Company Description
Guardian Pharmacy Services, Inc. (NYSE: GRDN) is a healthcare company that operates as a long-term care (LTC) pharmacy services provider in the United States. The company focuses on serving residents of long-term care facilities by delivering medications and technology-enabled pharmacy services that are designed to improve adherence to prescribed drug regimens, reduce the cost of care, and support better clinical outcomes.
Guardian Pharmacy Services is frequently described in its public disclosures as one of the nation’s leading long-term care pharmacy services companies. According to the company’s descriptions in its news releases, Guardian partners with long-term care facilities ("LTCFs") through a locally based business model. Under this model, local pharmacy teams work closely with facilities while benefiting from support provided by a national corporate platform.
Business model and services
Guardian’s business centers on pharmacy services for long-term care settings. The company states that it delivers medications and a suite of technology-enabled services to LTCFs. These services are described as being designed to enhance care and improve adherence to drug regimens, which in turn helps reduce the cost of care and improve clinical outcomes for residents.
Guardian emphasizes high-touch, individualized clinical, drug dispensing, and administration capabilities tailored to residents of long-term care facilities. The company’s disclosures highlight that its locally based pharmacies focus on the specialized needs of the communities and residents they serve, while the corporate organization supports complex business functions such as data analytics, human resources, information technology, payor relations, and national sales.
According to information summarized in the Polygon description, Guardian derives its revenues through sales of pharmaceutical and medical products, and these revenues are generated solely in the United States. This aligns with the company’s repeated references in news releases to its long-term care pharmacy operations across multiple states.
Customer base and facility partners
Guardian Pharmacy Services reports that it partners with a large number of long-term care facilities. In its news releases, the company notes that it serves residents in assisted living facilities (ALFs), behavioral health facilities (BHFs), and other LTCFs. The company has also referenced serving individuals with intellectual and developmental disabilities through an acquired pharmacy in Oregon.
Across its network, Guardian indicates that it serves residents in thousands of LTCFs. For example, in its public communications it has cited service to approximately 7,000 to 8,200 LTCFs across dozens of states, and to hundreds of thousands of residents. These figures are presented by the company to illustrate the scale of its long-term care pharmacy platform and its reach within the LTC sector.
Geographic footprint and network
Guardian Pharmacy Services is based in Atlanta, Georgia, as reflected in its SEC filings and news releases. The company’s Class A common stock trades on the New York Stock Exchange under the ticker symbol GRDN.
The company describes itself as operating a growing network of more than 50 pharmacies nationwide. In various news releases, Guardian has reported that its pharmacies serve residents and LTCFs across 38 states. The company has highlighted expansion activity through acquisitions and new pharmacy openings, including new locations in Kansas, Washington, Florida, and Oregon, as well as a pharmacy acquisition in Montana that added a new territory to its platform.
Growth, acquisitions, and expansion
Guardian’s public communications emphasize growth through a combination of organic expansion and acquisitions. The company has reported low double-digit organic growth in revenue and resident count in certain periods, alongside contributions from acquired pharmacies.
Examples of expansion activity described in company news include:
- The acquisition of Managed Healthcare Pharmacy, an Oregon-based long-term care pharmacy with locations in Eugene and Medford, serving assisted living and behavioral health communities and individuals with intellectual and developmental disabilities.
- The addition of new pharmacies in markets such as Wichita, Kansas, and Seattle, Washington, and the launch of a greenfield pharmacy in Naples, Florida.
- The acquisition of a single pharmacy location in Montana, which the company described as adding a new territory with attractive growth opportunities.
In describing these acquisitions, Guardian notes that acquired pharmacies retain their local leadership and continue operating under existing names, while benefiting from Guardian’s corporate support functions. This approach is presented as consistent with its locally based business model.
Financial reporting and non-GAAP measures
Guardian Pharmacy Services provides regular financial updates through earnings releases and SEC filings. The company has discussed revenue growth, resident count growth, and adjusted EBITDA in its quarterly and annual outlook communications.
In its public disclosures, Guardian explains that it uses Adjusted EBITDA and other non-GAAP financial measures such as Adjusted Net Income, Adjusted EPS, and Adjusted SG&A to evaluate its core operating performance and trends. The company defines Adjusted EBITDA as net income (loss) before interest expense, income taxes, depreciation and amortization, adjusted to exclude items that it views as not indicative of core operating performance, including share-based compensation, acquisition accounting adjustments, certain legal and regulatory items, financing-related and other activities, payor-reimbursement matters, and certain tax matters related to its corporate reorganization and initial public offering.
Guardian notes that these non-GAAP measures do not have standardized definitions under U.S. GAAP and may not be comparable to similarly titled measures used by other companies. The company also emphasizes that such measures should not be considered in isolation from, or as a substitute for, GAAP financial information.
Capital markets and corporate structure
Guardian Pharmacy Services completed an initial public offering of its Class A common stock in September 2024, as referenced in its news and SEC filings. Following the IPO and a corporate reorganization, the company reports its financial results as a corporation and records income tax expense, whereas its predecessor entities were previously treated as partnerships or disregarded entities for income tax purposes.
The company has discussed capital markets activity, including a non-dilutive secondary offering of Class A common stock that increased its public float and trading liquidity. Guardian has also filed a shelf registration statement on Form S-3 with the U.S. Securities and Exchange Commission, relating to the possible future issuance and sale of Class A common stock by the company and potential resales by selling stockholders. The company has described the shelf registration as a means to provide flexibility to access public markets if needed, subject to market conditions.
Guardian has also reported entering into lock-up agreements with certain holders of its Class A and Class B common stock who held shares prior to the IPO. These agreements restrict the transfer of specified shares for a defined period, with additional shares of Class A common stock scheduled to be issued upon the automatic conversion of Class B common stock in accordance with the company’s charter.
Risk factors and regulatory environment
In its forward-looking statements and risk factor disclosures, Guardian Pharmacy Services identifies a range of risks and uncertainties related to its business. These include its ability to execute business strategies and initiatives, market and sell its pharmaceutical and healthcare services, maintain relationships with pharmaceutical wholesalers, manufacturers, LTCFs, and health plan payors, and comply with healthcare and other applicable laws and regulations.
The company also cites risks related to efforts to lower pharmaceutical costs, including limitations on pharmacy reimbursements, consolidation among managed care organizations and health plan payors, retention of key management and pharmacy professionals, information technology and cybersecurity risks, product liability and safety issues related to pharmaceuticals dispensed, supply chain and manufacturing disruptions, liquidity and capital resources, and the potential misuse or errors in dispensing or administration of pharmaceuticals.
Guardian’s SEC filings and news releases reference these risks as part of its cautionary statements regarding forward-looking information, directing readers to the "Risk Factors" section of its most recent Annual Report on Form 10-K and other periodic reports filed with the SEC.
Stock information
Guardian Pharmacy Services, Inc. lists its Class A common stock on the New York Stock Exchange under the symbol GRDN. The company’s SEC filings confirm this listing and identify the registered security as Class A Common Stock, par value $0.001 per share.