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Fractyl Health Financials

GUTS
Source SEC Filings (10-K/10-Q) Updated Mar 24, 2026 Currency USD FYE March

This page shows Fractyl Health (GUTS) financial statements, including the 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).

Financial Health Signals

Profitability Growth Leverage Liquidity Cash Flow Returns 21 / 100
Financial Profile 21/100

Based on FY2025 annual data. Scores normalized against common benchmarks. How we calculate these scores

Profitability
0

Fractyl Health has an operating margin of -104103.2%, meaning the company retains $-104103 of operating profit per $100 of revenue. This below-average margin results in a low score of 0/100, suggesting thin profitability after operating expenses. This is down from -100571.0% the prior year.

Growth
33

Fractyl Health's revenue grew a modest 0.0% year-over-year to $93K. This slow but positive growth earns a score of 33/100.

Leverage
0

Fractyl Health has elevated debt relative to equity (D/E of 11.84), meaning the company relies heavily on borrowed funds. This high leverage results in a low score of 0/100, reflecting increased financial risk.

Liquidity
95

With a current ratio of 4.78, Fractyl Health holds $4.78 in current assets for every $1 of short-term obligations. This comfortable liquidity earns a score of 95/100.

Cash Flow
0

While Fractyl Health generated -$90.3M in operating cash flow, capex of $557K consumed most of it, leaving -$90.9M in free cash flow. This results in a low score of 0/100, reflecting heavy capital investment rather than weak cash generation.

Returns
0

Fractyl Health generates a -1490.3% ROE, indicating limited profit relative to shareholders' investment. This results in a returns score of 0/100. This is down from -241.7% the prior year.

Piotroski F-Score Weak
2/9

Fractyl Health passes 2 of 9 financial strength tests. 1 of 4 profitability signals pass, 1 of 3 leverage/liquidity signals pass, neither operating efficiency signal passes.

Earnings Quality Low Quality
0.64x

For every $1 of reported earnings, Fractyl Health generates $0.64 in operating cash flow (-$90.3M OCF vs -$141.0M net income). This low ratio suggests earnings are primarily driven by accounting accruals rather than cash generation, which may not be sustainable.

Key Financial Metrics

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Earnings & Revenue

Revenue
$93K
YoY+0.0%

Fractyl Health generated $93K in revenue in fiscal year 2025. This represents an increase of 0.0% from the prior year.

EBITDA
-$95.7M
YoY-3.1%

Fractyl Health's EBITDA was -$95.7M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization. This represents a decrease of 3.1% from the prior year.

Net Income
-$141.0M
YoY-105.2%

Fractyl Health reported -$141.0M in net income in fiscal year 2025. This represents a decrease of 105.2% from the prior year.

EPS (Diluted)
$-1.86

Fractyl Health earned $-1.86 per diluted share (EPS) in fiscal year 2025. This represents a decrease of 14.8% from the prior year.

Cash & Balance Sheet

Free Cash Flow
-$90.9M
YoY-35.1%

Fractyl Health generated -$90.9M in free cash flow in fiscal year 2025, representing cash available after capex. This represents a decrease of 35.1% from the prior year.

Cash & Debt
$81.5M
YoY+20.9%

Fractyl Health held $81.5M in cash against $0 in long-term debt as of fiscal year 2025.

Dividends Per Share
N/A
Shares Outstanding
159M

Fractyl Health had 159M shares outstanding in fiscal year 2025. This represents an increase of 225.4% from the prior year.

Margins & Returns

Gross Margin
46.2%
YoY+0.0pp

Fractyl Health's gross margin was 46.2% in fiscal year 2025, indicating the percentage of revenue retained after direct costs. This is up 0.0 percentage points from the prior year.

Operating Margin
-104103.2%
YoY-3532.3pp

Fractyl Health's operating margin was -104103.2% in fiscal year 2025, reflecting core business profitability. This is down 3532.3 percentage points from the prior year.

Net Margin
-151563.4%
YoY-77698.9pp

Fractyl Health's net profit margin was -151563.4% in fiscal year 2025, showing the share of revenue converted to profit. This is down 77698.9 percentage points from the prior year.

Return on Equity
-1490.3%
YoY-1248.6pp

Fractyl Health's ROE was -1490.3% in fiscal year 2025, measuring profit generated per dollar of shareholder equity. This is down 1248.6 percentage points from the prior year.

Capital Allocation

R&D Spending
$74.5M
YoY+5.8%

Fractyl Health invested $74.5M in research and development in fiscal year 2025. This represents an increase of 5.8% from the prior year.

Share Buybacks
N/A
Capital Expenditures
$557K
YoY-68.4%

Fractyl Health invested $557K in capex in fiscal year 2025, funding long-term assets and infrastructure. This represents a decrease of 68.4% from the prior year.

GUTS Income Statement

Metric Q2'26 Q1'26 Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24
Revenue N/A N/A N/A $3K-78.6% $14K-67.4% $43K+30.3% $33K+371.4% $7K
Cost of Revenue N/A N/A N/A $0-100.0% $7K-70.8% $24K+26.3% $19K+850.0% $2K
Gross Profit N/A N/A N/A $3K-57.1% $7K-63.2% $19K+35.7% $14K+180.0% $5K
R&D Expenses $17.5M-17.5% $21.2M+8.8% $19.4M-4.2% $20.3M+6.7% $19.0M+13.4% $16.8M+16.2% $14.4M+41.9% $10.2M
SG&A Expenses $5.2M+6.3% $4.9M-7.4% $5.3M+7.9% $4.9M+2.8% $4.8M-23.1% $6.2M-12.5% $7.1M+152.9% $2.8M
Operating Income -$22.7M+13.0% -$26.1M-5.3% -$24.8M+1.8% -$25.2M-6.0% -$23.8M-3.5% -$23.0M-6.7% -$21.5M-66.0% -$13.0M
Interest Expense N/A N/A N/A N/A N/A N/A N/A N/A
Income Tax N/A N/A N/A N/A N/A N/A N/A N/A
Net Income -$45.6M-63.5% -$27.9M-17.5% -$23.7M+4.9% -$25.0M-7.8% -$23.2M-34.5% -$17.2M-418.6% -$3.3M+82.7% -$19.2M
EPS (Diluted) $-0.71-24.6% $-0.57-16.3% $-0.49 N/A $-0.48-33.3% $-0.36-111.8% $-0.17 N/A

GUTS Balance Sheet

Metric Q2'26 Q1'26 Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24
Total Assets $114.3M+84.3% $62.0M-25.3% $83.0M-23.2% $108.1M-14.8% $126.9M-13.3% $146.4M-10.4% $163.5M+114.6% $76.2M
Current Assets $79.7M+198.6% $26.7M-43.3% $47.0M-34.4% $71.8M-18.1% $87.7M-17.7% $106.6M-14.4% $124.5M+249.2% $35.6M
Cash & Equivalents $77.7M+248.4% $22.3M-47.1% $42.1M-37.6% $67.5M-20.3% $84.7M-17.4% $102.4M-15.6% $121.4M+265.7% $33.2M
Inventory N/A N/A N/A $73K0.0% $73K+14.1% $64K-12.3% $73K0.0% $73K
Accounts Receivable N/A N/A N/A $0 $0-100.0% $22K+46.7% $15K-31.8% $22K
Goodwill N/A N/A N/A N/A N/A N/A N/A N/A
Total Liabilities $117.5M+46.4% $80.2M+4.6% $76.7M-3.8% $79.7M+4.0% $76.6M+1.2% $75.7M-4.6% $79.3M-80.2% $401.3M
Current Liabilities $18.7M-14.4% $21.8M+16.1% $18.8M-4.9% $19.8M+25.8% $15.7M+10.1% $14.3M+7.6% $13.3M+18.6% $11.2M
Long-Term Debt N/A N/A N/A N/A N/A N/A N/A N/A
Total Equity -$3.2M+82.5% -$18.2M-385.7% $6.4M-77.6% $28.4M-43.5% $50.3M-28.9% $70.8M-15.9% $84.2M+125.9% -$325.1M
Retained Earnings -$512.5M-9.8% -$466.9M-6.4% -$439.0M-5.7% -$415.3M-6.4% -$390.3M-6.3% -$367.2M-4.9% -$349.9M-1.0% -$346.6M

GUTS Cash Flow Statement

Metric Q2'26 Q1'26 Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24
Operating Cash Flow -$22.7M-7.1% -$21.2M+15.5% -$25.1M-47.2% -$17.0M+5.6% -$18.0M+3.7% -$18.7M-60.0% -$11.7M-10.5% -$10.6M
Capital Expenditures $8K-91.8% $98K-78.1% $448K+92.3% $233K+9.4% $213K-18.1% $260K-75.4% $1.1M+678.7% $136K
Free Cash Flow -$22.7M-6.7% -$21.3M+16.6% -$25.5M-47.8% -$17.3M+5.4% -$18.3M+3.9% -$19.0M-48.8% -$12.8M-19.0% -$10.7M
Investing Cash Flow -$8K+91.8% -$98K+78.1% -$448K-92.3% -$233K-9.4% -$213K+18.1% -$260K+75.4% -$1.1M-678.7% -$136K
Financing Cash Flow $78.1M+5176.2% $1.5M+765.5% $171K+155.2% $67K-58.6% $162K+3340.0% -$5K-100.0% $101.0M+18265.8% -$556K
Dividends Paid N/A N/A N/A N/A N/A N/A N/A N/A
Share Buybacks N/A N/A N/A N/A N/A N/A N/A N/A

GUTS Financial Ratios

Metric Q2'26 Q1'26 Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24
Gross Margin N/A N/A N/A 100.0%+50.0pp 50.0%+5.8pp 44.2%+1.8pp 42.4%-29.0pp 71.4%
Operating Margin N/A N/A N/A -840333.3%-670376.2pp -169957.1%-116503.7pp -53453.5%+11825.3pp -65278.8%+120164.1pp -185442.9%
Net Margin N/A N/A N/A -832333.3%-666811.9pp -165521.4%-125454.0pp -40067.4%-30000.8pp -10066.7%+263933.3pp -274000.0%
Return on Equity N/A N/A -372.3%-284.5pp -87.8%-41.8pp -46.1%-21.7pp -24.3%-20.4pp -4.0% N/A
Return on Assets -39.9%+5.1pp -45.0%-16.4pp -28.6%-5.5pp -23.1%-4.8pp -18.3%-6.5pp -11.8%-9.7pp -2.0%+23.1pp -25.2%
Current Ratio 4.27+3.0 1.22-1.3 2.50-1.1 3.63-1.9 5.58-1.9 7.46-1.9 9.38+6.2 3.19
Debt-to-Equity -36.96-32.6 -4.40-16.4 12.03+9.2 2.80+1.3 1.52+0.5 1.07+0.1 0.94+2.2 -1.23
FCF Margin N/A N/A N/A -575566.7%-445195.2pp -130371.4%-86192.4pp -44179.1%-5482.1pp -38697.0%+114660.2pp -153357.1%

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Frequently Asked Questions

Fractyl Health (GUTS) reported $93K in total revenue for fiscal year 2025. This represents a 0.0% 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.

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

No, Fractyl Health (GUTS) reported a net income of -$141.0M in fiscal year 2025, with a net profit margin of -151563.4%.

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) had a gross margin of 46.2% in fiscal year 2025, indicating the percentage of revenue retained after direct costs of goods sold.

Fractyl Health (GUTS) had an operating margin of -104103.2% in fiscal year 2025, reflecting the profitability of core business operations before interest and taxes.

Fractyl Health (GUTS) had a net profit margin of -151563.4% in fiscal year 2025, representing the share of revenue converted into profit after all expenses.

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) generated -$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) generated -$90.3M in operating cash flow during fiscal year 2025, representing cash generated from 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.

Based on fiscal year 2025 data, Fractyl Health (GUTS) had $81.5M in cash against an annual operating cash burn of $90.3M. This gives an estimated cash runway of approximately 11 months at the current burn rate. Cash runway measures how long a company can continue operating before running out of cash, assuming no additional funding.

Fractyl Health (GUTS) has a Piotroski F-Score of 2 out of 9, indicating weak financial health. 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 7–9 indicate strong and improving fundamentals. Learn more in our complete guide to financial health indicators.

Fractyl Health (GUTS) has an earnings quality ratio of 0.64x, considered low quality (accrual-driven). 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.

Fractyl Health (GUTS) scores 21 out of 100 on our Financial Profile, indicating weak overall financial health. This composite score evaluates six dimensions: profitability (operating margin), revenue growth, leverage (debt-to-equity), liquidity (current ratio), cash flow quality (free cash flow margin), and shareholder returns (return on equity). Each dimension is normalized against standard financial benchmarks. Learn more in our complete guide to financial health indicators.

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