American Well Releases 2026 Financial Guidance with Q4 Results
- Earnings Beat: American Well's Q4 GAAP EPS of -$1.52 exceeded expectations by $0.26, despite a revenue drop of 22.1% year-over-year to $55.31 million, which still beat estimates by $2.6 million, showcasing the company's resilience in challenging conditions.
- 2026 Financial Outlook: The company projects 2026 revenue between $195 million and $205 million, with AMG visits expected between 1.32 million and 1.37 million, and adjusted EBITDA ranging from -$24 million to -$18 million, reflecting cautious optimism for future growth.
- Q1 2026 Guidance: American Well anticipates Q1 2026 revenue between $48 million and $53 million, with adjusted EBITDA projected between -$7 million and -$5 million, indicating ongoing short-term challenges but potential for gradual improvement.
- Positive Market Reaction: Despite the overall revenue decline, the market reacted positively to the company's earnings beat and future guidance, which may boost investor confidence and improve stock performance.
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- Strategic Transformation: American Well Corporation is undergoing a significant transformation in 2025, focusing on delivering the best tech platform in the market by divesting non-core activities and restructuring the company, which has dramatically reduced costs and set the stage for achieving cash flow breakeven in 2026.
- Revenue Structure Optimization: The total revenue for 2025 was $249.3 million, with subscription revenue comprising 53% of total revenue, up from 45% in 2024, indicating strategic progress towards high-quality, sustainable revenue despite a 22.1% year-over-year decline in overall revenue.
- Future Outlook: The company expects revenue in the range of $195 million to $205 million for 2026, with AMG visits projected between 1.32 million and 1.37 million, and adjusted EBITDA losses expected to decrease to between $24 million and $18 million, reflecting management's increased confidence in future cash flow.
- Risks and Challenges: Management identified ongoing risks such as continued churn and the need to renew the DHA contract, although proactive measures in maintaining high renewal rates and transitioning to a single platform are being implemented to address challenges posed by emerging AI competitors.
- Earnings Beat: American Well's Q4 GAAP EPS of -$1.52 exceeded expectations by $0.26, despite a revenue drop of 22.1% year-over-year to $55.31 million, which still beat estimates by $2.6 million, showcasing the company's resilience in challenging conditions.
- 2026 Financial Outlook: The company projects 2026 revenue between $195 million and $205 million, with AMG visits expected between 1.32 million and 1.37 million, and adjusted EBITDA ranging from -$24 million to -$18 million, reflecting cautious optimism for future growth.
- Q1 2026 Guidance: American Well anticipates Q1 2026 revenue between $48 million and $53 million, with adjusted EBITDA projected between -$7 million and -$5 million, indicating ongoing short-term challenges but potential for gradual improvement.
- Positive Market Reaction: Despite the overall revenue decline, the market reacted positively to the company's earnings beat and future guidance, which may boost investor confidence and improve stock performance.
- Earnings Announcement Date: American Well is set to release its Q4 earnings on February 12 after market close, with heightened investor interest due to the accelerated digital transformation in the healthcare sector.
- Expected Financial Performance: Analysts forecast an EPS of -$1.59, indicating challenges in profitability that could affect investor confidence and lead to stock price volatility.
- Revenue Decline Forecast: The anticipated revenue of $52.71 million represents a 25.8% year-over-year decline, reflecting pressures from intensified market competition and shifting customer demands, which may impact future growth strategies.
- Historical Financial Data: Historical earnings data for American Well shows that despite current challenges, the company has demonstrated resilience over the past few quarters, prompting investors to consider its long-term growth potential.
- Significant Stock Decline: Hims & Hers Health closed at $19.33 on Monday, down 16.03%, reflecting market concerns over legal risks, particularly following the lawsuit filed by Novo Nordisk.
- Surge in Trading Volume: The company experienced a trading volume of 143.5 million shares, which is 688% above its three-month average of 18.2 million shares, indicating heightened investor anxiety regarding its future.
- Increased Legal Pressure: The lawsuit from Novo Nordisk seeks to prevent Hims & Hers from selling compounded versions of its patented drugs, intensifying the legal and regulatory challenges the company faces, which could impact its market strategy.
- Negative Market Reaction: Hims & Hers has seen a cumulative decline of 26.89% over the past five days, suggesting a waning investor confidence in its business transformation, especially after the announcement to withdraw its copycat obesity drug Wegovy.
Quarterly Revenue and EPS: American Well Corporation (AMWL) reported $56.29 million in revenue for Q3 2025, a 7.8% decline year-over-year, with an EPS of -$1.74 compared to -$2.87 a year ago.
Surprise Metrics: The revenue exceeded the Zacks Consensus Estimate by 3.53%, while the EPS also surpassed expectations by 4.92%.
Investor Insights: Investors are advised to focus on key metrics that provide deeper insights into the company's performance, beyond just headline revenue and earnings figures.
Research Recommendations: Zacks Investment Research offers insights and recommendations, including a report on the "7 Best Stocks for the Next 30 Days."

Earnings Report Announcement: Amwell will release its third quarter 2025 operating results on November 4, followed by a live conference call at 5 p.m. ET to discuss the results and provide a business update.
Investor Conferences Participation: CFO and COO Mark Hirschhorn will engage in one-on-one meetings at the UBS Global Healthcare Conference on November 11 and participate in a panel discussion at the BTIG Digital Health Forum on November 24.
Amwell's Healthcare Platform: The company offers a comprehensive, technology-enabled care platform that enhances patient access to affordable and effective healthcare, serving millions of patients and healthcare organizations globally.
Access to Webcast and Information: The earnings report and conference call can be accessed via the Investors section of Amwell's website, with a replay available for 90 days post-event.







