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Side-by-side financial comparison of AMERISERV FINANCIAL INC (ASRV) and VSEE HEALTH, INC. (VSEE). Click either name above to swap in a different company.

VSEE HEALTH, INC. is the larger business by last-quarter revenue ($3.9M vs $3.9M, roughly 1.0× AMERISERV FINANCIAL INC). AMERISERV FINANCIAL INC runs the higher net margin — 36.9% vs -200.0%, a 236.9% gap on every dollar of revenue. On growth, VSEE HEALTH, INC. posted the faster year-over-year revenue change (5.1% vs 2.4%). Over the past eight quarters, VSEE HEALTH, INC.'s revenue compounded faster (55.6% CAGR vs -46.6%).

Ameriserv Financial Inc. is a Pennsylvania-headquartered regional financial services holding company. It provides retail and commercial banking products including deposit accounts, loan products and wealth management solutions, serving individual consumers and SMEs across its local operating markets in the United States.

VSEE HEALTH, INC. is a US-based telehealth technology firm offering HIPAA-compliant virtual care platforms, remote consultation tools, and chronic disease management solutions. It primarily serves healthcare providers, enterprise clients and nonprofits across North America and select global markets.

ASRV vs VSEE — Head-to-Head

Bigger by revenue
VSEE
VSEE
1.0× larger
VSEE
$3.9M
$3.9M
ASRV
Growing faster (revenue YoY)
VSEE
VSEE
+2.7% gap
VSEE
5.1%
2.4%
ASRV
Higher net margin
ASRV
ASRV
236.9% more per $
ASRV
36.9%
-200.0%
VSEE
Faster 2-yr revenue CAGR
VSEE
VSEE
Annualised
VSEE
55.6%
-46.6%
ASRV

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ASRV
ASRV
VSEE
VSEE
Revenue
$3.9M
$3.9M
Net Profit
$1.4M
$-7.9M
Gross Margin
46.7%
Operating Margin
43.0%
-87.6%
Net Margin
36.9%
-200.0%
Revenue YoY
2.4%
5.1%
Net Profit YoY
62.2%
-144.7%
EPS (diluted)
$0.09
$-0.31

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
ASRV
ASRV
VSEE
VSEE
Q4 25
$3.9M
$3.9M
Q3 25
$15.4M
$4.0M
Q2 25
$14.5M
$3.4M
Q1 25
$14.1M
$3.3M
Q4 24
$3.8M
$3.7M
Q3 24
$13.1M
$3.4M
Q2 24
$13.2M
$1.7M
Q1 24
$13.7M
$1.6M
Net Profit
ASRV
ASRV
VSEE
VSEE
Q4 25
$1.4M
$-7.9M
Q3 25
$2.5M
$-289.7K
Q2 25
$-282.0K
$-2.6M
Q1 25
$1.9M
$-4.0M
Q4 24
$889.0K
$-3.2M
Q3 24
$1.2M
$-53.9M
Q2 24
$-375.0K
$-634.1K
Q1 24
$1.9M
$62.8K
Gross Margin
ASRV
ASRV
VSEE
VSEE
Q4 25
46.7%
Q3 25
52.1%
Q2 25
46.9%
Q1 25
56.0%
Q4 24
63.8%
Q3 24
83.0%
Q2 24
45.4%
Q1 24
76.2%
Operating Margin
ASRV
ASRV
VSEE
VSEE
Q4 25
43.0%
-87.6%
Q3 25
20.0%
-51.7%
Q2 25
-2.4%
-66.5%
Q1 25
17.0%
-55.1%
Q4 24
28.2%
-81.1%
Q3 24
10.8%
-1737.8%
Q2 24
-3.7%
-54.5%
Q1 24
17.4%
6.4%
Net Margin
ASRV
ASRV
VSEE
VSEE
Q4 25
36.9%
-200.0%
Q3 25
16.5%
-7.3%
Q2 25
-1.9%
-77.1%
Q1 25
13.6%
-119.2%
Q4 24
23.3%
-85.9%
Q3 24
9.0%
-1607.5%
Q2 24
-2.8%
-37.0%
Q1 24
13.9%
3.9%
EPS (diluted)
ASRV
ASRV
VSEE
VSEE
Q4 25
$0.09
$-0.31
Q3 25
$0.15
$-0.02
Q2 25
$-0.02
$-0.16
Q1 25
$0.12
$-0.24
Q4 24
$0.05
$-1.96
Q3 24
$0.07
$-3.58
Q2 24
$-0.02
$-0.12
Q1 24
$0.11
$0.01

Balance Sheet & Financial Strength

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

Metric
ASRV
ASRV
VSEE
VSEE
Cash + ST InvestmentsLiquidity on hand
$5.3M
Total DebtLower is stronger
$2.7M
Stockholders' EquityBook value
$119.3M
$5.5M
Total Assets
$1.5B
$22.4M
Debt / EquityLower = less leverage
0.50×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASRV
ASRV
VSEE
VSEE
Q4 25
$5.3M
Q3 25
$472.8K
Q2 25
$291.6K
Q1 25
$410.1K
Q4 24
$326.1K
Q3 24
$2.3M
Q2 24
$1.1M
Q1 24
$724
Total Debt
ASRV
ASRV
VSEE
VSEE
Q4 25
$2.7M
Q3 25
$3.4M
Q2 25
$3.0M
Q1 25
$2.6M
Q4 24
$1.9M
Q3 24
$1.9M
Q2 24
$2.4M
Q1 24
Stockholders' Equity
ASRV
ASRV
VSEE
VSEE
Q4 25
$119.3M
$5.5M
Q3 25
$114.6M
$-5.6M
Q2 25
$110.9M
$-5.7M
Q1 25
$110.8M
$-3.5M
Q4 24
$107.2M
$-18.5K
Q3 24
$108.2M
$933.1K
Q2 24
$103.7M
$53.1M
Q1 24
$103.9M
$-13.2M
Total Assets
ASRV
ASRV
VSEE
VSEE
Q4 25
$1.5B
$22.4M
Q3 25
$1.5B
$18.7M
Q2 25
$1.4B
$18.2M
Q1 25
$1.4B
$19.4M
Q4 24
$1.4B
$20.0M
Q3 24
$1.4B
$22.3M
Q2 24
$1.4B
$78.6M
Q1 24
$1.4B
$1.4M
Debt / Equity
ASRV
ASRV
VSEE
VSEE
Q4 25
0.50×
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
2.08×
Q2 24
0.05×
Q1 24

Cash Flow & Capital Efficiency

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

Metric
ASRV
ASRV
VSEE
VSEE
Operating Cash FlowLast quarter
$3.2M
$-1.9M
Free Cash FlowOCF − Capex
$-1.9M
FCF MarginFCF / Revenue
-49.2%
Capex IntensityCapex / Revenue
0.2%
Cash ConversionOCF / Net Profit
2.21×
TTM Free Cash FlowTrailing 4 quarters
$-3.5M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASRV
ASRV
VSEE
VSEE
Q4 25
$3.2M
$-1.9M
Q3 25
$1.4M
$-754.5K
Q2 25
$-62.0K
$-324.6K
Q1 25
$599.0K
$-440.5K
Q4 24
$2.7M
$-3.0M
Q3 24
$-235.0K
$-221.0K
Q2 24
$1.7M
$-3.2M
Q1 24
$-2.2M
$579.3K
Free Cash Flow
ASRV
ASRV
VSEE
VSEE
Q4 25
$-1.9M
Q3 25
$-761.8K
Q2 25
$-328.2K
Q1 25
$-452.4K
Q4 24
$-3.0M
Q3 24
$-226.0K
Q2 24
$-3.2M
Q1 24
$570.5K
FCF Margin
ASRV
ASRV
VSEE
VSEE
Q4 25
-49.2%
Q3 25
-19.1%
Q2 25
-9.7%
Q1 25
-13.6%
Q4 24
-79.8%
Q3 24
-6.7%
Q2 24
-187.6%
Q1 24
35.2%
Capex Intensity
ASRV
ASRV
VSEE
VSEE
Q4 25
0.2%
Q3 25
0.2%
Q2 25
0.1%
Q1 25
0.4%
Q4 24
0.1%
Q3 24
0.1%
Q2 24
2.1%
Q1 24
0.5%
Cash Conversion
ASRV
ASRV
VSEE
VSEE
Q4 25
2.21×
Q3 25
0.55×
Q2 25
Q1 25
0.31×
Q4 24
3.02×
Q3 24
-0.20×
Q2 24
Q1 24
-1.13×
9.23×

Financial Flow Comparison

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

Revenue Breakdown by Segment

ASRV
ASRV

Asset Management1$3.1M79%
Other$838.0K21%

VSEE
VSEE

Professional Services And Other Fees$3.1M79%
Other$823.2K21%

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