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Christopher Thompson, M.D.

Director at FRACTYL HEALTH
Board

About Christopher C. Thompson, M.D.

Christopher C. Thompson, M.D., MSc was appointed to Fractyl Health’s (ticker: GUTS) Board as a Class I director effective September 2, 2025, with a term expiring at the 2028 annual meeting . He is Professor of Medicine at Harvard Medical School and Director of Endoscopy at Brigham and Women’s Hospital, and is recognized as a pioneer in bariatric endoscopy . Age and prior Fractyl-specific tenure before this appointment were not disclosed in the filings reviewed .

Past Roles

OrganizationRoleTenureCommittees/Impact
Harvard Medical SchoolProfessor of MedicineOngoing (disclosed 2025)Bariatric endoscopy expertise
Brigham and Women’s HospitalDirector of EndoscopyOngoing (disclosed 2025)Clinical leadership in endoscopy

External Roles

Organization/InstitutionPositionNotes
Harvard Medical SchoolProfessor of MedicineAcademic leadership; bariatric endoscopy pioneer
Brigham and Women’s HospitalDirector of EndoscopyClinical endoscopy leadership

Board Governance

  • Appointment and Term: Appointed Class I director effective September 2, 2025; term runs to the 2028 annual meeting .
  • Committees: No committee assignment for Dr. Thompson was disclosed in reviewed filings; contemporaneously, Ian Sheffield was appointed to the Audit Committee, and Amy W. Schulman resigned from the Nominating and Corporate Governance Committee effective September 2, 2025 .
  • Independence, Executive Sessions, Attendance: The company holds executive sessions of independent directors, and expects directors to prepare for and attend meetings; in 2024, each incumbent director attended at least 75% of Board and committee meetings (Thompson was not yet on the Board in 2024) .
  • Family Relationships: None among directors and executive officers .
  • Insider Policy: Anti-hedging and anti-pledging policy applies to directors .
Appointment DetailsDateClassTerm End
Board appointmentSept 2, 2025Class I2028 annual meeting

Fixed Compensation

Fractyl’s non-employee director compensation program (adopted at IPO) provides cash retainers and standard option grants; Thompson’s specific cash earnings under this program post-appointment were not disclosed in reviewed filings.

ComponentAmount/Terms
Annual cash retainer$43,500
Chair feesBoard Chair $35,000; Audit Chair $20,000; Comp Chair $15,000; Nominating Chair $10,000
Committee member feesAudit member $10,000; Comp member $7,500; Nominating member $5,000
Payment timingEarned quarterly; paid in arrears; prorated for partial quarters

Performance Compensation

Equity awards are the primary director equity compensation; awards are options with time-based vesting and single-trigger acceleration on a sale of the company.

Equity Award TypeGrant/TermsVestingChange-of-Control
Initial option (typical program)45,000 shares on initial election/appointment (post-IPO program)Vests annually over 3 years All unvested director options vest upon a sale of the Company
Annual option (typical program)22,500 shares at each annual meeting (if ≥6 months service)Vests at next annual meeting or 1-year from grant
Award timing practicesNo timing around MNPI; no option grants timed to disclosures

Director-specific equity reported:

  • Form 3 (initial beneficial ownership) shows a fully vested stock option for 20,969 shares of common stock at a $2.67 exercise price, expiring June 27, 2026 (ownership form: Direct) .

Equity and Compensation Policy Controls

  • Clawback/Recovery: Compensation and Human Strategy Committee administers compensation recovery policy guidelines .
  • Anti-hedging/Anti-pledging: Directors prohibited from hedging or pledging Company stock .

Other Directorships & Interlocks

  • Public company boards: None disclosed for Dr. Thompson in reviewed Company materials .
  • Professional interlocks: Shared institutional affiliations within the Company’s leadership ecosystem (CEO trained at Harvard Medical School and Brigham and Women’s Hospital per Fractyl biographies, while Thompson currently holds roles there); no related-party transactions disclosed involving Thompson .

Expertise & Qualifications

  • Bariatric endoscopy pioneer; brings deep procedural and clinical expertise relevant to Fractyl’s Revita platform .
  • Academic and clinical leadership roles (Professor of Medicine; Director of Endoscopy), offering credibility and potential guidance on clinical development and adoption .

Equity Ownership

CategoryAmountNotes
Non-derivative (common shares)Not disclosed on Form 3Form 3 did not list non-derivative holdings
Derivative – Stock Option20,969 sharesExercise price $2.67; Exp. 06/27/2026; fully vested
Lock-upYesNamed on September 26, 2025 lock-up list for underwritten offering
Hedging/PledgingProhibitedPer insider trading compliance policy

Insider Filings & Transactions

FilingEvent DateSecurityQuantityExercise PriceExpirationVesting
Form 3 (Initial Statement of Beneficial Ownership)09/02/2025Stock Option (Common)20,969$2.6706/27/2026Fully vested; currently exercisable

Governance Assessment

  • Positives:

    • Clinical credibility and direct relevance to Fractyl’s endoscopic and metabolic programs; recognized domain expert, likely additive to Board effectiveness .
    • Strong alignment signals: subject to lock-up in September 2025 offering; Company prohibitions on hedging/pledging reduce misalignment risk .
    • Company maintains governance practices (independent executive sessions; attendance expectations; related-party review policy; clawback administration) .
  • Watch items / RED FLAGS:

    • Committee assignment for Thompson not disclosed; clarity on where his expertise is leveraged (e.g., Nominating & Governance vs. Comp vs. Audit) would enhance transparency .
    • Limited director-specific compensation disclosure post-appointment (cash/equity grants beyond Form 3 option); monitor next proxy for full director compensation and ownership updates .
    • Professional affiliations overlap with institutions linked to Company leadership; while no related-party transactions involving Thompson are disclosed, continued monitoring is warranted for potential conflicts in clinical collaborations or advisory relationships .
  • Implications for investor confidence:

    • Thompson’s appointment strengthens clinical governance and potential commercialization insights for Revita; alignment is reinforced by lock-up and anti-hedging policies .
    • Future proxy should provide committee roles, attendance, and full director compensation detail to assess independence and pay-for-performance alignment at the Board level .