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Consolidated Statements of Stockholders' Equity - USD ($) $ in Thousands | Total | Conversa [Member] | SilverCloud earn-out settlement [Member] | Common Stock [Member] | Common Stock [Member] Conversa [Member] | Common Stock [Member] SilverCloud earn-out settlement [Member] | Common Stock [Member] SilverCloud Bonus Escrow [Member] | Treasury Stock [Member] | Additional Paid-in Capital [Member] | Additional Paid-in Capital [Member] Conversa [Member] | Additional Paid-in Capital [Member] SilverCloud earn-out settlement [Member] | Accumulated Other Comprehensive Income (Loss) [Member] | Accumulated Deficit [Member] | American Well Corporation Stockholder Equity [Member] | American Well Corporation Stockholder Equity [Member] Conversa [Member] | American Well Corporation Stockholder Equity [Member] SilverCloud earn-out settlement [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 | 20,880 |  |  | $ 66 |  |  |  |  | 20,814 |  |  |  |  | 20,880 |  |  |
Exercise of common stock options, Shares |  |  |  | 6,695,258 |  |  |  |  |  |  |  |  |  |  |  |  |
Vesting of restricted stock units |  |  |  | $ 75 |  |  |  |  | (75) |  |  |  |  |  |  |  |
Vesting of restricted stock units, Shares |  |  |  | 7,394,144 |  |  |  |  |  |  |  |  |  |  |  |  |
Shares withheld related to net share settlement and retired treasury stock | (15,038) |  |  | $ (8) |  |  |  |  | 8 |  |  |  | (15,038) | (15,038) |  |  |
Shares withheld related to net share settlement and retired treasury stock, Shares |  |  |  | (798,933) |  |  |  |  |  |  |  |  |  |  |  |  |
Shares repruchased and retired |  |  |  |  |  |  |  | $ 37,568 | (15) |  |  |  | (37,553) |  |  |  |
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 | 43,809 |  |  |  |  |  |  |  | 43,809 |  |  |  |  | 43,809 |  |  |
Capital contributed by selling shareholders of acquired businesses | 2,753 |  |  |  |  |  |  |  | 2,753 |  |  |  |  | 2,753 |  |  |
Currency translation adjustment | (6,565) |  |  |  |  |  |  |  |  |  |  | (6,565) |  | (6,565) |  |  |
Unrealized loss on available-for-sale securities, net of tax | (85) |  |  |  |  |  |  |  |  |  |  | (85) |  | (85) |  |  |
Net loss | (176,782) |  |  |  |  |  |  |  |  |  |  |  | (176,334) | (176,334) |  |  | (448)
Ending balance at Dec. 31, 2021 | 1,260,875 |  |  | $ 2,620 |  |  |  |  | 2,054,275 |  |  | (6,353) | (811,284) | 1,239,258 |  |  | 21,617
Ending balance, Shares at Dec. 31, 2021 |  |  |  | 261,871,587 |  |  |  |  |  |  |  |  |  |  |  |  |
Exercise of common stock options | 5,666 |  |  | $ 27 |  |  |  |  | 5,639 |  |  |  |  | 5,666 |  |  |
Exercise of common stock options, Shares |  |  |  | 2,690,448 |  |  |  |  |  |  |  |  |  |  |  |  |
Vesting of restricted stock units |  |  |  | $ 53 |  |  |  |  | (53) |  |  |  |  |  |  |  |
Vesting of restricted stock units, Shares |  |  |  | 5,372,060 |  |  |  |  |  |  |  |  |  |  |  |  |
Shares withheld related to net share settlement and retired treasury stock | (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 | 2,503 |  |  | $ 7 |  |  |  |  | 2,496 |  |  |  |  | 2,503 |  |  |
Issuance of stock under employee stock purchase plan, Shares |  |  |  | 703,148 |  |  |  |  |  |  |  |  |  |  |  |  |
Issuance of common stock related to Conversa/SilverCloud earn-out settlement |  | $ 4,298 | $ 12,945 |  | $ 10 | $ 50 |  |  |  | $ 4,288 | $ 12,895 |  |  |  | $ 4,298 | $ 12,945 |
Issuance of common stock related to Conversa/SilverCloud earn-out settlement, Shares |  |  |  |  | 1,020,964 | 4,959,856 | 606,618 |  |  |  |  |  |  |  |  |  |
Receipt of Section 16(b) disgorgement | 295 |  |  |  |  |  |  |  | 295 |  |  |  |  | 295 |  |  |
Stock-based compensation expense | 69,144 |  |  |  |  |  |  |  | 69,144 |  |  |  |  | 69,144 |  |  |
Capital contributed by selling shareholders of acquired businesses | 11,173 |  |  |  |  |  |  |  | 11,173 |  |  |  |  | 11,173 |  |  |
Currency translation adjustment | (10,616) |  |  |  |  |  |  |  |  |  |  | (10,616) |  | (10,616) |  |  |
Net loss | (272,072) |  |  |  |  |  |  |  |  |  |  |  | (270,429) | (270,429) |  |  | (1,643)
Ending balance at Dec. 31, 2022 | 1,083,851 |  |  | $ 2,766 |  |  |  |  | 2,160,108 |  |  | (16,969) | (1,082,028) | 1,063,877 |  |  | 19,974
Ending balance, Shares at Dec. 31, 2022 |  |  |  | 277,139,679 |  |  |  |  |  |  |  |  |  |  |  |  |
Exercise of common stock options | 569 |  |  | $ 3 |  |  |  |  | 566 |  |  |  |  | 569 |  |  |
Exercise of common stock options, Shares |  |  |  | 286,599 |  |  |  |  |  |  |  |  |  |  |  |  |
Vesting of restricted stock units |  |  |  | $ 101 |  |  |  |  | (101) |  |  |  |  |  |  |  |
Vesting of restricted stock units, Shares |  |  |  | 10,102,894 |  |  |  |  |  |  |  |  |  |  |  |  |
Shares repruchased and retired | (586) |  |  | $ (3) |  |  |  |  | 3 |  |  |  | (586) | (586) |  |  |
Shares repruchased and retired, Shares |  |  |  | (264,987) |  |  |  |  |  |  |  |  |  |  |  |  |
Issuance of stock under employee stock purchase plan | 2,164 |  |  | $ 12 |  |  |  |  | 2,152 |  |  |  |  | 2,164 |  |  |
Issuance of stock under employee stock purchase plan, Shares |  |  |  | 1,224,312 |  |  |  |  |  |  |  |  |  |  |  |  |
Stock-based compensation expense | 72,040 |  |  |  |  |  |  |  | 72,040 |  |  |  |  | 72,040 |  |  |
Currency translation adjustment | 1,319 |  |  |  |  |  |  |  |  |  |  | 1,319 |  | 1,319 |  |  |
Net loss | (679,171) |  |  |  |  |  |  |  |  |  |  |  | (675,164) | (675,164) |  |  | (4,007)
Ending balance at Dec. 31, 2023 | $ 480,186 |  |  | $ 2,879 |  |  |  |  | $ 2,234,768 |  |  | $ (15,650) | $ (1,757,778) | $ 464,219 |  |  | $ 15,967
Ending balance, Shares at Dec. 31, 2023 |  |  |  | 288,488,497 |  |  |  |  |  |  |  |  |  |  |  |  |

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