Growth Metrics

American Well (AMWL) Net Cash Flow (2019 - 2025)

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

  • Quarterly results put Net Cash Flow at -$19.6 million for Q4 2025, down 11.81% from a year ago — trailing twelve months through Dec 2025 was -$48.0 million (up 66.8% YoY), and the annual figure for FY2025 was -$48.0 million, up 66.8%.
  • Net Cash Flow for Q4 2025 was -$19.6 million at American Well, down from -$18.5 million in the prior quarter.
  • Over the last five years, Net Cash Flow for AMWL hit a ceiling of $204.2 million in Q4 2022 and a floor of -$569.2 million in Q1 2022.
  • Median Net Cash Flow over the past 5 years was -$18.0 million (2024), compared with a mean of -$38.0 million.
  • Peak annual rise in Net Cash Flow hit 563.56% in 2022, while the deepest fall reached 1150.13% in 2022.
  • American Well's Net Cash Flow stood at -$44.0 million in 2021, then soared by 563.56% to $204.2 million in 2022, then crashed by 74.16% to $52.8 million in 2023, then crashed by 133.3% to -$17.6 million in 2024, then decreased by 11.81% to -$19.6 million in 2025.
  • The last three reported values for Net Cash Flow were -$19.6 million (Q4 2025), -$18.5 million (Q3 2025), and -$4.7 million (Q2 2025) per Business Quant data.