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Guardian Pharmacy (NYSE: GRDN) lifts Q1 profit and raises 2026 EBITDA outlook

Filing Impact
(High)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Guardian Pharmacy Services, Inc. reported stronger first quarter 2026 results, with higher profitability and raised guidance. Revenue for the quarter ended March 31, 2026 grew to $336.6 million from $329.3 million a year earlier, while net income attributable to the company increased to $13.3 million from $9.4 million. Adjusted EBITDA rose to $29.8 million, and net income and Adjusted EBITDA margins improved to 4.0% and 8.8%, respectively.

Management highlighted double-digit Adjusted EBITDA growth, 10% growth in residents served and prescription volumes, and stable margins despite pricing resets from the Inflation Reduction Act. Full-year 2026 revenue guidance remains $1.40–$1.42 billion, while Adjusted EBITDA guidance was raised to $123–$127 million, reflecting about $3 million of discrete IRA-related and payor benefits.

In March 2026, Guardian completed a non-dilutive secondary offering of 6.9 million Class A shares that increased public float and trading liquidity, with no proceeds retained and no change in total Class A shares outstanding. The company also filed a new shelf registration statement but states it currently has no plans to use it.

Positive

  • None.

Negative

  • None.

Insights

Guardian posted stronger Q1 profitability, raised EBITDA guidance, and completed a non-dilutive secondary.

Guardian Pharmacy Services delivered higher-margin Q1 2026 results. Revenue rose to $336.6M, net income attributable increased to $13.3M, and Adjusted EBITDA grew to $29.8M, lifting net and Adjusted EBITDA margins to 4.0% and 8.8%, respectively.

Management attributes this to 10% growth in residents served and prescription volumes, and to offsetting Inflation Reduction Act pricing resets. Updated 2026 guidance keeps revenue at $1.40–$1.42B but raises Adjusted EBITDA to $123–$127M, including $3M of discrete IRA-related and payor benefits.

Capital markets activity included a non-dilutive secondary of 6.9 million Class A shares that increased float and liquidity, with no proceeds to Guardian. A new shelf registration maintains optionality for future offerings. Future company filings may detail how IRA dynamics and payor relationships evolve through 2026.

Item 2.02 Results of Operations and Financial Condition Financial
Disclosure of earnings results, typically an earnings press release or preliminary financials.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
Q1 2026 Revenue $336.6 million Three months ended March 31, 2026 revenue versus $329.3 million in 2025
Q1 2026 Net Income Attributable $13.3 million Net income attributable to Guardian versus $9.4 million in Q1 2025
Q1 2026 Adjusted EBITDA $29.8 million Adjusted EBITDA versus $23.4 million in Q1 2025
Net Income Margin 4.0% Net income as a percentage of revenue in Q1 2026; 2.8% in Q1 2025
Adjusted EBITDA Margin 8.8% Adjusted EBITDA as a percentage of revenue in Q1 2026; 7.1% in Q1 2025
Full-Year 2026 Revenue Guidance $1.40–$1.42 billion Updated 2026 revenue outlook, unchanged from previous guidance
Full-Year 2026 Adjusted EBITDA Guidance $123–$127 million Raised 2026 Adjusted EBITDA outlook from $120–$124 million, including $3 million discrete benefits
Operating Cash Flow Q1 2026 $6.1 million Net cash provided by operating activities versus $17.6 million in Q1 2025
Adjusted EBITDA financial
"we were able to offset the profitability impact, enabling us to maintain margin stability and deliver double-digit Adjusted EBITDA growth."
Adjusted EBITDA is a way companies measure how much money they make from their core operations, like running a business, by removing certain costs or income that aren’t part of regular business activities. It helps investors see how well a company is doing without distractions from unusual expenses or gains, making it easier to compare companies or track performance over time.
Inflation Reduction Act regulatory
"While the Inflation Reduction Act (the “IRA”) introduced significant pricing resets on certain branded medications that we dispense..."
The inflation reduction act is a law designed to lower the overall increase in prices for goods and services in an economy, helping to keep the cost of living more stable. For investors, it matters because reducing inflation can lead to a healthier economy, potentially making investments safer and more predictable by preventing prices from rising too quickly.
shelf registration statement regulatory
"we filed a new shelf registration statement to maintain flexibility to undertake additional offerings in the future."
A shelf registration statement is a document a company files with regulators that allows it to sell shares or bonds quickly when it’s a good time to raise money. It’s like having a pre-approved plan ready so the company can act fast without going through lengthy paperwork each time they want to sell, making fundraising more flexible.
non-GAAP financial measures financial
"we also present Adjusted EBITDA, Adjusted Net Income, and Adjusted EPS, which are financial measures not based on any standardized methodology prescribed by GAAP."
Non-GAAP financial measures are numbers companies use to show their financial performance that exclude certain expenses or income. They help investors see how the company might perform without one-time costs or other unusual items, giving a different perspective from official reports. However, since they can be adjusted, they don’t always tell the full story and should be looked at alongside standard financial figures.
Adjusted EPS financial
"We define Adjusted EPS as Adjusted Net Income divided by the total weighted average of diluted shares..."
Adjusted earnings per share (adjusted eps) is a measure of a company's profit per share that has been modified to exclude certain one-time or unusual items, such as costs from restructuring or asset sales. It provides a clearer picture of the company’s core performance by removing events that may distort the usual earnings. Investors use adjusted eps to better understand a company's ongoing profitability and compare it more accurately over time.
Revenue $336.6 million
Net income attributable to Guardian $13.3 million
Adjusted EBITDA $29.8 million
Diluted EPS $0.21
Adjusted EPS $0.29
Guidance

For full-year 2026, Guardian guides revenue to $1.40–$1.42 billion and raised Adjusted EBITDA guidance to $123–$127 million, reflecting $3 million of discrete IRA-related and favorable payor benefits.

false 0001802255 0001802255 2026-05-06 2026-05-06
 
 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

Pursuant to Section 13 OR 15(d)

of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): May 6, 2026

 

 

Guardian Pharmacy Services, Inc.

(Exact name of registrant as specified in its charter)

 

 

 

Delaware   001-42284   87-3627139

(State or other jurisdiction

of incorporation)

 

(Commission

File Number)

 

(IRS Employer

Identification No.)

 

300 Galleria Parkway SE  
Suite 800  
Atlanta, Georgia   30339
(Address of principal executive offices)   (Zip Code)

Registrant’s telephone number, including area code: (404) 810-0089

Not Applicable

(Former name or former address, if changed since last report)

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

 

Trading
Symbol(s)

 

Name of each exchange
on which registered

Class A Common Stock, par value $0.001 per share   GRDN   New York Stock Exchange

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 

 
 


Item 2.02

Results of Operations and Financial Condition.

On May 6, 2026, Guardian Pharmacy Services, Inc. (the “Company”) issued a press release reporting its financial results for the quarter ended March 31, 2026. A copy of the press release is furnished as Exhibit 99.1 to this Form 8-K and incorporated herein by reference.

The information set forth under this Item 2.02 is being furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, except as shall be expressly set forth by specific reference in such filing.

 

Item 9.01

Financial Statements and Exhibits.

(d) Exhibits

 

99.1

Press Release dated May 6, 2026

 

104

Cover Page Interactive Data File (embedded within the Inline XBRL document)


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

    Guardian Pharmacy Services, Inc.

May 6, 2026

    By:  

/s/ David K. Morris

    Name:   David K. Morris
    Title:  

Executive Vice President and

Chief Financial Officer

Exhibit 99.1

 

LOGO

Guardian Pharmacy Services Reports First Quarter 2026 Financial Results; Updates Full-Year Guidance

ATLANTA, May 6, 2026 – Guardian Pharmacy Services, Inc. (NYSE: GRDN), one of the nation’s leading long-term care (“LTC”) pharmacy services companies, announced today its financial results for the first quarter ended March 31, 2026. The Company also updated its full-year guidance.

First Quarter Financial Results

 

   

Revenue of $336.6 million, up 2% year-over-year.

 

   

Residents served ended the quarter at approximately 207,000, up 10% year-over-year.

 

   

Net Income of $13.5 million, compared to $9.3 million in the prior-year period.

 

   

Adjusted EBITDA of $29.8 million, compared to $23.4 million in the prior-year period.

 

   

Diluted EPS of $0.21 for the quarter, with Adjusted EPS of $0.29.1

 

   

Cash and cash equivalents totaled $64.9 million at quarter-end, with no long-term debt outstanding under our credit facility.

CEO Commentary

“Our first quarter results reflect a strong start to the year and, importantly, a successful transition into a fundamentally new operating environment. While the Inflation Reduction Act (the “IRA”) introduced significant pricing resets on certain branded medications that we dispense, we were able to offset the profitability impact, enabling us to maintain margin stability and deliver double-digit Adjusted EBITDA growth. Just as importantly, the underlying fundamentals of the business remain solid, with 10% growth in residents served and prescription volumes,” said Fred P. Burke, President & CEO.

Burke continued, “As the industry adapts to the broader effects of the IRA, we believe our scale, local operating model, and financial strength position us well to navigate ongoing changes and continue delivering consistent service to residents and our facility partners.”

FY 2026 Outlook – Updating Guidance

The updated guidance reflects the pass through of $3 million in discrete benefits, primarily related to a manufacturer inventory credit associated with the IRA, and favorable payor dynamics. The guidance below excludes future acquisitions.

 

     
     Updated Guidance   Previous Guidance
     

Revenue

  $1.40 billion - $1.42 billion    $1.40 billion - $1.42 billion 
     

Adjusted EBITDA

  $123 million - $127 million    $120 million - $124 million 
 
1 

Diluted EPS and Adjusted EPS include dilutive shares related to restricted stock units. See reconciliation of Adjusted EPS to Diluted EPS, the most directly comparable GAAP measure, below.


Capital Markets

In March 2026, Guardian completed a non-dilutive, upsized secondary offering of 6.9 million shares of Guardian’s Class A common stock (including the full exercise of the underwriters’ option). This transaction significantly increased our public float, enhanced trading liquidity, and expanded our institutional investor base. Guardian did not retain any proceeds, and there was no change to the total number of shares of Class A common stock outstanding.

As we fully utilized the capacity under our prior shelf registration statement, today we filed a new shelf registration statement to maintain flexibility to undertake additional offerings in the future. At this time, we do not have any current plans to utilize the shelf.

Conference Call Details

Guardian will host a conference call to discuss these results today at 4:30 pm ET. The call can be accessed live by dialing +1 (833) 461-5787 for participants located in the United States and Canada, or +1 (585) 542-9983 for international participants, and referencing conference ID “621845633.” A webcast replay will be available shortly after the call’s completion at https://investors.guardianpharmacy.com

About Guardian Pharmacy Services

Guardian Pharmacy Services is one of the nation’s leading long-term care pharmacy services companies. Through its locally-based business model, Guardian partners with long-term care facilities (“LTCFs”) to deliver medications and a comprehensive suite of technology-enabled services designed to enhance care and improve adherence to drug regimens, helping to reduce the cost of care and improve clinical outcomes. With a growing network of more than 61 licensed pharmacies, 54 of which are full-service, Guardian is dedicated to providing exceptional service to approximately 207,000 residents (as of March 31, 2026).

Investor Contact: Ashley Stockton, Vice President, Investor Relations IR@guardianpharmacy.net

Cautionary Note Regarding Forward-Looking Statements

This press release contains forward-looking statements. Forward-looking statements are all statements other than those of historical fact. Any statements about our expectations, beliefs, plans, predictions, forecasts, objectives, assumptions, or future events or performance are forward-looking. These statements are often, but not always, made through the use of words such as “aims,” “anticipates,” “believes,” “continue,” “estimates,” “expects,” “intends,” “may,” “outlook,” “plans,” “projects,” “seeks,” “should,” “will,” “would,” and similar expressions. Although we believe that the expectations reflected in these forward-looking statements are reasonable, these statements are not guarantees of future performance and involve risks and uncertainties which are subject to change based on various important factors, many of which are beyond our control. Such risks and uncertainties include: our ability to effectively execute our business strategies, implement new initiatives and improve efficiency; our ability to effectively market and sell, customer acceptance of, and competition for, our pharmaceutical and health care services in new and existing markets; our relationships with pharmaceutical wholesalers and key manufacturers, LTCFs and health plan payors; our ability to maintain and expand relationships with LTCF operators on favorable terms; the impact of a national emergency, public health crisis, global pandemic or outbreak of infectious disease on our employees and business and on our supply chain and the LTCFs we serve; continuing government and private efforts to lower pharmaceutical costs, including by capping the prices for certain drugs and limiting pharmacy reimbursements; changes in, and our ability to comply with, healthcare and other applicable laws, regulations or interpretations; further consolidation of managed care organizations and other health plan payors and changes in the terms of our agreements with these parties; our ability to retain members of our senior management team, our local pharmacy management teams and our pharmacy professionals; our exposure to, and the results of, claims, legal proceedings and governmental inquiries; our ability to maintain the security and integrity of our operating and information technology systems and infrastructure (e.g., against cyber-attacks); product liability, product recall, personal injury or other health and safety issues related to the pharmaceuticals we dispense; the impact of supply chain and other manufacturing disruptions or trade policies related to the pharmaceuticals we dispense; the sufficiency of our sources of liquidity and financial resources to fund our future operating expenses and capital expenditure requirements, and our ability to raise additional capital, if needed; and the misuse or off-label use, or errors in the dispensing or administration, of the pharmaceuticals we dispense. We are subject to additional risks and uncertainties described in our periodic reports filed with the Securities and Exchange Commission from time to time, including in the “Risk Factors” section contained in our most recent Annual Report on Form 10-K, which report is publicly available at www.sec.gov and via our website, investors.guardianpharmacy.com Any forward-looking statements in this press release should be evaluated in light of these important risk factors. This press release reflects management’s views as of the date hereof. Except to the extent required by applicable law, Guardian undertakes no obligation to update or revise any information contained in this press release beyond the published date, whether as a result of new information, future events or otherwise.


Additional Information

This release should be read in conjunction with the consolidated financial statements and notes thereto included in our most recent Annual Report on Form 10-K, Quarterly Report on Form 10-Q and subsequent filings. Copies of our reports are available on our website at no expense at investors.guardianpharmacy.com and through the SEC’s website at www.sec.gov.

Use of Non-GAAP Financial Measures

To supplement the results presented in our consolidated financial statements in accordance with GAAP, we also present Adjusted EBITDA, Adjusted Net Income, and Adjusted EPS, which are financial measures not based on any standardized methodology prescribed by GAAP.

We define Adjusted EBITDA as net income before interest expense, income taxes, depreciation and amortization, as adjusted to exclude the impact of items and amounts that we view as not indicative of our core operating performance, including share-based compensation expense, certain legal and regulatory items, financing-related and other activities, and payor-reimbursement matters.

We define Adjusted Net Income as net income attributable to Guardian Pharmacy Services, Inc. before share-based compensation expense, certain legal and other regulatory items, financing-related and other activities, payor-reimbursement matters, amortization expense associated with acquisition-related intangible assets, and the income tax impact of the adjustments.

We define Adjusted EPS as Adjusted Net Income divided by the total weighted average of diluted shares for Class A common stock and Class B common stock.

Adjusted EBITDA, Adjusted Net Income, and Adjusted EPS do not have a definition under GAAP, and our definition of Adjusted EBITDA, Adjusted Net Income, and Adjusted EPS may not be the same as, or comparable to, similarly titled measures used by other companies.

We use Adjusted EBITDA, Adjusted Net Income, and Adjusted EPS to better understand and evaluate our core operating performance and trends. We believe that presenting Adjusted EBITDA, Adjusted Net Income, and Adjusted EPS provides useful information to investors in understanding and evaluating our operating results, as it permits investors to view our core business performance using the same metrics that management uses to evaluate our performance.

There are a number of limitations related to the use of Adjusted EBITDA, Adjusted Net Income, and Adjusted EPS rather than the most directly comparable GAAP financial measure, including:

 

   

Adjusted EBITDA does not reflect interest and income tax payments that represent a reduction in cash available to us;

 

   

Depreciation and amortization are non-cash charges and the assets being depreciated may have to be replaced in the future, and Adjusted EBITDA does not reflect cash capital expenditure requirements for such replacements or for new capital expenditure requirements;

 

   

Adjusted EBITDA, Adjusted Net Income, and Adjusted EPS do not reflect changes in, or cash requirements for, our working capital needs;

 

   

Adjusted EBITDA, Adjusted Net Income, and Adjusted EPS do not consider the impact of share-based compensation; and

 

   

Adjusted EBITDA, Adjusted Net Income, and Adjusted EPS exclude the impact of certain legal and regulatory items, and payor-reimbursement matters which can affect our current and future cash requirements.

Because of these limitations, Adjusted EBITDA, Adjusted Net Income, and Adjusted EPS should not be considered in isolation from, or as a substitute for, financial information prepared in accordance with GAAP. You should consider Adjusted EBITDA, Adjusted Net Income, and Adjusted EPS alongside other financial measures, including net income, diluted EPS, and our other financial results presented in accordance with GAAP.

A reconciliation of Adjusted EBITDA to net income and of Adjusted Net Income to Net Income Attributable to Guardian Pharmacy Services, Inc., the most directly comparable GAAP financial measures, are set forth below.


Guardian has not provided a quantitative reconciliation of forecasted adjusted EBITDA, which is a non-GAAP financial measure, to forecasted net income within this release because Guardian is unable, without making unreasonable efforts, to calculate certain reconciling items with confidence due to the variability and complexity of such items. These items include, but are not limited to, income taxes and share-based compensation. These items, which could materially affect the computation of forecasted net income, are inherently uncertain and depend on various factors that are not estimable at this time.


GUARDIAN PHARMACY SERVICES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(UNAUDITED)

 

(In thousands, except share amounts)    December 31,
2025
     March 31,
2026
 

Assets

     

Current assets:

     

Cash and cash equivalents

   $ 65,619      $ 64,893  

Accounts receivable, net

     101,614        111,704  

Inventories

     43,359        47,159  

Other current assets

     11,042        11,428  
  

 

 

    

 

 

 

Total current assets

     221,634        235,184  
     

Property and equipment, net

     55,522        56,620  

Intangible assets, net

     18,475        17,482  

Goodwill

     79,743        79,743  

Operating lease right-of-use assets

     34,649        34,268  

Deferred tax assets

     2,199        2,199  

Other assets

     436        1,445  
  

 

 

    

 

 

 

Total assets

   $ 412,658      $ 426,941  
  

 

 

    

 

 

 
     

Liabilities and equity

     

Current liabilities:

     

Accounts payable

   $ 116,206      $ 108,552  

Accrued compensation

     15,048        12,790  

Operating leases, current portion

     7,150        7,220  

Other current liabilities

     22,299        31,981  
  

 

 

    

 

 

 

Total current liabilities

     160,703        160,543  
     

Operating leases, net of current portion

     29,992        29,665  

Other liabilities

     4,039        4,309  
  

 

 

    

 

 

 

Total liabilities

   $ 194,734      $ 194,517  
  

 

 

    

 

 

 
     

Commitments and contingencies (see Note 5)

     
     

Equity:

     

Class A common stock - 700,000,000 shares authorized, par value $0.001; 36,253,744 and 49,781,181 shares issued and outstanding as of December 31, 2025 and March 31, 2026, respectively

     36        50  

Class B common stock - 100,000,000 shares authorized, par value $0.001; 27,066,890 and 13,539,453 shares issued and outstanding as of December 31, 2025 and March 31, 2026, respectively

     27        13  

Additional paid-in capital

     139,353        141,190  

Retained earnings

     66,343        79,638  

Non-controlling interests

     12,165        11,533  
  

 

 

    

 

 

 

Total equity

     217,924        232,424  
  

 

 

    

 

 

 

Total liabilities and equity

   $ 412,658      $ 426,941  
  

 

 

    

 

 

 


GUARDIAN PHARMACY SERVICES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(UNAUDITED)

 

     Three Months Ended
March 31,
 
(In thousands, except per share amounts)    2025     2026  

Revenues

   $ 329,308     $ 336,595  

Cost of goods sold

     264,959       260,286  
  

 

 

   

 

 

 

Gross profit

     64,349       76,309  
    

Selling, general, and administrative expenses

     51,344       58,634  
  

 

 

   

 

 

 
    

Operating income

     13,005       17,675  
    

Other expenses (income):

    

Interest expense

     170       154  

Other expense (income), net

     (271     (772
  

 

 

   

 

 

 

Total other expenses (income)

     (101     (618
  

 

 

   

 

 

 
    

Income before income taxes

     13,106       18,293  

Provision for income taxes

     3,833       4,749  
  

 

 

   

 

 

 
    

Net income

     9,273       13,544  
  

 

 

   

 

 

 

Less net income (loss) attributable to non-controlling interests

     (175     249  
  

 

 

   

 

 

 

Net income attributable to Guardian Pharmacy Services, Inc.

   $ 9,448     $ 13,295  
  

 

 

   

 

 

 
    

Net income per share of Class A and Class B common stock

    

Basic

   $ 0.15     $ 0.21  

Diluted

   $ 0.15     $ 0.21  

Weighted-average Class A and Class B common shares outstanding

    

Basic

     62,043       63,321  

Diluted

     62,914       63,692  


GUARDIAN PHARMACY SERVICES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)

 

     Three Months Ended March 31,  
(In thousands)    2025     2026  

Operating activities

    

Net income

   $ 9,273     $ 13,544  

Adjustments to reconcile net income to net cash provided by operating activities:

    

Depreciation and amortization

     5,267       5,976  

Share-based compensation expense

     3,968       1,861  

Provision for losses on accounts receivable

     896       1,062  

Other

     (141     (79

Changes in operating assets and liabilities:

    

Accounts receivable

     (1,007     (11,129

Inventories

     (2,881     (3,800

Other current assets

     (1,588     (1,394

Accounts payable

     1,874       (7,797

Accrued compensation

     (3,953     (2,258

Other operating liabilities

     5,842       10,076  
  

 

 

   

 

 

 

Net cash provided by operating activities

     17,550       6,062  
    

Investing activities

    

Purchases of property and equipment

     (5,805     (5,019

Proceeds from disposition of equipment

     —        269  

Other

     260       —   
  

 

 

   

 

 

 

Net cash used in investing activities

     (5,545     (4,750
    

Financing activities

    

Proceeds from equity offering, net of underwriter fees

     —        30,276  

Repurchase of outstanding Class A common stock

     —        (30,276

Payments of equity offering costs

     (1,534     —   

Principal payments on finance lease obligations

     (1,132     (1,117

Contributions from non-controlling interests

     135       79  

Distributions to non-controlling interests

     (135     (960

Other

     —        (40
  

 

 

   

 

 

 

Net cash used in financing activities

     (2,666     (2,038
    

Net change in cash and cash equivalents

     9,339       (726

Cash and cash equivalents, beginning of period

     4,660       65,619  
  

 

 

   

 

 

 

Cash and cash equivalents, end of period

   $ 13,999     $ 64,893  
  

 

 

   

 

 

 
    

Supplemental disclosure of cash flow information

    

Cash paid during the year for interest

   $ 175     $ 150  
  

 

 

   

 

 

 

Cash paid during the year for income taxes

   $ 57     $ 2,381  
  

 

 

   

 

 

 
    

Supplemental disclosure of non-cash investing and financing activities

    

Purchases of property and equipment through finance leases

   $ 1,591     $ 1,187  
  

 

 

   

 

 

 


GUARDIAN PHARMACY SERVICES, INC. AND SUBSIDIARIES

RECONCILIATION OF ADJUSTED EBITDA AND ADJUSTED EPS TO THE MOST DIRECTLY COMPARABLE GAAP FINANCIAL MEASURES

(UNAUDITED)

 

     Three Months Ended March 31,  
(in thousands)    2025     2026  

Net income

   $ 9,273     $ 13,544  

Add:

    

Interest expense (income), net

     (2     (416

Depreciation and amortization

     5,267       5,976  

Provision for income taxes

     3,833       4,749  
  

 

 

   

 

 

 

EBITDA

   $ 18,371     $ 23,853  
  

 

 

   

 

 

 

Share-based compensation (1)

     3,968       1,861  

Certain legal & other regulatory matters (2)

     28       (71

Financing-related and other activities (3)

     798       841  

Payor-reimbursement matters (4)

     268       3,274  
  

 

 

   

 

 

 

Adjusted EBITDA

   $ 23,433     $ 29,758  
  

 

 

   

 

 

 

Net income as a percentage of revenue

     2.8     4.0
  

 

 

   

 

 

 

Adjusted EBITDA as a percentage of revenue

     7.1     8.8
  

 

 

   

 

 

 
    

Net Income attributable to Guardian Pharmacy Services, Inc.

   $ 9,448     $ 13,295  

Share-based compensation (1)

     3,968       1,861  

Certain legal & other regulatory matters (2)

     28       (71

Financing-related and other activities (3)

     798       841  

Payor-reimbursement matters (4)

     268       3,274  

Acquisition-related intangible asset

amortization (5)

     835       992  

Income tax impact of adjustments (6)

     (1,722     (1,790
  

 

 

   

 

 

 

Adjusted net income

   $ 13,623     $ 18,402  
  

 

 

   

 

 

 

Weighted average common shares outstanding used in calculating diluted U.S. GAAP net income per share

     62,914       63,692  

Weighted average common shares outstanding used in calculating diluted Non-GAAP net income per share

     62,914       63,692  
    

Diluted EPS

   $ 0.15     $ 0.21  

Adjusted EPS

   $ 0.22     $ 0.29  


(1)

Share-based compensation expense for the three months ended March 31, 2026 relates to equity-classified awards.

(2)

Represents non-recurring attorney’s fees, settlement costs and other expenses, and insurance reimbursements related to settlements, associated with certain legal proceedings. The Company excludes such charges and reimbursements, recorded as selling, general, and administrative expenses, when evaluating operating performance because it does not incur such charges on a predictable basis and exclusion allows for consistent evaluation of operations.

(3)

Represents non-recurring costs associated with various financing-related activities included in the three months ended March 31, 2025 and 2026, and costs to transition to a public company included in the three months ended March 31, 2025.

(4)

Represents non-recurring legal expenses, recorded as selling, general and administrative expenses, associated with payor reimbursement matters. On April 21, 2026, the Company executed a mutual release and settlement agreement related to a payor-reimbursement matter. As part of the settlement, the Company received an $8.5 million cash payment, which is not included in results of operations for the three months ended March 31, 2026.

(5)

Represents amortization expense associated with the acquisition-related intangible assets, such as customer lists and trademarks.

(6)

Represents the income tax impact of non-GAAP adjustments, calculated using the estimated tax rate for the respective non-GAAP adjustment.

FAQ

How did Guardian Pharmacy Services (GRDN) perform financially in Q1 2026?

Guardian reported higher Q1 2026 profitability. Revenue rose to $336.6 million from $329.3 million, and net income attributable increased to $13.3 million from $9.4 million. Adjusted EBITDA grew to $29.8 million, improving overall profit margins compared with Q1 2025.

What 2026 guidance did Guardian Pharmacy Services (GRDN) provide and how was it updated?

Guardian reaffirmed full-year 2026 revenue guidance of $1.40–$1.42 billion and raised Adjusted EBITDA guidance to $123–$127 million from $120–$124 million. The increase reflects about $3 million of discrete IRA-related manufacturer inventory credits and favorable payor dynamics.

How is the Inflation Reduction Act affecting Guardian Pharmacy Services (GRDN)?

Management noted that the Inflation Reduction Act created significant pricing resets on certain branded medications Guardian dispenses. However, the company offset the profitability impact, maintaining margin stability and achieving double-digit Adjusted EBITDA growth while continuing to grow residents served and prescription volumes by about 10%.

What capital markets transactions did Guardian Pharmacy Services (GRDN) complete in 2026?

In March 2026, Guardian completed a non-dilutive secondary offering of 6.9 million Class A shares, increasing public float, liquidity, and institutional ownership. Guardian did not retain any proceeds, and there was no change in the total number of Class A common shares outstanding for the company.

Why did Guardian Pharmacy Services (GRDN) file a new shelf registration statement?

Guardian filed a new shelf registration statement after fully utilizing capacity under a prior shelf. The filing is intended to maintain flexibility for potential future offerings, although management states they currently have no plans to use the new shelf registration at this time.

How did Guardian Pharmacy Services’ (GRDN) cash flow change in Q1 2026?

Net cash provided by operating activities declined to $6.1 million in Q1 2026 from $17.6 million in Q1 2025. The period also included $5.0 million of capital expenditures and modest financing outflows, leading to a small decrease in cash to $64.9 million.

Filing Exhibits & Attachments

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