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Fractyl Health, Inc.. (GUTS) Stock Fundamental Analysis & AI Rating 2026

GUTS Nasdaq Surgical & Medical Instruments & Apparatus DE CIK: 0001572616
Updated This Month • Analysis: May 14, 2026 • SEC Data: 2026-03-31
Combined AI Rating
SELL
84% Confidence
AGREEMENT
STRONG SELL
92% Conf
SELL
76% Conf

📊 GUTS Key Takeaways

Revenue: $0.0
Net Margin: N/A
Free Cash Flow: $-23.0M
Current Ratio: 4.28x
Debt/Equity: 0.00x
EPS: $0.06
AI Rating: STRONG SELL with 92% confidence
Fractyl Health, Inc.. (GUTS) receives a SELL rating with 84% confidence from our AI fundamental analysis based on SEC 10-K filings. With revenue of $0, and return on equity (ROE) of 43.1%, Fractyl Health, Inc.. demonstrates mixed fundamentals in the Healthcare sector. Below is our complete GUTS stock analysis for 2026.

Is Fractyl Health, Inc.. (GUTS) a Good Investment?

Claude

Fractyl Health shows fundamental distress with zero revenue despite operating as a surgical instruments company, indicating failure to commercialize products or complete loss of revenue-generating capability. The company is burning $23M annually in free cash flow while operating at a $20.8M loss, making the current positive net income ($9.2M) appear driven by one-time gains rather than sustainable operations.

ChatGPT

Fractyl Health is pre-revenue with very large operating and net losses, yielding extremely negative ROA/ROE and no visibility into unit economics. Liquidity is currently solid with substantial cash and no debt, but the burn rate implies roughly a year of runway and a high likelihood of additional capital needs. Until there is clear progress toward commercialization and operating leverage, the fundamental profile remains weak.

Why Buy Fractyl Health, Inc.. Stock? GUTS Key Strengths

Claude
  • + Strong cash position of $63.2M provides near-term runway
  • + Fortress balance sheet with zero long-term debt and 4.28x current ratio
  • + Positive stockholders' equity of $21.4M
ChatGPT
  • + Strong liquidity (current ratio ~4.8x; $81.5M cash)
  • + Debt-free balance sheet reducing insolvency risk
  • + Low capex intensity provides expense flexibility

GUTS Stock Risks: Fractyl Health, Inc.. Investment Risks

Claude
  • ! Complete revenue collapse: $0.00 in revenue (-100% YoY) indicates product commercialization failure or operational cessation
  • ! Unsustainable cash burn: -$23.0M free cash flow annually provides only ~2.7 years of runway at current rates
  • ! Operating losses of -$20.8M with positive net income suggests non-operating gains masking fundamental business failure
  • ! Zero insider activity in 90 days suggests management loss of confidence
  • ! Medical device sector requires revenue generation; zero revenue is terminal
ChatGPT
  • ! Pre-revenue status with no demonstrated commercial traction
  • ! High cash burn likely necessitating dilutive financing
  • ! Very small equity base and deeply negative ROA/ROE

Key Metrics to Watch

Claude
  • * Quarterly revenue and path to commercialization
  • * Operating cash flow trend and burn rate acceleration/deceleration
  • * Cash and equivalents balance and runway calculation
  • * Operating loss magnitude and whether it stabilizes
ChatGPT
  • * Quarterly operating cash flow (cash burn) and runway
  • * Quarterly revenue and gross margin upon launch

Fractyl Health, Inc.. (GUTS) Financial Metrics & Key Ratios

Revenue
$0.0
Net Income
$9.2M
EPS (Diluted)
$0.06
Free Cash Flow
$-23.0M
Total Assets
$99.4M
Cash Position
$63.2M

💡 AI Analyst Insight

Strong liquidity with a 4.28x current ratio provides a solid financial cushion.

GUTS Profit Margin, ROE & Profitability Analysis

Gross Margin N/A
Operating Margin N/A
Net Margin N/A
ROE 43.1%
ROA 9.3%
FCF Margin N/A

GUTS vs Healthcare Sector: How Fractyl Health, Inc.. Compares

How Fractyl Health, Inc.. compares to Healthcare sector averages

Net Margin
GUTS 0.0%
vs
Sector Avg 12.0%
GUTS Sector
ROE
GUTS 43.1%
vs
Sector Avg 15.0%
GUTS Sector
Current Ratio
GUTS 4.3x
vs
Sector Avg 2.0x
GUTS Sector
Debt/Equity
GUTS 0.0x
vs
Sector Avg 0.6x
GUTS Sector

Sector benchmarks are approximate industry averages. Actual sector performance may vary.

Is Fractyl Health, Inc.. Stock Overvalued? GUTS Valuation Analysis 2026

Based on fundamental analysis, Fractyl Health, Inc.. appears fundamentally strong relative to the Healthcare sector in 2026.

Return on Equity
43.1%
Sector avg: 15%
Net Profit Margin
N/A
Sector avg: 12%
Revenue Growth
N/A
Year-over-year
Debt/Equity
0.00x
Sector avg: 0.6x

Note: This is a fundamental analysis based on SEC filings. For P/E ratio, price targets, and market-based valuation, consult financial data providers. This is not investment advice.

Fractyl Health, Inc.. Balance Sheet: GUTS Debt, Cash & Liquidity

Current Ratio
4.28x
Quick Ratio
4.27x
Debt/Equity
0.00x
Debt/Assets
78.5%
Interest Coverage
N/A
Long-term Debt
N/A

GUTS Revenue & Earnings Growth: 5-Year Financial Trend

GUTS 5-year financial data: Year 2024: Revenue $120.0K, Net Income -$77.1M, EPS $-45.29. Year 2025: Revenue $93.0K, Net Income -$68.7M, EPS $-1.62.
Revenue
Net Income
EPS (right axis)

5-Year Trend Summary: Fractyl Health, Inc..'s revenue has declined by 23% over the 5-year period, indicating business contraction. The most recent EPS of $-1.62 indicates the company is currently unprofitable.

GUTS Revenue Growth, EPS Growth & YoY Performance

Revenue Growth
N/A
Year-over-year
Net Income Growth
N/A
Year-over-year
EPS Growth
N/A
Earnings per share
FCF Margin
N/A
Free cash flow / Revenue

GUTS Quarterly Earnings & Performance

Quarterly financial performance data for Fractyl Health, Inc.. including revenue, net income, and earnings per share.
Quarter Revenue Net Income EPS
Q3 2025 $14.0K -$3.3M $-0.48
Q2 2025 $43.0K -$3.3M $-0.36
Q1 2025 $33.0K -$3.3M $-0.17
Q3 2024 $14.0K -$3.3M $-0.48
Q2 2024 $43.0K -$3.3M $-0.36
Q1 2024 $5.0K -$3.3M $-0.17

Data sourced from SEC EDGAR 10-Q quarterly filings. Figures may represent quarterly or cumulative values.

Fractyl Health, Inc.. Dividends, Buybacks & Capital Allocation

Operating Cash Flow
-$22.5M
Cash generated from operations
Capital Expenditures
$557.0K
Investment in assets
Dividends
None
No dividend program

GUTS SEC Filings: Latest 10-K & 10-Q Analysis

Access official SEC EDGAR filings for Fractyl Health, Inc.. (CIK: 0001572616)

📋 Recent SEC Filings

Date Form Document Action
May 12, 2026 10-Q guts-20260331.htm View →
May 12, 2026 8-K guts-20260512.htm View →
May 11, 2026 8-K guts-20260511.htm View →
Apr 24, 2026 DEF 14A guts-20260423.htm View →
Mar 24, 2026 10-K guts-20251231.htm View →

Frequently Asked Questions about GUTS

What is the AI rating for GUTS?

Fractyl Health, Inc.. (GUTS) has a Combined AI Rating of SELL from Claude (STRONG SELL) and ChatGPT (SELL) with 84% combined confidence, based on fundamental analysis of SEC EDGAR filings.

What are GUTS's key strengths?

Claude: Strong cash position of $63.2M provides near-term runway. Fortress balance sheet with zero long-term debt and 4.28x current ratio. ChatGPT: Strong liquidity (current ratio ~4.8x; $81.5M cash). Debt-free balance sheet reducing insolvency risk.

What are the risks of investing in GUTS?

Claude: Complete revenue collapse: $0.00 in revenue (-100% YoY) indicates product commercialization failure or operational cessation. Unsustainable cash burn: -$23.0M free cash flow annually provides only ~2.7 years of runway at current rates. ChatGPT: Pre-revenue status with no demonstrated commercial traction. High cash burn likely necessitating dilutive financing.

What is GUTS's revenue and growth?

Fractyl Health, Inc.. reported revenue of $0.0.

Does GUTS pay dividends?

Fractyl Health, Inc.. does not currently pay dividends.

Where can I find GUTS SEC filings?

Official SEC filings for Fractyl Health, Inc.. (CIK: 0001572616) including 10-K, 10-Q, and 8-K reports are available on SEC EDGAR.

What is GUTS's EPS?

Fractyl Health, Inc.. has a diluted EPS of $0.06.

How is the AI analysis conducted?

Two independent AI systems — Claude (Anthropic) and ChatGPT (OpenAI) — analyze SEC EDGAR filings including 10-K annual reports and 10-Q quarterly reports. Each AI evaluates financial health, profitability ratios, balance sheet strength, and growth metrics. The combined rating reflects both perspectives for balanced insights.

Is GUTS a good stock to buy right now?

Based on our AI fundamental analysis in May 2026, Fractyl Health, Inc.. has a SELL rating with 84% confidence. Review the strengths and risks sections above before making a decision. This is not investment advice.

Is GUTS stock overvalued or undervalued?

Valuation metrics for GUTS: ROE of 43.1% (sector avg: 15%), net margin of N/A (sector avg: 12%). Higher ROE suggests strong returns relative to peers.

Should I buy GUTS stock in 2026?

Our dual AI analysis gives Fractyl Health, Inc.. a combined SELL rating for 2026. Revenue is data pending, with profitability at or below sector average. Always conduct your own research.

What is GUTS's free cash flow?

Fractyl Health, Inc..'s operating cash flow is $-22.5M, with capital expenditures of $557.0K.

How does GUTS compare to other Healthcare stocks?

Vs Healthcare sector averages: Net margin N/A (avg: 12%), ROE 43.1% (avg: 15%), current ratio 4.28 (avg: 2).

Why is GUTS's return on equity (ROE) so high?

Fractyl Health, Inc.. has a return on equity of 43.1%, significantly above the Healthcare sector average of 15%. A high ROE indicates the company is efficient at generating profits from shareholder equity.

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Disclaimer: This analysis is generated by Claude AI (Anthropic) and ChatGPT (OpenAI) based on publicly available SEC EDGAR filings. It does not include stock price data and should not be considered financial advice. All fundamental data is sourced from SEC public domain filings. Always conduct your own research and consult with a qualified financial advisor before making investment decisions.
Data Source: SEC EDGAR | Analysis Date: May 14, 2026 | Data as of: 2026-03-31 | Powered by Claude AI