Healthcare · Biotechnology
Price
$0.74
Market Cap
$53.6M
Employees
102
Beta
2.34
Avg Volume
2,075,282
CEO
Harith Rajagopalan
Business Description
Fractyl Health, Inc., a metabolic therapeutics company, develops therapies for the treatment of type 2 diabetes (T2D) and obesity. The company develops Revita DMR System (Revita), an outpatient procedural therapy designed to durably modify duodenal dysfunction, a pathologic consequence of a high fat and high sugar diet, which can initiate T2D and obesity in humans. It develops Rejuva, a novel adeno-associated virus delivered pancreatic gene therapy platform that is designed to enable long-term remission of T2D and obesity by durably altering metabolic hormone function in the pancreatic islet cells of patients. Fractyl Health, Inc. was formerly known as Fractyl Laboratories Inc. and changed its name to Fractyl Health, Inc. on June 09, 2021. The company was incorporated in 2010 and is headquartered in Burlington, Massachusetts.
Business History
Price History (1 Year)
Revenue & Net Income Trend
The directional story — useful even when net income is negative.
Revenue
The top line — total sales before any costs or taxes are subtracted. A measure of how much business the company is doing.
Net Income
The bottom line — profit left after subtracting all expenses, interest, and taxes from revenue. Reflects accounting profitability, but includes non-cash items like depreciation, so it isn't the same as cash earned.
Operating Cash Flow
The real cash generated by the day-to-day business — selling products, paying suppliers, collecting from customers. Calculated from net income by adding back non-cash items and adjusting for timing (unpaid bills, unsold inventory). When OCF consistently lags net income, the reported profit may not be converting to real money.
| Period | Revenue | Net Income | Net Margin | YoY/QoQ |
|---|
Key Metrics
API Direct from provider
CALC Derived from statements
P/E Ratio (Price per dollar of earnings)
CALCStock Price / EPS (Diluted)
-0.40
Stock Price: $0.74
EPS (Diluted): -1.86
EPS (Diluted): -1.86
P/B Ratio (Price vs net asset value)
APIStock Price / Book Value Per Share
17.64
Stock Price: $0.74
Total Equity: $9.46M
Shares: 75,819,960
Total Equity: $9.46M
Shares: 75,819,960
EV/EBITDA (Total value vs operating profit)
APIEnterprise Value / EBITDA
-0.48
Market Cap: $53.64M
Total Debt: $35.69M
Cash: $81.54M
EBITDA: -$139.83M
Total Debt: $35.69M
Cash: $81.54M
EBITDA: -$139.83M
Enterprise Value (Takeover price (cap + debt - cash))
APIMarket Cap + Total Debt - Cash
$146.9M
Market Cap: $53.64M
Total Debt: $35.69M
Cash: $81.54M
Total Debt: $35.69M
Cash: $81.54M
P/S Ratio (Price per dollar of revenue)
APIStock Price / Revenue Per Share
0.00
Stock Price: $0.74
Revenue: $0.00
Shares: 75,819,960
Revenue: $0.00
Shares: 75,819,960
EV/Sales (Total value vs revenue — works when P/E can't)
API0.00
Gross Margin (Revenue left after direct costs)
APIGross Profit / Revenue
0.0%
Gross Profit: $0.00
Revenue: $0.00
Revenue: $0.00
Operating Margin (Revenue left after all operations)
APIOperating Income / Revenue
0.0%
Operating Income: -$96.82M
Revenue: $0.00
Revenue: $0.00
Net Margin (Revenue left as actual profit)
APINet Income / Revenue
0.0%
Net Income: -$140.95M
Revenue: $0.00
Revenue: $0.00
ROE (Profit from shareholder equity)
APINet Income / Total Equity
-4,573.9%
Net Income: -$140.95M
Total Equity: $9.46M
Total Equity: $9.46M
ROIC (Profit from all invested capital)
APINOPAT / Invested Capital
-104.2%
Operating Income: -$96.82M
Tax Rate: 0.0%
Equity: $9.46M
Total Debt: $35.69M
Cash: $81.54M
Tax Rate: 0.0%
Equity: $9.46M
Total Debt: $35.69M
Cash: $81.54M
Current Ratio (Can it pay short-term bills)
APICurrent Assets / Current Liabilities
4.78
Current Assets: $87.58M
Current Liabilities: $18.33M
Current Liabilities: $18.33M
Debt/Equity (Leverage — debt vs equity)
CALCTotal Debt / Total Equity
3.77
Short-Term Debt: $5.10M
Long-Term Debt: $30.59M
Total Debt: $35.69M
Total Equity: $9.46M
Long-Term Debt: $30.59M
Total Debt: $35.69M
Total Equity: $9.46M
Rev/Share (Top-line per share)
Revenue / Shares Outstanding
—
Revenue: $0.00
Shares: 75,819,960
Shares: 75,819,960
Book Value/Share (Net assets per share)
CALC(Total Assets - Total Liabilities) / Shares
$0.12
Total Equity: $9.46M
Shares: 75,819,960
Shares: 75,819,960
FCF/Share (Real cash generated per share)
CALC(Operating Cash Flow + CapEx) / Shares
$-1.20
Operating CF: -$90.33M
CapEx: -$557,000
Shares: 75,819,960
CapEx: -$557,000
Shares: 75,819,960
CapEx is negative (outflow) — added to OCF to get FCF
Div Yield (Annual income from holding)
APILast Annual Dividend / Stock Price
0.0%
Last Dividend: N/A
Stock Price: $0.74
Stock Price: $0.74
Payout Ratio (Earnings paid out as dividends)
Dividends Paid / Net Income
—
Dividends Paid: N/A
Net Income: -$140.95M
Net Income: -$140.95M
Dividends paid not available in cash flow statement
Industry Benchmarks
Compares GUTS against LLM-researched typical ranges for its
industry. One research call per industry, cached indefinitely — every stock in the same industry
reuses the same baseline.
Deep Analysis
Pre-flight intelligence scans the company first, then routes to the right analytical methods.
0
Company Classification
— What type of company is this?
1
Industry Landscape
— Where is the industry headed?
2
Company Momentum
— Where is this company trending?
3
Forward Projection
— 1Y & 2Y projected metrics (requires Layer 1 + 2)
4a
DCF Valuation
— Present value of future cash flows
4b
Earnings Power Value
— Floor value — worth with zero growth
4c
Anchored PE
— Industry PE adjusted for growth differential
4d
Reverse DCF
— What growth is the market pricing in?
4e
Revenue-Based DCF
— For growth/narrative companies (skip if mature earner)
4f
Anchored P/S
— Price-to-Sales peer comparison (skip if mature earner)
4g
Scenario Analysis
— Bull / Base / Bear (skip if mature earner)
4h
Dividend Discount Model
— For dividend/income stocks only
4i
Book Value Analysis
— For deep value / turnaround stocks only
4j
Insider Activity
— Are insiders buying or selling?
4f
Cash Flow Quality
— How trustworthy is the FCF?
4g
Debt Maturity Risk
— Can it handle its debt?
4h
Macro Environment
— Rates, market valuation, volatility
4i
Sector Intelligence
— How does this company compare within its sector?
4j
Revenue Confidence
— How reliable is the growth projection?
4k
Sensitivity Analysis
— How fragile is the fair value estimate?
4l
Sector Demand Cycle
— Is the sector in a boom, steady state, or contraction?
5
AI Investigation
— Adaptive research engine (Claude)
5b
Thesis Evaluation
— What does the market believe? (narrative/platform stocks only)
6
Valuation Synthesis
— Weighted verdict from all methods (requires Layer 4)
Income Statement (Annual)
Last updated: Jun 22, 2026 4:04pm (4d ago)| Metric | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|
| Revenue | $0 | $0 | $120,000 | $93,000 | $0 |
| Cost of Revenue | $0 | $452,000 | $77,000 | $50,000 | $0 |
| Gross Profit | $0 | $-452,000 | $43,000 | $43,000 | $0 |
| Operating Expenses | $36.9M | $48.9M | $50.9M | $93.6M | $96.8M |
| Operating Income | -$36.9M | -$49.4M | -$50.8M | -$93.5M | -$96.8M |
| Net Income | -$38.7M | -$46.5M | -$77.1M | -$68.7M | -$141.0M |
| EBITDA | -$36.6M | -$46.0M | -$76.8M | -$68.0M | -$139.8M |
| EPS | $-1.12 | $-1.34 | $-1.98 | $-1.62 | $-1.86 |
| EPS (Diluted) | — | — | — | — | — |
Balance Sheet (Annual)
Last updated: Jun 22, 2026 4:04pm (4d ago)| Metric | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|
| Cash & Equivalents | $95.5M | $49.3M | $33.5M | $67.5M | $81.5M |
| Total Current Assets | $96.4M | $51.6M | $35.6M | $71.8M | $87.6M |
| Total Assets | $102.5M | $61.0M | $76.2M | $108.1M | $121.4M |
| Current Liabilities | $23.7M | $7.3M | $11.2M | $19.8M | $18.3M |
| Long-Term Debt | $287.3M | $305.1M | $342.5M | $30.2M | $30.6M |
| Total Liabilities | $311.9M | $313.3M | $401.3M | $79.7M | $111.9M |
| Total Equity | -$209.3M | -$252.3M | -$325.1M | $28.4M | $9.5M |
| Retained Earnings | -$223.1M | -$269.5M | -$346.6M | -$415.3M | -$556.3M |
Cash Flow (Annual)
Last updated: Jun 22, 2026 4:04pm (4d ago)| Metric | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|
| Operating Cash Flow | -$33.5M | -$46.2M | -$42.8M | -$65.5M | -$90.3M |
| Capital Expenditure | $-51,000 | $-56,000 | $-359,000 | -$1.8M | $-557,000 |
| Free Cash Flow | -$33.5M | -$46.3M | -$43.2M | -$67.3M | -$90.9M |
| Acquisitions (net) | $0 | $0 | $0 | $0 | $0 |
| Debt Repayment | — | — | — | — | — |
| Dividends Paid | — | — | — | — | — |
| Stock Buybacks | $0 | $0 | $0 | $0 | $0 |
| Net Change in Cash | $66.4M | -$46.2M | -$15.7M | $33.9M | $14.1M |
Analyst Estimates (Annual)
Last updated: Jun 26, 2026 11:13pm (10h ago)| Metric | 2027 | 2028 | 2029 | 2030 |
|---|---|---|---|---|
| Revenue |
$22.3M $16.9M – $31.5M
|
$92.1M $92.1M – $92.1M
|
$252.5M $190.7M – $356.4M
|
$461.4M $348.5M – $651.3M
|
| EBITDA |
$4.5M $3.4M – $6.3M
|
$18.4M $18.4M – $18.4M
|
$50.5M $38.1M – $71.3M
|
$92.3M $69.7M – $130.3M
|
| Net Income |
-$43.2M -$58.9M – -$27.5M
|
-$25.8M -$28.1M – -$23.5M
|
$7.1M $4.8M – $10.9M
|
$47.0M $32.0M – $72.2M
|
| EPS | — | — | — | — |
Growth Trends (YoY %)
Last updated: Jun 22, 2026 4:04pm (4d ago)| Metric | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|
| Revenue Growth | — | — | -22.5% | -100.0% |
| Gross Profit Growth | — | +109.5% | +0.0% | -100.0% |
| Operating Income Growth | -33.7% | -2.9% | -84.0% | -3.5% |
| Net Income Growth | -19.9% | -66.0% | +10.9% | -105.2% |
| EBITDA Growth | -25.6% | -67.0% | +11.4% | -105.6% |
Insider Trading (Recent)
Last updated: Jun 27, 2026 8:40am (1h ago)
Type codes
PPurchase
SSale
AAward / grant
MOption exercise
FIn-kind (tax)
CConversion
GGift
DReturn to issuer
All SEC Form 4 codes
Open market
- P Purchase
- Open-market or private purchase of shares.
- S Sale
- Open-market or private sale of shares.
Compensation (Rule 16b-3)
- A Award / grant
- Grant or award of securities (RSUs, options, etc.) under Rule 16b-3.
- D Return to issuer
- Securities disposed back to the company under Rule 16b-3.
- F In-kind (tax)
- Shares withheld or delivered to pay the option-exercise price or tax — not an open-market sale.
- I Discretionary
- Discretionary transaction under an employee plan — Rule 16b-3(f).
- M Option exercise
- Exercise or conversion of a derivative (option/RSU) into shares — exempt.
Derivatives
- C Conversion
- Conversion of a derivative security into the underlying shares.
- E Short expiration
- Expiration of a short derivative position.
- H Long expiration
- Expiration or cancellation of a long derivative position with value received.
- O OTM exercise
- Exercise of an out-of-the-money derivative.
- X ITM exercise
- Exercise of an in-the-money or at-the-money derivative.
Other exempt
- G Gift
- Bona fide gift of securities.
- L Small acquisition
- Small acquisition under Rule 16a-6.
- W Inheritance
- Acquisition or disposition by will or the laws of descent.
- Z Voting trust
- Deposit into or withdrawal from a voting trust.
Other
- J Other
- Other acquisition or disposition (explained in a Form 4 footnote).
- K Equity swap
- Transaction in an equity swap or similar instrument.
- U Tender / buyout
- Disposition via tender of shares in a change-of-control transaction.
Compensation-plan codes (A, D, F, M) are routine and rarely directional. Open-market P (buy) and S (sale) carry the most signal.
| Date | Insider | Type | Shares | Price | Value |
|---|---|---|---|---|---|
| 2026-06-12 | Royan Ajay | P-Purchase | 23,000.00 | $0.85 | $19,596 |
| 2026-06-10 | BRADLEY WILLIAM | P-Purchase | 68,493.00 | $0.73 | $50,329 |
| 2026-06-10 | BRADLEY WILLIAM | A-Award | 22,500.00 | $0.73 | $16,466 |
| 2026-06-10 | Conaway Samuel | A-Award | 22,500.00 | $0.73 | $16,466 |
| 2026-06-10 | Royan Ajay | A-Award | 22,500.00 | $0.73 | $16,466 |
| 2026-06-10 | Thompson Christopher Charles | A-Award | 22,500.00 | $0.73 | $16,466 |
| 2026-06-10 | Elia Marc | A-Award | 22,500.00 | $0.73 | $16,466 |
| 2026-06-10 | Barnes Kelly Ann | A-Award | 22,500.00 | $0.73 | $16,466 |
| 2026-06-10 | MEANWELL CLIVE | A-Award | 22,500.00 | $0.73 | $16,466 |
| 2026-06-10 | Sheffield Ian | P-Purchase | 35,000.00 | $0.73 | $25,529 |
| 2026-06-10 | Sheffield Ian | A-Award | 22,500.00 | $0.73 | $16,466 |
| 2026-06-10 | Rajagopalan Harith | P-Purchase | 25,000.00 | $0.73 | $18,253 |
| 2026-06-08 | Smith Weber Lara | P-Purchase | 20,000.00 | $0.69 | $13,708 |
| 2026-01-12 | Smith Weber Lara | A-Award | 1,036,800.00 | $2.00 | $2.1M |
| 2026-01-12 | Smith Weber Lara | 0.00 | $0.00 | $0 | |
| 2025-12-15 | Toomey Sarah | A-Award | 743,913.00 | $2.24 | $1.7M |
| 2025-12-15 | Caplan Jay David | A-Award | 845,226.00 | $2.24 | $1.9M |
| 2025-12-15 | Rajagopalan Harith | A-Award | 2,486,302.00 | $2.24 | $5.6M |
| 2025-12-04 | Rajagopalan Harith | P-Purchase | 10,416.00 | $1.92 | $19,999 |
| 2025-09-02 | Thompson Christopher Charles | A-Award | 45,000.00 | $0.98 | $43,952 |
Narrative Economics
The story the market is telling about this stock — the intangible X-factor
(founder mythology, cult dynamics, TAM-of-imagination) that moves price beyond
what cash flows alone explain. After Shiller, Narrative Economics.
No narrative profile yet for GUTS — it's generated by the pipeline (
market-narrative step).
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Data via Financial Modeling Prep · Cached for performance · fmp
v1.1.352 · d1100787 · 2026-06-26 11:39:30