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Side-by-side financial comparison of ALERUS FINANCIAL CORP (ALRS) and ORASURE TECHNOLOGIES INC (OSUR). Click either name above to swap in a different company.

ALERUS FINANCIAL CORP is the larger business by last-quarter revenue ($45.2M vs $26.8M, roughly 1.7× ORASURE TECHNOLOGIES INC). ORASURE TECHNOLOGIES INC runs the higher net margin — -72.1% vs -73.2%, a 1.1% gap on every dollar of revenue. On growth, ALERUS FINANCIAL CORP posted the faster year-over-year revenue change (18.0% vs -28.5%). ALERUS FINANCIAL CORP produced more free cash flow last quarter ($58.8M vs $-9.9M). Over the past eight quarters, ALERUS FINANCIAL CORP's revenue compounded faster (-2.5% CAGR vs -29.7%).

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.

OraSure Technologies, Inc. is a Bethlehem, Pennsylvania–based company in the medical device industry. Their products include diagnostic testing kits. The company had recently developed OraQuick testing kit, the first over-the-counter home HIV test.

ALRS vs OSUR — Head-to-Head

Bigger by revenue
ALRS
ALRS
1.7× larger
ALRS
$45.2M
$26.8M
OSUR
Growing faster (revenue YoY)
ALRS
ALRS
+46.5% gap
ALRS
18.0%
-28.5%
OSUR
Higher net margin
OSUR
OSUR
1.1% more per $
OSUR
-72.1%
-73.2%
ALRS
More free cash flow
ALRS
ALRS
$68.7M more FCF
ALRS
$58.8M
$-9.9M
OSUR
Faster 2-yr revenue CAGR
ALRS
ALRS
Annualised
ALRS
-2.5%
-29.7%
OSUR

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ALRS
ALRS
OSUR
OSUR
Revenue
$45.2M
$26.8M
Net Profit
$-33.1M
$-19.3M
Gross Margin
41.0%
Operating Margin
-96.0%
-75.1%
Net Margin
-73.2%
-72.1%
Revenue YoY
18.0%
-28.5%
Net Profit YoY
-49232.8%
-78.7%
EPS (diluted)
$-1.27
$-0.28

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
OSUR
OSUR
Q4 25
$45.2M
$26.8M
Q3 25
$72.6M
$27.1M
Q2 25
$74.8M
$31.2M
Q1 25
$68.8M
$29.9M
Q4 24
$72.2M
$37.4M
Q3 24
$50.9M
$39.9M
Q2 24
$51.4M
$54.3M
Q1 24
$47.5M
$54.1M
Net Profit
ALRS
ALRS
OSUR
OSUR
Q4 25
$-33.1M
$-19.3M
Q3 25
$16.9M
$-13.7M
Q2 25
$20.3M
$-19.7M
Q1 25
$13.3M
$-16.0M
Q4 24
$-67.0K
$-10.8M
Q3 24
$5.2M
$-4.5M
Q2 24
$6.2M
$-615.0K
Q1 24
$6.4M
$-3.6M
Gross Margin
ALRS
ALRS
OSUR
OSUR
Q4 25
41.0%
Q3 25
43.5%
Q2 25
42.1%
Q1 25
41.1%
Q4 24
36.2%
Q3 24
42.8%
Q2 24
45.4%
Q1 24
44.5%
Operating Margin
ALRS
ALRS
OSUR
OSUR
Q4 25
-96.0%
-75.1%
Q3 25
30.4%
-59.4%
Q2 25
35.2%
-57.7%
Q1 25
25.5%
-59.3%
Q4 24
-0.8%
-33.2%
Q3 24
13.4%
-15.0%
Q2 24
15.8%
-5.0%
Q1 24
17.9%
-13.1%
Net Margin
ALRS
ALRS
OSUR
OSUR
Q4 25
-73.2%
-72.1%
Q3 25
23.3%
-50.6%
Q2 25
27.1%
-63.0%
Q1 25
19.4%
-53.6%
Q4 24
-0.2%
-28.8%
Q3 24
10.2%
-11.3%
Q2 24
12.1%
-1.1%
Q1 24
13.5%
-6.6%
EPS (diluted)
ALRS
ALRS
OSUR
OSUR
Q4 25
$-1.27
$-0.28
Q3 25
$0.65
$-0.19
Q2 25
$0.78
$-0.26
Q1 25
$0.52
$-0.21
Q4 24
$-0.06
$-0.14
Q3 24
$0.26
$-0.06
Q2 24
$0.31
$-0.01
Q1 24
$0.32
$-0.05

Balance Sheet & Financial Strength

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

Metric
ALRS
ALRS
OSUR
OSUR
Cash + ST InvestmentsLiquidity on hand
$67.2M
$199.3M
Total DebtLower is stronger
$59.2M
Stockholders' EquityBook value
$564.9M
$340.8M
Total Assets
$5.2B
$403.2M
Debt / EquityLower = less leverage
0.10×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ALRS
ALRS
OSUR
OSUR
Q4 25
$67.2M
$199.3M
Q3 25
$92.0M
$216.5M
Q2 25
$80.9M
$234.6M
Q1 25
$83.0M
$247.6M
Q4 24
$61.2M
$267.8M
Q3 24
$66.0M
$278.6M
Q2 24
$438.1M
$267.4M
Q1 24
$545.8M
$263.8M
Total Debt
ALRS
ALRS
OSUR
OSUR
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
OSUR
OSUR
Q4 25
$564.9M
$340.8M
Q3 25
$550.7M
$362.0M
Q2 25
$533.2M
$380.7M
Q1 25
$514.2M
$396.3M
Q4 24
$495.4M
$410.3M
Q3 24
$386.5M
$425.6M
Q2 24
$373.2M
$425.8M
Q1 24
$371.6M
$426.3M
Total Assets
ALRS
ALRS
OSUR
OSUR
Q4 25
$5.2B
$403.2M
Q3 25
$5.3B
$423.1M
Q2 25
$5.3B
$445.0M
Q1 25
$5.3B
$457.6M
Q4 24
$5.3B
$479.7M
Q3 24
$4.4B
$464.1M
Q2 24
$4.4B
$466.3M
Q1 24
$4.3B
$467.6M
Debt / Equity
ALRS
ALRS
OSUR
OSUR
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
OSUR
OSUR
Operating Cash FlowLast quarter
$67.5M
$-9.0M
Free Cash FlowOCF − Capex
$58.8M
$-9.9M
FCF MarginFCF / Revenue
130.2%
-37.1%
Capex IntensityCapex / Revenue
19.3%
3.4%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$102.4M
$-53.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ALRS
ALRS
OSUR
OSUR
Q4 25
$67.5M
$-9.0M
Q3 25
$32.8M
$-10.1M
Q2 25
$10.7M
$-10.2M
Q1 25
$7.7M
$-19.7M
Q4 24
$21.7M
$109.0K
Q3 24
$20.2M
$12.7M
Q2 24
$-12.5M
$7.8M
Q1 24
$11.7M
$6.7M
Free Cash Flow
ALRS
ALRS
OSUR
OSUR
Q4 25
$58.8M
$-9.9M
Q3 25
$30.3M
$-11.0M
Q2 25
$7.6M
$-12.2M
Q1 25
$5.7M
$-20.2M
Q4 24
$9.4M
$-347.0K
Q3 24
$17.4M
$12.5M
Q2 24
$-16.1M
$6.2M
Q1 24
$10.8M
$5.2M
FCF Margin
ALRS
ALRS
OSUR
OSUR
Q4 25
130.2%
-37.1%
Q3 25
41.8%
-40.6%
Q2 25
10.1%
-38.9%
Q1 25
8.2%
-67.3%
Q4 24
13.0%
-0.9%
Q3 24
34.2%
31.4%
Q2 24
-31.4%
11.5%
Q1 24
22.8%
9.5%
Capex Intensity
ALRS
ALRS
OSUR
OSUR
Q4 25
19.3%
3.4%
Q3 25
3.4%
3.4%
Q2 25
4.2%
6.2%
Q1 25
3.0%
1.4%
Q4 24
17.1%
1.2%
Q3 24
5.4%
0.4%
Q2 24
7.2%
3.0%
Q1 24
1.9%
2.9%
Cash Conversion
ALRS
ALRS
OSUR
OSUR
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%

OSUR
OSUR

Product And Services$24.9M93%
Other$1.9M7%

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