Growth Metrics

American Well (AMWL) Gross Margin (2019 - 2025)

American Well has reported Gross Margin over the past 7 years, most recently at 83.56% for Q4 2025.

  • Quarterly results put Gross Margin at 83.56% for Q4 2025, up 11669.0% from a year ago — trailing twelve months through Dec 2025 was 67.93% (up 3751.0% YoY), and the annual figure for FY2025 was 82.65%, up 4375.0%.
  • Gross Margin for Q4 2025 was 83.56% at American Well, up from 52.42% in the prior quarter.
  • Over the last five years, Gross Margin for AMWL hit a ceiling of 143.85% in Q4 2023 and a floor of 42.38% in Q4 2021.
  • Median Gross Margin over the past 5 years was 60.64% (2023), compared with a mean of 51.14%.
  • Biggest five-year swings in Gross Margin: crashed -24808bps in 2021 and later soared 17265bps in 2023.
  • American Well's Gross Margin stood at 42.38% in 2021, then soared by 32bps to 28.8% in 2022, then skyrocketed by 599bps to 143.85% in 2023, then plummeted by -123bps to 33.13% in 2024, then soared by 352bps to 83.56% in 2025.
  • The last three reported values for Gross Margin were 83.56% (Q4 2025), 52.42% (Q3 2025), and 82.34% (Q2 2025) per Business Quant data.