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American Well Corp.: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 4 August 2026: press release. Guidance figures: 1 raised, 1 narrowed, 2 new, 1 kept. The quarter’s numbers.

Key takeaways

  • Revenue at top of guidance: Total revenue was $52.0 million, against $70.9 million a year earlier and $54.9 million in the first quarter of 2026. Management said it was at the top end of the Q2 guidance range. Source
  • Adjusted EBITDA improved to ($1.2) million: Adjusted EBITDA was ($1.2) million, compared with ($3.1) million in the first quarter of 2026. Full-year Adjusted EBITDA guidance was raised. Source
  • Visits fell to 0.8 million: Total visits on the platform were 0.8 million, down from 1.1 million in the first quarter of 2026. Source
  • Gross margin rose to 53 percent: Gross margin was 53 percent, up from 51 percent in the first quarter of 2026. Costs of revenue, excluding amortization, were $24.5 million. Source
  • Operating cash flow positive for six months: Net cash provided by operating activities was $9.7 million for the six months ended June 30, 2026, against $29.8 million used in the same period of 2025. Source
  • Full-year Adjusted EBITDA range raised: Full-year Adjusted EBITDA guidance moved to ($9) million to ($7) million from ($16) million to ($12) million. The company said it is significantly improving Adjusted EBITDA. Source
  • Q4 operating cash flow target reiterated: Management reiterated its objective of positive operating cash flow in the fourth quarter of 2026, the same objective given in the first-quarter release. Source
  • DHA intends prime contractor role: The CEO cited the Defense Health Agency's stated intent to make the company a prime contractor as an endorsement of the platform and its people. Source

“The DHA’s intent to make Amwell a prime contractor is a powerful endorsement of our platform and our people,”

Dr. Ido Schoenberg, Chairman and CEO

Guidance

AreaPeriodFigureAgainst last quarter
Revenue Sourcefull year 2026$200 million to $205 millionNarrowed, low end up from $195 million to $205 million
AMG visits Sourcefull year 20261.32 million to 1.37 millionKept
Adjusted EBITDA Sourcefull year 2026($9) million to ($7) millionRaised from ($16) million to ($12) million
Revenue Sourcethird quarter 2026$46 million to $48 millionNew
Adjusted EBITDA Sourcethird quarter 2026($5) million to ($3) millionNew

What changed from last quarter

  • Guidance raised: Full-year revenue low end raised from $195 million to $200 million. Source
  • Guidance raised: Full-year Adjusted EBITDA range raised from ($16) million to ($12) million to ($9) million to ($7) million. Source
  • New guidance: Third-quarter 2026 revenue and Adjusted EBITDA guidance provided. Source
  • Guidance kept: AMG visit guidance reaffirmed; the first-quarter release gave the same range. Source
  • New: Defense Health Agency intent to make the company a prime contractor, cited by the CEO. Source

Results and profitability

  • Revenue at top of guidance: Total revenue was $52.0 million, against $70.9 million a year earlier and $54.9 million in the first quarter of 2026. Management said it was at the top end of the Q2 guidance range. Source
  • Net loss narrowed to $9.6 million: Net loss was $9.6 million, compared with $10.3 million in the first quarter of 2026. Management described this as a continuing trend from quarter to quarter. Source
  • Adjusted EBITDA improved to ($1.2) million: Adjusted EBITDA was ($1.2) million, compared with ($3.1) million in the first quarter of 2026. Full-year Adjusted EBITDA guidance was raised. Source

Revenue mix and visits

  • Subscription revenue reached $25.7 million: Subscription revenue was $25.7 million, up from $24.9 million in the first quarter of 2026. AMG visit revenue was $24.4 million in the same quarter. Source
  • AMG visit revenue fell from Q1: AMG visit revenue was $24.4 million in the second quarter, against $28.9 million reported for the first quarter of 2026.
  • Visits fell to 0.8 million: Total visits on the platform were 0.8 million, down from 1.1 million in the first quarter of 2026. Source

“With subscription revenue now approaching half our total revenue, independently validated behavioral clinical outcomes, no debt, and positive cash flows from operations projected for the fourth quarter this year,”

Dr. Ido Schoenberg, Chairman and CEO

Costs and margins

  • Total costs fell to $61.6 million: Total costs and operating expenses were $61.6 million, against $72.3 million in the first quarter of 2026 and $91.3 million in the second quarter of 2025. Source
  • Research and sales spending declined: Research and development was $10.4 million and sales and marketing $5.8 million, each lower than in the first quarter of 2026 ($12.4 million and $7.7 million). Source
  • Severance add-back turned negative: Severance and strategic transformation costs were (643) thousand in the quarter, against 4,477 thousand in the first quarter of 2026, per the Adjusted EBITDA reconciliation. Source
  • Gross margin rose to 53 percent: Gross margin was 53 percent, up from 51 percent in the first quarter of 2026. Costs of revenue, excluding amortization, were $24.5 million. Source
  • Stock compensation expense declined: Stock-based compensation was $2.0 million, against $2.3 million in the first quarter of 2026 and $5.7 million in the second quarter of 2025. Source

Cash and balance sheet

  • Cash rose to $195.9 million: Cash and cash equivalents were $195.9 million at June 30, 2026, up from $182.3 million at December 31, 2025. Source
  • Operating cash flow positive for six months: Net cash provided by operating activities was $9.7 million for the six months ended June 30, 2026, against $29.8 million used in the same period of 2025. Source
  • Capitalized software spending began: Capitalized software development costs were $5.6 million for the six months, against none in the same period of 2025. Purchases of property and equipment were $13 thousand. Source
  • Class A share count rose: Class A shares outstanding were 15,277,711 at June 30, 2026, up from 14,782,788 at December 31, 2025. No treasury stock was purchased in the six months. Source

“we have never been better positioned to lead the era of AI-powered care.”

Dr. Ido Schoenberg, Chairman and CEO

Guidance and targets

  • Full-year revenue floor raised: The low end of the full-year revenue range moved from $195 million to $200 million, and the top end stayed at $205 million. Source
  • Full-year Adjusted EBITDA range raised: Full-year Adjusted EBITDA guidance moved to ($9) million to ($7) million from ($16) million to ($12) million. The company said it is significantly improving Adjusted EBITDA. Source
  • Third-quarter guidance issued: Third-quarter revenue is guided to $46 million to $48 million, and Adjusted EBITDA to ($5) million to ($3) million. Source
  • Q4 operating cash flow target reiterated: Management reiterated its objective of positive operating cash flow in the fourth quarter of 2026, the same objective given in the first-quarter release. Source

Strategy and DHA relationship

  • DHA intends prime contractor role: The CEO cited the Defense Health Agency's stated intent to make the company a prime contractor as an endorsement of the platform and its people. Source
  • Platform positioned for AI-powered care: The CEO said the company is better positioned than ever to lead AI-powered care, citing clinical outcomes, no debt and projected fourth-quarter cash flow. Source
  • Subscription share nearing half: Subscription revenue is now approaching half of total revenue, according to the CEO. Source

Coming up, as management said on 4 August 2026

  • Q3 revenue and EBITDA targets: Third-quarter revenue guided to $46 million to $48 million, with Adjusted EBITDA guided to ($5) million to ($3) million. Source
  • Q4 positive operating cash flow target: Management said it aims for positive cash flow from operations in the fourth quarter of 2026. Source

Figures management reported

FigureReported
Total visits on the platform Source0.8 million

Earlier plans management reported on

  • Met: Second-quarter revenue of $52.0 million was at the top end of the guidance range given in the first-quarter release. Source
  • Not stated: Management reaffirmed the 2026 AMG visit guidance range. Source
  • Not stated: Management reiterated the objective; no status was given. 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.