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

FISERV INC is the larger business by last-quarter revenue ($5.3B vs $55.3M, roughly 95.5× American Well Corp). FISERV INC runs the higher net margin — 15.3% vs -45.1%, a 60.4% gap on every dollar of revenue. On growth, FISERV INC posted the faster year-over-year revenue change (0.6% vs -22.1%). FISERV INC produced more free cash flow last quarter ($1.5B vs $-17.4M). Over the past eight quarters, FISERV INC's revenue compounded faster (4.0% 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 ...

Fiserv, Inc. is an American multinational financial technology company headquartered in Milwaukee, Wisconsin. The company processes debit and credit card transactions, loyalty programs, loans, electronic bill pay, wires and ACH transfers, check deposits, and ATM transactions on behalf of banking institutions. The company also produces debit and credit cards and point of sale terminals.

AMWL vs FISV — Head-to-Head

Bigger by revenue
FISV
FISV
95.5× larger
FISV
$5.3B
$55.3M
AMWL
Growing faster (revenue YoY)
FISV
FISV
+22.7% gap
FISV
0.6%
-22.1%
AMWL
Higher net margin
FISV
FISV
60.4% more per $
FISV
15.3%
-45.1%
AMWL
More free cash flow
FISV
FISV
$1.5B more FCF
FISV
$1.5B
$-17.4M
AMWL
Faster 2-yr revenue CAGR
FISV
FISV
Annualised
FISV
4.0%
-3.6%
AMWL

Income Statement — Q4 2025 vs Q4 2025

Metric
AMWL
AMWL
FISV
FISV
Revenue
$55.3M
$5.3B
Net Profit
$-24.9M
$811.0M
Gross Margin
Operating Margin
-45.5%
24.4%
Net Margin
-45.1%
15.3%
Revenue YoY
-22.1%
0.6%
Net Profit YoY
41.6%
-13.5%
EPS (diluted)
$-1.53
$1.51

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
FISV
FISV
Q4 25
$55.3M
$5.3B
Q3 25
$56.3M
$5.3B
Q2 25
$70.9M
$5.5B
Q1 25
$66.8M
$5.1B
Q4 24
$71.0M
$5.3B
Q3 24
$61.0M
$5.2B
Q2 24
$62.8M
$5.1B
Q1 24
$59.5M
$4.9B
Net Profit
AMWL
AMWL
FISV
FISV
Q4 25
$-24.9M
$811.0M
Q3 25
$-32.4M
$792.0M
Q2 25
$-19.7M
$1.0B
Q1 25
$-18.7M
$851.0M
Q4 24
$-42.7M
$938.0M
Q3 24
$-43.5M
$564.0M
Q2 24
$-49.9M
$894.0M
Q1 24
$-72.1M
$735.0M
Operating Margin
AMWL
AMWL
FISV
FISV
Q4 25
-45.5%
24.4%
Q3 25
-52.1%
27.3%
Q2 25
-28.7%
30.7%
Q1 25
-45.5%
27.2%
Q4 24
-60.2%
31.8%
Q3 24
-77.6%
30.7%
Q2 24
-83.4%
28.0%
Q1 24
-126.1%
24.2%
Net Margin
AMWL
AMWL
FISV
FISV
Q4 25
-45.1%
15.3%
Q3 25
-57.5%
15.0%
Q2 25
-27.8%
18.6%
Q1 25
-28.0%
16.6%
Q4 24
-60.1%
17.9%
Q3 24
-71.2%
10.8%
Q2 24
-79.5%
17.5%
Q1 24
-121.1%
15.1%
EPS (diluted)
AMWL
AMWL
FISV
FISV
Q4 25
$-1.53
$1.51
Q3 25
$-2.00
$1.46
Q2 25
$-1.24
$1.86
Q1 25
$-1.19
$1.51
Q4 24
$-2.71
$1.63
Q3 24
$-2.87
$0.98
Q2 24
$-3.36
$1.53
Q1 24
$-4.94
$1.24

Balance Sheet & Financial Strength

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

Metric
AMWL
AMWL
FISV
FISV
Cash + ST InvestmentsLiquidity on hand
$182.3M
$798.0M
Total DebtLower is stronger
$27.8B
Stockholders' EquityBook value
$235.6M
$25.8B
Total Assets
$323.8M
$80.1B
Debt / EquityLower = less leverage
1.08×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AMWL
AMWL
FISV
FISV
Q4 25
$182.3M
$798.0M
Q3 25
$200.9M
$1.1B
Q2 25
$219.1M
$999.0M
Q1 25
$222.4M
$1.2B
Q4 24
$228.3M
$1.2B
Q3 24
$244.6M
$1.2B
Q2 24
$276.9M
$1.2B
Q1 24
$308.6M
$1.2B
Total Debt
AMWL
AMWL
FISV
FISV
Q4 25
$27.8B
Q3 25
$28.9B
Q2 25
$28.1B
Q1 25
$27.0B
Q4 24
$23.7B
Q3 24
$24.1B
Q2 24
$24.4B
Q1 24
$23.8B
Stockholders' Equity
AMWL
AMWL
FISV
FISV
Q4 25
$235.6M
$25.8B
Q3 25
$254.9M
$25.1B
Q2 25
$282.6M
$25.2B
Q1 25
$294.0M
$25.9B
Q4 24
$304.8M
$27.1B
Q3 24
$336.7M
$27.8B
Q2 24
$363.9M
$28.2B
Q1 24
$408.7M
$28.8B
Total Assets
AMWL
AMWL
FISV
FISV
Q4 25
$323.8M
$80.1B
Q3 25
$359.4M
$79.4B
Q2 25
$388.7M
$81.5B
Q1 25
$419.5M
$80.4B
Q4 24
$436.0M
$77.2B
Q3 24
$483.0M
$79.8B
Q2 24
$507.8M
$93.4B
Q1 24
$548.4M
$92.7B
Debt / Equity
AMWL
AMWL
FISV
FISV
Q4 25
1.08×
Q3 25
1.15×
Q2 25
1.11×
Q1 25
1.04×
Q4 24
0.88×
Q3 24
0.87×
Q2 24
0.87×
Q1 24
0.82×

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
FISV
FISV
Operating Cash FlowLast quarter
$-17.4M
$1.9B
Free Cash FlowOCF − Capex
$-17.4M
$1.5B
FCF MarginFCF / Revenue
-31.4%
28.4%
Capex IntensityCapex / Revenue
0.0%
8.4%
Cash ConversionOCF / Net Profit
2.40×
TTM Free Cash FlowTrailing 4 quarters
$4.3B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AMWL
AMWL
FISV
FISV
Q4 25
$-17.4M
$1.9B
Q3 25
$-18.8M
$1.8B
Q2 25
$-4.7M
$1.7B
Q1 25
$-25.1M
$648.0M
Q4 24
$-13.4M
$2.2B
Q3 24
$-32.4M
$2.2B
Q2 24
$-21.8M
$1.3B
Q1 24
$-59.8M
$831.0M
Free Cash Flow
AMWL
AMWL
FISV
FISV
Q4 25
$-17.4M
$1.5B
Q3 25
$1.3B
Q2 25
$1.2B
Q1 25
$-25.1M
$313.0M
Q4 24
$-13.4M
$1.8B
Q3 24
$-32.4M
$1.8B
Q2 24
$-21.8M
$993.0M
Q1 24
$-59.8M
$411.0M
FCF Margin
AMWL
AMWL
FISV
FISV
Q4 25
-31.4%
28.4%
Q3 25
24.7%
Q2 25
21.5%
Q1 25
-37.6%
6.1%
Q4 24
-18.9%
34.7%
Q3 24
-53.0%
35.2%
Q2 24
-34.7%
19.4%
Q1 24
-100.5%
8.4%
Capex Intensity
AMWL
AMWL
FISV
FISV
Q4 25
0.0%
8.4%
Q3 25
0.0%
9.6%
Q2 25
0.0%
8.7%
Q1 25
0.0%
6.5%
Q4 24
0.0%
7.6%
Q3 24
0.0%
7.7%
Q2 24
0.0%
6.8%
Q1 24
0.1%
8.6%
Cash Conversion
AMWL
AMWL
FISV
FISV
Q4 25
2.40×
Q3 25
2.28×
Q2 25
1.62×
Q1 25
0.76×
Q4 24
2.37×
Q3 24
3.97×
Q2 24
1.50×
Q1 24
1.13×

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%

FISV
FISV

Small Business$1.7B32%
Products$1.0B19%
Digital Payments$960.0M18%
Issuing$792.0M15%
Enterprise$587.0M11%
Processing$265.0M5%
Affiliated Entity$18.0M0%

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