Q2 2026 American Well Corp Earnings Call

August 4, 2026

Speaker #1: Hello everyone, and welcome to Amwell's conference call to discuss their second fiscal quarter of 2026. Joining us on the call today are Amwell's Chairman and CEO, Dr. Ido Schoenberg, and Mark Hirschhorn, Amwell's CFO and Chief Operating Officer.

Operator: Hello, everyone, and welcome to Amwell's conference call to discuss their Q2 of 2026. Joining us on the call today are Amwell's Chairman and CEO, Dr. Ido Schoenberg, and Mark Hirschhorn, Amwell's CFO and Chief Operating Officer. Earlier today, a press release was distributed detailing their announcement. The earnings report is posted on the Amwell 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 where a replay will be archived. Before they begin prepared remarks, I'd 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 the risks and uncertainties described in the filings with the SEC. Actual results or events may differ materially.

Operator: Hello, everyone, and welcome to Amwell's Conference call to discuss their Q2 of 2026. Joining us on the call today are Amwell's Chairman and CEO, Dr. Ido Schoenberg, and Mark Hirschhorn, Amwell's CFO and Chief Operating Officer. Earlier today, a press release was distributed detailing their announcement. The earnings report is posted on the Amwell 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 where a replay will be archived. Before they begin prepared remarks, I'd 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 the risks and uncertainties described in the filings with the SEC. Actual results or events may differ materially.

Speaker #1: distributed detailing their announcement. The earnings report is posted on the Amwell 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, where a replay will be archived.

Speaker #1: remarks, I'd 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.

Speaker #1: This forward-looking information is subject to the 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.

Operator: Except as required by law, we undertake no obligation to update or revise these forward-looking statements. On this call, we'll 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 now like to turn the call over to Ido.

Speaker #1: On this call, we'll refer to both GAAP and non-GAAP financial measures. A reconciliation of GAAP to non-GAAP financial measures is provided in the earnings release.

Speaker #1: With that, I would now like to turn the call over to Ido.

Speaker #2: Good evening, and thank you for joining our second quarter earnings call. As recently announced, we reached an important milestone. The Defense Health Agency issued an intent to award notice for a sole-source contract directly with Amwell. We are thrilled by the DHA's decision, which signals an opportunity to strengthen and expand our relationship for many years to come.

Ido Schoenberg: Good evening, and thank you for joining our Q2 earnings call. As recently announced, we reached an important milestone. The Defense Health Agency issued an intent to award notice for a sole source contract directly with Amwell. We are thrilled by the DHA's decision, which signals an opportunity to strengthen and expand our relationship for many years to come. This is a deliberate choice by the government to build its core platform around the partners it depends on. The DHA's decision aligns with its policy direction to achieve long-term improvements in cost efficiency. This transition to direct contracting ensures uninterrupted continuity of operations and ensures inter-agency continuum of care remains stable and undisrupted. We are honored by their trust. Our platform is already built into MHS GENESIS, which operates as the platform that anchors the unified federal health IT ecosystem.

Speaker #2: This is a deliberate choice by the government to build its core platform around the partners it depends on. The DHS decision aligns with its policy direction to achieve long-term improvements in cost efficiency.

Speaker #2: This transition to direct contracting ensures uninterrupted continuity of operations, and ensures inter-agency continue of care remains stable and undisrupted. We are honored by their trust.

Speaker #2: Our platform is already built into MHS Genesis, which operates as the platform that anchors the unified federal health IT ecosystem. The Amwell platform has connected deployed units in combat zones to hospitals back home.

Ido Schoenberg: The Amwell platform has connected deployed units in combat zones to hospitals back home. We are proud to serve the 9.6 million service members, families, and retirees of the Military Health System, and we are committed to delivering for them every single day. More broadly, our strategy is simple. Everything centers on the unified Amwell platform. We give our clients the premier infrastructure for technology-enabled care. It is one platform, not many. Through it, government, payers, and health systems offer patients a simple, streamlined experience. Members connect to a growing range of clinical programs, and they do so with measurable improvements in both clinical and financial outcomes. This focus is showing up in our revenue mix. Subscription revenue has grown to more than half of our total revenue. That is reoccurring, stable, high-quality revenue. It is the foundation of a healthier, more predictable business.

Speaker #2: We are proud to serve the 9.6 million service members' families and retirees of the military health system and we are committed to delivering for them every single day.

Speaker #2: More broadly, our strategy is simple: everything centers on the unified Amwell platform. We give our clients the premier infrastructure for technology-enabled care. It is one platform, not many.

Speaker #2: Through it, government, payers, and health systems offer patients a simple, streamlined experience. Members connect to a growing range of clinical programs. And they do so with measurable improvements in both clinical and financial outcomes.

Speaker #2: This focus is showing up in our revenue mix. Subscription revenue has grown to more than half of our total revenue. That is recurring, stable, high-quality revenue.

Speaker #2: It is the foundation of a healthier, more predictable business. Throughout 2026, we are delivering a better user experience. We've also greatly enhanced our ability to engage members and activate them into care.

Ido Schoenberg: Throughout 2026, we're delivering a better user experience. We've also greatly enhanced our ability to engage members and activate them into care. The platform brings clinical partners online quickly, turns their data into useful insight, and runs with the reliability and compliance our customers depend on. In short, we are easier to adopt, easier to build on, and easier to trust. Let me be specific about the value we create, because it is the heart of our story. Payers are under real pressure. Premiums are not keeping pace with the rising cost of care. Technology and AI-powered care are among the best tools they have to control cost and improve outcomes. The demand is there, but acting on it has been hard. Most payers are buried in vendor sprawl, dozens of separate point solutions that are costly to connect and impossible to measure against one another.

Speaker #2: The platform brings clinical partners online quickly, turns our data into useful insight, and runs with a reliability and compliance our customers depend on. In short, we are easier to adopt, easier to build on, and easier to trust.

Speaker #2: Let me be specific about the value we create. Because it is the heart of our story. Payers are under real pressure. Premiums are not keeping pace with the rising cost of care.

Speaker #2: Technology and AI-powered care are among the best tools they have to control cost and improve outcomes. The demand is there. But acting on it has been hard.

Speaker #2: Most payers are buried in vendor sprawl, dozens of separate point solutions, that are costly to connect and impossible to measure against one another. Tired of that fragmentation, payers and employers increasingly want fewer deeper partnerships, one partner who can meet many needs through a single relationship.

Ido Schoenberg: Tired of that fragmentation, payers and employers increasingly want fewer, deeper partnerships. One partner who can meet many needs through a single relationship. This is the problem Amwell solves. We give customers one unified platform, so they no longer must stitch dozens of vendors together themselves. They put a single Amwell gateway behind their own brand and their own front door. Members get one simple place to reach the programs they need, and our customer keeps the member relationship. Behind that gateway, customers can mix and match programs, ours, a partner's, or their own, and swap them in quickly without disrupting the member experience. Because every program runs on the same platform, we bring all the data together. For the first time, customers can see clearly what is working, prove the clinical and financial results, and adjust in real time. We are not selling an AI feature.

Speaker #2: This is the problem Amwell solves. We give customers one unified platform, so they no longer have to stitch dozens of vendors together themselves. They put a single Amwell gateway behind their own brand and their own front door.

Speaker #2: Members get one simple place to reach the programs they need, and our customer keeps the member relationship. Behind that gateway, customers can mix and match programs, ours a partner's or their own, and swap them in quickly, without disrupting the member experience.

Speaker #2: And because every program runs on the same platform, we bring all the data together. For the first time, customers can see clearly what is working, prove the clinical and financial results, and adjust in real time.

Speaker #2: We are not selling an AI feature. We are the trusted environment where AI-powered care runs. We saw a clear illustration of this in Dario's recent announcement that it will bring a new program to the Amwell healthcare marketplace in Arizona.

Ido Schoenberg: We are the trusted environment where AI power care runs. We saw a clear illustration of this in Dario's recent announcement that it will bring a new program to the Amwell Healthcare marketplace in Arizona. One more market shift makes this even more important. Customer increasingly focus on actual use. Engagement is no longer a soft metric. It is a financial driver. Value comes from getting members into the right care, improving their health, and avoiding expensive downstream costs. That is exactly what our platform is built to do. One front door makes services easy to find and use. Our data and analytics power targeted personal outreach. In working closely with employers and health plans, we turn members into active users, and we can prove it.

Speaker #2: One more market shift makes this even more important. Customers increasingly focus on actual use. Engagement is no longer a soft metric; it is a financial driver.

Speaker #2: Value comes from getting members into the right care, improving their health, and avoiding expensive downstream costs. That is exactly what our platform is built to do.

Speaker #2: One front door makes services easy to find and use. Our data and analytics power targeted personal outreach. And working closely with employers and health plans, we turn members into active users.

Speaker #2: And we can prove it. This quarter, a randomized trial of our Silver Cloud Behavioral Health program was published in Nature Human Behavior. It was funded by the National Institute of Mental Health and led by investigators from Washington University, Penn State, and UCLA.

Ido Schoenberg: This quarter, a randomized trial of our SilverCloud behavioral health program was published in "Nature Human Behaviour." It was funded by the National Institute of Mental Health and led by investigators from Washington University, Penn State, and UCLA. It followed more than 6,200 students for two years, one of the largest studies of its kind. The results were clear. Students offered SilverCloud engaged at more than double the rate of traditional care. They had lower rates of mental health disorders over two years. The study pointed to about $1.2 million in avoided costs in the study group alone. Better engagement, better outcomes, lower cost, independently validated. That is exactly what payers are looking for. Our market momentum is building. Our pipeline is growing. Renewals are strong. We're engaged in encouraging discussions with new prospects across both the commercial and government sectors.

Speaker #2: It followed more than 6,200 students for two years, one of the largest studies of its kind. The results were clear. Students offer Silver Cloud engage at more than double the rate of traditional care.

Speaker #2: They had lower rates of mental health disorders over two years. And the study pointed to about 1.2 million dollars in avoided costs in the study group alone.

Speaker #2: Better engagement, better outcomes, lower cost, independently validated—that is exactly what payers are looking for. Our market momentum is building. Our pipeline is growing.

Speaker #2: Renewals are strong. We are engaged in encouraging discussions with new prospects across both the commercial and government sectors. This quarter, we also moved closer to a goal we have been clear about: positive cash flow from operations by the fourth quarter of 2026.

Ido Schoenberg: This quarter, we also moved closer to a goal we have been clear about: positive cash flow from operations by Q4 of 2026. We are on track, this is not a one-time result. It builds a durable foundation for healthy growth in 2027 and beyond. Our path here has been deliberate. In 2025, we reduced our losses by roughly $100 million. In Q2, our adjusted EBITDA loss of approximately $1 million is the closest we have been to breakeven as a public company and gives us increased confidence in achieving our goal of positive adjusted EBITDA in Q4. We did this while holding more than $195 million in cash and carrying no debt. We have the runway to execute and a team focused on doing it with discipline. We are achieving all of this with a linear cost structure.

Speaker #2: We are on track. And this is not a one-time result. It builds a durable foundation for healthy growth in 2027 and beyond. Our path here has been deliberate.

Speaker #2: In 2025, we reduced our losses by roughly $100 million. In the second quarter, our adjusted EBITDA loss of approximately $1 million is the closest we have been to break even as a public company and gives us increased confidence in achieving our goal of positive adjusted EBITDA in the fourth quarter.

Speaker #2: We did this while holding more than 195 million dollars in cash and carrying no debt. We have the runway to execute and a team focused on doing it with discipline.

Speaker #2: We are achieving all of this with a leaner cost structure. Our focus platform strategy and our operational discipline make that possible, including the integration of AI across our workflows.

Ido Schoenberg: Our focused platform strategy and our operational discipline make that possible, including the integration of AI across our workflows. Underneath it all is something harder to replicate, a purpose-driven culture that attracts and motivates exceptional people. Let me close with why this matters now. As AI-driven care accelerates, the pressure on payers only grow. In that environment, a single reliable infrastructure layer becomes essential. That is what Amwell is. We have completed our transformation from a telehealth vendor into the infrastructure for AI-powered care programs. We have a mature platform, a focused operation, financial stability, and independent proof that what we deliver works. We are confident in our path to adjusted EBITDA breakeven in Q4 of this year, and we are excited about the growth that follows. With that, I will turn the call over to Mark, who will walk you through our operational and financial metrics. Mark?

Speaker #2: And underneath it all, is something harder to replicate. A purpose-driven culture that attracts and motivates exceptional people. Let me close with why this matters now.

Speaker #2: As AI-driven care accelerates, the pressure on payers only grow. In that environment, a single reliable infrastructure layer becomes essential. That is what Amwell is.

Speaker #2: We have completed our transformation from a telehealth vendor into the infrastructure for AI-powered care programs. We have a mature platform, a focused operation financial stability, and independent proof that what we deliver works.

Speaker #2: We are confident in our path to adjusted EBITDA break even in Q4 of this year and we are excited about the growth that follows.

Speaker #2: With that, I will turn the call over to Mark who will walk you through our operational and financial metrics. Mark.

Speaker #3: Thanks, Ido. And good afternoon, everyone. On today's call, I'll start with a few highlights from the second quarter. Walk through our financial results in detail and close with an update on our third quarter and full year 2026 outlook.

Mark Hirschhorn: Thanks, Ido, and good afternoon, everyone. On today's call, I'll start with a few highlights from Q2, walk through our financial results in detail, and close with an update on our Q3 and full year 2026 outlook. In Q2, we delivered revenue results in line with our expectations, reflecting continued subscription stability and a favorable mix shift within our visit portfolio. Adjusted EBITDA was slightly ahead of our expectations, driven primarily by continued cost discipline across the organization. These results build on the momentum we discussed last quarter and reinforce our confidence in reaching cash flow breakeven in Q4 of this year. Total revenue for Q2 was $52 million, down approximately 26.6% year over year. Subscription revenue was $25.7 million, down approximately 36.5% year over year, though up approximately 3.2% sequentially from Q1.

Speaker #3: In the second quarter, we delivered revenue results in line with our expectations. Reflecting continued subscriptions stability and a favorable mix shift within our visit portfolio.

Speaker #3: Adjusted EBITDA was slightly ahead of our expectations driven primarily by continued cost discipline across the organization. These results build on the momentum we discussed last quarter and reinforce our confidence in reaching cash flow break even in the fourth quarter of this year.

Speaker #3: Total revenue for the second quarter was $52 million. Down approximately 26.6% year over year. Subscription revenue was $25.7 million. Down approximately 36.5% year over year.

Speaker #3: Though up approximately 3.2% sequentially from the first quarter, the year-over-year decline continues to reflect the previously disclosed churn, as well as a one-time subscription revenue benefit recognized in last year's second quarter related to the deployment of our platform across the DHA.

Mark Hirschhorn: The year over year decline continues to reflect the previously disclosed churn, as well as a one-time subscription revenue benefit recognized in last year's Q2 related to the deployment of our platform across the DHA. Encouragingly, sequential improvement reflects the stability we've continued to see in our core payer and government subscription base. Amwell Medical Group or AMG visit revenue was $24.4 million, up approximately 7.4% year over year. AMG paid visits totaled approximately 315,000 visits flat year over year, with revenue per visit of approximately $77 per visit, up approximately $4 or 6% per visit year over year. This is reflected by the continued shift in our visit mix toward higher acuity, higher value clinical programs, and virtual primary care. Virtual primary care visits were up approximately 30% year over year, continuing their strong growth trajectory.

Speaker #3: Encouragingly, sequential improvement reflects the stability we've continued to see in our core payer and government subscription base. Amwell Medical Group or AMG visit revenue was $24.4 million.

Speaker #3: Up approximately 7.4% year over year. AMG paid visits totaled approximately 315,000 visits, flat year over year, with revenue per visit of approximately $77, up approximately $4, or 6% per visit, year over year.

Speaker #3: This is reflected by the continued shift in our visit mix toward higher acuity higher value clinical programs and virtual primary care. Virtual primary care visits were up approximately 30% year over year continuing their strong growth trajectory.

Speaker #3: Total platform visits were approximately 835,000, down approximately 28.4% year-over-year, but consistent with the portfolio changes we've previously discussed. Our gross profit was $27.6 million.

Mark Hirschhorn: Total platform visits were approximately 835,000 visits, down approximately 28.4% year over year, consistent with the portfolio changes we've previously discussed. Our gross profit was $27.6 million, with gross margin of 53%, down approximately 310 basis points year over year from the 56.1% in Q2 2025. It is up approximately 200 basis points sequentially. As we've noted, our existing revenue mix is generating a margin profile broadly consistent with recent quarters, and we continue to expect our revenue mix to shift toward higher margin SaaS offerings over time. Total operating expenses, including depreciation and amortization, were $37.1 million, down approximately 38% year over year and down approximately 18% sequentially. As a percentage of revenue, operating expenses improved to 71.3%, compared to 84.8% in Q2 of last year, reflecting the continued benefit of our transformation actions and ongoing cost discipline across Amwell.

Speaker #3: With gross margin of 53% down approximately 310 basis points year over year from the $56.1% in the second quarter of 2025. But it is up approximately 200 basis points sequentially.

Speaker #3: As we've noted, our existing revenue mix has generated a margin profile broadly consistent with recent quarters and we continue to expect our revenue mix to shift toward higher margin SaaS offerings over time.

Speaker #3: Total operating expenses including depreciation and amortization were $37.1 million. Down approximately 38% year over year and down approximately 18% sequentially as a percentage of revenue operating expenses improved to $71.3% compared to $84.8% in the second quarter of last year reflecting the continued benefit of our transformation actions and ongoing cost discipline across Amwell.

Speaker #3: Adjusted EBITDA for the second quarter was a loss of $1.15 million. Compared to a loss of $4.7 million in the second quarter of 2025.

Mark Hirschhorn: Adjusted EBITDA for Q2 was a loss of $1.15 million, compared to a loss of $4.7 million in Q2 2025. Operating loss was $9.6 million, compared to $20.4 million in Q2 2025, which is an improvement of approximately 53% year over year. Now turning to the balance sheet. We ended Q2 with $196 million in cash and marketable securities with zero debt. Now on to guidance. For Q3 2026, we expect revenue in the range of $46 million to $48 million, and an adjusted EBITDA loss in the range of -$5 million to -$3 million. This outlook reflects normal seasonality in visit volumes as we move throughout the remaining summer months, along with the continued stability we're seeing in our subscription base.

Speaker #3: Operating loss was $9.6 million. Compared to 20.4 million in the second quarter of 2025 which is an improvement of approximately 53% year over year.

Speaker #3: Now turning to the balance sheet. We ended the second quarter with $196 million in cash and marketable securities, with zero debt. Now, on to guidance.

Speaker #3: For the third quarter of 2026, we expect revenue in the range of $46 million to $48 million. And in adjusted EBITDA loss in the range of negative $5 million to negative $3 million.

Speaker #3: This outlook reflects normal seasonality in visit volumes as we move throughout the remaining summer months along with the continued stability we're seeing in our subscription base.

Speaker #3: The step down in adjusted EBITDA from Q2 to Q3 reflects the impact of certain costs associated with the completion of internal projects that we expect to complete prior to the end of this year.

Mark Hirschhorn: The step down in adjusted EBITDA from Q2 to Q3 reflects the impact of certain costs associated with the completion of internal projects that we expect to complete prior to the end of this year. For the full year, we are narrowing our revenue range and raising our adjusted EBITDA range to reflect our year-to-date performance. We now expect full year 2026 revenue in the range of $200 million to $205 million, raising the low end of our previously communicated range of $195 million to $205 million. We are raising our full year adjusted EBITDA guidance to a loss in the range of -$9 million to -$7 million, a meaningful improvement from our prior range of a loss of $16 million to $12 million.

Speaker #3: For the full year, we are narrowing our revenue range and raising our adjusted EBITDA range to reflect our year-to-date performance. We now expect full-year 2026 revenue to be in the range of $200 million to $205 million.

Speaker #3: We are raising the low end of our previously communicated range of $195 million to $205 million. We are also raising our full-year adjusted EBITDA guidance to a loss in the range of negative $9 million to negative $7 million.

Speaker #3: A meaningful improvement from our prior range of a loss of $16 million to $12 million. We continue to expect full year AMG visits toward the high end of our previously communicated range of $1.32 million to $1.37 million visits.

Mark Hirschhorn: We continue to expect full year AMG visits toward the high end of our previously communicated range of 1.32 million to 1.37 million visits. In summary, Q2 was another step forward on our path to right-sizing the company and working towards achieving profitability. Continued subscription stability, a favorable visit mix, and a leaner cost structure give us confidence that we remain on track to achieve our cash flow breakeven goal in Q4. I want to thank the entire Amwell team for their continued hard work and dedication. These results reflect their dedication and tremendous efforts. With that, I'll turn it back to Ido.

Speaker #3: In summary, Q2 was another step forward on our path to right sizing the company and working towards achieving profitability. Continued subscriptions stability a favorable visit mix and a leaner cost structure give us confidence that we remain on track to achieve our cash flow break even goal in the fourth quarter.

Speaker #3: I want to thank the entire Amwell team for their continued hard work and dedication. These results reflect their dedication and tremendous efforts. With that, I'll turn it back to Ido.

Speaker #1: Thank you, Mark. Before we open the call for your questions, let me leave you with the takeaways that matter most. First, the DHA's intent to reward a sole source contract directly to Amwell is a powerful vote of confidence.

Ido Schoenberg: Thank you, Mark. Before we open the call for your questions, let me leave you with the takeaways that matter most. First, the DHA intent to award a sole source contract directly to Amwell is a powerful vote of confidence. It deepens the partnership at the heart of the Military Health System and affirms our position as core infrastructure for the unified federal health IT ecosystem, an opportunity we expect to build on for many years. Second, the quality of our business keeps improving. Subscription revenue is now more than half of total revenue and grew sequentially this quarter. That recurring stable foundation is what makes Amwell more predictable and more valuable over time. Third, our strategy is resonating in the market. Payers want fewer, deeper partnerships, and our single unified platform is built precisely for that. We no longer just claim results, we prove them.

Speaker #1: It deepens the partnership at the heart of the military health system and affirms our position as core infrastructure for the unified federal health IT ecosystem and opportunity we expect to build on for many years.

Speaker #1: Second, the quality of our business keeps improving. Subscription revenue is now more than half of total revenue and grew sequentially this quarter. That recurring, stable foundation is what makes Amwell more predictable and more valuable over time.

Speaker #1: Third, our strategy is resonating in the market. Payers want fewer deeper partnerships. And our single unified platform is built precisely for that. And we no longer just claim results.

Speaker #1: We prove them. The independently run study, published in Nature Human Behavior, showed more than double the engagement, better outcomes, and meaningful avoided costs. That is the evidence payers are looking for.

Ido Schoenberg: The independently run study, published in Nature Human Behaviour, showed more than double the engagement, better outcomes, and meaningful avoided costs. That is the evidence payers are looking for, and it's powering a growing pipeline and strong renewals. Fourth, our discipline is delivering an adjusted EBITDA loss of roughly $1 million, the closest we have ever been to breakeven as a public company. Raised full year adjusted EBITDA guidance. Nearly $200 million in cash and no debt. We are firmly on track for positive adjusted EBITDA and positive operating cash flow in Q4, and that milestone is not the finish line. It is the foundation for healthy, durable growth in 2027 and beyond. Amwell has completed its transformation. We have the platform, the proof, the partnerships, and the financial strength to lead as AI-powered care accelerates.

Speaker #1: And it's powering a growing pipeline and strong renewals. And fourth, our discipline is delivering. An adjusted EBITDA loss of roughly $1 million, the closest we have ever been to break-even as a public company.

Speaker #1: Raised full year adjusted EBITDA guidance. Nearly $200 million in cash and no debt. We are firmly on track for positive adjusted EBITDA and positive operating cash flow in the fourth quarter and that milestone is not the finish line.

Speaker #1: It is the foundation for healthy, durable growth in 2027 and beyond. Amwell has completed its transformation. We have the platform, the proof, the partnerships, and the financial strength to lead as AI-powered care accelerates.

Speaker #1: I want to thank the Amwell team for their exceptional work and our shareholders for their continued trust. With that, we're now happy to open the call for your questions.

Ido Schoenberg: I want to thank the Amwell team for their exceptional work and our shareholders for their continued trust.

Ido Schoenberg: With that, we're now happy to open the call for your questions. Operator, please go ahead.

Speaker #1: Operator, please go ahead.

Speaker #2: Thank you. At this time, we will conduct the question and answer session. To ask a question, you will need to press star 11 on your telephone and wait for your name to be announced.

Operator: Thank you. At this time, we will conduct a question and answer session. To ask a question, you will need to press star 11 on your telephone and wait for your name to be announced. To withdraw your question, please press star 11 again. Please stand by while we compile the Q&A roster. Our first question comes from the line of Ryan MacDonald of Needham. Your line is now open.

Speaker #2: To withdraw your question, please press star 11 again. Please stand by while we compile the Q&A roster. Our first question comes from the line of Ryan McDonald of Needham.

Speaker #2: Your line is now open.

Speaker #4: Hey, this is Matt Shayan for Ryan. Thanks for taking the question. Maybe start on the DHA contract. Not really sure what the best way to ask this is, but ultimately just help us kind of bridge, you know, the difference between the DHA's intent.

Matt Shay: Hey, this is Matt Shay on for Ryan, thanks for taking the question. Maybe start on the DHA contract. Not really sure what the best way to ask this is, ultimately just help us kind of bridge the difference between the DHA's intent. Sounds like you guys are kind of in the pole position, the bridging from the intent to actual implementation, what's left from here? What does that kind of timing look like from here to close out the contract? Then I think last quarter you had talked about the opportunity for there to be an inclusion of additional programs that weren't in the prior implementation, notably the mental health program. Where does that opportunity stand today, and how do you foresee that timeline playing out as well?

Matt Shea: Hey, this is Matt Shay on for Ryan, thanks for taking the question. Maybe start on the DHA contract. Not really sure what the best way to ask this is, ultimately just help us kind of bridge the difference between the DHA's intent. Sounds like you guys are kind of in the pole position, the bridging from the intent to actual implementation, what's left from here? What does that kind of timing look like from here to close out the contract? Then I think last quarter you had talked about the opportunity for there to be an inclusion of additional programs that weren't in the prior implementation, notably the mental health program. Where does that opportunity stand today, and how do you foresee that timeline playing out as well?

Speaker #4: Sounds like you guys are kind of in the pole position, but the bridging from the intent to actual implementation. What's left from here? What does that kind of timing look like from here to kind of close out the contract?

Speaker #4: And then I think last quarter you had talked about the opportunity for there to be an inclusion of additional programs that weren't in the in the in the prior implementation, notably the mental health program.

Speaker #4: Where does that opportunity kind of stand today and and how do you kind of foresee that timeline playing out as well?

Speaker #3: Hi, it's Mark. So this is where we stand with the current negotiations. The DHA in June put out a release calling for a direct, sole source contract with Amwell and four other vendors.

Mark Hirschhorn: Hi, it's Mark. This is where we stand with the current negotiations. The DHA in June, put out a release calling for a direct sole source contract with Amwell and four other vendors. We are all currently negotiating with the DHA. They dropped the deadline of 30 July 2024 with an intent to get some of those contracts live. As is almost expected in these cases, all the parties required some additional information and some time. Their drop-dead date is July 2025, their intention from our last conversations, even this past week, was that they need a couple more months to negotiate. We're currently in those negotiations. They've noted that they would like to transition over as soon as possible.

Speaker #3: We are all currently negotiating with the DHA. They're drop they dropped the deadline of July 30th of this year with an intent to get some of those contracts live.

Speaker #3: But as is almost expected in these cases, all the parties required some additional information, and some time. Their drop-dead date is July of next year, but their intention from our last conversations, even this past week, was that they need a couple more months to negotiate.

Speaker #3: So, we're currently in those negotiations. They've noted that they would like to transition over as soon as possible, so we're working very closely with our trusted partners over at Leidos, and also with the DHA, in order to make this as smooth of a transition as possible.

Mark Hirschhorn: We're working very closely with our trusted partners over at Leidos and also with the DHA in order to make this as smooth of a transition as possible.

Speaker #4: Okay. That's helpful.

Matt Shay: Okay. That's helpful.

Matt Shea: Okay. That's helpful.

Speaker #3: Yep. And the second part of your call, I think likely references our behavioral health silver cloud offering, which we you know, we did have active in force in that in that environment for several months last year.

Mark Hirschhorn: Yep. The second part of your call, I think, likely references our behavioral health SilverCloud offering, which we did have active in force in that environment for several months last year. It was decided after the issues with DOGE and a number of other things that affected our ability to continue at that service level, that we would reintroduce that offering, in conjunction with having our direct sole sourced contract. That conversation also is underway, and we would expect that the opportunity to turn those services on, the soonest opportunity would be in 2027.

Speaker #3: It was decided after the after the issues with DOGE and a number of other things that affected our ability to continue at that at that service level that we would reintroduce that offering in conjunction with having our direct sole sourced contract.

Speaker #3: So that conversation also is underway. And we would expect that the opportunity to turn those services on the soonest opportunity would be in 2027.

Speaker #4: Okay. Great. That's super helpful, Mark. I appreciate that. And then maybe switching gears to the the payer segment. I believe it was last quarter you talked about reintroducing Amwell to several health plans and that part of the mandate is to coming back into the market as you think the relevance of Amwell was lost.

Matt Shay: Okay, great. That's super helpful, Mark. I appreciate that. Maybe switching gears to the payer segment. I believe it was last quarter you talked about reintroducing Amwell to several health plans, and that part of the mandate is the coming back into the market as you think the relevance of Amwell was lost. With Converge and DHA implementations, that credibility is coming back. Maybe first, how important is the DHA renewal to support that credibility narrative? Second, and really more the meat of the question is, it sounds like there's some marketing efforts behind this reintroduction to health plans. It would be helpful to maybe hear how you're positioning Amwell with health plans this selling season, any marketing investments you're making or what's resonating so far.

Matt Shea: Okay, great. That's super helpful, Mark. I appreciate that. Maybe switching gears to the payer segment. I believe it was last quarter you talked about reintroducing Amwell to several health plans, and that part of the mandate is the coming back into the market as you think the relevance of Amwell was lost. With Converge and DHA implementations, that credibility is coming back. Maybe first, how important is the DHA renewal to support that credibility narrative? Second, and really more the meat of the question is, it sounds like there's some marketing efforts behind this reintroduction to health plans. It would be helpful to maybe hear how you're positioning Amwell with health plans this selling season, any marketing investments you're making or what's resonating so far.

Speaker #4: But with Elevance and DHA implementations, you know, that credibility is coming back. So maybe first, how important is the DHA renewal to support that credibility narrative?

Speaker #4: And then second, and really more the meat of the question is, it sounds like there's some marketing efforts behind this reintroduction to health plans.

Speaker #4: So it would be helpful to maybe hear how your positioning Amwell with health plans is selling season any marketing investments you're making or what's resonating so far?

Speaker #4: And then our efforts enough to translate to Jan 1, 2027 wins or is this more of an evolving opportunity that might not take root until say next selling season?

Matt Shay: Are efforts enough to translate to 1 January 2027 wins, or is this more of an evolving opportunity that might not take root until, say, next selling season? Sorry, I know there's a lot there. Just think it's an important topic.

Matt Shea: Are efforts enough to translate to 1 January 2027 wins, or is this more of an evolving opportunity that might not take root until, say, next selling season? Sorry, I know there's a lot there. Just think it's an important topic.

Speaker #4: Sorry, I know there's a lot there, but just think it's an important topic.

Speaker #3: I'm going to have Ido take the first part of that.

Mark Hirschhorn: I'm going to have Ido take the first part of that.

Ido Schoenberg: Okay. Sorry.

Speaker #1: Okay. Sorry. Yeah. Can you hear me now? Can you hear me?

Ido Schoenberg: Yeah. Can you hear me now? Can you hear me?

Speaker #3: Yes.

Mark Hirschhorn: Yes.

Speaker #2: Yes.

Operator: Yes.

Speaker #1: Okay. Matt, great question and thank you. So there is no question that the DHA relationship which we are super proud of is an important milestone and a great proof point.

Ido Schoenberg: Okay. Sorry.

Ido Schoenberg: Yep.

Ido Schoenberg: Hey, Matt, great question and thank you. There is no question that the DHA relationship, which we're super proud of, is an important milestone and a great proof point. They're certainly not the only one, not that is published and not that is coming. It does definitely create momentum. The infrastructure of the DHA is very common across the entire government infra system, and our ability to work so well for such large audience in such scale with such result that is demonstrated very importantly with the decision to do sole source, which usually also means, and they said as much, very long-term agreement, three to five years at least, is an an indication of how things are going, and it's totally not lost on the rest of the government market.

Speaker #1: There's certainly not the only one, not that is published and not that is coming. So there it definitely creates momentum. The infrastructure of the DHA is very common across the entire government infra system.

Speaker #1: And our ability to work so well for such a large audience, at such scale, with such results—that is demonstrated very importantly with the decision to do sole source, which usually also means, and they said as much, a very long-term agreement, three to five years at least—is an indication of how things are going and is totally not lost on the rest of the government market.

Speaker #1: But in many ways what government players are dealing with is very similar in some ways to commercial payers. Essentially the problem today more zooming out for a second is that the cost of care is rising through the roof.

Ido Schoenberg: In many ways, what government players are dealing with is very similar in some ways to commercial payers. Essentially, the problem today, more zooming out for a second, is that the cost of care is rising through the roof. Activating members to engage in technology-enabled care is extremely inefficient and ineffective. When they do engage, the ability to understand and prove the outcomes is increasingly complicated in a scenario where there are so many vendors, there is vendor fatigue, piecing that together data is so hard, and so on and so forth. That's exactly where we come in. The reason we see this market receptivity is fairly simple. One, almost all our customers and potential customers have vendor sprawl and vendor fatigue. They hire more and more people to manage more and more relationships that don't always pan out.

Speaker #1: Activating members to engage in technology enabled care is extremely inefficient and ineffective. And when they do engage the ability to understand and prove the outcomes is increasingly complicated in a scenario where there are so many vendors there is vendor fatigue pissing out together data is so hard and so on and so forth and that's exactly where we come in.

Speaker #1: The reason we see this market receptivity is is fairly simple. One, almost all our customers and potential customers have vendor support and vendor fatigue.

Speaker #1: They hire more and more people to manage more and more relationships. They don't always pan out. And the pressure because of rising cost of care and inability to raise premium accordingly where the margins are distressed is very much to try to improve efficiency of care and that's that's really our business.

Ido Schoenberg: The pressure, because of rising cost of care and inability to raise premium accordingly, where the margins are distressed, is very much to try to improve efficiency of care, and that's really our business. The technology-enabled care is a fantastic experience for members, it's also a way to attract and retain members and comfort clients. The fact that the platform is built inside their infrastructure and it's inside the trusted brand is very important. Essentially, they are very open in this time of distress to talk about consolidation and simplification of what could be an important lifeline for them to try to improve financial and clinical outcomes. That's exactly us. Less integration under a known brand, which is their brand, not losing the patient-member relationship to anyone.

Speaker #1: The technology enabled care is a fantastic experience for members. So it's also a way to attract and retain members and and comfort clients. So the fact that the platform is built inside their infrastructure and it's inside the trusted brand is very important.

Speaker #1: So essentially they are very open in this time of distress to talk about consolidation and simplification of what could be an important lifeline line for them to try to improve financial and and clinical outcomes.

Speaker #1: That's exactly us—less integration under a known brand, which is their brand, not losing the patient-member relationship to anyone. We've proven at the DHA and elsewhere that we are fairly effective in attracting people to their digital door, to their infrastructure.

Ido Schoenberg: We've proven at the DHA and elsewhere that we are fairly effective in attracting people to their digital door, to their infrastructure. We're not only there, we are activating members using technology and clinical measures. The infrastructure of AMG, for example, is a very important technology-enabled care piece of what we do that allows to form longstanding, recurring relationship between doctors and patients that is not a dead end, but rather an orchestration layer to growing array of AI-powered care. That works really, really well as a gateway, as an enabler. When we talk about this care, we are offering our own native programs, there are so many of them, urgent care, primary care, behavioral health. Mark talked about the growth there. Nutrition, psychiatry, and so on, but also a rapidly growing roster of partners, Sword, Hello Heart, Vida, Dario, DermatologistOnCall, to name a few.

Speaker #1: But we're not only there. We are activating members using technology and clinical measures the infrastructure of AMG for example is a very important technology enabled care piece of what we do that allows to form long-standing recurring relationship between doctors and patient that is not a dead end but rather an orchestration layer to growing array of AI powered care.

Speaker #1: And that works really really well. As Gateway is an enabler. When we talk about this care we are offering our own native programs and there are so many of them urgent care primary care we have a health Mark talked about the growth there nutrition psychiatry and so on but also a rapidly growing roster of partners SORD Hello Heart Vida Dario dermatologists on call to name a few.

Speaker #1: But much more importantly the pressure is to prove outcome so we build a data infrastructure that allows to piece together the results and really understand what's working and not working and when something doesn't work or doesn't work as well we have the ability to switch over programs very easily.

Ido Schoenberg: Much more importantly, the pressure is to prove outcome, we build a data infrastructure that allows to piece together the results and really understand what's working and not working. When something doesn't work or doesn't work as well, we have the ability to switch over programs very easily. Our customers are able to accommodate their own clients very dynamically in an era where new programs show up every day. This entire solution of Amwell is very differently received from the way that traditional telehealth, say, was received. It's working. I'm not going to name all the names because most of the people on the call know our clients. They are very, very big. You mentioned the marketing to those payers and government. We have a very seasoned team, and our customers are sizable.

Speaker #1: So our customers are able to accommodate their own clients very dynamically in an era where new programs show up every day. So this entire solution of Amwell is very differently received from the way that traditional telehealth was received.

Speaker #1: And it's working. And I'm not going to name all the names because most of the people on the call know our clients. They are very very big.

Speaker #1: You mentioned the marketing to to those payers and government. We have a very seasoned team and our customers are are sizable. We don't need an army in order to engage in those platforms and no one buys those platforms in a seasonal way.

Ido Schoenberg: We don't need an army in order to engage in those platforms, no one buys those platforms in a seasonal way. You don't buy an infrastructure for a database in the summer. What we do is a strategic solution for our customers that is essential today more than ever and is working. Our 2 decades of experience is showing. They know they can trust us. They know they can trust us to take off a lot of weight they have off their shoulders and manage this zoo, this dynamic array of clinical programs without new integrations, without multiple contracts, without piecing different pieces of data together, and with protecting the downside in areas like cybersecurity, privacy, and compliance, which are also very, very important.

Speaker #1: You don't buy an infrastructure for a database in the summer. What we do is strategic solution for our customers that is essential today more than ever and is working.

Speaker #1: Our two decades of experience is showing they know they they can trust us. They know they can trust us to take off a lot of weight they have of their shoulders and manage this zoo this dynamic array of clinical programs without new integrations without a a multiple contract without piecing different pieces of data together and with protecting their downside in areas like cyber security and privacy and compliance which are also very very important.

Speaker #1: So I know it was a mouthful. It was a relatively long answer to a short question. But these are the reasons why you see the results that you see, and this is the reason why I said I'm so optimistic about our growth in '27 and beyond.

Ido Schoenberg: I know it was a mouthful, it was a relatively long answer to a short question, these are the reasons why you see the results you see, this is the reason why I said I'm so optimistic about our growth in 2027 and beyond. We are seeing it right now. There is good receptivity. The pipeline is growing. There is a lot of activity on the sales side. Much more importantly, we see the impact on our existing customers. When you think about some of them, we're talking about people with tens of millions of potential members. Across the board today, only a few members actually enroll, less than half in some cases. Only 4% or 5%, and I'm optimistic, actually engage and bring outcomes.

Speaker #1: We are seeing it right now. There is good receptivity. The pipeline is growing. There is a lot of activity on the sales side, but much more importantly, we see the impact on our existing customers.

Speaker #1: When you think about some of them, we're talking about people with tens of millions of potential members. And across the board today, only a few members actually enroll.

Speaker #1: Less than half in some cases. And only four or five percent and I'm optimistic actually engage and bring outcomes. We are changing that. And the financial impact and value to payers and their customers is enormous.

Ido Schoenberg: We are changing that, the financial impact and value to payers and their customers is enormous. I don't think we've ever been as optimistic as we are. I don't think we've ever been as focused as we are. It's a delightful experience to be in the market today with our existing customers and with new ones and see the twinkle in their eyes as we solve something that is a high-priority problem for them.

Speaker #1: So, I don't think we've ever been as optimistic as we are. I don't think we've ever been as focused as we are. And it's a delightful experience to be in the market today with our existing customers and with new ones, and see the twinkle in their eyes as we solve something that is a high-priority problem for them.

Speaker #2: That's great to hear. Appreciate all that, Colorado. Thank you.

Matt Shay: That's great to hear. Appreciate all that color, Ido. Thank you.

Matt Shea: That's great to hear. Appreciate all that color, Ido. Thank you.

Speaker #4: One moment for our next question. Our next question comes from the line of David Larson of BTIG. Your line is now open.

Operator: One moment for our next question. Our next question comes from the line of David Larsen of BTIG. Your line is now open.

Speaker #5: Hi. Can you talk about the progression of EBITDA from Q2 to to break even 4Q? Sort of how your your planning to get there and just sort of maybe an update on your cost restructuring efforts.

David Larsen: Hi. Can you talk about the progression of EBITDA from Q2 to break even Q4, sort of how you're planning to get there and just sort of maybe an update on your cost restructuring efforts. Thanks very much.

Speaker #5: Thanks very much.

Speaker #1: Yeah. Certainly. You know we communicated at the beginning of the year that we would have a cycle of costs that would end or would bring us to a point where we would have a number of quarters working towards a break even at the end of the year.

Mark Hirschhorn: Yeah, certainly. We communicated at the beginning of the year that we would have a cycle of costs that would end or would bring us to the point where we would have a number of quarters working towards a break even at the end of the year. There's some project work that we had commenced at the end of last year. It brought us through to the beginning of this year. It's cycling down now in Q3. While we will have a quarter that's going to have a small degree of losses, we have great visibility and a certain degree of conviction around where those costs will be over the next several months, and that's why we are very confident that we will hit our cash flow break even and adjusted EBITDA break even in Q4.

Speaker #1: There's some project work that we had commenced at the end of last year it brought us through to the beginning of this year it's cycling down now in the third quarter.

Speaker #1: While we will have a quarter that's going to have a small degree of losses, we have great visibility and a certain degree of conviction around where those costs will be over the next several months, and that's why we are very confident that we will hit our cash flow break-even and adjusted EBITDA break-even in Q4.

Speaker #1: As you likely just saw with the release, we came very close to that this quarter. So, conservatively, we've given a range for full-year EBITDA. Obviously, it's our internal goal to beat that.

Mark Hirschhorn: As you likely just saw with the release, we came very close to that this quarter. Conservatively, we've given a range for full year EBITDA. Obviously, it's our internal goal to beat that. We've been successful over the last several quarters doing that and coming in with better bottom line and top line results, and I believe we're very conservative in the top line as well. Assuming we have a status quo with our existing clients, we have not incorporated any new revenues, just a little bit of seasonality in Q4 for visit volume.

Speaker #1: We've been successful over the last several quarters doing that, and coming in with better bottom-line and top-line results, and I believe we're very conservative in the top line as well.

Speaker #1: Assuming we have a status quo with our existing clients we have not incorporated any new revenues just a little bit of seasonality in Q4 for for visit volume.

Speaker #5: Okay. And then as we think about 2027, can you provide some color around maybe backlog metrics? Is that a number you sort of track—bookings, anything like that—around expected retention levels in '27?

David Larsen: Okay. As we think about 2027, can you provide some color around maybe backlog metrics? Is that a number you sort of track? Bookings, anything around expected retention levels in 2027? Basically at a high level without guiding, is your revenue going to grow year-over-year in 2027? Thanks.

Speaker #5: Basically, at a high level, without guiding, is your revenue going to grow year over year in '27? Thanks.

Speaker #1: Yeah. We will obviously share much more visibility on expected 2027, perhaps earlier than the end of this year, if the prospects that we're currently speaking to on the government side do in fact come to fruition and we have signed contracts that will give us a great degree of visibility into revenue growth for 2027.

Mark Hirschhorn: Yeah. We will obviously share much more visibility on expected 2027, perhaps earlier than the end of this year, if the prospects that we're currently speaking to on the government side do in fact come to fruition and we have signed contracts. That will give us a great degree of visibility into revenue growth for 2027. Internally, again, we would like to see the company return to a level of double-digit growth. We think that is very attainable with the consummation of the contracts that are currently under discussion with those clients that form the majority of our pipeline.

Speaker #1: Internally, again, we would like to see the company return to a level of double-digit growth. We think that is very attainable with the consummation of the contracts that are currently under discussion with those clients that form the majority of our pipeline.

Speaker #5: One one more quick one from me please. With with the DHA contract. The the intent to award annually a sole source deal number one was that a renewal.

David Larsen: One more quick one for me, please. With the DHA contract, the intent to award Amwell a sole source deal, number one, was that a renewal? Will there be any incremental revenue tied to that? Number two, I think I heard you say there were four other vendors included in that. Can you sort of correct me? When I hear sole source, it sounds to me like Amwell is the only vendor that was awarded something, but then I heard you say that there were four other vendors who may have been awarded something. Do you know what the revenue is that you will realize under that deal, or is that all kind of getting worked through? Thanks.

Speaker #5: So will there be any incremental revenue tied to that? And then, number two, I think I heard you say there were four other vendors included in that.

Speaker #5: Can you sort of correct me? Like, when I hear 'sole source,' it sounds to me like Amwell is the only vendor that was awarded something, but then I heard you say that there were four other vendors who may have been awarded something. And then, do you know what the revenue is that you will realize under that deal, or is that all kind of getting worked through?

Speaker #5: Thanks.

Speaker #1: Yeah, so the, you know, the release I'm referring to is, you know, under the new model, the DHA stated they're going to contract directly with proprietary solution providers for their core system capabilities rather than going through pass-through entities, and in these cases—or in this particular case—that was Leidos.

Mark Hirschhorn: Yeah. The release I'm referring to is under the new model, the DHA stated they're going to contract directly with proprietary solution providers for their core system capabilities rather than going through pass-through entities. And in these cases or in this particular case, that was Leidos. Now, Leidos has been a wonderful partner. We may end up obviously working with Leidos on a number of other things, but in relation to this particular contract, these services are provided by four distinct companies: Amwell, Oracle Health, Philips, oh, five actually. Solventum, which was that former 3M subsidiary, and Henry Schein. The DHA's intent prior to the end of July 2025 is to create and execute contracts with each of these five companies.

Speaker #1: Now LIDOS has been a wonderful partner. We may end up obviously working with LIDOS on a number of other things but in relation to this particular contract these services are provided by four distinct companies.

Speaker #1: Amwell, Oracle Health, Philips, oh five actually, Solventum—which was that former 3M subsidiary—and Henry Schein. So, the DHA's intent prior to the end of July next year is to create and execute contracts with each of these five companies.

Speaker #1: Will we end up seeing a little more revenue. For additional services that we may have to take on in lieu of the third party systems integrators and others.

Mark Hirschhorn: Will we end up seeing a little more revenue for additional services that we may have to take on in lieu of the third-party systems integrators and others? That's absolutely a likelihood.

Speaker #1: That's absolutely a likelihood.

Speaker #5: Okay. So you're the only sort of telehealth platform of those handful that you mentioned these other ones are important but they are basically providing different pieces of the overall project.

David Larsen: Okay. You're the only sort of telehealth platform of those handful that you mentioned. These other ones are important, but they are basically providing different pieces of the overall project. Okay, thanks very much.

Speaker #5: Okay. Thanks very much.

Ido Schoenberg: Absolutely, David. Absolutely.

Speaker #2: Absolutely David. Absolutely.

Speaker #3: As a reminder, to ask a question, please press *11 on your telephone and wait for your name to be announced. One moment for our next question.

Operator: As a reminder, to ask a question, please press star one one on your telephone and wait for your name to be announced. One moment for our next question. Our next question comes from the line of Jailendra Singh of Truist Securities. Your line is now open.

Speaker #3: Our next question comes from the line of Jolendra Singh of Truist Security. Your line is now open.

Speaker #2: Yeah, thank you, and thanks for taking my question. So, just to make sure I understand, with the DHA contract, is there any change to the annual revenue compared to what the current arrangement did, or is the primary benefit here that you now have greater contract visibility and duration?

Jailendra Singh: Yeah, thank you, thanks for taking my question. Just to make sure I understand that this DHA contract, is there any change to the annual revenue compared to what the current arrangement is? Is the primary benefit here is that we have now greater contract visibility and duration? Just trying to understand the change here.

Speaker #2: Just trying to understand the change here.

Speaker #1: Yeah. There there is obviously an opportunity to create more services being directly provided by Amwell to the DHA. There are a number of things that are currently in discussion.

Mark Hirschhorn: Yeah. There is obviously an opportunity to create more services being directly provided by Amwell to the DHA. There are a number of things that are currently in discussion. We would expect that there will be opportunity for a broader scope of services.

Speaker #1: So, we would expect that there will be opportunities for a broader scope of services.

Speaker #2: Okay. And then my follow up on your comment about strong renewal and a growing pipeline. Anything you can share in terms of is the current pipeline is expanding with your existing customers versus you are seeing now new logos new customers coming through and how much of these pipeline discussions are involving some of your AI focus and investment you're doing there.

Jailendra Singh: Okay. My follow-up on your comment about strong renewal and a growing pipeline. Anything you can share in terms of, is the current pipeline expanding with your existing customers versus you are seeing now new logos, new customers coming through? How much of these pipeline discussions are involving some of your AI focus and investment you're doing there? Just trying to understand the AI focus versus non-AI and also the existing versus new customers.

Speaker #2: Just just trying to understand the AI focus versus non-AI and also the existing versus new customers. Hi Jolendra. Yes. Yes to all. So basically many of the market players are now in search of platforms.

Ido Schoenberg: Hi, Jailendra. Yes, to all. Basically, many of the market players are now in search of platforms. Vendor fatigue, cost of engagement, things I discussed earlier. The market is definitely alive and kicking to change platforms. They want to change platform also because they want or sometimes are forced to add more programs because some of the new programs are just very effective. Some of them are dangerous and ineffective, and it's hard to tell which is which. One thing for sure, managing it yourself is incredibly taxing, super expensive, super complicated, super hard. That's what we've done for a really long time, and that's what our platform does. There is enormous interest by new players in what we have, but their interest is really driven very much because of the success we see with our existing customers.

Speaker #2: Vendor fatigue cost of engagement things I discussed earlier. So the market is definitely alive and kicking to change platforms. There want to change platform also because they want or sometimes are forced to add more programs because some of the new programs are just very effective.

Speaker #2: Some of them are dangerous and ineffective and it's hard to tell which is which. One thing for sure managing yourself is incredibly taxing super expensive super complicated super hard and that's what we've done for a really long time and that's what a platform does.

Speaker #2: So there is enormous interest by new players in what we have. But they're interest is really driven very much because of the success we see with our existing customers.

Speaker #2: The DHA elevants are, you know, there are quite a few others that are basically performing, and performing very well. You see it in renewal.

Ido Schoenberg: The DHA, Elevance, there are quite a few others, that are basically performing and performing very well. You see it in renewal. As it relates to AI changes everything. It's hard for me to overstate the enormity of the revolution that touches everything, not only in healthcare, of course. First we, and boringly, we're using AI across the company in everything we do. Better deliverables, better workflows, better data-driven strategy, better everything. You saw the dramatic change in our cost structure that was simply not possible without AI. We are nowhere near done. We are going to be dramatically more effective only because we have AI, and I assume that many companies are doing the same. It's not a great necessarily differentiator, but not doing it is existentially dangerous in our opinion.

Speaker #2: As it relates to AI, AI changes everything. It's hard for me to overstate the enormity of the revolution that touches everything, not only in healthcare, of course.

Speaker #2: So first we and boringly we're using AI across the company in everything we do. Better deliverables better workflows better data driven strategy better everything.

Speaker #2: And you saw the dramatic change in our cost structure that was simply not possible without AI. And we are nowhere near done. We are going to be dramatically more effective only because we have AI, and I assume that many companies are doing the same.

Speaker #2: It's not a great differentiator necessarily, but not doing it is existentially dangerous, in our opinion. Much more importantly, in terms of our infrastructure and product—of course, we also have AI investment in our own product, in managing data, analytics, data science engagement, and all those things.

Ido Schoenberg: Much more importantly, in way of our infrastructure and product, of course, we have also AI investment in our own product in managing data analytics, data science engagement, and all those things. Zooming out on the big picture, our biggest contribution is to basically free our customers from the need to diligent, to integrate, to piece together a lot of new programs. They turn to us to do their job, our platform is designed to do that, and we do it quite well. The fact that we have a national network of thousands of doctors around the clock with short wait times that are extremely experienced and high clinical quality with very, very high NPS, that are all connected and engaged to this platform is incredibly important.

Speaker #2: But zooming out in on the big picture our biggest contribution is to basically free our customers from the need to diligent to integrate to piece together a lot of new new programs they turn to us to do their job and our platform is designed to do that and we do it you know quite well.

Speaker #2: The fact that we have a national network of thousands of doctors around the clock, with short wait times, who are extremely experienced and of high clinical quality, with very, very high NPS, and who are all connected and engaged to this platform, is incredibly important.

Speaker #2: You need a clinical human in the loop in order to enable a lot of the greatness that new and existing clinical programs are offering.

Ido Schoenberg: You need a clinical human in the loop in order to enable a lot of the greatness that new and existing clinical programs they are offering. The fact that we saw recent renewals on very large audiences, the fact that we are much better in marketing to individuals, members, patients, beneficiaries, employees, regardless of how you call them, we are able to dramatically improve the engagement per individual, that results in measurable outcomes that we can prove, the ability to switch over and monitor is something that is fairly basic, fundamental to our customers and could drive and is already driving, you saw some of the numbers today, drive a higher utilization, with our existing customers. The wide space of same-store growth is hard to exaggerate on.

Speaker #2: So the fact that we so recent renewals on very large audiences and the fact that we are much better in marketing to individuals members patients beneficiaries employees regardless of how you call them and we are able to dramatically improve the engagement pair individual and that results in measurable outcomes that we can prove and the ability to switch over and monitor is something that is fairly basic and fundamental to our customers and could drive and is already driving and you saw some of the numbers today drive a higher utilization with our existing customers.

Speaker #2: The white space of same store growth is hard to exaggerate on. And that growth and that success will definitely have already have and will continue to have a great impact in our ability to sell.

Ido Schoenberg: That growth and that success will definitely have, already have, and will continue to have a great impact in our ability to sell. We sell what works. What works with our existing customers. Our priority is to maximize the value to them, and that's the best sales and marketing tool for new ones in a time where there is great distress and great need. We are not viewed as extra SaaS expense. We are viewed as a tool to consolidate, save, simplify, and achieve results in a very meaningful way.

Speaker #2: We sell what works. And what works works with our existing customers. So our priority is to maximize the value to them and that's the best sales and marketing tool for new ones.

Speaker #2: In a time where there is great distress and great need, we are not viewed as an extra SaaS expense. We are viewed as a tool to consolidate, save, simplify, and achieve results in a very meaningful way.

Speaker #2: Great. Perfect. Thanks a lot.

Jailendra Singh: Great. Perfect. Thanks a lot.

Operator: One moment for our next question. Our next question comes from the line of Craig Hettenbach of Morgan Stanley. Your line is now open.

Speaker #1: One moment for our next question. Our next question comes from the line of Craig Hettenbach of Morgan Stanley. Your line is now open.

Speaker #3: Yes. Thank you. Understanding the opportunity set has been kind of shifting to the government programs you've been talking about. Can you just touch on what you're seeing at your health system customers?

Craig Hettenbach: Yes, thank you. Understanding the opportunity set has been kind of shifting to the government programs you've been talking about, can you just touch on what you're seeing at your health system customers? What's resonating with them today? What are some areas that they're focused on most versus maybe cutting back?

Speaker #3: You know what's resonating with them today? What are some areas that they're focused on most versus maybe cutting back?

Speaker #2: Sure, Craig. So essentially, everybody is trying to do what I said, right? Everybody has an addressable population that they need to engage to use more technology-enabled care, powered by AI, to improve AI outcomes and improve them.

Ido Schoenberg: Sure, Craig. Essentially, everybody is trying to do what I said, right? Everybody has addressable population that they need to engage to use more technology-enabled care powered by AI to improve the outcome, improve them. If it doesn't work, fix that. That's true across the board. The government obviously is a huge infrastructure or huge container of a lot of people that is very impacted by the value that we can create, and you see the momentum there, but it's almost the same momentum with commercial payers. We see it very clearly. Their interests are the same. Their clients, employers, especially self-insured employers, are demanding that type of infrastructure, that type of agility and ability to improve. The health systems issue is different. We used to have a very wide net of products across different areas.

Speaker #2: And then if it doesn't work fix that. That's true across the board. The government obviously is a huge infrastructure or huge container of a lot of people.

Speaker #2: That is very impacted by the value that we can create and you see the momentum there. But it's almost the same momentum with commercial payers.

Speaker #2: We see it very clearly. Their interests are the same. Their clients—employers, especially self-insured employers—are demanding that type of infrastructure, that type of agility and ability to improve.

Speaker #2: The health systems issue is different. We used to have a very wide net of products across different areas. Some of them are increasingly occupied by the traditional EHR payers—urgent care, for example, tele-psychiatry that we sold recently, and so on and so forth.

Ido Schoenberg: Some of them are growingly occupied by the traditional EHR payers, urgent care, for example, telepsychiatry that we sold recently, and so on and so forth. While we see, and we have a loyal base of customers in health systems, and we are proud of that relationship, and we believe that providers have a very important role also in the future in enabling AI-enabled care, the financial opportunity right now that moves our needle is very much in the government and payer section as priority. We are certainly not discounting the health systems. Per design, they're smaller. They move in different dynamics, and our focus area today is much better defined than it was before, which I think is very positive for everybody. We're not doing things that we're not great at. We do one thing, and we think we are very good at that.

Speaker #2: So while we see and we have a loyal base of customers in health systems and we are proud of that relationship and we believe that providers have a very important role in also in the future in enabling AI care AI enabled care the financial opportunity right now that moves our needle is very much in the government and payer sector as priority.

Speaker #2: But we are certainly not discounting the health systems. Per design, they are smaller, they move in different dynamics, and our focus area today is much better defined than it was before, which I think is very positive for everybody.

Speaker #2: We're not doing things that we are not great at. We do one thing and we think we are very very good at that. It has a very clear implication on all payers but our priorities were were as said it was.

Ido Schoenberg: It has a very clear implication on all payers, our priorities were as said it was.

Speaker #3: Got it. And then, just to follow up from Mark—in a scenario where you are able to get back to double-digit revenue growth, can you talk about the operating leverage in the model at this point?

Craig Hettenbach: Got it. Just to follow up for Mark. In a scenario where you are able to get back to double-digit revenue growth, can you talk about just the operating leverage in the model at this point? I know you guys have done a lot of cost reductions and have tightened up. In that double-digit revenue scenario, how would you envision OpEx in terms of headcount or just things, even if it's at kind of a high level?

Speaker #3: I know you guys have done a lot of kind of cost reductions and have tightened up. So in in in that double digit revenue scenario how would you envision OpEx in terms of headcount or just things even if it's at kind of a high level?

Speaker #2: Yeah, Craig, we've completed the vast majority of our cost reductions coming into the latter half of this year. Our margin profile will likely pick up about 1,000 basis points between where we are today and the run rate for Q4 of 2027, as we achieve a significant improvement on the subscription revenue line.

Mark Hirschhorn: Yeah. Craig, we've completed the vast majority of our cost reductions coming to the latter half of this year. Our margin profile will likely pick up about 1,000, looking at 1,000 basis points between where we are today and run rate Q4 of 2027, as we achieve a significant improvement on the subscription revenue line. The costs to manage and to continue to grow and support that line are considerably less than where we had been, with services creating the larger component. We would likely look at our headcount to be somewhat similar between years with, I would say, mid-teens growth projections if all of our prospects that we believe have a high probability of coming in between now and the end of next year do materialize.

Speaker #2: The costs to manage and to continue to grow and support that line are considerably less than where we had been, with services creating a larger component.

Speaker #2: So we would likely look at our headcount to be somewhat similar between years, with, I would say, mid-teens growth projections if all of our prospects that we believe have a high probability of coming in between now and the end of next year do materialize.

Speaker #3: Got it. Thank you.

Craig Hettenbach: Got it. Thank you.

Speaker #2: Welcome.

Mark Hirschhorn: Welcome.

Speaker #1: One moment for our next question. Our next question comes from the line of Stan Berenshteyn of Wells Fargo Securities. Your line is now open.

Operator: One moment for our next question. Our next question comes from the line of Stan Berenshteyn of Wells Fargo Securities. Your line is now open.

Stan Berenshteyn: Hi. Good evening. Thanks for taking my questions. I apologize if I'm reasking anything. I did hop on a little late here. Given your comments related to the pipeline growth, are there any changes in R&D or sales and marketing focus for you or reinvestment as we think about the next 6 to 12 months? Furthermore, I just wanted to get a follow-up. Are you looking at any opportunities to further rationalize any of your non-core assets? Thank you.

Speaker #2: Hi. Good evening. Thanks for taking my questions. I I apologize if I'm reasking anything. I did hop on a little late here. But you know given your comments related to the pipeline growth are there any changes in in R&D or sales or marketing focus for you or reinvestment as we think about the next six to twelve months?

Speaker #2: And then, you know, furthermore, I just wanted to get a follow-up. Are you looking at any opportunities to further rationalize any of your non-core assets?

Speaker #2: Thank you.

Speaker #4: Hi Stan. I think you're the two parts of your question really complement each other perfectly. We are laser focused we we have one platform that does what I said earlier on the call and that means that we are divesting assets that are non-core and are going to reinvest our efforts in doing what I said earlier on the call.

Ido Schoenberg: Hi, Stan. I think the two parts of your question really complement each other perfectly. We are laser-focused. We have one platform that does what I said earlier on the call. That means that we are divesting assets that are non-core, and are going to reinvest our efforts in doing what I said earlier on the call. Our R&D team is much more efficient today. It's much smaller than it was, but it is more productive in many ways, mostly because of the strategic focus, but also because of the layering, reorganization, and different processes, and liberal use of AI and other tools. That's really what's going to continue to allow us to be very effective.

Speaker #4: So our R&D is team is much more efficient today it's much smaller than it was but it's more productive in many ways. Mostly because of the strategic focus but also because of the layering and reorganization and different processes and liberal use of AI and other and other tools.

Speaker #4: And that's really what’s going to continue to allow us to be very effective. Some of the contracts that we are looking at or some of the opportunities may require some investment, but these are going to be accretive investments that are not going to change our—our—our position as we talk about growth and—and profitability.

Ido Schoenberg: Some of the contracts that we are looking at or some of the opportunities may require some investment, but these are going to be accretive investments that are not going to change our position as we talk about growth and profitability. We are very, very disciplined now, much more than before, in only engaging in opportunities that do not require us to defocus and do not require us to do any custom development or things that their profitability is unclear. It's one engine. It does something very specific. It is customizable, but we are not creating any different variation of it for different customers. They are all using the same backbone, in the same way, and that allows us just to be much more impactful.

Speaker #4: So we are very, very disciplined now—much more than before—in only engaging in opportunities that do not require us to defocus, and do not require us to do any custom development or things where their profitability is unclear.

Speaker #4: It's one engine. It does something very specific. It is customizable but we are not creating any different variation of it for different customers. They're all using the same the same backbone in the same way and that allows us just to be much more much more impact impactful.

Speaker #4: And I think in many ways, some of the pipeline growth that we see, some of the way—the reason our story is resonating is the fact that it's truly trustworthy.

Ido Schoenberg: I think in many ways, some of the pipeline growth that we see, some of the reason our story is resonating is the fact that it's truly trustworthy. There are so many casualties right now, also different programs, especially new AI programs, and so on that are not necessarily panning out, that experimenting with them is a must, but experimenting with them on a trusted platform that does consistent member experience, that spits consistent reports in the same format, that requires one integration, that reduces the number of contracts and relationships that you have to manage.

Speaker #4: There are so many casualties right now, also of different programs, especially new AI programs and so on, that are not necessarily panning out. Experimenting with them is a must, but experimenting with them on a trusted platform that delivers a consistent member experience, that generates consistent reports in the same format, that requires one integration, that reduces the number of contracts and relationships you have to manage, and in addition to that enables a flywheel where the same patient can actually get multiple types of service that reinforce each other and work in harmony, is the reason the revenue per employee, the impact of the company, its profitability, is going to, in our opinion, continue to grow over the next few years.

Ido Schoenberg: In addition to that, enables a flywheel where the same patient can actually get multiple types of service that reinforce each other and work in harmony, is the reason where the revenue per employee, the impact of the company, and its profitability, is going to, in our opinion, continue to grow over the next few years.

Speaker #3: Appreciate the caller Ido. It seems like you you agreed that that perhaps there might be some non-core assets that might be divested. Is there anything from like a timing standpoint that you can haircut here and say suggest that you know maybe there's something on the horizon or is this more of just like a theoretical thing that's may or may not happen?

Stan Berenshteyn: Appreciate the color. Ido, it seems like you agreed that perhaps there might be some non-core assets that might be divested. Is there anything, from a timing standpoint that you can haircut here and suggest that maybe there's something on the horizon, or is this more of just like a theoretical thing that may or may not happen? Thanks.

Speaker #3: Thanks.

Speaker #4: I wouldn't call it theoretical. We did divest quite a few things already, and we care deeply about our customers. So that's our number one priority.

Ido Schoenberg: I wouldn't call it theoretical. We did divest quite a few things already. We care deeply about our customers, so that's our number one priority. Whatever we do, we're going to do in a responsible way to make sure that we maintain important relationships in the market and not leave anyone in any type of an issue. We are actively working on that. You should expect us to continue to defocus. It may come with some revenues, or income, not revenues, I'm sorry. The main benefit is the laser focus of the company. Our plan is to be left with one platform, one product, one type of service for everyone that we serve.

Speaker #4: Whatever we do we're going to do in responsible way to make sure that we maintain important relationships in in in the market and not leave anyone in in in any type of of an issue.

Speaker #4: So we are actively working on that. You should expect us to continue to de-focus. It may come with some revenues we're beginning, or income—not revenues, I'm sorry.

Speaker #4: But the main benefit is the laser focus of the company. Our plan is to be left with one platform, one product, one type of service for everyone that we serve.

Speaker #2: Great. Thanks so much.

Stan Berenshteyn: Great. Thanks so much.

Speaker #1: I have no further questions at this time. I would now like to turn it back to Ido for closing remarks.

Operator: I am showing no further questions at this time. I would now like to turn it back to Ido for closing remarks.

Speaker #4: Thank you, operator, and thank you, everyone, for joining. Have a good evening.

Ido Schoenberg: Thank you, operator. Thank you, everyone, for joining. Have a good evening.

Operator: Thank you for your participation in today's conference. This does conclude the program. You may now disconnect.

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