10-Q · May 5, 2026
American Well reported Q1 2026 results showing revenue of $54.9 million, down from $66.8 million in the prior year, while EPS loss improved to -$0.66 from -$1.19. The company is focusing on operational improvements,…
Earnings analysis · 10-Q
Filed August 4, 2026 · Our reading of the company's report
The latest report
Amwell delivered Q2 revenue of $52.048 million and a diluted loss per share of $0.59, with revenue down 27% year over year but the net loss narrowing 51% to $9.625 million. Cost actions materially improved operating…
Amwell delivered Q2 revenue of $52.048 million and a diluted loss per share of $0.59, with revenue down 27% year over year but the net loss narrowing 51% to $9.625 million. Cost actions materially improved operating margin to negative 18.4% from negative 28.7% a year ago and produced $9.734 million of first-half operating cash flow. Liquidity is substantial at $195.946 million of cash and no debt, but the outlook remains constrained by subscription-revenue timing, declining utilization, customer concentration, and the need to extend the Defense Health Agency relationship beyond Q3 2026.
How much of each revenue dollar the business keeps.
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Where each $100 of revenue went in this report.
Cost of sales, operating expenses, and what remained. Figures are rounded to whole dollars.
Our analysis across the last few reports.
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Q2 net loss narrowed 51% year over year to $9.625 million from $19.531 million, while diluted loss per share improved to $0.59 from $1.24. Sequentially, EPS improved from a $0.66 loss in Q1 2026.
Operating loss improved to $9.556 million from $20.379 million a year earlier, lifting operating margin to negative 18.4% from negative 28.7%; it also improved from negative 31.8% in Q1 2026.
Gross margin was 52.9%, up from 51.0% in Q1 2026, as cost of revenue fell 21% year over year to $24.486 million. Gross margin remained below 56.1% a year ago.
First-half operating cash flow swung to positive $9.734 million from negative $29.832 million. After $5.630 million of capitalized software and $0.013 million of equipment purchases, six-month free cash flow was approximately positive $4.091 million.
Cash and cash equivalents increased $13.618 million year to date to $195.946 million, and the company reported no debt at June 30, 2026.
Visit revenue grew 7% year over year to $24.426 million, partly offsetting subscription revenue's $14.752 million decline; adjusted EBITDA loss improved to $1.150 million from $4.674 million.
Revenue fell 27% year over year to $52.048 million from $70.898 million and declined from $55 million in Q1 2026. Subscription revenue decreased $14.752 million to $25.708 million, driven by timing of strategic-customer revenue recognition.
Customer concentration increased: one client represented 65% of accounts receivable at June 30, 2026, versus 53% at December 31, 2025. Two clients represented 38% and 17% of Q2 revenue.
Management cites the continuation of the Defense Health Agency relationship beyond Q3 2026 on comparable terms as a forward-looking risk. Platform visits also fell to 1.9 million in the first half from 2.5 million a year earlier, due to customer churn and summer seasonality.
Management expects operating losses in future periods despite a first-half operating loss of $26.980 million. The company also recorded a $3.424 million impairment after abandoning its corporate headquarters and has $3.597 million of remaining transformation costs to pay.
The 10-Q provides no quantitative revenue or EPS outlook. Management states it expects operating losses in future periods and believes its $195.9 million of cash and cash equivalents will fund working-capital and capital-expenditure needs for at least the next 12 months.
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