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Companies / Health Care / Fractyl Health, Inc.
GUTS

Fractyl Health, Inc.

Health CareSurgical & Medical Instruments
Ticker GUTSBURLINGTON, MAFiscal year ends DecemberBook value per share $-0.01Diluted shares 158.6M

Fractyl Health, Inc. (Nasdaq: GUTS) is a clinical-stage metabolic therapeutics company developing treatments for obesity and type 2 diabetes. Its lead candidate, Revita, is an investigational outpatient endoscopic procedure that uses hydrothermal ablation to remodel the duodenal lining; the company is studying its… From the company’s description.

In fiscal 2025, Fractyl Health, Inc. reported a net loss of $140.95M. Operations used $90.33M in cash.

Fiscal year 2025 · ends 12-31Changes are against fiscal 2024The amber dot is the latest twelve months, to 2026-06-30
Sales & profitability
—
0.00%FY2025
$-140.95MFY2025
−105.2% year over year
Last 12 mo $-105.65M
-1490.32%FY2025
−1248.6 percentage points
Last 12 mo 6345.35%
Cash & financing
$-90.33MFY2025
−37.9% year over year
Last 12 mo $-82.43M
$-90.89MFY2025
−35.1% year over year
Last 12 mo $-82.43M
3.23FY2025
Was 1.06× a year earlier
Last 12 mo -18.29
75.8MFY2025
+74.1% year over year
Last 12 mo 158.6M

Margins and return on equity change in ; everything else in percent. Fewer shares and less debt are shown plainly, not as bad news — it depends what you make of buybacks. Dotted labels explain each measure. is shown separately from the annual figures.

What Fractyl Health, Inc. does

In the company’s own words

Fractyl Health, Inc. (Nasdaq: GUTS) is a clinical-stage metabolic therapeutics company developing treatments for obesity and type 2 diabetes. Its lead candidate, Revita, is an investigational outpatient endoscopic procedure that uses hydrothermal ablation to remodel the duodenal lining; the company is studying its potential to help people maintain weight loss after stopping GLP-1-based therapy. Fractyl has evaluated Revita in more than 500 participants across clinical studies in the United States, Europe and South America. Its Rejuva platform comprises locally administered pancreatic gene therapies designed to prompt islet cells to produce metabolic hormones. The lead candidate, RJVA-001, is designed to enable pancreatic beta cells to produce GLP-1, while RJVA-002, in preclinical development, is designed to produce both GIP and GLP-1. These candidates are intended to address type 2 diabetes and obesity, respectively, through a single intervention. The company’s principal programs are Revita and Rejuva; it has no commercial products described.

Company details
Sector
Health Care
Industry (SIC)
Surgical & Medical Instruments
Headquarters
BURLINGTON, MA
Fiscal year end
December
CIK
1572616
SIC
3841

Financial performance, year by year

Fiscal 2024–2025 · USD
$-155.06M$-112.74M$-70.43M$-28.12M$14.20M20242025Last 12 moLast 12 months

The full income statement, balance sheet and cash flow for each of these years — every figure traceable to its filing — is on the Financials tab with a free account.

Ownership

Who owns Fractyl Health, Inc. — and what changed

Funds as of 2026Q2 · superinvestors as of 2026-06-30

12
funds hold it
0 of 35
superinvestors hold it
$5.79M
held by funds, at market
4.6%
of shares held by funds

Largest fund holders · Fractyl Health, Inc.’s weight in each

VANGUARD TOTAL STOCK MARKET INDEX FUND
VTI · VANGUARD INDEX FUNDS
0.00%of fund net assets
VANGUARD EXTENDED MARKET INDEX FUND
VXF · VANGUARD INDEX FUNDS
0.00%of fund net assets
Fidelity Extended Market Index Fund
FSMAX · Fidelity Concord Street Trust
—of fund net assets
Fidelity Total Market Index Fund
FSKAX · Fidelity Concord Street Trust
—of fund net assets
Fidelity Series Total Market Index Fund
FCFMX · Fidelity Concord Street Trust
—of fund net assets

Fund ownership is a floor, not a census — pensions, insurers and people holding shares directly are not visible here.

Fund ownership counts N-PORT filers only, so it is a floor rather than a census — pensions, insurers and direct holders are not visible here, and the remainder is not “held by individuals”.

Could not be determined for this company: bond issues.

Every fund and institutional holder, quarter by quarter, is on the Ownership tab with a free account.

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