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

TACTILE SYSTEMS TECHNOLOGY INC is the larger business by last-quarter revenue ($103.6M vs $55.3M, roughly 1.9× American Well Corp). TACTILE SYSTEMS TECHNOLOGY INC runs the higher net margin — 10.3% vs -45.1%, a 55.3% gap on every dollar of revenue. On growth, TACTILE SYSTEMS TECHNOLOGY INC posted the faster year-over-year revenue change (21.0% vs -22.1%). TACTILE SYSTEMS TECHNOLOGY INC produced more free cash flow last quarter ($16.8M vs $-17.4M). Over the past eight quarters, TACTILE SYSTEMS TECHNOLOGY INC's revenue compounded faster (30.2% 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 ...

Dominion Voting Systems Corporation was a North American company that produced and sold electronic voting hardware and software, including voting machines and tabulators, in Canada and the United States.

AMWL vs TCMD — Head-to-Head

Bigger by revenue
TCMD
TCMD
1.9× larger
TCMD
$103.6M
$55.3M
AMWL
Growing faster (revenue YoY)
TCMD
TCMD
+43.2% gap
TCMD
21.0%
-22.1%
AMWL
Higher net margin
TCMD
TCMD
55.3% more per $
TCMD
10.3%
-45.1%
AMWL
More free cash flow
TCMD
TCMD
$34.2M more FCF
TCMD
$16.8M
$-17.4M
AMWL
Faster 2-yr revenue CAGR
TCMD
TCMD
Annualised
TCMD
30.2%
-3.6%
AMWL

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
AMWL
AMWL
TCMD
TCMD
Revenue
$55.3M
$103.6M
Net Profit
$-24.9M
$10.6M
Gross Margin
78.2%
Operating Margin
-45.5%
18.1%
Net Margin
-45.1%
10.3%
Revenue YoY
-22.1%
21.0%
Net Profit YoY
41.6%
9.4%
EPS (diluted)
$-1.53
$0.45

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
TCMD
TCMD
Q4 25
$55.3M
$103.6M
Q3 25
$56.3M
$85.8M
Q2 25
$70.9M
$78.9M
Q1 25
$66.8M
$61.3M
Q4 24
$71.0M
$85.6M
Q3 24
$61.0M
$73.1M
Q2 24
$62.8M
$73.2M
Q1 24
$59.5M
$61.1M
Net Profit
AMWL
AMWL
TCMD
TCMD
Q4 25
$-24.9M
$10.6M
Q3 25
$-32.4M
$8.2M
Q2 25
$-19.7M
$3.2M
Q1 25
$-18.7M
$-3.0M
Q4 24
$-42.7M
$9.7M
Q3 24
$-43.5M
$5.2M
Q2 24
$-49.9M
$4.3M
Q1 24
$-72.1M
$-2.2M
Gross Margin
AMWL
AMWL
TCMD
TCMD
Q4 25
78.2%
Q3 25
75.8%
Q2 25
74.5%
Q1 25
74.0%
Q4 24
75.2%
Q3 24
75.0%
Q2 24
73.9%
Q1 24
71.1%
Operating Margin
AMWL
AMWL
TCMD
TCMD
Q4 25
-45.5%
18.1%
Q3 25
-52.1%
12.8%
Q2 25
-28.7%
5.2%
Q1 25
-45.5%
-7.4%
Q4 24
-60.2%
14.6%
Q3 24
-77.6%
9.3%
Q2 24
-83.4%
8.0%
Q1 24
-126.1%
-4.9%
Net Margin
AMWL
AMWL
TCMD
TCMD
Q4 25
-45.1%
10.3%
Q3 25
-57.5%
9.6%
Q2 25
-27.8%
4.1%
Q1 25
-28.0%
-4.9%
Q4 24
-60.1%
11.4%
Q3 24
-71.2%
7.1%
Q2 24
-79.5%
5.9%
Q1 24
-121.1%
-3.6%
EPS (diluted)
AMWL
AMWL
TCMD
TCMD
Q4 25
$-1.53
$0.45
Q3 25
$-2.00
$0.36
Q2 25
$-1.24
$0.14
Q1 25
$-1.19
$-0.13
Q4 24
$-2.71
$0.40
Q3 24
$-2.87
$0.21
Q2 24
$-3.36
$0.18
Q1 24
$-4.94
$-0.09

Balance Sheet & Financial Strength

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

Metric
AMWL
AMWL
TCMD
TCMD
Cash + ST InvestmentsLiquidity on hand
$182.3M
$83.4M
Total DebtLower is stronger
$0
Stockholders' EquityBook value
$235.6M
$218.9M
Total Assets
$323.8M
$273.9M
Debt / EquityLower = less leverage
0.00×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AMWL
AMWL
TCMD
TCMD
Q4 25
$182.3M
$83.4M
Q3 25
$200.9M
$66.0M
Q2 25
$219.1M
$81.5M
Q1 25
$222.4M
$83.6M
Q4 24
$228.3M
$94.4M
Q3 24
$244.6M
$82.1M
Q2 24
$276.9M
$73.6M
Q1 24
$308.6M
$60.7M
Total Debt
AMWL
AMWL
TCMD
TCMD
Q4 25
$0
Q3 25
$0
Q2 25
Q1 25
Q4 24
Q3 24
$27.0M
Q2 24
$27.8M
Q1 24
$28.5M
Stockholders' Equity
AMWL
AMWL
TCMD
TCMD
Q4 25
$235.6M
$218.9M
Q3 25
$254.9M
$204.9M
Q2 25
$282.6M
$194.9M
Q1 25
$294.0M
$205.6M
Q4 24
$304.8M
$216.6M
Q3 24
$336.7M
$207.9M
Q2 24
$363.9M
$200.7M
Q1 24
$408.7M
$193.5M
Total Assets
AMWL
AMWL
TCMD
TCMD
Q4 25
$323.8M
$273.9M
Q3 25
$359.4M
$259.2M
Q2 25
$388.7M
$273.0M
Q1 25
$419.5M
$280.2M
Q4 24
$436.0M
$297.9M
Q3 24
$483.0M
$287.7M
Q2 24
$507.8M
$278.8M
Q1 24
$548.4M
$272.0M
Debt / Equity
AMWL
AMWL
TCMD
TCMD
Q4 25
0.00×
Q3 25
0.00×
Q2 25
Q1 25
Q4 24
Q3 24
0.13×
Q2 24
0.14×
Q1 24
0.15×

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
TCMD
TCMD
Operating Cash FlowLast quarter
$-17.4M
$17.3M
Free Cash FlowOCF − Capex
$-17.4M
$16.8M
FCF MarginFCF / Revenue
-31.4%
16.2%
Capex IntensityCapex / Revenue
0.0%
0.5%
Cash ConversionOCF / Net Profit
1.63×
TTM Free Cash FlowTrailing 4 quarters
$40.4M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AMWL
AMWL
TCMD
TCMD
Q4 25
$-17.4M
$17.3M
Q3 25
$-18.8M
$10.3M
Q2 25
$-4.7M
$14.8M
Q1 25
$-25.1M
$417.0K
Q4 24
$-13.4M
$16.3M
Q3 24
$-32.4M
$10.3M
Q2 24
$-21.8M
$13.1M
Q1 24
$-59.8M
$924.0K
Free Cash Flow
AMWL
AMWL
TCMD
TCMD
Q4 25
$-17.4M
$16.8M
Q3 25
$9.2M
Q2 25
$14.4M
Q1 25
$-25.1M
$38.0K
Q4 24
$-13.4M
$15.9M
Q3 24
$-32.4M
$9.3M
Q2 24
$-21.8M
$12.6M
Q1 24
$-59.8M
$442.0K
FCF Margin
AMWL
AMWL
TCMD
TCMD
Q4 25
-31.4%
16.2%
Q3 25
10.8%
Q2 25
18.2%
Q1 25
-37.6%
0.1%
Q4 24
-18.9%
18.5%
Q3 24
-53.0%
12.7%
Q2 24
-34.7%
17.3%
Q1 24
-100.5%
0.7%
Capex Intensity
AMWL
AMWL
TCMD
TCMD
Q4 25
0.0%
0.5%
Q3 25
0.0%
1.3%
Q2 25
0.0%
0.5%
Q1 25
0.0%
0.6%
Q4 24
0.0%
0.5%
Q3 24
0.0%
1.3%
Q2 24
0.0%
0.7%
Q1 24
0.1%
0.8%
Cash Conversion
AMWL
AMWL
TCMD
TCMD
Q4 25
1.63×
Q3 25
1.26×
Q2 25
4.59×
Q1 25
Q4 24
1.68×
Q3 24
1.99×
Q2 24
3.06×
Q1 24

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%

TCMD
TCMD

Private Insurers$57.6M56%
Medicare$24.6M24%
Durable Medical Equipment Distributors$14.1M14%
Veterans Administration$7.3M7%

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