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GRDN: The Standard for Senior Care Pharmacy Services
Blank Capital Research Team
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Executive Summary
Guardian Pharmacy Services, Inc. (GRDN) is one of the largest long-term care (LTC) pharmacies in the U.S., primarily serving residents in assisted living, skilled nursing, and behavioral health facilities.
Investment Thesis
Guardian is a direct, high-margin play on the 'Silver Tsunami'—the aging of the baby boomer generation. The company operates a highly decentralized model that combines the scale of a national player with the personalized service of a local pharmacy. This creates intense customer loyalty among facility operators. As more seniors move into professional care settings, the volume of complex, high-margin prescriptions that Guardian manages is growing at a double-digit clip. Guardian's specialized clinical services are essential for facility compliance, making them an indispensable part of the senior healthcare ecosystem.
Key Growth Drivers
Silver Tsunami Tailwinds
The structural growth in the U.S. senior population guarantees a multi-decade increase in demand for long-term care pharmacy services.
Decentralized Service Moat
Guardian's local pharmacy model allows for faster delivery and better clinical coordination than its centralized competitors, driving higher client retention.
Scalable M&A Platform
Management has proven its ability to acquire smaller regional LTC pharmacies and integrate them onto their national platform, driving consistent accretive growth.
Valuation & Financial Modeling
GRDN trades at an attractive multiple relative to its recurring revenue and growth rate. Given the non-discretionary nature of its pharmacy services and its high ROE, we believe the stock warrants a premium valuation as it continues to take share in the fragmented LTC market.
Risk Factors & Bear Case
Changes in Medicare or Medicaid reimbursement rates for prescription drugs are the primary risk. Additionally, any severe labor shortage in the nursing industry would impact the occupancy rates of their client facilities.
Conclusion
Guardian Pharmacy is a high-quality, demographic growth stock. it offers a safe and profitable way to play the aging of America. Rated 'Strong Buy'.
Upcoming Catalysts
No upcoming catalysts identified.
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Relative to Consumer Discretionary Sector Median (N=442)
Metric
GRDN
Benchmark
P/E Ratio
43.4x
+77%
EV/EBITDA
8.7x
+77%
Price / Book
11.6x
Implied Value Audit
OVERVALUED
Implied Fair Value (vs Sector)
-67.8%
$12.61Spot: $39.15
Spot
Implied
-50% Delta+50% Delta
Relative valuation derived from Consumer Discretionary sector median benchmarks. Model weights: EV/EBITDA (40%), P/B (35%), P/S (25%). Multiples adjusted for extreme outliers and non-recurring volatility.
Auditing capital efficiency...
Quality Profile Audit
Score: 45.7GRADE C
Composite assessment of profitability, capital efficiency, and financial strength. Top-tier entities demonstrate sustainable cash flow generation.
Return on Equity
Profit generated per dollar of shareholder equity
-35.9%
Sector: 6.2%
Dividend Analysis audit
No Dividend
This company does not currently pay a dividend.
Analyst Projections
Analyst Consensus
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Based on our 6-factor quantitative model, Guardian Pharmacy Services, Inc. (GRDN) receives a "Hold" rating with a composite score of 47.7/100, ranked #518 out of 4446 stocks. Key factor scores: Quality 46/100, Value 51/100, Momentum 68/100. This is quantitative analysis only — not investment advice.
Guardian Pharmacy Services, Inc. (GRDN) Stock Analysis — April 2026 Rating, Price, and Forecast
Company Overview — What Does Guardian Pharmacy Services, Inc. Do?
We are a leading, highly differentiated pharmacy services company that provides an extensive suite of technology-enabled services designed to help residents of long-term health care facilities (“LTCFs”) adhere to their appropriate drug regimen, which in turn helps reduce the cost of care and improve clinical outcomes. We emphasize high-touch, individualized clinical, drug dispensing and administration capabilities that are tailored to serve the needs of residents in historically lower acuity LTCFs, such as assisted living facilities (“ALFs”), and behavioral health facilities and group homes (collectively “BHFs”). More than two-thirds of our annual revenue for each of the past three years has been generated from residents of ALFs and BHFs, which are our target markets, while the remainder has been generated primarily from residents of skilled nursing facilities (“SNFs”). Additionally, our robust capabilities enable us to serve residents in all types of LTCFs. We are a trusted partner to residents, LTCFs and health plan payors because we help reduce errors in drug administration, manage and ensure adherence to drug regimens, and lower overall healthcare costs. As of June 30, 2024, our 50 pharmacies served approximately 174,000 residents in approximately 6,700 LTCFs across 36 states. Within the U.S. LTCF market, we believe the ALF and BHF sectors present the most attractive opportunity and have the highest growth potential for our business. Certain characteristics of ALFs and BHFs, which are not typical of SNFs, create additional challenges and complexities for pharmacy service providers that Guardian is well suited to address. First, residents at ALFs are typically on a variety of different pharmacy benefit plans, each with a distinct formulary and reimbursement process, covering their complex drug regimens. Second, ALFs often lack staff with formal clinical training and usually do not have an on-site medical director or full-time nurse. Because residents of ALFs rely on off-site physicians to oversee and monitor their health conditions, there is an increased need for coordination among ALF operators, each resident’s physicians and pharmacy service providers. Third, residents in these facilities have the right to choose their own pharmacy, which often leads to multiple pharmacy service providers serving a single ALF. We believe that Guardian enjoys a strong competitive position as a large and purpose-built provider of pharmacy services to ALFs and BHFs. We offer a variety of services that we believe address the challenges that ALFs and BHFs face, and differentiate us from our competitors, providing residents, LTCFs and health plan payors with a compelling value proposition. Our centralized corporate support capabilities empower our local pharmacy operators to offer an extensive suite of high-touch, individualized, consultative pharmacy services, using a portfolio of proprietary data analytics systems and technology designed to help ensure that the right dose of the right medication is provided to the right resident at the right time. Examples of our specialized services include: • Assisting residents in optimizing pharmacy benefit plan coverage of their medication by coordinating formulary interchanges with residents’ physicians; • Proactively analyzing potential adverse drug interactions and managing potential risks in medication administration; • Providing robotic dispensing and customized compliance solutions, organized by resident and time of administration; • Integrating a resident’s drug regimen with the LTCF’s Electronic Medication Administration Records (“EMARs”) to help ensure adherence; • Providing training for LTCF caregivers to help them administer medications to residents more safely, efficiently and cost-effectively; • Partnering with LTCF operators to increase the number of residents using our services at each facility we serve, which we refer to as “resident adoption,” in order to streamline drug administration and minimize medication management risk; • Conducting mock audits of LTCFs to monitor compliance with drug administration and government regulation; and • Reviewing periodically the drug regimen for each resident by consulting pharmacists. --- We were originally formed as Guardian Pharmacy, LLC, an Indiana limited liability company, on July 21, 2003. On November 16, 2021, we formed Guardian Pharmacy Services, Inc., or Guardian Inc., as a direct, wholly owned subsidiary of Guardian Pharmacy, LLC. As a result of the Corporate Reorganization, Guardian Inc. will be a holding company and the sole manager of Guardian Pharmacy, LLC, with no material assets other than its 100% interest in Guardian Pharmacy, LLC; and Guardian Pharmacy, LLC will wholly own and be the sole member of each of the Converting Subsidiaries. In addition, Guardian Pharmacy, LLC will continue to be the majority owner of each of the Non-Converting Subsidiaries. Our principal executive offices are located at 300 Galleria Parkway SE, Suite 800, Atlanta, Georgia. Guardian Pharmacy Services, Inc. (GRDN) is classified as a mid-cap stock in the Consumer Discretionary sector, specifically within the Retail industry. The company is led by CEO Fred P. Burke, headquartered in ATLANTA, Georgia. With a market capitalization of $2.4B, GRDN is one of the notable companies in the Consumer Discretionary sector.
Guardian Pharmacy Services, Inc. (GRDN) Stock Rating — Hold (April 2026)
As of April 2026, Guardian Pharmacy Services, Inc. receives a Hold rating with a composite score of 47.7/100 and 3 out of 5 stars from the Blank Capital Research quantitative model.GRDN ranks #518 out of 4,446 stocks in our coverage universe. Within the Consumer Discretionary sector, Guardian Pharmacy Services, Inc. ranks #32 of 442 stocks, placing it in the top 10% of its Consumer Discretionary peers. The rating is generated by a multi-factor model that weighs quality (30%), momentum (25%), value (15%), investment (10%), stability (10%), and short interest (10%).
GRDN Stock Price and 52-Week Range
Guardian Pharmacy Services, Inc. (GRDN) currently trades at $39.15. The stock lost $1.50 (3.7%) in the most recent trading session. The 52-week high for GRDN is $37.43, which means the stock is currently trading 4.6% from its annual peak. The 52-week low is $19.17, putting the stock 104.2% above its annual trough. Recent trading volume was 351K shares, suggesting relatively thin trading activity.
Is GRDN Overvalued or Undervalued? — Valuation Analysis
Guardian Pharmacy Services, Inc. (GRDN) carries a value factor score of 51/100 in the Blank Capital model, indicating fair valuation relative to historical norms. The trailing price-to-earnings ratio is 43.36x, compared to the Consumer Discretionary sector average of 24.47x — a premium of 77%. The price-to-book ratio stands at 11.59x, versus the sector average of 1.99x. The price-to-sales ratio is 1.85x, compared to 0.27x for the average Consumer Discretionary stock. On an enterprise value basis, GRDN trades at 8.69x EV/EBITDA, versus 4.91x for the sector.
Overall, GRDN's valuation appears roughly in line with sector benchmarks, suggesting the market is pricing the stock fairly given its current fundamentals and growth trajectory. Neither deep value nor significantly overpriced, the stock occupies a middle ground on valuation.
Guardian Pharmacy Services, Inc. Profitability — ROE, Margins, and Quality Score
Guardian Pharmacy Services, Inc. (GRDN) earns a quality factor score of 46/100, signaling below-average profitability metrics relative to the broader market. The return on equity (ROE) is -35.9%, compared to the Consumer Discretionary sector average of 6.2%, which is below typical expectations for high-quality companies. Return on assets (ROA) comes in at -18.9% versus the sector average of 2.5%.
On a margin basis, Guardian Pharmacy Services, Inc. reports gross margins of 19.6%, compared to 36.9% for the sector. The operating margin is -5.3% (sector: 3.8%). Net profit margin stands at -6.4%, versus 2.1% for the average Consumer Discretionary stock. Revenue growth is running at 20.1% on a trailing basis, compared to 3.3% for the sector. Profitability is below benchmark levels, which may reflect industry headwinds, elevated reinvestment, or structural challenges.
GRDN Debt, Balance Sheet, and Financial Health
Guardian Pharmacy Services, Inc. has a debt-to-equity ratio of 0.0%, compared to the Consumer Discretionary sector average of 89.0%. The low leverage indicates a conservative balance sheet with significant financial flexibility. The current ratio is 1.38x, suggesting adequate working capital coverage. Total debt on the balance sheet is $0. Cash and equivalents stand at $36M.
GRDN has a beta of 0.69, meaning it is less volatile than the S&P 500, making it a relatively defensive holding. The stability factor score for Guardian Pharmacy Services, Inc. is 59/100, reflecting average volatility within the normal range for its sector.
Guardian Pharmacy Services, Inc. Revenue and Earnings History — Quarterly Trend
In TTM 2026, Guardian Pharmacy Services, Inc. reported revenue of $1.37B. Net income for the quarter was $-78M. Gross margin was 19.6%. Operating income came in at $-63M.
In FY 2025, Guardian Pharmacy Services, Inc. reported revenue of $1.45B. Net income for the quarter was $49M. Gross margin was 20.2%. Revenue grew 17.9% year-over-year compared to FY 2024. Operating income came in at $73M.
In Q3 2025, Guardian Pharmacy Services, Inc. reported revenue of $377M. Net income for the quarter was $10M. Gross margin was 19.8%. Revenue grew 20.0% year-over-year compared to Q3 2024. Operating income came in at $16M.
In Q2 2025, Guardian Pharmacy Services, Inc. reported revenue of $344M. Net income for the quarter was $9M. Gross margin was 19.8%. Operating income came in at $13M.
Over the past 8 quarters, Guardian Pharmacy Services, Inc. has demonstrated a growth trajectory, with revenue expanding from $1.05B to $1.37B. Investors analyzing GRDN stock should weigh these quarterly trends alongside the valuation and quality metrics discussed above.
GRDN Dividend Yield and Income Analysis
Guardian Pharmacy Services, Inc. (GRDN) does not currently pay a dividend. This is common among smaller companies in the Retail industry that prefer to reinvest cash flows into business expansion rather than returning capital to shareholders. Income-focused investors looking for Consumer Discretionary dividend stocks may want to explore other Consumer Discretionary stocks or use the stock screener to filter by dividend yield.
GRDN Momentum and Technical Analysis Profile
Guardian Pharmacy Services, Inc. (GRDN) has a momentum factor score of 68/100, reflecting neutral trend characteristics. The stock is neither significantly outperforming nor underperforming the broader market on a momentum basis. The investment factor score is 25/100, which measures capital allocation efficiency and asset growth patterns. The short interest score of 10/100 signals elevated short interest, which can indicate bearish sentiment among institutional investors.
GRDN vs Competitors — Consumer Discretionary Sector Ranking and Peer Comparison
Comparing GRDN against the S&P 500 benchmark is also instructive for understanding relative performance. Investors can view the full GRDN vs S&P 500 (SPY) comparison to assess how Guardian Pharmacy Services, Inc. stacks up against the broader market across all factor dimensions.
GRDN Next Earnings Date
No upcoming earnings date has been announced for Guardian Pharmacy Services, Inc. (GRDN) at this time. Check the earnings calendar for the latest scheduling updates across all stocks in our coverage universe.
Should You Buy GRDN? — Investment Thesis Summary
Guardian Pharmacy Services, Inc. presents a balanced picture with arguments on both sides. Price momentum is positive at 68/100, suggesting the trend favors buyers.
In summary, Guardian Pharmacy Services, Inc. (GRDN) earns a Hold rating with a composite score of 47.7/100 as of April 2026. The rating is derived from the Blank Capital Research methodology, which combines six factor dimensions into a single quantitative ranking. Investors should consider these quantitative signals alongside their own fundamental research, risk tolerance, and investment time horizon before making buy or sell decisions on GRDN stock.
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Execution Benchmarks audit
Revenue Growth
YOY expansion rate
20.1%
Sector: 3.3%
+508% VS SCTR
Gross Margin
Core pricing power
19.6%
Sector: 36.9%
-47% VS SCTR
Operating Margin
Operating efficiency
-5.3%
Sector: 3.8%
-242% VS SCTR
Net Margin
Bottom-line conversion
-6.4%
Sector: 2.1%
-404% VS SCTR
Return on Equity
Equity capital efficiency
-35.9%
Sector: 6.2%
-677% VS SCTR
Return on Assets
Asset base utilization
-18.9%
Sector: 2.5%
-863% VS SCTR
Debt/Equity
Financial leverage load
0.0%
Sector: 89.0%
+100% VS SCTR
Dividend Yield
Direct cash return
0.0%
Sector: 0.0%
-NaN% VS SCTR
+484%
Price / Sales
1.9x
+585%
Guardian Pharmacy Services, Inc. exhibits a 306% valuation premium relative to institutional benchmarks. This represents a potential valuation overextension based on current multiples.
Return on Assets
Efficiency of asset utilization
-18.9%
Sector: 2.5%
Gross Margin
Pricing power and cost efficiency
19.6%
Sector: 36.9%
Operating Margin
Core business profitability
-5.3%
Sector: 3.8%
Net Margin
Bottom-line profitability
-6.4%
Sector: 2.1%
Factor Methodology
The Quality factor evaluates the persistence and magnitude of cash flows. Companies with scores >70 exhibit superior competitive moats and financial resilience through economic cycles.