FRACTYL HEALTH, INC.

GUTS
Exchange
Nasdaq
Industry
Surgical & Medical Instruments & Apparatus
SEC CIK
0001572616

13F holders, Q3 2025

Positions as of Sep 30, 2025.

Investment managers with $100 million or more in US stocks report their long positions on Form 13F within 45 days after each quarter ends. How 13F works

Institutional holders
74
+12 vs. Q2 2025
Shares held
91.8M
+64.11M (+231.5%) vs. Q2 2025
Total value
$145.9M
+$101.04M (+225.2%) vs. Q2 2025

Compare with Q2 2025: new holders and sold out

Holders over time

42 in Q1 2024 → 74 in Q3 2025

Show by quarter
Number of institutions holding GUTS by quarter
QuarterHolders
Q3 202574
Q2 202562
Q1 202565
Q4 202465
Q3 202461
Q2 202444
Q1 202442

Institutions

Institutions holding GUTS in Q3 2025
InstitutionSharesValue% of portfolioChange in sharesAction
Nantahala Capital Management, LLC12,136,917$19.3M1.19%+12,136,917New
SILVERARC CAPITAL MANAGEMENT, LLC10,600,000$16.85M2.44%+10,397,410+5,132.2%Added
Alyeska Investment Group, L.P.5,648,371$8.98M0.03%+5,648,371New
Woodline Partners LP5,506,534$8.76M0.04%+4,908,693+821.1%Added
Catalio Capital Management, LP5,214,236$8.29M1.53%+5,000,000+2,333.9%Added
Rosalind Advisors, Inc.5,000,000$7.95M2.81%+5,000,000New
General Catalyst Group Management, LLC4,884,193$7.77M0.26%00.0%Unchanged
Deer Management Co. LLC4,770,901$7.59M0.68%00.0%Unchanged
HCC Manager LLC4,673,871$7.43M100.00%00.0%Unchanged
683 Capital Management, LLC4,650,000$7.39M0.67%+4,005,000+620.9%Added
MAVERICK CAPITAL LTDSuperinvestorMaverick Capital4,248,492$6.76M0.09%00.0%Unchanged
Soleus Capital Management, L.P.2,500,000$3.98M0.21%+2,500,000New
Point72 Asset Management, L.P.2,187,999$3.48M0.01%+2,187,999New
VANGUARD GROUP INC1,921,147$3.05M0.00%+812,361+73.3%Added
M28 Capital Management LP1,856,117$2.95M4.34%00.0%Unchanged
Ikarian Capital, LLC1,800,000$2.86M0.58%+1,800,000New
CITADEL ADVISORS LLC1,782,356$2.83M0.00%+1,782,356New
MARSHALL WACE, LLP1,769,776$2.81M0.00%+1,769,776New
MASSACHUSETTS FINANCIAL SERVICES CO /MA/925,849$1.47M0.00%−7,138−0.8%Reduced
RENAISSANCE TECHNOLOGIES LLC776,700$1.23M0.00%+776,700New
BlackRock, Inc.759,995$1.21M0.00%−126,714−14.3%Reduced
UBS Group AG752,596$1.2M0.00%+729,754+3,194.8%Added
Alphabet Inc.662,584$1.05M0.04%00.0%Unchanged
BOOTHBAY FUND MANAGEMENT, LLC655,200$1.04M0.03%+655,200New
HRT FINANCIAL LP614,792$977K0.00%+553,963+910.7%Added
CM Management, LLC600,000$954K0.80%+600,000New
PEAK6 LLC500,000$795K0.01%+500,000New
Logos Global Management LP500,000$795K0.08%+500,000New
Burkehill Global Management, LP500,000$795K0.05%+500,000New
GOLDMAN SACHS GROUP INC490,448$779.81K0.00%+349,390+247.7%Added
MORGAN STANLEY430,231$684.07K0.00%+273,341+174.2%Added
MILLENNIUM MANAGEMENT LLC407,667$648.19K0.00%−115,306−22.0%Reduced
GEODE CAPITAL MANAGEMENT, LLC294,948$469.01K0.00%+184,464+167.0%Added
D. E. Shaw & Co., Inc.294,290$467.92K0.00%+294,290New
Shay Capital LLC285,202$453.47K0.08%+285,202New
GSA CAPITAL PARTNERS LLP179,023$285K0.02%+179,023New
Diametric Capital, LP125,629$199.75K0.07%+108,704+642.3%Added
JPMORGAN CHASE & CO101,488$161.37K0.00%+101,488New
BANK OF AMERICA CORP /DE/88,634$140.93K0.00%+16,856+23.5%Added
Conservest Capital Advisors, Inc.64,118$101.95K0.01%00.0%Unchanged
HighTower Advisors, LLC51,442$81.79K0.00%+521+1.0%Added
ADVISOR GROUP HOLDINGS, INC.76,745$79K0.00%+17,100+28.7%Added
Centiva Capital, LP49,340$78.45K0.01%+49,340New
XTX Topco Ltd46,047$73.22K0.00%+46,047New
BRIDGEWAY CAPITAL MANAGEMENT, LLC45,500$72.35K0.00%00.0%Unchanged
STATE STREET CORP40,800$64.87K0.00%00.0%Unchanged
Arrowpoint Investment Partners (Singapore) Pte. Ltd.35,000$55.65K0.08%+35,000New
PRELUDE CAPITAL MANAGEMENT, LLC34,754$55.26K0.00%+34,754New
Scientech Research LLC30,569$48.61K0.02%+30,569New
Chicago Partners Investment Group LLC31,000$39.68K0.00%−232−0.7%Reduced
STONERIDGE INVESTMENT PARTNERS LLC23,721$38K0.03%+2,103+9.7%Added
Qube Research & Technologies Ltd22,895$36.4K0.00%−56,646−71.2%Reduced
FNY Investment Advisers, LLC20,000$31K0.01%+20,000New
Parkside Financial Bank & Trust16,304$25.92K0.00%00.0%Unchanged
NORTHERN TRUST CORP14,640$23.28K0.00%00.0%Unchanged
Point72 Asia (Singapore) Pte. Ltd.14,126$22.46K0.00%−6,827−32.6%Reduced
CERITY PARTNERS LLC13,566$21.57K0.00%−4,920−26.6%Reduced
Quadrature Capital Ltd13,540$21.39K0.00%+13,540New
ADAR1 Capital Management, LLC13,097$20.82K0.00%+13,097New
RAYMOND JAMES FINANCIAL INC12,700$20.19K0.00%−100−0.8%Reduced
R Squared Ltd10,623$16.89K0.01%−4,277−28.7%Reduced
LPL Financial LLC10,425$16.58K0.00%+10,425New
Tower Research Capital LLC (TRC)5,209$8.28K0.00%+2,414+86.4%Added
St. Johns Investment Management Company, LLC1,980$3.15K0.00%+380+23.8%Added
BNP PARIBAS ARBITRAGE, SA915$1.46K0.00%−59−6.1%Reduced
Sound Income Strategies, LLC1,000$1.4K0.00%+1,000New
Point72 (DIFC) Ltd430$6830.00%−2−0.5%Reduced
JONES FINANCIAL COMPANIES LLLP500$6700.00%+500New
CITIGROUP INC217$3450.00%+3+1.4%Added
SBI Securities Co., Ltd.120$1910.00%00.0%Unchanged
EverSource Wealth Advisors, LLC39$620.00%−246−86.3%Reduced
Optiver Holding B.V.14$220.00%+14New
CWM, LLC149$00.00%−4,547−96.8%Reduced
ROYAL BANK OF CANADA196$00.00%−382−66.1%Reduced
Y-Intercept (Hong Kong) Ltd0$00.00%−111,425−100.0%Sold out
SUSQUEHANNA INTERNATIONAL GROUP, LLP0$00.00%−90,761−100.0%Sold out
AQR CAPITAL MANAGEMENT LLC0$00.00%−64,700−100.0%Sold out
Jain Global LLC0$00.00%−32,929−100.0%Sold out
JANE STREET GROUP, LLC0$00.00%−19,174−100.0%Sold out
Catalyst Funds Management Pty Ltd0$00.00%−15,800−100.0%Sold out
Cubist Systematic Strategies, LLC0$00.00%−15,129−100.0%Sold out
Hudson Bay Capital Management LP0$00.00%−12,457−100.0%Sold out
Russell Investments Group, Ltd.0$00.00%−12,234−100.0%Sold out
FMR LLC0$00.00%−11,612−100.0%Sold out
DRW Securities, LLC0$00.00%−11,205−100.0%Sold out
NISA INVESTMENT ADVISORS, LLC0$00.00%−714−100.0%Sold out
The PNC Financial Services Group, Inc.0$00.00%−312−100.0%Sold out
WELLS FARGO & COMPANY/MN0$00.00%−297−100.0%Sold out
True Wealth Design, LLC0$00.00%−156−100.0%Sold out
Essential Partners LLC0$00.00%−91−100.0%Sold out
PRINCIPAL SECURITIES, INC.0$00.00%−15−100.0%Sold out
IFP Advisors, Inc0$00.00%−10−100.0%Sold out