STOCK TITAN

Amwell (NYSE: AMWL) slashes 2025 loss and issues cautious 2026 guidance

Filing Impact
(High)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

American Well Corporation reported fourth-quarter and full-year 2025 results showing sharply reduced losses and improving efficiency. Q4 2025 revenue was $55.3 million with a 51% gross margin, and net loss narrowed to $25.2 million, compared with $31.9 million in the third quarter. Adjusted EBITDA improved to $(10.3) million from $(12.7) million in the prior quarter, with total visits of 1.0 million.

For full-year 2025, revenue was $249.3 million, gross margin was 53%, and net loss declined to $95.0 million from $212.6 million in 2024. Adjusted EBITDA improved to $(39.9) million from $(134.4) million, on 4.5 million total visits, and year-end cash and short-term securities were about $182.3 million.

For 2026, Amwell guides revenue to $195–$205 million, AMG visits to 1.32–1.37 million, and adjusted EBITDA to $(24)–$(18) million, with Q1 2026 revenue of $48–$53 million and adjusted EBITDA of $(7)–$(5) million. Management also targets positive cash flow from operations in the fourth quarter of 2026.

Positive

  • None.

Negative

  • None.

Insights

Amwell shows major loss reduction and margin gains, but guides to lower 2026 revenue with continued, though shrinking, EBITDA losses.

Amwell is clearly shifting toward a leaner model. Full-year 2025 net loss fell to $95.0M from $212.6M, while adjusted EBITDA improved to $(39.9)M from $(134.4)M. Gross margin at 53% for 2025 and 51% in Q4 2025 reflects better unit economics despite lower top-line in Q4 versus the prior year.

The cash position of $182.3M at year-end 2025, combined with significantly lower operating cash burn of $(66.0)M versus $(127.3)M in 2024, gives the company more room to execute its strategic transformation and cost initiatives. However, the business is still meaningfully loss-making and dependent on continued discipline.

Guidance for 2026 calls for revenue of $195–$205M, below 2025’s $249.3M, highlighting a reset in scale while profitability improves toward adjusted EBITDA of $(24)–$(18)M. Management’s goal of positive operating cash flow in Q4 2026 signals a focus on sustainability, but execution on renewals, new contracts, and cost control will determine whether these targets are met.

false000139358400013935842026-02-122026-02-12

 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

 

FORM 8-K

 

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): February 12, 2026

 

 

American Well Corporation

(Exact name of Registrant as Specified in Its Charter)

 

 

Delaware

001-39515

20-5009396

(State or Other Jurisdiction
of Incorporation)

(Commission File Number)

(IRS Employer
Identification No.)

 

 

 

 

 

75 State Street

26th Floor

 

Boston, Massachusetts

 

02109

(Address of Principal Executive Offices)

 

(Zip Code)

 

Registrant’s Telephone Number, Including Area Code: 617 204-3500

 

 

(Former Name or Former Address, if Changed Since Last Report)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:


Title of each class

 

Trading
Symbol(s)

 


Name of each exchange on which registered

Class A Common Stock, $0.01 Par Value

 

AMWL

 

New York Stock Exchange

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

 


Item 2.02 Results of Operations and Financial Condition.

On February 12, 2026, American Well Corporation (the "Company") announced its financial results for the fourth quarter and full year ended December 31, 2025. The Company's Earnings Report is furnished as Exhibit 99.1 to this Form 8-K and is incorporated by reference herein.

The Company will host a conference call to discuss its financial results today at 5 p.m. ET. The call can be accessed via a live audio webcast at https://edge.media-server.com/mmc/p/7o2zjx2o/. A webcast replay of the call will be available via webcast shortly after the completion of the call, for approximately 90 days at investors.amwell.com.

The information contained in this Item 2.02 and Exhibit 99.1 attached hereto shall not be deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference in such filing.

Item 9.01 Financial Statements and Exhibits.

(d) Exhibits. The following exhibits are being filed herewith:

 

99.1

Earnings Report, dated February 12, 2026, issued by American Well Corporation.

104

Cover Page Interactive Data File (embedded within the Inline XBRL document)

 


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

 

 

AMERICAN WELL CORPORATION

 

 

 

 

Date:

February 12, 2026

By:

/s/ Anna Nesterova

 

 

 

Anna Nesterova
Deputy General Counsel, Head of Legal

 


 

Exhibit 99.1

img267946692_0.gif

 

 

 

AMWELL® ANNOUNCES RESULTS FOR Fourth QUARTER AND FULL YEAR 2025

 

BOSTON, Feb. 12, 2026 –Amwell® (NYSE: AMWL), a leading provider of a comprehensive SaaS-based technology-enabled healthcare platform, today announced financial results for the fourth quarter and full year ended Dec. 31, 2025.

"In 2025, we sharpened our focus on our Technology Enabled Care platform, which addresses clear and urgent unmet needs across Government, Payer, and Health System clients. Our infrastructure enables clients to effectively deploy Amwell's clinical programs alongside a growing ecosystem of third-party, AI-powered clinical programs—reducing costs, improving outcomes, and transforming the care experience," said Dr. Ido Schoenberg, Chairman and CEO of Amwell. "This focus allowed us to transform our cost base, elevate our revenue quality, and achieve strong market validation through numerous contract renewals and new client wins. Amwell is now well-positioned to reach our goal of cash flow breakeven in the fourth quarter of this year."

Amwell Fourth Quarter 2025 Highlights:

Recorded Total Revenue of $55.3 million exceeding the previously provided financial guidance from Q3
o
Achieved subscription revenue of $28.8 million
o
Recorded Amwell Medical Group (“AMG”) visit revenue of $23.7 million
Reported gross margin of 51%
Net loss was ($25.2) million, compared to ($31.9) million in third quarter of 2025
Adjusted EBITDA of ($10.3) million compared to ($12.7) million in the third quarter of 2025
Total visits were 1.0 million;

Full Year 2025 Financial Highlights:

Recorded Total Revenue of $249.3 million
o
Achieved subscription revenue of $132.4 million
o
Recorded AMG visit revenue of $94.3 million
Reported gross margin of 53%
Net loss was ($95.0) million compared to ($212.6) million in 2024
Adjusted EBITDA of ($39.9) million compared to ($134.4) million in 2024
Total visits were 4.5 million
Cash and short-term securities as of year-end were approximately $182.3 million.

Financial Outlook

The company provided 2026 financial guidance calls for:

Revenue in the range of $195 to $205 million
AMG visits between 1.32 and 1.37 million
Adjusted EBITDA in the range of between ($24) million to ($18) million.

 

The company also provided financial guidance for Q1 2026 Revenue and adjusted EBITDA:

Q1 revenue in the range of $48- $53 million
Q1 adjusted EBITDA in the range of ($7) – ($5) million.

 

The Company also communicated its objective to achieve positive cash flow from operations the fourth quarter of 2026.

 


 

Amwell will host a conference call to discuss its financial results today at 5 p.m. ET, Feb. 12. The call can be accessed via a live audio webcast at https://edge.media-server.com/mmc/p/7o2zjx2o/. A webcast replay will be available for approximately 90 days at investors.amwell.com.

Other than with respect to GAAP Revenue, the Company only provides guidance on a non-GAAP basis. The Company does not provide a reconciliation of forward-looking Adjusted EBITDA (non-GAAP) to GAAP net income (loss), due to the inherent difficulty in forecasting and quantifying certain amounts that are necessary for such reconciliation. Because other deductions used to calculate projected net income (loss) vary dramatically based on actual events, the Company is not able to forecast on a GAAP basis with reasonable certainty all deductions needed in order to provide a GAAP calculation of projected net income (loss) at this time. The amount of these deductions may be material and, therefore, could result in projected GAAP net income (loss) being materially less than projected Adjusted EBITDA (non-GAAP).

About Amwell

Amwell offers payers and health systems a single, comprehensive, technology-enabled care platform. We use technology to provide patients with better access to more convenient, affordable and effective care. The Amwell platform includes software and services that power many clinical programs from Amwell and our growing number of partners. Our platform allows patients to experience unified, personalized and simple access to diversified clinical programs across the care continuum. As more people seek care online and more clinical programs become available, we offer integrated, future-ready, consistent solutions. The Amwell platform is proven, operating at a large scale, enabling care for millions of patients and their sponsors while delivering dependable outcomes. For almost two decades, Amwell has proudly served some of the largest and most sophisticated healthcare organizations in the U.S. . For more information, visit business.amwell.com or LinkedIn.

©2026American Well Corporation. All rights reserved. Amwell®, SilverCloud®, Amwell PlatformTM, Amwell Converge ®, CarepointTM and the Amwell Logo are registered trademarks or trademarks of American Well Corporation.

Forward-Looking Statements

This press release contains forward-looking statements about us and our industry that involve substantial risks and uncertainties and are based on our beliefs and assumptions and on information currently available to us. All statements other than statements of historical facts contained in this press release, including statements regarding our future results of operations, financial condition, business strategy and plans and objectives of management for future operations, are forward-looking statements. In some cases, you can identify forward-looking statements because they contain words such as “anticipate,” “believe,” “could,” “estimate,” “expect,” “intend,” “may,” “plan,” “potential,” “predict,” “project,” “should,” “will,” or “would,” or the negative of these words or other similar terms or expressions.

Forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements. Forward-looking statements represent our beliefs and assumptions only as of the date of this release. These statements, and related risks, uncertainties, factors and assumptions, include, but are not limited to: our ability to successfully transition our clients to our current platform without significant attrition; our ability to renew and upsell our client base; the election by the Defense Health Agency to deploy our solution across their entire enterprise; the continuation of the DHA relationship beyond July 2026 with comparable financial terms; weak growth and increased volatility in the telehealth market; our ability to adapt to rapid technological changes; increased competition from existing and potential new participants in the healthcare industry; changes in healthcare laws, regulations or trends and our ability to operate in the heavily regulated healthcare industry; our ability to comply with federal and state privacy regulations; the significant liability that could result from a cybersecurity breach; our ability to commence and complete and strategic transformation initiatives and the impact of such initiatives; and other factors described under ‘Risk Factors’ in our most recent form 10-K filed with the SEC. These risks are not exhaustive. Except as required by law, we assume no

 


 

obligation to update these forward-looking statements, or to update the reasons actual results could differ materially from those anticipated in the forward-looking statements, even if new information becomes available in the future. Further information on factors that could cause actual results to differ materially from the results anticipated by our forward-looking statements is included in the reports we have filed or will file with the Securities and Exchange Commission. These filings, when available, are available on the investor relations section of our website at investors.amwell.com and on the SEC’s website at www.sec.gov.

Contacts

Media: Press@amwell.com

Investors:

Asher Dewhurst

amwell@icrhealthcare.com

 


 

AMERICAN WELL CORPORATION

CONSOLIDATED BALANCE SHEETS

(In thousands, except share and per share amounts)

 

 

 

As of December 31,

 

 

 

2025

 

 

2024

 

Assets

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

Cash and cash equivalents

 

$

182,328

 

 

$

228,316

 

Accounts receivable ($955 and $616, from related parties and net of
   allowances of $9,463 and $7,236, respectively)

 

 

49,693

 

 

 

71,885

 

Inventories

 

 

1,187

 

 

 

2,858

 

Deferred contract acquisition costs

 

 

2,660

 

 

 

2,513

 

Prepaid expenses and other current assets

 

 

10,813

 

 

 

11,421

 

Total current assets

 

 

246,681

 

 

 

316,993

 

Restricted cash

 

 

795

 

 

 

795

 

Property and equipment, net

 

 

225

 

 

 

376

 

Intangible assets, net

 

 

66,073

 

 

 

101,538

 

Operating lease right-of-use asset

 

 

3,930

 

 

 

7,203

 

Deferred contract acquisition costs, net of current portion

 

 

4,459

 

 

 

5,350

 

Other assets

 

 

1,624

 

 

 

2,213

 

Investment in minority owned joint venture

 

 

 

 

 

1,500

 

Total assets

 

$

323,787

 

 

$

435,968

 

Liabilities and Stockholders’ Equity

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

Accounts payable

 

$

1,649

 

 

$

5,015

 

Accrued expenses and other current liabilities

 

 

45,308

 

 

 

49,326

 

Operating lease liability, current

 

 

3,632

 

 

 

3,690

 

Deferred revenue ($113 and $198 from related parties, respectively)

 

 

22,625

 

 

 

53,232

 

Total current liabilities

 

 

73,214

 

 

 

111,263

 

Other long-term liabilities

 

 

1,075

 

 

 

1,170

 

Operating lease liability, net of current portion

 

 

892

 

 

 

4,511

 

Deferred revenue, net of current portion ($0 and $10 from related
   parties, respectively)

 

 

818

 

 

 

2,780

 

Total liabilities

 

 

75,999

 

 

 

119,724

 

Commitments and contingencies

 

 

 

 

 

 

Stockholders’ equity:

 

 

 

 

 

 

Preferred stock, $0.01 par value; 100,000,000 shares authorized, no shares
   issued or outstanding as of December 31, 2025 and as of December 31, 2024

 

 

 

 

 

 

Common stock, $0.01 par value; 1,000,000,000 Class A shares authorized, 14,782,788
   and 13,922,877 shares issued and outstanding, respectively; 100,000,000 Class B
   shares authorized, 1,369,518 shares issued and outstanding; 200,000,000 Class C
   shares authorized 277,777 issued and outstanding as of December 31, 2025 and as of
   December 31, 2024

 

 

165

 

 

 

156

 

Additional paid-in capital

 

 

2,309,145

 

 

 

2,286,380

 

Accumulated other comprehensive income (loss)

 

 

(12,099

)

 

 

(15,840

)

Accumulated deficit

 

 

(2,061,628

)

 

 

(1,965,924

)

Total American Well Corporation stockholders’ equity

 

 

235,583

 

 

 

304,772

 

Non-controlling interest

 

 

12,205

 

 

 

11,472

 

Total stockholders’ equity

 

 

247,788

 

 

 

316,244

 

Total liabilities and stockholders’ equity

 

$

323,787

 

 

$

435,968

 

 

 


 

AMERICAN WELL CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS

(in thousands, except share and per share amounts)

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended December 31

Years Ended December 31,

 

 

 

2025

 

2024

 

2025

 

2024

Revenue

 

 $ 55,308

 

 $ 71,006

 

 $ 249,325

 

 $ 254,364

Costs and operating expenses:

 

 

 

 

 

 

 

 

Costs of revenue, excluding depreciation and

   amortization of intangible assets

 

  26,971

 

  36,613

 

  116,467

 

  155,412

Research and development

 

  13,940

 

  18,782

 

  72,861

 

  86,065

Sales and marketing

 

  9,093

 

  15,389

 

  43,265

 

  76,272

General and administrative

 

  21,962

 

  34,770

 

  88,045

 

  121,174

Depreciation and amortization expense

 

  8,494

 

  8,208

 

  33,961

 

  32,975

Total costs and operating expenses

 

  80,460

 

  113,762

 

  354,599

 

  471,898

Loss from operations

 

  (25,152)

 

  (42,756)

 

  (105,274)

 

  (217,534)

Interest income and other income (expense), net

 

  (368)

 

  423

 

  3,803

 

  10,757

Gain on divestiture

 

  (79)

 

  —

 

  8,634

 

  —

   Loss before benefit (expense) from income

   taxes and loss from equity method investment

 

  (25,599)

 

  (42,333)

 

  (92,837)

 

  (206,777)

Benefit (expense) from income taxes

 

  626

 

  (1,528)

 

  (434)

 

  (2,751)

Loss from equity method investment

 

  (196)

 

  (708)

 

  (1,696)

 

  (3,110)

Net loss

 

  (25,169)

 

  (44,569)

 

  (94,967)

 

  (212,638)

Net (loss) income attributable to non-controlling

   interest

 

  (247)

 

  (1,915)

 

  733

 

  (4,495)

Net loss attributable to American Well

   Corporation

 

 $ (24,922)

 

 $ (42,654)

 

 $ (95,700)

 

 $ (208,143)

Net loss per share attributable to common

   stockholders, basic and diluted

 

 $ (1.52)

 

 $ (2.77)

 

 $ (5.96)

 

 $ (13.88)

Weighted-average common shares outstanding,

   basic and diluted

 

  16,399,922

 

  15,400,531

 

  16,047,452

 

  14,999,590

 

 


 

AMERICAN WELL CORPORATION

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands, except share and per share amounts)

 

 

Years Ended December 31,

 

 

 

2025

 

 

2024

 

 

2023

 

Cash flows from operating activities:

 

 

 

 

 

 

 

 

 

Net loss

 

$

(94,967

)

 

$

(212,638

)

 

$

(679,171

)

Adjustments to reconcile net loss to net cash used in operating activities:

 

 

 

 

 

 

 

 

 

Goodwill impairment

 

 

 

 

 

 

 

 

436,479

 

Investment impairment

 

 

1,000

 

 

 

 

 

 

 

Depreciation and amortization expense

 

 

33,960

 

 

 

32,973

 

 

 

31,512

 

Provisions for credit losses

 

 

2,744

 

 

 

7,090

 

 

 

1,057

 

Inventory provisions

 

 

500

 

 

 

1,893

 

 

 

 

Net gain on divestiture

 

 

(8,634

)

 

 

 

 

 

 

Amortization of deferred contract acquisition costs

 

 

2,623

 

 

 

2,457

 

 

 

2,261

 

Amortization of deferred contract fulfillment costs

 

 

1,020

 

 

 

459

 

 

 

432

 

Accretion of discounts on debt securities

 

 

 

 

 

 

 

 

(10,010

)

Interest on debt securities

 

 

 

 

 

 

 

 

10,010

 

Stock-based compensation expense

 

 

22,010

 

 

 

47,542

 

 

 

72,246

 

Loss on equity method investment

 

 

1,696

 

 

 

3,110

 

 

 

2,590

 

Deferred income taxes

 

 

(1,110

)

 

 

(243

)

 

 

(242

)

Changes in operating assets and liabilities, net of acquisition:

 

 

 

 

 

 

 

 

 

Accounts receivable

 

 

12,220

 

 

 

(25,012

)

 

 

3,248

 

Inventories

 

 

1,171

 

 

 

1,901

 

 

 

2,085

 

Deferred contract acquisition costs

 

 

(1,800

)

 

 

(3,287

)

 

 

(4,499

)

Prepaid expenses and other current assets

 

 

871

 

 

 

2,601

 

 

 

4,694

 

Other assets

 

 

779

 

 

 

(217

)

 

 

(76

)

Accounts payable

 

 

(3,418

)

 

 

159

 

 

 

(2,361

)

Accrued expenses and other current liabilities

 

 

(3,642

)

 

 

10,118

 

 

 

(15,139

)

Deferred revenue

 

 

(32,976

)

 

 

3,756

 

 

 

(3,459

)

Net cash used in operating activities

 

 

(65,953

)

 

 

(127,338

)

 

 

(148,343

)

Cash flows from investing activities:

 

 

 

 

 

 

 

 

 

Purchases of property and equipment

 

 

(21

)

 

 

(119

)

 

 

(192

)

Capitalized software development costs

 

 

 

 

 

(15,103

)

 

 

(15,056

)

Investment in less than majority owned joint venture

 

 

(196

)

 

 

(3,430

)

 

 

(3,920

)

Net proceeds from divestiture

 

 

18,321

 

 

 

 

 

 

 

Purchases of investments

 

 

(1,000

)

 

 

 

 

 

(389,990

)

Proceeds from sales and maturities of investments

 

 

 

 

 

 

 

 

389,990

 

Net cash provided by (used in) investing activities

 

 

17,104

 

 

 

(18,652

)

 

 

(19,168

)

Cash flows from financing activities:

 

 

 

 

 

 

 

 

 

Proceeds from exercise of common stock options

 

 

 

 

 

 

 

 

569

 

Proceeds from employee stock purchase plan

 

 

844

 

 

 

1,384

 

 

 

2,164

 

Payments for the purchase of treasury stock

 

 

(4

)

 

 

(3

)

 

 

(586

)

Net cash provided by financing activities

 

 

840

 

 

 

1,381

 

 

 

2,147

 

Effect of exchange rates changes on cash, cash equivalents, and restricted cash

 

 

2,021

 

 

 

887

 

 

 

(1,144

)

Net decrease in cash, cash equivalents, and restricted cash

 

 

(45,988

)

 

 

(143,722

)

 

 

(166,508

)

Cash, cash equivalents, and restricted cash at beginning of period

 

 

229,111

 

 

 

372,833

 

 

 

539,341

 

Cash, cash equivalents, and restricted cash at end of period

 

$

183,123

 

 

$

229,111

 

 

$

372,833

 

Cash, cash equivalents, and restricted cash at end of period:

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

 

182,328

 

 

 

228,316

 

 

 

372,038

 

Restricted cash

 

 

795

 

 

 

795

 

 

 

795

 

Total cash, cash equivalents, and restricted cash at end of period

 

$

183,123

 

 

$

229,111

 

 

$

372,833

 

Supplemental disclosure of cash flow information:

 

 

 

 

 

 

 

 

 

Cash paid for income taxes

 

$

1,969

 

 

$

4,105

 

 

$

5,003

 

 

 


 

Non-GAAP Financial Measures:

 

To supplement our financial information presented in accordance with generally accepted accounting principles in the United States, of US GAAP, we use adjusted EBITDA, which is a non-U.S GAAP financial measure to clarify and enhance an understanding of past performance. We believe that the presentation of adjusted EBITDA enhances an investor’s understanding of our financial performance. We further believe that adjusted EBITDA is a useful financial metric to assess our operating performance from period-to-period by excluding certain items that we believe are not representative of our core business. We use certain financial measures for business planning purposes and in measuring our performance relative to that of our competitors. We utilize adjusted EBITDA as the primary measure of our performance.

We calculate adjusted EBITDA as net loss adjusted to exclude (i) interest income and other income, net, (ii) tax benefit and expense, (iii) depreciation and amortization, (iv) gain on divestiture, (v) stock-based compensation expense, (vi) severance and strategic transformation costs and (vii) capitalized software costs.

We believe adjusted EBITDA is commonly used by investors to evaluate our performance and that of our competitors. However, our use of the term adjusted EBITDA may vary from that of others in our industry. Adjusted EBITDA should not be considered as an alternative to net loss before taxes, net loss, loss per share or any other performance measures derived in accordance with U.S. GAAP as measures of performance.

Adjusted EBITDA has important limitations as an analytical tool, and you should not consider it in isolation or as a substitute for analysis of our results as reported under U.S. GAAP. Some of the limitations of adjusted EBITDA include (i) adjusted EBITDA does not properly reflect capital commitments to be paid in the future, and (ii) although depreciation and amortization are non-cash charges, the underlying assets may need to be replaced and adjusted EBITDA does not reflect these capital expenditures. Our adjusted EBITDA may not be comparable to similarly titled measures of other companies because they may not calculate adjusted EBITDA in the same manner as we calculate the measure, limiting its usefulness as a comparative measure.

In evaluating adjusted EBITDA, you should be aware that in the future we will incur expenses similar to the adjustments in this presentation. Our presentation of adjusted EBITDA should not be construed as an inference that our future results will be unaffected by these expenses or any unusual or non-recurring items. Adjusted EBITDA should not be considered as an alternative to loss before benefit from income taxes, net loss, earnings per share, or any other performance measures derived in accordance with U.S. GAAP. When evaluating our performance, you should consider adjusted EBITDA alongside other financial performance measures, including our net loss and other GAAP results.

 


 

The following table presents a reconciliation of adjusted EBITDA from the most comparable GAAP measure, net loss, for the three months and year ended December 31, 2025 and 2024 and the three months ended September 30, 2025:

 

 

 

Three Months Ended

December 31

 

Years Ended December 31,

 

Three Months Ended September 2025

(in thousands)

 

2025

 

2024

 

2025

 

2024

 

 

Net loss

 

 $ (25,169)

 

 $ (44,569)

 

 $ (94,967)

 

 $ (212,638)

 

 $ (31,911)

Add:

 

 

 

 

 

 

 

 

 

 

Depreciation and amortization

 

  8,494

 

  8,208

 

  33,961

 

  32,975

 

  9,443

Interest and other income, net

 

  368

 

  (423)

 

  (3,803)

 

  (10,757)

 

  (638)

Gain on divestiture(2)

 

  79

 

  —

 

  (8,634)

 

  —

 

  2,000

Benefit (expense) from income taxes

 

  (626)

 

  1,528

 

  434

 

  2,751

 

  1,217

Stock-based compensation

 

  4,555

 

  10,840

 

  21,930

 

  47,505

 

  4,027

Severance and strategic

   transformation costs(1)

 

                  2,004

 

                  4,071

 

                11,203

 

                20,892

 

  3,193

Capitalized software development

   costs

 

  —

 

  (2,412)

 

  —

 

  (15,102)

 

  —

Adjusted EBITDA

 

 $ (10,295)

 

 $ (22,757)

 

 $ (39,876)

 

 $ (134,374)

 

 $ (12,669)

 

(1)
Severance and strategic transformation costs include expenses associated with the termination of employees and expenses that focus on transforming the strategy of the Company’s sales and growth organization as well as our overall cost structure.
(2)
Gain on divestiture is related to the gain recognized on the sale of our APC business.

 


FAQ

How did Amwell (AMWL) perform in Q4 2025?

Amwell generated Q4 2025 revenue of $55.3 million with a 51% gross margin and reduced its net loss to $25.2 million. Adjusted EBITDA improved to $(10.3) million from $(12.7) million in the third quarter, and total visits reached 1.0 million, indicating better operating efficiency.

What were Amwell’s full-year 2025 financial results?

For 2025, Amwell reported revenue of $249.3 million and a net loss of $95.0 million. Gross margin was 53%, and adjusted EBITDA improved to $(39.9) million from $(134.4) million in 2024. Total visits were 4.5 million, and year-end cash and short-term securities totaled approximately $182.3 million.

What 2026 financial guidance did Amwell (AMWL) provide?

Amwell expects 2026 revenue between $195 million and $205 million and adjusted EBITDA between $(24) million and $(18) million. The company also forecasts AMG visits of 1.32–1.37 million and separately guided Q1 2026 revenue to $48–$53 million with adjusted EBITDA of $(7)–$(5) million.

What guidance did Amwell give for Q1 2026 results?

For Q1 2026, Amwell projects revenue of $48–$53 million and adjusted EBITDA of $(7)–$(5) million. This outlook reflects continued operating losses but an improving adjusted EBITDA trend as the company executes its cost transformation and focuses on higher-quality revenue streams.

How strong was Amwell’s cash position at the end of 2025?

At year-end 2025, Amwell held approximately $182.3 million in cash and short-term securities. Total cash, cash equivalents, and restricted cash were $183.1 million, after using $66.0 million in operating cash during 2025, which was significantly lower than the $127.3 million used in 2024.

What is Amwell’s plan for reaching cash flow breakeven?

Amwell’s management stated an objective to achieve positive cash flow from operations in the fourth quarter of 2026. This target relies on the company’s strategic transformation, cost-structure improvements, and a shift toward higher-quality subscription and platform revenue while maintaining sufficient cash reserves.

How did Amwell’s profitability metrics change from 2024 to 2025?

Amwell’s net loss improved from $212.6 million in 2024 to $95.0 million in 2025, and adjusted EBITDA improved from $(134.4) million to $(39.9) million. These gains came alongside a 53% gross margin in 2025, reflecting lower costs and a more efficient operating model.

Filing Exhibits & Attachments

2 documents
American Well Corp

NYSE:AMWL

AMWL Rankings

AMWL Latest News

AMWL Latest SEC Filings

AMWL Stock Data

70.72M
13.40M
5.61%
44.02%
1.05%
Health Information Services
Services-business Services, Nec
Link
United States
Boston