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American Well (AMWL)
NYSE:AMWL
US Market

American Well (AMWL) AI Stock Analysis

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AMWL

American Well

(NYSE:AMWL)

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Neutral 46 (OpenAI - 5.2)
Rating:46Neutral
Price Target:
$4.00
▼(-30.43% Downside)
Action:ReiteratedDate:02/14/26
The score is held down primarily by weak financial performance (persistent losses and negative free cash flow, plus a sharp reported 2025 annual revenue deterioration) and bearish technicals (price below key moving averages with negative MACD). The earnings call adds some support due to improved mix, major cost reductions, strong liquidity/no debt, and a stated path toward breakeven, but near-term revenue contraction and ongoing cash burn keep risk elevated; valuation is also constrained by negative earnings and no dividend.
Positive Factors
Recurring Revenue Mix
A shift to 53% subscription revenue increases durable, recurring cash flows and revenue visibility. Higher SaaS mix raises customer stickiness, supports more predictable gross margins over time, and helps management execute on a path to operational breakeven if retention and renewals hold.
Enterprise Partnership Stability
A multi-year renewal with a top-tier payer secures ongoing subscription payments and upsell channels for services and innovation. This contract reduces near-term churn risk, validates platform scale, and creates long-term revenue baselines and integration barriers for competitors.
Conservative Capital Structure
A debt-free balance sheet and substantial cash provide runway to complete transformation, fund AI/automation investments, and absorb restructuring costs. Low leverage reduces solvency risk and gives management time to pursue subscription growth and reach targeted positive operating cash flow.
Negative Factors
Persistent Negative Cash Flow
Consistent negative operating and free cash flow means the business consumes capital rather than generates it. Sustained cash burn pressures runway and forces reliance on financing or asset sales, constraining investment in growth initiatives and making execution risk materially higher over the medium term.
Ongoing Unprofitability
Persistent net losses and a negative gross profit in 2025 point to weak unit economics or reporting disruptions. Without durable improvements to margins or revenue quality, the company may struggle to reach sustainable profitability, undermining long-term value creation despite cost cuts.
Top-line Contraction & Contract Risk
A weaker revenue guide and the DHA program step-down reveal customer concentration and sensitivity to contract changes. Reduced scale limits operating leverage and makes achieving break-even harder; reliance on renewals and converting pipeline introduces structural volatility to revenue.

American Well (AMWL) vs. SPDR S&P 500 ETF (SPY)

American Well Business Overview & Revenue Model

Company DescriptionAmerican Well Corporation operates as a telehealth software company that enables digital delivery of care for healthcare. The company products offer urgent care; scheduled visits; acute behavioral health; telestroke; pediatrics; retail health, school health, and home settings. Its application offers urgent care; pediatrics; therapy; menopause nutrition; end-stage renal disease and dialysis; dermatology care; behavioral health therapy; and musculoskeletal care. The company also provides telemedicine equipment, including telemedicine carts, peripherals, tyto care, TV kits, tablets, and kiosks. American Well Corporation was incorporated in 2006 and is headquartered in Boston, Massachusetts.
How the Company Makes MoneyAmerican Well generates revenue through several key streams, primarily by charging health systems, insurers, and employers for access to its telehealth platform. The company typically operates on a subscription model, where clients pay for the use of the platform based on the number of virtual visits or a fixed monthly fee. Additionally, American Well may earn revenue from transaction fees for each telehealth consultation conducted via its platform. Significant partnerships with major health insurers and healthcare systems also contribute to its earnings by expanding its user base and increasing service adoption. The company may also explore other revenue opportunities through data analytics and value-added services, providing insights to healthcare providers based on telehealth usage patterns.

American Well Key Performance Indicators (KPIs)

Any
Any
Revenue by Segment
Revenue by Segment
Breaks down revenue across different business segments, providing insight into which areas are driving growth and where the company might be facing challenges or opportunities for expansion.
Chart InsightsAmwell's revenue dynamics reveal a strategic pivot towards subscription services, which now constitute 55% of total revenue, up from 43% a year ago. Despite a decline in total revenue and visit volumes, the company is enhancing its platform and operational efficiency, aiming for cash flow breakeven by 2026. The earnings call highlights improved gross margins and reduced operating expenses, signaling a focus on profitability. However, the decrease in total visit volume and average revenue per visit presents ongoing challenges, underscoring the importance of their AI integration and strategic divestitures.
Data provided by:The Fly

American Well Earnings Call Summary

Earnings Call Date:Feb 12, 2026
(Q4-2025)
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% Change Since: |
Next Earnings Date:May 06, 2026
Earnings Call Sentiment Neutral
The call describes meaningful operational progress: a successful transformation to a platform-focused business, improved revenue quality with subscription mix increasing to 53%, substantial cost reductions (~$100M improvement in losses), strengthened commercial momentum via key renewals, and a healthy cash position with no debt. However, these positives are tempered by notable top-line contraction (Q4 revenue down 22.1%, platform visits down 28.4%), margin pressure (gross margin down 280 bps), ongoing quarterly net losses and cash burn, and a FY2026 revenue guide materially below 2025 levels. Management’s outlook is constructive—targeting Q4 2026 cash flow breakeven—but execution risks remain tied to renewals (notably DHA), converting government pipeline opportunities, and restoring growth after portfolio rationalization. Overall, the call reflects balanced progress on cost and strategy but continued near-term revenue and margin headwinds.
Q4-2025 Updates
Positive Updates
Full-Year Revenue and Subscription Mix
Total revenue for fiscal 2025 was $249.3 million. Subscription revenue grew to represent 53% of total revenue, up from 45% in 2024, reflecting a deliberate shift to higher-quality, recurring SaaS revenue.
Material Reduction in Losses and Cost Base
The company reduced both net loss and adjusted EBITDA losses by approximately $100 million for the full year 2025 driven by disciplined cost actions and restructuring.
Operating Expense Improvement and Adjusted EBITDA Progress
Fourth-quarter operating expenses (ex D&A) declined 30.7% year-over-year and operating expenses as a percentage of revenue improved to 96.7% from 108.7% the prior year. Adjusted EBITDA loss improved to $(10.3) million in the quarter (an improvement vs prior periods).
Commercial Momentum and Contract Renewals
Strong commercial traction in 2025 included over 15 payer contract renewals representing the majority of payer subscription revenue, Blue Cross Blue Shield of Florida going live in January, and a multi-year renewal with Elevance.
Platform Transformation and Strategic Focus
Company completed transformation from telehealth provider to a focused technology-enabled care platform, divested noncore activities (e.g., APC), and prioritized AI-enabled clinical programs and vendor consolidation to increase revenue quality and stickiness.
Healthy Balance Sheet and Debt-Free Position
Ended the year with approximately $182 million in cash and marketable securities and no debt, and reported quarterly cash burn of ~$19 million, providing runway while pursuing breakeven.
Forward Guidance Toward Operational Breakeven
Provided FY2026 guidance of $195.0M–$205.0M revenue and expects positive cash flow from operations in Q4 2026, with FY2026 adjusted EBITDA loss guidance of $(24.0)M to $(18.0)M and Q1 2026 adjusted EBITDA loss of $(7.0)M to $(5.0)M.
Negative Updates
Quarterly Revenue Decline
Fourth-quarter total revenue was $55.3 million, a 22.1% year-over-year decline, reflecting portfolio changes, DHA step-downs, and earlier churn.
Decline in Platform Visits and AMG Revenue
Total platform visits were 1.0 million in Q4, down 28.4% year-over-year from 1.4 million. AMG visit revenue was $23.7 million, down 18.7% year-over-year; paid AMG visits were flat at ~340,000.
Subscription Revenue Decline in Q4
Subscription revenue in the quarter was $28.8 million, down 22% year-over-year despite subscription mix improving full-year, driven by DHA step-down and 2024 churn.
Margin Pressure
Gross profit in Q4 was $28.3 million (down 17.6% YoY) and gross margin was 51.2%, a decline of 280 basis points year-over-year, indicating near-term margin pressure despite mix improvement.
Ongoing Net Loss and Cash Burn
Net loss for the quarter was $25.2 million (improvements vs prior periods but still a material loss), and cash burn for Q4 was approximately $19.0 million, underscoring remaining profitability and cash-flow challenges.
Lower Top-Line Guidance for 2026
FY2026 revenue guidance ($195.0M–$205.0M) implies a meaningful reduction versus 2025 revenue of $249.3M (roughly a ~18–22% implied decline to the guidance midpoint), reflecting a smaller but higher-quality top line due to divestitures and repositioning.
DHA Program Step-Down and Churn Impact
The Department of Defense (DHA) contract experienced a step-down after DoD eliminated certain digital behavioral health and automated care programs in mid-2025, materially impacting subscription and program revenues; renewal negotiations remain an important variable.
Company Guidance
The company guided to full-year 2026 revenue of $195.0 million to $205.0 million, AMG visits of 1.32 million to 1.37 million, and an adjusted EBITDA loss of $24.0 million to $18.0 million, with first-quarter 2026 revenue expected at $48.0 million to $53.0 million and Q1 adjusted EBITDA loss pegged at $7.0 million to $5.0 million; management also reiterated expectations for continued subscription stability, visit trends in specialty care and virtual primary care, ongoing cost discipline and AI/automation benefits, and a target of positive cash flow from operations in Q4 2026, while noting the company entered 2026 with roughly $182.0 million of cash and marketable securities, no debt, and Q4 cash burn of about $19.0 million.

American Well Financial Statement Overview

Summary
Overall financials remain high risk: the company is deeply unprofitable with negative operating profit and net income, and operating/free cash flow are negative across all years (continued cash burn). While leverage is low and losses/cash burn improved versus 2023–2024, the reported 2025 annual revenue collapse and negative 2025 gross profit are major red flags despite a conservative debt profile.
Income Statement
10
Very Negative
Results remain deeply unprofitable across the entire period, with consistently negative operating profit and net income. Revenue trended down modestly from 2022–2024 and then fell to effectively zero in 2025 (annual), which is a major red flag for business momentum and comparability. Gross profit was positive through 2024 but turned negative in 2025, reinforcing significant pressure on unit economics and/or reporting disruption. While losses narrowed materially from 2023 to 2024, profitability is still far from breakeven and the 2025 revenue collapse outweighs the prior improvement.
Balance Sheet
48
Neutral
Leverage is low, with total debt very small relative to equity across all years, which reduces solvency risk. However, the equity base has shrunk substantially since 2021–2022, signaling ongoing value erosion from losses and/or other balance sheet pressures. Returns on equity are meaningfully negative every year, indicating the company is not generating shareholder value despite the conservative debt profile. Overall: a relatively low-debt balance sheet, but weakening capital strength over time.
Cash Flow
22
Negative
Cash generation remains a key concern: operating cash flow and free cash flow are negative every year, indicating the business is still consuming cash rather than funding itself. There is some improvement versus the heavier cash burn seen in 2022–2023, but free cash flow is still materially negative in 2024–2025. Cash burn generally aligns with reported losses (cash outflow is of similar magnitude to net loss), which suggests limited offset from non-cash addbacks; the core issue is that the operating model has not yet turned cash-positive.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue249.32M254.36M259.05M277.19M252.79M
Gross Profit132.86M98.95M94.76M116.77M104.31M
EBITDA-71.31M-184.56M-224.15M-249.69M-163.06M
Net Income-95.70M-208.14M-675.16M-270.43M-176.33M
Balance Sheet
Total Assets323.79M435.97M589.71M1.22B1.45B
Cash, Cash Equivalents and Short-Term Investments182.33M228.32M372.04M538.55M746.42M
Total Debt4.52M8.20M11.79M14.84M16.61M
Total Liabilities76.00M119.72M109.52M133.71M184.96M
Stockholders Equity235.58M304.77M464.22M1.06B1.24B
Cash Flow
Free Cash Flow-65.97M-142.56M-163.59M-202.77M-142.10M
Operating Cash Flow-65.95M-127.34M-148.34M-192.32M-141.54M
Investing Cash Flow17.10M-18.65M-19.17M-11.63M-59.63M
Financing Cash Flow840.00K1.38M2.15M-3.61M5.75M

American Well Technical Analysis

Technical Analysis Sentiment
Positive
Last Price5.75
Price Trends
50DMA
4.85
Positive
100DMA
4.83
Positive
200DMA
6.05
Negative
Market Momentum
MACD
0.25
Negative
RSI
65.84
Neutral
STOCH
74.86
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For AMWL, the sentiment is Positive. The current price of 5.75 is above the 20-day moving average (MA) of 4.92, above the 50-day MA of 4.85, and below the 200-day MA of 6.05, indicating a neutral trend. The MACD of 0.25 indicates Negative momentum. The RSI at 65.84 is Neutral, neither overbought nor oversold. The STOCH value of 74.86 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for AMWL.

American Well Risk Analysis

American Well disclosed 10 risk factors in its most recent earnings report. American Well reported the most risks in the "Legal & Regulatory" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

American Well Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
61
Neutral
$142.41M-2,996.150.03%24.19%
53
Neutral
$805.73M-3.63-13.93%-2.37%77.85%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
51
Neutral
$196.90M-0.84-47.69%-5.30%46.01%
50
Neutral
$122.36M-1.13-31.33%4.64%-17.17%
46
Neutral
$89.71M-0.91-35.42%4.33%50.50%
46
Neutral
$285.70M-0.61-75.47%-16.65%-71.92%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
AMWL
American Well
5.75
-4.21
-42.27%
OPRX
OptimizeRx
7.84
2.66
51.35%
EVH
Evolent Health
3.32
-5.67
-63.07%
TDOC
Teladoc
5.35
-4.21
-44.04%
HCAT
Health Catalyst
1.75
-2.92
-62.53%
DH
Definitive Healthcare Corp
1.40
-1.83
-56.66%

American Well Corporate Events

Business Operations and Strategy
American Well Extends Elevance Health Digital Care Partnership
Positive
Jan 8, 2026

On January 5, 2026, American Well Corporation announced it had entered into an Amended and Restated Statement of Work with Elevance Health, effective January 1, 2026, replacing their prior 2023 agreement and extending American Well’s operation of the LiveHealth Online-branded, white-labelled digital care delivery platform for Elevance Health. The renewed three-year arrangement, running through January 1, 2029 with automatic one-year renewals, establishes ongoing annual subscription payments and opportunities for American Well to provide additional professional, development, innovation and engagement marketing services, while outlining detailed termination rights that underscore both parties’ focus on contractual flexibility, operational continuity and risk management in their long-term digital health partnership.

The most recent analyst rating on (AMWL) stock is a Hold with a $6.00 price target. To see the full list of analyst forecasts on American Well stock, see the AMWL Stock Forecast page.

Business Operations and Strategy
American Well Extends Elevance Health Digital Care Partnership
Positive
Jan 2, 2026

On December 24–25, 2025, American Well Corporation and Elevance Health amended and extended their existing Master Services Agreement and related Statement of Work, with the updated Healthy Impact service offerings and renewed Statement of Work becoming effective January 1, 2026. The agreements, under which American Well operates the LiveHealth Online digital care platform for Elevance Health in exchange for annual subscription fees and potential professional services revenue, were extended for a three-year term from January 1, 2026 through January 1, 2029, with automatic one-year renewals thereafter unless terminated under specified conditions, including material breach, bankruptcy, change-of-control triggers, and, for Elevance Health, a convenience termination right with one year’s notice. On December 24, 2025, Online Care Group, PC, American Well’s clinical partner, also entered amendments to its provider agreements with Elevance Health-related entities, ensuring continued prioritized access to a nationwide network of clinicians who deliver digital consultations via LiveHealth Online through at least January 1, 2029, with similar automatic renewals and termination provisions, thereby reinforcing the long-term stability and scope of the digital care services offered to Elevance Health members.

The most recent analyst rating on (AMWL) stock is a Hold with a $6.00 price target. To see the full list of analyst forecasts on American Well stock, see the AMWL Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Feb 14, 2026