Total debt is minimal at $2.0M against $211.7M of equity and a 3.01 current ratio, though an accumulated deficit near -$2.1B and a 39% decline in total assets since 2024Q2 warrant continued attention.
American Well Corporation (AMWL) balance sheet — 8-year assets, liabilities & shareholders' equity history
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 |
|---|
| Total Current Assets | 249.31M | 246.68M | 316.99M | 449.58M | 626.62M | 827.3M | 1.11B | 223.53M | 300.17M |
| Cash & Short-Term Investments | 180.79M | 182.33M | 228.32M | 372.04M | 538.55M | 746.42M | 1.04B | 177.63M | 256.2M |
| Cash Only | 180.79M | 182.33M | 228.32M | 372.04M | 538.55M | 746.42M | 941.62M | 137.67M | 47.98M |
| Short-Term Investments | 0 | 0 | 0 | 0 | 0 | 0 | 99.96M | 39.95M | 208.23M |
| Accounts Receivable | 54.49M | 49.69M | 71.89M | 54.15M | 58.37M | 51.38M | 45.3M | 32.73M | 30.78M |
| Days Sales Outstanding | 92.39 | 72.75 | 103.15 | 76.29 | 76.86 | 74.18 | 67.41 | 80.25 | 98.58 |
| Inventory | 889K | 1.19M | 2.86M | 6.65M | 8.74M | 7.53M | 9.13M | 3.1M | 2.51M |
| Days Inventory Outstanding | 3.35 | 3.72 | 6.71 | 14.78 | 19.88 | 18.51 | 21.25 | 14.17 | 15.64 |
| Other Current Assets | 13.15M | 13.47M | 13.93M | 16.75M | 1.39M | 1.7M | 3.23M | 2.91M | 5.87M |
| Total Non-Current Assets | 59.9M | 77.11M | 118.97M | 140.12M | 590.94M | 618.54M | 263.36M | 276.35M | 189.15M |
| Property, Plant & Equipment | 150K | 4.16M | 7.58M | 11.03M | 14.52M | 18.66M | 10.45M | 14.61M | 3.08M |
| Fixed Asset Turnover | 181.78x | 60.01x | 33.56x | 23.50x | 19.09x | 13.55x | 23.48x | 10.19x | 37.03x |
| Goodwill | 0 | 0 | 0 | 0 | 435.28M | 442.76M | 193.88M | 193.88M | 127.27M |
| Intangible Assets | 54.72M | 66.07M | 101.54M | 120.25M | 134.98M | 152.41M | 55.53M | 63.53M | 55.39M |
| Long-Term Investments | 795K | 795K | 1.5M | 1.18M | 795K | 168K | 752K | 0 | 0 |
| Other Non-Current Assets | 5.04M | 6.08M | 8.36M | 7.67M | 6.16M | 2.52M | 1.43M | 5.48M | 4.5M |
| Total Assets | 309.22M | 323.79M | 435.97M | 589.71M | 1.22B | 1.45B | 1.38B | 499.88M | 489.31M |
| Asset Turnover | 0.66x | 0.77x | 0.58x | 0.44x | 0.23x | 0.17x | 0.18x | 0.30x | 0.23x |
| Asset Growth % | -77.81% | -25.73% | -26.07% | -51.57% | -15.79% | 5.03% | 175.39% | 2.16% | - |
| Total Current Liabilities | 82.71M | 73.21M | 111.26M | 93.8M | 114.06M | 141.63M | 120.98M | 106.58M | 87.83M |
| Accounts Payable | 3.84M | 1.65M | 5.01M | 4.86M | 7.24M | 12.16M | 5.8M | 6.5M | 4.23M |
| Days Payables Outstanding | 6.86 | 5.17 | 11.78 | 10.81 | 16.46 | 29.88 | 13.5 | 29.68 | 26.32 |
| Short-Term Debt | 2.01M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Deferred Revenue (Current) | 99.26M | 22.63M | 53.23M | 46.37M | 49.51M | 68.84M | 0 | 0 | 64.13M |
| Other Current Liabilities | 56.13M | 34.73M | 36.07M | 12.14M | 35.97M | 29.47M | 66.69M | 66.49M | 8.3M |
| Current Ratio | 3.01x | 3.37x | 2.85x | 4.79x | 5.49x | 5.84x | 9.20x | 2.10x | 3.42x |
| Quick Ratio | 3.00x | 3.35x | 2.82x | 4.72x | 5.42x | 5.79x | 9.13x | 2.07x | 3.39x |
| Cash Conversion Cycle | 88.88 | 71.3 | 98.09 | 80.26 | 80.28 | 62.81 | 75.16 | 64.74 | 87.91 |
| Total Non-Current Liabilities | 1.34M | 2.79M | 8.46M | 15.72M | 19.65M | 43.34M | 9.47M | 18.37M | 605.89M |
| Long-Term Debt | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Capital Lease Obligations | 892K | 892K | 4.51M | 8.21M | 11.79M | 14.69M | 1.3M | 7.16M | 0 |
| Deferred Tax Liabilities | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Non-Current Liabilities | 1.06M | 1.07M | 1.17M | 1.43M | 1.57M | 21.59M | 64K | 11.21M | 576.72M |
| Total Liabilities | 84.05M | 76M | 119.72M | 109.52M | 133.71M | 184.96M | 130.45M | 124.95M | 693.72M |
| Total Debt | 2.01M | 4.52M | 8.2M | 11.79M | 14.84M | 16.61M | 7.65M | 13.4M | 0 |
| Net Debt | -178.78M | -177.8M | -220.12M | -360.25M | -523.7M | -729.8M | -933.96M | -124.28M | -47.98M |
| Debt / Equity | 0.01x | 0.02x | 0.03x | 0.02x | 0.01x | 0.01x | 0.01x | 0.04x | - |
| Debt / EBITDA | -0.07x | - | - | - | - | - | - | - | - |
| Net Debt / EBITDA | 5.88x | - | - | - | - | - | - | - | - |
| Interest Coverage | -92.74x | - | - | - | - | - | - | - | - |
| Total Equity | 225.17M | 247.79M | 316.24M | 480.19M | 1.08B | 1.26B | 1.25B | 374.94M | 371.3M |
| Equity Growth % | -79.36% | -21.65% | -34.14% | -55.7% | -14.04% | 1.18% | 232.38% | 0.98% | - |
| Book Value per Share | 13.20 | 15.44 | 21.08 | 33.79 | 79.04 | 99.25 | 251.64 | 182.28 | 182.98 |
| Total Shareholders' Equity | 211.67M | 235.58M | 304.77M | 464.22M | 1.06B | 1.24B | 1.22B | 348.68M | 343.87M |
| Common Stock | 172K | 165K | 156K | 145K | 2.77M | 2.62M | 2.36M | 423K | 49K |
| Retained Earnings | -2.09B | -2.06B | -1.97B | -1.76B | -1.08B | -811.28M | -582.36M | -357.93M | -270.74M |
| Treasury Stock | 0 | 0 | 0 | 0 | 0 | 0 | -37.57M | -158K | 0 |
| Accumulated OCI | -11.04M | -12.1M | -15.84M | -15.65M | -16.97M | -6.35M | 297K | 250K | 1.35M |
| Minority Interest | 13.49M | 12.21M | 11.47M | 15.97M | 19.97M | 21.62M | 22.07M | 26.26M | 27.43M |
Quick answers to the most common questions about buying AMWL stock.
As of 2025, American Well Corporation (AMWL) had total assets of $323.8M including $246.7M in current assets.
American Well Corporation (AMWL) carries total debt of $4.5M, offset by $182.3M in cash and short-term investments. Comparing total debt to cash helps evaluate the company's debt burden and net leverage.
American Well Corporation (AMWL) has total shareholders' equity (book value) of $235.6M ($15.44 book value per share). Book value represents the net worth of the company belonging to common stock holders.
American Well Corporation (AMWL) reported a current ratio of 3.37x. A current ratio above 1.0x indicates that the company has more current assets than current liabilities, suggesting sufficient short-term liquidity.
Key Metrics
Top Statement Risk
Cash erosion amid shrinking revenue
Metrics are mathematically derived from official filings.
Balance Sheet Shrinking Alongside Operations
According to reported quarterly figures, AMWL's total assets fell from $507.8M in 2024Q2 to $309.2M in 2026Q3, a decline of roughly 39% that tracks the contraction in its operating base rather than any deliberate deleveraging.
The shrinkage is driven mainly by declining cash and goodwill rather than by debt repayment, since total debt is only $2.0M. This pattern suggests the company is consuming its asset base to fund operating losses, which investors should monitor closely for signs of further erosion.
Cash Cushion Still Ample but Thinning
Based on AMWL's reported figures, cash of $180.8M against total liabilities of $84.0M yields a current ratio of 3.01 in 2026Q3, a comfortable buffer that is nonetheless down from $276.9M in cash in 2024Q2.
A current ratio above 3 indicates the company can meet near-term obligations without strain, but the steady cash decline implies a finite runway at the current burn rate. The buffer appears adequate for the near term, yet warrants further investigation as to how long it can absorb continued operating losses.
Minimal Leverage Limits Refinancing Risk
As reported in financial statements, AMWL's total debt declined to $2.0M in 2026Q3 from $10.0M two years earlier, producing a debt-to-equity ratio near 0.01 that leaves the capital structure largely unlevered.
Near-zero leverage means refinancing risk is negligible and the company is not dependent on credit markets. The low debt load reflects financing discipline, though it also means the equity base, not borrowed capital, is absorbing the operating losses.
Equity Eroding Through Accumulated Losses
According to recent filings, AMWL's stockholders' equity declined from $363.9M in 2024Q2 to $211.7M in 2026Q3 while retained earnings remained near -$2.1B, indicating an accumulated deficit that dwarfs current equity.
The equity decline tracks the operating losses flowing through the balance sheet, with stock-based compensation adding a non-cash component. The scale of the accumulated deficit suggests the company's historical capital raising has been largely consumed, which warrants monitoring of future dilution pressure.
Deferred Revenue Declining Sharply
Based on reported figures, AMWL's deferred revenue fell from $68.5M in 2024Q2 to $20.7M in 2026Q3, a decline of about 70% that signals weakening forward contracted demand.
Deferred revenue functions as a leading indicator of future recognized revenue, and its steep drop is consistent with the reported top-line contraction. This pattern may indicate reduced customer prepayments and warrants further investigation into renewal and bookings trends.
Goodwill Decline Masks Asset Quality
As reported in financial statements, AMWL's goodwill fell from $111.2M in 2024Q2 to $54.7M in 2026Q3, meaning roughly half of the headline asset contraction reflects write-downs or reductions rather than cash spent.
Because goodwill reductions can reflect impairment charges, the apparent stability in reported assets may overstate the durability of the remaining book value. Investors should monitor whether the residual $54.7M of goodwill faces further impairment risk if revenue continues to contract.