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August 24, 2020 08:37 PM

Google invests $100M into Amwell as it goes public

Jessica Kim Cohen
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    Treatment of a patient with symptoms of a stroke by an emergency physician at Blaye hospital and remote examination and validation (CT and angiography) imaging criteria by a neurologist Unit Neuro vascular of Bordeaux hospital.

    Telemedicine company Amwell on Monday filed a registration statement for a proposed initial public offering with the Securities and Exchange Commission and applied to list its common stock on the New York Stock Exchange under the ticker "AMWL."

    The company plans to raise up to $100 million in the IPO, according to its S-1 filing.

    Amwell hasn't determined the number of shares to be offered or the price range for the proposed offering.

    Upon closing the offering, Amwell's founders will hold Class B common stock worth 51% of voting power. Other investors will hold Class A common stock, with the exception of Google, which will receive Class C common stock. Amwell this weekend entered into a stock purchase agreement with Google under which Google invested $100 million into the company.

    As part of the agreement, Amwell will migrate its video performance capabilities onto Google Cloud and the companies say they'll work together to develop new capabilities with Google Cloud's artificial-intelligence tools.

    Amwell, which was founded in 2006 as American Well Corp., brought in $148.9 million in revenue last year, up 30.6% from 2018, according to its S-1 filing. Amwell earns most of its revenue from charging customers, including 150 health systems and 55 health plans, recurring subscription fees.

    The company reported $122.3 million in revenue for the first half of 2020, up 77% year-over-year in growth partially fueled by the COVID-19 pandemic. Amwell's average monthly visit volumes increased more than 300% between the first and second quarters of 2020.

    "The COVID-19 pandemic has had a massive impact on our clients and, as a result, created significant needs and opportunities for Amwell to partner with them to help solve their most critical challenges," the filing reads.

    Healthcare groups have expressed concern that a rapid rise in telemedicine experienced during COVID-19 could prove unsustainable if regulatory flexibilities pushed through in response to the pandemic aren't made permanent, and early research has suggested that telemedicine use has declined since hospitals began resuming non-emergency care in April—though it's plateaued at a higher rate than before COVID-19.

    Amwell in its filing, however, said it expects to maintain its momentum.

    "We do not believe that the visit volume on our platform or visit revenue will materially decrease based on a return to the status quo from a regulatory perspective," Amwell's filing reads. "In fact, we believe that such a return would benefit us as the renewed enforcement of HIPAA regulations may force many marginal telehealth platforms out of the marketplace, thereby lessening our competition."

    Amwell reported net loss of $88.4 million in 2019, compared to net loss of $52.3 million in 2018.

    Amwell's largest competitor, Teladoc Health, earlier this month announced plans to merge with Livongo, a digital health company that helps users manage chronic conditions. Teladoc posted full-year 2019 revenue of $553.3 million, up 32.4% year-over-year, and a net loss of $97.1 million, compared to a $98.9 million net loss in 2018.

    Livongo, which began trading on the Nasdaq in July of last year, had been one of the most recent digital health companies to go public.

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