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Guardian Pharmacy Services
Guardian Pharmacy Services (GRDN) investor relations material
Guardian Pharmacy Services Q4 2025 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Q4 2025 earnings summary11 Mar, 2026
Executive summary
Delivered Q4 and full-year 2025 results exceeding expectations, with strong organic and acquisition-driven growth and full-year revenue of $1.45 billion, up 18% year-over-year, and organic growth of 13%.
Achieved 13% organic revenue growth and 18% total revenue growth year-over-year, driven by new resident additions, script growth, and higher acuity.
Integrated three acquisitions mid-year and completed four in 2025, expanding scale and operational leverage.
Focused on disciplined investment in growth, technology, and infrastructure, maintaining strong cash generation and liquidity.
Clinical initiatives resulted in over 100,000 interventions and $56 million in resident cost savings.
Financial highlights
Q4 revenue increased 17% year-over-year to $397.6 million; organic growth at 12%.
Gross profit rose 27% to $85.5 million, with gross margin expanding to 21.5% from 19.8%.
Adjusted EBITDA for Q4 up 53% year-over-year to $39.5 million; margin expanded to 9.9%.
Full-year adjusted EBITDA grew 27% to $115.1 million, exceeding guidance.
Cash and cash equivalents at year-end were $65.6 million, up from $4.7 million at the end of 2024.
Return on equity reached 27% for the year.
Outlook and guidance
Raised 2026 adjusted EBITDA guidance to $120–$124 million, reflecting durable growth drivers.
Maintained 2026 revenue forecast at $1.4–$1.42 billion as IRA pricing flows through; guidance excludes future acquisitions.
Expect quarterly revenue and EBITDA distribution similar to 2025, with vaccine seasonality in Q4.
Projected 2027 revenue headwind of $65 million from further IRA drug negotiations, viewed as manageable.
IRA drug pricing impact on 2026 revenue outlook
Reconcile 2025 exit EBITDA run rate to 2026 guidance
Liquidity and credit facility utilization plans
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Next Guardian Pharmacy Services earnings date
Oppenheimer 36th Annual Healthcare MedTech & Services Conference16 Mar, 2026
Guardian Pharmacy Services
Next Guardian Pharmacy Services earnings date
Oppenheimer 36th Annual Healthcare MedTech & Services Conference16 Mar, 2026
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Frequently asked questions
Guardian Pharmacy Services Inc is a U.S.-based pharmacy company specializing in long-term care pharmacy services for senior living communities and healthcare facilities. The company provides personalized medication management, delivery, and consulting services, primarily serving assisted living, skilled nursing, and rehabilitation centers. The company is headquartered in Atlanta, Georgia, and its shares are listed on the NYSE.
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