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American Well Corp.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 5 May 2026: press release. Guidance figures: 1 raised, 2 new, 2 kept. The quarter’s numbers.

Key takeaways

  • Revenue exceeded prior Q1 guidance: Total revenue was $54.9 million, above the first-quarter range of $48 million to $53 million given in February. Revenue was $66.8 million in the first quarter of 2025. Source
  • Net loss narrowed from fourth quarter: Net loss was $10.3 million, down from $25.2 million in the fourth quarter of 2025 and $18.4 million in the first quarter of 2025. Net loss per share was $0.66. Source
  • Adjusted EBITDA loss narrowed: Adjusted EBITDA was a loss of $3.1 million, against a loss of $10.3 million in the fourth quarter of 2025 and $12.2 million in the first quarter of 2025. Source
  • Operating cash outflow narrowed sharply: Net cash used in operating activities was $1.0 million, compared with $25.1 million in the first quarter of 2025. Source
  • 2026 Adjusted EBITDA range raised: The 2026 Adjusted EBITDA range moved to a loss of $12 million to $16 million, from a loss of $18 million to $24 million in the February release. Source
  • Second-quarter ranges given: Second-quarter revenue is guided to $48 million to $52 million, and Adjusted EBITDA to a loss of $2 million to $4 million. Source
  • Positive operating cash flow target kept: Management reiterated its goal of positive cash flow from operations in the fourth quarter of 2026. Source
  • Pipeline growth and renewals cited: Management cited significant pipeline growth and a number of meaningful renewals as validation of the platform. Source

“We are seeing powerful validation of the platform with significant pipeline growth and a number of meaningful renewals.”

Dr. Ido Schoenberg, Chairman and CEO of Amwell

Guidance

AreaPeriodFigureAgainst last quarter
Revenue Sourcefull year 2026$195 to $205 millionKept
AMG visits Sourcefull year 20261.32 to 1.37 millionKept
Adjusted EBITDA Sourcefull year 2026($16) million to ($12) millionRaised from ($24) million to ($18) million
Revenue Sourcesecond quarter 2026$48- $52 millionNew
Adjusted EBITDA Sourcesecond quarter 2026($4) - ($2) millionNew

What changed from last quarter

  • Guidance raised: 2026 Adjusted EBITDA range moved up from ($24) to ($18) million to ($16) to ($12) million. Source
  • New guidance: Second-quarter 2026 revenue and Adjusted EBITDA ranges were given; the prior release gave first-quarter ranges. Source

Results and growth drivers

  • Revenue exceeded prior Q1 guidance: Total revenue was $54.9 million, above the first-quarter range of $48 million to $53 million given in February. Revenue was $66.8 million in the first quarter of 2025. Source
  • Net loss narrowed from fourth quarter: Net loss was $10.3 million, down from $25.2 million in the fourth quarter of 2025 and $18.4 million in the first quarter of 2025. Net loss per share was $0.66. Source
  • Adjusted EBITDA loss narrowed: Adjusted EBITDA was a loss of $3.1 million, against a loss of $10.3 million in the fourth quarter of 2025 and $12.2 million in the first quarter of 2025. Source
  • Net loss trend described by management: Management said the net loss has moved in one direction from quarter to quarter. Source
  • Divestiture gain included in results: A $7.0 million net gain on divestiture is included, relating to the sale of the APC business. The first quarter of 2025 showed a $10.7 million gain. Source

Segments, products and visits

  • AMG visit revenue above subscription: AMG visit revenue was $28.9 million and subscription revenue was $24.9 million. In the fourth quarter, subscription revenue was $28.8 million and AMG visit revenue was $23.7 million. Source
  • Visit volume rose from fourth quarter: Total visits were 1.1 million, compared with 1.0 million in the fourth quarter of 2025 as reported in the February release. Source

“Our platform is performing well and built to leverage the latest AI-powered innovations, positioning it as essential infrastructure for tech-enabled care delivery,”

Dr. Ido Schoenberg, Chairman and CEO of Amwell

Costs, margins and expense trends

  • Gross margin held at 51%: Gross margin was 51%, the same level reported for the fourth quarter of 2025. Costs of revenue were $26.9 million, against $31.6 million in the first quarter of 2025. Source
  • Operating expense lines declined: Research and development was $12.4 million, sales and marketing $7.7 million and general and administrative $17.7 million, each below the first quarter of 2025. Source
  • Severance and transformation costs rose: Severance and strategic transformation costs were $4.5 million, against $2.0 million in the fourth quarter of 2025 and $3.5 million in the first quarter of 2025. They are excluded from Adjusted EBITDA. Source
  • Right-of-use asset impairment recorded: A $3.4 million impairment on the right-of-use asset was recorded in the quarter. The operating lease right-of-use asset balance is now nil. Source
  • Stock-based compensation fell sharply: Stock-based compensation was $2.3 million, against $7.7 million in the first quarter of 2025 and $4.6 million in the fourth quarter of 2025. Source

Cash flow and balance sheet

  • Operating cash outflow narrowed sharply: Net cash used in operating activities was $1.0 million, compared with $25.1 million in the first quarter of 2025. Source
  • Cash balance slightly lower: Cash and cash equivalents were $179.2 million, plus $0.8 million of restricted cash, against $182.3 million at December 31, 2025. Source
  • Capitalized software spending recorded: Capitalized software development costs were $2.8 million in investing cash flows. No such cost was recorded in the first quarter of 2025. Source
  • Receivables and deferred revenue rose: Accounts receivable rose to $57.1 million from $49.7 million, with an allowance of $11.0 million. Current deferred revenue rose to $29.7 million from $22.6 million. Source
  • No share repurchases this quarter: No treasury stock was purchased in the quarter, against $1 thousand in the first quarter of 2025. Weighted-average shares were 16.6 million, against 15.7 million. Source

“Entering 2026, Amwell’s main focus was to consolidate our platform to fulfill the unmet needs of our Payer and Provider customers.”

Dr. Ido Schoenberg, Chairman and CEO of Amwell

Guidance and targets

  • Revenue and visit guidance reaffirmed: The 2026 revenue range of $195 million to $205 million and AMG visits of 1.32 million to 1.37 million were reaffirmed. Source
  • 2026 Adjusted EBITDA range raised: The 2026 Adjusted EBITDA range moved to a loss of $12 million to $16 million, from a loss of $18 million to $24 million in the February release. Source
  • Second-quarter ranges given: Second-quarter revenue is guided to $48 million to $52 million, and Adjusted EBITDA to a loss of $2 million to $4 million. Source
  • Positive operating cash flow target kept: Management reiterated its goal of positive cash flow from operations in the fourth quarter of 2026. Source

Demand, platform and strategy

  • Pipeline growth and renewals cited: Management cited significant pipeline growth and a number of meaningful renewals as validation of the platform. Source
  • Platform consolidation remains the focus: Management said that, entering 2026, its main focus was consolidating the platform to meet the needs of Payer and Provider customers. Source
  • Technology-enabled care gaining traction: Management said the Technology-Enabled Care infrastructure continues to gain traction, citing lower costs, better outcomes and more control for customers. Source
  • Regulatory tailwinds cited: Management cited favorable regulatory tailwinds alongside pipeline growth as support for the company's position this year. Source

Figures management reported

FigureReported
Total visits Source1.1 million

Earlier plans management reported on

  • Not stated: Management reiterated its target of positive cash flow from operations in the fourth quarter of 2026. The release gives no progress status. Source
  • Not stated: The company reaffirmed its 2026 revenue and AMG visits guidance in this release. Source
  • Ahead: Management said first-quarter revenue exceeded the guidance provided in the February 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.