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American Well Corp.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 12 February 2026: press release. Guidance figures: 5 new. The quarter’s numbers.

Key takeaways

  • Q4 revenue exceeded prior guidance: Q4 revenue was $55.3 million, against $71.0 million a year earlier and $56.3 million in the third quarter. Management said it exceeded the guidance given in the Q3 release. Source
  • Full-year net loss narrowed: Full-year net loss was $95.0 million, compared with $212.6 million in 2024. Source
  • Total operating costs down: Q4 total costs and operating expenses were $80.5 million, against $113.8 million a year earlier. Source
  • Adjusted EBITDA loss narrowed: Q4 adjusted EBITDA was a loss of $10.3 million, against $12.7 million in the third quarter. Full-year adjusted EBITDA was a loss of $39.9 million, against $134.4 million in 2024. Source
  • Year-end cash and securities: Cash and short-term securities were about $182.3 million at year-end. Source
  • Operating cash outflow narrowed: Full-year net cash used in operating activities was $66.0 million, compared with $127.3 million in 2024. Source

“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.”

Dr. Ido Schoenberg, Chairman and CEO of Amwell

Guidance

AreaPeriodFigureAgainst last quarter
Revenue SourceFull year 2026$195 to $205 millionNew
AMG visits SourceFull year 20261.32 to 1.37 millionNew
Adjusted EBITDA SourceFull year 2026($24) million to ($18) millionNew
Revenue SourceFirst quarter 2026$48- $53 millionNew
Adjusted EBITDA SourceFirst quarter 2026($7) - ($5) millionNew

What changed from last quarter

  • New guidance: Full-year 2026 guidance was provided for revenue and AMG visits, and adjusted EBITDA. Source
  • New guidance: First-quarter 2026 guidance was provided for revenue and adjusted EBITDA. Source
  • Ended: The 2025 divestiture of the APC business was completed and a gain was recognized on its sale. Source

Results and growth drivers

  • Q4 revenue exceeded prior guidance: Q4 revenue was $55.3 million, against $71.0 million a year earlier and $56.3 million in the third quarter. Management said it exceeded the guidance given in the Q3 release. Source
  • Full-year revenue below 2024: Full-year 2025 revenue was $249.3 million, compared with $254.4 million in 2024. Source
  • Full-year net loss narrowed: Full-year net loss was $95.0 million, compared with $212.6 million in 2024. Source

Revenue mix and visits

  • Q4 subscription and AMG revenue: Q4 subscription revenue was $28.8 million and AMG visit revenue was $23.7 million; in the third quarter these were $30.9 million and $21.2 million. Source
  • Full-year subscription and AMG revenue: Full-year subscription revenue was $132.4 million and AMG visit revenue was $94.3 million. Source
  • Q4 visits below third quarter: Q4 total visits were 1.0 million, against 1.1 million in the third quarter. Source

“Amwell is now well-positioned to reach our goal of cash flow breakeven in the fourth quarter of this year.”

Dr. Ido Schoenberg, Chairman and CEO of Amwell

Clients and platform focus

  • Focus on three client groups: Management said the Technology Enabled Care platform is focused on Government, Payer and Health System clients, where it sees clear and urgent unmet needs. Source
  • Renewals and new wins cited: Management attributed numerous contract renewals and new client wins to the 2025 focus. Source
  • Third-party AI programs on platform: Management described its infrastructure as letting clients deploy Amwell clinical programs alongside third-party AI-powered programs, which it said reduces costs and improves outcomes. Source

Operating costs and severance

  • Total operating costs down: Q4 total costs and operating expenses were $80.5 million, against $113.8 million a year earlier. Source
  • Sales, marketing and G&A reduced: Q4 sales and marketing was $9.1 million, against $15.4 million, and general and administrative was $22.0 million, against $34.8 million. Source
  • R&D spending lower: Q4 research and development was $13.9 million, against $18.8 million; full-year $72.9 million, against $86.1 million. Source
  • Severance and transformation costs lower: Q4 severance and strategic transformation costs were $2.0 million, against $4.1 million; full-year $11.2 million, against $20.9 million. Source
  • Stock-based compensation fell: Full-year stock-based compensation expense was $22.0 million, against $47.5 million in 2024. Source

Margins and losses

  • Q4 gross margin and net loss: Q4 gross margin was 51%, and the net loss was $25.2 million, compared with $31.9 million in the third quarter. Source
  • Adjusted EBITDA loss narrowed: Q4 adjusted EBITDA was a loss of $10.3 million, against $12.7 million in the third quarter. Full-year adjusted EBITDA was a loss of $39.9 million, against $134.4 million in 2024. Source
  • Full-year gross margin at 53%: Full-year gross margin was 53%. Source

Cash and balance sheet

  • Year-end cash and securities: Cash and short-term securities were about $182.3 million at year-end. Source
  • Operating cash outflow narrowed: Full-year net cash used in operating activities was $66.0 million, compared with $127.3 million in 2024. Source
  • Deferred revenue declined: Current deferred revenue was $22.6 million at year-end, against $53.2 million a year earlier. Source
  • Receivables declined: Accounts receivable were $49.7 million at year-end, against $71.9 million. Source
  • Software capitalization and JV spending ended: No capitalized software development costs were recorded in 2025, against $15.1 million in 2024; joint venture investment was $0.2 million, against $3.4 million. Source

Divestiture of APC business

  • APC sale produced a gain: The 2025 gain on divestiture of $8.6 million related to the sale of the APC business. Source
  • Divestiture proceeds received: Net proceeds from the divestiture were $18.3 million, shown in investing cash flows for 2025. Source
  • Divestiture was previously announced: The Q3 release said 2025 guidance was revised to reflect the previously announced divestiture of Amwell Psychiatric Care.

Per-share results

  • Per-share loss narrowed: Q4 loss per share, basic and diluted, was $1.52, against $2.77; full-year was $5.96, against $13.88. Source
  • Net loss attributable to Amwell: Q4 net loss attributable to Amwell was $24.9 million, against $42.7 million; full-year was $95.7 million, against $208.1 million. Source
  • Weighted share count higher: Q4 weighted-average shares were 16.4 million, against 15.4 million a year earlier. Source

Figures management reported

FigureReported
Total visits, full year 2025 Source4.5 million

Earlier plans management reported on

  • Ahead: Management said Q4 2025 revenue exceeded the guidance provided in the third-quarter release. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.