Growth Metrics

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

American Well has reported Net Cash Flow over the past 7 years, most recently at -$19.6 million for Q4 2025.

  • For Q4 2025, Net Cash Flow fell 11.81% year-over-year to -$19.6 million; the TTM value through Dec 2025 reached -$48.0 million, up 66.8%, while the annual FY2025 figure was -$48.0 million, 66.8% up from the prior year.
  • Net Cash Flow for Q4 2025 was -$19.6 million at American Well, down from -$18.5 million in the prior quarter.
  • Over five years, Net Cash Flow peaked at $204.2 million in Q4 2022 and troughed at -$569.2 million in Q1 2022.
  • A 5-year average of -$38.0 million and a median of -$18.0 million in 2024 define the central range for Net Cash Flow.
  • On a YoY basis, Net Cash Flow climbed as much as 563.56% in 2022 and fell as far as 1150.13% in 2022.
  • Year by year, Net Cash Flow stood at -$44.0 million in 2021, then skyrocketed by 563.56% to $204.2 million in 2022, then plummeted by 74.16% to $52.8 million in 2023, then plummeted by 133.3% to -$17.6 million in 2024, then fell by 11.81% to -$19.6 million in 2025.
  • Business Quant data shows Net Cash Flow for AMWL at -$19.6 million in Q4 2025, -$18.5 million in Q3 2025, and -$4.7 million in Q2 2025.