Fractyl Health (GUTS) Free Cash Flow (2023 - 2026)

Fractyl Health (GUTS) reported Free Cash Flow of -$22.5 million for Q1 2026, up 11.95% year-on-year from -$20.1 million in Q1 2025, and down 5.33% quarter-over-quarter from -$21.3 million in Q4 2025.

Fractyl Health (GUTS) has 4 years of Free Cash Flow data on file, last reported at -$22.5 million in Q1 2026.

  • For the quarter ending Q1 2026, Free Cash Flow rose 11.95% year-over-year to -$22.5 million; the trailing twelve-month figure through Mar 2026 stood at -$87.8 million (down 8.33% YoY), and the FY2025 full-year result was -$90.9 million, down 35.07% from the prior year.
  • Free Cash Flow for Q1 2026 stood at -$22.5 million, down from -$21.3 million in the prior quarter.
  • Across five years, Free Cash Flow topped out at -$9.6 million in Q1 2023 and bottomed at -$25.5 million in Q1 2025.
  • A 4-year average of -$17.2 million and a median of -$18.3 million in 2024 frame the typical range for Free Cash Flow.
  • Across the five-year window, Free Cash Flow sank 117.6% in 2025 and rose 11.95% in 2026, its largest moves.
  • Tracing GUTS's Free Cash Flow over 4 years: stood at -$10.7 million in 2023, then tumbled by 61.84% to -$17.3 million in 2024, then retreated by 23.58% to -$21.3 million in 2025, then decreased by 5.33% to -$22.5 million in 2026.
  • According to Business Quant data, Free Cash Flow over the past three periods registered -$22.5 million, -$21.3 million, and -$22.7 million for Q1 2026, Q4 2025, and Q3 2025 respectively.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Free Cash Flow (Qtr)
1 Quantum Biopharma 1,638,563.89 Bn 1,638,563.89 Bn - -1.67 Mn
2 Alterity Therapeutics 767,934.24 Bn 767,934.20 Bn - -
3 Legend Biotech 2,937.00 Bn 2,936.10 Bn 242.10 Mn -12.20 Mn
4 Nanobiotix 2,226.01 Bn 2,225.95 Bn - -
5 Akari Therapeutics 2,169.69 Bn 2,169.69 Bn - -2.49 Mn
6 Vertex Pharmaceuticals 110.41 Bn 103.16 Bn 2.59 Bn 1.29 Bn
7 Regeneron Pharmaceuticals 66.44 Bn 57.69 Bn 3.31 Bn 848.30 Mn
8 Evaxion A 65.44 Bn 65.42 Bn - -
9 Alnylam Pharmaceuticals 39.53 Bn 36.52 Bn 959.66 Mn 48.67 Mn
10 Fractyl Health 19.24 Mn 19.24 Mn - -22.48 Mn

Historic Data

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DateValue
Mar 31, 2026 -22.48 Mn
Mar 31, 2026 -22.48 Mn
Dec 31, 2025 -21.34 Mn
Dec 31, 2025 -21.34 Mn
Sep 30, 2025 -22.72 Mn
Sep 30, 2025 -22.72 Mn
Jun 30, 2025 -21.30 Mn
Jun 30, 2025 -21.30 Mn
Mar 31, 2025 -25.53 Mn
Mar 31, 2025 -25.53 Mn
Dec 31, 2024 -17.27 Mn
Dec 31, 2024 -17.27 Mn
Sep 30, 2024 -18.25 Mn
Sep 30, 2024 -18.25 Mn
Jun 30, 2024 -20.04 Mn
Jun 30, 2024 -20.04 Mn
Mar 31, 2024 -11.73 Mn
Mar 31, 2024 -11.73 Mn
Dec 31, 2023 -10.67 Mn
Dec 31, 2023 -10.67 Mn
Sep 30, 2023 -10.96 Mn
Sep 30, 2023 -10.96 Mn
Jun 30, 2023 -11.71 Mn
Jun 30, 2023 -11.71 Mn
Mar 31, 2023 -9.57 Mn
Mar 31, 2023 -9.57 Mn