Growth Metrics

American Well (AMWL) FCF Margin (2019 - 2026)

American Well's quarterly FCF Margin came in at 1.8% in Q1 2026, up 3578.0% year-on-year from 0.05% in Q1 2025, and up 94.27% quarter-over-quarter from 31.42% in Q4 2025.

American Well has reported FCF Margin for 8 years, with the latest figure at 1.8% in Q1 2026.

  • For the quarter ending Q1 2026, FCF Margin rose 3578.0% year-over-year to 1.8%; the trailing twelve-month figure through Mar 2026 stood at 17.63% (up 1781.0% YoY), and the FY2025 full-year result was 26.46%, up 2365.0% from the prior year.
  • FCF Margin for Q1 2026 stood at 1.8%, up from 31.42% in the prior quarter.
  • The five-year high for FCF Margin was 1.22% in Q4 2024, with the low at 100.52% in Q1 2024.
  • Average FCF Margin over 5 years is 51.13%, with a median of 58.18% recorded in 2022.
  • Year-over-year, FCF Margin sank 5495 bps in 2024 and jumped 6294 bps in 2025.
  • Tracing AMWL's FCF Margin over 5 years: stood at 58.18% in 2022, then slipped by 4 bps to 60.55% in 2023, then soared by 98 bps to 1.22% in 2024, then sank by 2482 bps to 31.42% in 2025, then jumped by 94 bps to 1.8% in 2026.
  • The last three FCF Margin figures came in at 1.8% (Q1 2026), 31.42% (Q4 2025), and 33.32% (Q3 2025), per Business Quant data.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) FCF Margin (Qtr)
1 Veeva Systems 30.85 Bn 24.28 Bn 622.47 Mn 11.94%
2 BrightSpring Health Services 12.29 Bn 11.41 Bn 482.22 Mn 3.30%
3 Healthequity 7.80 Bn 7.48 Bn 256.31 Mn 23.01%
4 Hinge Health 4.82 Bn 4.51 Bn 154.23 Mn 23.62%
5 Doximity 4.21 Bn 3.46 Bn 125.97 Mn 73.79%
6 Waystar Holding 4.18 Bn 4.03 Bn 268.04 Mn 22.17%
7 10x Genomics 3.78 Bn 3.24 Bn 106.18 Mn 17.24%
8 Privia Health 2.65 Bn 2.28 Bn 595.71 Mn -8.19%
9 Omnicell 1.95 Bn 1.78 Bn 140.36 Mn 13.57%
10 American Well 148.98 Mn -18.24 Mn 47.14 Mn -1.80%

Historic Data

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DateValue
Mar 31, 2026 -1.80%
Dec 31, 2025 -31.42%
Sep 30, 2025 -33.32%
Jun 30, 2025 -6.66%
Mar 31, 2025 -37.58%
Dec 31, 2024 -1.22%
Sep 30, 2024 -60.73%
Jun 30, 2024 -47.28%
Mar 31, 2024 -100.52%
Dec 31, 2023 -60.55%
Sep 30, 2023 -61.35%
Jun 30, 2023 -85.59%
Mar 31, 2023 -45.57%
Dec 31, 2022 -58.18%
Sep 30, 2022 -73.58%
Jun 30, 2022 -66.96%
Mar 31, 2022 -96.93%
Dec 31, 2021 -62.09%
Sep 30, 2021 -47.01%
Jun 30, 2021 -43.82%
Mar 31, 2021 -71.68%
Dec 31, 2020 -40.69%
Sep 30, 2020 -49.67%
Jun 30, 2020 -39.05%
Mar 31, 2020 -62.08%
Dec 31, 2019 -34.46%