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Condensed Consolidated Statements of Stockholders' Equity - USD ($)
$ in Thousands
Total
Common Stock [Member]
Treasury Stock [Member]
Additional Paid-in Capital [Member]
Accumulated Other Comprehensive Income (Loss) [Member]
Accumulated Equity (Deficit) [Member]
American Well Corporation Stockholder Equity (Deficit) [Member]
Noncontrolling Interest [Member]
Beginning balance at Dec. 31, 2020 $ 1,246,197 $ 2,357 $ (37,568) $ 1,841,405 $ 297 $ (582,359) $ 1,224,132 $ 22,065
Beginning balance (in shares) at Dec. 31, 2020   235,604,105            
Exercise of common stock options 10,130 $ 34   10,096     10,130  
Exercise of common stock options, Shares   3,474,375            
Vesting of restricted stock units   $ 9   (9)        
Vesting of restricted stock units ,Shares   853,842            
Retirement of treasury stock     37,568 (15)   (37,553)    
Shares withheld related to net share settlement and retired treasury stock in 2022 (9,771) $ (4)   4   (9,771) (9,771)  
Shares withheld related to net share settlement and retired treasury stock, Shares   (402,060)            
Stock-based compensation expense 8,642     8,642     8,642  
Currency translation adjustment (52)       (52)   (52)  
Unrealized gains (losses) on available-for-sale securities, net of tax 34       34   34  
Net loss (39,805)         (39,188) (39,188) (617)
Ending balance at Mar. 31, 2021 1,215,375 $ 2,396   1,860,123 279 (668,871) 1,193,927 21,448
Ending balance, Shares at Mar. 31, 2021   239,530,262            
Beginning balance at Dec. 31, 2020 1,246,197 $ 2,357 $ (37,568) 1,841,405 297 (582,359) 1,224,132 22,065
Beginning balance (in shares) at Dec. 31, 2020   235,604,105            
Currency translation adjustment (2,449)              
Unrealized gains (losses) on available-for-sale securities, net of tax (85)              
Net loss (128,873)              
Ending balance at Sep. 30, 2021 $ 1,297,662 $ 2,595   2,038,012 (2,237) (762,441) 1,275,929 21,733
Ending balance, Shares at Sep. 30, 2021 259,365,259              
Beginning balance at Mar. 31, 2021 $ 1,215,375 $ 2,396   1,860,123 279 (668,871) 1,193,927 21,448
Beginning balance (in shares) at Mar. 31, 2021   239,530,262            
Exercise of common stock options 6,674 $ 18   6,656     6,674  
Exercise of common stock options, Shares   1,812,491            
Vesting of restricted stock units   $ 9   (9)        
Vesting of restricted stock units ,Shares   844,900            
Shares withheld related to net share settlement and retired treasury stock in 2022 (1,857) $ (1)   1   (1,857) (1,857)  
Shares withheld related to net share settlement and retired treasury stock, Shares   (68,750)            
Stock-based compensation expense 10,726     10,726     10,726  
Currency translation adjustment (20)       (20)   (20)  
Unrealized gains (losses) on available-for-sale securities, net of tax (119)       (119)   (119)  
Net loss (38,136)         (37,859) (37,859) (277)
Ending balance at Jun. 30, 2021 1,192,643 $ 2,422   1,877,497 140 (708,587) 1,171,472 21,171
Ending balance, Shares at Jun. 30, 2021   242,118,903            
Exercise of common stock options 1,877 $ 5   1,872     1,877  
Exercise of common stock options, Shares   491,598            
Vesting of restricted stock units   $ 40   (40)        
Vesting of restricted stock units ,Shares   3,989,239            
Shares withheld related to net share settlement and retired treasury stock in 2022 (2,360) $ (2)   (2)   (2,360) (2,360)  
Shares withheld related to net share settlement and retired treasury stock, Shares   (211,494)            
Issuance of stock under employee stock purchase plan 1,599 $ 2   1,597     1,599  
Issuance of stock under employee stock purchase plan,Shares   178,021            
Issuance of common stock in acquisitions 144,107 $ 128   143,979     144,107  
Issuance of common stock in acquisitions, Shares   12,798,992            
Stock-based compensation expense 12,388     12,388     12,388  
Capital contributed by selling shareholders of acquired businesses 717     717     717  
Currency translation adjustment (2,377)       (2,377)   (2,377)  
Unrealized gains (losses) on available-for-sale securities, net of tax 0              
Net loss (50,932)         (51,494) (51,494) 562
Ending balance at Sep. 30, 2021 $ 1,297,662 $ 2,595   2,038,012 (2,237) (762,441) 1,275,929 21,733
Ending balance, Shares at Sep. 30, 2021 259,365,259              
Beginning balance at Dec. 31, 2021 $ 1,260,875 $ 2,620   2,054,275 (6,353) (811,284) 1,239,258 21,617
Beginning balance (in shares) at Dec. 31, 2021   261,871,587            
Exercise of common stock options 2,465 $ 10   2,455     2,465  
Exercise of common stock options, Shares   976,644            
Vesting of restricted stock units   $ 14   (14)        
Vesting of restricted stock units ,Shares   1,398,305            
Issuance of stock under employee stock purchase plan 1,501 $ 4   1,497     1,501  
Issuance of stock under employee stock purchase plan,Shares   425,114            
Issuance of common stock related to Conversa/SilverCloud earn-out settlement 4,298 $ 10   4,288     4,298  
Issuance of common stock related to Conversa/SilverCloud earn-out settlement, Shares   1,020,964            
Stock-based compensation expense 12,085     12,085     12,085  
Capital contributed by selling shareholders of acquired businesses 2,019     2,019     2,019  
Currency translation adjustment (2,951)       (2,951)   (2,951)  
Unrealized gains (losses) on available-for-sale securities, net of tax (1,251)       (1,251)   (1,251)  
Net loss (70,253)         (70,037) (70,037) (216)
Ending balance at Mar. 31, 2022 1,208,788 $ 2,658   2,076,605 (10,555) (881,321) 1,187,387 21,401
Ending balance, Shares at Mar. 31, 2022   265,692,614            
Beginning balance at Dec. 31, 2021 1,260,875 $ 2,620   2,054,275 (6,353) (811,284) 1,239,258 21,617
Beginning balance (in shares) at Dec. 31, 2021   261,871,587            
Currency translation adjustment (24,343)              
Unrealized gains (losses) on available-for-sale securities, net of tax (360)              
Net loss (210,480)              
Ending balance at Sep. 30, 2022 1,104,849 $ 2,753   2,133,614 (31,056) (1,020,865) 1,084,446 20,403
Ending balance, Shares at Sep. 30, 2022   275,250,318            
Beginning balance at Mar. 31, 2022 1,208,788 $ 2,658   2,076,605 (10,555) (881,321) 1,187,387 21,401
Beginning balance (in shares) at Mar. 31, 2022   265,692,614            
Exercise of common stock options 1,926 $ 10   1,916     1,926  
Exercise of common stock options, Shares   1,083,571            
Vesting of restricted stock units   $ 16   (16)        
Vesting of restricted stock units ,Shares   1,606,976            
Issuance of common stock related to Conversa/SilverCloud earn-out settlement 12,945 $ 50   12,895     12,945  
Issuance of common stock related to Conversa/SilverCloud earn-out settlement, Shares   4,959,856            
Receipt of Section 16(b) disgorgement 295     295     295  
Stock-based compensation expense 14,907     14,907     14,907  
Capital contributed by selling shareholders of acquired businesses 1,974     1,974     1,974  
Currency translation adjustment (10,179)       (10,179)   (10,179)  
Unrealized gains (losses) on available-for-sale securities, net of tax (111)       (111)   (111)  
Net loss (69,652)         (69,145) (69,145) (507)
Ending balance at Jun. 30, 2022 1,160,893 $ 2,734   2,108,576 (20,845) (950,466) 1,139,999 20,894
Ending balance, Shares at Jun. 30, 2022   273,343,017            
Exercise of common stock options 858 $ 5   853     858  
Exercise of common stock options, Shares   464,622            
Vesting of restricted stock units   $ 12   (12)        
Vesting of restricted stock units ,Shares   1,249,647            
Shares withheld related to net share settlement and retired treasury stock in 2022 (360) $ (1)   (44)   (315) (360)  
Shares withheld related to net share settlement and retired treasury stock, Shares   (85,002)            
Issuance of stock under employee stock purchase plan 1,002 $ 3   999     1,002  
Issuance of stock under employee stock purchase plan,Shares   278,034            
Stock-based compensation expense 21,312     21,312     21,312  
Capital contributed by selling shareholders of acquired businesses 1,930     1,930     1,930  
Currency translation adjustment (11,213)       (11,213)   (11,213)  
Unrealized gains (losses) on available-for-sale securities, net of tax 1,002       1,002   1,002  
Net loss (70,575)         (70,084) (70,084) (491)
Ending balance at Sep. 30, 2022 $ 1,104,849 $ 2,753   $ 2,133,614 $ (31,056) $ (1,020,865) $ 1,084,446 $ 20,403
Ending balance, Shares at Sep. 30, 2022   275,250,318