Growth Metrics

American Well (AMWL) Net Cash Flow (2019 - 2026)

American Well's quarterly Net Cash Flow came in at -$3.5 million in Q1 2026, up 33.01% year-on-year from -$2.6 million in Q1 2025, and up 82.36% quarter-over-quarter from -$19.6 million in Q4 2025.

American Well has reported Net Cash Flow for 8 years, with the latest figure at -$3.5 million in Q1 2026.

  • For the quarter ending Q1 2026, Net Cash Flow rose 33.01% year-over-year to -$3.5 million; the trailing twelve-month figure through Mar 2026 stood at -$46.3 million (up 46.4% YoY), and the FY2025 full-year result was -$48.0 million, up 66.8% from the prior year.
  • Net Cash Flow for Q1 2026 stood at -$3.5 million, up from -$19.6 million in the prior quarter.
  • The five-year high for Net Cash Flow was $204.2 million in Q4 2022, with the low at -$569.2 million in Q1 2022.
  • Average Net Cash Flow over 5 years is -$33.5 million, with a median of -$5.2 million recorded in 2025.
  • Peak annual rise in Net Cash Flow reached 563.56% in 2022, while the deepest fall reached 1150.13% in 2022.
  • Tracing AMWL's Net Cash Flow over 5 years: stood at $204.2 million in 2022, then slumped by 74.16% to $52.8 million in 2023, then slumped by 133.3% to -$17.6 million in 2024, then declined by 11.81% to -$19.6 million in 2025, then surged by 82.36% to -$3.5 million in 2026.
  • The last three Net Cash Flow figures came in at -$3.5 million (Q1 2026), -$19.6 million (Q4 2025), and -$18.5 million (Q3 2025), per Business Quant data.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Net Cash Flow (Qtr)
1 Veeva Systems 30.85 Bn 24.28 Bn 622.47 Mn -238.95 Mn
2 BrightSpring Health Services 12.29 Bn 11.41 Bn 482.22 Mn 800.32 Mn
3 Healthequity 7.80 Bn 7.48 Bn 256.31 Mn -53.56 Mn
4 Hinge Health 4.82 Bn 4.51 Bn 154.23 Mn -21.68 Mn
5 Doximity 4.21 Bn 3.46 Bn 125.97 Mn 154.34 Mn
6 Waystar Holding 4.18 Bn 4.03 Bn 268.04 Mn -14.11 Mn
7 10x Genomics 3.78 Bn 3.24 Bn 106.18 Mn 16.39 Mn
8 Privia Health 2.65 Bn 2.28 Bn 595.71 Mn -60.16 Mn
9 Omnicell 1.95 Bn 1.78 Bn 140.36 Mn 41.02 Mn
10 American Well 148.98 Mn -18.24 Mn 47.14 Mn -3.47 Mn

Historic Data

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DateValue
Mar 31, 2026 -3.47 Mn
Mar 31, 2026 -3.47 Mn
Dec 31, 2025 -19.64 Mn
Dec 31, 2025 -19.64 Mn
Sep 30, 2025 -18.47 Mn
Sep 30, 2025 -18.47 Mn
Jun 30, 2025 -4.73 Mn
Jun 30, 2025 -4.73 Mn
Mar 31, 2025 -5.17 Mn
Mar 31, 2025 -5.17 Mn
Dec 31, 2024 -17.57 Mn
Dec 31, 2024 -17.57 Mn
Sep 30, 2024 -36.66 Mn
Sep 30, 2024 -36.66 Mn
Jun 30, 2024 -26.97 Mn
Jun 30, 2024 -26.97 Mn
Mar 31, 2024 -63.41 Mn
Mar 31, 2024 -63.41 Mn
Dec 31, 2023 52.76 Mn
Dec 31, 2023 52.76 Mn
Sep 30, 2023 158.26 Mn
Sep 30, 2023 158.26 Mn
Jun 30, 2023 48.94 Mn
Jun 30, 2023 48.94 Mn
Mar 31, 2023 -425.33 Mn
Mar 31, 2023 -425.33 Mn
Dec 31, 2022 204.17 Mn
Dec 31, 2022 204.17 Mn
Sep 30, 2022 75.45 Mn
Sep 30, 2022 75.45 Mn
Jun 30, 2022 82.05 Mn
Jun 30, 2022 82.05 Mn
Mar 31, 2022 -569.24 Mn
Mar 31, 2022 -569.24 Mn
Dec 31, 2021 -44.04 Mn
Dec 31, 2021 -44.04 Mn
Sep 30, 2021 -184.64 Mn
Sep 30, 2021 -184.64 Mn
Jun 30, 2021 78.81 Mn
Jun 30, 2021 78.81 Mn
Mar 31, 2021 -45.53 Mn
Mar 31, 2021 -45.53 Mn
Dec 31, 2020 -14.80 Mn
Dec 31, 2020 -14.80 Mn
Sep 30, 2020 723.72 Mn
Sep 30, 2020 723.72 Mn
Jun 30, 2020 108.86 Mn
Jun 30, 2020 108.86 Mn
Mar 31, 2020 -13.89 Mn
Mar 31, 2020 -13.89 Mn
Dec 31, 2019 4.44 Mn
Dec 31, 2019 4.44 Mn