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American Well Corporation (AMWL) Financials

AMWL
Trailing 12 months to June 30, 2026
Revenue $218.5M -19.0% YoY
Net Income -$78.1M +37.3% YoY
EPS (Diluted) -$4.77 +40.7% YoY
Free Cash Flow -$26.4M +65.1% YoY
Market Cap $215.0M as of Oct 7, 2026
Price / Sales 1.0x on $218.5M revenue, trailing 12 months to June 30, 2026
Price / Earnings n/m net loss, so no earnings multiple, trailing 12 months to June 30, 2026
Price / Book 1.0x on $221.2M equity, Q2 FY2026

A multiple compares the market's price with a filed figure; it says what the market pays, not how the business is doing. The market capitalization is the vendor's as of Oct 7, 2026; every other figure is from the SEC filings on this page. Not financial advice.

Source SEC Filings (10-K/10-Q) Latest period Q2 FY2026, ended Jun 30, 2026 Reported Currency USD FYE December

Newest figures come from the 10-Q for Q2 FY2026, filed Aug 4, 2026. Each column of the statement tables below links to the filing it was taken from, and every filing is listed on the AMWL SEC filings page.

American Well Corporation (AMWL) reported $218.5M in revenue over the twelve months to Jun 30, 2026, down 19.0% from the prior twelve months. This page shows its income statement, balance sheet, cash flow statement, and key financial ratios. View 8 years of annual fundamentals and quarterly data, with year-over-year growth rates and compound annual growth rates (CAGR). All figures are derived from SEC filings (10-K and 10-Q reports).

Rhea AI AMWL FY2025

Nearly flat sales now carry a much wider gross margin, but the business still converts that improvement into operating cash outflow.

From FY2024 to FY2025, revenue slipped while gross margin expanded from 38.9% to 53.3%, indicating that lower delivery costs, rather than volume growth, drove the improvement. Free cash flow nearly matched operating cash flow at -$66.0M, while capital expenditures were only $21K; the reported cash use therefore reflects ongoing operations more than reinvestment.

The net loss narrowed from $208.1M to $95.7M as selling, general, and administrative expense and research spending both fell. Yet operating cash flow remained negative at -$66.0M, so the improved earnings profile has not reached cash generation.

The balance sheet became smaller but less burdened: total liabilities declined to $76.0M, debt-to-equity was 0.3x, and the current ratio was 3.4x. Reported liquidity equaled 33.2 months of the latest annual operating outflow, a comparison that underscores substantial near-term balance-sheet flexibility without changing the underlying operating loss.

[ NOT FINANCIAL ADVICE ]

Financial Health Signals

Profitability Growth Leverage Liquidity CashFlow Returns 35 / 100
Financial Health Score 35/100

Scored against operating companies for FY2025. Each of the six dimensions is a percentile rank within that peer group; the overall is their average, with missing dimensions counted as zero out of six. A high score means strong standing among peers, not absolute cross-industry strength. How this score is calculated →

Health score ≠ stock price. This rates the quality of American Well Corporation's business: profitability, growth, balance sheet strength. It doesn't tell you whether the stock is a good buy at today's price. Not financial advice. Use it alongside valuation analysis and your own research.

Profitability
16

American Well Corporation has an operating margin of -42.2%, meaning the company loses $42 on every $100 of revenue. This results in a profitability score of 16/100. This is up from -85.5% the prior year.

Growth
24

American Well Corporation's revenue declined 2.0% year-over-year, from $254.4M to $249.3M. This contraction results in a growth score of 24/100.

Leverage
68

American Well Corporation carries a low D/E ratio of 0.32, meaning only $0.32 of long-term debt for every $1 of shareholders' equity. This conservative leverage earns a score of 68/100, indicating a strong balance sheet with room for future borrowing.

Liquidity
83

With a current ratio of 3.37, American Well Corporation holds $3.37 in current assets for every $1 of short-term obligations. This comfortable liquidity earns a score of 83/100.

Cash Flow
6

American Well Corporation's operations used $66.0M of cash, and capex of $21K added to the outflow, for a free cash flow shortfall of $66.0M. This results in a cash flow score of 6/100.

Returns
15

American Well Corporation posts a -40.6% return on equity (ROE), meaning it loses $41 for every $100 of shareholders' equity. This results in a returns score of 15/100. This is up from -68.3% the prior year.

Altman Z-Score Distress
-6.88

American Well Corporation scores -6.88, below the 1.81 distress threshold. The score is driven primarily by a large market capitalization ($215.0M) relative to total liabilities ($76.0M). This indicates elevated financial distress risk and warrants close attention to liquidity and debt levels.

Distress-screening estimate for non-financial companies. Not computed for banks or insurers, where the Altman model does not apply.

Piotroski F-Score Partial
5/8

American Well Corporation passes 5 of 8 computable financial strength tests (1 of the nine could not be computed from available data). 2 of 4 profitability signals pass, 1 of 2 leverage/liquidity signals pass, both operating efficiency signals pass.

Earnings Quality No Cash Backing
N/A

American Well Corporation reported a net loss of $95.7M while operations used $66.0M of cash. With neither figure positive, the ratio between the two carries no quality signal.

Interest Coverage At Risk
N/A

American Well Corporation reported an operating loss of $105.3M against $5.2M in interest expense. There is no operating profit to cover interest, so interest must be met from cash reserves or from financing rather than from operations.

Key Financial Metrics

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Earnings & Revenue

Revenue
$52.0M
YoY-26.6%
QoQ-5.2%
5Y CAGR-2.9%

American Well Corporation generated $52.0M in revenue in Q2 2026. This represents a decrease of 26.6% from the same quarter a year earlier. Against the prior quarter it is down 5.2%.

EBITDA
-$2.5M
YoY+79.1%
QoQ+74.2%

American Well Corporation's EBITDA was -$2.5M in Q2 2026, measuring earnings before interest, taxes, depreciation, and amortization. This represents an increase of 79.1% from the same quarter a year earlier. Against the prior quarter it is up 74.2%.

Net Income
-$9.9M
YoY+49.6%
QoQ+8.8%

American Well Corporation reported -$9.9M in net income in Q2 2026. This represents an increase of 49.6% from the same quarter a year earlier. Against the prior quarter it is up 8.8%.

EPS (Diluted)
-$0.59
YoY+52.4%
QoQ+10.6%

American Well Corporation earned -$0.59 per diluted share (EPS) in Q2 2026. This represents an increase of 52.4% from the same quarter a year earlier. Against the prior quarter it is up 10.6%.

Cash & Balance Sheet

Free Cash Flow
$10.7M
YoY+326.7%
QoQ+1183.9%

American Well Corporation generated $10.7M in free cash flow in Q2 2026, representing cash available after capex. This represents an increase of 326.7% from the same quarter a year earlier. Against the prior quarter it is up 1183.9%.

Cash & Debt
$195.9M
YoY-10.6%
QoQ+9.3%
5Y CAGR-27.5%

American Well Corporation held $195.9M in cash as of Q2 2026; long-term debt is not reported for that period.

Shares Outstanding
17M
YoY+5.2%
QoQ+1.6%
5Y CAGR-41.3%

American Well Corporation had 17M shares outstanding in Q2 2026. This represents an increase of 5.2% from the same quarter a year earlier. Against the prior quarter it is up 1.6%.

Dividends Per Share

Not reported for Q2 2026.

Margins & Returns

Gross Margin
52.9%
YoY-3.1pp
QoQ+2.0pp
5Y change+9.2pp

American Well Corporation's gross margin was 52.9% in Q2 2026, indicating the percentage of revenue retained after direct costs. This is down 3.1 percentage points from the same quarter a year earlier. Against the prior quarter it is up 2.0 percentage points.

Operating Margin
-18.4%
YoY+10.4pp
QoQ+13.4pp
5Y change+44.0pp

American Well Corporation's operating margin was -18.4% in Q2 2026, reflecting core business profitability. This is up 10.4 percentage points from the same quarter a year earlier. Against the prior quarter it is up 13.4 percentage points.

Net Margin
-19.1%
YoY+8.7pp
QoQ+0.8pp
5Y change+43.8pp

American Well Corporation's net profit margin was -19.1% in Q2 2026, showing the share of revenue converted to profit. This is up 8.7 percentage points from the same quarter a year earlier. Against the prior quarter it is up 0.8 percentage points.

Return on Equity
-4.5%
YoY+2.5pp
QoQ+0.3pp
5Y change-1.3pp

American Well Corporation's ROE was -4.5% in Q2 2026, measuring profit generated per dollar of shareholder equity. This is up 2.5 percentage points from the same quarter a year earlier. Against the prior quarter it is up 0.3 percentage points.

Capital Allocation

R&D Spending
$10.4M
YoY-43.2%
QoQ-16.4%
5Y CAGR-14.3%

American Well Corporation invested $10.4M in research and development in Q2 2026. This represents a decrease of 43.2% from the same quarter a year earlier. Against the prior quarter it is down 16.4%.

Share Buybacks
$0
YoY-100.0%

American Well Corporation repurchased no shares in Q2 2026. This represents a decrease of 100.0% from the same quarter a year earlier.

Capital Expenditures
$8K
QoQ+60.0%
5Y CAGR-43.2%

American Well Corporation invested $8K in capex in Q2 2026, funding long-term assets and infrastructure. Against the prior quarter it is up 60.0%.

AMWL Income Statement

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.

AMWL quarterly income statement
MetricQ2'2610-QQ1'2610-QQ4'2510-QQ3'2510-QQ2'2510-QQ1'2510-QQ4'2410-KQ3'2410-Q
Revenue$52.0M-26.6%$54.9M-17.9%$55.3M-22.1%$56.3M-7.8%$70.9M+12.9%$66.8M+12.3%$71.0M+0.5%$61.0M-1.4%
Cost of Revenue$24.5M-21.4%$26.9M-14.7%$27.0M-26.3%$26.8M-30.2%$31.1M-20.7%$31.6M-23.3%$36.6M-21.8%$38.4M-5.2%
Gross Profit$27.6M-30.7%$28.0M-20.7%$28.3M-17.6%$29.5M+30.0%$39.8M+69.2%$35.3M+91.9%$34.4M+44.2%$22.7M+5.7%
R&D Expenses$10.4M-43.2%$12.4M-44.0%$13.9M-25.8%$18.6M-6.1%$18.2M-12.3%$22.1M-17.2%$18.8M-28.7%$19.8M-28.6%
SG&A Expenses$13.9M-34.3%$17.7M-23.7%$22.0M-36.8%$21.7M-13.7%$21.2M-25.7%$23.2M-29.2%$34.8M+42.6%$25.2M-14.8%
Operating Income-$9.6M+53.1%-$17.4M+42.7%-$25.2M+41.2%-$29.3M+38.1%-$20.4M+61.1%-$30.4M+59.5%-$42.8M+24.9%-$47.4M+67.0%
EBITDA-$2.5M+79.1%-$9.8M+56.5%-$16.7M+51.8%-$19.9M+49.1%-$12.2M+72.5%-$22.6M+66.2%-$34.5M+29.0%-$39.1M+71.1%
Interest Expense$617K-55.1%$976K-37.6%$1.1M-45.8%$1.2M-56.9%$1.4M-58.3%$1.6M-58.8%$2.0M$2.7M-24.1%
Income Tax-$548K+24.4%$217K-61.8%-$626K-141.0%$1.2M+916.8%-$725K-847.4%$568K-55.5%$1.5M+179.3%-$149K-113.3%
Net Income-$9.9M+49.6%-$10.9M+41.8%-$24.9M+41.6%-$32.4M+25.5%-$19.7M+60.5%-$18.7M+74.1%-$42.7M+12.2%-$43.5M+68.1%
EPS (Basic)-$0.59+52.4%-$0.66+44.5%-$1.52+44.7%-$2.00+30.3%-$1.24+63.1%-$1.19+75.9%-$2.75+14.6%-$2.87+69.9%
EPS (Diluted)-$0.59+52.4%-$0.66+44.5%-$1.52+44.7%-$2.00+30.3%-$1.24+63.1%-$1.19-$2.75-$2.87
Diluted Shares (Avg)17M+5.5%17M+5.9%N/A16M+7.1%16M+6.8%16MN/A15M

AMWL Balance Sheet

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.

AMWL quarterly balance sheet
MetricQ2'2610-QQ1'2610-QQ4'2510-QQ3'2510-QQ2'2510-QQ1'2510-QQ4'2410-KQ3'2410-Q
Total Assets$327.2M-15.8%$326.0M-22.3%$323.8M-25.7%$359.4M-25.6%$388.7M-23.5%$419.5M-23.5%$436.0M-26.1%$483.0M-23.9%
Current Assets$264.7M-8.6%$259.1M-16.8%$246.7M-22.2%$271.2M-24.0%$289.7M-23.4%$311.5M-24.8%$317.0M-29.5%$356.9M-27.0%
Cash & Equivalents$195.9M-10.6%$179.2M-19.4%$182.3M-20.1%$200.9M-17.9%$219.1M-20.9%$222.4M-27.9%$228.3M-38.6%$244.6M-23.4%
Short-Term Investments$0$0$0$0$0$0$0$0-100.0%
Inventory$964K-55.9%$1.1M-54.6%$1.2M-58.5%$1.8M-61.7%$2.2M-60.8%$2.5M-61.5%$2.9M-57.0%$4.8M-39.2%
Accounts Receivable$52.6M-1.8%$57.1M-20.7%$49.7M-30.9%$55.6M-37.7%$53.6M-29.6%$72.0M-10.8%$71.9M+32.8%$89.3M+91.1%
Long-Term Investments$0$0$0$0$0$0$0$0
GoodwillN/AN/AN/AN/AN/AN/A$0N/A
Total Liabilities$92.9M-1.3%$85.8M-24.5%$76.0M-36.5%$92.1M-30.7%$94.1M-27.6%$113.7M-9.1%$119.7M+9.3%$132.9M+15.3%
Current Liabilities$91.3M+3.8%$83.8M-21.5%$73.2M-34.2%$86.5M-29.2%$87.9M-25.4%$106.7M-1.6%$111.3M+18.6%$122.2M+23.8%
Non-Current Liabilities$1.6M-73.9%$2.1M-70.3%$2.8M-67.1%$5.6M-48.2%$6.2M-48.8%$7.0M-58.0%$8.5M-46.2%$10.8M-35.3%
Total Equity$221.2M-21.7%$227.3M-22.7%$235.6M-22.7%$254.9M-24.3%$282.6M-22.3%$294.0M-28.1%$304.8M-34.3%$336.7M-33.0%
Retained Earnings-$2.1B-3.9%-$2.1B-4.4%-$2.1B-4.9%-$2.0B-5.9%-$2.0B-6.6%-$2.0B-8.5%-$2.0B-11.8%-$1.9B-12.5%

Not reported in any period shown, so not listed: Long-Term Debt.

AMWL Cash Flow Statement

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.

AMWL quarterly cash flow statement
MetricQ2'2610-QQ1'2610-QQ4'2510-QQ3'2510-QQ2'2510-QQ1'2510-QQ4'2410-KQ3'2410-Q
Operating Cash Flow$10.7M+326.9%-$983K+96.1%-$17.4M-29.2%-$18.8M+42.0%-$4.7M+78.3%-$25.1M+58.0%-$13.4M+67.7%-$32.4M+14.8%
Depreciation & Amortization$7.0M-14.6%$7.6M-2.7%$8.5M+3.5%$9.4M+13.6%$8.2M+0.1%$7.8M-5.3%$8.2M-1.1%$8.3M+0.6%
Stock-Based Compensation$2.0M-64.2%$2.3M-68.6%N/A$4.0M-62.0%$5.7M-42.4%$7.3M-54.8%N/A$10.6M-37.3%
Capital Expenditures$8K$5K-44.4%$12K+300.0%$0-100.0%$0-100.0%$9K-88.0%$3K-96.9%$15K-75.0%
Free Cash Flow$10.7M+326.7%-$988K+96.1%-$17.4M-29.2%-$18.8M+42.0%-$4.7M+78.3%-$25.1M+58.0%-$13.4M+67.8%-$32.4M+14.9%
Investing Cash Flow$4.2M-$2.8M-114.4%-$2.3M+44.6%$0+100.0%$0+100.0%$19.4M+520.8%-$4.1M-104.4%-$4.7M-102.4%
Financing Cash Flow$0+100.0%$303K-44.2%-$1K+50.0%$299K-30.0%-$1K$543K-43.2%-$2K$427K-52.3%
Share Buybacks$0-100.0%$0-100.0%$1K-50.0%$1K0.0%$1K$1K$2K$1K

Not reported in any period shown, so not listed: Dividends Paid.

AMWL Financial Ratios

Margins and returns are percentages; the remaining ratios are unitless multiples. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.

AMWL quarterly financial ratios
MetricQ2'2610-QQ1'2610-QQ4'2510-QQ3'2510-QQ2'2510-QQ1'2510-QQ4'2410-KQ3'2410-Q
Gross Margin52.9%-3.1pp50.9%-1.8pp51.2%+2.8pp52.4%+15.2pp56.1%+18.6pp52.8%+21.9pp48.4%+14.7pp37.2%+2.5pp
Operating Margin-18.4%+10.4pp-31.8%+13.8pp-45.5%+14.7pp-52.1%+25.5pp-28.7%+54.7pp-45.5%-60.2%+20.4pp-77.6%
Net Margin-19.1%+8.7pp-19.8%+8.2pp-45.1%+15.0pp-57.5%+13.7pp-27.8%+51.7pp-28.0%-60.1%+8.7pp-71.2%
Return on Equity-4.5%+2.5pp-4.8%+1.6pp-10.6%+3.4pp-12.7%+0.2pp-7.0%+6.7pp-6.4%+11.3pp-14.0%-3.5pp-12.9%+14.3pp
Return on Assets-3.0%+2.0pp-3.3%+1.1pp-7.7%+2.1pp-9.0%0.0pp-5.1%+4.8pp-4.5%+8.7pp-9.8%-1.5pp-9.0%+12.5pp
Current Ratio2.90-0.4x3.09+0.2x3.37+0.5x3.14+0.2x3.29+0.1x2.92-0.9x2.85-1.9x2.92-2.0x
Debt-to-Equity0.42+0.1x0.380.0x0.32-0.1x0.360.0x0.330.0x0.39+0.1x0.39+0.2x0.39+0.2x
Asset Turnover0.160.0x0.170.0x0.170.0x0.160.0x0.18+0.1x0.16+0.1x0.160.0x0.130.0x
FCF Margin20.6%+27.2pp-1.8%+35.8pp-31.4%-12.5pp-33.3%+19.7pp-6.7%+28.1pp-37.6%-18.9%+40.0pp-53.0%+8.4pp

Similar Companies

Newest fiscal year on record for each company. The health score is the peer-relative Financial Health Score for that year; a dash means no score is published for it.

Company Fiscal year Revenue Net income Net margin Market cap Health score
American Well Corporation AMWL FY2025 $249.3M -$95.7M -38.4% $215.0M 35/100
CareCloud, Inc. CCLD FY2025 $120.5M $11K 0.0% $88.0M 46/100
Forian Inc. FORA FY2025 $30.3M -$2.9M -9.5% $67.8M 55/100
Health Catalyst, Inc HCAT FY2025 $311.1M -$178.0M -57.2% $133.2M 38/100
SOPHiA GENETICS SA SOPH FY2025 $77.3M -$79.0M N/A $628.2M 31/100
Mobile-health Network Solutions MNDR FY2025 $7.6M -$3.4M -44.3% $1.4M 20/100

Frequently Asked Questions

What is American Well Corporation's annual revenue?

American Well Corporation (AMWL) reported $249.3M in total revenue for fiscal year 2025. This represents a -2.0% change compared to the previous fiscal year. Revenue measures the total income earned from the company's primary business operations before any expenses are deducted.

How fast is American Well Corporation's revenue growing?

American Well Corporation (AMWL) revenue declined by 2.0% year-over-year, from $254.4M to $249.3M in fiscal year 2025.

Is American Well Corporation profitable?

No, American Well Corporation (AMWL) reported a net income of -$95.7M in fiscal year 2025, with a net profit margin of -38.4%.

American Well Corporation (AMWL) reported diluted earnings per share of -$5.96 for fiscal year 2025. This represents a 57.1% change compared to the previous fiscal year. EPS represents the portion of a company's net income allocated to each outstanding share of common stock and is widely used to evaluate profitability on a per-share basis.

American Well Corporation (AMWL) had EBITDA of -$71.3M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization.

American Well Corporation (AMWL) had a gross margin of 53.3% in fiscal year 2025, indicating the percentage of revenue retained after direct costs of goods sold.

American Well Corporation (AMWL) had an operating margin of -42.2% in fiscal year 2025, reflecting the profitability of core business operations before interest and taxes.

American Well Corporation (AMWL) had a net profit margin of -38.4% in fiscal year 2025, representing the share of revenue converted into profit after all expenses.

American Well Corporation (AMWL) has a return on equity of -40.6% for fiscal year 2025, measuring how efficiently the company generates profit from shareholder equity.

American Well Corporation (AMWL) recorded an outflow of $66.0M in free cash flow during fiscal year 2025. This represents a 48.2% change compared to the previous fiscal year. Free cash flow represents the cash a company generates after accounting for capital expenditures, and is widely used to assess financial flexibility and shareholder value.

American Well Corporation (AMWL) recorded an outflow of $66.0M in operating cash flow during fiscal year 2025, representing cash used by core business activities.

American Well Corporation (AMWL) had $323.8M in total assets as of fiscal year 2025, including both current and long-term assets.

American Well Corporation (AMWL) invested $21K in capital expenditures during fiscal year 2025, funding long-term assets and infrastructure.

American Well Corporation (AMWL) invested $72.9M in research and development during fiscal year 2025.

Yes, American Well Corporation (AMWL) spent $4K on share buybacks during fiscal year 2025, returning capital to shareholders by reducing shares outstanding.

American Well Corporation (AMWL) had 16M shares outstanding as of fiscal year 2025.

American Well Corporation (AMWL) had a current ratio of 3.37 as of fiscal year 2025, which is generally considered healthy.

American Well Corporation (AMWL) had a debt-to-equity ratio of 0.32 as of fiscal year 2025, measuring the company's financial leverage by comparing total debt to shareholder equity.

American Well Corporation (AMWL) had a return on assets of -29.6% for fiscal year 2025, measuring how efficiently the company uses its assets to generate profit.

American Well Corporation (AMWL) has no price-to-earnings ratio at the moment: net loss, so no earnings multiple (trailing 12 months to June 30, 2026). The market capitalization is $215.0M as of Oct 7, 2026; a multiple compares that price with a filed figure and says nothing about the quality of the business.

American Well Corporation (AMWL) trades at 1.0x sales, its market capitalization divided by revenue of $218.5M revenue, trailing 12 months to June 30, 2026. The market capitalization is $215.0M as of Oct 7, 2026; a multiple compares that price with a filed figure and says nothing about the quality of the business.

At the end of fiscal year 2025, American Well Corporation (AMWL) held $182.3M in cash, cash equivalents and investments, and reported an operating cash outflow of $66.0M over that year. Dividing the one by the other, the reported balance equals about 33 months of the outflow reported that year. This is arithmetic over figures already filed, not a projection: it assumes nothing about future spending, financing or operations.

American Well Corporation (AMWL) has an Altman Z-Score of -6.88, placing it in the Distress Zone (elevated bankruptcy risk). The Z-Score combines five financial ratios (working capital, retained earnings, EBIT, market capitalization, and revenue relative to total assets) to predict the likelihood of bankruptcy. Scores above 2.99 indicate financial safety while scores below 1.81 suggest financial distress. Learn more in our complete guide to financial health indicators.

American Well Corporation (AMWL) has a Piotroski F-Score of 5 out of 8 computable signals; 1 of the nine could not be computed from available data, so the full-scale strength rating is not shown. The F-Score evaluates nine binary signals across profitability (positive ROA, positive cash flow, improving ROA, earnings quality), leverage (decreasing debt, improving liquidity, no share dilution), and operating efficiency (improving gross margin, improving asset turnover). Scores of 7 to 9 indicate strong and improving fundamentals. Learn more in our complete guide to financial health indicators.

American Well Corporation (AMWL) reported a net loss of $95.7M while operations used $66.0M of cash. With neither figure positive, the ratio between the two carries no quality signal. This ratio compares operating cash flow to net income. A ratio above 1.0x means the company generates more cash than its reported earnings, indicating sustainable, cash-backed profits. Ratios below 1.0x suggest earnings rely on accounting accruals rather than actual cash generation. Learn more in our complete guide to financial health indicators.

American Well Corporation (AMWL) reported an operating loss of $105.3M against $5.2M in interest expense. There is no operating profit to cover interest, so interest must be met from cash reserves or from financing rather than from operations. This ratio divides operating income by interest expense. Ratios above 5x indicate strong debt-servicing ability, while ratios below 2x suggest the company may face difficulty meeting interest payments if earnings decline. Learn more in our complete guide to financial health indicators.

American Well Corporation (AMWL) scores 35 out of 100 on our Financial Health Score, indicating weak standing within its operating companies peer group. The score is a 0-100 composite of six dimensions (Profitability, Growth, Leverage, Liquidity, Cash Flow, Returns), each ranked as a percentile relative to companies in the same scoring family (banks against banks, REITs against REITs, and so on) rather than across all industries. It rates the quality of the business, not whether the stock is fairly priced, and is not financial advice. Learn more in our complete guide to financial health indicators.

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