American Well vs Optimizerx
American Well is the larger business, with $249m of revenue in fiscal 2025 against $109m for Optimizerx (2.3 times as much). Optimizerx grew faster (18.8% against -2.0%). Optimizerx kept more of each dollar of sales as profit: a net margin of 4.7% against -38.4%.
| Latest fiscal year | American WellAMWL, 2025 | OptimizerxOPRX, 2025 |
|---|---|---|
| Revenue | $249m | $109m |
| Revenue growth | -2.0% | 18.8% |
| Net income | −$95.7m | $5.1m |
| Operating margin | — | 10.7% |
| Net margin | -38.4% | 4.7% |
| Return on equity | -35.4% | 4.2% |
| Free cash flow | −$66.0m | $18.7m |
| Cash | $182m | $23.4m |
| Total debt | $0 | $26.3m |
| Debt to equity | — | 20.5% |
| Dividend per share | — | — |
| Dividend yield | — | — |
| Share buybacks | $4,000 | — |
| Employees | 562 | 104 |
| Market value | $215m | $176m |
| Price vs our value range | — | Above our value range |
| Moat score | 12 (Weak) | 29 (Weak) |
| Insider trades, 12 months | 1 buys, 29 sales | 0 buys, 1 sales |