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Guardian Pharmacy Services, Inc. Class A (GRDN)
NYSE:GRDN
US Market

Guardian Pharmacy Services, Inc. Class A (GRDN) AI Stock Analysis

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GRDN

Guardian Pharmacy Services, Inc. Class A

(NYSE:GRDN)

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Outperform 70 (OpenAI - 5.2)
Rating:70Outperform
Price Target:
$30.00
▼(-9.20% Downside)
GRDN scores well on improving fundamentals (steady revenue growth, strong cash flow, modest leverage) and supportive technical uptrend. The main constraint is valuation (high P/E) alongside ongoing risk from earnings/margin volatility and regulatory pressure despite upbeat guidance.
Positive Factors
Revenue Growth
Guardian's strong revenue growth, fueled by organic expansion and acquisitions, indicates robust market demand and effective business strategies.
Strategic Acquisitions
Strategic acquisitions in new regions enhance Guardian's market position and growth potential, supporting long-term revenue and market share expansion.
Cash Generation
Strong cash generation provides financial flexibility, enabling Guardian to invest in growth opportunities and manage potential financial challenges.
Negative Factors
High Leverage
Significant leverage without equity raises concerns about financial stability and limits the company's ability to absorb economic shocks.
Operational Inefficiencies
Inefficiencies impacting profitability suggest potential challenges in cost management and operational execution, affecting long-term margins.
Regulatory Challenges
Regulatory uncertainties can disrupt operations and increase compliance costs, posing risks to Guardian's strategic execution and profitability.

Guardian Pharmacy Services, Inc. Class A (GRDN) vs. SPDR S&P 500 ETF (SPY)

Guardian Pharmacy Services, Inc. Class A Business Overview & Revenue Model

Company DescriptionGuardian Pharmacy Services, Inc., a pharmacy service company, provides a suite of technology-enabled services designed to help residents of long-term health care facilities (LTCFs) in the United States. Its individualized clinical, drug dispensing, and administration capabilities are used to serve the needs of residents in lower acuity LTCFs, such as assisted living facilities and behavioral health facilities and group homes. The company's Guardian Compass includes dashboards created using data from its data warehouse to help its local pharmacies plan, track, and optimize their business operations; and GuardianShield Programs for LTCFs. The company was founded in 2003 and is based in Atlanta, Georgia.
How the Company Makes MoneyGuardian Pharmacy Services generates revenue through multiple key streams. The primary source of income comes from the dispensing of prescription medications and over-the-counter products to long-term care facilities, where they have established contracts to serve as the preferred pharmacy provider. Additionally, the company earns fees from medication management services, which include consulting and compliance support for healthcare providers. Significant partnerships with healthcare organizations and payers enhance revenue stability, while the growing demand for specialized pharmacy services in the aging population drives further growth in earnings. By leveraging technology and optimizing pharmacy operations, Guardian Pharmacy also aims to reduce costs and increase efficiency, contributing positively to its revenue model.

Guardian Pharmacy Services, Inc. Class A Earnings Call Summary

Earnings Call Date:Nov 10, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Mar 11, 2026
Earnings Call Sentiment Neutral
Guardian Pharmacy reported strong financial growth and increased guidance for the year, driven by successful acquisitions and organic growth. However, regulatory challenges and the dilutive impact of recent acquisitions present ongoing challenges. The positive financial performance and strategic expansions are tempered by these operational and external pressures.
Q3-2025 Updates
Positive Updates
Revenue Growth and Financial Performance
Guardian Pharmacy reported a revenue increase of 20% to $377 million, driven by both organic growth and acquisitions. Adjusted EBITDA grew 19% to $27 million, with margins holding steady at 7.2%.
Resident Growth
The company experienced a 13% growth in resident count, reaching nearly 204,000 residents, primarily due to new facility partnerships and expansions.
Acquisitions in Pacific Northwest
Guardian Pharmacy successfully acquired pharmacies in Oregon and Washington, expanding its footprint in the Pacific Northwest and enhancing its growth potential in the region.
Increased Guidance for 2025
The company raised its full-year revenue guidance to $1.43 billion to $1.45 billion and adjusted EBITDA guidance to $104 million to $106 million, reflecting solid growth expectations.
Strong Financial Position
Guardian Pharmacy ended the quarter with $36 million in cash, highlighting strong cash generation and no debt outstanding under its credit facility.
Negative Updates
Inflation Reduction Act Impact
The Inflation Reduction Act presents ongoing challenges for the industry, though Guardian is working on strategic actions to offset anticipated EBITDA headwinds.
Dilutive Impact of Recent Acquisitions
Recent acquisitions have been dilutive to overall margins, with the most recent ones still affecting EBITDA margins negatively.
Policy and Regulatory Challenges
Guardian Pharmacy is navigating complex policy and regulatory environments, including negotiations with PBMs under NDAs, which add uncertainty to future operations.
Company Guidance
In the third quarter earnings call for 2025, Guardian Pharmacy Services reported robust financial performance, exhibiting double-digit growth across key metrics. Revenue surged by 20% to $377 million, driven by a 13% increase in resident count and strategic acquisitions. Adjusted EBITDA rose by 19% to $27 million, maintaining a margin of 7.2%. The adjusted earnings per share (EPS) stood at $0.25. Given this strong performance, Guardian raised its full-year revenue guidance to between $1.43 billion and $1.45 billion, and adjusted EBITDA guidance to between $104 million and $106 million. The company continues to navigate the policy challenges posed by the Inflation Reduction Act while focusing on organic growth, strategic acquisitions, and operational efficiencies to sustain its market leadership in serving assisted living facilities. Guardian's acquisition pipeline remains robust, with recent expansions into Oregon and Washington contributing to its growth momentum.

Guardian Pharmacy Services, Inc. Class A Financial Statement Overview

Summary
Revenue has grown steadily with stable gross margin (~20%), and cash generation is a clear strength with positive free cash flow even during the 2024 loss. Balance sheet leverage is modest and improving, but earnings have been volatile (sharp 2024 downturn followed by TTM recovery), keeping the score below top-tier.
Income Statement
68
Positive
Revenue has expanded steadily from 2020–2024, and TTM (Trailing-Twelve-Months) revenue is higher again, supported by stable gross margin near ~20% over the full period. Profitability, however, has been volatile: 2024 swung to a meaningful loss (negative operating profit and net margin), followed by a clear rebound to positive earnings in TTM (Trailing-Twelve-Months) with mid-single-digit operating profit and ~3% net margin. Overall, the top-line trajectory is constructive, but the 2024 disruption and still-modest net margins keep the score below top-tier.
Balance Sheet
74
Positive
Leverage appears manageable and improving, with total debt down versus 2023 and debt-to-equity declining from 2024 to TTM (Trailing-Twelve-Months) (roughly ~0.26x to ~0.19x). Equity has increased materially (2023 to 2024 to TTM), supporting a stronger capital base. Return on equity is strong in TTM (Trailing-Twelve-Months) after being deeply negative in 2024, highlighting the same earnings volatility seen on the income statement. Net: balance sheet looks reasonably healthy with modest leverage, but profitability swings are a key risk.
Cash Flow
77
Positive
Cash generation is a clear strength: operating cash flow and free cash flow are solid in both 2024 and TTM (Trailing-Twelve-Months), with a sharp TTM (Trailing-Twelve-Months) free-cash-flow rebound versus 2024. Free cash flow remains positive across all periods provided and generally tracks earnings quality well, with free cash flow running at roughly 65%–85% of net income in profitable years (and still positive even when 2024 net income was negative). The main weakness is some year-to-year variability in growth, but overall cash conversion and consistency are favorable.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue1.39B1.23B1.05B908.91M792.07M735.96M
Gross Profit274.32M244.37M208.31M185.87M161.26M147.00M
EBITDA82.19M-43.43M58.81M68.15M46.49M49.07M
Net Income40.24M-87.29M23.90M35.42M16.31M19.94M
Balance Sheet
Total Assets390.04M320.81M271.17M256.11M235.85M217.87M
Cash, Cash Equivalents and Short-Term Investments36.49M4.66M752.00K607.00K15.01M6.45M
Total Debt34.08M37.33M69.15M62.98M55.04M58.84M
Total Liabilities194.54M170.83M211.31M180.18M182.53M150.80M
Stockholders Equity183.76M142.67M28.21M42.73M23.93M38.48M
Cash Flow
Free Cash Flow68.17M41.59M56.26M31.75M49.22M44.27M
Operating Cash Flow87.99M57.96M70.82M48.52M58.50M52.61M
Investing Cash Flow-34.14M-30.41M-13.44M-17.90M-13.15M-12.18M
Financing Cash Flow-54.59M-23.64M-57.23M-45.03M-36.79M-34.26M

Guardian Pharmacy Services, Inc. Class A Technical Analysis

Technical Analysis Sentiment
Positive
Last Price33.04
Price Trends
50DMA
31.05
Positive
100DMA
29.23
Positive
200DMA
26.20
Positive
Market Momentum
MACD
0.79
Negative
RSI
56.11
Neutral
STOCH
41.90
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For GRDN, the sentiment is Positive. The current price of 33.04 is above the 20-day moving average (MA) of 32.11, above the 50-day MA of 31.05, and above the 200-day MA of 26.20, indicating a bullish trend. The MACD of 0.79 indicates Negative momentum. The RSI at 56.11 is Neutral, neither overbought nor oversold. The STOCH value of 41.90 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for GRDN.

Guardian Pharmacy Services, Inc. Class A Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
74
Outperform
$115.99B27.240.37%17.23%66.17%
73
Outperform
$52.94B32.380.98%4.37%28.48%
73
Outperform
$9.19B24.2711.39%3.51%29.65%
70
Outperform
$2.08B51.9125.85%18.68%
66
Neutral
$70.08B43.33152.25%0.66%9.31%5.92%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
GRDN
Guardian Pharmacy Services, Inc. Class A
33.04
13.46
68.74%
COR
Cencora
359.11
119.40
49.81%
CAH
Cardinal Health
222.76
97.27
77.52%
HSIC
Henry Schein
76.80
-0.44
-0.57%
MCK
McKesson
937.14
341.95
57.45%

Guardian Pharmacy Services, Inc. Class A Corporate Events

Business Operations and StrategyFinancial DisclosuresM&A Transactions
Guardian Pharmacy Reaffirms 2025 Outlook, Issues 2026 Guidance
Positive
Jan 13, 2026

Guardian Pharmacy Services, a major U.S. long-term care pharmacy operator, reaffirmed its 2025 revenue guidance of $1.43 billion to $1.45 billion and adjusted EBITDA guidance of $104 million to $106 million, while issuing an initial 2026 outlook that anticipates revenue of $1.40 billion to $1.42 billion after the impact of Inflation Reduction Act drug-pricing reforms and wholesale acquisition cost reductions. Despite the expected top-line pressure from these mandatory pricing changes, the company projects 2026 adjusted EBITDA of $115 million to $118 million—about 11% year-on-year growth and implying an adjusted EBITDA margin above 8%—and highlighted that its strengthened operating model should allow it to maintain its low double-digit adjusted EBITDA growth trajectory without altering its approach to resident care or facility support; Guardian also disclosed it had completed the year-end acquisition of a single pharmacy in Montana, extending its geographic footprint into a new territory in line with its expansion strategy.

The most recent analyst rating on (GRDN) stock is a Hold with a $30.00 price target. To see the full list of analyst forecasts on Guardian Pharmacy Services, Inc. Class A stock, see the GRDN Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Jan 14, 2026