American Well (AMWL) Cost of Revenue (2019 - 2026)
American Well's (AMWL) quarterly Cost of Revenue came in at $26.9 million in Q1 2026, down 14.74% year-on-year from $31.6 million in Q1 2025, and little changed quarter-over-quarter from $27.0 million in Q4 2025.
American Well (AMWL) Cost of Revenue (2019 - 2026) Analysis & Trends
American Well's Cost of Revenue history runs 8 years deep, the most recent figure standing at $26.9 million for Q1 2026.
- On a quarterly basis, Cost of Revenue fell 14.74% year-over-year to $26.9 million in Q1 2026; TTM through Mar 2026 was $111.8 million, a 23.33% decrease from a year earlier, with the FY2025 full-year figure at $116.5 million, down 25.06% from the prior year.
- Cost of Revenue was little changed at $26.9 million in Q1 2026 per AMWL's latest filing, from $27.0 million in the prior quarter.
- Across five years, Cost of Revenue topped out at $46.8 million in Q4 2023 and bottomed at $26.8 million in Q3 2025.
- The 5-year median for Cost of Revenue is $38.2 million (2023), against an average of $36.7 million.
- Across the five-year window, Cost of Revenue gained 17.97% in 2022 and slumped 30.18% in 2025, its largest moves.
- Year by year, Cost of Revenue stood at $45.7 million in 2022, then rose by 2.59% to $46.8 million in 2023, then declined by 21.82% to $36.6 million in 2024, then slipped by 26.33% to $27.0 million in 2025, then retreated by 0.19% to $26.9 million in 2026.
- Per Business Quant, the three latest AMWL Cost of Revenue figures stand at $26.9 million (Q1 2026), $27.0 million (Q4 2025), and $26.8 million (Q3 2025).
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | Cost of Rev (Qtr) |
|---|---|---|---|---|---|
| 1 | Veeva Systems | 31.81 Bn | 24.49 Bn | 662.02 Mn | 220.92 Mn |
| 2 | BrightSpring Health Services | 14.76 Bn | 13.86 Bn | 482.22 Mn | 260.92 Mn |
| 3 | Healthequity | 8.36 Bn | 8.10 Bn | 256.31 Mn | 98.33 Mn |
| 4 | Hinge Health | 5.91 Bn | 5.60 Bn | 154.23 Mn | 28.07 Mn |
| 5 | 10x Genomics | 5.89 Bn | 5.35 Bn | 106.18 Mn | 44.67 Mn |
| 6 | MiniMed | 4.45 Bn | 4.16 Bn | 480.00 Mn | 357.00 Mn |
| 7 | Waystar Holding | 4.41 Bn | 4.35 Bn | 216.84 Mn | 97.04 Mn |
| 8 | Doximity | 3.93 Bn | 3.18 Bn | 125.97 Mn | 19.41 Mn |
| 9 | Privia Health | 3.10 Bn | 2.68 Bn | - | - |
| 10 | American Well | 182.65 Mn | 2.65 Mn | 27.96 Mn | 26.92 Mn |
Historic Data
Download Data| Date | Value |
|---|---|
| Mar 31, 2026 | 26.92 Mn |
| Mar 31, 2026 | 26.92 Mn |
| Dec 31, 2025 | 26.97 Mn |
| Dec 31, 2025 | 26.97 Mn |
| Sep 30, 2025 | 26.78 Mn |
| Sep 30, 2025 | 26.78 Mn |
| Jun 30, 2025 | 31.14 Mn |
| Jun 30, 2025 | 31.14 Mn |
| Mar 31, 2025 | 31.57 Mn |
| Mar 31, 2025 | 31.57 Mn |
| Dec 31, 2024 | 36.61 Mn |
| Dec 31, 2024 | 36.61 Mn |
| Sep 30, 2024 | 38.35 Mn |
| Sep 30, 2024 | 38.35 Mn |
| Jun 30, 2024 | 39.29 Mn |
| Jun 30, 2024 | 39.29 Mn |
| Mar 31, 2024 | 41.15 Mn |
| Mar 31, 2024 | 41.15 Mn |
| Dec 31, 2023 | 46.83 Mn |
| Dec 31, 2023 | 46.83 Mn |