The company faces significant financial pressure with a debt-to-equity ratio of 2.84 as of 2026Q1, exacerbated by an accumulated deficit of $547.0 million in retained earnings.
| Total Current Assets | 65.92M | 87.58M | 71.76M | 35.65M | 51.63M | 96.39M | 30.88M | 6.78M |
| Cash & Short-Term Investments | 63.17M | 81.54M | 67.46M | 33.52M | 49.27M | 95.47M | 29.11M | 5.79M |
| Cash Only | 63.17M | 81.54M | 67.46M | 33.52M | 49.27M | 95.47M | 29.11M | 5.79M |
| Short-Term Investments | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Accounts Receivable | 0 | 0 | 0 | 22K | 0 | 0 | 0 | 0 |
| Days Sales Outstanding | - | - | - | 66.92 | - | - | - | - |
| Inventory | 0 | 0 | 73K | 73K | 0 | 0 | 0 | 0 |
| Days Inventory Outstanding | - | - | 532.9 | 346.04 | - | - | - | - |
| Other Current Assets | 2.75M | 6.04M | 4.23M | 2.03M | 2.36M | 915K | 0 | 0 |
| Total Non-Current Assets | 33.47M | 33.83M | 36.31M | 40.56M | 9.33M | 6.16M | 3.88M | 2.16M |
| Property, Plant & Equipment | 28.53M | 29.23M | 31.39M | 30.77M | 1.65M | 1.34M | 1.36M | 2.12M |
| Fixed Asset Turnover | 0.00x | - | 0.00x | 0.00x | - | - | - | - |
| Goodwill | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Intangible Assets | 0 | 0 | 0 | 835K | 863K | 0 | 0 | 0 |
| Long-Term Investments | 4.25M | 4.25M | 4.25M | 4.25M | 4.25M | 0 | 0 | 0 |
| Other Non-Current Assets | 4.94M | 337K | 666K | 4.7M | 2.56M | 4.82M | 2.52M | 32K |
| Total Assets | 99.39M | 121.4M | 108.08M | 76.21M | 60.96M | 102.55M | 34.76M | 8.93M |
| Asset Turnover | 0.00x | - | 0.00x | 0.00x | - | - | - | - |
| Asset Growth % | -35.61% | 12.33% | 41.81% | 25.03% | -40.56% | 195.02% | 289.08% | - |
| Total Current Liabilities | 15.41M | 18.33M | 19.77M | 11.19M | 7.31M | 23.65M | 10.92M | 3.41M |
| Accounts Payable | 1.65M | 1.57M | 3.24M | 553K | 980K | 970K | 304K | 608K |
| Days Payables Outstanding | - | - | 23.65K | 2.62K | 791.37 | - | 144.1 | 248.51 |
| Short-Term Debt | 5.14M | 5.1M | 0 | 2.73M | 0 | 15.72M | 7.17M | 0 |
| Deferred Revenue (Current) | 0 | 0 | 0 | 0 | -980K | -970K | 0 | 0 |
| Other Current Liabilities | 8.62M | 6M | 7.39M | 4.4M | 3.3M | 5.13M | 672K | 1.94M |
| Current Ratio | 4.28x | 4.78x | 3.63x | 3.19x | 7.06x | 4.07x | 2.83x | 1.99x |
| Quick Ratio | 4.28x | 4.78x | 3.63x | 3.18x | 7.06x | 4.07x | 2.83x | 1.99x |
| Cash Conversion Cycle | - | - | - | -2.21K | - | - | - | - |
| Total Non-Current Liabilities | 62.6M | 93.61M | 59.88M | 390.09M | 305.96M | 288.22M | 8.89M | 149.52M |
| Long-Term Debt | 55.68M | 30.59M | 30.16M | 342.48M | 305.09M | 287.33M | 8.12M | 14.9M |
| Capital Lease Obligations | 79.01M | 25.96M | 27.38M | 28.51M | 465K | 334K | 0 | 0 |
| Deferred Tax Liabilities | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Non-Current Liabilities | 6.92M | 37.07M | 2.33M | 19.1M | 409K | 555K | 769K | 134.62M |
| Total Liabilities | 78.01M | 111.94M | 79.65M | 401.27M | 313.27M | 311.87M | 19.81M | 152.93M |
| Total Debt | 60.82M | 61.65M | 62.5M | 373.72M | 306.81M | 304.34M | 15.29M | 14.9M |
| Net Debt | -2.35M | -19.89M | -4.96M | 340.2M | 257.54M | 208.87M | -13.81M | 9.11M |
| Debt / Equity | 2.84x | 6.52x | 2.20x | - | - | - | 1.02x | - |
| Debt / EBITDA | -0.66x | - | - | - | - | - | - | - |
| Net Debt / EBITDA | 0.03x | - | - | - | - | - | - | - |
| Interest Coverage | - | - | - | - | - | -25.61x | -19.27x | -47.12x |
| Total Equity | 21.38M | 9.46M | 28.42M | -325.06M | -252.32M | -209.32M | 14.95M | -144M |
| Equity Growth % | -63.45% | -66.73% | 108.74% | -28.83% | -20.54% | -1500.07% | 110.38% | - |
| Book Value per Share | 0.28 | 0.12 | 0.65 | -6.83 | -5.30 | -4.40 | 0.31 | -3.02 |
| Total Shareholders' Equity | 21.38M | 9.46M | 28.42M | -325.06M | -252.32M | -209.32M | 14.95M | -144M |
| Common Stock | 1K | 1K | 0 | 0 | 0 | 0 | 0 | 20.75M |
| Retained Earnings | -547.05M | -556.26M | -415.31M | -346.62M | -269.52M | -223.07M | -184.34M | -153.86M |
| Treasury Stock | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Accumulated OCI | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -153.86M |
| Minority Interest | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Clinical trial funding dependency
As reported in financial statements, Fractyl Health's total assets have declined from $163.5 million in 2024Q1 to $99.4 million by 2026Q1, reflecting a consistent depletion of resources as the company funds its pivotal clinical trials without any offsetting revenue generation to stabilize the balance sheet.
The downward trajectory of total assets suggests that the firm is consuming its capital base at a rate that outpaces its ability to replenish it through non-dilutive means. This trend implies that the company's long-term viability is increasingly tethered to its ability to secure additional financing before the current asset base is exhausted.
Based on recent SEC filings, the company maintains a debt load of $60.8 million as of 2026Q1, which, when measured against a shrinking equity base, results in a debt-to-equity ratio of 2.84, signaling heightened financial pressure as the firm navigates its pre-commercial phase.
The presence of significant debt on a pre-revenue balance sheet introduces substantial refinancing risk, particularly if clinical milestones are delayed. Investors should monitor whether this leverage is a strategic bridge to commercialization or a necessity-driven burden that may limit future operational flexibility.
According to quarterly data, the company's cash position has fluctuated significantly, falling from a peak of $121.4 million in 2024Q1 to $63.2 million in 2026Q1, which highlights the precarious nature of the firm's liquidity buffer in the absence of recurring operational cash inflows.
While the current ratio of 4.28 appears healthy on the surface, it is heavily influenced by the remaining cash balance rather than operational efficiency. The rapid consumption of cash suggests that the company may face a liquidity crunch if the REVITALIZE-1 trial timeline extends beyond current projections.
As indicated by financial disclosures, the company's equity base has experienced extreme volatility, swinging from a negative $325.1 million in 2023Q4 to a positive $21.4 million in 2026Q1, largely driven by the accumulation of $547.0 million in retained earnings losses over the observed period.
The persistent accumulation of losses underscores the high cost of R&D and the difficulty of maintaining shareholder value in a pre-revenue biotech model. This pattern suggests that future equity dilution remains a high probability as management seeks to bridge the gap to commercialization.
Quick answers to the most common questions about buying GUTS stock.
As of 2025, Fractyl Health, Inc. Common Stock (GUTS) had total assets of $121.4M including $87.6M in current assets.
Fractyl Health, Inc. Common Stock (GUTS) carries total debt of $61.6M, offset by $81.5M in cash and short-term investments. Comparing total debt to cash helps evaluate the company's debt burden and net leverage.
Fractyl Health, Inc. Common Stock (GUTS) has total shareholders' equity (book value) of $9.5M ($0.12 book value per share). Book value represents the net worth of the company belonging to common stock holders.
Fractyl Health, Inc. Common Stock (GUTS) reported a current ratio of 4.78x. A current ratio above 1.0x indicates that the company has more current assets than current liabilities, suggesting sufficient short-term liquidity.