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Fractyl Health (GUTS) Financials

GUTS
FY2025 annual
Revenue $0 -100.0% YoY
Net Income -$141.0M -105.2% YoY
EPS (Diluted) -$1.86 YoY not available
Free Cash Flow -$90.9M -35.1% YoY
Market Cap $109.1M as of Sep 9, 2026
Price / Sales n/m revenue is not positive, FY2025
Price / Earnings n/m net loss, so no earnings multiple, FY2025
Price / Book n/m negative shareholder equity, so no book multiple, Q2 FY2026

A multiple compares the market's price with a filed figure; it says what the market pays, not how the business is doing. The market capitalization is the vendor's as of Sep 9, 2026; every other figure is from the SEC filings on this page. Not financial advice.

Source SEC Filings (10-K/10-Q) Latest period Q2 FY2026, ended Jun 30, 2026 Reported Currency USD FYE December

Newest figures come from the 10-Q for Q2 FY2026, filed Aug 10, 2026. Each column of the statement tables below links to the filing it was taken from, and every filing is listed on the GUTS SEC filings page.

Fractyl Health (GUTS) reported $0 in revenue for fiscal year 2025, down 100.0% from the prior fiscal year. This page shows its income statement, balance sheet, cash flow statement, and key financial ratios. View 3 years of annual fundamentals and quarterly data, with year-over-year growth rates and compound annual growth rates (CAGR). All figures are derived from SEC filings (10-K and 10-Q reports).

Rhea AI GUTS FY2025

External financing is carrying a development-stage business as investment spending accelerates ahead of meaningful customer revenue.

Across FY2023-FY2024, R&D rose from $38.0M to $70.5M while revenue remained tiny; the cost base is centered on development rather than customer volume. Gross profit held at $43K in both years even as FY2024 gross margin reached 46.2%, so the margin improvement reflects a very small revenue base rather than scale-driven profit expansion.

FY2024 financing cash flow was $101.2M alongside negative operating cash flow, showing external capital supplied the investment funding rather than internally generated cash. Operating cash outflow widened versus FY2023 while free cash flow remained close to it, indicating capital expenditures were not the main source of cash use.

Equity moved from negative in FY2023 to positive in FY2024, and the current ratio reached 3.6x; the balance sheet was reshaped faster than the income statement, consistent with a financing-led recapitalization. Reported liquidity equaled 10.8 months of latest annual operating outflow, a point-in-time funding comparison rather than evidence that operations financed themselves.

[ NOT FINANCIAL ADVICE ]

Financial Health Signals

Financial health score not available

Fractyl Health does not currently provide enough eligible data for a peer-relative financial health score, so none is published. The signals and metrics below are current.

Altman Z-Score Distress
-7.78

Fractyl Health scores -7.78, below the 1.81 distress threshold. The score is driven primarily by a large market capitalization ($109.1M) relative to total liabilities ($111.9M). This indicates elevated financial distress risk and warrants close attention to liquidity and debt levels.

Distress-screening estimate for non-financial companies. Not computed for banks or insurers, where the Altman model does not apply.

Piotroski F-Score Partial
2/7

Fractyl Health passes 2 of 7 computable financial strength tests (2 of the nine could not be computed from available data). 1 of 4 profitability signals pass, 1 of 2 leverage/liquidity signals pass, neither operating efficiency signal passes.

Earnings Quality No Cash Backing
N/A

Fractyl Health reported a net loss of $141.0M while operations used $90.3M of cash. With neither figure positive, the ratio between the two carries no quality signal.

Key Financial Metrics

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Earnings & Revenue

EBITDA
-$18.8M
YoY+27.1%
QoQ+8.4%

Fractyl Health's EBITDA was -$18.8M in Q2 2026, measuring earnings before interest, taxes, depreciation, and amortization. This represents an increase of 27.1% from the same quarter a year earlier. Against the prior quarter it is up 8.4%.

Net Income
-$25.5M
YoY+8.4%
QoQ-377.0%

Fractyl Health reported -$25.5M in net income in Q2 2026. This represents an increase of 8.4% from the same quarter a year earlier. Against the prior quarter it is down 377.0%.

EPS (Diluted)
-$0.16
QoQ-366.7%

Fractyl Health earned -$0.16 per diluted share (EPS) in Q2 2026. Against the prior quarter it is down 366.7%.

Revenue

Not reported for Q2 2026.

Cash & Balance Sheet

Cash & Debt
$47.1M
YoY+111.5%
QoQ-25.4%

Fractyl Health held $47.1M in cash as of Q2 2026; long-term debt is not reported for that period.

Shares Outstanding
159M
QoQ+0.3%

Fractyl Health had 159M shares outstanding in Q2 2026. Against the prior quarter it is up 0.3%.

Free Cash Flow

Not reported for Q2 2026.

Dividends Per Share

Not reported for Q2 2026.

Margins & Returns

None of these metrics is reported for Q2 2026.

Capital Allocation

R&D Spending
$13.8M
YoY-34.7%
QoQ-11.5%

Fractyl Health invested $13.8M in research and development in Q2 2026. This represents a decrease of 34.7% from the same quarter a year earlier. Against the prior quarter it is down 11.5%.

Share Buybacks

Not reported for Q2 2026.

Capital Expenditures

Not reported for Q2 2026.

GUTS Income Statement

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.

GUTS quarterly income statement
MetricQ2'2610-QQ1'2610-QQ4'2510-QQ3'2510-QQ2'2510-QQ1'2510-QQ4'2410-KQ3'2410-Q
RevenueN/AN/AN/AN/AN/AN/A$3K-57.1%$14K-61.1%
Cost of RevenueN/AN/AN/AN/AN/AN/A$0-100.0%$7K-72.0%
Gross ProfitN/AN/AN/AN/AN/AN/A$3K-40.0%$7K-36.4%
R&D Expenses$13.8M-34.7%$15.6M-19.7%N/A$17.5M-8.1%$21.2M+26.2%$19.4M+34.7%$20.3M+99.5%$19.0M+102.6%
SG&A Expenses$5.3M+7.2%$5.2M-1.9%N/A$5.2M+9.2%$4.9M-21.1%$5.3M-25.4%$4.9M+74.9%$4.8M+6.6%
Operating Income-$19.1M+26.8%-$20.8M+15.9%N/A-$22.7M+4.6%-$26.1M-13.5%-$24.8M-14.9%-$25.2M-94.2%-$23.8M-71.5%
EBITDA-$18.8M+27.1%-$20.5M+16.1%N/A-$22.4M+5.0%-$25.8M-13.2%-$24.5M-13.9%-$25.0M-93.1%-$23.6M-71.0%
Net Income-$25.5M+8.4%$9.2M+138.8%N/A-$45.6M-96.8%-$27.9M-61.9%-$23.7M-614.5%-$25.0M-30.2%-$23.2M-47.2%
EPS (Basic)-$0.16+71.9%$0.06+112.2%-$0.07+86.8%-$0.71-47.9%-$0.57-58.3%-$0.49-188.2%-$0.53+95.3%-$0.48+95.0%
EPS (Diluted)-$0.16$0.06-$0.07-$0.71-$0.57-58.3%-$0.49-$0.53-$0.48
Diluted Shares (Avg)159M158MN/A65M49M+2.4%49MN/A48M

Not reported in any period shown, so not listed: Interest Expense, Income Tax.

GUTS Balance Sheet

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.

GUTS quarterly balance sheet
MetricQ2'2610-QQ1'2610-QQ4'2510-QQ3'2510-QQ2'2510-QQ1'2510-QQ4'2410-KQ3'2410-Q
Total Assets$82.0M+32.2%$99.4M+19.7%$121.4M+12.3%$114.3M-10.0%$62.0M-57.7%$83.0M-49.2%$108.1M+41.8%$126.9M
Current Assets$49.6M+85.9%$65.9M+40.1%$87.6M+22.0%$79.7M-9.1%$26.7M-75.0%$47.0M-62.2%$71.8M+101.3%$87.7M
Cash & Equivalents$47.1M+111.5%$63.2M+50.0%$81.5M+20.9%$77.7M-8.3%$22.3M-78.2%$42.1M-65.3%$67.5M+103.1%$84.7M+72.5%
Short-Term Investments$0$0$0$0$0$0$0$0
InventoryN/AN/AN/AN/AN/AN/A$73K0.0%$73K
Accounts ReceivableN/AN/AN/AN/AN/AN/A$0-100.0%$0
Long-Term Investments$0$0$0$0$0$0$0$0
Total Liabilities$83.6M+4.3%$78.0M+1.8%$111.9M+40.5%$117.5M+53.3%$80.2M+6.0%$76.7M-3.4%$79.7M-80.1%$76.6M
Current Liabilities$15.7M-27.9%$15.4M-18.0%$18.3M-7.3%$18.7M+18.9%$21.8M+52.9%$18.8M+41.7%$19.8M+76.8%$15.7M
Non-Current Liabilities$67.9M+16.3%$62.6M+8.2%$93.6M+56.3%$98.8M+62.2%$58.4M-4.9%$57.9M-12.4%$59.9M-84.7%$60.9M
Total Equity-$1.7M+90.9%$21.4M+235.3%$9.5M-66.7%-$3.2M-106.3%-$18.2M-125.7%$6.4M-92.4%$28.4M+108.7%$50.3M+116.4%
Retained Earnings-$572.6M-22.6%-$547.0M-24.6%-$556.3M-33.9%-$512.5M-31.3%-$466.9M-27.2%-$439.0M-25.5%-$415.3M-19.8%-$390.3M

Not reported in any period shown, so not listed: Goodwill, Long-Term Debt.

GUTS Cash Flow Statement

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.

GUTS quarterly cash flow statement
MetricQ2'2610-QQ1'2610-QQ4'2510-QQ3'2510-QQ2'2510-QQ1'2510-QQ4'2410-KQ3'2410-Q
Operating Cash Flow-$15.9M+25.0%-$22.5M+10.4%-$21.3M-25.3%-$22.7M-25.9%-$21.2M-13.1%-$25.1M-114.1%-$17.0M-60.7%-$18.0M-63.7%
Depreciation & Amortization$278K+3.0%$281K-3.1%$279K+25.1%$290K+38.8%$270K+40.6%$290K+447.2%$223K+486.8%$209K+148.8%
Stock-Based Compensation$2.5M+39.8%$2.5M+80.0%N/A$1.6M-35.0%$1.8M-52.9%$1.4M-73.0%N/A$2.5M+131.2%
Capital ExpendituresN/AN/A$3K-98.7%$8K-96.2%$98K-62.3%$448K-57.7%$233K+71.3%$213K+43.9%
Free Cash FlowN/AN/A-$21.3M-23.6%-$22.7M-24.5%-$21.3M-12.1%-$25.5M-99.9%-$17.3M-60.8%-$18.3M-63.5%
Investing Cash FlowN/AN/A-$3K+98.7%-$8K+96.2%-$98K+62.3%-$448K+57.7%-$233K-71.3%-$213K-43.9%
Financing Cash Flow-$127K-108.6%$4.1M+2300.6%$25.2M+37544.8%$78.1M+48102.5%$1.5M+29700.0%$171K-99.8%$67K+112.1%$162K-99.4%

Not reported in any period shown, so not listed: Dividends Paid, Share Buybacks.

GUTS Financial Ratios

Margins and returns are percentages; the remaining ratios are unitless multiples. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.

GUTS quarterly financial ratios
MetricQ2'2610-QQ1'2610-QQ4'2510-QQ3'2510-QQ2'2510-QQ1'2510-QQ4'2410-KQ3'2410-Q
Gross MarginN/AN/AN/AN/AN/AN/A100.0%+28.6pp50.0%+19.4pp
Operating MarginN/AN/AN/AN/AN/AN/A-840333.3%-169957.1%
Net MarginN/AN/AN/AN/AN/AN/A-832333.3%-165521.4%
Return on EquityN/A43.1%+415.4ppN/AN/AN/A-372.3%-368.4pp-87.8%-46.1%
Return on Assets-31.1%+13.8pp9.3%+37.9ppN/A-39.9%-21.6pp-45.0%-33.2pp-28.6%-26.6pp-23.1%+2.1pp-18.3%
Current Ratio3.15+1.9x4.28+1.8x4.78+1.1x4.27-1.3x1.22-6.2x2.50-6.9x3.63+0.4x5.58
Debt-to-EquityN/A3.65-8.4x11.84+9.0xN/AN/A12.03+11.1x2.801.52
Asset TurnoverN/AN/AN/AN/AN/AN/A0.000.0x0.00
FCF MarginN/AN/AN/AN/AN/AN/A-575566.7%-130371.4%

Reported as filed but not readable as a share of revenue in the periods where the ratio runs further from zero than a revenue base allows; no change figure is given where either compared period is one of those: Operating Margin, Net Margin, FCF Margin.

Similar Companies

Newest fiscal year on record for each company. The health score is the peer-relative Financial Health Score for that year; a dash means no score is published for it.

Company Fiscal year Revenue Net income Net margin Market cap Health score
Fractyl Health GUTS FY2025 $0 -$141.0M N/A $109.1M
Immix Biopharma Inc IMMX FY2025 N/A -$29.4M N/A $943.3M
Adverum Biotech ADVM FY2024 $1.0M -$130.9M N/A $96.3M 54/100
Aligos Therapeutics, Inc. ALGS FY2025 $2.2M -$24.2M N/A $36.0M 46/100
X4 Pharmaceuticals Inc XFOR FY2025 $35.1M -$79.2M N/A $347.5M 74/100
Adicet Bio Inc ACET FY2025 N/A -$116.8M N/A $91.1M

Frequently Asked Questions

What is Fractyl Health's annual revenue?

Fractyl Health (GUTS) reported $0 in total revenue for fiscal year 2025. This represents a -100.0% change compared to the previous fiscal year. Revenue measures the total income earned from the company's primary business operations before any expenses are deducted.

How fast is Fractyl Health's revenue growing?

Fractyl Health (GUTS) revenue declined by 100.0% year-over-year, from $93K to $0 in fiscal year 2025.

Is Fractyl Health profitable?

No, Fractyl Health (GUTS) reported a net income of -$141.0M in fiscal year 2025.

Fractyl Health (GUTS) reported diluted earnings per share of -$1.86 for fiscal year 2025. EPS represents the portion of a company's net income allocated to each outstanding share of common stock and is widely used to evaluate profitability on a per-share basis.

Fractyl Health (GUTS) had EBITDA of -$95.7M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization.

Fractyl Health (GUTS) has a return on equity of -1490.3% for fiscal year 2025, measuring how efficiently the company generates profit from shareholder equity.

Fractyl Health (GUTS) recorded an outflow of $90.9M in free cash flow during fiscal year 2025. This represents a -35.1% change compared to the previous fiscal year. Free cash flow represents the cash a company generates after accounting for capital expenditures, and is widely used to assess financial flexibility and shareholder value.

Fractyl Health (GUTS) recorded an outflow of $90.3M in operating cash flow during fiscal year 2025, representing cash used by core business activities.

Fractyl Health (GUTS) had $121.4M in total assets as of fiscal year 2025, including both current and long-term assets.

Fractyl Health (GUTS) invested $557K in capital expenditures during fiscal year 2025, funding long-term assets and infrastructure.

Fractyl Health (GUTS) invested $74.5M in research and development during fiscal year 2025.

Fractyl Health (GUTS) had 159M shares outstanding as of fiscal year 2025.

Fractyl Health (GUTS) had a current ratio of 4.78 as of fiscal year 2025, which is generally considered healthy.

Fractyl Health (GUTS) had a debt-to-equity ratio of 11.84 as of fiscal year 2025, measuring the company's financial leverage by comparing total debt to shareholder equity.

Fractyl Health (GUTS) had a return on assets of -116.1% for fiscal year 2025, measuring how efficiently the company uses its assets to generate profit.

Fractyl Health (GUTS) has no price-to-earnings ratio at the moment: net loss, so no earnings multiple (FY2025). The market capitalization is $109.1M as of Sep 9, 2026; a multiple compares that price with a filed figure and says nothing about the quality of the business.

Fractyl Health (GUTS) has no price-to-sales ratio at the moment: revenue is not positive (FY2025). The market capitalization is $109.1M as of Sep 9, 2026; a multiple compares that price with a filed figure and says nothing about the quality of the business.

At the end of fiscal year 2025, Fractyl Health (GUTS) held $81.5M in cash, cash equivalents and investments, and reported an operating cash outflow of $90.3M over that year. Dividing the one by the other, the reported balance equals about 11 months of the outflow reported that year. This is arithmetic over figures already filed, not a projection: it assumes nothing about future spending, financing or operations.

Fractyl Health (GUTS) has an Altman Z-Score of -7.78, placing it in the Distress Zone (elevated bankruptcy risk). The Z-Score combines five financial ratios (working capital, retained earnings, EBIT, market capitalization, and revenue relative to total assets) to predict the likelihood of bankruptcy. Scores above 2.99 indicate financial safety while scores below 1.81 suggest financial distress. Learn more in our complete guide to financial health indicators.

Fractyl Health (GUTS) has a Piotroski F-Score of 2 out of 7 computable signals; 2 of the nine could not be computed from available data, so the full-scale strength rating is not shown. The F-Score evaluates nine binary signals across profitability (positive ROA, positive cash flow, improving ROA, earnings quality), leverage (decreasing debt, improving liquidity, no share dilution), and operating efficiency (improving gross margin, improving asset turnover). Scores of 7 to 9 indicate strong and improving fundamentals. Learn more in our complete guide to financial health indicators.

Fractyl Health (GUTS) reported a net loss of $141.0M while operations used $90.3M of cash. With neither figure positive, the ratio between the two carries no quality signal. This ratio compares operating cash flow to net income. A ratio above 1.0x means the company generates more cash than its reported earnings, indicating sustainable, cash-backed profits. Ratios below 1.0x suggest earnings rely on accounting accruals rather than actual cash generation. Learn more in our complete guide to financial health indicators.

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