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Side-by-side financial comparison of American Express (AXP) and ORASURE TECHNOLOGIES INC (OSUR). Click either name above to swap in a different company.

ORASURE TECHNOLOGIES INC is the larger business by last-quarter revenue ($26.8M vs $18.9M, roughly 1.4× American Express). American Express runs the higher net margin — 15.7% vs -72.1%, a 87.8% gap on every dollar of revenue. On growth, American Express posted the faster year-over-year revenue change (11.4% vs -28.5%). Over the past eight quarters, ORASURE TECHNOLOGIES INC's revenue compounded faster (-29.7% CAGR vs -95.6%).

American Express Company, together with its subsidiaries, provides charge and credit payment card products, and travel-related services worldwide. The company operates through three segments: Global Consumer Services Group, Global Commercial Services, and Global Merchant and Network Services. Its products and services include payment and financing products; network services; accounts payable expense management products and services; and travel and lifestyle services. The company's products an...

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.

AXP vs OSUR — Head-to-Head

Bigger by revenue
OSUR
OSUR
1.4× larger
OSUR
$26.8M
$18.9M
AXP
Growing faster (revenue YoY)
AXP
AXP
+40.0% gap
AXP
11.4%
-28.5%
OSUR
Higher net margin
AXP
AXP
87.8% more per $
AXP
15.7%
-72.1%
OSUR
Faster 2-yr revenue CAGR
OSUR
OSUR
Annualised
OSUR
-29.7%
-95.6%
AXP

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
AXP
AXP
OSUR
OSUR
Revenue
$18.9M
$26.8M
Net Profit
$3.0M
$-19.3M
Gross Margin
41.0%
Operating Margin
-75.1%
Net Margin
15.7%
-72.1%
Revenue YoY
11.4%
-28.5%
Net Profit YoY
15.0%
-78.7%
EPS (diluted)
$-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
AXP
AXP
OSUR
OSUR
Q1 26
$18.9M
Q4 25
$10.9B
$26.8M
Q3 25
$10.4B
$27.1M
Q2 25
$10.3B
$31.2M
Q1 25
$9.6B
$29.9M
Q4 24
$10.0B
$37.4M
Q3 24
$9.7B
$39.9M
Q2 24
$9.8B
$54.3M
Net Profit
AXP
AXP
OSUR
OSUR
Q1 26
$3.0M
Q4 25
$2.5B
$-19.3M
Q3 25
$2.9B
$-13.7M
Q2 25
$2.9B
$-19.7M
Q1 25
$2.6B
$-16.0M
Q4 24
$2.2B
$-10.8M
Q3 24
$2.5B
$-4.5M
Q2 24
$3.0B
$-615.0K
Gross Margin
AXP
AXP
OSUR
OSUR
Q1 26
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%
Operating Margin
AXP
AXP
OSUR
OSUR
Q1 26
Q4 25
28.2%
-75.1%
Q3 25
36.7%
-59.4%
Q2 25
34.4%
-57.7%
Q1 25
34.6%
-59.3%
Q4 24
27.7%
-33.2%
Q3 24
33.0%
-15.0%
Q2 24
38.6%
-5.0%
Net Margin
AXP
AXP
OSUR
OSUR
Q1 26
15.7%
Q4 25
22.5%
-72.1%
Q3 25
27.9%
-50.6%
Q2 25
28.0%
-63.0%
Q1 25
26.8%
-53.6%
Q4 24
21.8%
-28.8%
Q3 24
25.8%
-11.3%
Q2 24
30.7%
-1.1%
EPS (diluted)
AXP
AXP
OSUR
OSUR
Q1 26
Q4 25
$3.52
$-0.28
Q3 25
$4.14
$-0.19
Q2 25
$4.08
$-0.26
Q1 25
$3.64
$-0.21
Q4 24
$3.04
$-0.14
Q3 24
$3.49
$-0.06
Q2 24
$4.15
$-0.01

Balance Sheet & Financial Strength

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

Metric
AXP
AXP
OSUR
OSUR
Cash + ST InvestmentsLiquidity on hand
$199.3M
Total DebtLower is stronger
$60.4M
Stockholders' EquityBook value
$34.0M
$340.8M
Total Assets
$308.9M
$403.2M
Debt / EquityLower = less leverage
1.78×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AXP
AXP
OSUR
OSUR
Q1 26
Q4 25
$742.0M
$199.3M
Q3 25
$1.3B
$216.5M
Q2 25
$197.0M
$234.6M
Q1 25
$261.0M
$247.6M
Q4 24
$221.0M
$267.8M
Q3 24
$120.0M
$278.6M
Q2 24
$188.0M
$267.4M
Total Debt
AXP
AXP
OSUR
OSUR
Q1 26
$60.4M
Q4 25
$56.4B
Q3 25
$57.8B
Q2 25
$58.2B
Q1 25
$51.2B
Q4 24
$49.7B
Q3 24
$53.5B
Q2 24
$51.5B
Stockholders' Equity
AXP
AXP
OSUR
OSUR
Q1 26
$34.0M
Q4 25
$33.5B
$340.8M
Q3 25
$32.4B
$362.0M
Q2 25
$32.3B
$380.7M
Q1 25
$31.2B
$396.3M
Q4 24
$30.3B
$410.3M
Q3 24
$29.7B
$425.6M
Q2 24
$29.5B
$425.8M
Total Assets
AXP
AXP
OSUR
OSUR
Q1 26
$308.9M
Q4 25
$300.1B
$403.2M
Q3 25
$297.6B
$423.1M
Q2 25
$295.6B
$445.0M
Q1 25
$282.2B
$457.6M
Q4 24
$271.5B
$479.7M
Q3 24
$271.0B
$464.1M
Q2 24
$272.2B
$466.3M
Debt / Equity
AXP
AXP
OSUR
OSUR
Q1 26
1.78×
Q4 25
1.68×
Q3 25
1.78×
Q2 25
1.80×
Q1 25
1.64×
Q4 24
1.64×
Q3 24
1.80×
Q2 24
1.74×

Cash Flow & Capital Efficiency

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

Metric
AXP
AXP
OSUR
OSUR
Operating Cash FlowLast quarter
$-9.0M
Free Cash FlowOCF − Capex
$-9.9M
FCF MarginFCF / Revenue
-37.1%
Capex IntensityCapex / Revenue
3.4%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$-53.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AXP
AXP
OSUR
OSUR
Q1 26
Q4 25
$3.1B
$-9.0M
Q3 25
$6.2B
$-10.1M
Q2 25
$4.4B
$-10.2M
Q1 25
$4.8B
$-19.7M
Q4 24
$5.8B
$109.0K
Q3 24
$-1.8B
$12.7M
Q2 24
$4.5B
$7.8M
Free Cash Flow
AXP
AXP
OSUR
OSUR
Q1 26
Q4 25
$2.3B
$-9.9M
Q3 25
$5.6B
$-11.0M
Q2 25
$3.7B
$-12.2M
Q1 25
$4.3B
$-20.2M
Q4 24
$5.3B
$-347.0K
Q3 24
$-2.3B
$12.5M
Q2 24
$4.0B
$6.2M
FCF Margin
AXP
AXP
OSUR
OSUR
Q1 26
Q4 25
21.4%
-37.1%
Q3 25
53.6%
-40.6%
Q2 25
36.3%
-38.9%
Q1 25
45.0%
-67.3%
Q4 24
53.1%
-0.9%
Q3 24
-23.3%
31.4%
Q2 24
40.4%
11.5%
Capex Intensity
AXP
AXP
OSUR
OSUR
Q1 26
Q4 25
6.6%
3.4%
Q3 25
6.3%
3.4%
Q2 25
6.0%
6.2%
Q1 25
4.5%
1.4%
Q4 24
5.0%
1.2%
Q3 24
4.7%
0.4%
Q2 24
5.8%
3.0%
Cash Conversion
AXP
AXP
OSUR
OSUR
Q1 26
Q4 25
1.25×
Q3 25
2.15×
Q2 25
1.51×
Q1 25
1.84×
Q4 24
2.66×
Q3 24
-0.72×
Q2 24
1.50×

Financial Flow Comparison

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

Revenue Breakdown by Segment

AXP
AXP

Discount revenue$9.5M50%
Other$8.9M47%
Deposits with banks and other$512.0K3%

OSUR
OSUR

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

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