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

Guardian Pharmacy Services Reports First Quarter 2026 Financial Results; Updates Full-Year Guidance 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. 1Cash 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 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. ____________________________ 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. 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). 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; andAdjusted 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. Source: Guardian Pharmacy Services, Inc.