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GUTSFractyl Health, Inc. Common Stock
$0.80$57M
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Fractyl Health, Inc. Common Stock (GUTS) Financials

7Y historyFree accessUpdated daily

Revenue generation has effectively ceased, with quarterly figures dropping to zero by 2025, while R&D expenses remain the primary cost driver, peaking at $21.2 million in 2025Q2.

GUTS Income Statement

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly
MetricTTMDec'25Dec'24Dec'23Dec'22Dec'21Dec'20Dec'19
Sales/Revenue0093K120K0000
Revenue Growth %-100%-100%-22.5%-----
Cost of Goods Sold0050K77K452K0770K893K
COGS % of Revenue--53.76%64.17%----
Gross Profit0043K43K-452K0-770K-893K
Gross Margin %--46.24%35.83%----
Gross Profit Growth %--100%0%109.51%-100%13.77%-
Operating Expenses92.88M96.82M93.57M50.88M48.93M36.93M28.19M29.03M
OpEx % of Revenue--100617.2%42399.17%----
Selling, General & Admin17.25M22.28M0014.58M10.49M5.76M8.14M
SG&A % of Revenue--------
Research & Development70.7M74.54M70.47M38.04M34.35M26.43M22.43M20.89M
R&D % of Revenue--75775.27%31698.33%----
Other Operating Expenses1000K023.1M12.84M0000
Operating Income-92.88M-96.82M-93.53M-50.84M-49.38M-36.93M-28.96M-29.92M
Operating Margin %---100570.97%-42363.33%----
Operating Income Growth %--3.51%-83.99%-2.94%-33.73%-27.51%3.2%-
EBITDA-91.76M-95.69M-92.85M-50.55M-48.93M-36.25M-28.19M-29.03M
EBITDA Margin %---99843.01%-42125%----
EBITDA Growth %4.25%-3.05%-83.69%-3.3%-34.98%-28.59%2.88%-
D&A (Non-Cash Add-back)1.12M1.13M677K286K452K676K770K893K
EBIT-92.88M-96.82M-93.53M-50.84M-49.38M-36.93M-28.96M-29.92M
Net Interest Income1.63M1.54M4.15M1.26M797K-1.44M-1.5M-635K
Interest Income1.63M1.54M4.15M1.26M797K000
Interest Expense000001.44M1.5M635K
Other Income/Expense-15.12M-44.14M24.84M-26.25M2.93M-1.81M-1.52M-673K
Pretax Income-108M-140.95M-68.69M-77.09M-46.45M-38.73M-30.48M-30.59M
Pretax Margin %---73864.52%-64242.5%----
Income Tax00000000
Effective Tax Rate %0%0%0%0%0%0%0%0%
Net Income-108M-140.95M-68.69M-77.09M-46.45M-38.73M-30.48M-30.59M
Net Margin %---73864.52%-64242.5%----
Net Income Growth %-21.2%-105.19%10.89%-65.95%-19.93%-27.08%0.37%-
Net Income (Continuing)-108M-140.95M-68.69M-77.09M-46.45M-38.73M-30.48M-30.59M
Discontinued Operations00000000
Minority Interest00000000
EPS (Diluted)-1.42-1.86-1.62-1.98-1.34-1.12-0.86-0.64
EPS Growth %5.43%-14.81%18.18%-47.76%-19.64%-30.23%-34.38%-
EPS (Basic)--1.86-1.62-1.98-1.34-1.12-0.86-0.64
Diluted Shares Outstanding75.82M75.82M43.54M47.61M47.61M47.61M47.61M47.61M
Basic Shares Outstanding75.82M75.82M43.54M47.61M47.61M47.61M47.61M47.61M
Dividend Payout Ratio--------

Key Metrics

Growth RegimeContracting
ProfitabilityNegative
Balance SheetVulnerable
Cash FlowBurning
Top Statement Risk

Clinical trial funding dependency

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q1)

Revenue Generation Remains Effectively Absent

As indicated by the company's financial statements, Fractyl Health has transitioned to a pre-revenue state, with quarterly revenue figures dropping to zero by 2025, underscoring the firm's current status as a purely developmental-stage entity rather than a commercial-scale medical technology provider at this juncture.

The absence of meaningful revenue suggests that the company has yet to achieve any commercial traction for its Revita system. Investors should monitor whether this lack of top-line activity persists as a structural feature of the pre-clinical phase or if it indicates delays in the anticipated commercialization timeline.

R&D Intensity Drives Operational Burn

Based on reported figures, R&D expenses have consistently remained the primary driver of the company's cost structure, peaking at $21.2 million in 2025Q2, which highlights the significant capital intensity required to advance the Revita system through its pivotal clinical trial and regulatory pathways.

The concentration of spending in R&D reflects a strategic prioritization of clinical validation over commercial infrastructure. This high fixed-cost burden appears to be the primary factor pressuring the bottom line, necessitating careful management of the remaining cash runway to avoid premature dilution.

Net Income Volatility Masks Burn

According to recent SEC filings, the reported net income of $9.2 million in 2026Q1 represents a significant departure from the persistent quarterly losses observed throughout 2024 and 2025, suggesting that non-operating items or accounting adjustments may be distorting the underlying operational performance of the business.

The sudden swing to positive net income warrants further investigation, as it does not appear to correlate with any operational revenue growth. Analysts should treat this figure with caution, as it likely obscures the ongoing cash-burning nature of the company's core research and development activities.

Capital Dilution Risks Loom Large

As reported in financial statements, the company's consistent operating losses, which frequently exceeded $20 million per quarter, suggest that the current cash position may be insufficient to reach commercial scale without significant future equity financing, potentially diluting existing shareholders in the near term.

The reliance on external capital to fund clinical development creates a structural vulnerability for investors. If the company fails to demonstrate clear clinical milestones, the cost of future capital may increase, further pressuring the valuation of the equity in a competitive metabolic treatment market.

GUTS — Frequently Asked Questions

Quick answers to the most common questions about buying GUTS stock.

What was Fractyl Health, Inc. Common Stock's (GUTS) revenue in 2025?

For fiscal year 2025, Fractyl Health, Inc. Common Stock (GUTS) reported total revenue of $0.0M.

Is Fractyl Health, Inc. Common Stock (GUTS) profitable?

Fractyl Health, Inc. Common Stock (GUTS) reported a net loss of $141.0M for the fiscal year ending 2025.