Hello, everyone and welcome to American Well Corporation's conference call to discuss their fourth fiscal quarter and full year 2025. Joining us on the call today are American Well Corporation's Chairman and CEO, Ido Schoenberg, and Mark J. Hirschhorn, American Well Corporation's CFO and Chief Operating Officer. Earlier today, a press release was distributed detailing their announcement. The earnings report is posted on the American Well Corporation website at investors.amwell.com and is also available through normal news sources. This conference call is being webcast live on the IR page of the website; a replay will be archived. Before they begin prepared remarks, I would like to take this opportunity to remind you that during the call, we will make forward-looking statements regarding projected operating results and anticipated market opportunities. This forward-looking information is subject to risks and uncertainties described in the filings with the SEC. Actual results or events may differ materially. Except as required by law, we undertake no obligation to update or revise these forward-looking statements. On this call, we will refer to both GAAP and non-GAAP financial measures. A reconciliation of GAAP to non-GAAP financial measures is provided in the earnings release. With that, I would like to turn the call over to Ido.

Thank you, operator, and good afternoon, everyone. 2025 was a pivotal year for American Well Corporation. We sharpened our focus, executed a major transformation, and entered 2026 with clear visibility towards a goal of cash flow breakeven from operations in Q4. Today, I will cover three areas: the market trends driving our strategy, our 2025 execution highlights, and our plan for 2026. Mark will then walk you through our detailed financials and guidance. After that, we will take your questions. The health care landscape entering 2026 is defined by a clear shift towards operational efficiency. Payers and health systems are aggressively pursuing platform consolidation, guaranteed ROI, and industrial-strength automation. Managing countless point solutions—one for diabetes, one for MSK, one for mental health, another for wellness, etc.—creates massive administrative overhead. It creates security vulnerabilities, and it creates disjointed member experiences. It forces sponsors to act as system integrators, a role for which they are often ill equipped. The pressures are mounting. The Medicare population is aging rapidly. Pharmacy costs are surging. Overall health care costs keep climbing, especially in behavioral health and GLP-1 usage. Clinician shortages are worsening. Subsidies are evaporating. Payer margins are compressing rapidly. Technology-enabled care is no longer optional; it is essential. The promise of hybrid care is now clear. Combine automation with smart use of clinician time to reduce costs and improve outcomes. AI is accelerating this shift. It is transforming engagement, intake, decision support, care delivery workflows, risk stratification, and outcomes measurement. It creates tremendous opportunity and real risk that must be managed. Payers and health systems get this. They are adopting technology-enabled care not as an experiment, but as their primary lever for cost reduction, better outcomes, and meeting patient expectations. And increasingly, they want to deliver through a unified platform. A technology-enabled care, or…

Thanks, Ido, and good afternoon, everyone. On today’s call, I will start with a few highlights from our full year 2025, then walk through our fourth quarter financial performance, and finally, provide an update on our initial guidance for the first quarter and full year 2026. Starting with the full year, 2025 marked an important period of refocus and financial progress for American Well Corporation. Total revenue for the year was $249.3 million. Importantly, subscription revenue continued to be a larger and more durable component of our business, representing 53% of total revenue, up from 45% in 2024. This deliberate shift reflects our strategic emphasis on higher-quality, more predictable SaaS-based revenue streams. From a profitability standpoint, we made meaningful progress. For the full year, we reduced both net loss and adjusted EBITDA losses by approximately $100 million each, driven by disciplined cost actions and a more focused operating model. Turning to the fourth quarter, we delivered solid results across revenue and adjusted EBITDA, reflecting stronger subscription retention, increased visit volume in specialty care and virtual primary care, and meaningful cost efficiencies driven by the successful execution of our transformation plan. We also began to see early benefits from AI integration across our operations. Overall, our fourth quarter performance reinforces that the actions we initiated at the start of 2025 are translating into durable financial improvement and accelerating operating leverage. Starting with revenue, total revenue in the quarter was $55.3 million, representing a 22.1% year-over-year decline. Subscription revenue was $28.8 million, down 22% year over year. The decline was driven primarily by the step down in our DHA contract this past summer, churn that occurred earlier in 2024, and to a lesser extent, our reprioritization of certain parts of the business to focus on our core payer and government markets. Amwell…

Ido?

Thank you, Mark. We are encouraged by the progress we made in 2025. We successfully sharpened our focus on our tech platform, validated strong market demand, and meaningfully improved both our efficiency and cost structure. We enter 2026 with clear visibility into continued performance improvement, positioning us well to achieve our goal of cash flow breakeven from operations in Q4. Equally important, the changes we have made have strengthened our revenue quality. We now work with clients who extract even more value from our partnership, leading to longer-lasting, stickier relationships that generate higher margins more reliably and offer significantly greater same-store growth potential. With AI-driven clinical programs growing exponentially, and payers, government, and health systems increasingly in need of infrastructure to deploy them safely and effectively, we believe American Well Corporation has reached an exciting inflection point. We look forward to an important year ahead. With that, we will now open for questions. Operator?

Thank you. Press star 11 on your telephone and wait for your name to be announced. To withdraw your question, please press 11 again. We ask that you please limit yourself to one question. Our first question comes from the line of Stanislav Berenshteyn with Wells Fargo Securities. Your line is now open.

Hi. This is Corey on for Stan. It is encouraging to see progress toward free cash flow breakeven despite retention challenges.

As we think about 2026, how should we think about when existing client contracts would be up for renewal? And do you have any additional color related to your government opportunities? Thanks.

Hi, Corey. As I mentioned earlier in my prepared remarks, in 2025, we saw 50 contracts, most of which are renewals. And in that, we really secured our recurring revenue base to a great extent. Therefore, the amount of open renewals in 2026 are significantly lower, with one important exception, which is the DHA renewal that we expect to have this summer. We are very pleased with the value that we generate with the DHA and the traction and are optimistic that our performance and our strong relationship position us well for multiple-year renewal also in that important segment of the market.

Thank you. Our next question comes from the line of Jailendra P. Singh with Truist. Your line is now open.

Yes. Thank you, and thanks for taking my questions.

Ido, you talked about 2026 being a year of operational efficiencies. You spent a lot of time on AI. Clearly, AI is going to be playing a big role here, and you have been one of the early adopters. But what are your thoughts on some of the new AI companies and trends which are seeing opportunities here in terms of having the impact in health care? And clearly, they are all trying to make a big push given all the inefficiency in the system. How do you see the competitive landscape evolving considering these new entrants in the market?

Thank you, Jailendra. We are very bullish and optimistic about the impact of AI on health care, with the obvious asterisk and exceptions of risk management and so on. But overall, the trend is very powerful. AI can do many things, and in American Well Corporation, we implemented AI liberally across our entire workflow and operations and inside our own product. Having said that, the ability of AI to impact the most for our customers is in clinical programs, and they typically focus on one therapeutic area at a time, whether it is MSK, GLP-1, diabetes, blood pressure, and so on and so forth. The integration of those AI programs and the ability to integrate, switch, and maintain multiple AI programs turned out to be a very big challenge for our customers. And you need to connect them into a consistent, highly regulated infrastructure. So, for example, as you develop an entry point, a digital door for your digital assets, and it works for your own members, you want to make it consistent, and you want to not rebuild it each time whenever you change an AI program versus another. And that is really our role. Our role is to match the regulated baseline infrastructure with a tsunami of AI programs reliably. We are not aware of many, or even any, companies that do exactly that right now. And very importantly, we are now already implemented with a new platform with a very big market share footprint right now that is proving to work very effectively, and the opportunity is really to use AI and to add AI to this infrastructure rather than replace it. So, in summary, we believe that AI will be endorsed and adopted quite a bit across our client base, and we believe that our platform would be an important utility as our clients do that.

Great. Thanks a lot.

Thank you. Our next question comes from the line of David Larsen with BTIG. Your line is now open. Hi. As we look towards 2026,

can you talk about some of the headwinds and tailwinds that could cause either an increase or risk to the guide? Thanks very much.

Hi. This is Mark. I think the

most likely tailwind would be an earlier adoption of our technology-enabled platform from options. We are participating in all 50 states’ RFIs and RFPs right now. We have a significant opportunity in a few other government segments as well. We expect to hear in the second quarter—so only a few months from now—as to how deep our participation will be and when those revenues will commence. While we have not built any of that revenue into our current 2026 plan, we certainly believe that as a result of the pipeline being larger today than it has been in the history—in all the past history—of American Well Corporation, much of that will convert into some backlog that we will see come to fruition in 2027. As far as any of the headwinds, we do, of course, have a renewal with the DHA this summer. We are extremely confident that that will be renewed again and hopefully for a longer term. But beyond that, our other material contracts are not up for renewal in 2026.

Can you remind me for the DHA renewal, you mentioned a step down in the DHA revenue. What was that related to? And then could you win that back in the summer? And if you did, how much of a step up in incremental revenue would there be related to the DHA on the same annual run-rate basis? Thanks. Yep. So you are correct. We

experienced, unfortunately, as a result of DoD’s elimination of our digital behavioral health and automated care programs in the summer of 2025, we had initially rolled that out to a select number of locations. It was doing extremely well. The uptake on those programs was very strong, but as a result of an overall cost efficiency mandate, they were not renewed as the contract and the base contract was renewed. We certainly feel very, very positive about the status of that contract and the opportunity to revisit adding those two programs to the base platform renewal coming up this summer. As far as materiality, it is significant. It is material. While we do not disclose the total value of the contract, I think we did suggest in the past, and we would going forward, that adding those two components would certainly be material.

Thanks very much.

You are welcome.

Thank you. Our next question comes from the line of Craig Hettenbach with Morgan Stanley. Your line is now open.

Yes. Thank you. Ido, just

teeing off your comment around kind of smaller top line, but higher quality and stickier. Do you think about 2026 as a baseline in terms of the ability to resume growth? And then with the business as it stands in 2026, what does the long-term growth look like? What type of growth profile can you generate with this business?

Hi, Craig. You are absolutely correct. In fact, two years ago, we sold so many products to so many market segments. The market-product fit was different between one versus another. As a reminder, we had APC, and we played psychiatry, sometimes in person in hospitals. We did very big hardware business, inpatient solutions, competing directly with EHRs, and things of that nature. While we have some of it left, and we are going to always serve our clients really well, we really essentially have now reduced all those many products into one platform—the technology-enabled care platform—and connected it to our own native services and a growing array of third-party services out of which you can add even more. When you look at the markets right now, and I mentioned in my prepared remarks the incredible importance and value of diverting clinical demand from brick and mortar into technology-enabled care, everybody is convinced. You need to really have this infrastructure. So we fully expect our sponsors, our clients, to invest in encouraging their members to use it more and more often—in marketing and in cost attractiveness and things of that nature. So there is a strong secular trend that is not going anywhere in the next two years to have people use our platform, not only for urgent care, like in the early days, but really across the entire care continuum. The infrastructure that we built is big and deep. You do not change it every day. Our sales cycles take, for a reason, nine to twelve, sometimes more, months. But once implemented, they are really connected to the financial and clinical backbone of the sponsors, both in the way of incoming traffic and in the way of outgoing analytics and reporting. However, the middle ground, the area where you have all those AI-driven clinical programs, is growing extremely rapidly. And there is real motivation to add more. And as that happens, we are going to benefit from high-margin revenue for us. I will give you just one example. I do not recall any CFO leadership with any payer customer that we have that is not incredibly concerned about GLP-1 spending. The ability to very easily add Vida or other programs to the existing integrated

infrastructure is extremely attractive

for our customers to do, and we make it incredibly simple and easy for them to do that. To summarize, we believe that the same-store growth presents a meaningful revenue opportunity for us. In addition to that, as you know, we invested very heavily in penetrating the very hard-to-penetrate government markets. I am very pleased with our performance there. And there are many other large opportunities that are very similar to the one that we presented with the DHA.

So we do believe that the government sector

represents an incredible growth opportunity as well, both in way of net new logos and even in same-store growth, like the example that Mark gave recently, to really reinstate our behavioral health and maybe other alternatives. The success that we have with our existing clients is not lost on others. And many of them are really under pressure to add those programs, but they do that today with an infrastructure that is much smaller. A lot of the IT departments in payers are much smaller today because of cost pressures, so their ability to serve as an integrator for all those programs and then to match them with a different ASO is becoming much more difficult. American Well Corporation and the American Well Corporation platform present themselves as a very good solution both for them and, obviously, also for those vendors that can accelerate their penetration and offering into those highly regulated clients through our infrastructure. Thank you.

Our next question comes from the line of Eric R. Percher with Nephron Research. Your line is now open.

I would also like to dig in a little bit more on what comes from the improvement in revenue quality. When we look at what the guidance for this coming year holds, it sounds like some deemphasis—I know there were also divestitures that you had considered. Can you give us a little bit more on what you are deemphasizing and why the revenue is running lower than we might have expected? And does that not include any of the divestitures that you have looked at? Would those be ultimately incrementally beneficial to bottom line while perhaps taking down top line from here where we spend 2026?

Sure. So, Eric, what we did really is to centralize our offering around one offering, which is the American Well Corporation platform. And it does what we described earlier and does it really, really well. As you know, we had other offerings in market segments where the product-market fit was not great. We divested the APC, and we deemphasized other areas that are noncore. Essentially, our one product right now is still a very good match to all the market segments that we operated in before, but there is one product across the segments versus many products across many segments. The value proposition to payers and government is very strong and very sizable. A very big part of our revenue is derived from there. And since it connects millions and tens of millions of individuals that are motivated to use the platform more and more across the ecosystem, that also presents the most important growth opportunity for us. Having said that, many health systems are now bearing risk. Many of them want to participate in different government programs like ACCESS. And in order to do that, they really benefit from a platform like American Well Corporation, because you can add all those very efficient clinical programs to their current offering in a way that is integrated out of the box and is done very efficiently. So that allows us to really be very efficient on one highly attractive and differentiating product, benefit from secular demand that is growing, with a lot of cost to grow it. Once we are implemented, adding programs and seeing more traction is much less expensive than creating the platform that we have done over the past few years. And, of course, there are not too many of those in the market. So we fully expect that the example we gave recently with Blue Cross Blue Shield of Florida is not going to be a single rare one. Mark, I do not know if you have anything to add.

I should have been more precise. Does the 2026 revenue and EBITDA reflect full exit of the business as we discussed could be exited

I think so. There is some residual, but it is diminishing in percentage points and in proportion, until a point where it is going to be negligible over the next two years.

Thank you.

Thank you. Our next question comes from the line of Ryan MacDonald with Needham and Company. Your line is now open.

Hi, thanks for taking my questions. Ido,

great to hear that you got the 15 renewals done, obviously, and the large three-year renewal with Elevance. I am curious if you could talk about how those renewals or those discussions in those renewals are informing your go-to-market approach for net new opportunities? And as you think about 2026, if you look across government, payer, provider, where are you skating to the fastest, or where are you really focusing those go-to-market efforts in terms of bringing in net new logos to the business? Thanks.

Absolutely, Ryan. I am pleased to share that all of our renewals, as it relates to the payers that we and others work with, were related to the same offering—the new American Well Corporation platform. And in many ways, while they are technically renewals, since the offering is so different than what they had in the past and our role is so different, you can consider them in many ways a new sale or almost a net new sale. You need to remember also that when people renew and migrate into the new platform, that comes with deep integration into financial and clinical backbones. So you do not do it very quickly. You do it as a long-term investment. The value of existing customers is now demonstrated really well, and when we implement the new customers, it is really a very similar workflow. So reproducing it becomes much easier and simpler and much more efficient going forward. As I mentioned earlier, when we look at multiyear growth, the most obvious and impactful area is same-store growth, benefiting from more programs to more people that will use it more often and more efficiently, and really benefiting from those secular tailwinds. In addition to that, as Mark mentioned earlier, we have the largest pipeline we have had in our history, I think, that I remember, at least, for now, and it is all about this. There is nothing else. It is about our one platform and its clinical services and the value it should generate as an infrastructure to adopt more and more AI-powered clinical programs. We have a lot of proof points, a lot of success points in very large scale. If I look at the segments, commercial payers are our sweet spot—Blues and others. But there is no question that our advantage in the government is even bigger. And the reason is that that is a really high barrier-of-entry segment when you think about cybersecurity, regulations, things of that nature, and we have that right now. We spent enormous amounts of time and effort and resources getting there, and it performs really, really well. So we fully expect this to grow meaningfully over the next few years, and lastly, we believe that health systems will participate, but in proportion, probably their contribution is going to be smaller than the first two segments I just mentioned.

Thank you. I am currently showing no further questions at this time. I would now like to hand the call back over to Ido Schoenberg for closing remarks.

Thank you, operator, and thank you, everyone, for joining. We really appreciate your support of American Well Corporation, and we look forward to talking to you very soon. Have a good evening. This concludes today’s conference.

Thank you for your participation. You may now disconnect.