238)

Other current liabilities

 

 

720,716

 

 

 

169,429

 

Other liabilities

 

 

(640,168)

 

 

52,272

 

NET CASH USED IN OPERATING ACTIVITIES

 

 

(1,067,066)

 

 

(186,316)

 

 

 

 

 

 

 

 

 

CASH FLOWS FROM INVESTING ACTIVITIES:

 

 

 

 

 

 

 

 

Proceeds from loan receivable

 

 

-

 

 

 

6,734

 

Return of advances for acquisition of property

 

 

399,809

 

 

 

-

 

Purchase of digital assets

 

 

(1,100,000)

 

 

-

 

Purchase of intangible assets

 

 

2,627

 

 

 

(1,273)

Purchase of property and equipment

 

 

(11,399)

 

 

(12,530)

NET CASH USED IN INVESTING ACTIVITIES

 

 

(708,963)

 

 

(7,069)

 

 

 

 

 

 

 

 

 

CASH FLOWS FROM FINANCING ACTIVITIES:

 

 

 

 

 

 

 

 

Proceeds from convertible note payable

 

 

-

 

 

 

-

 

Payment of note payable

 

 

(258,640)

 

 

(184,153)

Proceeds from note payable

 

 

-

 

 

 

737,177

 

Payment of related party loan

 

 

-

 

 

 

(6,302)

Proceeds from related party loan

 

 

-

 

 

 

-

 

Payment of lines of credit

 

 

(9,142,284)

 

 

(6,756,201)

Proceeds from lines of credit

 

 

7,972,951

 

 

 

6,775,739

 

Proceeds from the sale of common stock

 

 

1,832,524

 

 

 

-

 

Proceeds from the exercise of warrants

 

 

-

 

 

 

-

 

Payments of financing fees

 

 

(54,976)

 

 

-

 

Payments of finance lease liability

 

 

(1,948)

 

 

(5,398)

NET CASH PROVIDED BY FINANCING ACTIVITIES

 

 

347,627

 

 

 

560,862

 

 

 

 

 

 

 

 

 

 

Effect of exchange rate changes on cash

 

 

127,430

 

 

 

60,299

 

 

 

 

 

 

 

 

 

 

NET CHANGE IN CASH

 

 

(1,300,972)

 

 

427,776

 

 

 

 

 

 

 

 

 

 

CASH AND RESTRCITED CASH AT BEGINNING OF PERIOD

 

 

3,459,893

 

 

 

315,105

 

CASH AND RESTRICTED CASH AT END OF PERIOD

 

$2,158,921

 

 

$742,881

 

 

 

 

 

 

 

 

 

 

Cash and Restricted Cash Reconciliation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description

 

March 31,

2026

 

 

March 31,

2025

 

Cash

 

 

514,702

 

 

 

742,881

 

Restricted Cash

 

 

1,644,219

 

 

 

-

 

Total Cash and Restricted Cash

 

 

2,158,921

 

 

 

742,881

 

 

 

 

 

 

 

 

 

 

Supplemental Disclosure of Cash Flow Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash paid during the year:

 

 

 

 

 

 

 

 

     Interest

 

$92,340

 

 

$104,800

 

     Income tax

 

$-

 

 

$-

 

 

 

 

 

 

 

 

 

 

Supplemental Disclosure of Non-Cash Investing and Financing Activities

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Common stock issued for convertible notes payable

 

$1,124,211

 

 

$-

 

Common Stock issued in settlement of default interest on convertible notes

 

$58,347

 

 

$-

 

Debt exchanges

 

$980,000

 

 

$-

 

Common stock issued to employees

 

$455,585

 

 

$311,301

 

Common stock issued to consultants

 

$80,201

 

 

$245,310

 

 

The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.

 

 
6

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

NOTE 1 – BASIS OF PRESENTATION

 

The terms “COSM,” “we,” the “Company,” the “Group” and “us” as used in this report refer to Cosmos Health Inc. The accompanying unaudited condensed consolidated balance sheet as of March 31, 2026 and unaudited condensed consolidated statements of operations and comprehensive income (loss) for the three months ended March 31, 2026 have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 8 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by U.S. generally accepted accounting principles for complete financial statements. In the opinion of the management of COSM, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. Operating results for the three months ended March 31, 2026, are not necessarily indicative of the results that may be expected for the year ending December 31, 2026, or any other period. These unaudited condensed consolidated financial statements and notes should be read in conjunction with the financial statements for the year ended December 31, 2025, included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2025 (“Form 10-K”). The accompanying condensed consolidated balance sheet as of December 31, 2025 has been derived from the audited financial statements filed in our Form 10-K and is included for comparison purposes on the accompanying balance sheet.

 

Going Concern

 

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 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.

 

These conditions raise substantial doubt about the Company’s ability to continue as a going concern for a period of 12 months from the date of this filing. While the Company’s revenues have grown, they remain insufficient to fund operating expenses and meet debt obligations as they become due. Furthermore, the Company remains dependent on external financing sources to sustain operations and fund growth initiatives.

 

Management has evaluated these factors and its ability to meet obligations due within the next 12 months. Its plans include expanding the portfolio of brand‑name and private‑label products, launching new distribution channels, and increasing sales from recently secured agreements, such as the exclusive distribution of Sky Premium Life products in the United Arab Emirates (“UAE”). Significant purchase orders have already been received under this agreement and are expected to contribute to operating cash inflows in the near term. Moreover, the Company is planning to expand the customer base of its subsidiary, Cosmofarm S.A., which is expected to substantially increase its wholesale revenue stream. In addition, the Company’s manufacturing subsidiary, CANA S.A., which is already demonstrating improved revenue and gross profit, is planning to strengthen its existing contract manufacturing agreements and secure new ones.

 

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.

 

The proceeds from the ATM sales provide additional working capital and mitigate, to some extent, the Company’s liquidity constraints.

 

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.

 

The condensed consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty. Such adjustments could include the realization of assets and settlement of liabilities at amounts that may differ materially from those reflected in the accompanying condensed consolidated financial statements. 

 

 
7

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

NOTE 2 – ORGANIZATION AND NATURE OF BUSINESS

 

Cosmos Health Inc. and its subsidiaries (Nasdaq: COSM), (“us”, “we”, the “Group”, or the “Company”) are an international healthcare group headquartered in Thessaloniki, Greece. The Group is engaged in the nutraceuticals sector through its own proprietary lines of products “Sky Premium Life” and “Mediterranation”. The Company is operating in the pharmaceutical sector as well, through the provision of a broad line of branded generics and OTC medications. In addition, the Group is involved in the healthcare distribution sector through its subsidiaries in Greece and the UK, serving retail pharmacies and wholesale distributors. The Company is strategically focusing on the research and development (“R&D”) of novel patented nutraceuticals and specialized root extracts, as well as on the R&D of proprietary complex generics and innovative OTC products. The Company has developed a global distribution platform and is currently expanding throughout Europe, Asia, the UAE and North America. The Company has offices and distribution centers in Thessaloniki and Athens, Greece and Harlow, UK.

 

The Company was incorporated in the State of Nevada under the name Prime Estates and Developments, Inc. on July 21, 2009. On November 14, 2013, we changed our name to Cosmos Holdings Inc., and on November 29, 2022, we changed our name to Cosmos Health Inc. Through its acquisition of Amplerissimo Ltd, on September 27, 2013, the Company changed its principal activities into trading of products, providing representation, and provision of consulting services to various sectors. On August 1, 2014, the Company formed SkyPharm S.A., a Greek Company (“SkyPharm”), a subsidiary that used to focus on the trading, sourcing and export of nutraceutical and pharmaceutical products. In February 2017, the Company acquired Decahedron Ltd., a UK Company (“Decahedron”) which is a fully licensed second-generation wholesaler specializing in imports and exports of generics and OTC pharmaceutical products within the EEA (European Economic Area) and distributor of Sky Premium Life nutraceutical products in the UK. On December 19, 2018, the Company acquired Cosmofarm S.A. (“Cosmofarm”), a pharmaceutical wholesaler specializing in the distribution and export of pharmaceutical products through its extensive pharmacies network. On April 3, 2023, the Company completed the acquisition of ZipDoctor Inc. (“ZipDoctor”), a telehealth company, a direct-to-consumer subscription-based telemedicine platform. On June 30, 2023, the Company acquired Laboratories Holdings (Cyprus) Limited (“Cana”), which wholly owned an operating subsidiary, Pharmaceutical Laboratories Cana S.A. (“Cana SA”), a Greek pharmaceutical company that manufactures, sells, distributes, and markets original branded products researched and developed by leading global pharmaceutical and healthcare companies.

 

Acquisition Accounting

 

Cloudscreen

 

On January 23, 2024, the Company completed the acquisition of Cloudscreen, a cutting-edge Artificial Intelligence (AI) powered platform. The acquisition was pursuant to the purchase agreement announced on October 11, 2023. The total purchase price amounted to $637,080. The Company accounted for the acquisition as an asset acquisition in accordance with Accounting Standards Codification (“ASC”) Topic 805, Business Combinations, (“ASC 805”) and recorded $637,080 as “Other assets” related to the technology platform acquired. The total amount was reclassified to “Goodwill and intangible assets, net” in January 2024 with the closing of the agreement.

 

ZipDoctor

 

On April 3, 2023, the Company completed the acquisition of ZipDoctor Inc. (“ZipDoctor”), a telehealth company for a total sum of $150,000 in cash and $8,788 in fees. The Company accounted for the acquisition as an asset acquisition in accordance with Accounting Standards Codification (“ASC”) Topic 805, Business Combinations, (“ASC 805”) and recorded $158,788 as an intangible asset related to the technology platform acquired.

 

During the year ended December 31, 2024, the Company recognized an impairment charge of $131,032 related to the technology platform. As a result, the unamortized balance of the intangible asset was effectively written off.

 

 
8

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

Bikas

 

On June 15, 2023, Cosmos Health Inc. entered into an Assignment and Assumption Agreement (the “Agreement”) with Ioannis Bikas O.E., a Greek Company (“Bikas”). Bikas is owner of a pharmaceutical distribution network in Greece and agreed to sell to the Company their distribution network and customer base. The purchase price of the network was €100,000 ($109,330) of cash, and €300,000 ($316,081) of the Company’s stock. The Company accounted for the acquisition as an asset acquisition in accordance with ASC 805 and recorded $425,411 as an intangible asset related to the customer base acquired.

 

Real Estate Acquisitions

 

On April 24, 2023, Cosmos Health Inc. purchased a building for a total purchase price of $1,054,872 in cash. The Company accounted for the acquisition as an asset acquisition in accordance with ASC 805 Business Combinations and recorded the cost of the building within “Property, plant and equipment” on the condensed consolidated balance sheets. The building is used as the operational facilities of the Company’s subsidiary Cosmofarm S.A., which operates as a pharmaceutical wholesaler in Greece.

 

On January 6, 2023, the Company entered into an agreement to purchase land and a building located at 1570 rue Richardson, Montreal, Quebec, Canada from 4423607 Canada Inc. (the "Seller") for a total purchase price of $3,950,000. The agreement was subsequently amended on July 19, 2023, February 9, 2024, and December 31, 2024. As of December 31, 2024, the Company had made prepayments totaling $2,000,020, classified as "Advances for building acquisition" on the Company's condensed consolidated balance sheets.

 

As the parties were unable to progress toward completion of the transaction, the Company determined that recovery of the advances would occur through repayment rather than through closing of the purchase and sale. During the year ended December 31, 2025, management assessed the recoverability of these advances and recorded a provision of $1,400,020, representing the portion of the advances for which no repayment had been received as of the filing date of this Annual Report. The remaining $600,000 was not impaired as the Company received full repayment of that amount from the Seller prior to filing.

 

Subsequent to December 31, 2025, on March 17, 2026, the Seller provided a formal, signed repayment commitment letter confirming that the full outstanding balance of the advances will be repaid to the Company according to the following schedule:

 

 

·

On or before April 10, 2026: USD $600,000 – received

 

·

On or before December 31, 2026: USD $600,000

 

·

On or before March 31, 2027: Remaining outstanding balance

 

Cana

 

On June 30, 2023, the Company acquired Cana Laboratories Holding (Cyprus) Limited (“Cana”), which wholly owned an operating subsidiary, Pharmaceutical Laboratories Cana S.A. (“Cana SA”) for €800,000 ($873,600) in cash and 46,377 shares of common stock, with fair value of $138,667 as of the date of acquisition. Moreover, on February 28, 2023, the Company had signed a Secured Promissory Note with Cana, whereby Cana borrowed the sum of €4,100,000 ($4,457,520), included in the total consideration of $5,469,787. The Company accounted for the acquisition as a business acquisition in accordance with ASC 805. The fair value of Cana assets acquired, and liabilities assumed was based upon management’s estimates assisted by an independent third-party valuation firm.

 

 
9

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

During the prior year period, Cana had minimal operations as it was in financial difficulties and seeking for an investor.

 

Basis of Financial Statement Presentation

 

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with U.S. GAAP.

 

Principles of Consolidation

 

Our consolidated accounts include our accounts and the accounts of our wholly owned subsidiaries, SkyPharm S.A., Decahedron Ltd., Cosmofarm S.A., Cana Laboratories Holdings (Cyprus) Limited and ZipDoctor Inc. The Group’s financial statements are prepared in accordance with accounting principles generally accepted in the United States of America (“US GAAP”). The unaudited condensed consolidated financial statements reflect the consolidation of all entities in which the Company has control, as determined by the ability to direct the activities that significantly affect the entities’ economic performance. All significant intercompany balances and transactions have been eliminated.

 

Transactions in and Translations of Foreign Currency

 

The functional currency for the Greek subsidiaries of the Company (CANA Laboratories, Cosmofarm S.A. and SkyPharm SA) is Euro (€) and for the UK subsidiary (Decahedron Ltd) is GBP (£). ZipDoctor Inc. is a U.S. based entity. As a result, the financial statements of the subsidiaries (except for ZipDoctor Inc.) have been translated from the local currency into U.S. dollars using (i) year-end exchange rates for balance sheet accounts, and (ii) average exchange rates for the reporting period for all income statements accounts. Foreign currency translations gains and losses are reported as a separate component of the unaudited condensed consolidated statements of changes in stockholders’ equity.

 

Use of Estimates

 

The preparation of the unaudited condensed consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

 

 
10

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

Credit Losses

 

In June 2016, the FASB issued ASU 2016-13, Financial Instruments—Credit Losses (Topic 326): Measurement of Credit Losses of Financial Instruments, which amends the requirement on the measurement and recognition of expected credit losses for financial assets held. Furthermore, amendments ASU 2019-10 and ASU 2019-11 provided additional clarification for implementing ASU 2016-13. ASU 2016-13 is effective for the Company beginning January 1, 2023, with early adoption permitted. The Company adopted the standard on January 1, 2023, and the standard did not have a material impact on the Company’s condensed consolidated financial statements and related disclosures. The Company is exposed to credit losses primarily through sales to its customers and the loans that it has provided. The Company assesses each customer’s/ borrower’s ability to pay, and a credit loss estimate by conducting a credit review which includes consideration of established credit rating, or an internal assessment of the customer’s creditworthiness based on an analysis of their payment history when a credit rating is not available. The Company monitors credit exposure through active review of customer balances. In accordance with ASC 326 and the Current Expected Credit Loss (CECL) framework, the Company has elected to apply the practical expedient available for its trade receivables, which are short-term in nature and do not contain a significant financing component. The Company applies a loss-rate method for calculating expected credit losses (“ECL”) on accounts receivable, based on a combination of historical experience, industry data, and adjustments for current conditions and reasonable and supportable forecasts. Receivables are grouped into four aging buckets, with loss rates applied as follows: 1% for receivables aged 0–30 days, 2% for receivables aged 31–60 days, 3% for receivables aged 61–90 days, and 5% for receivables aged over 90 days. These loss rates are based on management’s expectations, which are further supported by external benchmarks, due to the Company’s limited history of actual write-offs. The resulting provision for expected credit losses is recognized in net income and is included in “General and administrative expenses”. Receivables that are deemed uncollectible are written off against the allowance when it is determined that they are no longer recoverable.

 

Cash and Cash Equivalents

 

For purposes of the statement of cash flows, the Company considers all highly liquid investments purchased with an original maturity of three months or less to be cash equivalents.

 

The Company maintains bank accounts in the United States denominated in U.S. Dollars, in Greece denominated in Euros, U.S. Dollars and Great Britain Pounds (British Pounds Sterling), and in Bulgaria denominated in Euros. The Company also maintains bank accounts in the United Kingdom, denominated in Euros and Great Britain Pounds (British Pounds Sterling).

 

Accounts Receivable, net

 

Accounts receivable are stated at their net realizable value. The allowance for doubtful accounts against gross accounts receivable, prepaid expenses and other current assets and other assets reflects the best estimate of probable losses inherent in the receivables’ portfolio determined on the basis of historical experience, specific allowances for known troubled accounts and other currently available information. As of March 31, 2026 and December 31, 2025, the Company’s allowance for doubtful accounts was $30,074,112 and $30,645,763, respectively. Below is the summary of changes in the allowance for doubtful accounts:

 

 

 

March 31,

2026

 

 

 

 

 

Balance as of January 1, 2026

 

$30,645,763

 

Provisions for credit losses

 

 

-

 

Write-offs

 

 

-

 

Foreign exchange adjustments

 

 

(571,652 )

Other adjustments

 

 

-

 

Balance as of March 31, 2026

 

$30,074,112

 

 

Tax Receivables

 

The Company pays Value Added Tax (“VAT”) or similar taxes (“input VAT”), income taxes, and other taxes within the normal course of its business in most of the countries in which it operates related to the procurement of merchandise and/or services it acquires and/or on sales and taxable income. The Company also collects VAT or similar taxes on behalf of the government (“output VAT”) for merchandise and/or services it sells. If the output VAT exceeds the input VAT, this creates a VAT payable to the government. If the input VAT exceeds the output VAT, this creates a VAT receivable from the government. The VAT tax return is filed on a monthly basis offsetting the payables against the receivables. In observance of EU regulations for intra-EU cross-border sales, our subsidiaries in Greece, SkyPharm and Cosmofarm, do not charge VAT for sales to wholesale drug distributors registered in other European Union member states. As of March 31, 2026 and December 31, 2025, the Company had a VAT net receivable balance of $417,359 and $453,619 respectively, recorded in the condensed consolidated balance sheet as prepaid expenses and other current assets and accounts payable and accrued expenses, respectively.

 

 
11

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

Inventory

 

Inventory is stated at the lower-of-cost or net realizable value using the weighted average method. Inventory consists primarily of finished goods and packaging materials, i.e., packaged pharmaceutical products and the wrappers and containers they are sold in. A periodic inventory system is maintained by 100% count. Inventory is replaced periodically to maintain the optimum stock on hand available for immediate shipment.

 

The Company writes down inventories to net realizable value based on physical condition, expiration date, and current market conditions, as well as forecasted demand. The Company’s inventories are not highly susceptible to obsolescence. Many of the Company’s inventory items are eligible for return to our suppliers when pre-agreed product requirements, including, but not limited to, physical condition and expiration date, are not met. No significant judgments have been applied in estimating the selling price of our inventory.

 

Property and Equipment, net

 

Property and equipment are stated at cost, less accumulated depreciation. Depreciation is calculated on a straight-line basis over the useful lives (except for leasehold improvements which are depreciated over the lesser of the lease term or the useful life) of the assets as follows:

 

 

Estimated

Useful Life

Leasehold improvements and technical works

 

Lesser of lease term or 25 years

Buildings

 

 

25-30 years

 

Vehicles

 

6 years

Machinery

 

20 years

Furniture, fixtures and equipment

 

510 years

 

Computers and software

 

3-5 years

 

Depreciation expense was $112,519 and $97,539 for the three months ended March 31, 2026 and 2025, respectively.

 

Property and Equipment additions

 

Property and Equipment additions are recognized as assets when it is probable that future economic benefits associated with the asset will flow to the entity and the cost of the asset can be measured reliably. Additions are initially measured at cost, which includes all costs directly attributable to bringing the asset to its working condition and location for its intended use. This may include purchase price, freight, installation, and any directly attributable professional fees. They are capitalized if their cost exceeds a certain threshold. The threshold is determined based on materiality considerations. Costs below the threshold are typically expensed as incurred. After initial recognition, additions are measured at cost less accumulated depreciation and any accumulated impairment losses. Depreciation is calculated systematically over the estimated useful life of the asset. They are tested for impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. If the carrying amount exceeds the recoverable amount, an impairment loss is recognized, and the carrying amount of the asset is adjusted accordingly. Borrowing costs directly attributable to the acquisition, construction, or production of qualifying assets, including Property and Equipment additions, are capitalized as part of the cost of those assets.

 

 
12

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

Intangibles, net

 

Intangible assets with definite useful lives are recorded on the basis of cost and are amortized on a straight-line basis over their estimated useful lives. The Company uses a useful life of 5 years for an import/export license and a useful life of 10 years for the pharmaceutical and nutraceutical products licenses included in Note 5 as “Licenses”. A useful life of 10 years is also used for the platforms included in Note 5 as “Software” and the customer base. The Company evaluates the remaining useful life of intangible assets annually to determine whether events and circumstances warrant a revision to the remaining amortization period. If the estimate of the intangible asset’s remaining useful life is changed, the remaining carrying amount of the intangible asset will be amortized prospectively over that revised remaining useful life. As of March 31, 2026 and December 31, 2025, no revision to the remaining amortization period of the intangible assets was made.

 

Amortization expense was $234,001 and $218,297 for the three months ended March 31, 2026 and 2025, respectively.

 

Impairment of Long-Lived Assets

 

In accordance with ASC 360-10, Long-lived Assets, property and equipment and intangible assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of long-lived assets to be held and used is measured by a comparison of the carrying amount of an asset to the estimated undiscounted future cash flows expected to be generated by the asset. If the carrying amount of an asset exceeds its estimated undiscounted future cash flows, an impairment charge is recognized by the amount by which the carrying amount of the asset exceeds the fair value of the assets. Fair value is generally determined using the asset’s expected future discounted cash flows or market value, if readily determinable. For the three months ended March 31, 2026, and 2025, the Company has recorded no impairment charge.

 

 
13

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026 

 

 

Equity Method Investment

 

For those investments in common stock or in-substance common stock in which the Company has the ability to exercise significant influence over the operating and financial policies of the investee, the investment is accounted for under the equity method. The Company records its share in the earnings of the investee and is included in “Equity earnings of affiliate” in the unaudited condensed consolidated statement of operations. The Company assesses its investment for other-than-temporary impairment when events or changes in circumstances indicate that the carrying amount of the investment might not be recoverable and recognizes an impairment loss to adjust the investment to its then current fair value.

 

Investments in Equity Securities

 

Investments in equity securities are accounted for at fair value with changes in fair value recognized in net income (loss). Equity securities are classified as short-term or long-term based on the nature of the securities and their availability to meet current operating requirements. Equity securities that are readily available for sale in current operations are reported as a component of current assets on the accompanying condensed consolidated balance sheets. Equity securities that are not considered available for use in current operations would be reported as a component of long-term assets on the accompanying condensed consolidated balance sheets. For equity securities with no readily determinable fair value, the Company elects a measurement alternative to fair value. Under this alternative, the Company measures the investments at cost, less any impairment, and adjusted for changes resulting from observable price changes in transactions for identical or similar investments of the investee. The election to use the measurement alternative is made for each eligible investment.

 

As of March 31, 2026, investments consisted of 1,667 shares which traded at a closing price of $15.24 per share or value of $25,396 of National Bank of Greece. Additionally, the Company has $8,829 in equity securities of CrediaBank S.A. (formerly Pancreta Bank), which are revalued annually.

 

Fair Value Measurement

 

The Company applies ASC 820, Fair Value Measurements and Disclosures, (“ASC 820”), for assets and liabilities measured at fair value on a recurring basis. ASC 820 establishes a common definition for fair value to be applied to existing generally accepted accounting principles that require the use of fair value measurements establishes a framework for measuring fair value and expands disclosure about such fair value measurements.

 

ASC 820 defines fair value as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. Additionally, ASC 820 requires the use of valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs. These inputs are prioritized below:

 

Level 1: Observable inputs such as quoted prices (unadjusted) in active markets for identical assets or liabilities.

 

Level 2: Inputs other than quoted prices that are observable, either directly or indirectly. These include quoted prices for similar assets or liabilities in active markets and quoted prices for identical or similar assets or liabilities in markets that are not active.

 

Level 3: Unobservable inputs in which little or no market data exists, therefore developed using estimates and assumptions developed by us, which reflect those that a market participant would use.

 

In addition, ASC 825-10-25, Fair Value Option, (“ASC 825-10-25”), expands opportunities to use fair value measurements in financial reporting and permits entities to choose to measure many financial instruments and certain other items at fair value.

 

The following tables presents assets and liabilities that are measured and recognized at fair value as of March 31, 2026 and 2025, on a recurring basis:

 

 

 

March 31, 2026

 

 

Total Carrying

 

Assets

 

Level 1

 

 

Level 2

 

 

Level 3

 

 

Value

 

Marketable securities – National Bank of Greece

 

$25,396

 

 

 

-

 

 

 

-

 

 

$25,396

 

Digital assets

 

 

2,068,645

 

 

 

-

 

 

 

-

 

 

 

2,068,645

 

 

 

$2,094,041

 

 

 

-

 

 

 

-

 

 

$2,094,041

 

 

 

 

March 31, 2026

 

 

Total Carrying

 

Liabilities

 

Level 1

 

 

Level 2

 

 

Level 3

 

 

Value

 

Convertible notes payable

 

$-

 

 

 

-

 

 

 

931,693

 

 

$931,693

 

Derivative liability - convertible note

 

 

-

 

 

 

-

 

 

 

1,060,230

 

 

 

1,060,230

 

 

 

$-

 

 

 

-

 

 

 

1,992,193

 

 

$1,992,193

 

 

 

 

December 31, 2025

 

 

Total Carrying

 

Assets

 

Level 1

 

 

Level 2

 

 

Level 3

 

 

Value

 

Marketable securities – National Bank of Greece

 

$37,163

 

 

 

-

 

 

 

-

 

 

$37,163

 

Digital assets

 

 

1,411,084

 

 

 

-

 

 

 

-

 

 

 

1,411,084

 

 

 

$1,448,247

 

 

 

 

 

 

 

 

 

 

$1,448,247

 

 

 

 

December 31, 2025

 

 

Total Carrying

 

Liabilities

 

Level 1

 

 

Level 2

 

 

Level 3

 

 

Value

 

Convertible notes payable

 

$-

 

 

 

-

 

 

 

2,137,804

 

 

$2,137,804

 

Derivative liability - convertible note

 

 

-

 

 

 

-

 

 

 

1,292,198

 

 

 

1,292,198

 

 

 

$-

 

 

 

-

 

 

 

3,430,002

 

 

$3,430,002

 

 

Digital assets consist of cryptocurrency holdings measured at fair value using quoted prices on active exchanges and are therefore classified as Level 1 (Note 20). For information regarding convertible notes and derivative liabilities measured at fair value, refer to Note 11 — Convertible Debt.

 

In addition, ASC 825-10-25, Fair Value Option ("ASC 825-10-25"), expands opportunities to use fair value measurements in financial reporting and permits entities to choose to measure many financial instruments and certain other items at fair value. The Company did not elect the fair value option for any of its qualifying financial instruments other than as described in Note 11 — Convertible Debt.

 

Our financials also included the following financial instruments as of March 31, 2026 and December 31, 2025: cash, accounts receivable, inventory, prepaid expenses, loans receivable, accounts payable, notes payable and lines of credit. Except for the loans receivable which carry fixed interest rates, the carrying value of the remaining instruments, approximates fair value due to their short-term nature.

 

 
14

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

Convertible Promissory Note

 

As permitted under Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) Topic 825, Financial Instruments (“ASC 825”), the Company elects to account for its convertible promissory note, which meets the required criteria, at fair value at inception and at each subsequent reporting date. Subsequent changes in fair value are recorded as a component of non-operating loss in the condensed consolidated statements of operations. This election is made on an instrument-by-instrument basis as permitted under ASC 825. The portion of total changes in fair value of the convertible promissory note attributable to changes in instrument-specific credit risk are determined through specific measurement of periodic changes in the discount rate assumption exclusive of base market changes and are presented as a component of comprehensive income in the accompanying condensed Consolidated Statements of Operations and Comprehensive Income (Loss).  As a result of electing the fair value option, direct costs and fees related to the convertible promissory note are expensed as incurred.

 

The Company estimates the fair value of the convertible promissory note using a Monte Carlo simulation model, which uses as inputs the fair value of our common stock and estimates for the equity volatility and volume volatility of our common stock, the time to expiration of the convertible promissory note, the risk-free interest rate for a period that approximates the time to expiration, and probability of default. Therefore, we estimate our expected future volatility based on the actual volatility of our common stock and historical volatility of our common stock utilizing a lookback period consistent with the time to expiration. The time to expiration is based on the contractual maturity date, giving consideration to the voluntary, mandatory and potential accelerated redemption scenarios. The risk-free interest rate is determined by reference to the U.S. Treasury yield curve in effect at the time of measurement for time periods approximately equal to the time to expiration. Probability of default is estimated using Bloomberg's Default Risk function which uses our financial information to calculate a default risk specific to the Company.

 

Digital Assets

 

In December 2023, FASB issued ASU 2023-08, Intangibles—Goodwill and Other—Crypto Assets (Subtopic 350-60): Accounting for and Disclosure of Crypto Assets. ASU 2023-08 requires certain crypto assets to be measured at fair value separately on the balance sheet with gains and losses from changes in the fair value reported as unrealized gains or losses in the condensed consolidated statement of income (loss) and comprehensive income (loss) each reporting period. ASU 2023-08 also enhances the other intangible asset disclosure requirements by requiring the name, cost basis, fair value, and number of units for each significant crypto asset holding. The Company adopted ASU 2023-08 during 2025 in conjunction with its initial acquisition of digital assets.

 

The Company's digital assets are initially recorded at cost and are subsequently measured at fair value as of each reporting period. The Company determines the fair value of its digital assets in accordance with ASC 820, Fair Value Measurement, based on quoted prices in its principal market for Ethereum (Level 1). Changes in fair value are recognized as incurred in the Company's unaudited condensed consolidated statement of operations and comprehensive loss, as “Gain (loss) on digital assets,” within non-operating (income) and expenses, net.

 

Customer Advances

 

The Company receives prepayments from certain customers for pharmaceutical products prior to those customers taking possession of the Company’s products. The Company records these receipts as current liabilities until it has met all the criteria for recognition of revenue including passing control of the products to its customer, at such point, the Company will reduce the customer advances balance and credit the Company’s revenues.

 

 
15

Table of Contents

   

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

Revenue Recognition

 

In accordance with ASC Topic 606, Revenue from Contracts with Customers (“ASC 606”), the Company uses a five-step model for recognizing revenue by applying the following steps:

 

 

1)

Identification of the Contract: The Company identifies a contract with a customer when it enters into an agreement that creates enforceable rights and obligations.

 

 

 

 

2)

Identification of Performance Obligations: The Company identifies distinct performance obligations within each contract, which represent promises to transfer goods or services to the customer.

 

 

 

 

3)

Determination of Transaction Price: The Company determines the transaction price, which represents the amount of consideration to which it expects to be entitled in exchange for transferring promised goods or services to the customer, excluding any amounts collected on behalf of third parties.

 

 

 

 

4)

Allocation of Transaction Price: The Company allocates the transaction price to each distinct performance obligation based on its standalone selling price. If the standalone selling price is not observable, the Company estimates it using an appropriate method.

 

 

 

 

5)

Recognition of Revenue: Revenue is recognized when (or as) the Company satisfies a performance obligation by transferring a promised good or service to the customer. This typically occurs at a point in time or over time, depending on the nature of the performance obligation.

 

Wholesale revenue and sales of own branded nutraceutical and pharmaceutical products

 

The Company has contracts or signed partnership forms (usual in the wholesale sector of the pharma industry) with its customers, stipulating the enforceable rights and obligations. The Company is responsible for transferring the goods to the customer’s location, which represents its sole performance obligation. Thus, the transaction price, which is predetermined in most of the products sold, is exclusively allocated to this performance obligation. Revenue is recognized at a single point in time, which is upon issuance of the corresponding sales invoice. The Company has assessed the impact of the items invoiced but not delivered to the customer’s location as of March 31, 2026 and 2025 and deemed that it had no material effect.

 

Pharma manufacturing

 

The Company has active contracts with its customers, stipulating the enforceable rights and obligations. The Company is responsible for the manufacturing and the packaging of specific products assigned by its customers, which represents its performance obligations to which the Company allocates the transaction price determined. The customers are responsible for providing the raw materials to the Company. Revenue is recognized over a period of time, which is during the production and packaging period of the respective products. As of March 31, 2026 and 2025 there were no products or batches of products for which the production or packaging phase was in progress.

 

Medihelm SA

 

Effective January 1, 2023, and pursuant to the distribution agreement with Medihelm SA ("Medihelm"), the exclusive distributor of the Company's proprietary line of nutraceutical products, the Company determined that the transaction price for sales to Medihelm includes variable consideration. In accordance with ASC 606, Revenue from Contracts with Customers, and specifically ASC 606-10-32-5, the Company applies the "expected value" method to estimate the transaction price, subject to the constraint on variable consideration. This approach was necessitated by the existence of significant overdue receivables from Medihelm, which raised substantial doubt regarding full collectability of the contractual amounts. The Company reassesses the collectability of receivables from the distributor at each reporting date and considers changes in facts and circumstances in determining the amount of revenue that should be constrained.

 

Based on this assessment, the Company deferred $367,000 of revenue related to sales to Medihelm during the year ended December 31, 2024. Due to significantly limited sales activity with Medihelm and the substantial allowance for doubtful accounts recorded in prior periods, the Company determined that the cumulative revenue constraint was no longer necessary and reversed the $367,000, which was recorded in "Other income (expense), net" in the condensed Consolidated Statements of Operations for the year ended December 31, 2024.

 

During 2025, Medihelm continued to represent a significant and concentrated trade receivable exposure for the Company across its subsidiaries SkyPharm S.A., Cosmofarm S.A., and Decahedron Ltd. Historical credit performance has been weak, with cumulative bad debt allowances recorded during 2023–2024 representing a substantial portion of the total historical gross exposure to the distributor. The commercial relationship with Medihelm encompasses multiple transaction streams, including sales of proprietary nutraceutical products through SkyPharm S.A., wholesale pharmaceutical sales through Cosmofarm S.A., and legacy receivables at Decahedron Ltd. arising from historical sales of personal protective equipment that predate 2020 and for which the underlying business relationship is no longer active.

 

During the year ended December 31, 2025, the Company generated approximately $1,700,000 in gross revenue from Medihelm and collected approximately $593,000 in cash. The Company's subsidiaries also recorded an additional allowance of $812,952 on Medihelm's receivables, comprising a provision of $526,562 against Cosmofarm S.A.'s prepayment and checks receivable balances — reflecting a full 100% allowance on a prepayment for which the related goods had not been received as of December 31, 2025, and a partial allowance on the portion of checks receivable not yet cashed — and an incremental bad debt reserve of $286,390 under ASC 326 applied to SkyPharm S.A.'s remaining net trade receivable exposure, reflecting a conservative impairment rate based on historical loss experience and the elevated lifetime expected credit loss profile of the counterparty. Medihelm operates under extended credit terms of approximately ten months, which increases the duration and liquidity risk associated with the receivable.

 

For the three months ended March 31, 2026, the Company generated revenue of $679,227 from Medihelm and collected $128,553 in cash. Due to the history of limited collectability with this counterparty, the Company reverses revenue recognized from Medihelm to the extent that the related amounts have not been collected within the period, in order to properly monitor and present the net trade receivable balance in accordance with the variable consideration constraint principles of ASC 606. Accordingly, a revenue reversal of $550,674 was recorded for the three months ended March 31, 2026. The cumulative revenue reversal as of March 31, 2026, inclusive of the prior year reversal of $804,697, amounts to $1,331,788.

 

Management will continue to monitor the customer's payment performance. If collection trends improve during 2026, any corresponding recovery will be recognized as increases to revenue in the period of collection.

 

 
16

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

Stock-based Compensation

 

The Company records stock-based compensation in accordance with ASC 718, Stock Compensation (“ASC 718”) and Staff Accounting Bulletin No. 107 (“SAB 107”) regarding its interpretation of ASC 718. ASC 718 requires the fair value of all stock-based employee compensation awarded to employees to be recorded as an expense over the related requisite service period. The Company values any employee or non-employee stock-based compensation at fair value using the Black-Scholes Option Pricing Model.

 

The Company accounts for non-employee share-based awards in accordance with the measurement and recognition criteria of ASU 2018-07, “Compensation-Stock Compensation-Improvements to Nonemployee Share-Based Payment Accounting.”

 

Income Taxes

 

The Company accounts for income taxes under the asset and liability method, as required by the accounting standard for income taxes ASC 740. Under this method, deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax basis, as well as net operating loss carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date.

 

The Company is liable for income taxes in Greece and the United Kingdom. The corporate income tax rate is 22% in Greece and 25% in the United Kingdom. Losses may also be subject to limitation under certain rules regarding change of ownership.

 

We regularly review deferred tax assets to assess their potential realization and establish a valuation allowance for portions of such assets to reduce the carrying value if we do not consider it to be more likely than not that the deferred tax assets will be realized. Our review includes evaluating both positive (e.g., sources of taxable income) and negative (e.g., recent historical losses) evidence that could impact the realizability of our deferred tax assets. At March 31, 2026, we believe our United Kingdom and Greece deferred tax assets will not be realized, as such, we did not record a reversal on the full valuation approach we followed during the year ended December 31, 2025.

 

Leases

 

The Company accounts for leases in accordance with ASC 842. For all leases, the Company recognizes a right-of-use (ROU) asset and a lease liability on the balance sheet. The ROU asset represents the Company's right to use the underlying asset for the lease term, and the lease liability represents the obligation to make lease payments arising from the lease, both measured at the present value of future lease payments. Lease payments are recognized as an operating expense on a straight-line basis over the lease term. The interest on the lease liability and the amortization of the ROU asset are recognized separately in the income statement. Initial direct costs incurred by the Company in negotiating and securing leases are capitalized and amortized over the lease term on a straight-line basis. The assets and liabilities from operating and finance leases are recognized at the commencement date based on the present value of remaining lease payments over the lease term using the Company’s secured incremental borrowing rates or implicit rates, when readily determinable. Short-term leases, which have an initial term of 12 months or less, are not recorded on the balance sheet. The Company’s operating leases do not provide an implicit rate that can readily be determined. Therefore, we use a discount rate based on our incremental borrowing rate, which is determined using the average interest rate of our long-term debt on the date of inception. 

 

 
17

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

Retirement and Termination Benefits

 

Under Greek labor law, employees are entitled to lump-sum compensation in the event of termination or retirement. The amount depends on the employee’s years of service and remuneration at the date of termination or retirement. If an employee remains with the Company until full retirement eligibility, the employee is entitled to a lump-sum equal to 40% of the compensation that would be payable upon termination on the same date.

 

The Company periodically evaluates the uncertainties and judgments related to the application of the relevant labor law regulations to determine retirement and termination benefit obligations of its Greek subsidiaries.

 

During the year ended December 31, 2025, the Company engaged an actuarial expert and updated the liability based on a new actuarial valuation prepared in accordance with ASC 715, Compensation—Retirement Benefit. As a result, the Company recorded a retirement and termination benefits liability of $383,393 as of December 31, 2025, which is presented as a long-term liability within “Other liabilities” in the Company’s condensed consolidated balance sheets.

 

No new actuarial valuation was obtained during the three months ended March 31, 2026, as management determined that no significant events or changes in underlying assumptions had occurred that would materially affect the obligation. As of March 31, 2026, the liability remained at $376,271, with any movement during the period attributable solely to foreign currency translation adjustments.

 

Basic and Diluted Net Loss per Common Share

 

Basic income per share is calculated by dividing the income available to common stockholders by the weighted average number of shares of common stock outstanding during the period. Diluted income per share is calculated by dividing income available to common stockholders by the weighted average number of common shares outstanding for the period and, when dilutive, potential shares from stock options and warrants to purchase common stock, using the treasury stock method. In accordance with ASC 260, Earnings Per Share, the following tables reconcile basic shares outstanding to fully diluted shares outstanding for the three-month period ended March 31, 2026 and 2025.

 

 

 

Three months ended,

 

 

 

March 31,

2026

 

 

March 31,

2025

 

Weighted average number of common shares outstanding Basic

 

 

47,087,621

 

 

 

26,037,608

 

Potentially dilutive common stock equivalents

 

 

 

 

 

 

 

 

Weighted average number of common and equivalent shares outstanding – Diluted

 

 

47,087,621

 

 

 

26,037,608

 

 

The following table summarizes potential common shares that were excluded as their effect is anti-dilutive:

 

 

 

March 31,

2026

 

 

March 31,

2025

 

Warrants

 

 

12,926,506

 

 

 

12,926,506

 

Shares issuable upon conversion of convertible debt

 

 

26,890,412

 

 

 

-

 

Total

 

 

39,816,918

 

 

 

12,926,506

 

 

Common stock equivalents are included in the diluted income per share calculation only when option exercise prices are lower than the average market price of the common shares for the period presented.

 

 
18

Table of Contents

  

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

Recent Accounting Pronouncements

 

ASU 2025‑01 – Income Statement: Clarifying Effective Date of Expense Disaggregation (Subtopic 220‑40)

 

Issued January 7, 2025

 

This update clarifies that ASU 2024‑03’s requirement to disclose disaggregated expense categories applies for annual reporting periods beginning after December 15, 2026, and interim periods within annual periods beginning after December 15, 2027. Public business entities may early adopt. Entities with non‑calendar year ends should note that interim adoption in early periods is not required under this clarification.

 

ASU 2025‑03 – Business Combinations: Identifying the Accounting Acquirer in a VIE Transaction (Topics 805 and 810)

 

Issued May 12, 2025

 

This update amends ASC 805 and ASC 810 to require entities to consider the ASC 805‑10‑55‑12 through 55‑15 factors when identifying the accounting acquirer in business combinations effected primarily via equity exchange—even when the acquiree qualifies as a variable interest entity (VIE). The amendment enhances comparability with voting interest entity combinations and may result in reverse-acquisition accounting in more cases. It is effective for fiscal years beginning after December 15, 2026, including interims, and must be applied prospectively to combinations after adoption. Early adoption is permitted. 

 

ASU 2025-04, Compensation — Stock Compensation (Topic 718) and Revenue from Contracts with Customers (Topic 606): Clarifications to Share-Based Consideration Payable to a Customer

 

Issued May 15, 2025

 

The FASB issued ASU 2025-04, clarifying the accounting for share-based non-cash consideration payable to a customer.  The update revises the definition of a “performance condition”, eliminates the forfeitures-as-incurred election in this context, and clarifies the interaction with variable consideration under ASC 606. The amendments are effective for annual reporting periods beginning after December 15, 2026, including interim periods, with early adoption permitted. The Company is currently assessing the potential impact of this standard.

 

ASU 2025-05, Financial Instruments — Credit Losses (Topic 326): Measurement of Credit Losses for Accounts Receivable and Contract Assets

 

Issued July 30, 2025

 

The FASB issued ASU 2025-05, introducing a practical expedient and policy election for estimating expected credit losses on current accounts receivable and contract assets arising from ASC 606 contracts. The amendments are effective for annual reporting periods beginning after December 15, 2025, including interim periods, with early adoption permitted. The Company has evaluated the effect of these amendments on its financial position, results of operations and cash flows and concluded that they do not have a material impact.

 

ASU 2025-06, Intangibles — Goodwill and Other — Internal-Use Software (Subtopic 350-40): Targeted Improvements to the Accounting for Internal-Use Software

 

Issued September 30, 2025

 

The FASB issued ASU 2025-06 to modernize the accounting for internal-use software costs and enhance related disclosure requirements. The amendments are effective for annual reporting periods beginning after December 15, 2027, including interim periods within those annual reporting periods, with early adoption permitted. The Company is in the process of evaluating the effect of these amendments on its financial position and results of operations.

 

ASU 2025-07, Derivatives and Hedging (Topic 815) and Revenue from Contracts with Customers (Topic 606): Derivatives Scope Refinements and Scope Clarification for Share-Based Noncash Consideration from a Customer in a Revenue Contract

 

Issued September 30, 2025

 

The FASB issued ASU 2025-07 to expand the derivatives scope exception for certain contracts and clarify the accounting for share-based noncash consideration received from customers in revenue contracts. The amendments are effective for annual reporting periods beginning after December 15, 2026, including interim periods within those annual reporting periods, with early adoption permitted. The Company is in the process of evaluating the effect of these amendments on its financial position and results of operations.

 

ASU 2025-09, Derivatives and Hedging (Topic 815): Hedge Accounting Improvements

 

Issued November 24, 2025

 

The FASB issued ASU 2025-09 to simplify and clarify certain aspects of hedge accounting. The amendments are effective for annual reporting periods beginning after December 15, 2026, including interim periods within those annual reporting periods, with early adoption permitted. The Company is in the process of evaluating the effect of these amendments on its financial position and results of operations.

 

ASU 2025-10, Government Grants (Topic 832): Accounting for Government Grants Received by Business Entities

 

Issued December 18, 2025

 

The FASB issued ASU 2025-10 to establish guidance for the recognition, measurement, presentation, and disclosure of government grants received by business entities. The amendments are effective for annual reporting periods beginning after December 15, 2028, including interim periods within those annual reporting periods, with early adoption permitted. The Company is in the process of evaluating the effect of these amendments on its financial position and results of operations.

 

ASU 2025-11, Interim Reporting (Topic 270): Narrow-Scope Improvements

 

Issued December 18, 2025

 

The FASB issued ASU 2025-11 to clarify interim reporting disclosure requirements and improve the navigability of interim reporting guidance. The amendments are effective for interim reporting periods within fiscal years beginning after December 15, 2027. The Company is in the process of evaluating the effect of these amendments on its financial position and results of operations.

 

 
19

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

NOTE 3 – EQUITY METHOD INVESTMENTS

 

CosmoFarmacy LP

 

In September 2019, the Company entered into an agreement with an unaffiliated third party to incorporate CosmoFarmacy L.P. for the purpose of providing strategic management consulting services and the retail trade of pharmaceutical products, and OTC to pharmacies. CosmoFarmacy was incorporated with a 30-year term through May 31, 2049. The unaffiliated third party is the general partner (the “GP”) of the limited partnership and is responsible for management and decision-making associated with CosmoFarmacy. The initial share capital was set to EUR 150,000 ($163,080) which was later increased to EUR 500,000 ($543,600). The GP contributed the pharmacy license (the “License”) valued at EUR 350,000 (30-year term) to operate the business of CosmoFarmacy in exchange for a 70% equity ownership. The Company is a limited partner and contributed cash of EUR 150,000 ($163,080) for the remaining 30% equity ownership. CosmoFarmacy is not publicly traded, and the Company’s investment has been recorded using the equity method of accounting. During the 12-month period ended December 31, 2024, the Company determined that its investment in CosmoFarmacy LP was fully impaired and wrote off the entire carrying amount. As the entity is currently dormant and has not published or provided any financial statements, whether audited or unaudited, to substantiate the carrying value of the investment, management concluded that there was no reasonable expectation of recovery. Accordingly, the Company recognized a full impairment loss on the investment, writing off its entire carrying amount. As a result, the Company has determined that the investment no longer holds any recoverable value. The value of the investment as of March 31, 2026 and December 31, 2025, was $0.

 

NOTE 4 – PROPERTY AND EQUIPMENT, NET

 

Property and equipment, net consists of the following at March 31, 2026 and December 31, 2025: 

 

 

 

March 31,

2026

 

 

December 31,

2025

 

Land

 

$3,697,399

 

 

 

3,767,379

 

Buildings and improvements

 

 

5,027,339

 

 

 

5,302,616

 

Leasehold improvements

 

 

3,789

 

 

 

3,861

 

Vehicles

 

 

242,328

 

 

 

246,914

 

Furniture, fixtures and equipment

 

 

3,209,728

 

 

 

3,375,930

 

 

 

 

12,180,583

 

 

 

12,696,700

 

Less: Accumulated depreciation and amortization

 

 

(1,900,380 )

 

 

(2,117,842 )

Total

 

$10,280,203

 

 

 

10,578,858

 

 

 
20

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

NOTE 5 – INTANGIBLE ASSETS

 

Goodwill and intangible, net assets consist of the following at March 31, 2026 and December 31, 2025:

 

 

 

March 31,

2026

 

 

December 31,

2025

 

License

 

$8,018,865

 

 

$8,180,160

 

Trade name / mark

 

 

355,200

 

 

 

355,200

 

Customer base

 

 

626,397

 

 

 

626,397

 

Software

 

 

1,228,569

 

 

 

1,270,937

 

 

 

 

10,229,031

 

 

 

10,432,694

 

Less: Accumulated amortization & impairment

 

 

 

 

 

 

 

 

License

 

 

(2,169,476 )

 

 

(2,063,556 )

Trade name / mark

 

 

(36,997 )

 

 

(36,997 )

Customer base

 

 

(467,484 )

 

 

(457,259 )

Software

 

 

(379,760 )

 

 

(354,884 )

Subtotal

 

 

7,175,314

 

 

 

7,519,998

 

Goodwill

 

 

49,697

 

 

 

49,697

 

Total

 

$7,225,011

 

 

$7,569,695

 

 

At March 31, 2026, the estimated aggregate amortization expense for intangible assets subject to amortization for each of the succeeding fiscal years is as follows:

 

Year

 

Amount

 

2027

 

$920,841

 

2028

 

 

921,686

 

2029

 

 

918,023

 

2030

 

 

894,177

 

2031

 

 

885,274

 

Thereafter

 

 

2,280,113

 

Total

 

$6,820,114

 

 

NOTE 6 – LOAN RECEIVABLE

 

On October 30, 2021, the Company entered into a ten-year loan agreement with Medihelm S.A. to formalize €4,284,521 ($4,849,221) of prepayments previously made by the Company. The prepayments had been made in connection with the Company’s former parallel export business, pursuant to which Medihelm S.A. supplied branded pharmaceutical products to SkyPharm S.A. As this business activity is no longer operational, the parties entered into the loan agreement to provide for settlement of the outstanding balance. Interest accrues at a rate of 5.5% per annum calculated on a 360-day year basis. Under the terms of the agreement, the Company is entitled to receive 120 equal monthly instalments over the term of the loan. During the three-month period ended March 31, 2026, the Company recognized interest income of €101,749 ($119,061) related to the note receivable. During the three-month period ended March 31, 2026, the Company did not receive any principal or interest payments under the agreement. As of March 31, 2026, management considers the note receivable to be fully recoverable and expects the outstanding balance to become current during the second quarter of 2026.

 

 
21

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

NOTE 7 – INCOME TAXES

 

The Company is incorporated in the United States of America and is subject to United States federal taxation. No provisions for income taxes have been made as the Company had no U.S. taxable income for the three months ended March 31, 2026, and 2025.

 

The Company’s Greek subsidiaries are governed by the income tax laws of Greece. The corporate tax rate in Greece is 22% on income reported in the statutory financial statements after appropriate tax adjustments.

 

The Company’s United Kingdom subsidiaries are governed by the income tax laws of the United Kingdom. The corporate tax rate in the United Kingdom is 25% on income reported in the statutory financial statements after appropriate tax adjustments.

 

As of March 31, 2026, and 2025, the Company’s effective tax rate differs from the U.S. federal statutory tax rate primarily due to a valuation allowance recorded against net deferred tax assets in in the United States and the United Kingdom.

 

We regularly review deferred tax assets to assess their potential realization and establish a valuation allowance for portions of such assets to reduce the carrying value if we do not consider it to be more likely than not that the deferred tax assets will be realized. Our review includes evaluating both positive (e.g., sources of taxable income) and negative (e.g., recent historical losses) evidence that could impact the realizability of our deferred tax assets. As of March 31, 2026, and December 31, 2025, the Company has maintained a valuation allowance against all net deferred tax assets in the United States, Greece, and the UK.

 

For the three months ended March 31, 2026, and 2025, the Company has not recorded any tax benefits/expenses in any jurisdiction where it is subject to income tax.

 

NOTE 8 – CAPITAL STRUCTURE

 

On September 30, 2025, the Company amended its Articles of Incorporation to increase the number of authorized shares of capital stock of the Company to 1,500,000,000 shares of Common Stock and 300,000,000 shares of “blank check” Preferred Stock.

 

Preferred Stock

 

The Company is authorized to issue 300 million shares of preferred stock, of which 6,000,000 are designated as Series A convertible preferred stock. The preferred stock has a liquidation preference over the common stock and is non-voting. As of March 31, 2026 and December 31, 2025, no preferred shares were issued and outstanding.

 

Treasury stock

 

As of March 31, 2026 and December 31, 2025, the Company held 86,497 and 86,497, respectively, shares of our common stock at a cost of $917,159 and $917,159, respectively. Shares of our common stock that are repurchased are classified as treasury stock pending future use and reduce the number of shares outstanding used in calculating earnings per share. Cosmos may repurchase shares from time to time through open market purchases in accordance with applicable securities laws and other restrictions. The Company repurchased no shares of our common stock during the three months ended March 31, 2026.

 

 
22

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

On January 24, 2023 the Company announced that its Board of Directors has approved a share repurchase program with authorization to purchase up to $3 million of its common stock. Cosmos may repurchase shares from time to time through open market purchases in accordance with applicable securities laws and other restrictions.

 

Common Stock

 

The Company is authorized to issue 1,500,000,000 shares of common stock. As of March 31, 2026, and December 31, 2025, the Company had 49,867,750 and 41,153,809 shares of our common stock issued, respectively, and 49,781,253 and 41,067,312 shares outstanding, respectively.

 

Issuance of Common Stock

 

During the three-month period ended March 31, 2026 the Company issued an aggregate of 3,985,509 shares of its common stock under its At-the-Market (“ATM”) sales program, pursuant to the Company’s Shelf Registration Statement on Form S-3 (File No. 333-267550). The shares were sold for gross proceeds of $1,832,524 and net proceeds of $1,774,389, after deducting the underwriter’s commissions and other offering expenses.

 

During the three-month period ended March 31, 2026, the Company issued an aggregate of 2,145,143 shares of its common stock to Mr. Grigorios Siokas, the Company’s Chief Executive Officer, in settlement of outstanding obligations totaling $980,000. The obligations related to unpaid salaries and performance-based bonuses previously accrued and owed to Mr. Siokas. The shares were issued at the fair market value of the Company’s common stock on the respective dates of issuance. The transaction was accounted for as a non-cash settlement of related party liabilities. 

 

During the three-month period ended March 31, 2026, the Company issued an aggregate of 659,172 shares of its common stock upon the conversion of the Company’s July 2025 Convertible Promissory Notes (the “July 2025 Notes”), resulting in the full settlement of the notes. The conversions satisfied total obligations of $237,822, consisting of $225,000 of outstanding principal and $12,822 of accrued interest, in accordance with the conversion terms of the July 2025 Notes. The conversions were completed pursuant to the provisions of the respective note agreements. Further information regarding the May 2025 Notes is included in Note 11 – Convertible Debt.

 

During the three-month period ended March 31, 2026, the Company issued an aggregate of 874,641 shares of its common stock upon the conversion of the Company’s August 2025 Convertible Promissory Note (the “August 2025 Note”), resulting in the partial settlement of the note. The conversions satisfied aggregate obligations of $298,501 in accordance with the conversion terms of the August 2025 Note ($285,000 of outstanding principal and interest). The conversions and related share issuances were completed pursuant to the provisions of the applicable note agreements. Further information regarding the August 2025 Note is included in Note 11 – Convertible Debt.

 

During the three-month period ended March 31, 2026, the Company issued an aggregate of 889,620 shares of its common stock upon the conversion of the Company’s June 2025 Convertible Promissory Note (the “June 2025 Note”), resulting in the partial settlement of the note. The conversions satisfied aggregate obligations of $354,348 in accordance with the conversion terms of the June 2025 Note. In addition, the Company issued 159,856 shares of its common stock in satisfaction of accrued default interest obligations totaling $58,347 related to the June 2025 Note. The conversions and related share issuances were completed pursuant to the provisions of the applicable note agreements. Further information regarding the June 2025 Note is included in Note 11 – Convertible Debt.

 

During the period from September 22 to December 31, 2025, the Company issued an aggregate of 5,997,256 shares of its common stock under its At-the-Market (“ATM”) sales program, pursuant to the Company’s Shelf Registration Statement on Form S-3 (File No. 333-267550). The shares were sold for gross proceeds of $5,417,396 and net proceeds of $5,254,875, after deducting the underwriter’s commissions and other offering expenses.

 

During the year ended December 31, 2025, the Company issued an aggregate of 3,654,841 shares of its common stock to Mr. Grigorios Siokas, the Company’s Chief Executive Officer, in settlement of outstanding obligations totaling $1,741,978. The obligations related to unpaid salaries and performance-based bonuses previously accrued and owed to Mr. Siokas. The shares were issued at the fair market value of the Company’s common stock on the respective dates of issuance. The transaction was accounted for as a non-cash settlement of related party liabilities.

 

On December 31, 2025, the Company issued 451,385 shares of its common stock pursuant to a debt exchange agreement to fully settle the outstanding promissory note related to the Cloudscreen acquisition. The exchange resulted in the conversion of $293,400 of outstanding debt into equity at an exchange price of $0.65 per share. As the exchange price exceeded the Company’s closing stock price of $0.498 on the exchange date, the Company recognized a gain on debt extinguishment of $68,610 in connection with the transaction. Additional information regarding this obligation is included in Note 12 – Notes Payable.

 

On December 30, 2025, the Company granted an aggregate of 2,350,000 shares of restricted common stock to the Chief Executive Officer, the Chief Financial Officer, certain officers and directors, and other key employees pursuant to the Cosmos Health Inc. 2024 Omnibus Equity Incentive Plan. The restricted shares vest in two equal instalments, with 50% vesting on December 31, 2026 and the remaining 50% vesting on December 31, 2027. No share-based compensation expense related to these awards was recognized during the year ended December 31, 2025, as amortization of the grant-date fair value will commence on January 1, 2026.

 

 
23

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

During the period from November 24, 2025 through December 7, 2025, the Company issued an aggregate of 783,430 shares of its common stock upon the conversion of the Company’s May 2025 Convertible Promissory Notes (the “May 2025 Notes”), resulting in the full settlement of the notes. The conversions satisfied total obligations of $327,661, consisting of $310,000 of outstanding principal and $17,661 of accrued interest, in accordance with the conversion terms of the May 2025 Notes. The conversions were completed pursuant to the provisions of the respective note agreements. Further information regarding the May 2025 Notes is included in Note 11 – Convertible Debt.

 

On September 5, 2025, the Company entered into a marketing services agreement with a third-party advisor, pursuant to which it issued 300,000 shares of its common stock in exchange for stock awareness, investor relations, and digital marketing services. The shares carry full voting rights and vest at a rate of 150,000 shares per month over the 2-month term of the agreement. The fair value of the shares on the issuance date was $0.649 per share, resulting in a total fair value of $194,700. During the year ended December 31, 2025, the Company recognized stock-based compensation expense of $194,700 in the condensed consolidated statements of operations.

 

On August 5, 2025, the Company issued an additional 500,000 shares of common stock (the “Incentive Stock”) to the lender of the June 9, 2025 secured convertible loan agreement as incentive consideration in connection with the lender’s agreement to subordinate its position to another senior convertible note. The fair value of the Incentive Stock on the issuance date was $0.878 per share, resulting in a total fair value of $439,000. This amount was recognized in “Change in fair value of convertible notes” in the condensed consolidated statement of operations for the year ended December 31, 2025.

 

On July 24, 2025, the Company entered into a marketing services agreement with a third-party advisor, pursuant to which it issued 169,549 shares of its common stock in exchange for marketing and distribution services. The shares carry full voting rights and vest at a rate of 28,258 shares per month over the 6-month term of the agreement. In accordance with the terms of the agreement, if the Company terminates the arrangement, any unvested shares as of the termination date will be subject to clawback. The fair value of the shares on the issuance date was $0.5898 per share, resulting in a total fair value of $100,000. During the year ended December 31, 2025, the Company recognized stock-based compensation expense of $83,333 in the condensed consolidated statements of operations.

 

On July 1, 2025, the Company entered into a consulting agreement with a third-party advisor, pursuant to which it issued 240,000 shares of its common stock in exchange for general advisory services. The shares carry full voting rights and vest at a rate of 20,000 shares per month over the 12-month term of the agreement. In accordance with the terms of the agreement, if the Company terminates the arrangement under Section 19 (Termination), any unvested shares as of the termination date will be subject to clawback. The fair value of the shares on the issuance date was $0.3939 per share, resulting in a total fair value of $94,536. During the year ended December 31, 2025, the Company recognized stock-based compensation expense of $39,390 in the condensed consolidated statements of operations.

 

On June 9, 2025, in connection with the execution of a secured convertible loan agreement with an aggregate principal amount of $1,304,348, the Company issued 326,087 restricted shares of common stock (the “Commitment Stock”) to the lender as additional consideration. The shares were issued at a nominal price of $0.001 per share, were fully vested and nonforfeitable upon issuance, and were not subject to any further service or performance conditions. The fair value of the Commitment Stock on the issuance date was determined to be $0.48 per share, resulting in a total fair value of $156,196. This amount was recognized as other finance costs, included in “Non-cash interest expense” in the condensed consolidated statement of operations for the year ended December 31, 2025.

 

On June 3, 2025 (the “Effective Date”), the Company issued 150,000 shares of its common stock to a consultant in consideration for such consultant’s business advisory services. The shares were earned in full as of the Effective Date. The fair value of the shares on issuance was $0.458 per share, resulting in a total expense of $68,700, which has been recognized in the condensed consolidated statement of operations. The consultant provides non-exclusive business advisory services, including guidance on growth strategies and networking with its contacts for general business purposes.

 

On September 26, 2024, the Company had entered into a Warrant Inducement Letter with an investor pursuant to which the Company issued 9,748,252 new warrants (the “New Warrants”) and reduced the exercise price of 4,874,126 warrant shares from $1.45 to $0.8701 to induce exercise and receive gross cash proceeds of $4,240,977 (the “Original Warrants”). Of the 9,748,252 warrants 4,874,126 of them have a term of 5 years (“Series A Warrants”) and the remaining 4,874,126 have a term of 1.5 years (“Series B Warrants”). The Company issued 2,332,000 shares of common stock, held 2,542,126 shares in escrow until the investor’s beneficial ownership limitation allows for the transfer of the escrow shares. The 2,542,126 shares were issued on January 28, 2025, but were already valued in the year ended December 31, 2024.

 

 
24

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

Warrant Classification

 

The Company determines the classification of its warrants upon issuance by identifying the instrument issued to determine if it is debt or equity classified. The Company determined its warrants meet the scope exception in ASC 815-10 and are equity classified because, (a) the warrant is indexed to the Company’s own stock, (b) require settlement in equity shares, and (c) the Company has enough authorized and unissued shares. 

 

NOTE 9 – RELATED PARTY TRANSACTIONS

 

Doc Pharma S.A.

 

Doc Pharma S.A. is considered a related party to the Company due to the fact that the CEO of Doc Pharma is the son of Grigorios Siokas, the Company’s CEO and principal shareholder, who also served as a principal of Doc Pharma S.A. in the past.

 

Prepaid expenses and other current assets – related party

 

As of March 31, 2026 and December 31, 2025, the Company had a prepaid balance of $5,587,010 and $4,642,853, respectively, to Doc Pharma. A reserve of $104,689 has been recorded against this balance as of March 31, 2026 effectively offsetting it.

 

The increase in the prepaid balance primarily reflects higher prepayments related to the increased demand for exports in the UAE and other related countries (refer to the “Distribution Agreements” section).

 

For the three-month period ended March 31, 2026  approximately $4.9 million of the prepayment relates to purchases of inventory pursuant to the CMO agreement signed between the Company and Doc Pharma SA on October 10, 2020; $310,000 relates to the purchase of pharmaceutical and nutraceutical licenses under the May 17, 2021 Research and Development agreement (refer to the “Research and Development agreements” section); and the remaining $403,000 represents the current portion of the Royalty Agreement signed on December 31, 2024 (refer to the “Research and Development agreements” section). The non-current portion of the Royalty Agreement of $806,260 is included in “Other Assets – Related Party” in the Company’s Unaudited Condensed Consolidated Balance Sheets as of March 31, 2026.

 

The remaining balance of Prepaid Expenses and Other Current Assets – Related Party relates to Panagiotis Kozaris, former General Operational Manager and current employee of Cosmofarm S.A., as further described in this related party disclosure.

 

Accounts payable and accrued expenses - related party

 

As of March 31, 2026 and December 31, 2025, the Company had an accounts payable balance to Doc Pharma of $560,793 and $671,148, respectively. The March 31, 2026 balance concerns a trade payable balance that our subsidiary wholesaler, Cosmofarm SA, owes to Doc Pharma SA, concerning purchases of certain pharmaceutical products.

 

The remaining balance of Accounts Payable and Accrued Expenses – Related Party relates to compensation payable to management as further described in this related party disclosure (“Other Related Parties” section).

 

Accounts receivable - related party

 

Additionally, the Company had a receivable balance of $3,359,959 and $3,340,275 from Doc Pharma S.A. as of March 31, 2026, and December 31, 2025, respectively, which concerns trading receivables balances with the Company’s Greek and UK subsidiaries. As of December 31, 2025, a cumulative allowance for doubtful accounts of approximately $1.7 million has been recognized, effectively offsetting this balance.

 

The remaining balance of Accounts Receivable – Related Party relates to amounts due from Maria Kozari’s wholly owned pharmacy (Maria Kozari is the daughter of Panagiotis Kozaris, a former General Operational Manager and current employee of Cosmofarm S.A.), as further described in this related party disclosure.

 

Sales and Purchases

 

During the three-month periods ended March 31, 2026 and 2025, the Company purchased products totaling $183,735 and $300,208, respectively, from Doc Pharma S.A., and sold products totaling $194,010 and $130,362, respectively, to Doc Pharma S.A.

 

Other Agreements

 

On October 10, 2020, the Company entered into a contract manufacturer outsourcing (“CMO”) agreement with Doc Pharma whereby Doc Pharma is responsible for the development and manufacturing of pharmaceutical products and nutritional supplements according to the Company’s specifications based on strict pharmaceutical standards and good manufacturing practice (“GMP”) protocols as the National Organization for Medicines of Greece requires. The Company has the exclusive ownership rights for trading and distribution of its own branded nutritional supplements named “Sky Premium Life®”. The duration of the agreement is for five years, however, either party may terminate the agreement at any time giving three-month advance notice. Doc Pharma is exclusively responsible for supplying the raw materials and packaging required to manufacture the final product. However, it is not responsible for potential delays that may arise, concerning their import. Doc Pharma is also obligated to store the raw and packaging materials. The delivery of raw and packaging materials should be purchased at least 30 and 25 days, respectively, before the delivery date of the final product. The Manufacturer solely delivers the finished product to the Company. There is a minimum order quantity (“MoQ”) of 1,000 pieces per product code. Both parties have agreed that the Company will deposit 60% of the total cost upon agreement and assignment and 40% of the total cost including VAT charge upon the delivery date. The prices are indicative and are subject to amendments if the cost of the raw material or the production cost change.

 

 
25

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

For the three months ended March 31, 2026 and 2025, the Company has purchased $189,655 and $219,645 respectively, in inventory related to this agreement.

 

On May 17, 2021, Doc Pharma and the Company entered into a Research and Development (“R&D”) agreement whereby Doc Pharma will be responsible for the research, development, design, registration, copy rights and licenses of 250 nutritional supplements for the final products called Sky Premium Life®. These products will be sold in Greece and abroad. The total cost of this project will be €1,425,000 plus VAT and will be done over three phases as follows: Design & Development (€725,000); Control and Product Manufacturing (€250,000) and Clinical Study and Research (€450,000). SkyPharm has bought a total of as of 81 licenses at value of €554,500 ($593,204) which is 38.91% of the total cost, as of December 31, 2022. During the year ended December 31, 2023, 24 additional licenses were purchased at value of €475,014 ($525,461) and during the year ended December 31, 2024, 60 additional Sky Premium Life licenses were purchased for €710,000 ($734,921). During the three months ended March 31, 2026, no additional licenses were acquired, as the agreement had been terminated on December 31, 2025. However, management intends to enter into an extension of the agreement during the second quarter of 2026.

 

Purchase of branded pharmaceuticals

 

On June 28, 2023, the Company approved the purchase of five proprietary and innovative branded pharmaceuticals with significant market presence and material profit contribution from Zakalia Ltd., the parent company of Doc Pharma, for €1,800,000 ($1,965,600). The transaction was settled on a non-cash basis through the reduction, of an equivalent amount, of prepaid expense balances the Company held with Doc Pharma. The purchased branded pharmaceuticals are presented in “Goodwill and intangible assets, net” on the accompanying condensed consolidated balance sheets. During the year ended December 31, 2024, the Company recognized an impairment charge of $160,947 related to two licenses that are no longer expected to be commercialized. The impairment was recorded after management’s assessment determined that the recoverability of these assets was no longer supportable due to changes in market conditions and strategic priorities. No additional impairment charge was recorded within the three and three-month periods ended March 31, 2026.

 

On December 29, 2023, the Company approved the purchase of additional 19 generic licenses from Doc Pharma, of a total value of €3,200,000 ($3,539,840). This transaction was also settled on a non-cash basis through the reduction, of an equivalent amount, of prepaid expense balances the Company held with Doc Pharma.

 

Loans receivable - related party

 

As of December 31, 2022, prepaid expenses due from Doc Pharma totaled €7,103,706 ($7,599,545), primarily reflecting prepayments made by SkyPharm S.A. under the CMO agreement in anticipation of expected sales of SPL products in 2023, particularly through Amazon channels in the UK, Singapore, Canada, and other markets. Since a significant portion of these prepayments was not expected to be realized within 12 months, the Company converted €4,000,000 ($4,279,200) of the prepaid balance into a loan to Doc Pharma. The 10-year loan, maturing December 1, 2032, bears a fixed interest rate of 5.5% payable monthly and is repayable in 120 equal installments of €33,333.33 ($35,660), with optional prepayment at any time without penalty. As of December 31, 2025 and 2024, the loan had a current portion of €1,092,844 ($1,282,561) and €500,000 ($517,550), and a non-current portion of €2,400,000 ($2,816,640) and €2,800,000 ($2,898,280), respectively, presented as “Loans receivable – related party” on the consolidated balance sheets. During 2025, the Company received no principal or interest payments but recognized €181,500 ($205,208) of interest income related to this loan.

 

During the year ended December 31, 2025, management assessed the recoverability of the outstanding loan balance in light of approximately 18 months of non-payment of both principal and interest. Given the prolonged arrears and the uncertainty surrounding the counterparty's ability to resume scheduled payments, the Company recorded a full allowance of $3,949,085 against the outstanding loan receivable — related party balance as of December 31, 2025. The difference between the allowance recorded in the income statement and the corresponding balance sheet amount reflects the use of different EUR/USD exchange rates — the average rate for the income statement and the closing rate for the balance sheet — with the offset recognized in accumulated other comprehensive income. This allowance is considered non-reversible absent a material change in circumstances and is presented within "General and administrative expenses" in the Consolidated Statements of Operations for the year ended December 31, 2025.

 

As of March 31, 2026, there were no changes in relation to the loan receivable from Doc Pharma. The outstanding balance remains fully impaired following the allowance for expected credit losses recorded as of December 31, 2025. No additional repayments, interest receipts, or reversals of impairment were recognized during the three-month period ended March 31, 2026.

 

 
26

Table of Contents

  

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

Panagiotis Kozaris

 

Panagiotis Kozaris is considered a related party due to the fact that he is a former General operational manager and current employee of Cosmofarm S.A.

 

Prepaid Expenses and Other Current Assets - Related Party

 

From time to time, the Company repurchases shares owned by Panagiotis Kozaris and records them as treasury shares. The Company makes advance payments to Panagiotis Kozaris for these shares and receives the shares upon execution of a cumulative stock purchase agreement (“SPA”).

 

During the year ended December 31, 2025, given the prolonged period during which no SPA had been executed and the uncertainty surrounding the timing and completion of the share repurchase, management determined that the advance was no longer recoverable with sufficient certainty. Accordingly, the Company recorded a full allowance of $194,215 against the outstanding balance as of December 31, 2025, presented within "General and administrative expenses" in the Unaudited Condensed Consolidated Statements of Operations. Should a cumulative SPA be executed in a subsequent period, the allowance will be reversed at that time to the extent the underlying advance is recovered through the receipt of shares.

 

As of March 31, 2026, there were no changes in relation to the advance payments made to Panagiotis Kozaris for the future repurchase of shares. No additional payments were made during the three-month period, and no cumulative stock purchase agreement (“SPA”) had been executed. The outstanding balance remains fully impaired following the allowance recorded as of December 31, 2025.

 

Maria Kozari

 

Maria Kozari is considered a related party to the Company due to the fact that she is the daughter of Panagiotis Kozaris, a former Operational General Manager and current employee of Cosmofarm S.A.

 

Accounts Receivable - Related Party

 

During 2021, the Company, through its subsidiary, Cosmofarm SA, commenced a partnership with a pharmacy called “Pharmacy & More”, owned by Maria Kozari. The transactions with the respective pharmacy were in Cosmofarm’s normal course of business, however, a more flexible credit policy was allowed as the pharmacy was new and needed to be established in the market. During the three-month periods ended March 31, 2026 and 2025 the Company’s net sales to Pharmacy & More amounted to $102,284 and $100,870 respectively. As of March 31, 2026 and December 31, 2025 the Company’s outstanding receivable balance due from the pharmacy amounted to $1,573,315 and $1,721,143, respectively, and are included in “Accounts receivable - related party”, on the accompanying consolidated balance sheets. As of March 31, 2026, a cumulative allowance for doubtful accounts of approximately $834,000 has been recognized, effectively offsetting this balance.

 

The Company plans to acquire Pharmacy & More within fiscal year 2026. Upon acquisition, the Company intends to offset the outstanding receivable balance with the corresponding purchase price and additionally plans to make Pharmacy & More the first shop-in-shop of its own branded line of nutraceutical products, Sky Premium Life® (SPL).

 

Other Related Parties

 

Additionally, the Company has the following material related-party balances as of March 31, 2026: a) a prepaid balance of $149,273 relating to prepaid salaries to Grigorios Siokas, the CEO of the Company, b) a balance of $450,000 relating to unpaid salaries and bonuses due to George Terzis, the CFO of the Company, c) a balance of $14,218 relating to unpaid bonuses due to Nikolaos Bardakis, the COO of the Company. The net payable balance of the above of $314,945 is classified as “Accounts payable and accrued expenses - related party” in the Company’s condensed consolidated balance sheets.

 

For the three-month period ended March 31, 2026, the Company also accrued $270,000 in salary for the Chief Executive Officer, $30,000 for the Chief Financial Officer, and $23,750 for Board of Directors fees, all in accordance with the respective individual agreements and as approved by the Board of Directors.

 

 
27

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

Notes Payable – Related Party

 

A summary of the Company’s related party notes payable as of March 31, 2026 and December 31, 2025 is presented below:

 

 

 

March 31,

2026

 

 

December 31,

2025

 

 

 

 

 

 

 

 

Beginning Balance

 

$11,971

 

 

$10,558

 

Payments

 

 

-

 

 

 

-

 

Foreign currency translation

 

 

(223 )

 

 

1,413

 

Ending Balance

 

$11,748

 

 

$11,971

 

 

Dimitrios Goulielmos

 

Dimitris Goulielmos was the Company’s former CEO and a Director of the Company.

 

On November 21, 2014, the Company entered into an agreement with Dimitrios Goulielmos, as amended on November 4, 2016. Pursuant to the amendment, this loan has no maturity date and is non-interest bearing. As of March 31, 2026 and December 31, 2025, the Company had a principal balance of €10,200 ($11,748) and €10,200 ($11,971), respectively.

 

The above balances are adjusted for the foreign currency rate as of the balance sheet date.

 

Loans Payable – Related Party

 

A summary of the Company’s related party loans payable as of March 31, 2026 and December 31, 2025 is presented below:

 

 

 

March 31,

2026

 

 

December 31,

2025

 

 

 

 

 

 

 

 

Beginning balance

 

$-

 

 

$6,194

 

Proceeds

 

 

-

 

 

 

-

 

Set-offs

 

 

133,609

 

 

 

774,371

 

Payments

 

 

(133,609 )

 

 

(781,394 )

Foreign currency translation

 

 

-

 

 

 

829

 

Ending balance

 

$-

 

 

$-

 

 

 
28

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

Grigorios Siokas

 

From time to time, Grigorios Siokas loans the Company funds in the form of non-interest bearing, no-term loans. As of March 31, 2026 and December 31, 2025 the Company had an outstanding principal balance under these loans of $0 and $0, respectively.

 

The above balances are adjusted for the foreign currency rate as of the balance sheet date.

 

Except as set forth above, we have not entered into any material transactions with any director, executive officer, promoter, beneficial owner of more than five percent of our common stock, or any family members of such persons, other than compensation arrangements for officers and members of the Board of Directors, which are annually approved by the Board of Directors. For related balances, please refer to the “Other Related Parties” section above.

 

NOTE 10 – LINES OF CREDIT

 

A summary of the Company’s lines of credit as of March 31, 2026 and December 31, 2025 is presented below:

 

 

 

March 31,

2026

 

 

December 31,

2025

 

National

 

$5,330,528

 

 

$6,516,307

 

Alpha

 

 

960,926

 

 

 

946,426

 

Credia Bank SA

 

 

1,104,034

 

 

 

1,232,875

 

EFG

 

 

460,720

 

 

 

482,076

 

Ending balance

 

$7,856,208

 

 

$9,177,684

 

 

The Company has three lines of credit with the National Bank of Greece, which are renewed annually. The three lines have interest rates of 6.00% (the "National Bank LOC"), 3.6% (the "COSME 2 Facility"), and 3.6% plus the three-month Euribor rate and any contributions currently in force by law on certain lines of credit (the "COSME 1 Facility").

 

The maximum borrowing allowed for the 6% line of credit was $5,759,000 and $5,868,000 as of March 31, 2026 and December 31, 2025, respectively. During the year ended December 31, 2025, the Company increased the maximum borrowing capacity under this line of credit. This amendment was executed to enhance financial flexibility and support the Company’s operational and strategic initiatives. The outstanding balance of the facility was $4,360,995 and $5,463,862, as of March 31, 2026 and December 31, 2025, respectively.

 

The cumulative maximum borrowing allowed for the COSME 1 Facility and COSME 2 Facility (collectively, the "Facilities") was $1,151,800 and $1,173,600 as of March 31, 2026 and December 31, 2025, respectively. The outstanding balance of the Facilities was $907,628 and $895,987 as of March 31, 2026 and December 31, 2025, respectively. 

 

The Company maintains a line of credit with Alpha Bank of Greece ("Alpha LOC"), which is renewed annually and has a current interest rate of 6.00%. The maximum borrowing allowed was $1,151,800 and $1,173,600 as of March 31, 2026 and December 31, 2025, respectively. The outstanding balance of the Alpha LOC was $960,926 and $946,226, as of March 31, 2026 and December 31, 2025, respectively.

 

The Company holds a line of credit with CrediaBank S.A. (formerly Pancreta Bank, renamed following its merger with Attica Bank during 2025) which is renewed annually and has a current interest rate of 4.49%. The maximum borrowing allowed as of March 31, 2026 and December 31, 2025 was $1,727,700 and $1,760,400, respectively. The outstanding balance of the CrediaBank LOC as of March 31, 2026 and December 31, 2025, was $198,142 and $309,839, respectively.

 

The Company maintains a line of credit with EGF ("EGF LOC"), which is renewed annually and has a current interest rate of 4.49% plus 3-month Euribor. The maximum borrowing allowed as of March 31, 2026 and December 31, 2025, was $460,720 and $469,440, respectively. The outstanding balance of the EFG LOC as of March 31, 2026 and December 31, 2025 was $460,720 and $482,076 respectively.

 

On January 27, 2025, the Company entered into a bond loan agreement with CrediaBank S.A. (formerly Attica Bank, renamed following its merger with Pancreta Bank during 2025), providing for maximum borrowings of up to €2,200,000 ($2,357,120). Under the terms of the facility, the Company received initial proceeds of €700,000, which were classified as Notes Payable. The remaining borrowing capacity of €1,500,000 is available on a revolving basis, subject to qualifying checks receivable as collateral, classified as Lines of Credit. The facility bears interest at a floating rate of 2.95% plus the applicable 6-month Euribor, recalculated periodically in accordance with market conditions. The loan agreement includes standard covenants and collateral arrangements customary for this type of facility. The loan is further secured by a preliminary mortgage of €2,640,000 ($3,040,752) registered on Company’s owned warehouse facilities. The maximum borrowing available under the CrediaBank LOC as of March 31, 2026 and December 31, 2025 was $1,727,700 and $1,760,400, respectively. The outstanding balance as of March 31, 2026 and December 31, 2025 was $905,891 and $923,036, respectively.

 

 
29

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

Under the aforementioned line of credit agreements, the Company is required to maintain certain financial ratios and covenants. As of March 31, 2026, and December 31, 2025, the Company was in compliance with these ratios and covenants.

 

All lines of credit are guaranteed by customer receivable checks, which are a type of factoring in which postponed customer checks are assigned by the Company to the bank, in order to be financed at an agreed upon rate.

 

Interest expense on the Company’s outstanding lines of credit balances for the three months ended March 31, 2026 and 2025, was $60,811 and $79,663, respectively.

 

NOTE 11 – CONVERTIBLE DEBT

 

A summary of the Company’s convertible debt during the 3-month period ended March 31, 2026 and the year ended December 31, 2025 is presented below:

 

 

 

March 31,

2026

 

 

December 31,

2025

 

 

 

 

 

 

 

 

Beginning balance convertible notes

 

$10,137,804

 

 

-

 

Issuance of new convertible notes

 

 

-

 

 

 

9,839,348

 

Fair value adjustment

 

 

(626,493 )

 

 

608,456

 

Payments

 

 

-

 

 

 

-

 

Conversion to common stock

 

 

(864,348)

 

 

(310,000 )

Subtotal notes

 

 

8,646,963

 

 

 

10,137,804

 

Unamortized debt discount

 

 

(3,214,726 )

 

 

(3,732,226 )

Convertible note payable, net of fair value adjustment and unamortized debt disc

 

5,432,237

 

 

 

6,405,578

 

Convertible Notes payable – long-term

 

 

4,785,274

 

 

 

4,267,774

 

Convertible Notes payable - short-term

 

646,963

 

 

2,137,804

 

 

As permitted under Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) Topic 825, Financial Instruments (“ASC 825”), the Company elects to account for its convertible promissory note, which meets the required criteria, at fair value at inception and at each subsequent reporting date. Subsequent changes in fair value are recorded as a component of non-operating loss in the condensed consolidated statements of operations. This election is made on an instrument-by-instrument basis as permitted under ASC 825. The portion of total changes in fair value of the convertible promissory note attributable to changes in instrument-specific credit risk are determined through specific measurement of periodic changes in the discount rate assumption exclusive of base market changes and are presented as a component of comprehensive income in the accompanying condensed Consolidated Statements of Operations and Comprehensive Income (Loss). As a result of electing the fair value option, direct costs and fees related to the convertible promissory note are expensed as incurred.

 

The Company estimates the fair value of the convertible promissory note using a Monte Carlo simulation model, which uses as inputs the fair value of our common stock and estimates for the equity volatility and volume volatility of our common stock, the time to expiration of the convertible promissory note, the risk-free interest rate for a period that approximates the time to expiration, and probability of default. Therefore, we estimate our expected future volatility based on the actual volatility of our common stock and historical volatility of our common stock utilizing a lookback period consistent with the time to expiration. The time to expiration is based on the contractual maturity date, giving consideration to the voluntary, mandatory and potential accelerated redemption scenarios. The risk-free interest rate is determined by reference to the U.S. Treasury yield curve in effect at the time of measurement for time periods approximately equal to the time to expiration. Probability of default is estimated using Bloomberg's Default Risk function which uses our financial information to calculate a default risk specific to the Company.

 

 
30

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

May & July 2025 Convertible Promissory Notes

 

On May 23, 2025 the Company issued two convertible promissory notes (the “May 2025 Notes”) to two separate investors. One of the May 2025 Notes had a principal amount of $235,000 and the other had a principal amount of $75,000. The May 2025 Notes accrue interest at 10%. Beginning on the 180th day after the issuance date, the investors shall have the right to convert the May 2025 Notes into common stock at a conversion price equal to 75% of the lowest trading price of the Company’s common stock during the ten-day trading day period ending on the latest trading day prior to the conversion date. The May 2025 Notes may be prepaid before maturity, however, they are subject to the following prepayment terms: 1) if the note is prepaid during the period beginning on the issuance date and ending on the 60th day following issuance, the outstanding principal and accrued interest must be repaid at 115% of the outstanding balance, 2) if the note is prepaid during the period beginning on 61st day following issuance and ending on the 120th day following issuance, the outstanding principal and accrued interest owed shall be repaid at 120% of the outstanding balance, and 3) if the note is repaid during the period beginning on the 121st day after issuance and ending on the 180th day after issuance, the outstanding principal and accrued interest owed shall be repaid at 125% of the outstanding balance.

 

On July 9, 2025 the Company issued two convertible promissory notes; one convertible promissory note was issued to Boot (the “Second Boot Note”) and other was issued to Vanquish Funding Group, Inc. (the “Vanquish Note”). Together, the two notes are referred to as the “July 2025 Notes”. The Second Boot Note has a principal amount of $75,000 and the Vanquish Note has a principal amount of $150,000. The July 2025 Notes have identical terms to the May 2025 Notes.

 

Due to certain embedded features within the May and July 2025 Notes, the Company elected to account for the May and July 2025 Notes and all the embedded features at fair value at inception. Subsequent changes in fair value are recorded as a component of non-operating income (loss) in the condensed consolidated statements of operations. As a result of electing the fair value option, $23,100 of direct costs and fees related to the issuance of the May 2025 Notes were expensed immediately. There were no direct costs and fees related to the issuance of the July 2025 Notes.

 

During the period from November 24, 2025 through December 7, 2025, the Company issued an aggregate of 783,430 shares of its common stock upon the conversion of the Company’s May 2025 Convertible Promissory Notes (the “May 2025 Notes”), resulting in the full settlement of the notes. The conversions satisfied total obligations of $327,661, consisting of $310,000 of outstanding principal and accrued interest, in accordance with the conversion terms of the May 2025 Notes.

 

During the three-month period ended March 31, 2026, the Company issued an aggregate of 659,172 shares of its common stock upon the conversion of the Company’s July 2025 Convertible Promissory Notes (the “July 2025 Notes”), resulting in the full settlement of the notes. The conversions satisfied total obligations of $237,822, consisting of $225,000 of outstanding principal and $12,822 of accrued interest, in accordance with the conversion terms of the July 2025 Notes.

 

For the year ended December 31, 2025, the Company recorded a loss of $52,425 related to the change in fair value of the July 2025 Notes, recognized in “Change in fair value of convertible notes” in the condensed consolidated statements of operations. The loss includes the July 2025 Notes, which were fully converted during the first quarter of 2026. The Company measured the fair value of the common stock issued at each respective conversion date, and the related profit and loss impact, including amounts associated with the fair value of the July Notes as of March 31, 2026, was recognized in the statement of operations.

 

Interest expense on the July 2025 Notes totaled $1,897 for the three months ended March 31, 2026, and is included within Interest expense in the condensed consolidated statement of operations.  

 

June 2025 Convertible Promissory Note

 

On June 9, 2025 the Company issued a secured convertible promissory note (the “June 2025 Note”) to an investor. The June 2025 Note has a principal amount of $1,304,347.83 and was issued with an 8% original issue discount. As a result the Company received proceeds of $1,200,000 from the investor in exchange for the June 2025 Note. Interest accrues at a rate of 18% per annum on the June 2025 Note, however, the first three months of interest accrue on the June 2025 Note immediately. The June 2025 Note has a maturity date of June 9, 2026. The June 2025 Note is convertible into common stock at a conversion price of $0.40 per share.

 

Due to certain embedded features within the June 2025 Note, the Company elected to account for the June 2025 Note and all the embedded features at fair value at inception. Subsequent changes in fair value are recorded as a component of non-operating income (loss) in the condensed consolidated statements of operations. As a result of electing the fair value option, $274,783 of direct costs and fees related to the issuance of the June 2025 Note were expensed immediately.

 

The fair value of the convertible notes was estimated using a Monte Carlo simulation model. Significant assumptions included a stock price of $0.32, expected annualized volatility of 66.8%, risk-free interest rate of 3.70%, dividend yield of 0%, and a discount rate of 25.0%. The simulation used a one-year forecast horizon with 52 weekly steps and 50,000 trials. Event assumptions included a 5% probability of prepayment, 10% probability of a qualified financing event, 80% probability of payment at maturity (June 29, 2026), and 5% probability of default (assumed June 9, 2026), with a valuation date of March 31, 2026.

 

 
31

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

On August 5, 2025, the Company entered into an amendment to its June 2025 Note. The amendment was executed following the Company’s failure to make its initial interest payment, which constituted an event of default under the original agreement. Under the terms of the amendment, the Company issued 500,000 shares of common stock to the investor as consideration for curing the default and agreeing to subordinate its lien position to that of the August 2025 Note (as defined below) investor, which provided subsequent financing to the Company. The Company also paid $19,565 of accrued interest, curing the prior default in full.

 

The amendment further introduced provisions requiring the Company to apply 30% of any proceeds from future At-The-Market (“ATM”) equity offerings with A.G.P. toward repayment of the June 2025 Note, established a 24% default interest rate and a $500 daily penalty in the event of future payment defaults, and added a new Nasdaq listing compliance clause that would constitute an event of default upon delisting or failure to maintain listing standards. All other terms of the June 2025 Note, including its principal balance, stated interest rate, conversion features, and maturity date, remained unchanged.

 

The issuance of shares to the investor was accounted for as a non-cash debt modification expense, measured at the fair value of the shares on the amendment date of $439,000 and recorded in change in fair value of convertible notes in the condensed consolidated statements of operations. The amendment did not represent a substantial modification or extinguishment of the existing debt under ASC 470-50, as the primary economic terms of the June 2025 Note remained intact.

 

During the three-month period ended March 31, 2026, the Company issued an aggregate of 889,620 shares of its common stock upon the conversion of the Company’s June 2025 Convertible Promissory Note (the “June 2025 Note”), resulting in the partial settlement of the note. The conversions satisfied aggregate obligations of $354,348 in accordance with the conversion terms of the June 2025 Note. In addition, the Company issued 159,856 shares of its common stock in satisfaction of accrued default interest obligations totaling $58,347 related to the June 2025 Note.

 

For the three and three months ended March 31, 2026 the Company recorded a gain of $461,735, related to the change in fair value of the June 2025 Note which was recognized within change in fair value of the convertible notes in the condensed consolidated statements of operations.

 

Interest expense on the June 2025 Note totaled $44,917 for the three months ended March 31, 2026, and is included within Interest expense in the condensed consolidated statement of operations.  

 

August 2025 Convertible Promissory Note

 

On August 5, 2025 the Company issued a senior secured convertible promissory note (the “August 2025 Note”) to an investor. The August 2025 Note has a principal amount of $8,000,000, an original issue discount of $720,000 and incurs interest at a rate of 9% per annum. Interest is payable in shares of common stock or in cash, at the Company’s election. The August 2025 Note may be converted by the investor at any time following issuance into shares of the Company’s common stock. The conversion price is set as the lower of $1.05 or a market price, equal to 92% of the lowest daily VWAP during the ten preceding trading days immediately preceding the conversion date. The terms of the August 2025 Note stipulate certain covenants, including commencing on March 31, 2026, on the final day of each fiscal quarter, the Company shall have an available cash and cash equivalents balance of at least $400,000.

 

The Company identified certain embedded features within the August 2025 Note that were required to bifurcated as derivative liabilities in accordance with ASC 815-40. Upon issuance, the Company recognized the fair value of the derivative liability of $2,817,218 which was included as a debt discount. Subsequent changes in the fair value of the derivative liability are recorded as a component of non-operating income (loss) in the condensed consolidated statements of operations. Upon issuance, the Company capitalized $736,250 of direct costs and fees related to the issuance of the August 2025 Notes as additional debt discount which are amortized over the life of the August 2025 Note.

 

During the three-month period ended March 31, 2026, the Company issued an aggregate of 874,641 shares of its common stock upon the conversion of the Company’s August 2025 Convertible Promissory Note (the “August 2025 Note”), resulting in the partial settlement of the note. The conversions satisfied aggregate obligations of $298,501 in accordance with the conversion terms of the August 2025 Note ($285,000 of outstanding principal and interest).

 

In connection with the conversions during the three-month period ended March 31, 2026, the Company recognized a conversion loss of approximately $169,829 related to the excess of the fair value of the shares issued over the carrying value of the converted obligations under the August 2025 Note. The conversion loss was classified within change in fair value of convertible notes in the accompanying condensed consolidated statements of operations.

 

For the three ended March 31, 2026 the Company recorded a gain of $231,968 related to the change in fair value of the derivative liability which was recognized in change in fair value of convertible notes in the condensed consolidated statements of operations.

 

Interest expense on the August 2025 Note totaled $567,625 for the three and three months ended March 31, 2026, comprised of $177,275 for the amortization of debt discount and $390,350 for coupon interest.

 

The following table presents the change in fair value of the derivative liability for the periods identified:

 

Balance, January 1, 2026

 

$1,292,198

 

Change in fair value of the derivative liability

 

 

(231,968 )

Balance, March 31, 2026

 

$1,060,230

 

 

 
32

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

NOTE 12 – NOTES PAYABLE

 

A summary of the Company’s third-party debt as of and for period ended March 31, 2026, and the year ended December 31, 2025 is presented below:

 

March 31, 2026

 

Trade

Facility

 

 

Third

Party

 

 

COVID

Loans

 

 

Total

 

Beginning balance, December 31, 2025

 

$1,232,280

 

 

 

2,394,203

 

 

 

148,854

 

 

 

3,775,337

 

Payments

 

 

-

 

 

 

(251,778 )

 

 

(2,788 )

 

 

(254,566 )

Foreign currency translation

 

 

(22,890 )

 

 

(44,473 )

 

 

(2,811 )

 

 

(70,274 )

Ending balance, March 31, 2026

 

 

1,209,390

 

 

 

2,097,952

 

 

 

143,255

 

 

 

3,450,597

 

Notes payable - long-term

 

 

-

 

 

 

(1,268,835 )

 

 

(70,188 )

 

 

(1,339,023 )

Notes payable - short-term

 

$1,209,390

 

 

 

829,117

 

 

 

73,067

 

 

 

2,111,574

 

 

December 31, 2025

 

Trade

Facility

 

 

Third

Party

 

 

COVID

Loans

 

 

Total

 

Beginning balance, January 1, 2025

 

 

1,397,385

 

 

 

2,557,023

 

 

 

154,505

 

 

 

4,108,913

 

Proceeds

 

 

-

 

 

 

2,328,190

 

 

 

-

 

 

 

2,328,190

 

Payments

 

 

(352,080 )

 

 

(2,563,444 )

 

 

(23,467 )

 

 

(2,938,991 )

Debt exchanges

 

 

-

 

 

 

(293,400 )

 

 

-

 

 

 

(293,400 )

Recapitalization of debt

 

 

-

 

 

 

25,000

 

 

 

-

 

 

 

25,000

 

Foreign currency translation

 

 

186,975

 

 

 

340,834

 

 

 

17,816

 

 

 

545,625

 

Ending balance, December 31, 2025

 

 

1,232,280

 

 

 

2,394,203

 

 

 

148,854

 

 

 

3,775,337

 

Notes payable – long-term

 

 

-

 

 

 

(1,514,379 )

 

 

(69,684 )

 

 

(1,584,063 )

Notes payable - short-term

 

 

1,232,280

 

 

 

879,824

 

 

 

79,170

 

 

 

2,191,274

 

 

Our outstanding debt as of March 31, 2026 is repayable as follows:

 

 

 

March 31, 2026

 

2027

 

$2,111,574

 

2028

 

 

703,758

 

2029

 

 

413,824

 

2030

 

 

221,441

 

2031 and thereafter

 

 

-

 

Total debt

 

 

3,450,597

 

Less: notes payable - current portion

 

 

(2,111,574 )

Notes payable - long term portion

 

$1,339,023

 

 

 
33

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

 

Trade Facility Agreements

 

On May 12, 2017, SkyPharm entered into a Trade Finance Facility Agreement (the “TFF”) with Synthesis Structured Commodity Trade Finance Limited (the “Lender”) as amended on November 16, 2017, and May 16, 2018.

 

No principal repayments were made during the three-month period ended March 31, 2026. As of March 31, 2026, the Company had an outstanding principal balance of €1,050,000 ($1,209,390), which is fully classified as “Notes Payable” in the Company’s unaudited condensed consolidated balance sheets.

 

June 23, 2020 Debt Agreement

 

On June 23, 2020, the Company’s subsidiary, Cosmofarm, entered into an agreement with the National Bank of Greece S.A. (the “Bank”) to borrow up to €500,000 ($611,500). The note had a maturity date of 60 months from the date of the first disbursement, including a grace period of nine months. The outstanding balance was €0 ($0) as of March 31, 2026, and December 31, 2025, respectively, following the full repayment of the remaining principal balance of €88,235 ($103,553) during the year ended December 31, 2025.

 

November 19, 2020 Debt Agreement

 

On November 19, 2020, the Company entered into an agreement with a third-party lender in the principal amount of €500,000 ($611,500). The note matures on November 18. The principal is to be repaid in 18 quarterly installments of €27,778 ($30,333 During the three months ended March 31, 2026, there were no repayments related to this note, as the outstanding principal balance was fully repaid during 2025. As of March 31, 2026, the outstanding principal balance was €0 ($0), compared to €0 ($0) as of December 31, 2025.

 

July 30, 2021 Debt Agreement

 

On July 30, 2021, the Company entered into an agreement with a third-party lender in the principal amount of €500,000 ($568,850). During the three-month period ended March 31, 2026, the Company repaid €29,834 ($34,363) of the principal balance. As of March 31, 2026 and December 31, 2025, the outstanding principal balance was €60,511 ($69,697) and €90,345 ($106,029), respectively, and accrued interest related to the note amounted to €1,336 ($1,539) and €20,038 ($23,517), respectively, all of which was classified as “Notes payable” on the accompanying unaudited condensed consolidated balance sheets.

 

June 9, 2022 Debt Agreement

 

On June 9, 2022, the Company entered into an agreement with a third-party lender in the principal amount of €320,000 ($335,008). During the three-month period ended March 31, 2026, the Company repaid €20,000 ($23,036) of the principal balance. As of March 31, 2026 and December 31, 2025, the Company had accrued interest of €2,106 ($2,425) and €4,262 ($5,002), respectively, and outstanding principal balances of €80,000 ($92,144) and €100,000 ($117,360), respectively, all of which was classified as “Notes payable” on the unaudited accompanying condensed consolidated balance sheets.

 

 
34

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

 

July 14, 2023 Debt Agreement

 

On July 14, 2023, the Company entered into an agreement with a third-party lender in the principal amount of €1,000,000 ($1,123,700), the “Note”. During the three-month period ended March 31, 2026 the Company repaid €54,317 ($62,562) of the principal. As of March 31, 2026 and December 31, 2025 the Company has accrued interest of €15,443 ($17,787) and €19,879 ($23,330) and an outstanding balance of €543,167 ($625,619) and €597,483 ($701,206), of which $250,069 is classified as “Notes payable” on the accompanying unaudited condensed consolidated balance sheets as of March 31, 2026.

 

Cloudscreen Promissory Note

 

On January 23, 2024, the Company completed the acquisition of Cloudscreen, an AI-powered drug repurposing platform, for total consideration of $637,080, consisting of 280,000 shares of the Company’s common stock and a promissory note of $317,880. During the year ended December 31, 2025, the Company repaid $22,421 of the outstanding balance, and the remaining balance of $293,400 was converted into shares of the Company’s common stock pursuant to a debt exchange agreement, resulting in a gain on extinguishment of debt of $68,610. As of March 31, 2026 and December 31, 2025, there was no outstanding balance related to this obligation.

 

July 29, 2024 Debt Agreement

 

On July 29, 2024 the Company entered into an agreement with a third-party lender in the principal amount of €400,000 ($432,760), the “Note”. During the three-month period ended March 31, 2026, the Company repaid principal of €44,444($51,191). As of March 31, 2026, and December 31, 2025, the Company had an outstanding balance of €311,111 ($358,338) and €355,556 ($417,080), respectively, of which $102,382 is classified as “Notes payable” on the accompanying unaudited condensed consolidated balance sheets as of March 31, 2026. The Company also had accrued interest of $5,412 as of March 31, 2026 and $7,932 as of December 31, 2025.

 

December 20, 2024 Debt Agreement

 

On December 20, 2024 the Company entered into an agreement with a third-party lender in the principal amount of €400,000 ($414,040), the “Note”. During the three-month period ended March 31, 2026, the Company repaid no principal. As of March 31, 2026, and December 31, 2025 the Company has accrued interest of €4,135 ($4,763) and €7,728 ($9,070), respectively, and an outstanding balance of € 266,667 ($307,147) and €266,667 ($312,960), of which $153,573 is classified as “Notes payable” on the accompanying unaudited condensed consolidated balance sheets as of March 31, 2026.

 

January 27, 2025 Debt Agreement

 

On January 27, 2025, the Company entered into a bond loan agreement with Attica Bank, providing for maximum borrowings of up to €2,200,000 ($2,357,120). Under the terms of the facility, the Company received initial proceeds of €700,000 ($821,520), while the remaining borrowing capacity of €1,500,000 ($1,619,400) is available on a revolving basis subject to the provision of qualifying checks receivable as security for each drawing. The facility bears interest at a floating rate of 2.95% plus the applicable 6-month Euribor. During the three-month period ended March 31, 2026, the Company repaid €70,000 ($80,626) of the principal balance. As of March 31, 2026 and December 31, 2025, the Company had accrued interest of €36,557 ($42,106) and €28,702 ($33,685), respectively, and outstanding principal balances of €560,000 ($645,008) and €630,000 ($739,368), respectively, of which $161,252 is classified as “Notes payable” on the accompanying unaudited condensed consolidated balance sheets as of March 31, 2026. The loan is secured by a preliminary mortgage of €2,640,000 ($3,040,752) registered on the Company’s owned warehouse facilities.

 

May 29, 2025 Debt agreement

 

On May 29, 2025, the Company entered into a business loan agreement with a third-party lender in the principal amount of $525,000. The Note carried debt issuance fees of $25,000, which are being amortized over the life of the loan, and bore fixed total interest of $231,000, accrued evenly over the term and payable together with principal installments. The loan was scheduled to be fully repaid by December 15, 2025 through weekly installments, and during the year ended December 31, 2025 the Company made aggregate principal and interest repayments totaling $756,000, resulting in a zero outstanding balance as of December 31, 2025 and March 31, 2026.

 

COVID-19 Loans

 

On May 12, 2020, the Company’s wholly owned subsidiary, SkyPharm SA, was granted a loan from the Greek government in the amount of €300,000 (approximately $366,900). During the three-month period ended March 31, 2026, no principal repayments were made. As of March 31, 2026, and December 31, 2025 the Company has an outstanding balance of 87,500 ($100,783) and 87,500 ($102,690), of which $30,595 is classified as “Notes payable” on the accompanying unaudited condensed consolidated balance sheets as of March 31, 2026.

 

On June 24, 2020, the Company’s subsidiary, Decahedron, received a loan £50,000 ($68,310) from the UK government. As of March 31, 2026, and December 31, 2025 the Company has an outstanding balance of £32,215 ($42,472) and £34,330 ($46,164), all of which is classified as “Notes payable” on the accompanying unaudited condensed consolidated balance sheets as of March 31, 2026.

 

None of the above loans were made by any related parties.

 

 
35

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

NOTE 13 – LEASES

 

The Company has various operating and finance lease agreements with terms up to 10 years, for various types of property and equipment (such as office space and vehicles) etc. Some leases include options to purchase, terminate or extend for one or more years. These options are included in the lease term when it is reasonably certain that the option will be exercised. Leases with an initial term of 12 months or less are not recorded on the balance sheet; we recognize lease expense for these leases on a straight-line basis over the lease term.

 

Operating Leases

 

The Company’s weighted-average remaining lease term relating to its operating leases is 0.81 years, with a weighted-average discount rate of 6.74%.

 

The following table presents information about the amount, timing and uncertainty of cash flows arising from the Company’s operating leases as of March 31, 2026:

 

Maturity of Operating Lease Liability

 

 

 

2027

 

212,727

 

2028

 

 

208,369

 

2029

 

 

146,674

 

2030 and thereafter

 

 

156,531

 

Total undiscounted operating lease payments

 

$724,301

 

Less: Imputed interest

 

 

(56,325 )

Present value of operating lease liabilities

 

$667,976

 

 

The Company incurred lease expense, due to amortization of operating lease right-of-use assets, of $74,117 and $60,668, which was included in “General and administrative expenses,” for the three months ended March 31, 2026 and 2025, respectively. 

 

Finance Leases

 

The Company’s weighted-average remaining lease term relating to its finance leases is 0.17 years, with a weighted-average discount rate of 6.74%.

 

The following table presents information about the amount, timing and uncertainty of cash flows arising from the Company’s finance leases as of March 31, 2026:

 

Maturity of Lease Liability

 

 

 

2027

 

1,918

 

Total undiscounted finance lease payments

 

$1,918

 

Less: Imputed interest

 

 

(11 )

Present value of finance lease liabilities

 

$1,907

 

 

 
36

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

The Company had financing cash flows used in finances leases of $1,948 and $5,398 for the three months ended March 31, 2026 and 2025, respectively.

 

The Company incurred interest expense on its finance leases of $43 and $195 which was included in “Interest expense”, for the three months ended March 31, 2026, and 2025, respectively. The Company incurred amortization expense on its finance leases of $1,659 and $4,603 which was included in “Depreciation and amortization expense,” for the three months ended March 31, 2026 and 2025, respectively.

 

NOTE 14 – OTHER LIABILITIES

 

As of March 31, 2026 the Company’s other liabilities primarily consist of obligations to local tax authorities, payroll taxes, fines, and other miscellaneous liabilities.

 

The significant components of other liabilities are as follows:

 

 

·

The Company’s Greek subsidiaries have $2,928,951 and $3,618,875 in settled tax liabilities as March 31, 2026 and December 31, 2025, respectively, which are payable in installments to the tax authorities.

 

 

 

 

·

Payroll and other tax-related current liabilities amount to $2,693,530 and $2,570,839 as of March 31, 2026 and December 31, 2025, respectively, and represent obligations due to tax authorities within the next 12 months.

 

 

 

 

·

A provision of $666,358 has been recorded for potential tax liabilities related to the unaudited tax years of SkyPharm S.A., in accordance with ASC 450-20, as the Company has assessed that a loss is probable and reasonably estimable.

 

 

 

 

·

A provision of $376,271 has been recognized for staff leaving compensation, based on actuarial valuations performed in accordance with ASC 715-30 (Defined Benefit Plans – Pension).

 

 

 

 

·

Customer prepayments totaling $1,533,027 and $912,331 as of March 31, 2026 and December 31, 2025, respectively, are included in “Other Current Liabilities” in accordance with ASC 606-10-45-2 (Revenue Recognition – Contract Liabilities). Approximately $1.3 million of the March 31, 2026 balance relates to deferred revenue recorded in connection with uncollected amounts from Medihelm S.A., the Company’s exclusive distributor of its branded nutraceutical products in Greece.

 

Liabilities that are due within 12 months from the balance sheet date are classified under “Other Current Liabilities. “Obligations that extend beyond 12 months are classified as “Other Non-Current Liabilities.” 

 

NOTE 15 – COMMITMENTS AND CONTINGENCIES

 

Legal Matters

 

From time to time, the Company may be involved in litigation relating to claims arising out of the Company’s operations in the normal course of business. As of March 31, 2026, the following proceedings were pending. None is expected to have a material financial or operational impact upon the Company.

 

Urban Planning Compensation Claim – Cana Laboratories

 

In October 2023, the Company’s subsidiary, Cana Laboratories, was approached by an attorney representing two clients seeking compensation of €39,211 related to 34.70 square meters of urban sprawl, for which an Act of Imputation had been issued by the Department of Urban Planning. The Company’s legal counsel has advised that Cana is not obligated to accept the compensatory value as agreed and has suggested exploring an out-of-court settlement. As of the date of this report, the clients’ attorney has not provided further communication.

 

Pending Lawsuits Against Hospitals – Cana Laboratories SA

 

Cana Laboratories SA v. Evangelismos Hospital (Case No. ΑΓ1530/2022) — Cana Laboratories SA filed a lawsuit seeking recovery of approximately €278,054 ($326,852) plus accrued interest for unpaid invoices. The court issued Decision No. 2161/2025 rejecting the claim, against which the Company has filed an appeal before the Council of State. The ultimate outcome of the appeal remains uncertain at this time.

 

Cana Laboratories SA v. Evangelismos Hospital (Case No. ΑΓ1225/2023) — Cana Laboratories SA filed a lawsuit seeking recovery of approximately €248,382 ($291,501) plus accrued interest for unpaid invoices. The hearing, originally scheduled for April 8, 2025, has been postponed to May 19, 2026. Legal counsel assesses the likelihood of success and collection of the claimed amount as probable.

 

Cana Laboratories SA v. Konstantopouleio Hospital (Case No. ΑΓ1234/2023) — Cana Laboratories SA had initiated legal proceedings to recover approximately €1,291 ($1,515) plus accrued interest for unpaid invoices. This matter has been subsequently resolved through full repayment of the outstanding balance by the defendant.

 

Cana Laboratories SA v. Papanikolaou Hospital (Case No. ΑΓ575/2024) — Cana Laboratories SA had initiated legal proceedings to recover approximately €89,948 ($105,563) plus accrued interest for unpaid invoices. This matter has been subsequently resolved through full repayment of the outstanding balance by the defendant.

 

Cana Laboratories SA v. Theageneio Hospital (Case No. ΑΓ574/2024) — Cana Laboratories SA had initiated legal proceedings to recover approximately €16,272 ($19,097) plus accrued interest for unpaid invoices. This matter has been subsequently resolved through full repayment of the outstanding balance by the defendant. 

 

All above claims have been classified under “Other assets” within non-current assets in the Company’s consolidated balance sheets as of March 31, 2026. 

 

 
37

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

Employment Dispute – Cana Laboratories

 

A lawsuit filed on April 5, 2018, by a former employee against the Company’s subsidiary, Cana, before the Athens Court of First Instance, sought the nullification of the termination of employment and compensation for unpaid wages and moral damages. Following multiple appeals, Judgment No. 1192/2024 was issued on September 26, 2023, requiring Cana to reinstate the former employee, with a penalty of €200 per day for non-compliance. According to the Company’s legal counsel, for the penalty to be enforceable, the former employee must file a new lawsuit requesting reinstatement. As of the date of this report, no such lawsuit or request for reinstatement has been received.

 

On April 28, 2025, the Company entered into a settlement agreement with a former employee, acknowledging its obligation to pay €62,500 ($83,719) gross (€62,250 net after applicable severance tax) as termination compensation in nine scheduled installments from April to December 2025, with any additional tax, social security, or other charges to be borne solely by the Company; upon timely and full payment of all installments, the former employee agreed to accept the settlement and confirm the lawfulness and validity of the February 23, 2018 termination. As of March 31, 2026, the Company had not executed the last three installments, resulting in an outstanding balance of €24,208 ($27,883). The two remaining installments expected to be settled by the end of the second quarter of 2026.

 

Neiada A., Neiadas B. v. Cana Laboratories SA

 

In February 2025, plaintiffs filed a lawsuit against the Company’s subsidiary, Cana Laboratories SA before the Single-Member First Instance Court of Athens, seeking restitution of a leased property and recovery of approximately €21,678 ($25,441) in outstanding rent and compensation for use. The monetary claims have been subsequently settled by the Company. The claim for restitution of the leased property is expected to be resolved through voluntary surrender of the premises, thereby avoiding forced execution.

 

DA Melissotopi Ltd v. Cana Laboratories SA

 

In July 2025, plaintiff filed a lawsuit against Cana Laboratories SA before the Single-Member First Instance Court of Athens, asserting claims of approximately €17,868 ($20,970) related to storage and safekeeping fees, custodial and maintenance services, and electronic platform management. The hearing is currently estimated to be scheduled in 2027. Based on the assessment of legal counsel, a significant portion of the claim is expected to be dismissed as inadmissible, with maximum estimated exposure of approximately €4,000 ($4,607).

 

Claims for Recovery of Receivables

 

Cosmofarm SA v. Papaleka E. — Cosmofarm SA has initiated legal proceedings before the Single-Member First Instance Court of Athens to recover approximately €20,301 ($23,825) in unpaid invoices. The hearing is estimated to be scheduled in the second half of 2026. Legal counsel assesses the claim as likely to be upheld.

 

Cosmofarm SA v. Katsanis G. — Cosmofarm SA has initiated legal proceedings before the Single-Member First Instance Court of Athens to recover approximately €15,143 ($17,772) in unpaid invoices. The hearing is estimated to be scheduled in the second half of 2026. Legal counsel assesses the claim as likely to be upheld.

 

Cosmofarm SA v. Renieris A. — Cosmofarm SA has initiated legal proceedings before the Single-Member First Instance Court of Athens to recover approximately €15,255 ($17,903) in unpaid invoices. The hearing is estimated to be scheduled in the second half of 2026. Legal counsel assesses the claim as likely to be upheld.

 

Tax Assessments — SkyPharm S.A.

 

In February 2026, the Greek tax authorities issued corrective assessments against the Company's subsidiary SkyPharm S.A. relating to corporate income tax for fiscal years 2017 and 2018 and VAT for fiscal year 2018, aggregating approximately €955,430 ($1,100,464) plus statutory interest. The Company has appealed the assessments through the applicable administrative process and based on the advice of legal counsel, believes it has strong grounds for a favorable resolution on both procedural and substantive grounds.

 

 
38

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

Advisory Agreements

 

The Company has entered into various advisory and consulting agreements with third-party advisors, under which the advisors provide marketing, investor relations, digital marketing, and general business advisory services. As consideration, the Company issues common stock, with the number of shares, fair value, and vesting schedules established at the grant date. Certain agreements include clawback provisions for unvested shares if the arrangement is terminated prior to full vesting. Stock-based compensation expense related to these agreements is recognized evenly over the respective service periods and is classified as “General and administrative expenses” in the consolidated statements of operations and comprehensive income (loss).

 

On July 24, 2025, the Company entered into a marketing services agreement with a third-party advisor, pursuant to which it issued 169,549 shares of its common stock in exchange for marketing and distribution services. The shares carry full voting rights and vest at a rate of 28,258 shares per month over the 6-month term of the agreement. In accordance with the terms of the agreement, if the Company terminates the arrangement, any unvested shares as of the termination date will be subject to claw back. The fair value of the shares on the issuance date was $0.5898 per share, resulting in a total fair value of $100,000. For the three-month period ended March 31, 2026, the Company recorded share-based compensation expense of $16,667 related to this agreement.

 

On November 21, 2023, the Company entered into certain consulting agreements with four third-party consultants for the provision of a variety of services such as digital marketing, advisory services relating to target acquisitions and M&As and other additional services as described in the respective agreements. The agreements have duration from ten to 18 months and the consultants will solely receive stock consideration for the services rendered. More precisely, they have been awarded a total of 970,000 shares of the Company’s common stock valued at a total of $999,100 based on the fair value of the Company’s common stock as of the agreements’ date. On September 17, 2024 the terms of two out of the four aforementioned consulting agreements were extended and the consultants received additional 440,000 shares as complementary compensation for the extended services to be provided. The additional stock-based consideration was valued at a total of $501,600 based on the fair value of the Company’s common stock as of the agreement’s date. For the three-month period ended March 31, 2026, the Company recorded share-based compensation expense of $39,900 related to these agreements.

 

On July 1, 2024 the Company entered into a consulting agreement with a third-party consultant for the provision of a variety of services such as preparation of press releases and other publications, relationship management and other additional services as described in the respective agreement. The agreement has a duration of 16 months, and the consultant will solely receive stock consideration for the services rendered. More precisely, they have been awarded a total of 240,000 shares of the Company’s common stock valued at a total of $264,000 based on the fair value of the Company’s common stock as of the agreements’ date. On July 1, 2025, the Company entered into a new consulting agreement with the above third-party advisor, pursuant to which it issued 240,000 shares of its common stock in exchange for general advisory services. The shares carry full voting rights and vest at a rate of 20,000 shares per month over the 12-month term of the agreement. In accordance with the terms of the agreement, if the Company terminates the arrangement under Section 19 (Termination), any unvested shares as of the termination date will be subject to claw back. The fair value of the shares on the issuance date was $0.3939 per share, resulting in a total fair value of $94,536. For the three-month period ended March 31, 2026, the Company recorded share-based compensation expense of $23,634 related to these agreement.

 

The corresponding stock-based compensation expense is accrued evenly over the term of the agreements. For the three months ended March 31, 2026 and 2025 the Company has recorded $80,201 and $245,310, respectively, as stock-based compensation for the above agreements, classified as “General and administrative expenses” in the Company’s consolidated statements of operations and comprehensive Income (loss).

 

 
39

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

Research and Development Agreements

 

The Company entered into a Research & Development agreement with Doc Pharma S.A. on May 17, 2021. Under this agreement, Doc Pharma is responsible for the research, development, design, registration, copy rights and licenses of 250 nutritional supplements for the final products called Sky Premium Life®. More specifically, Doc Pharma is responsible for the product development and the Company has added 165 of such products codes in its portfolio as of March 31, 2026. The licenses purchased by Doc Pharma SA are capitalized and included in “Goodwill and intangible assets, net” of the Company’s Unaudited Condensed Consolidated Balance Sheets as of March 31, 2026. Thus, no relevant R&D expense had been charged to the Company’s Unaudited Condensed Consolidated Statements of Operations and Comprehensive income (Loss), concerning this agreement.

 

On June 25, 2022, the Company signed a research and development (“R&D”) agreement with a third party (CloudPharm PC), through which the Company assigned to the third party the development of new products and services in the field of health, focusing on the human intestinal microbiome. The project includes two phases. Phase 1 has a 20-month duration and its cost amounts to EUR 758,000 ($838,450) and phase 2, has a 22-month duration and a cost of EUR 820,000 ($907,084). The amount will be due and payable upon completion of the corresponding phases. The Company records the corresponding R&D expense based on the project’s progress, which is invoiced by the third party in the relevant period. For the 3-month period ended March 31, 2026, the Company incurred no costs relating to this agreement.

 

On January 23, 2024, the Company completed the acquisition of Cloudscreen, a cutting-edge Artificial Intelligence (AI) powered platform. The acquisition is pursuant to the purchase agreement announced on October 11, 2023. Cloudscreen is a multimodal platform specialized in drug repurposing, a process that involves uncovering new target proteins or indications for existing drugs for use in treating different diseases. The total purchase price amounted to $637,080 incorporating both cash and stock consideration the platform is included in “Goodwill and intangible assets, net” in the Company’s condensed Consolidated Balance Sheets.

 

On December 3, 2024, the Company and the National Hellenic Research Foundation (NHRF) (Contractor) signed a Research Study Agreement. NHRF will conduct an in vitro study to support modifications to an invention, pursuant to the prior agreement involving CloudPharm PC (signed on June 15, 2022). NHRF ensures scientific rigor, provides updates, and maintains confidentiality. Cosmos Health provides necessary support and documentation. Rights to the research protocol belong to CloudPharm PC, NHRF, and Cosmos Health, while NHRF retains control over its methodologies. NHRF cannot publish findings without Cosmos Health’s approval and cannot use the study for other purposes. The total fee to be paid by the Company amounts to €60,000 plus VAT, payable in three installments. For the three-month period ended March 31, 2026, the Company incurred no fee concerning this agreement.

 

On December 6, 2024, the Company signed an Independent Contractor Agreement with a third-party contractor (the “Contractor”). The Contractor will provide oncology research and development services exclusively to the Company. The contract lasts three years (December 5, 2024 – December 5, 2027) and may be extended by mutual agreement. The Company may terminate the contract immediately for specific causes, including felony conviction, fraud, or loss of medical license. Either party may terminate the contract with 30 days' written notice. Certain compensation obligations will remain even after termination. The monthly consideration to be paid to the Contractor is based on the commencement of the Clinical Trials and New Drugs Applications and additional cash and stock consideration is payable based on certain milestones. None of the milestones were met as of March 31, 2026, and thus the Company has incurred no expenses as of the end of the period.

 

On December 31, 2025, the Company signed an agreement with a related party, DocPharma SA (the “Licensor”), through which the Company obtained a royalty-bearing, exclusive worldwide license to actively commercialize the patents owned by the Licensor, through research and preclinical and clinical trials for the useful life of the patents, or for 20 years, whichever is longer. The patents, filed in 2016 and 2017 respectively, cover innovative treatments for cancer. The terms of the agreement include an initial payment of EUR 500,000 due by the end of 2024, followed by fixed annual payments of EUR 350,000 during the five-year Start-Up Term from 2025 to 2030. After the Start-Up Term, the Company will pay a 1.5% royalty on annual net sales of licensed products covered by an issued patent. Moreover, the Company retains an optional buy-out right for a total amount of EUR 7,500,000, which can be exercised with 60 days' notice and a 60-day close period. The Company also has the right to sublicense the patents For the three-month period ended March 31, 2026, the Company did not incur any royalties under this agreement.

 

NOTE 16 – STOCK OPTIONS AND WARRANTS

 

Omnibus Equity Incentive Plan

 

On September 19, 2022, the Company held a Board of Directors meeting, whereas, the Board of Directors had elected to adopt an Omnibus Equity Incentive Plan (the “2022 Plan”), that includes reserving 200,000 shares of common stock eligible for issuance under the 2022 Plan to be registered on a Form S-8 Registration Statement with the SEC. The 2022 Plan is designed to enable the flexibility to grant equity awards to the Company’s officers, employees, non-employee directors and consultants and to ensure that it can continue to grant equity awards to eligible recipients at levels determined to be appropriate by the Board and/or the Compensation Committee. According to the Proxy Statement filed with the SEC on October 20, 2022 the 2022 Plan received final approval by the Company’s stockholders at the Annual Meeting of Stockholders held on December 2, 2022.

 

On April 3, 2023, the Company approved incentive stock awards for the CFO, certain officers and directors and other employees of the Company. The awards are in the form of restricted stock and will vest in two parts: 50% on October 2, 2023 and 50% on October 2, 2024. As of March 31, 2026, no shares remained reserved and available for future issuance under the Company's 2022 Plan.

 

 
40

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

On August 21, 2023, the Board adopted, subject to stockholder approval, the Cosmos Health Inc. 2023 Omnibus Equity Incentive Plan (the “2023 Plan”). The 2023 Plan is designed to enable the flexibility to grant equity awards to our officers, employees, non-employee directors and consultants and to ensure that we can continue to grant equity awards to eligible recipients at levels determined to be appropriate by the Board and/or the Compensation Committee. Subject to certain adjustments (as provided in Section 4.2 of the 2023 Plan) and exception (as provided in Section 5.6(b) of the 2023 Plan), the maximum number of shares reserved for issuance under the Plan (including incentive share options) is 2,500,000 shares. The 2023 Plan was approved by the Company’s stockholders at the Annual Meeting of Stockholders held on September 18, 2023. As of March 31, 2026, no shares remained reserved and available for future issuance under the Company's 2023 Plan.

 

On September 16, 2024, the Company’s Board of Directors approved incentive stock awards for the CEO, the CFO, certain officers and directors and other key employees of the Company pursuant to the 2023 Plan. The awards are in the form of restricted stock and will vest in two parts: 50% on September 16, 2025 and 50% on September 16, 2026. A total of 2,500,000 shares were awarded For the three month periods ended March 31, 2026 and 2025, the Company recorded share-based compensation expense of $269,795 and $311,301, respectively, in connection with the “2023 Plan”. The expense was recorded in accordance with ASC 718 (Compensation—Stock Compensation) and is included in the Company’s condensed Consolidated Statement of Operations.

 

On September 16, 2024, the Board adopted, subject to stockholder approval, the Cosmos Health Inc. 2024 Omnibus Equity Incentive Plan (the “2024 Plan”). The 2024 Plan is designed to enable the flexibility to grant equity awards to our officers, employees, non-employee directors and consultants and to ensure that we can continue to grant equity awards to eligible recipients at levels determined to be appropriate by the Board and/or the Compensation Committee. Subject to certain adjustments (as provided in Section 4.2 of the 2024 Plan) and exception (as provided in Section 5.6(b) of the 2024 Plan), the maximum number of shares reserved for issuance under the Plan (including incentive share options) is 3,500,000 shares. The 2024 Plan was approved by the Company’s stockholders at the Annual Meeting of Stockholders held on November 19, 2024. As of March 31, 2026, 1,150,000 shares remained reserved and available for future issuance under the Company's 2024 Plan.

 

On December 30, 2025, the Company’s Board of Directors approved incentive stock awards for the Chief Executive Officer, the Chief Financial Officer, certain officers and directors, and other key employees of the Company pursuant to the 2024 Plan. The awards were granted in the form of restricted stock and vest in two installments, with 50% vesting on December 31, 2026 and the remaining 50% vesting on December 31, 2027. A total of 2,350,000 shares were granted under this program For the three month periods ended March 31, 2026 the Company recorded share-based compensation expense of $147,490 in connection with the “2024 Plan”. The expense was recorded in accordance with ASC 718 (Compensation—Stock Compensation) and is included in the Company’s condensed Consolidated Statement of Operations.

 

On August 5, 2025, the Board adopted, subject to stockholder approval, the Cosmos Health Inc. 2025 Omnibus Equity Incentive Plan (the “2025 Plan”). The 2025 Plan is designed to enable the flexibility to grant equity awards to our officers, employees, non-employee directors and consultants and to ensure that we can continue to grant equity awards to eligible recipients at levels determined to be appropriate by the Board and/or the Compensation Committee. Subject to certain adjustments (as provided in Section 4.2 of the 2025 Plan) and exception (as provided in Section 5.6(b) of the 2025 Plan), the maximum number of shares reserved for issuance under the Plan (including incentive share options) is 6,000,000 shares. The 2025 Plan was approved by the Company’s stockholders at the Annual Meeting of Stockholders held on March 31, 2026. As of March 31, 2026, 6,000,000 shares remained reserved and available for future issuance under the Company's 2025 Plan.

 

Warrant Anti-Dilution Adjustment and Deemed Dividend

 

As of March 31, 2026, there were 12,926,506 warrants outstanding and 12,926,506 warrants exercisable with 12,913,172 warrants having expiration dates from May 2026 through October 2029 and 13,334 warrants with no expiration date.

 

A summary of the Company’s warrant activity for the three months ended March 31, 2026 and the year ending December 31, 2025 is as follows:

 

 

 

 

 

 

 

Weighted

 

 

 

 

 

 

 

Weighted

 

 

Average

 

 

 

 

 

 

 

Average

 

 

Remaining

 

 

Aggregate

 

 

 

Number of

 

 

Exercise

 

 

Contractual

 

 

Intrinsic

 

Warrants

 

Shares

 

 

Price

 

 

Term

 

 

Value

 

Balance Outstanding, January 1, 2025

 

 

12,926,506

 

 

$2.63

 

 

 

3.24

 

 

$8,920

 

Granted

 

 

-

 

 

 

-

 

 

 

 

 

 

 

 

 

Forfeited

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

Exercised

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

Expired

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

Balance Outstanding, December 31, 2025

 

 

12,926,506

 

 

$2.63

 

 

 

2.24

 

 

$6,640

 

Granted

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

Forfeited

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

Exercised

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

Expired

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

Balance Outstanding, March 31, 2026

 

 

12,926,506

 

 

 

2.63

 

 

 

2.00

 

 

$4,230

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Exercisable, March 31, 2026

 

 

12,913,172

 

 

2.63

 

 

 

2.00

 

 

$4,230

 

 

 
41

Table of Contents

  

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

NOTE 17 – DIGITAL ASSETS

 

The Company holds digital assets consisting of Ethereum (ETH) and Bitcoin (BTC) that are measured at fair value on a recurring basis. Digital assets with quoted prices in active markets for identical assets are classified as Level 1 within the fair value hierarchy as established under ASC 820, Fair Value Measurement.

 

During the three months ended March 31, 2026, the Company purchased 15.66 units of Bitcoin (BTC) for aggregate consideration of $1,100,000.The following table summarizes the Company's digital asset holdings as of March 31, 2026:

 

 

 

Quantity

 

 

Cost Basis

 

 

Fair Value

 

 

Cumulative Unrealized Loss

 

Ethereum

 

 

474.85

 

 

$2,000,000

 

 

$999,712

 

 

$(1,000,288 )

Bitcoin

 

 

15.66

 

 

 

1,100,000

 

 

 

1,068,933

 

 

 

(31,067 )

Total digital assets

 

 

490.51

 

 

$3,100,000

 

 

$2,068,645

 

 

$(1,031,355 )

 

A summary of the movements in digital assets during the three-month period ended March 31, 2026, is presented below, disaggregated by each individual digital asset.

 

DIGITAL ASSET ROLLFORWARD

 

For the three months ended March 31, 2026

 

 

 

Number

of Units

 

 

Weighted

Average Cost

Per Unit ($)

 

 

Cost

Basis ($)

 

 

Fair Value ($)

 

 

Unrealized

Loss ($)

 

Ethereum (ETH)

 

Beginning Balance, January 1, 2026

 

 

474.85

 

 

 

4,212

 

 

 

2,000,000

 

 

 

1,411,084

 

 

 

(588,916 )

Purchases

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sales / Transfers

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ending Balance, March 31, 2026

 

 

474.85

 

 

 

4,212

 

 

 

2,000,000

 

 

 

999,712

 

 

 

(1,000,288 )

 

 

 

Number

of Units

 

 

Weighted

Average Cost

Per Unit ($)

 

 

Cost Basis ($)

 

 

Fair Value ($)

 

 

Unrealized

Loss ($)

 

Bitcoin (BTC)

 

Beginning Balance, January 1, 2026

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Purchases

 

 

15.66

 

 

 

70,259

 

 

 

1,100,000

 

 

 

1,068,933

 

 

 

(31,067 )

Sales / Transfers

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ending Balance, March 31, 2026

 

 

15.66

 

 

 

70,259

 

 

 

1,100,000

 

 

 

1,068,933

 

 

 

(31,067 )

 

NOTE 18 – DISAGGREGATION OF REVENUE

 

ASC 606-10-50-5 requires that entities disclose disaggregated revenue information in categories (such as type of good or service, geography, market, type of contract, etc.). ASC 606-10-55-89 explains that the extent to which an entity’s revenue is disaggregated depends on the facts and circumstances that pertain to the entity’s contracts with customers and that some entities may need to use more than one type of category to meet the objective for disaggregating revenue.

 

The Company disaggregates revenue by country to depict the nature and economic characteristics affecting revenue.

 

 
42

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

The following table presents our revenue disaggregated by country for the three months ended March 31, 2026 and March 31, 2025:

 

Country

 

March 31,

2026

 

 

March 31,

2025

 

Croatia

 

$-

 

 

 

3,093

 

Cyprus

 

 

36,796

 

 

 

52,562

 

Bulgaria

 

 

-

 

 

 

12,183

 

Greece

 

 

17,336,366

 

 

 

13,322,494

 

Albania

 

 

33,094

 

 

 

36,332

 

UK

 

 

521,636

 

 

 

285,864

 

Total

 

$17,927,892

 

 

 

13,712,528

 

 

NOTE 19 – SEGMENT REPORTING

 

A. Basis for segmentation

 

The Group operates through various operating segments, which include the wholesale sector, the pharmaceutical manufacturing sector, the nutraceuticals and pharmaceuticals sector and other, with only the first three of them being reportable segments based on the criteria (quantitative thresholds) of ASC 280. The financial information utilized by our Chief Operating Decision Maker (“CODM”), which is our CEO, for resource allocation and performance evaluation is included within the operating segments described above. The reconciling items presented in the tables below are excluded from the segment data provided to the Chief Operating Decision Maker (“CODM”). The “Other” category primarily consists of corporate expenses, including, but not limited to, costs related to SEC legal and compliance matters, executive compensation, audit and review fees, and other corporate overhead expenses.

 

B. Information about reportable segments

 

The table below presents information about the Company's reportable segments for the 3-month periods ended March 31, 2026 and March 31, 2025. The accounting policies followed in the preparation of the reportable segments are the same with those followed in the preparation of the Company's condensed consolidated financial statements.

 

Three-month period ended March 31, 2026

 

 

 

Wholesale

 

 

Pharma

manufacturing

 

 

Nutraceuticals & Pharmaceuticals

 

 

Other

 

 

Total

 

REVENUE

 

 

16,892,895

 

 

 

238,199

 

 

 

796,313

 

 

 

485

 

 

 

17,927,892

 

COST OF GOODS SOLD

 

 

(15,882,080 )

 

 

(144,783 )

 

 

(519,556 )

 

 

(302 )

 

 

(16,546,721 )

General and Administrative expenses

 

 

(195,415 )

 

 

(169,972 )

 

 

(383,508 )

 

 

(515,481 )

 

 

(1,264,376 )

Salaries and wages

 

 

(479,869 )

 

 

(435,525 )

 

 

(154,058 )

 

 

(328,205 )

 

 

(1,397,657 )

Sales and Marketing expenses

 

 

(64 )

 

 

(724 )

 

 

(12,282 )

 

 

(6,282 )

 

 

(19,352 )

Net finance costs

 

 

(139,218 )

 

 

-

 

 

 

45,098

 

 

 

(282,436 )

 

 

(376,556 )

Segment profit / (loss)

 

 

196,247

 

 

 

(512,804 )

 

 

(227,994 )

 

 

(1,132,220 )

 

 

(1,676,771 )

Reconciling items:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Depreciation and amortization

 

 

(58,520 )

 

 

(149,401 )

 

 

(104,596 )

 

 

(35,662 )

 

 

(348,179 )

Stock based compensation

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(535,786 )

 

 

(535,786 )

Non-cash interest

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(390,350 )

 

 

(390,350 )

Change in fair value of derivative liability

 

 

-

 

 

 

-

 

 

 

-

 

 

 

231,968

 

 

 

231,968

 

Gain/(Loss) on digital assets

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(442,439 )

 

 

(442,439 )

Change in fair value of convertible notes

 

 

-

 

 

 

-

 

 

 

-

 

 

 

239,480

 

 

 

239,480

 

Other income (expense), net

 

 

(1,739 )

 

 

333,455

 

 

 

(219,136 )

 

 

4,073

 

 

 

116,653

 

Net profit/(loss) before Income Taxes

 

 

135,988

 

 

 

(328,750 )

 

 

(551,726 )

 

 

(2,060,935 )

 

 

(2,805,423 )

 

Three-month period ended March 31, 2025

 

 

 

Wholesale

 

 

Pharma

manufacturing

 

 

Nutraceuticals & Pharmaceuticals

 

 

Other

 

 

Total

 

Revenues                                        

 

 

12,504,562

 

 

 

268,557

 

 

 

939,409

 

 

 

-

 

 

 

13,712,528

 

Cost of Sales

 

 

(11,320,936 )

 

 

(70,975 )

 

 

(270,818 )

 

 

-

 

 

 

(11,662,729 )

Gross Profit

 

 

1,183,626

 

 

 

197,582

 

 

 

668,591

 

 

 

-

 

 

 

2,049,799

 

General and Administrative expenses

 

 

(162,269 )

 

 

(155,454 )

 

 

(243,227 )

 

 

(361,140 )

 

 

(922,090 )

Salaries

 

 

(378,595 )

 

 

(363,670 )

 

 

(297,499 )

 

 

(255 )

 

 

(1,040,019 )

Sales and Marketing expenses

 

 

(715 )

 

 

(428 )

 

 

(27,012 )

 

 

0 )

 

 

(28,155 )

Research and Development costs

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(15,629 )

 

 

(15,629 )

Net finance costs

 

 

(149,274 )

 

 

-

 

 

 

53,493

 

 

 

-

 

 

 

(95,781 )

Segment profit / (loss)

 

 

492,773

 

 

 

(321,970 )

 

 

154,346

 

 

 

(377,024 )

 

 

(51,875 )

Reconciling items:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Depreciation and amortization

 

 

(52,880 )

 

 

(131,974 )

 

 

(99,807 )

 

 

(35,778 )

 

 

(320,439 )

Stock based compensation

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(556,613 )

 

 

(556,613 )

Foreign currency adjustments

 

 

59,428

 

 

 

-

 

 

 

109,943

 

 

 

6,454

 

 

 

175,825

 

Other income and expenses

 

 

27,556

 

 

 

12,341

 

 

 

88,701

 

 

 

(193,593 )

 

 

(64,995 )

Net profit/(loss) before Income Taxes

 

 

526,877

 

 

 

(441,603 )

 

 

253,184

 

 

 

(1,156,555 )

 

 

(818,097 )
 
43

Table of Contents

 

COSMOS HEALTH INC.

Notes to Unaudited Condensed Consolidated Financial Statements

March 31, 2026

 

 

The following summary describes the operations of each reportable segment:

 

Reportable segments

 

Operations

Wholesale

 

Distribution and export of pharmaceutical products

Pharma manufacturing

 

Production of pharmaceutical products

Nutraceutical and pharmaceuticals

 

Trade of owned nutraceutical & pharmaceutical products

 

NOTE 20 – SUBSEQUENT EVENTS

 

Following March 31, 2026 the Company issued an aggregate of 735,483 shares of its common stock under its At-the-Market (“ATM”) sales program pursuant to the Company’s Shelf Registration Statement on Form S-3 (File No. 333-267550). The shares were sold for gross proceeds of $230,675 and net proceeds of approximately $223,258, after deducting the underwriter’s commissions and other offering expenses.

 

During the subsequent period, the Company issued an aggregate of 3,825,233 shares of its common stock upon the partial conversion of the Company’s August 2025 Convertible Promissory Note (the “August 2025 Note”). The conversion satisfied total obligations of $1,065,988, consisting of $1,002,500 of outstanding principal and accrued interest, in accordance with the conversion terms of the August 2025 Note. The conversion was completed pursuant to the provisions of the respective note agreement.

 

 
44

Table of Contents

 

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

 

The financial statements and this Management's Discussion and Analysis of Financial Condition and Results of Operations (this "MD&A") have been prepared on the basis of accounting principles applicable to a going concern, which assumes that the Company will continue in operation for the foreseeable future and will be able to realize its assets and discharge its liabilities in the normal course of operations.

 

The Company expects to continue to incur significant operating losses for the foreseeable future. If the Company is unable to secure additional capital, it may be required to take additional measures to reduce costs in order to conserve its cash in amounts sufficient to sustain operations and meet its obligations. These measures could cause significant delays or entirely prevent the Company's continued efforts to commercialize its current or future products, which are critical to the realization of its business plan and the future operations of the Company. This uncertainty, along with the Company's history of losses, indicates that there is substantial doubt about the Company's ability to continue as a going concern within one year after the date that the financial statements are issued. The accompanying condensed consolidated financial statements do not include any adjustments that may be necessary should the Company be unable to continue as a going concern.

 

In addition to accessing public markets through the exercise of outstanding warrants, additional public and private debt and equity financings, management believes that the Company has access to additional capital resources through public and/or private equity offerings, debt financings or other capital sources, including potential collaborations, licenses and other similar arrangements. However, it is possible that the Company may not be able to obtain financing on acceptable terms, or at all, and the Company may not be able to enter into strategic alliances or other arrangements on favorable terms, or at all. The terms of any financing may adversely affect the holdings or the rights of the Company's shareholders. If the Company is unable to obtain funding, the Company could be required to delay, reduce or eliminate research and development programs, product portfolio expansion, or future commercialization efforts, which could adversely affect its business prospects. The Company is subject to risks associated with any pharmaceutical company that has substantial expenditures for research and development. There can be no assurance that the Company's research and development projects will be successful, that products developed will obtain necessary regulatory approval, or that any approved product will be commercially viable.

 

Available Information

 

The following discussion should be read in conjunction with our interim Condensed Consolidated Financial Statements and the related notes and other financial information appearing elsewhere in this report as well as Management’s Discussion and Analysis of Financial Condition and Results of Operations included in our Form 10-K for the year ended December 31, 2025 (“Form 10-K”) and this Quarterly Report on Form 10-Q for the quarter ended March 31, 2026.

 

Forward-Looking Statements

 

Certain statements, other than purely historical information, including estimates, projections, statements relating to our business plans, objectives, and expected operating results, and the assumptions upon which those statements are based, are “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. These forward-looking statements generally are identified by the words “believes,” “project,” “expects,” “anticipates,” “estimates,” “intends,” “strategy,” “plan,” “may,” “will,” “would,” “will be,” “will continue,” “will likely result,” and similar expressions.

 

We intend such forward-looking statements to be covered by the safe-harbor provisions for forward-looking statements and are including this statement for purposes of complying with those safe-harbor provisions. Forward-looking statements are based on current expectations and assumptions that are subject to risks and uncertainties which may cause actual results to differ materially from the forward-looking statements. Our ability to predict results or the actual effect of future plans or strategies is inherently uncertain.

 

Factors which could have a material adverse effect on our operations and future prospects on a consolidated basis include but are not limited to: changes in economic conditions, legislative/regulatory changes, availability of capital, interest rates, competition, and generally accepted accounting principles. These risks and uncertainties should also be considered in evaluating forward-looking statements and undue reliance should not be placed on such statements. We undertake no obligation to update or revise publicly any forward-looking statements, whether as a result of new information, future events or otherwise. Further information concerning our business, including additional factors that could materially affect our financial results, is included herein and in our other filings with the SEC.

 

Overview

 

Summary

 

We are diversified, vertically integrated global healthcare group, owner of proprietary pharmaceutical and nutraceutical brands, generics, manufacturer and distributor of healthcare products, engaged in research & development of innovative medicines and repurposing drugs as well as operator of a telehealth platform. The Company, through its subsidiaries, is operating within the pharmaceutical industry and in order to compete successfully in the healthcare industry, must demonstrate that its products offer medical benefits as well as cost advantages. Currently, most of the products that the Company is trading, compete with other products already on the market in the same therapeutic category, and are subject to potential competition from new products that competitors may introduce in the future.

 

 
45

Table of Contents

 

Revenue sources

 

Full Line Wholesaler

 

As a full line pharmaceutical wholesaler, we distribute a comprehensive range of pharmaceutical products, including prescription medications, over-the-counter (OTC) drugs, medical devices, food supplements, nutraceuticals, cosmetics and other healthcare products, to various businesses within the healthcare sector such as retail pharmacies, hospitals, private clinics and other wholesale pharmaceutical distributors.

 

Branded Pharmaceuticals & Generics

 

We are engaged in the production, promotion, distribution and sale of licensed branded generics and OTC products throughout Europe by our subsidiaries in Greece and UK. Our capital efficient business model is based on infrastructure, efficiency and scale. We believe that there is a significant growth on opportunities through product additions and geographic expansion.

 

Healthcare Distribution

 

We conduct direct distribution and sales of pharmaceuticals, medical devices, branded generics and OTC products. Our automated and GDP licensed distribution facilities ensure all medications reach their destination daily on an efficient and secure way. Our network exceeds over 1,500 pharmacies in Greece. We have created an upgraded and high-end distribution center in Greece due to our Robotic systems and integrated automations (“ROWA” robotics).

 

Nutraceutical

 

We have created and developed our own proprietary branded nutraceutical products, named “Sky Premium Life®” which was launched in 2018 and “Mediterranation®” which was launched in 2022. Utilizing unique formulations, and specialized extraction processes which follow strict pharmaceutical standards, our proprietary lines of nutraceuticals aim for excellence. We have a full portfolio of fast-moving and specialty formulas with more than 160 product codes including vitamins, minerals and other herbal extracts. Our nutraceutical products are manufactured exclusively by Doc Pharma. Our nutraceutical products have penetrated several markets within 2022 and 2023 through digital channels such as Amazon and Tmall. We focus on nutraceutical products because we foresee it as a market with high growth opportunities due to its large market size and margin contribution as the demand for nutraceutical products is increasing globally.

 

Regulations and Licenses

 

Decahedron received its Wholesale Distribution Authorization for human use on February 5, 2021, from the UK Medicines and Healthcare Products Regulatory Agency (“MHRA”) in accordance with Regulation 18 of the Human Medicines Regulations 2012 (SI 2012/1916) and it is subject to the provisions of those Regulations and the Medicines Act 1971. This License will continue to remain in force from the date of issue by the Licensing Authority unless cancelled, suspended, revoked or varied as to the period of its validity or relinquished by the authorization holder.

 

Cosmofarm received its Wholesale Distribution Authorization for human use on February 15, 2019, issued by the National Organization for Medicines. The license is valid for a period of five years in accordance with EU Directive 2013/C343/01 and was renewed on February 14, 2024. Furthermore, Cosmofarm was granted a GDP (Good Distribution Practice) certificate on November 11, 2019.

 

Our subsidiary, Cana SA, is a holder of Good Manufacturing Practices license (GMP), which means that it is certified for fulfilling the minimum standards that a medicines manufacturer must meet in the production processes.

 

Our subsidiaries are ISO 9001 certified for a management system for the trade and distribution of pharmaceuticals. As part of the certification process by the International Organization for Standardization, we need to be compliant with the General Data Protection Regulation (“GDPR”) adopted by the European Union in May 2018. GDPR applies to the processing of personal data of persons in the EU by a controller or processor.

 

 
46

Table of Contents

 

General Risks

 

Supply chain disruption is a growing concern for the European pharmaceutical industry as it increasingly looks to cut costs by relying on ‘emerging markets’, where standards can be lower in terms of compliance, ethics and health and safety. Our business depends on the timely supply of materials, services and related products to meet the demands of our customers, which depends, in part, on the timely delivery of materials and services from suppliers and contract manufacturers. Significant or sudden increases in demand for our products, as well as worldwide demand for the raw materials and services we require to manufacture and sell our products, may result in a shortage of such materials or may cause shipment delays due to transportation interruptions or capacity constraints. Such shortages or delays could adversely impact our suppliers’ ability to meet our demand requirements. Difficulties in obtaining sufficient and timely supply of materials or services can have an adverse impact on our manufacturing operations and our ability to meet customer demand.

 

We may also experience significant interruptions of our manufacturing operations, delays in our ability to deliver products, increased costs or customer order cancellations as a result of:

 

 

·

the failure or inability to accurately forecast demand and obtain sufficient quantities of quality raw materials on a cost-effective basis;

 

 

 

 

·

volatility in the availability and cost of materials or services, including rising prices due to inflation;

 

 

 

 

·

difficulties or delays in obtaining required import or export approvals;

 

 

 

 

·

shipment delays due to transportation interruptions or capacity constraints, such as reduced availability of air or ground transport or port closures;

 

 

 

 

·

information technology or infrastructure failures, including those of a third-party supplier or service provider; and

 

 

 

 

·

natural disasters or other events beyond our control (such as earthquakes, utility interruptions, tsunamis, hurricanes, typhoons, floods, storms or extreme weather conditions, fires, regional economic downturns, regional or global health epidemics, pandemics, geopolitical turmoil, increased trade restrictions between the U.S. and China and other countries, social unrest, political instability, terrorism, or acts of war) in locations where we or our customers or suppliers have manufacturing or other operations.

 

Hikes in the price of medicine and their impact on the sustainability of the healthcare systems are garnering more and more attention. European regulators are willing to play their part in safeguarding continued access to safe and effective medicines. Regulators can speed up the approval of branded pharmaceuticals and biosimilars to boost competition and drive down prices.

 

Cuts in healthcare spending have been frequently occurring since the financial crises of the late of 2000’s. Europe’s slow recovery has been uneven, with austerity and economic uncertainty, especially in the EU’s poorer member states, such as Greece.

 

Distribution and Trade Agreements

 

On November 25, 2021, SkyPharm SA signed a trade agreement with a wholesaler which operates in the storage, distribution, trading and promotion of pharmaceutical products (“Distributor C”). Based on the agreement, Distributor C is appointed as the exclusive representative for the promotion and distribution of our proprietary nutraceutical products Sky Premium Life® in Greece.

 

During July 2021, the Company’s subsidiary Decahedron Ltd created a distribution page on Amazon UK, through which it sells, advertises and promotes our own proprietary branded nutraceutical product line Sky Premium Life®, directly to final consumers.

 

On September 22, 2022, the Company entered into a distribution agreement with a third party in order to become the distributor of Monkeypox Virus Real-Time PCR Detection Kits. Cosmos has exclusive distribution rights for Greece and Cyprus, with the opportunity to distribute the test kits across Europe on a non-exclusive basis.

 

On June 27, 2024, the Company entered into an exclusive distribution agreement (the “Agreement”) with Pharmalink for the distribution of its Sky Premium Life® products in the United Arab Emirates (UAE). Under the Agreement, Pharmalink is responsible for all key functions, including sales and marketing, regulatory affairs, logistics, supply, and distribution of the Sky Premium Life® product line within the UAE. The Company has received an initial purchase order from Pharmalink for 130,000 units and expects to receive orders exceeding 500,000 units during 2026, and more than 3,000,000 units over the next five years. However, as of the filing date, no additional orders have been executed.

 

 
47

Table of Contents

 

Acquisitions and Co-Ventures

 

ZipDoctor

 

On September 28, 2022, the Company entered into a non-binding letter of intent (“LOI”) agreement to wholly acquire ZipDoctor Inc., a company that possesses a direct-to-consumer subscription-based telemedicine platform, that expects to provide its customers affordable, unlimited, 24/7 access to board certified physicians and licensed mental and behavioral health counselors and therapists. The current parent company of the acquiree will continue to manage all its aspects of the day-to-day operations, including product development, marketing, and operational support.

 

On March 17, 2023, the Company entered into a definitive agreement to acquire ZipDoctor Inc. for a total sum of $150,000. The transaction closed on April 3, 2023.

 

CANA 

 

In June 2023, the Company completed the acquisition of Cana Laboratories Holdings (Cyprus) Limited (“Cana”), including its wholly owned subsidiary Pharmaceutical Laboratories Cana S.A., a Greek pharmaceutical company engaged in the manufacturing, distribution, and marketing of branded pharmaceutical and healthcare products. The total consideration consisted of €800,000 in cash, 46,377 shares of restricted common stock valued at $800,000, and a €4.1 million secured promissory note. The acquisition strengthened the Company’s vertical integration capabilities and manufacturing operations through Cana’s GMP-licensed facilities and established relationships with multinational healthcare companies.

 

Bikas

 

In June 2023, the Company also acquired the pharmaceutical distribution network and customer base of Ioannis Bikas O.E. (“Bikas”) for total consideration of approximately €400,000, consisting of cash and common stock. The acquisition was accounted for as an asset acquisition under ASC 805, resulting in the recognition of an intangible asset related to the acquired customer base. The acquisition expanded the Company’s distribution footprint in Greece and contributed to increased revenues and operational synergies.

 

Cloudscreen

 

In January 2024, the Company completed the acquisition of Cloudscreen, an AI-powered drug repurposing platform, for total consideration of $637,080 consisting of common stock and cash payable under a promissory note. The acquisition was accounted for as an asset acquisition under ASC 805, and the acquired technology platform was recorded as an intangible asset.

 

Results of Operations

 

Revenue and Net Loss

 

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.

 

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.

 

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:

 

 

·

a $390,350 non-cash interest expense on convertible notes,

 

·

a $442,439 loss on digital assets, and

 

·

$313,157 in net foreign currency transaction losses,

 

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.

 

Cost of Goods Sold

 

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.

 

Gross Profit

 

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. 

 

 
48

Table of Contents

 

Operating Expenses

 

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.

 

Breakdown of principal expense categories:

 

 

·

General and Administrative Expenses increased by approximately 21.7% to $1,800,162 for the three months ended March 31, 2026, compared to $1,478,702 in the prior year period, primarily driven by higher professional service fees, compliance costs, and administrative overhead.

 

·

Salaries and Wages increased 34.4% to $1,397,657 for the three months ended March 31, 2026, compared to $1,040,019 in the prior year period, reflecting the recruitment of additional management and scientific personnel at Cana, as well as the onboarding of new employees at Cosmofarm following the addition of new clients.

 

·

Sales and Marketing Expenses amounted to $19,352 for the three months ended March 31, 2026, compared to $28,155 for the same period in 2025, consistent with a strategic reduction in discretionary promotional spending.

 

·

Research and Development Costs were $nil for the three months ended March 31, 2026, compared to $15,629 in the same period in 2025. R&D costs include costs incurred under agreements with third-party contract research organizations, contract manufacturing organizations and other third parties, as well as other costs associated with the Company's R&D programs.

 

·

Depreciation and Amortization increased 8.7% to $348,179 for the three months ended March 31, 2026, compared to $320,439 in the prior year period, reflecting capital expenditures in manufacturing capacity and technology assets, as well as the impact of foreign exchange movements as the average U.S. dollar weakened relative to the euro during the period.

 

Other Income (Expense)

 

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:

 

 

·

Non-cash Interest Expense amounted to $390,350 for the three months ended March 31, 2026, compared to $nil in the prior year period, reflecting the amortization of discounts on convertible notes recently issued by the Company.

 

·

Other Income (Expense), Net was $441,062 for the three months ended March 31, 2026, compared to a loss of $68,137 for the same period in 2025. The current period income primarily reflects the write-off of certain tax liabilities of our subsidiary Cana S.A. following notification received from the Greek tax authorities, whereas the prior year amount consisted primarily of other operating expenses.

 

·

Change in Fair Value of Convertible Notes was a gain of $239,480 for the three months ended March 31, 2026, arising from mark-to-market remeasurement of the Company's convertible instruments.

 

·

Change in Fair Value of Derivative Liabilities was a gain of $231,968 for the three months ended March 31, 2026, reflecting fair-value adjustments for embedded derivatives arising from the ATW convertible note agreement entered into in August 2025.

 

·

Loss on Digital Assets of $442,439 for the three months ended March 31, 2026, arising from the revaluation of the Company's digital asset holdings, consisting primarily of approximately $2 million cost basis in ETH and $1.1 million in BTC.

 

·

Loss on Equity Investments of $11,252 for the three months ended March 31, 2026, compared to a gain of $3,142 in the prior year period, representing a combination of realized and unrealized movements on equity holdings.

 

·

Interest Expense increased to $423,229 for the three months ended March 31, 2026, compared to $187,107 for the same period in 2025, primarily due to new financing arrangements at Cosmofarm and the issuance of convertible notes by the Company.

 

·

Interest Income was $46,673 for the three months ended March 31, 2026, compared to $91,326 for the same period in 2025, with the decrease primarily attributable to the full write-off of the note receivable due from DocPharma S.A. (a related party) during 2025, which eliminated the associated interest income stream.

 

·

Foreign Currency Transaction Loss, Net was $313,157 for the three months ended March 31, 2026, compared to a gain of $175,824 in the prior year period, primarily reflecting the revaluation of USD- and GBP-denominated balances held by entities with EUR functional currencies.

 

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.

 

 
49

Table of Contents

 

Foreign Currency Translation Adjustment

 

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.

 

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.

 

Liquidity and Capital Resources

 

As of March 31, 2026 compared with December 31, 2025 

 

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.

 

Cash Flows from Operating Activities

 

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.

 

Cash Flows from Investing Activities

 

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.

 

Cash Flows from Financing Activities

 

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.

 

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.

 

 
50

Table of Contents

 

Going Concern

 

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.

 

These conditions raise substantial doubt about the Company’s ability to continue as a going concern for a period of 12 months from the date of this filing. While the Company’s revenues have grown, they remain insufficient to fund operating expenses and meet debt obligations as they become due. Furthermore, the Company remains dependent on external financing sources to sustain operations and fund growth initiatives.

 

Management has evaluated these factors and its ability to meet obligations due within the next 12 months. Its plans include expanding the portfolio of brand‑name and private‑label products, launching new distribution channels, and increasing sales from recently secured agreements, such as the exclusive distribution of Sky Premium Life products in the United Arab Emirates (“UAE”). Significant purchase orders have already been received under this agreement and are expected to contribute to operating cash inflows in the near term. Moreover, the Company is planning to expand the customer base of its subsidiary, Cosmofarm S.A., which is expected to substantially increase its wholesale revenue stream. In addition, the Company’s manufacturing subsidiary, CANA S.A., which is already demonstrating improved revenue and gross profit, is planning to strengthen its existing contract manufacturing agreements and secure new ones.

 

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.

 

The proceeds from the ATM sales provide additional working capital and mitigate, to some extent, the Company’s liquidity constraints.

 

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.

 

The condensed consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty. Such adjustments could include the realization of assets and settlement of liabilities at amounts that may differ materially from those reflected in the accompanying condensed consolidated financial statements. 

 

 
51

Table of Contents

 

Strategic Plan

 

Our strategic plan, which strikes a balance between growth and sustainability, emphasizes synergies, vertical integration, operational efficiencies, R&D, brand expansion, and the global growth of our distribution network and facilities.

 

We intend to continue to pursue active ongoing acquisitions. In fact, many of our acquisitions entail exploring opportunities, with discounted assets through business combinations or joint ventures, all to enhance our distribution network. We will expand our R&D division which is a platform and incubator to develop new patented pharmaceuticals and proprietary innovative nutraceutical products. To foster organic growth, we will enhance our business development and marketing efforts, pursue global expansion via prominent retailers, pharmacies and e-commerce platforms, and recapture lost markets such as the infant and baby care categories. In addition, we will invest in the expansion of our production capacity and global network of facilities to boost sales of our brands, engage in contract manufacturing with large multinational pharmaceutical companies, produce pharma grade ethanol for hospitals, and expand into new large markets capitalizing on our comparative advantages. Last but not least, we aim to strategically invest in key personnel, from seasoned export managers to highly skilled scientists, to ensure we have the necessary expertise at our fingertips.

 

Growth Strategy

 

Our main strategy initiative is focused on continuing our progress in becoming a global healthcare company through the development of a lean, efficient and vertically integrated operating model, as well as, to expand our portfolio of our own branded nutraceutical and pharmaceutical products, grow our customer base and achieve our growth stabilization in this new market and gain an adequate size in the global pharmaceutical market. We are committed to serving our customers while continuing to innovate and provide products that make a difference in the lives of individuals. We strive to maximize our shareholders’ value by adapting to market realities and customer needs. Our strategy involves the enhancement of our manufacturing capacities and building a multinational network or wholesalers, distributors, and pharmacies and simultaneously continuing to expand the portfolio of innovative products that we distribute to that network.

 

We are committed to driving organic growth at attractive margins by improving execution, optimizing cash flow and leveraging our strong market position, while maintaining a streamlined cost structure throughout each of our businesses. We continue to further align our organization to our customers’ needs in a more seamless and unified way, while supporting corporate strategy and accelerating growth.

 

During the three-month period ended March 31, 2026, we continued to execute on the core elements of our “Growth Strategy”, which remains as follows:

 

 

-

High Marking Segments: delivering on our growth areas and high-margin segments, we continued to show strong performance of our key proprietary brands such as Sky Premium Life® (“SPL”), Mediterranation® and C-Sept® / C-Scrub® with launches into new fast growing geographical regions.

 

 

 

 

-

Generic Pharmaceuticals: focusing on our generic medicines’ capital with a view on a global commercial reach, focused portfolio and pipeline footprint, we continued to optimize our generics business and build a strong pipeline that will allow us to leverage our assets, know-how and sales network.

 

 

 

 

-

Manufacturing of Pharmaceuticals: directing our manufacturing business by optimizing our production facilities and establishing a global footprint in the pharmaceutical fields of contract manufacturing organization (CMO) and contract development and manufacturing organization (CDMO).

 

 

 

 

-

Global Networks, leveraging our extensive global network to access new markets and business segments, amplifying our reach and impact. We aim to expand and consort our sales distribution networks of our proprietary brands through strategic agreements in new regions and territories, such as the UAE and other GCC countries, Eastern Europe etc., while strengthening our market share in core markets.

 

 

 

 

-

Corporate Reorganization: through vertical integration and efficiency, a corporate reorganization is underway to streamline costs and enhance asset and resource utilization through the integration of business units. A key component of this plan is to achieve operational efficiencies and economies of scale through organic growth and a cost optimization initiative aimed at significantly reducing recurring operating expenses and while maintaining the Company's growth outlook.

 

 

 

 

-

Innovation: stepping up innovation through taken steps to deliver innovative products pipeline, by accelerating our R&D efforts on IP-driven products such as the CCX0722 obesity and weight management pill, CCDL24 an innovative treatment for gastrointestinal disorders, CNS, Prostate, Ovarian and Colorectal cancer treatments. Finally, our recently acquired AI-driven drug repurposing platform “Cloudscreen®”, aims to address major health challenges in various treatment areas.

 

We have made several strategic acquisitions of companies, products and technologies to complement our internal growth and expertise. These acquisitions have strengthened our core product technology infrastructure by providing additional manufacturing, marketing, and research and development capabilities, including the ability to manufacture our products, other product components and services.

 

 
52

Table of Contents

 

While the Company intends to pursue these milestones, there may be circumstances where for valid business reasons or due to factors beyond the control of the Company, a reallocation of efforts may be necessary or advisable.

 

The Company intends to spend the funds available to strengthen working capital, inventories, intangible assets, acquisitions, research and development, sales and marketing expenses. Due to the uncertain nature of the industry in which the Company operates, projects may be frequently reviewed and reassessed. Accordingly, while it is currently intended by management that the available funds will be expended as set forth above, actual expenditures may in fact differ from these amounts and allocations.

 

Product Portfolio

 

Our product portfolio includes generics and over-the-counter (“OTC”) pharmaceutical products, innovative medicines, as well as nutraceuticals and biocides. This structure enables strong alignment and integration between manufacturing, operations, commercial regions, research & development and our global marketing and portfolio function, optimizing our product lifecycle across therapeutic areas and physical wellbeing.

 

Generic Medicines

 

Generic medicines are the chemical and therapeutic equivalents of originator medicines and are typically more affordable in comparison to the originator’s products. Generic medicines are required to meet similar governmental requirements as their brand-name equivalents, such as those relating to current Good Manufacturing Practices (“GMP”), manufacturing processes and health authorities’ inspections, and must receive regulatory approval prior to their sale in any given country. Generic medicines may be manufactured and marketed if relevant patents on their brand-name equivalents (and any additional government-mandated market exclusivity periods) have expired.

 

We develop, manufacture and sell generic medicines in a variety of dosage forms, including tablets, capsules, liquids, ointments and creams.

 

Our portfolio of generic medicines includes: 1) ASTO-CHOL (Pravastatin); 2) Diorium (Omeprazole); 3) HEART-FREE (Clopidogrel); 4) the LIPICHOL (Atorvastatin); 5) Miltus (Donepezil); 6) Newzypra (Olanzapine); 7) the PNEUMO-KAST (Montelukast); 8) Sahar (Pioglitazone); 9) VIVALCID (Leucovorin); and 10) the Diabit-is (Sitagliptin).

 

Nutraceuticals

 

Nutraceuticals is referring to a broad range of products derived from food sources that provide health benefits in addition to their basic nutritional value. While nutraceuticals are not classified as drugs, they are often used for their therapeutic effects in a manner similar to pharmaceuticals.

 

Our proprietary nutraceutical brands are Sky Premium Life® (“SPL”) and Mediterranation®. Our portfolio currently includes around 165 SKUs and more specifically product codes such as Vitamins and Minerals, Amino Acids, Botanical and other Herbal extracts used for health prevention and care needs.

 

Biocides

 

Our proprietary portfolio of branded biocides and antiseptic soaps comprises of our brands C-Sept® and C-Scrub®. The biocide C-Sept Pro 2% has a broad-spectrum antimicrobial formulation that combines 76% Isopropyl Alcohol and 2% chlorhexidine digluconate as active substances. On the other hand, our antiseptic soap, C-Scrub Wash 4% CHG, contains chlorhexidine digluconate as its active antiseptic substance, which is approved by the World Health Organization for human use. The broad antimicrobial spectrum of C-Scrub Wash 4% CHG encompasses Gram-positive and Gram-negative microbes, fungi, and viruses, and its efficacy has been demonstrated in numerous published clinical studies. C-Scrub Wash 4% CHG significantly reduces bacterial load on the skin with long lasting.

 

 
53

Table of Contents

 

Other Pharmaceutical Products:

 

Our portfolio of other pharmaceutical products includes brands such as:

 

 

-

Melatonin Spray®;

 

 

 

 

-

Otikon™; and

 

 

 

 

-

Bio-bebe®.

 

Melatonin Spray®, is recommended for addressing insomnia and jet lag, offering a peaceful sleep. It is manufactured using nanonemulsification technology and primarily contains melatonin, a lipophilic molecule. To increase the absorption of such molecules, nanoemulsification is one of the most effective methods. The absorption of the ingredient increases proportionally with the reduction of the micelle diameter. The diameter of a nanoemulsion micelle ranges between 50 and 300nm.

 

Otikon™ ear drops, is a class II medical device in the form of ear drops for spray application and contains natural ingredients used to relieve ear pain, remove excess ear wax (cerumen) and improve hearing. The efficacy and safety of Otikon™ ear drops, or naturopathic drops, has been studied in children with ear pain associated with otitis media. Among other ingredients, it contains olive oil, mullein olive oil extract (Verbascum Thapsus), marigold oil extract (Calendula officinalis), St. John’s wort oil extract (Hypericum perforatum) and lavender oil (Lavandula officinalis).

 

Bio-bebe® is an organic infant care and nutrition brand. All product lines are made exclusively of 100% organic, high-quality ingredients, and are produced with minimal environmental impact. The range includes a variety of baby foods such as organic powder milk, pear, carrot and banana purée, pasta with minced meat, whole grain rice cereals, whole grain cereal porridges and organic rice creams with vanilla milk. Additional brand extensions include baby cosmetics, liquid dish soaps and detergents.

 

In line with our growth strategy, we are constantly evaluating and optimizing our products portfolio, including through the sale of certain product rights in our operating or entering areas.

 

Contractual Obligations

 

We have no significant contractual arrangements other than those noted in our financial statements.

 

Off Balance Sheet Arrangements

 

As of March 31, 2026, there were no off-balance sheet arrangements.

 

Critical Accounting Policies

 

In December 2001, the SEC requested that all registrants list their most “critical accounting polices” under the Management’s Discussion and Analysis section. The SEC indicated that a “critical accounting policy” is one which is both important to the portrayal of a company’s financial condition and results, and requires management’s most difficult, subjective or complex judgments, often as a result of the need to make estimates about the effect of matters that are inherently uncertain.

 

Revenue Recognition: The Company adopted Topic 606 Revenue from Contracts with Customers on January 1, 2018. As a result, it has changed its accounting policy for revenue recognition as detailed in Note 2.

 

Foreign Currency. Assets and liabilities of all foreign operations are translated at period-end rates of exchange, and the statements of operations are translated at the average rates of exchange for the period. Gains or losses resulting from translating foreign currency financial statements are accumulated in a separate component of stockholders’ equity until the entity is sold or substantially liquidated. Gains or losses from foreign currency transactions (transactions denominated in a currency other than the entity’s local currency) are included in net (loss) earnings.

 

Income Taxes. The Company accounts for income taxes under the asset and liability method, as required by the accounting standard for income taxes, ASC 740. Under this method, deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax basis, as well as net operating loss carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date.

 

The Company is liable for income taxes in Greece and the United Kingdom. The corporate income tax rate is 22% in Greece (tax losses are carried forward for five years effective January 1, 2013) and 25% in United Kingdom. Losses may also be subject to limitation under certain rules regarding change of ownership.

 

We regularly review deferred tax assets to assess their potential realization and establish a valuation allowance for portions of such assets to reduce the carrying value if we do not consider it to be more likely than not that the deferred tax assets will be realized. Our review includes evaluating both positive (e.g., sources of taxable income) and negative (e.g., recent historical losses) evidence that could impact the realizability of our deferred tax assets.

 

 
54

Table of Contents

 

We recognize the impact of an uncertain tax position in our financial statements if, in management’s judgment, the position is not more-likely-than-not sustainable upon audit based on the position’s technical merits. This involves the identification of potential uncertain tax positions, the evaluation of applicable tax laws and an assessment of whether a liability for an uncertain tax position is necessary. We operate and are subject to audit in multiple taxing jurisdictions.

 

We record interest and penalties related to income taxes as a component of interest and other expense as incurred, respectively.

 

Potential benefits of income tax losses are not recognized in the accounts until realization is more likely than not. The Company has adopted ASC 740 “Accounting for Income Taxes” as of its inception. Pursuant to ASC 740, the Company is required to compute tax asset benefits for net operating losses carried forward. The potential benefits of net operating losses have not been recognized in this financial statement because the Company cannot be assured it is more likely than not it will utilize the net operating losses carried forward in future years.

 

The Company has net operating loss carry-forwards in our parent, Cosmos Health Inc., which are applicable to future taxable income in the United States (if any). Additionally, the Company has income tax liabilities in the United Kingdom. The income tax assets and liabilities are not able to be netted. We therefore reserve the income tax assets applicable to the United States but recognize the income tax liabilities in Greece and the United Kingdom. Losses may also be subject to limitation under certain rules regarding change of ownership.

 

Accounts Receivable and Allowance for Credit Losses

 

The Company follows ASC 310 to estimate the allowance for doubtful accounts. Pursuant to FASB ASC paragraph 310-10-35-9, losses from uncollectible receivables shall be accrued when both of the following conditions are met: (a) information available before the financial statements are issued or are available to be issued (as discussed in Section 855-10-25) indicates that it is probable that an asset has been impaired at the date of the financial statements, and (b) the amount of the loss can be reasonably estimated. Those conditions may be considered in relation to individual receivables or in relation to groups of similar types of receivables. If the conditions are met, accrual shall be made even though the receivables that are uncollectible may not be identifiable. The Company reviews individually each trade receivable for collectability and performs on-going credit evaluations of its customers and adjusts credit limits based upon payment history and the customer’s current credit worthiness, as determined by the review of their current credit information; and determines the allowance for doubtful accounts based on historical write-off experience, customer specific facts and general economic conditions that may affect a client’s ability to pay. Bad debt expense is included in general and administrative expenses, if any.

 

Inventory Reserves

 

Our merchandise inventories are made up of finished goods and are valued at the lower of cost or market using the weighted-average cost method. Average cost includes the direct purchase price, net of vendor allowances and cash discounts, of merchandise inventory. We record valuation reserves on an annual basis for merchandise damage and defective returns, merchandise items with slow-moving or obsolescence exposure and merchandise that has a carrying value that exceeds market value. These reserves are estimates of a reduction in value to reflect inventory valuation at the lower of cost or market. The reserve for merchandise returns is based upon the determination of the historical net realizable value of products sold from our returned goods inventory or returned to vendors for credit. Our reserve for merchandise returns includes amounts for returned product on-hand as well as for new merchandise on-hand that we estimate will ultimately become returned goods inventory after being sold based on historical return rates.

 

Convertible Promissory Note

 

As permitted under Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) Topic 825, Financial Instruments (“ASC 825”), the Company elects to account for its convertible promissory note, which meets the required criteria, at fair value at inception and at each subsequent reporting date. Subsequent changes in fair value are recorded as a component of non-operating loss in the condensed consolidated statements of operations. This election is made on an instrument-by-instrument basis as permitted under ASC 825. The portion of total changes in fair value of the convertible promissory note attributable to changes in instrument-specific credit risk are determined through specific measurement of periodic changes in the discount rate assumption exclusive of base market changes and are presented as a component of comprehensive income in the accompanying condensed Consolidated Statements of Operations and Comprehensive Income (Loss). As a result of electing the fair value option, direct costs and fees related to the convertible promissory note are expensed as incurred.

 

The Company estimates the fair value of the convertible promissory note using a Monte Carlo simulation model, which uses as inputs the fair value of our common stock and estimates for the equity volatility and volume volatility of our common stock, the time to expiration of the convertible promissory note, the risk-free interest rate for a period that approximates the time to expiration, and probability of default. Therefore, we estimate our expected future volatility based on the actual volatility of our common stock and historical volatility of our common stock utilizing a lookback period consistent with the time to expiration. The time to expiration is based on the contractual maturity date, giving consideration to the voluntary, mandatory and potential accelerated redemption scenarios. The risk-free interest rate is determined by reference to the U.S. Treasury yield curve in effect at the time of measurement for time periods approximately equal to the time to expiration. Probability of default is estimated using Bloomberg's Default Risk function which uses our financial information to calculate a default risk specific to the Company.

 

Digital Assets

 

The Company's digital assets are initially recorded at cost and are subsequently measured at fair value as of each reporting period. The Company determines the fair value of its digital assets in accordance with ASC 820, Fair Value Measurement, based on quoted prices in its principal market for Ethereum (Level 1). Changes in fair value are recognized as incurred in the Company's condensed consolidated statement of income (loss) and comprehensive income (loss), as “Gain (loss) on digital assets,” within non-operating (income) and expenses, net.

 

Updated share information

 

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.

 

 
55

Table of Contents

 

Item 3. Quantitative and Qualitative Disclosures about Market Risk.

 

Not applicable. A smaller reporting company is not required to provide the information required by this Item.

 

Item 4. Controls and Procedures. 

 

Disclosure Controls and Procedures

 

The Company maintains disclosure controls and procedures (as defined in Rule 13a-15(e) under the Securities Exchange Act) that are designed to ensure that information required to be disclosed in the Company’s Securities Exchange Act reports is recorded, processed, summarized and reported within the time periods specified in SEC rules and forms, and that such information is accumulated and communicated to the Company’s management, including its Principal Executive Officer and Principal Financial Officer, as appropriate, to allow timely decisions regarding required disclosures.

 

Evaluation of Disclosure Controls and Procedures

 

The Company’s management, with the participation of the Company’s Principal Executive Officer and Principal Financial Officer, has evaluated the effectiveness of the Company’s disclosure controls and procedures as of the end of the period covered by this report. Based upon that evaluation, the Principal Executive Officer and the Principal Financial Officer have concluded that, as of the end of the period covered by this report, the Company’s disclosure controls and procedures were ineffective due to material weaknesses stated below:

 

 

·

The Company does not have an adequate level of supervision and segregation of duties.

 

 

 

 

·

The Company lacks effective design and operation of controls over certain information technology general controls (ITGCs), including segregation of incompatible duties, program change management, and user access controls.

 

We continue to work on remediating the material weaknesses identified in our internal controls. Pursuant to this initiative, we have engaged a third-party consultant to assist in the design and implementation of controls, as well as in the evaluation of current gaps and procedures. As of the filing date of this quarterly report, the consultant's evaluation remains ongoing, and a final report has not yet been received. We will provide a further update on the status of our remediation efforts in subsequent filings as the process advances. 

 

- The Company does not have an adequate level of supervision and segregation of duties.

 

We are in the process of updating the organizational chart in order to reallocate roles among personnel and emphasize sharing the responsibilities of key business processes by distributing the discrete functions of these processes to multiple people and departments.

 

-  The Company lacks effective design and operation of controls over certain information technology general controls (ITGCs), including segregation of incompatible duties, program change management, and user access controls.

 

We are in the process of updating our organizational structure to reallocate roles among personnel. Our goal  is to emphasize the necessity of sharing the responsibilities with respect to key business processes by distributing the discrete functions of these processes to multiple people and departments. As the Company grows and additional resources become available, management plans to expand the finance team and reassign responsibilities to achieve more effective separation of duties. Enhanced management review procedures have been implemented immediately.

 

Our management is committed to maintaining a strong internal control environment. Management is taking comprehensive actions to remediate the material weakness related to ineffective design and operation of controls over certain ITGCs, which include the following:

 

 

·

We will continue to reassess staffing and add additional resources, as required, with the requisite experience and training, to support our system of internal control;

 

 

 

 

·

Implement a training program for all personnel responsible for internal controls over financial reporting, including educating control owners regarding the requirements of each control.

 

 

 

 

·

For control owners with IT responsibilities, develop and implement additional training and awareness programs addressing ITGC policy and requirements, with a specific focus on user access and change management processes and controls;

 

 

 

 

·

Continue to enhance, standardize and monitor the ongoing improvements in design and operating effectiveness of our controls and the adherence of our personnel to any enhancements in controls, policies, and procedures.

 

 

 

 

·

With our IT environment, increase the extent of oversight and verification checks included in the operation of user access and program change management controls and processes.

 

We believe the foregoing efforts will effectively remediate the identified material weakness in internal controls over financial reporting. Because the reliability of the internal control process requires repeatable execution, the successful remediation will require review and evidence of effectiveness prior to management concluding that the Company’s internal controls over financial reporting are effective. We may also conclude that the additional measures may be required to remediate the material weakness which may necessitate additional implementation and evaluation time. We will continue to assess the effectiveness of our internal control over financial reporting and take steps to remediate the material weakness expeditiously.

 

 
56

Table of Contents

 

Changes in Internal Controls Over Financial Reporting

 

There were no changes in our internal control over financial reporting that have materially affected or are reasonably likely to materially affect, our internal control over financial reporting.

 

Our Audit Committee is in the process of evaluating our existing controls and procedures, while communicating with the Management on quarterly basis.

 

Audit Committee

 

We have a separately designated standing audit committee, which is appointed by the Board of Directors of Cosmos Health Inc. On April 28, 2022, Dr. Anastasios Aslidis was elected to serve on the Board of Directors and was appointed as a chair of the Audit Committee. Our three independent directors, Anastasios Aslidis, John Hoidas and Demetrios Demetriades serve on the Audit Committee. The primary function of the committee is to assist the Board of Directors in overseeing (1) the financial reporting and accounting processes of the Company, and (2) the financial statements audits of the Company. The Committee also prepares a written report to be included in the annual proxy statement of the Company pursuant to the applicable rules and regulations of the “SEC”. In furtherance of these purposes, the Committee shall maintain direct communication among the Company’s independent auditors and the Board of Directors. The independent auditors and any other registered public accounting firm engaged in preparing or issuing an audit report or performing other audit review or attest services for the Company shall report directly to the Committee and are ultimately accountable to the Committee and the Board of Directors.

 

In discharging its oversight role, the Committee is authorized to investigate any matter brought to its attention with full access to all books, records, facilities and personnel of the Company. The Committee shall have the sole authority to retain at the Company’s expense outside legal, accounting or other advisors to advise the Committee and to receive appropriate funding, as determined by the Committee, from the Company for the payment of the compensation of such advisors and for the payment of ordinary administrative expenses of the Committee that are necessary to carry out its duties. The Committee may request any officer or employee of the Company or the Company’s outside counsel or independent auditors to attend a meeting of the Committee or to meet with any member of, or advisors to, the Committee. The Committee may also meet with the Company’s investment bankers or financial analysts who follow the Company.

 

The Committee shall meet no less frequently than four times per year, with additional meetings as circumstances warrant. The Committee shall also meet periodically with management, the internal auditors, if any, and the independent auditors in separate executive sessions. The Committee shall record the minutes of all such meetings and shall submit the minutes of its meetings to, or discuss the matters deliberated at each meeting with, the Board of Directors. The Company’s chief financial or accounting officer shall function as the management liaison officer to the Committee.

 

 
57

Table of Contents

 

PART II - OTHER INFORMATION

 

Item 1. Legal Proceedings.

 

There have been no material changes since the filing of the Company’s Form 10-K for the year ended December 31, 2025. From time to time, we may become involved in various disputes and litigation matters that arise in the ordinary course of business. For more information, refer to Note 15. Commitments and Contingencies in our Notes to Unaudited Condensed Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q, which is incorporated herein by reference.

 

Item 1A. Risk Factors

 

The Company is not required to provide the information called for in this item due to its status as a Smaller Reporting Company. You should refer to the other information set forth in this report, including the information set forth in “Management’s Discussion and Analysis of Financial Condition and Results of Operations” as well as in our condensed consolidated financial statements and the related notes. Our business prospects, financial condition or results of operations could be adversely affected by any of these risks.

 

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds.

 

None. Previously reported on Form 8-K.

 

Item 3. Defaults Upon Senior Securities.

 

None.

 

Item 4. Mine Safety Disclosures.

 

Not applicable.

 

Item 5. Other Information.

 

During the three months ended March 31, 2026, no director or officer of the Company adopted or terminated a “Rule 10b5-1 trading arrangement” or “non-Rule 10b5-1 trading arrangement,” as each term is defined in Item 408(a) of Regulation S-K.

 

 
58

Table of Contents

 

Item 6. Exhibits.

 

(a) Exhibits.

 

Exhibit No.

Document Description

 

 

 

31.1*

 

Certification of CEO pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

 

 

31.2*

 

Certification of CFO pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

 

 

 

32.1*

 

Certification of CEO pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 

32.2*

Certification of CFO pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 

101.INS

Inline XBRL Instance Document (the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document).**

 

101.SCH

Inline XBRL Taxonomy Extension Schema Document.**

 

101.CAL

Inline XBRL Taxonomy Extension Calculation Linkbase Document.**

 

101.DEF

Inline XBRL Taxonomy Extension Definition Linkbase Document.**

 

101.LAB

Inline XBRL Taxonomy Extension Labels Linkbase Document.**

 

101.PRE

Inline XBRL Taxonomy Extension Presentation Linkbase Document.**

 

104

Cover Page Interactive Data File (formatted as inline XBRL and contained in Exhibit 101).**

_____________

*

This exhibit shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933 or the Securities Exchange Act of 1934, whether made before or after the date hereof and irrespective of any general incorporation language in any filings.

 

**

XBRL (Extensible Business Reporting Language) information is furnished and not filed or a part of a registration statement or prospectus for purposes of Sections 11 or 12 of the Securities Act of 1933, as amended, is deemed not filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, and otherwise is not subject to liability under these sections.

 

 
59

Table of Contents

 

SIGNATURES

 

In accordance with Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

 

Cosmos Health Inc.

 

Date: May 20, 2026

By:

/s/ Grigorios Siokas

Grigorios Siokas

 

Chief Executive Officer

 

(Principal Executive Officer)

 

Date: May 20, 2026

By:

/s/ Georgios Terzis

 

Georgios Terzis

 

 

Chief Financial Officer

 

 

(Principal Financial Officer, And Principal Accounting Officer)

 

 

 
60

Table of Contents

 

EXHIBIT INDEX

 

Exhibit No.

Document Description

 

 

 

31.1*

 

Certification of CEO pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

 

 

31.2*

 

Certification of CFO pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

 

 

 

32.1*

 

Certification of CEO pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 

32.2*

Certification of CFO pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 

101.INS

Inline XBRL Instance Document (the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document).**

 

101.SCH

Inline XBRL Taxonomy Extension Schema Document.**

 

101.CAL

Inline XBRL Taxonomy Extension Calculation Linkbase Document.**

 

101.DEF

Inline XBRL Taxonomy Extension Definition Linkbase Document.**

 

101.LAB

Inline XBRL Taxonomy Extension Labels Linkbase Document.**

 

101.PRE

Inline XBRL Taxonomy Extension Presentation Linkbase Document.**

 

104

Cover Page Interactive Data File (formatted as inline XBRL and contained in Exhibit 101).**

___________

*

This exhibit shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933 or the Securities Exchange Act of 1934, whether made before or after the date hereof and irrespective of any general incorporation language in any filings.

 

**

XBRL (Extensible Business Reporting Language) information is furnished and not filed or a part of a registration statement or prospectus for purposes of Sections 11 or 12 of the Securities Act of 1933, as amended, is deemed not filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, and otherwise is not subject to liability under these sections.

 

61