FRACTYL HEALTH, INC.

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

13F holders, Q1 2026

Positions as of Mar 31, 2026.

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
83
−14 vs. Q4 2025
Shares held
72.01M
−40.62M (−36.1%) vs. Q4 2025
Total value
$32.98M
−$214.81M (−86.7%) vs. Q4 2025

Compare with Q4 2025: new holders and sold out

Holders over time

42 in Q1 2024 → 83 in Q1 2026

Show by quarter
Number of institutions holding GUTS by quarter
QuarterHolders
Q1 202683
Q4 202597
Q3 202574
Q2 202562
Q1 202565
Q4 202465
Q3 202461
Q2 202444
Q1 202442

Institutions

Institutions holding GUTS in Q1 2026
InstitutionSharesValue% of portfolioChange in sharesAction
Nantahala Capital Management, LLC13,364,519$6.12M0.38%+2,518,079+23.2%Added
683 Capital Management, LLC6,727,235$3.08M0.29%+679,615+11.2%Added
Pale Fire Capital SE5,921,045$2.71M0.24%+2,711,103+84.5%Added
VANGUARD CAPITAL MANAGEMENT LLC5,533,006$2.53M0.00%+5,533,006New
Catalio Capital Management, LP5,491,866$2.51M0.53%00.0%Unchanged
General Catalyst Group Management, LLC4,884,193$2.24M1.22%00.0%Unchanged
Deer Management Co. LLC4,770,901$2.19M0.35%00.0%Unchanged
MAVERICK CAPITAL LTDSuperinvestorMaverick Capital3,974,806$1.82M0.02%−273,686−6.4%Reduced
Woodline Partners LP2,241,679$1.03M0.00%−3,265,092−59.3%Reduced
BlackRock, Inc.2,139,837$979.62K0.00%+56,519+2.7%Added
M28 Capital Management LP1,856,117$849.73K1.58%00.0%Unchanged
SILVERARC CAPITAL MANAGEMENT, LLC1,701,625$779K0.09%−8,138,416−82.7%Reduced
UBS Group AG1,622,163$742.95K0.00%+508,181+45.6%Added
GEODE CAPITAL MANAGEMENT, LLC1,435,261$657.38K0.00%+171,406+13.6%Added
CM Management, LLC1,400,000$640.92K0.54%+600,000+75.0%Added
Ikarian Capital, LLC1,100,000$503.58K0.07%00.0%Unchanged
Logos Global Management LP1,000,000$457.8K0.02%−100,000−9.1%Reduced
MARSHALL WACE, LLP807,796$371.59K0.00%−5,118,949−86.4%Reduced
VANGUARD FIDUCIARY TRUST CO606,185$277.63K0.00%+606,185New
Burkehill Global Management, LP500,000$228.9K0.01%00.0%Unchanged
MORGAN STANLEY495,901$227.02K0.00%−160,581−24.5%Reduced
TWO SIGMA INVESTMENTS, LP479,737$219.62K0.00%−1,360,399−73.9%Reduced
STATE STREET CORP464,700$212.74K0.00%−48,000−9.4%Reduced
Shay Capital LLC357,865$163.83K0.02%+221,297+162.0%Added
BOOTHBAY FUND MANAGEMENT, LLC275,219$126K0.00%00.0%Unchanged
Brevan Howard Capital Management LP232,369$99.16K0.00%−232,369−50.0%Reduced
NORTHERN TRUST CORP215,877$98.83K0.00%00.0%Unchanged
BRIDGEWAY CAPITAL MANAGEMENT, LLC208,925$95.65K0.00%+154,425+283.3%Added
PEAK6 LLC200,000$91.56K0.00%−200,000−50.0%Reduced
SUSQUEHANNA INTERNATIONAL GROUP, LLP176,087$80.61K0.00%−623,370−78.0%Reduced
CERITY PARTNERS LLC168,500$77.14K0.00%+5,000+3.1%Added
BANK OF AMERICA CORP /DE/124,989$57.12K0.00%−1,067,247−89.5%Reduced
OMERS ADMINISTRATION Corp123,900$56.72K0.00%−55,400−30.9%Reduced
BARCLAYS PLC116,048$53.13K0.00%−127,246−52.3%Reduced
ADVISOR GROUP HOLDINGS, INC.100,812$46.37K0.00%+25,336+33.6%Added
Accredited Investors Inc.100,000$45.78K0.00%+100,000New
GSA CAPITAL PARTNERS LLP87,465$40K0.00%−101,711−53.8%Reduced
GOLDMAN SACHS GROUP INC68,433$31.33K0.00%−3,356,764−98.0%Reduced
Conservest Capital Advisors, Inc.64,118$29.35K0.00%00.0%Unchanged
Cambridge Investment Research Advisors, Inc.64,000$29K0.00%00.0%Unchanged
HighTower Advisors, LLC51,442$23.55K0.00%00.0%Unchanged
CITADEL ADVISORS LLC48,196$22.06K0.00%−180,789−79.0%Reduced
Catalyst Funds Management Pty Ltd46,800$21.43K0.00%+46,800New
XTX Topco Ltd44,192$20.23K0.00%−7,740−14.9%Reduced
Vanguard Global Advisers, LLC41,311$18.92K0.00%+41,311New
Phraction Management LLC41,000$18.77K0.00%+41,000New
EVOKE WEALTH, LLC40,000$18.31K0.00%+40,000New
Chicago Partners Investment Group LLC31,000$18.31K0.00%00.0%Unchanged
JANE STREET GROUP, LLC39,709$18.18K0.00%−1,822,891−97.9%Reduced
RENAISSANCE TECHNOLOGIES LLC35,200$16.12K0.00%−1,827,851−98.1%Reduced
FNY Investment Advisers, LLC35,500$16K0.01%−13,150−27.0%Reduced
WELLS FARGO & COMPANY/MN31,000$14.19K0.00%+31,000New
Marex Group plc29,537$13.52K0.00%+29,537New
Schonfeld Strategic Advisors LLC29,115$13.33K0.00%−21,089−42.0%Reduced
Brookstone Capital Management21,272$9.74K0.00%+21,272New
LPL Financial LLC20,425$9.35K0.00%+10,000+95.9%Added
RAYMOND JAMES FINANCIAL INC20,074$9.19K0.00%+5,000+33.2%Added
Verition Fund Management LLC19,971$9.14K0.00%−34,939−63.6%Reduced
SummitTX Capital, L.P.18,200$8.33K0.00%+18,200New
Bronte Capital Management Pty Ltd.16,905$7.74K0.00%00.0%Unchanged
Creative Planning16,528$7.57K0.00%−986−5.6%Reduced
LMR Partners LLP15,871$7.27K0.00%+15,871New
Parkside Financial Bank & Trust15,664$7.17K0.00%−640−3.9%Reduced
Wealthspire Advisors, LLC15,617$7.15K0.00%+15,617New
Beaumont Capital Management, LLC15,500$7.1K0.01%+15,500New
VICTORY CAPITAL MANAGEMENT INC12,686$5.81K0.00%−373−2.9%Reduced
PRELUDE CAPITAL MANAGEMENT, LLC11,286$5.17K0.00%−69,311−86.0%Reduced
R Squared Ltd11,276$5.16K0.00%−2,703−19.3%Reduced
Bank of New York Mellon Corp10,079$4.61K0.00%00.0%Unchanged
Larson Financial Group LLC5,953$2.73K0.00%00.0%Unchanged
TFC Financial Management5,000$2.29K0.00%+5,000New
ROYAL BANK OF CANADA3,471$2K0.00%+3,471New
Triumph Capital Management3,000$1.37K0.00%00.0%Unchanged
Sound Income Strategies, LLC1,971$9160.00%00.0%Unchanged
St. Johns Investment Management Company, LLC1,980$9060.00%00.0%Unchanged
JPMORGAN CHASE & CO934$3990.00%00.0%Unchanged
BNP PARIBAS ARBITRAGE, SA802$3670.00%00.0%Unchanged
JONES FINANCIAL COMPANIES LLLP500$2240.00%00.0%Unchanged
NORTHWESTERN MUTUAL WEALTH MANAGEMENT CO360$1650.00%+360New
Annis Gardner Whiting Capital Advisors, LLC200$920.00%+200New
SBI Securities Co., Ltd.121$550.00%+1+0.8%Added
Optiver Holding B.V.14$60.00%00.0%Unchanged
Avion Wealth1,042$00.00%+1,042New
Alyeska Investment Group, L.P.0$00.00%−3,809,523−100.0%Sold out
Atom Investors LP0$00.00%−1,883,018−100.0%Sold out
MILLENNIUM MANAGEMENT LLC0$00.00%−1,861,418−100.0%Sold out
D. E. Shaw & Co., Inc.0$00.00%−1,442,745−100.0%Sold out
TWO SIGMA ADVISERS, LP0$00.00%−1,298,700−100.0%Sold out
Newtyn Management, LLC0$00.00%−1,134,021−100.0%Sold out
MASSACHUSETTS FINANCIAL SERVICES CO /MA/0$00.00%−852,344−100.0%Sold out
Walleye Capital LLC0$00.00%−592,125−100.0%Sold out
Diametric Capital, LP0$00.00%−503,409−100.0%Sold out
Soleus Capital Management, L.P.0$00.00%−400,000−100.0%Sold out
Rosalind Advisors, Inc.0$00.00%−385,731−100.0%Sold out
Point72 Asset Management, L.P.0$00.00%−365,173−100.0%Sold out
Quadrature Capital Ltd0$00.00%−290,714−100.0%Sold out
ExodusPoint Capital Management, LP0$00.00%−178,024−100.0%Sold out
Hudson Bay Capital Management LP0$00.00%−171,816−100.0%Sold out
Squarepoint Ops LLC0$00.00%−147,659−100.0%Sold out
Quantbot Technologies LP0$00.00%−120,434−100.0%Sold out