Guardian Pharmacy Services
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Guardian Pharmacy Services (GRDN) investor relations material

Guardian Pharmacy Services Q3 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q3 2026 earnings summary5 Nov, 2026

Executive summary

  • Q3 revenue was $371.1M, down 1.7% YoY amid IRA-related pricing reductions; net income was $19.1M and Adjusted EBITDA rose 24% to $33.9M.

  • Served 218,000 residents, up 7% YoY; prescription volume rose 10%, supporting higher profitability.

  • FY 2026 revenue guidance increased to $1.44B–$1.46B and Adjusted EBITDA guidance to $136M–$138M.

Financial highlights

  • Q3 gross profit rose to $85.2M from $74.7M; operating income increased to $25.1M from $16.4M.

  • Q3 diluted EPS was $0.29 vs. $0.15; Adjusted EPS was $0.33 vs. $0.25.

  • 9M revenue was $1.059B vs. $1.051B; net income was $54.8M vs. $27.7M, including an $8.5M payor settlement received in 2026.

  • 9M Adjusted EBITDA was $93.3M vs. $75.7M; Adjusted EPS was $0.91 vs. $0.69.

Outlook and guidance

  • FY 2026 revenue guidance rose from $1.43B–$1.45B to $1.44B–$1.46B; Adjusted EBITDA guidance rose from $129M–$131M to $136M–$138M.

  • Updated outlook reflects Q3 outperformance, market expansion and improved reimbursement and operating trends; excludes future acquisitions.

  • IRA-related drug price reductions are expected to weigh on YoY comparisons through the remainder of 2026.

  • Cash, expected operating cash flows and available credit were viewed as sufficient for working capital and capital expenditures for at least 12 months.

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Stephens Annual Investment Conference18 Nov, 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.