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

Fractyl Health (GUTS) reported Net Cash Flow of -$18.4 million for Q1 2026, up 27.54% year-on-year from -$14.4 million in Q1 2025, and down 573.14% quarter-over-quarter from $3.9 million in Q4 2025.

Fractyl Health (GUTS) has 4 years of Net Cash Flow data on file, last reported at -$18.4 million in Q1 2026.

  • For the quarter ending Q1 2026, Net Cash Flow rose 27.54% year-over-year to -$18.4 million; the trailing twelve-month figure through Mar 2026 stood at $21.1 million (up 126.44% YoY), and the FY2025 full-year result was $14.1 million, down 58.53% from the prior year.
  • Net Cash Flow for Q1 2026 stood at -$18.4 million, down from $3.9 million in the prior quarter.
  • Across five years, Net Cash Flow topped out at $88.2 million in Q1 2024 and bottomed at -$25.4 million in Q1 2025.
  • A 4-year average of $1.1 million and a median of -$11.7 million in 2023 frame the typical range for Net Cash Flow.
  • Peak annual rise in Net Cash Flow reached 1021.77% in 2024, while the deepest fall reached 207.67% in 2024.
  • Tracing GUTS's Net Cash Flow over 4 years: stood at -$11.3 million in 2023, then slumped by 52.33% to -$17.2 million in 2024, then surged by 122.58% to $3.9 million in 2025, then sank by 573.14% to -$18.4 million in 2026.
  • According to Business Quant data, Net Cash Flow over the past three periods registered -$18.4 million, $3.9 million, and $55.4 million for Q1 2026, Q4 2025, and Q3 2025 respectively.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Net Cash Flow (Qtr)
1 Quantum Biopharma 1,638,563.89 Bn 1,638,563.89 Bn - 2.44 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 625.70 Mn
4 Nanobiotix 2,226.01 Bn 2,225.95 Bn - -
5 Akari Therapeutics 2,169.69 Bn 2,169.69 Bn - -2.44 Mn
6 Vertex Pharmaceuticals 110.41 Bn 103.16 Bn 2.59 Bn 457.40 Mn
7 Regeneron Pharmaceuticals 66.44 Bn 57.69 Bn 3.31 Bn -152.20 Mn
8 Evaxion A 65.44 Bn 65.42 Bn - -
9 Alnylam Pharmaceuticals 39.53 Bn 36.52 Bn 959.66 Mn 60.68 Mn
10 Fractyl Health 19.24 Mn 19.24 Mn - -18.37 Mn

Historic Data

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DateValue
Mar 31, 2026 -18.37 Mn
Mar 31, 2026 -18.37 Mn
Dec 31, 2025 3.88 Mn
Dec 31, 2025 3.88 Mn
Sep 30, 2025 55.37 Mn
Sep 30, 2025 55.37 Mn
Jun 30, 2025 -19.82 Mn
Jun 30, 2025 -19.82 Mn
Mar 31, 2025 -25.36 Mn
Mar 31, 2025 -25.36 Mn
Dec 31, 2024 -17.20 Mn
Dec 31, 2024 -17.20 Mn
Sep 30, 2024 -18.09 Mn
Sep 30, 2024 -18.09 Mn
Jun 30, 2024 -19.00 Mn
Jun 30, 2024 -19.00 Mn
Mar 31, 2024 88.23 Mn
Mar 31, 2024 88.23 Mn
Dec 31, 2023 -11.29 Mn
Dec 31, 2023 -11.29 Mn
Sep 30, 2023 16.80 Mn
Sep 30, 2023 16.80 Mn
Jun 30, 2023 -11.68 Mn
Jun 30, 2023 -11.68 Mn
Mar 31, 2023 -9.57 Mn
Mar 31, 2023 -9.57 Mn