vs

Side-by-side financial comparison of ALERUS FINANCIAL CORP (ALRS) and American Well Corp (AMWL). Click either name above to swap in a different company.

American Well Corp is the larger business by last-quarter revenue ($55.3M vs $45.2M, roughly 1.2× ALERUS FINANCIAL CORP). American Well Corp runs the higher net margin — -45.1% vs -73.2%, a 28.1% gap on every dollar of revenue. On growth, ALERUS FINANCIAL CORP posted the faster year-over-year revenue change (18.0% vs -22.1%). ALERUS FINANCIAL CORP produced more free cash flow last quarter ($58.8M vs $-17.4M). Over the past eight quarters, ALERUS FINANCIAL CORP's revenue compounded faster (-2.5% CAGR vs -3.6%).

Alerus Financial Corporation, marketed as simply Alerus, is a chain of financial institutions headquartered in Grand Forks, North Dakota, with locations in North Dakota, Minnesota, Wisconsin, and Arizona. Alerus offers banking, mortgage, wealth management, and retirement services.

The American Tobacco Company was a tobacco company founded in 1890 by J. B. Duke through a merger between a number of U.S. tobacco manufacturers including Allen and Ginter, Goodwin & Company, and Kinney Brothers. The company was one of the original 12 members of the Dow Jones Industrial Average in 1896. The American Tobacco Company dominated the industry by acquiring the Lucky Strike Company and over 200 other rival firms. Federal Antitrust action begun in 1907 broke the company into several ...

ALRS vs AMWL — Head-to-Head

Bigger by revenue
AMWL
AMWL
1.2× larger
AMWL
$55.3M
$45.2M
ALRS
Growing faster (revenue YoY)
ALRS
ALRS
+40.1% gap
ALRS
18.0%
-22.1%
AMWL
Higher net margin
AMWL
AMWL
28.1% more per $
AMWL
-45.1%
-73.2%
ALRS
More free cash flow
ALRS
ALRS
$76.2M more FCF
ALRS
$58.8M
$-17.4M
AMWL
Faster 2-yr revenue CAGR
ALRS
ALRS
Annualised
ALRS
-2.5%
-3.6%
AMWL

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ALRS
ALRS
AMWL
AMWL
Revenue
$45.2M
$55.3M
Net Profit
$-33.1M
$-24.9M
Gross Margin
Operating Margin
-96.0%
-45.5%
Net Margin
-73.2%
-45.1%
Revenue YoY
18.0%
-22.1%
Net Profit YoY
-49232.8%
41.6%
EPS (diluted)
$-1.27
$-1.53

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

8-Quarter Revenue & Profit Trend

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

Revenue
ALRS
ALRS
AMWL
AMWL
Q4 25
$45.2M
$55.3M
Q3 25
$72.6M
$56.3M
Q2 25
$74.8M
$70.9M
Q1 25
$68.8M
$66.8M
Q4 24
$72.2M
$71.0M
Q3 24
$50.9M
$61.0M
Q2 24
$51.4M
$62.8M
Q1 24
$47.5M
$59.5M
Net Profit
ALRS
ALRS
AMWL
AMWL
Q4 25
$-33.1M
$-24.9M
Q3 25
$16.9M
$-32.4M
Q2 25
$20.3M
$-19.7M
Q1 25
$13.3M
$-18.7M
Q4 24
$-67.0K
$-42.7M
Q3 24
$5.2M
$-43.5M
Q2 24
$6.2M
$-49.9M
Q1 24
$6.4M
$-72.1M
Operating Margin
ALRS
ALRS
AMWL
AMWL
Q4 25
-96.0%
-45.5%
Q3 25
30.4%
-52.1%
Q2 25
35.2%
-28.7%
Q1 25
25.5%
-45.5%
Q4 24
-0.8%
-60.2%
Q3 24
13.4%
-77.6%
Q2 24
15.8%
-83.4%
Q1 24
17.9%
-126.1%
Net Margin
ALRS
ALRS
AMWL
AMWL
Q4 25
-73.2%
-45.1%
Q3 25
23.3%
-57.5%
Q2 25
27.1%
-27.8%
Q1 25
19.4%
-28.0%
Q4 24
-0.2%
-60.1%
Q3 24
10.2%
-71.2%
Q2 24
12.1%
-79.5%
Q1 24
13.5%
-121.1%
EPS (diluted)
ALRS
ALRS
AMWL
AMWL
Q4 25
$-1.27
$-1.53
Q3 25
$0.65
$-2.00
Q2 25
$0.78
$-1.24
Q1 25
$0.52
$-1.19
Q4 24
$-0.06
$-2.71
Q3 24
$0.26
$-2.87
Q2 24
$0.31
$-3.36
Q1 24
$0.32
$-4.94

Balance Sheet & Financial Strength

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

Metric
ALRS
ALRS
AMWL
AMWL
Cash + ST InvestmentsLiquidity on hand
$67.2M
$182.3M
Total DebtLower is stronger
$59.2M
Stockholders' EquityBook value
$564.9M
$235.6M
Total Assets
$5.2B
$323.8M
Debt / EquityLower = less leverage
0.10×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ALRS
ALRS
AMWL
AMWL
Q4 25
$67.2M
$182.3M
Q3 25
$92.0M
$200.9M
Q2 25
$80.9M
$219.1M
Q1 25
$83.0M
$222.4M
Q4 24
$61.2M
$228.3M
Q3 24
$66.0M
$244.6M
Q2 24
$438.1M
$276.9M
Q1 24
$545.8M
$308.6M
Total Debt
ALRS
ALRS
AMWL
AMWL
Q4 25
$59.2M
Q3 25
$59.2M
Q2 25
$59.1M
Q1 25
$59.1M
Q4 24
$59.1M
Q3 24
$59.0M
Q2 24
$59.0M
Q1 24
$59.0M
Stockholders' Equity
ALRS
ALRS
AMWL
AMWL
Q4 25
$564.9M
$235.6M
Q3 25
$550.7M
$254.9M
Q2 25
$533.2M
$282.6M
Q1 25
$514.2M
$294.0M
Q4 24
$495.4M
$304.8M
Q3 24
$386.5M
$336.7M
Q2 24
$373.2M
$363.9M
Q1 24
$371.6M
$408.7M
Total Assets
ALRS
ALRS
AMWL
AMWL
Q4 25
$5.2B
$323.8M
Q3 25
$5.3B
$359.4M
Q2 25
$5.3B
$388.7M
Q1 25
$5.3B
$419.5M
Q4 24
$5.3B
$436.0M
Q3 24
$4.4B
$483.0M
Q2 24
$4.4B
$507.8M
Q1 24
$4.3B
$548.4M
Debt / Equity
ALRS
ALRS
AMWL
AMWL
Q4 25
0.10×
Q3 25
0.11×
Q2 25
0.11×
Q1 25
0.11×
Q4 24
0.12×
Q3 24
0.15×
Q2 24
0.16×
Q1 24
0.16×

Cash Flow & Capital Efficiency

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

Metric
ALRS
ALRS
AMWL
AMWL
Operating Cash FlowLast quarter
$67.5M
$-17.4M
Free Cash FlowOCF − Capex
$58.8M
$-17.4M
FCF MarginFCF / Revenue
130.2%
-31.4%
Capex IntensityCapex / Revenue
19.3%
0.0%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$102.4M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ALRS
ALRS
AMWL
AMWL
Q4 25
$67.5M
$-17.4M
Q3 25
$32.8M
$-18.8M
Q2 25
$10.7M
$-4.7M
Q1 25
$7.7M
$-25.1M
Q4 24
$21.7M
$-13.4M
Q3 24
$20.2M
$-32.4M
Q2 24
$-12.5M
$-21.8M
Q1 24
$11.7M
$-59.8M
Free Cash Flow
ALRS
ALRS
AMWL
AMWL
Q4 25
$58.8M
$-17.4M
Q3 25
$30.3M
Q2 25
$7.6M
Q1 25
$5.7M
$-25.1M
Q4 24
$9.4M
$-13.4M
Q3 24
$17.4M
$-32.4M
Q2 24
$-16.1M
$-21.8M
Q1 24
$10.8M
$-59.8M
FCF Margin
ALRS
ALRS
AMWL
AMWL
Q4 25
130.2%
-31.4%
Q3 25
41.8%
Q2 25
10.1%
Q1 25
8.2%
-37.6%
Q4 24
13.0%
-18.9%
Q3 24
34.2%
-53.0%
Q2 24
-31.4%
-34.7%
Q1 24
22.8%
-100.5%
Capex Intensity
ALRS
ALRS
AMWL
AMWL
Q4 25
19.3%
0.0%
Q3 25
3.4%
0.0%
Q2 25
4.2%
0.0%
Q1 25
3.0%
0.0%
Q4 24
17.1%
0.0%
Q3 24
5.4%
0.0%
Q2 24
7.2%
0.0%
Q1 24
1.9%
0.1%
Cash Conversion
ALRS
ALRS
AMWL
AMWL
Q4 25
Q3 25
1.94×
Q2 25
0.53×
Q1 25
0.58×
Q4 24
Q3 24
3.88×
Q2 24
-2.01×
Q1 24
1.82×

Financial Flow Comparison

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

Revenue Breakdown by Segment

ALRS
ALRS

Other$17.3M38%
Retirement And Benefit Services$17.3M38%
Wealth Management$7.4M16%
Mortgage Banking$3.2M7%

AMWL
AMWL

Platform Subscription$28.8M52%
Visits$23.7M43%
Others$2.8M5%

Related Comparisons