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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

 

(Mark One)

 

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the quarterly period ended September 30, 2024

 

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the transition period from to

Commission File Number: 001-39515

 

American Well Corporation

(Exact name of registrant as specified in its charter)

 

 

Delaware

20-5009396

(State of incorporation)

(I.R.S. Employer
Identification Number)

 

75 State Street, 26th Floor

Boston, MA 02109

(Address of registrant’s principal executive offices)

(617) 204-3500

(Registrant’s telephone number, including area code)

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

 

Trading Symbol(s)

 

Name of each exchange on which registered

Class A common stock,
par value of $0.01 per share

 

AMWL

 

The New York Stock Exchange

 

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definition of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer

 

Accelerated filer

 

Non-accelerated filer

 

Smaller reporting company

 

 

Emerging growth company

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes No ☒

 

As of October 18, 2024, the number of shares of the registrant’s Class A common stock outstanding was 13,672,534, the number of shares of the registrant’s Class B common stock outstanding was 1,369,518 and the number of shares of the registrant’s Class C common stock outstanding was 277,777.

 

 

 


 

American Well Corporation

QUARTERLY REPORT ON FORM 10-Q

For the period ended September 30, 2024

TABLE OF CONTENTS

 

Page

PART I

Financial Information

3

Item 1.

Financial Statements

3

 

Condensed Consolidated Balance Sheet as of September 30, 2024 (unaudited) and December 31, 2023

3

 

Condensed Consolidated Statement of Operations and Comprehensive Loss (unaudited) for the three and nine months ended September 30, 2024 and 2023

4

 

Condensed Consolidated Statement of Stockholders’ Equity (unaudited) for the three and nine months ended September 30, 2024 and 2023

5

 

Condensed Consolidated Statement of Cash Flows (unaudited) for the nine months ended September 30, 2024 and 2023

7

Notes to the Unaudited Condensed Consolidated Financial Statements

8

Item 2

Management’s Discussion and Analysis of Financial Condition and Results of Operations

21

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

32

Item 4.

Controls and Procedures

33

PART II

Other Information

34

Item 1.

Legal Proceedings

34

Item 1A.

Risk Factors

34

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

34

Item 3.

Defaults Upon Senior Securities

34

Item 4.

Mine Safety Disclosures

34

Item 5.

Other Information

35

Item 6.

Exhibits

35

 

 

 

 


 

PART I - FINANCIAL INFORMATION

Item 1. Financial Statements

AMERICAN WELL CORPORATION

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except share and per share amounts)

(unaudited)

 

 

September 30, 2024

 

 

December 31, 2023

 

Assets

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

Cash and cash equivalents

 

$

244,647

 

 

$

372,038

 

Accounts receivable ($749 and $1,626, from related parties and net of allowances
   of $
1,056 and $2,291, respectively)

 

 

89,264

 

 

 

54,146

 

Inventories

 

 

4,761

 

 

 

6,652

 

Deferred contract acquisition costs

 

 

2,391

 

 

 

2,262

 

Prepaid expenses and other current assets

 

 

15,814

 

 

 

14,484

 

Total current assets

 

 

356,877

 

 

 

449,582

 

Restricted cash

 

 

795

 

 

 

795

 

Property and equipment, net

 

 

424

 

 

 

572

 

Intangible assets, net

 

 

108,875

 

 

 

120,248

 

Operating lease right-of-use asset

 

 

8,012

 

 

 

10,453

 

Deferred contract acquisition costs, net of current portion

 

 

5,198

 

 

 

4,792

 

Other assets

 

 

2,312

 

 

 

2,083

 

Investment in minority owned joint venture (Note 2)

 

 

493

 

 

 

1,180

 

Total assets

 

$

482,986

 

 

$

589,705

 

Liabilities and Stockholders’ Equity

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

Accounts payable

 

$

8,150

 

 

$

4,864

 

Accrued expenses and other current liabilities

 

 

47,908

 

 

 

38,988

 

Operating lease liability, current

 

 

3,658

 

 

 

3,580

 

Deferred revenue ($61 and $1,286 from related parties, respectively)

 

 

62,457

 

 

 

46,365

 

Total current liabilities

 

 

122,173

 

 

 

93,797

 

Other long-term liabilities

 

 

1,500

 

 

 

1,425

 

Operating lease liability, net of current portion

 

 

5,440

 

 

 

8,206

 

Deferred revenue, net of current portion

 

 

3,823

 

 

 

6,091

 

Total liabilities

 

 

132,936

 

 

 

109,519

 

Commitments and contingencies (Note 9)

 

 

 

 

 

 

Stockholders’ equity:

 

 

 

 

 

 

Preferred stock, $0.01 par value; 100,000,000 shares authorized, no shares issued
   or outstanding as of September 30, 2024 and as of December 31, 2023

 

 

 

 

 

 

Common stock, $0.01 par value; 1,000,000,000 Class A shares authorized, 13,640,114
   and
12,776,608 shares issued and outstanding, respectively; 100,000,000 Class B
   shares authorized,
1,369,518 shares issued and outstanding; 200,000,000 Class C
   shares authorized
277,777 issued and outstanding as of September 30, 2024 and as of
   December 31, 2023

 

 

153

 

 

 

145

 

Additional paid-in capital

 

 

2,275,543

 

 

 

2,237,502

 

Accumulated other comprehensive income

 

 

(15,765

)

 

 

(15,650

)

Accumulated deficit

 

 

(1,923,268

)

 

 

(1,757,778

)

Total American Well Corporation stockholders’ equity

 

 

336,663

 

 

 

464,219

 

Non-controlling interest

 

 

13,387

 

 

 

15,967

 

Total stockholders’ equity

 

 

350,050

 

 

 

480,186

 

Total liabilities and stockholders’ equity

 

$

482,986

 

 

$

589,705

 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

3


 

AMERICAN WELL CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS

(in thousands, except share and per share amounts)

(unaudited)

 

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Revenue

 

 

 

 

 

 

 

 

 

 

 

 

($742, $1,044, $2,442 and $3,015 from related parties, respectively)

 

$

61,046

 

 

$

61,922

 

 

$

183,358

 

 

$

188,370

 

Costs and operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

Costs of revenue, excluding depreciation and amortization of intangible assets

 

 

38,352

 

 

 

40,457

 

 

 

118,799

 

 

 

117,453

 

Research and development

 

 

19,797

 

 

 

27,715

 

 

 

67,283

 

 

 

79,480

 

Sales and marketing

 

 

16,771

 

 

 

20,379

 

 

 

60,883

 

 

 

64,659

 

General and administrative

 

 

25,183

 

 

 

29,571

 

 

 

86,404

 

 

 

102,260

 

Depreciation and amortization expense

 

 

8,313

 

 

 

8,266

 

 

 

24,767

 

 

 

23,227

 

Goodwill impairment

 

 

 

 

 

78,894

 

 

 

 

 

 

436,479

 

Total costs and operating expenses

 

 

108,416

 

 

 

205,282

 

 

 

358,136

 

 

 

823,558

 

Loss from operations

 

 

(47,370

)

 

 

(143,360

)

 

 

(174,778

)

 

 

(635,188

)

Interest income and other income (expense), net

 

 

3,882

 

 

 

7,978

 

 

$

10,334

 

 

 

11,250

 

Loss before expense from income taxes and loss from
   equity method investment

 

 

(43,488

)

 

 

(135,382

)

 

 

(164,444

)

 

 

(623,938

)

Benefit (Expense) from income taxes

 

 

149

 

 

 

(1,122

)

 

$

(1,223

)

 

 

(3,313

)

Loss from equity method investment

 

 

(702

)

 

 

(600

)

 

$

(2,402

)

 

 

(1,877

)

Net loss

 

 

(44,041

)

 

 

(137,104

)

 

 

(168,069

)

 

 

(629,128

)

Net loss attributable to non-controlling interest

 

 

(577

)

 

 

(690

)

 

$

(2,580

)

 

 

(2,551

)

Net loss attributable to American Well Corporation

 

$

(43,464

)

 

$

(136,414

)

 

$

(165,489

)

 

$

(626,577

)

Net loss per share attributable to common stockholders,
   basic and diluted

 

$

(2.87

)

 

$

(9.54

)

 

$

(11.13

)

 

$

(44.28

)

Weighted-average common shares outstanding, basic and diluted

 

 

15,135,421

 

 

 

14,294,690

 

 

 

14,864,967

 

 

 

14,149,576

 

Net loss

 

$

(44,041

)

 

$

(137,104

)

 

$

(168,069

)

 

$

(629,128

)

Other comprehensive income (loss), net of tax:

 

 

 

 

 

 

 

 

 

 

 

 

Unrealized (loss) gain on available-for-sale investments

 

 

 

 

 

(3,190

)

 

 

 

 

 

3,062

 

Foreign currency translation

 

 

5,196

 

 

 

(1,493

)

 

 

(115

)

 

 

355

 

Comprehensive loss

 

 

(38,845

)

 

 

(141,787

)

 

 

(168,184

)

 

 

(625,711

)

Less: Comprehensive loss attributable to
   non-controlling interest

 

 

(577

)

 

 

(690

)

 

 

(2,580

)

 

 

(2,551

)

Comprehensive loss attributable to American Well Corporation

 

$

(38,268

)

 

$

(141,097

)

 

$

(165,604

)

 

$

(623,160

)

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

4


 

AMERICAN WELL CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

(in thousands, except share amounts)

(unaudited)

 

 

 

Common Stock

 

 

Additional
Paid-In

 

 

Accumulated
Other
Comprehensive

 

 

Accumulated

 

 

American Well
Corporation
Stockholders’

 

 

Noncontrolling

 

 

Total
Stockholders’

 

 

 

Shares

 

 

Amount

 

 

Capital

 

 

Income (Loss)

 

 

Deficit

 

 

Equity

 

 

Interest

 

 

Equity

 

Balances as of January 1, 2023

 

 

13,856,791

 

 

$

139

 

 

$

2,162,735

 

 

$

(16,969

)

 

$

(1,082,028

)

 

$

1,063,877

 

 

$

19,974

 

 

$

1,083,851

 

Exercise of common stock options

 

 

6,429

 

 

 

 

 

289

 

 

 

 

 

 

 

 

 

289

 

 

 

 

 

 

289

 

Vesting of restricted stock units, including units with a market condition

 

 

146,259

 

 

 

1

 

 

(1

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shares repurchased and retired

 

 

(15

)

 

 

 

 

 

 

 

 

 

 

 

(1

)

 

 

(1

)

 

 

 

 

 

(1

)

Issuance of stock under employee stock purchase plan

 

 

25,667

 

 

 

 

 

1,268

 

 

 

 

 

 

 

 

 

1,268

 

 

 

 

 

 

1,268

 

Stock-based compensation expense

 

 

 

 

 

 

 

 

20,997

 

 

 

 

 

 

 

 

 

20,997

 

 

 

 

 

 

20,997

 

Currency translation adjustment

 

 

 

 

 

 

 

 

 

 

 

2,062

 

 

 

 

 

 

2,062

 

 

 

 

 

 

2,062

 

Unrealized gains on available-for-
   sale securities, net of tax

 

 

 

 

 

 

 

 

 

 

 

4,319

 

 

 

 

 

 

4,319

 

 

 

 

 

 

4,319

 

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(397,688

)

 

 

(397,688

)

 

 

(821

)

 

 

(398,509

)

Balances as of March 31, 2023

 

 

14,035,131

 

 

 

140

 

 

 

2,185,288

 

 

 

(10,588

)

 

 

(1,479,717

)

 

 

695,123

 

 

 

19,153

 

 

 

714,276

 

Exercise of common stock options

 

 

7,900

 

 

 

 

 

280

 

 

 

 

 

 

 

 

 

280

 

 

 

 

 

 

280

 

Vesting of restricted stock units, including units with a market condition

 

 

171,009

 

 

 

2

 

 

(2

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shares repurchased and retired

 

 

(13,233

)

 

 

 

 

 

 

 

 

 

 

 

(585

)

 

 

(585

)

 

 

 

 

 

(585

)

Stock-based compensation expense

 

 

 

 

 

 

 

 

21,513

 

 

 

 

 

 

 

 

 

21,513

 

 

 

 

 

 

21,513

 

Currency translation adjustment

 

 

 

 

 

 

 

 

 

 

 

(214

)

 

 

 

 

 

(214

)

 

 

 

 

 

(214

)

Unrealized gains on available-for-
   sale securities, net of tax

 

 

 

 

 

 

 

 

 

 

 

1,933

 

 

 

 

 

 

1,933

 

 

 

 

 

 

1,933

 

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(92,475

)

 

 

(92,475

)

 

 

(1,040

)

 

 

(93,515

)

 Balances as of June 30, 2023

 

 

14,200,807

 

 

 

142

 

 

 

2,207,079

 

 

 

(8,869

)

 

 

(1,572,777

)

 

 

625,575

 

 

 

18,113

 

 

 

643,688

 

Vesting of restricted stock units, including units with a market condition

 

 

112,474

 

 

 

1

 

 

(1

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issuance of stock under employee stock purchase plan

 

 

35,549

 

 

 

1

 

 

 

895

 

 

 

 

 

 

 

 

 

896

 

 

 

 

 

 

896

 

Stock-based compensation expense

 

 

 

 

 

 

 

 

16,899

 

 

 

 

 

 

 

 

 

16,899

 

 

 

 

 

 

16,899

 

Currency translation adjustment

 

 

 

 

 

 

 

 

 

 

 

(1,493

)

 

 

 

 

 

(1,493

)

 

 

 

 

 

(1,493

)

Unrealized gains on available-for-
   sale securities, net of tax

 

 

 

 

 

 

 

 

 

 

 

(3,190

)

 

 

 

 

 

(3,190

)

 

 

 

 

 

(3,190

)

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(136,414

)

 

 

(136,414

)

 

 

(690

)

 

 

(137,104

)

Balances as of September 30, 2023

 

 

14,348,830

 

 

$

144

 

 

$

2,224,872

 

 

$

(13,552

)

 

$

(1,709,191

)

 

$

502,273

 

 

$

17,423

 

 

$

519,696

 

 

5


 

 

 

 

Common Stock

 

 

Additional
Paid-In

 

 

Accumulated
Other
Comprehensive

 

 

Accumulated

 

 

American Well
Corporation
Stockholders’

 

 

Noncontrolling

 

 

Total
Stockholders’

 

 

 

Shares

 

 

Amount

 

 

Capital

 

 

Income (Loss)

 

 

Deficit

 

 

Equity

 

 

Interest

 

 

Equity

 

Balances as of January 1, 2024

 

 

14,423,903

 

 

$

145

 

 

$

2,237,502

 

 

$

(15,650

)

 

$

(1,757,778

)

 

$

464,219

 

 

$

15,967

 

 

$

480,186

 

Vesting of restricted stock units

 

 

326,743

 

 

 

3

 

 

(3

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issuance of stock under employee stock purchase plan

 

 

53,675

 

 

 

1

 

 

955

 

 

 

 

 

 

 

 

 

956

 

 

 

 

 

 

956

 

Stock-based compensation expense

 

 

 

 

 

 

 

 

16,228

 

 

 

 

 

 

 

 

 

16,228

 

 

 

 

 

 

16,228

 

Currency translation adjustment

 

 

 

 

 

 

 

 

 

 

 

(563

)

 

 

 

 

 

(563

)

 

 

 

 

 

(563

)

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(72,105

)

 

 

(72,105

)

 

 

(1,344

)

 

 

(73,449

)

Balances as of March 31, 2024

 

 

14,804,321

 

 

 

149

 

 

 

2,254,682

 

 

 

(16,213

)

 

 

(1,829,883

)

 

 

408,735

 

 

 

14,623

 

 

 

423,358

 

Vesting of restricted stock units

 

 

151,734

 

 

 

2

 

 

(2

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shares repurchased and retired

 

 

(2

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stock-based compensation expense

 

 

 

 

 

 

 

 

9,838

 

 

 

 

 

 

 

 

 

9,838

 

 

 

 

 

 

9,838

 

Currency translation adjustment

 

 

 

 

 

 

 

 

 

 

 

(4,748

)

 

 

 

 

 

(4,748

)

 

 

 

 

 

(4,748

)

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(49,920

)

 

 

(49,920

)

 

 

(659

)

 

 

(50,579

)

Balances as of June 30, 2024

 

 

14,956,053

 

 

 

151

 

 

 

2,264,518

 

 

 

(20,961

)

 

 

(1,879,803

)

 

 

363,905

 

 

 

13,964

 

 

 

377,869

 

Vesting of restricted stock units

 

 

269,658

 

 

 

2

 

 

(2

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issuance of stock under employee stock purchase plan

 

 

61,852

 

 

 

 

 

428

 

 

 

 

 

 

 

 

 

428

 

 

 

 

 

 

428

 

Shares repurchased and retired

 

 

(154

)

 

 

 

 

 

 

 

 

 

 

 

(1

)

 

 

(1

)

 

 

 

 

 

(1

)

Stock-based compensation expense

 

 

 

 

 

 

 

 

10,599

 

 

 

 

 

 

 

 

 

10,599

 

 

 

 

 

 

10,599

 

Currency translation adjustment

 

 

 

 

 

 

 

 

 

 

 

5,196

 

 

 

 

 

 

5,196

 

 

 

 

 

 

5,196

 

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(43,464

)

 

 

(43,464

)

 

 

(577

)

 

 

(44,041

)

Balances as of September 30, 2024

 

 

15,287,409

 

 

$

153

 

 

$

2,275,543

 

 

$

(15,765

)

 

$

(1,923,268

)

 

$

336,663

 

 

$

13,387

 

 

$

350,050

 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

6


 

AMERICAN WELL CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands, except share and per share amounts)

(unaudited)

 

 

 

Nine Months Ended September 30,

 

 

 

2024

 

 

2023

 

Cash flows from operating activities:

 

 

 

 

 

 

Net loss

 

$

(168,069

)

 

$

(629,128

)

Adjustments to reconcile net loss to net cash used in operating activities:

 

 

 

 

 

 

Goodwill impairment

 

 

 

 

 

436,479

 

Depreciation and amortization expense

 

 

24,765

 

 

 

23,216

 

Provisions for credit losses

 

 

851

 

 

 

88

 

Amortization of deferred contract acquisition costs

 

 

1,819

 

 

 

1,611

 

Amortization of deferred contract fulfillment costs

 

 

275

 

 

 

323

 

Stock-based compensation expense

 

 

36,659

 

 

 

59,567

 

Loss on equity method investment

 

 

2,402

 

 

 

1,877

 

Deferred income taxes

 

 

2

 

 

 

(24

)

Changes in operating assets and liabilities, net of acquisition:

 

 

 

 

 

 

Accounts receivable

 

 

(35,932

)

 

 

11,475

 

Inventories

 

 

1,891

 

 

 

905

 

Deferred contract acquisition costs

 

 

(2,312

)

 

 

(2,351

)

Prepaid expenses and other current assets

 

 

(1,620

)

 

 

4,976

 

Other assets

 

 

(206

)

 

 

(214

)

Accounts payable

 

 

3,305

 

 

 

(2,357

)

Accrued expenses and other current liabilities

 

 

8,685

 

 

 

(16,579

)

Deferred revenue

 

 

13,582

 

 

 

3,369

 

Net cash used in operating activities

 

 

(