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Side-by-side financial comparison of American Well Corp (AMWL) and FINANCIAL INSTITUTIONS INC (FISI). Click either name above to swap in a different company.

FINANCIAL INSTITUTIONS INC is the larger business by last-quarter revenue ($62.7M vs $55.3M, roughly 1.1× American Well Corp). FINANCIAL INSTITUTIONS INC runs the higher net margin — 33.5% vs -45.1%, a 78.5% gap on every dollar of revenue. Over the past eight quarters, FINANCIAL INSTITUTIONS INC's revenue compounded faster (-2.0% CAGR vs -3.6%).

The American Tobacco Company was a tobacco company founded in 1890 by J. B. Duke through a merger between a number of U.S. tobacco manufacturers including Allen and Ginter, Goodwin & Company, and Kinney Brothers. The company was one of the original 12 members of the Dow Jones Industrial Average in 1896. The American Tobacco Company dominated the industry by acquiring the Lucky Strike Company and over 200 other rival firms. Federal Antitrust action begun in 1907 broke the company into several ...

The Mizuho Financial Group, Inc. , known from 2000 to 2003 as Mizuho Holdings and abbreviated as MHFG or simply Mizuho, is a Japanese banking holding company headquartered in the Ōtemachi district of Chiyoda, Tokyo, Japan. The group was formed in 2000–2002 by merger of Dai-Ichi Kangyo Bank, Fuji Bank, and Industrial Bank of Japan. The name mizuho (瑞穂) literally means "abundant rice" in Japanese and "harvest" in the figurative sense.

AMWL vs FISI — Head-to-Head

Bigger by revenue
FISI
FISI
1.1× larger
FISI
$62.7M
$55.3M
AMWL
Higher net margin
FISI
FISI
78.5% more per $
FISI
33.5%
-45.1%
AMWL
Faster 2-yr revenue CAGR
FISI
FISI
Annualised
FISI
-2.0%
-3.6%
AMWL

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
AMWL
AMWL
FISI
FISI
Revenue
$55.3M
$62.7M
Net Profit
$-24.9M
$21.0M
Gross Margin
Operating Margin
-45.5%
Net Margin
-45.1%
33.5%
Revenue YoY
-22.1%
Net Profit YoY
41.6%
24.3%
EPS (diluted)
$-1.53
$1.04

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
AMWL
AMWL
FISI
FISI
Q1 26
$62.7M
Q4 25
$55.3M
$64.1M
Q3 25
$56.3M
$63.8M
Q2 25
$70.9M
$59.7M
Q1 25
$66.8M
$57.2M
Q4 24
$71.0M
$41.6M
Q3 24
$61.0M
$50.1M
Q2 24
$62.8M
$65.2M
Net Profit
AMWL
AMWL
FISI
FISI
Q1 26
$21.0M
Q4 25
$-24.9M
$20.0M
Q3 25
$-32.4M
$20.5M
Q2 25
$-19.7M
$17.5M
Q1 25
$-18.7M
$16.9M
Q4 24
$-42.7M
$-82.8M
Q3 24
$-43.5M
$13.5M
Q2 24
$-49.9M
$25.6M
Operating Margin
AMWL
AMWL
FISI
FISI
Q1 26
Q4 25
-45.5%
37.4%
Q3 25
-52.1%
39.5%
Q2 25
-28.7%
36.0%
Q1 25
-45.5%
36.0%
Q4 24
-60.2%
-276.9%
Q3 24
-77.6%
29.0%
Q2 24
-83.4%
46.2%
Net Margin
AMWL
AMWL
FISI
FISI
Q1 26
33.5%
Q4 25
-45.1%
38.3%
Q3 25
-57.5%
32.1%
Q2 25
-27.8%
29.3%
Q1 25
-28.0%
29.5%
Q4 24
-60.1%
-198.9%
Q3 24
-71.2%
26.9%
Q2 24
-79.5%
39.3%
EPS (diluted)
AMWL
AMWL
FISI
FISI
Q1 26
$1.04
Q4 25
$-1.53
$0.96
Q3 25
$-2.00
$0.99
Q2 25
$-1.24
$0.85
Q1 25
$-1.19
$0.81
Q4 24
$-2.71
$-5.32
Q3 24
$-2.87
$0.84
Q2 24
$-3.36
$1.62

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
AMWL
AMWL
FISI
FISI
Cash + ST InvestmentsLiquidity on hand
$182.3M
$85.5M
Total DebtLower is stronger
$114.0M
Stockholders' EquityBook value
$235.6M
Total Assets
$323.8M
$6.3B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AMWL
AMWL
FISI
FISI
Q1 26
$85.5M
Q4 25
$182.3M
$108.8M
Q3 25
$200.9M
$185.9M
Q2 25
$219.1M
$93.0M
Q1 25
$222.4M
$167.4M
Q4 24
$228.3M
$87.3M
Q3 24
$244.6M
Q2 24
$276.9M
Total Debt
AMWL
AMWL
FISI
FISI
Q1 26
$114.0M
Q4 25
$193.7M
Q3 25
$115.0M
Q2 25
$115.0M
Q1 25
$124.9M
Q4 24
$124.8M
Q3 24
$124.8M
Q2 24
$124.7M
Stockholders' Equity
AMWL
AMWL
FISI
FISI
Q1 26
Q4 25
$235.6M
$628.9M
Q3 25
$254.9M
$621.7M
Q2 25
$282.6M
$601.7M
Q1 25
$294.0M
$589.9M
Q4 24
$304.8M
$569.0M
Q3 24
$336.7M
$500.3M
Q2 24
$363.9M
$467.7M
Total Assets
AMWL
AMWL
FISI
FISI
Q1 26
$6.3B
Q4 25
$323.8M
$6.3B
Q3 25
$359.4M
$6.3B
Q2 25
$388.7M
$6.1B
Q1 25
$419.5M
$6.3B
Q4 24
$436.0M
$6.1B
Q3 24
$483.0M
$6.2B
Q2 24
$507.8M
$6.1B
Debt / Equity
AMWL
AMWL
FISI
FISI
Q1 26
Q4 25
0.31×
Q3 25
0.18×
Q2 25
0.19×
Q1 25
0.21×
Q4 24
0.22×
Q3 24
0.25×
Q2 24
0.27×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
AMWL
AMWL
FISI
FISI
Operating Cash FlowLast quarter
$-17.4M
Free Cash FlowOCF − Capex
$-17.4M
FCF MarginFCF / Revenue
-31.4%
Capex IntensityCapex / Revenue
0.0%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AMWL
AMWL
FISI
FISI
Q1 26
Q4 25
$-17.4M
$18.8M
Q3 25
$-18.8M
$-6.9M
Q2 25
$-4.7M
$-5.7M
Q1 25
$-25.1M
$10.0M
Q4 24
$-13.4M
$77.1M
Q3 24
$-32.4M
$2.1M
Q2 24
$-21.8M
$35.7M
Free Cash Flow
AMWL
AMWL
FISI
FISI
Q1 26
Q4 25
$-17.4M
$13.3M
Q3 25
$-7.9M
Q2 25
$-7.3M
Q1 25
$-25.1M
$9.2M
Q4 24
$-13.4M
$72.2M
Q3 24
$-32.4M
$-299.0K
Q2 24
$-21.8M
$34.7M
FCF Margin
AMWL
AMWL
FISI
FISI
Q1 26
Q4 25
-31.4%
20.7%
Q3 25
-12.4%
Q2 25
-12.3%
Q1 25
-37.6%
16.1%
Q4 24
-18.9%
173.3%
Q3 24
-53.0%
-0.6%
Q2 24
-34.7%
53.3%
Capex Intensity
AMWL
AMWL
FISI
FISI
Q1 26
Q4 25
0.0%
8.7%
Q3 25
0.0%
1.6%
Q2 25
0.0%
2.7%
Q1 25
0.0%
1.4%
Q4 24
0.0%
11.9%
Q3 24
0.0%
4.9%
Q2 24
0.0%
1.5%
Cash Conversion
AMWL
AMWL
FISI
FISI
Q1 26
Q4 25
0.94×
Q3 25
-0.34×
Q2 25
-0.33×
Q1 25
0.59×
Q4 24
Q3 24
0.16×
Q2 24
1.39×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

AMWL
AMWL

Platform Subscription$28.8M52%
Visits$23.7M43%
Others$2.8M5%

FISI
FISI

Net Interest Income$52.0M83%
Noninterest Income$10.7M17%

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