Fractyl Health (GUTS) Cash Flow: Operating & Free Cash Flow

Fractyl Health Cash Flow Statement Analysis

Values in millions USD

Income Statement Balance Sheet Cash Flow Ratios

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Cash flow statement showing operating, investing, and financing activities for Fractyl Health, Inc. (GUTS) - Annual data in millions USD
Breakdown	FY 2025	FY 2024	FY 2023	FY 2023	FY 2022	FY 2021	FY 2020	FY 2019
Period ending	Dec 2025	Dec 2024	Mar 2024	Dec 2023	Dec 2022	Dec 2021	Dec 2020	Dec 2019
Operating Activities
Net Income	-140.95	-68.69	-77.09	-77.09	-46.45	-38.74	-30.48	-30.59
Depreciation & Amortization	1.13	0.68	0.29	0.29	0.45	0.68	0.77	0.89
Stock Based Compensation	6.68	14.43	4.30	4.30	3.14	2.09	1.63	2.52
Change in Working Capital	-0.40	9.59	0.99	0.99	-1.24	1.71	-3.51	-0.82
Change in Accounts Receivable	0.00	0.02	-0.02	-0.02	0.00	0.00	0.00	0.00
Change in Inventory	0.07	0.00	-0.07	-0.07	0.00	0.00	0.00	0.00
Change in Accounts Payable	-1.67	2.69	-0.43	-0.43	0.01	0.67	-0.30	0.00
Change in Other Working Capital	1.20	6.88	1.51	0.97	-2.32	1.05	-3.20	-0.82
Other Operating Activities	43.21	-21.52	28.70	26.20	-2.32	0.80	0.52	0.27
Net Cash from Operating Activities	-90.33	-65.52	-42.82	-42.82	-46.24	-33.46	-31.07	-27.73
Investing Activities
Capital Expenditures	-0.56	-1.77	-0.36	-0.36	-0.06	-0.05	0.00	-0.10
Net Cash from Investing Activities	-0.56	-1.77	-0.36	-0.36	-0.06	-0.05	0.00	-0.10
Financing Activities
Debt Repayment	-0.46	-0.19	28.35	-0.08	-16.05	-0.01	-0.01	14.95
Common Stock Issued	105.42	103.70	0.00	0.05	0.32	0.00	0.02	0.22
Other Financing Activities	0.00	-2.28	-0.91	-0.96	0.00	99.89	54.40	0.22
Net Cash from Financing Activities	104.96	101.23	27.44	27.44	4.35	99.88	54.39	15.16
Summary
Effect of Forex Changes on Cash	0.00	0.00	0.00	-	-4.26	0.00	0.00	0.00
Net Change in Cash	14.08	33.94	-15.75	-15.75	-41.95	66.37	23.32	-12.66
Cash at Beginning of Period	71.72	37.78	53.52	53.52	95.47	29.11	5.79	18.46
Cash at End of Period	85.80	71.72	37.78	37.78	53.52	95.47	29.11	5.79
Free Cash Flow	-90.89	-67.29	-43.18	-43.18	-46.30	-33.51	-31.08	-27.83
Supplemental Disclosures
Interest Paid	-	3.13	-	0.76	0.01	1.03	1.04	-

Source: Company financial statements from annual and quarterly filings. Data as of Jun 30, 2026. Data sources and methodology

Frequently Asked Questions About Fractyl Health Cash Flow

What is Fractyl Health's free cash flow?

Fractyl Health had negative free cash flow of $90.89M in fiscal 2025 (fiscal year ended Dec 31, 2025), operating cash flow of −$90.33M minus $557.00K of capital expenditures.

How much does Fractyl Health spend on capital expenditures?

Fractyl Health spent $557.00K on capital expenditures in fiscal 2025, compared with $1.76M a year earlier.

Does Fractyl Health pay dividends or buy back shares?

Fractyl Health's cash flow statement for fiscal 2025 shows no dividend payments or share repurchases.

What is free cash flow?

Free cash flow is operating cash flow minus capital expenditures. It is the cash a company has left for dividends, buybacks, debt repayment or acquisitions after funding its operations and investment. Full definition