GUTS Fractyl Health, Inc. - Common Stock

NASDAQ · Health Care · View on SEC EDGAR ↗
$0.73
Price · Aug 19, 2026
Fundamentals as of Aug 10, 2026

About Fractyl Health, Inc. - Common Stock Company overview from Wikipedia

GUTS Stock Snapshot Price, market cap, P/E, EPS, ROE, debt/equity, 52-week range

Price
$0.73
Market Cap
$112M
P/E (TTM)
-0.4
EPS (TTM)
$-1.86
Revenue (TTM)
$0
Div Yield
ROE
3220.3%
Debt/Equity
52W Range
$0 – $2

GUTS Stock Price Chart Daily OHLCV with technical indicators — pan, zoom, and customize your view

10-Year Performance Revenue, net income, margins and EPS trends

Revenue & Net Income $0
3-point trend, -100.0%
2023-12-31 2025-12-31
EPS $-1.86
3-point trend, +95.9%
2023-12-31 2025-12-31
Free Cash Flow $-91M
2-point trend, -35.1%
2024-12-31 2025-12-31
Margins
2024-12-31 2024-12-31

Valuation P/E, P/S, P/B, EV/EBITDA ratios — is the stock expensive or cheap?

Metric
5Y trend
GUTS
Peer Median
P/E (TTM)
2-point trend, +7.0%
-0.4
9.8
P/B
2-point trend, +909.6%
11.8
4.2
Price / FCF
2-point trend, -148.7%
-1.2

Profitability Gross, operating and net margins; ROE, ROA, ROIC

Metric
5Y trend
GUTS
Peer Median
ROA
2-point trend, -64.8%
-122.8%
-20.7%
ROE
2-point trend, +1945.8%
3220.3%
-24.4%

Financial Health Debt, liquidity, solvency — balance sheet strength

Metric
5Y trend
GUTS
Peer Median
Current Ratio
2-point trend, +31.7%
4.8
4.3
Quick Ratio
2-point trend, +30.4%
4.4

Growth Revenue, EPS and net income growth: YoY, 3Y CAGR, 5Y CAGR

Metric
5Y trend
GUTS
Peer Median
Revenue YoY
3-point trend, -100.0%
-22.5%

Per Share Metrics EPS, book value per share, cash flow per share, dividend per share

Metric
5Y trend
GUTS
Peer Median
EPS (Diluted)
3-point trend, +95.9%
$-1.86

Capital Efficiency Asset turnover, inventory turnover, receivables turnover

Metric
5Y trend
GUTS
Peer Median

GUTS Analyst Consensus Bullish and bearish analyst opinions, 12-month price target, upside

BUY 13 analysts
  • Strong Buy 4 30.8%
  • Buy 7 53.8%
  • Hold 2 15.4%
  • Sell 0 0.0%
  • Strong Sell 0 0.0%

12-Month Price Target

6 analysts · 2026-08-18
Median target $5.10 +599.9%
Mean target $5.03 +590.7%

Earnings History EPS actual vs estimate, surprise %, beat rate, next earnings date

Avg Surprise
-0.07%
Period EPS Actual EPS Est Surprise
June 30, 2026 $-0.12 $-0.14 0.02%
March 31, 2026 $-0.13 $-0.16 0.03%
Dec. 31, 2025 $-0.07 $-0.18 0.11%
Sept. 30, 2025 $-0.71 $-0.32 -0.39%
June 30, 2025 $-0.57 $-0.37 -0.20%
March 31, 2025 $-0.49 $-0.49 -0.00%
Dec. 31, 2024 $-0.52 $-0.44 -0.08%

Peer comparison (GICS sub-industry) Key metrics vs sector peers

Ticker Market Cap P/E Rev YoY Net Margin ROE Gross Margin
GUTS $337M -1.2 -22.5% 3220.3%
APYX $146M -6.1 9.9% -21.2% -78.0% 62.5%
VANI $94M -2.9 -257.8%
AGPU $29M 47.7% -186053.5% -1012.1%
MBOT $134M -6.9 -24.4%
KEQU $106M 11.5 17.3% 3.4% 13.3% 28.5%
LNSR -4.1 9.2%
HSDT $126M -1.6 1057.1% -679.6% -26.6% 91.7%
HYPR -2.3 5.2% -262.3% -93.5% 49.8%

Full Fundamentals All metrics by year — income statement, balance sheet, cash flow

Income Statement 16
Annual Income Statement data for GUTS
Metric Trend 202520242023
Revenue 3-point trend, -100.0% $0 $93.0K $120.0K
Cost of Revenue 3-point trend, -100.0% $0 $50.0K $77.0K
Gross Profit Flat — no change across 2 periods · $43.0K $43.0K
R&D Expense 3-point trend, +96.0% $75M $70M $38M
SG&A Expense 3-point trend, +73.5% $22M $23M $13M
Operating Expenses 3-point trend, +90.3% $97M $94M $51M
Operating Income 3-point trend, -90.4% $-97M $-94M $-51M
Interest Income 3-point trend, +22.2% $2M $4M $1M
Other Non-op 3-point trend, -120.8% $-53.0K $-47.0K $-24.0K
Income Tax Flat — no change across 3 periods $0 $0 $0
Net Income 3-point trend, -82.8% $-141M $-69M $-77M
EPS (Basic) 3-point trend, +95.9% $-1.86 $-1.62 $-45.29
EPS (Diluted) 3-point trend, +95.9% $-1.86 $-1.62 $-45.29
Shares (Basic) 3-point trend, +3542.9% 75,819,960 43,541,527 2,081,328
Shares (Diluted) 3-point trend, +3542.9% 75,819,960 43,541,527 2,081,328
EBITDA 2-point trend, -3.5% $-97M $-94M ·
Balance Sheet 21
Annual Balance Sheet data for GUTS
Metric Trend 202520242023
Cash & Equivalents 3-point trend, +145.5% $82M $67M $33M
Receivables 2-point trend, -100.0% · $0 $22.0K
Inventory Flat — no change across 2 periods · $73.0K $73.0K
Prepaid Expense $6M · ·
Current Assets 3-point trend, +145.7% $88M $72M $36M
PP&E (Net) 3-point trend, +391.2% $2M $3M $490.0K
PP&E (Gross) 3-point trend, -3.6% $5M $5M $5M
Accum. Depreciation 3-point trend, -43.6% $3M $2M $5M
Other Non-current Assets 3-point trend, -93.9% $337.0K $666.0K $6M
Total Assets 3-point trend, +59.3% $121M $108M $76M
Accounts Payable 3-point trend, +184.6% $2M $3M $553.0K
Current Liabilities 3-point trend, +63.8% $18M $20M $11M
Capital Leases 3-point trend, -9.0% $26M $27M $29M
Other Non-current Liabilities 2-point trend, -33.6% $663.0K $998.0K ·
Total Liabilities 3-point trend, -1.8% $112M $80M $114M
Common Stock 3-point trend, +1000.00 $1.0K $0 $0
Paid-in Capital 3-point trend, +2524.7% $566M $444M $22M
Retained Earnings 3-point trend, -60.5% $-556M $-415M $-347M
Stockholders' Equity 3-point trend, +102.9% $9M $28M $-325M
Liabilities + Equity 3-point trend, +59.3% $121M $108M $76M
Shares Outstanding 3-point trend, +7183.3% 153,372,044 48,755,451 2,105,815
Cash Flow 9
Annual Cash Flow data for GUTS
Metric Trend 202520242023
Stock-based Comp 3-point trend, +55.6% $7M $14M $4M
Operating Cash Flow 3-point trend, -110.9% $-90M $-66M $-43M
CapEx 3-point trend, +55.2% $557.0K $2M $359.0K
Investing Cash Flow 3-point trend, -55.2% $-557.0K $-2M $-359.0K
Stock Issued $7M · ·
Net Stock Activity $7M · ·
Financing Cash Flow 3-point trend, +282.6% $105M $101M $27M
Net Change in Cash 3-point trend, +189.4% $14M $34M $-16M
Free Cash Flow 2-point trend, -35.1% $-91M $-67M ·
Profitability 6
Annual Profitability data for GUTS
Metric Trend 202520242023
Gross Margin · 46.2% ·
Operating Margin · -100571.0% ·
Net Margin · -73864.5% ·
EBITDA Margin · -100571.0% ·
ROA 2-point trend, -64.8% -122.8% -74.6% ·
ROE 2-point trend, +1945.8% 3220.3% -174.5% ·
Liquidity & Solvency 2
Annual Liquidity & Solvency data for GUTS
Metric Trend 202520242023
Current Ratio 2-point trend, +31.7% 4.8 3.6 ·
Quick Ratio 2-point trend, +30.4% 4.4 3.4 ·
Efficiency 3
Annual Efficiency data for GUTS
Metric Trend 202520242023
Asset Turnover 2-point trend, -100.0% 0.0 0.0 ·
Inventory Turnover · 0.7 ·
Receivables Turnover · 8.5 ·
Per Share 5
Annual Per Share data for GUTS
Metric Trend 202520242023
Book Value / Share 2-point trend, -89.4% $0.06 $0.58 ·
Revenue / Share 2-point trend, -100.0% $0.00 $0.00 ·
Cash Flow / Share 2-point trend, +20.8% $-1.19 $-1.50 ·
Cash / Share 2-point trend, -61.6% $0.53 $1.38 ·
EPS (TTM) 3-point trend, +95.9% $-1.86 $-1.62 $-45.29
Growth Rates 1
Annual Growth Rates data for GUTS
Metric Trend 202520242023
Revenue YoY · -22.5% ·
Valuation (TTM) 10
Annual Valuation (TTM) data for GUTS
Metric Trend 202520242023
Revenue TTM 3-point trend, -100.0% $0 $93.0K $120.0K
Net Income TTM 3-point trend, -82.8% $-141M $-69M $-77M
Market Cap 2-point trend, +236.0% $337M $100M ·
P/E 2-point trend, +7.0% -1.2 -1.3 ·
P/S · 1080.0 ·
P/B 2-point trend, +909.6% 35.7 3.5 ·
P / Tangible Book 2-point trend, +909.6% 35.7 3.5 ·
P / Cash Flow 2-point trend, -143.7% -3.7 -1.5 ·
P / FCF 2-point trend, -148.7% -3.7 -1.5 ·
Earnings Yield 2-point trend, -7.5% -84.5% -78.6% ·

Financial Statements Income statement, balance sheet, cash flow — annual, last 5 years

Income Statement
2025-12-312024-12-312023-12-31
Revenue $0$93.0K$120.0K
Gross Margin % 46.2%
Operating Margin % -100571.0%
Net Income $-141M$-69M$-77M
Diluted EPS $-1.86$-1.62$-45.29
Balance Sheet
2025-12-312024-12-312023-12-31
Current Ratio 4.83.6
Quick Ratio 4.43.4
Cash Flow
2025-12-312024-12-312023-12-31
Free Cash Flow $-91M$-67M

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Institutional owners (13F) 83 filers · $71.4M total · As of June 30, 2026

Institutions that report holding this stock in their quarterly SEC Form 13F. Long positions only; a single filer may appear twice for separate option legs. Large offsetting put/call legs typically reflect market-making or hedged inventory, not directional conviction.

Institutional activity — Q2 2026 vs prior quarter
New positions Exited positions Increased Decreased Net shares change
15 (-2 vs prior Q) 19 (-8 vs prior Q) 11 (-4 vs prior Q) 18 (-7 vs prior Q) -4.4M

Compared to Q1 2026. SEC Form 13F filings are due within 45 days of quarter-end plus a short buffer for late filers — quarters still inside that window are skipped in favor of the most recent fully-reported pair.

Institution Value Shares % of tracked 13F Type
VANGUARD GROUP INC $11,837,503 5,380,683 16.57% Shares
HCC Manager LLC $10,282,514 4,673,870 14.40% Shares
Nantahala Capital Management, LLC $8,968,058 11,289,096 12.56% Shares
Catalio Capital Management, LP $4,900,454 6,168,749 6.86% Shares
VANGUARD CAPITAL MANAGEMENT LLC $4,840,959 6,096,926 6.78% Shares
Pale Fire Capital SE $3,974,571 5,003,237 5.57% Shares
General Catalyst Group Management, LLC $3,879,997 4,884,186 5.43% Shares
Deer Management Co. LLC $3,788,095 4,770,901 5.30% Shares
MAVERICK CAPITAL LTD $3,157,586 3,974,806 4.42% Shares
TWO SIGMA ADVISERS, LP $2,857,140 1,298,700 4.00% Shares
M28 Capital Management LP $1,474,499 1,856,117 2.06% Shares
Woodline Partners LP $1,416,885 1,783,592 1.98% Shares
SILVERARC CAPITAL MANAGEMENT, LLC $1,301,208 1,637,976 1.82% Shares
CM Management, LLC $1,112,160 1,400,000 1.56% Shares
Ikarian Capital, LLC $873,840 1,100,000 1.22% Shares
GEODE CAPITAL MANAGEMENT, LLC $856,896 1,077,927 1.20% Shares
Logos Global Management LP $794,400 1,000,000 1.11% Shares
Brevan Howard Capital Management LP $719,266 916,321 1.01% Shares
683 Capital Management, LLC $601,134 756,715 0.84% Shares
VANGUARD FIDUCIARY TRUST CO $573,373 722,132 0.80% Shares
JANE STREET GROUP, LLC $423,472 533,072 0.59% Shares
STATE STREET CORP $409,910 516,000 0.57% Shares
Mink Brook Asset Management LLC $280,221 352,745 0.39% Shares
BOOTHBAY FUND MANAGEMENT, LLC $218,634 275,219 0.31% Shares
NORTHERN TRUST CORP $208,059 261,907 0.29% Shares
TWO SIGMA INVESTMENTS, LP $178,372 224,537 0.25% Shares
PEAK6 LLC $158,880 200,000 0.22% Shares
GOLDMAN SACHS GROUP INC $139,706 175,864 0.20% Shares
Cerity Partners LLC $133,856 168,500 0.19% Shares
Shay Capital LLC $103,448 130,221 0.14% Shares
RENAISSANCE TECHNOLOGIES LLC $97,076 122,200 0.14% Shares
OSAIC HOLDINGS, INC. $83,909 106,216 0.12% Shares
Accredited Investors Inc. $79,440 100,000 0.11% Shares
Nuveen Asset Management, LLC $57,223 27,778 0.08% Shares
Conservest Capital Advisors, Inc. $50,936 64,118 0.07% Shares
HighTower Advisors, LLC $40,866 51,442 0.06% Shares
MAI Capital Management $39,720 50,000 0.06% Shares
Vanguard Global Advisers, LLC $32,801 41,311 0.05% Shares
Phraction Management LLC $32,570 41,000 0.05% Shares
MARSHALL WACE, LLP $29,554 37,410 0.04% Shares
Sanctuary Advisors, LLC $25,818 32,500 0.04% Shares
XTX Topco Ltd $25,592 32,215 0.04% Shares
Eaton Financial Holdings Company, LLC $25,290 31,835 0.04% Shares
WELLS FARGO & COMPANY/MN $24,626 31,000 0.03% Shares
Chicago Partners Investment Group LLC $23,458 31,000 0.03% Shares
Point72 Asia (Singapore) Pte. Ltd. $22,461 14,126 0.03% Shares
BARTLETT & CO. WEALTH MANAGEMENT LLC $19,860 25,000 0.03% Shares
Brookstone Capital Management $16,898 21,272 0.02% Shares
BANK OF AMERICA CORP /DE/ $16,649 20,969 0.02% Shares
J.W. COLE ADVISORS, INC. $16,508 20,780 0.02% Shares
LPL Financial LLC $16,226 20,425 0.02% Shares
Verition Fund Management LLC $15,865 19,971 0.02% Shares
R Squared Ltd $15,861 19,966 0.02% Shares
RAYMOND JAMES FINANCIAL INC $13,981 17,600 0.02% Shares
Creative Planning $13,130 16,528 0.02% Shares
Wealthspire Advisors, LLC $12,407 15,617 0.02% Shares
UBS Group AG $12,220 15,390 0.02% Shares
Naviter Wealth, LLC $12,138 15,280 0.02% Shares
SUSQUEHANNA INTERNATIONAL GROUP, LLP $12,021 15,132 0.02% Shares
VICTORY CAPITAL MANAGEMENT INC $11,923 15,009 0.02% Shares
Catalyst Funds Management Pty Ltd $10,109 12,725 0.01% Shares
StoneX Group Inc. $8,266 10,405 0.01% Shares
Bank of New York Mellon Corp $8,007 10,079 0.01% Shares
Parkside Financial Bank & Trust $7,171 15,664 0.01% Shares
CITIGROUP INC $6,238 7,852 0.01% Shares
TFC Financial Management, Inc. $3,972 5,000 0.01% Shares
Tower Research Capital LLC (TRC) $2,887 3,634 0.00% Shares
Triumph Capital Management $2,383 3,000 0.00% Shares
IFP Advisors, Inc $1,589 2,000 0.00% Shares
St. Johns Investment Management Company, LLC $1,573 1,980 0.00% Shares
BARCLAYS PLC $1,482 1,865 0.00% Shares
JPMORGAN CHASE & CO $743 934 0.00% Shares
Point72 (DIFC) Ltd $683 430 0.00% Shares
BNP PARIBAS FINANCIAL MARKETS $441 555 0.00% Shares
JONES FINANCIAL COMPANIES LLLP $372 500 0.00% Shares
MORGAN STANLEY $118 148 0.00% Shares
SBI Securities Co., Ltd. $96 121 0.00% Shares
FNY Investment Advisers, LLC $51 65,420 0.00% Shares
Cambridge Investment Research Advisors, Inc. $51 64,000 0.00% Shares
BlackRock, Inc. $34 43 0.00% Shares
SG Americas Securities, LLC $15 18,632 0.00% Shares
Optiver Holding B.V. $11 14 0.00% Shares
Avion Wealth $0 1,042 0.00% Shares

Company insiders 19 insiders · 7 officers · 11 directors

Insider Role Last activity Shares owned Buys 12m Sells 12m Net 12m
Harith Rajagopalan Chief Executive Officer June 10, 2026 P 540,557 2 0 $38,249
Weber Lara Smith Chief Financial Officer June 8, 2026 P 20,000 1 0 $13,800
Lisa Davidson Chief Financial Officer Feb. 27, 2025 A 0 0 $0
Jay David Caplan President, Chief Product Off. Dec. 15, 2025 A 153,544 0 0 $0
Sarah Toomey General Counsel Dec. 15, 2025 A 0 0 $0
Timothy Kieffer Chief Scientific Officer Feb. 27, 2025 A 0 0 $0
Adrian Kimber Chief Commercial Officer April 1, 2024 A 0 0 $0
Ajay Royan Director June 12, 2026 P 40,901 1 0 $19,550
Christopher Charles Thompson Director June 10, 2026 A 0 0 $0
Samuel Conaway Director June 10, 2026 A 8,550 0 0 $0
Kelly Ann Barnes Director June 10, 2026 A 31,000 0 0 $0
Marc Elia Director June 10, 2026 A 0 0 $0
Ian Sheffield Director June 10, 2026 A 35,000 1 0 $25,550
Clive Meanwell Director June 10, 2026 A 277,890 0 0 $0
William Bradley Director June 10, 2026 A 84,622 1 0 $50,000
Amy Schulman Director June 11, 2025 A 8,550 0 0 $0
Allan R Will Director Feb. 1, 2024 A 0 0 $0
Corebridge DECO II, LLC 10% owner Feb. 6, 2024 C 673,391 0 0 $0
AMERICAN HOME ASSURANCE CO 10% owner Feb. 6, 2024 C 283,878 0 0 $0

Insiders from SEC Form 3/4/5 filings; net = open-market P/S only

ETF ownership Held by 2 ETFs

Weight reflects direct equity holdings (N-PORT) only; leveraged or derivative-based funds may hold additional swap exposure not shown.

Fund Weight Units As of Source
VXF · VANGUARD INDEX FUNDS 0.00% 1,336,118 SH Aug. 8, 2026 Daily
VTI · VANGUARD INDEX FUNDS 0.00% 4,621,427 SH Aug. 8, 2026 Daily