Cosmos Health Inc. (COSM) Ownership

NASDAQ: COSMTop holders, insider trades and short interest.

COSM ownership summary

as of October 18, 2026
Institutions
3.7%
of shares outstanding
Insiders
21.68%
of shares outstanding
Shares outstanding
100.6M
Float
78.8M
shares available to trade
Short interest
2.99%
2.6M shares short
Days to cover
0.63
short interest down 15.3% vs prior month
  • Institutions 3.68%
  • Insiders 21.68%
  • Other investors 74.64%

COSM top institutional holders

20 largest
Cosmos Health Inc. top institutional holders
#Holder% of sharesSharesValueChangeReported
1UBS Group AG0.59%594K$196,945+581,728 (+4,568.3%)June 30, 2026
2Vanguard Fiduciary Trust Co0.33%334K$110,602+238,107 (+248.7%)June 30, 2026
3Jane Street Group LLC0.29%289K$95,841+289,287 (0.0%)June 30, 2026
4Geode Capital Management, LLC0.28%282K$93,458−36,017 (−11.3%)June 30, 2026
5BlackRock Inc0.27%268K$88,721—June 30, 2026
6Vanguard Capital Management, LLC0.17%174K$57,635+33,959 (+24.3%)June 30, 2026
7Northern Trust Corp0.05%54K$17,853+33,333 (+162.2%)June 30, 2026
8State Street Corp0.04%45K$14,989—June 30, 2026
9Sassicaia Capital Advisers LLC0.04%36K$11,927+36,000 (0.0%)June 30, 2026
10KESTRA PRIVATE WEALTH SERVICES, LLC0.01%13K$4,307+13,000 (0.0%)June 30, 2026
11Park Capital Management, LLC / WI0.01%12K$3,976+12,000 (0.0%)September 30, 2026
12SIMPLEX TRADING, LLC0.01%7,138$2,365+3,335 (+87.7%)June 30, 2026
13NATIONAL BANK OF CANADA /FI/0.01%6,357$2,106—June 30, 2026
14Group One Trading, LLC<0.01%1,700$563−673 (−28.4%)June 30, 2026
15Hanson Mcclain Inc<0.01%1,241$411—June 30, 2026
16Tower Research Capital LLC<0.01%753$249−2 (−0.3%)June 30, 2026
17SBI Securities Co Ltd<0.01%299$99+187 (+167.0%)June 30, 2026
18Citigroup Inc0.00%43$14−947 (−95.7%)June 30, 2026
19Wells Fargo & Co0.00%40$13—June 30, 2026
20Valley National Advisers Inc0.00%5$2+5 (0.0%)June 30, 2026

Value at the latest close. Change = shares bought or sold in the latest quarterly filing (13F). In the top 20, 11 holders added 1.2M shares and 4 cut 38K.

COSM top mutual fund and ETF holders

3 largest
Cosmos Health Inc. top fund holders
#Holder% of sharesSharesValueChangeReported
1Fidelity Extended Market Index0.27%275K$91,085+58,603 (+27.1%)August 31, 2026
2Fidelity Series Total Market Index0.03%29K$9,455—August 31, 2026
3Fidelity Total Market Index0.02%22K$7,177—August 31, 2026

Funds report holdings monthly or quarterly; dates differ by fund.

COSM insider transactions

latest 20
Cosmos Health Inc. insider transactions
DateNameTransactionPriceSharesValue
2026-02-12Grigorios SiokasBuy$0.37388,532$143,757
2026-02-11Grigorios SiokasBuy$0.41291,262$119,417
2026-01-23Grigorios SiokasBuy$0.5090,325$45,162
2026-01-20Grigorios SiokasBuy$0.50353,321$176,660
2026-01-14Grigorios SiokasBuy$0.45493,495$222,073
2026-01-12Grigorios SiokasBuy$0.50113,185$56,592
2026-01-08Grigorios SiokasBuy$0.52156,190$81,219
2026-01-07Grigorios SiokasBuy$0.52124,880$64,938
2026-01-06Grigorios SiokasBuy$0.54133,953$72,335
2025-12-19Grigorios SiokasBuy$0.4988,314$43,274
2025-12-15Grigorios SiokasBuy$0.42168,472$70,758
2025-11-28Grigorios SiokasBuy$0.6476,360$48,870
2025-11-25Grigorios SiokasBuy$0.6355,732$35,111
2025-11-21Grigorios SiokasBuy$0.6856,080$38,134
2025-11-20Grigorios SiokasBuy$0.6251,315$31,815
2025-11-19Grigorios SiokasBuy$0.6561,614$40,049
2025-05-23Grigorios SiokasBuy$0.4534,004$15,302
2025-05-22Grigorios SiokasBuy$0.44141,825$62,403
2025-05-21Grigorios SiokasBuy$0.47174,172$81,861
2025-05-20Grigorios SiokasBuy$0.45147,563$66,403

Reported trades by company officers, directors and other filers (including disclosures by members of Congress where EODHD lists them). "—" where the filing gives no share count.

COSM shares outstanding

Shares outstanding

Year-end shares outstanding, adjusted for splits.

Who owns COSM

Institutional investors own 3.7% of Cosmos Health's shares and insiders 21.68%. The largest holder is UBS Group AG with 0.59% of the shares (594K), as of June 30, 2026. Among the top 20 institutions, 11 added shares and 4 reduced their stake in the latest filings. Short interest is 2.99% of the float, or 0.63 days of average trading volume. The share count rose 8,061.2% since 2014.

Related: COSM analyst forecast, COSM key metrics. See the COSM stock overview for the latest quote and news.

COSM ownership FAQ

Who owns the most Cosmos Health stock?

The largest shareholders of Cosmos Health are UBS Group AG (0.59%), Vanguard Fiduciary Trust Co (0.33%), Jane Street Group LLC (0.29%), Geode Capital Management, LLC (0.28%), BlackRock Inc (0.27%).

What percentage of Cosmos Health is owned by institutions?

Institutions hold 3.7% of Cosmos Health's shares outstanding; insiders hold 21.68%.

Which funds own Cosmos Health?

The largest fund holders of Cosmos Health are Fidelity Extended Market Index (0.27%), Fidelity Series Total Market Index (0.03%), Fidelity Total Market Index (0.02%).

What is Cosmos Health's short interest?

2.6M shares of Cosmos Health were sold short, 2.99% of the float; at the average daily volume it would take 0.63 days to cover.

Are insiders buying or selling Cosmos Health?

Of the latest 20 reported insider transactions in Cosmos Health (since May 20, 2025), 20 were purchases and 0 were sales.

How many shares of Cosmos Health are outstanding?

Cosmos Health has 100.6M shares outstanding, of which 78.8M are in the public float.

Medical Distribution: ownership