Company: AMWL
Filing Date: 2025-02-12
Form Type: 10-K
Source: 0000950170-25-019024
Chunk: 102

Company: American Well Corp
Filing Date: 2025-02-12
Form: 10-K
Item: Item 1A
Chunk 102
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 our domestic operations and expensive to modify or terminate. In some countries we are required to, or choose to, operate with local business partners, which requires us to manage our partner relationships and may reduce our operational flexibility and ability to quickly respond to business challenges. 

31

Our international operations are subject to particular risks in addition to those faced by our domestic operations, including: 

•the need to localize and adapt our solution for specific countries, including translation into foreign languages and associated expenses; 

•potential loss of proprietary information due to misappropriation or laws that may be less protective of our intellectual property rights than U.S. laws or that may not be adequately enforced; 

•requirements of foreign laws and other governmental controls, including cross-border compliance challenges related to the complexity of multiple, conflicting and changing governmental laws and regulations, including employment, healthcare, tax, privacy and data protection laws and regulations; 

•data privacy laws that require that client data be stored and processed in a designated territory; 

•new and different sources of competition and laws and business practices favoring local competitors; 

•local business and cultural factors that differ from our normal standards and practices, including business practices that we are prohibited from engaging in by the U.S. Foreign Corrupt Practices Act of 1977 (“FCPA”) and other anti-corruption laws and regulations; 

•changes to economic sanctions laws and regulations; 

•central bank and other restrictions on our ability to repatriate cash from international subsidiaries; 

•adverse tax consequences; 

•fluctuations in currency exchange rates, economic instability and inflationary conditions, which could make our solution more expensive or increase our costs of doing business in certain countries; 

•limitations on future growth or inability to maintain current levels of revenues from international sales if we do not invest sufficiently in our international operations; 

•different pricing environments, longer sales cycles and longer accounts receivable payment cycles and collections issues; 

•difficulties in staffing, managing and operating our international operations, including difficulties related to administering our stock plans in some foreign countries and increased financial accounting and reporting requirements and complexities; 

•difficulties in coordinating the activities of our geographically dispersed operations; and 

•political unrest, war, terrorism or regional natural disasters, particularly in areas in which we have facilities. 

Our overall success in international markets depends, in part, on our ability to anticipate and effectively manage these risks and there can be no assurance that we will be able to do so without incurring unexpected costs. If we are not able