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Guardian Pharmacy Services, Inc. (GRDN)·Q1 2025 Earnings Summary

Executive Summary

  • Q1 2025 delivered solid top-line growth: revenue rose 20% YoY to $329.3M, with resident count up 15% to ~189,000; Adjusted EBITDA was $23.4M (7.1% margin) despite ~$0.5M of accelerated Heartland integration costs and ~$1.0M public-company cost in the quarter .
  • Results vs consensus: revenue beat ($329.3M vs $321.2M*), while S&P “Primary EPS” was a slight miss ($0.207* vs $0.22*) as integration costs were pulled forward into Q1 . Values marked with * are from S&P Global.
  • Guidance: 2025 revenue guidance reaffirmed at $1.33–$1.35B with management indicating the outcome should land toward the upper end; Adjusted EBITDA guidance maintained at $97–$101M and includes ~$4M of full-year public-company costs .
  • Setup/catalysts: (1) Q2 expected roughly flat with Q1; (2) vaccine clinic seasonality should again lift Q4; (3) active M&A pipeline and new Wichita acquisition on 4/1/25 (post-quarter) support expansion; (4) management sees limited tariff impact; IRA implications remain under active discussion with payors .

What Went Well and What Went Wrong

  • What Went Well

    • Double-digit YoY growth in revenue (+20%), resident count (+15%), and Adjusted EBITDA (+16%) amid ongoing acquisition integration .
    • Management reiterated full-year guidance and signaled revenue should trend toward the top of the range given the strong start to the year .
    • Strategic progress: closed a Wichita, KS pharmacy on 4/1/25 (52 total), continued integration of Heartland and Freedom, and highlighted a robust acquisition pipeline near-term .
  • What Went Wrong

    • Profitability modestly pressured by an accelerated Heartland IT platform transition, pulling $0.5M of costs into Q1; public-company costs ($1M in Q1; ~$4M FY) also weighed on margins .
    • Q2 outlook called “consistent” with Q1 implies limited sequential momentum before seasonality benefits recur in Q4 (vaccine clinics) .
    • External/regulatory overhangs: uncertainty around any executive action and longer-dated IRA impacts; management remains engaged but visibility still developing .

Financial Results

  • Consolidated results and KPIs
MetricQ3 2024Q4 2024Q1 2025
Revenue ($USD Millions)$314.4 $338.6 $329.3
Net Income ($USD Millions)$(105.8) $11.8 $9.3
Diluted EPS (GAAP)$(2.00) $0.19 $0.15
Adjusted EBITDA ($USD Millions)$23.0 $25.9 $23.4
Adjusted EBITDA Margin %7.3% 7.6% 7.1%
Net Income Margin %(33.7)% 3.5% 2.8%
Resident Count (end of period)180,000 186,000 189,000
  • Estimates vs actuals (S&P Global for consensus and “Primary EPS”)
    • Values marked with * are from S&P Global.
MetricQ3 2024Q4 2024Q1 2025
Revenue Consensus Mean ($USD Millions)*303.2*332.8*321.2*
Revenue Actual ($USD Millions)314.4 338.6 329.3
Primary EPS Consensus Mean ($)*0.19*0.22*0.22*
Primary EPS Actual ($)*0.275*0.238*0.207*

Values marked with * are from S&P Global.

  • Additional operating/cash metrics (Q1 2025)
    • Cash and equivalents: $14.0M; long-term debt: none .
    • Cash from operations: $17.6M vs $8.7M in Q1 2024 .

Guidance Changes

MetricPeriodPrevious GuidanceCurrent GuidanceChange
RevenueFY 2025$1.330B–$1.350B (3/26/25) $1.330B–$1.350B (5/12/25) Maintained; management indicates upper-end bias
Adjusted EBITDAFY 2025$97M–$101M (3/26/25) $97M–$101M (5/12/25) Maintained
Public-company costsFY 2025~+$4M included (3/26/25) ~+$4M included (5/12/25) Maintained
Quarterly cadenceFY 2025Q4 uplift from vaccine clinic seasonality discussed (3/26 call/press) Reiterated: Q2 to be similar to Q1; Q4 seasonality expected again Maintained

Earnings Call Themes & Trends

TopicPrevious Mentions (Q3 2024, Q4 2024)Current Period (Q1 2025)Trend
Integration/IT platformHeartland integration underway; branded drug mix aided Q3; seasonality seen in Q4 Accelerated Heartland operating system conversion; costs pulled forward; access to analytics/workflow efficiencies Execution progressing; near-term cost headwind, long-term benefits
Tariffs/supply chainNot prominent in Q3/Q4 press releasesMinimal expected impact: branded reimbursement tied to AWP; generic pricing competitive dampens pass-through Risk monitored; manageable per management
IRA (Medicare) policyQ4: no specific update beyond risk factors Ongoing constructive discussions with PBMs; no new developments; confident in ability to navigate impacts in 2026+ Watching; engagement ongoing
Growth pipeline/M&AQ3 added Heartland; Q4 added Freedom; healthy pipeline Closed Wichita (4/1/25), total 52 pharmacies; pipeline “as strong as ever” Pipeline robust; continued bolt-ons
Seasonality (vaccines)New Q4 uplift noted in 2024 Expect repeat Q4 uplift in 2025; Q2 similar to Q1 Seasonality embedded in model
Regional expansionAdded Intermountain West in 2024 (Heartland) Contiguous startups (OKC, Omaha, Naples); Columbus launched by Cincinnati team Broadening footprint

Management Commentary

  • “We are pleased to report a strong start to 2025… We delivered double-digit year-over-year growth in revenue, resident count, and adjusted EBITDA… our acquisition pipeline remains highly active…” — Fred Burke, CEO .
  • “We believe that revenue will come in at the higher end of our $1.33 billion to $1.35 billion range… For adjusted EBITDA, we are reiterating $97 million to $101 million… we want to remain conservative… given… integration-related expenses.” — David Morris, CFO .
  • “We decided to begin the transition of Heartland’s IT operating infrastructure… Expediting the operating system transition also accelerated cost, putting pressure on Q1 profitability.” — David Morris .
  • “We feel comfortable we will avoid major impact [from tariffs]… 70% of our revenue comes from Part D and we are paid on a spread based on AWP… generic marketplace is highly competitive…” — Fred Burke .
  • “We are continuing to have constructive conversations [re: IRA]… no significant developments to report… confident in our ability to navigate the potential margin impact.” — Fred Burke .

Q&A Highlights

  • Heartland integration cost timing: Expedited conversion pulled ~$0.5M of costs from Q2/Q3 into Q1; costs are included in guidance .
  • Part D/PBM pricing cadence: No immediate reset expected; next formal opportunity aligns with 2026 renegotiations; no force majeure expected .
  • Resident growth mix: Organic growth was high-single-digit YoY; the remainder from Heartland and Freedom acquisitions .
  • Pipeline tone: “As strong as it’s ever been”; several active projects; smaller operators facing pressure provide opportunities .
  • Policy overhang: Uncertainty around any executive action; management sees complexity given non-interference clause and expects any developments to play out over time .

Estimates Context

  • Q1 2025 vs consensus: Revenue beat ($329.3M vs $321.2M*); Primary EPS slight miss ($0.207* vs $0.22*). Integration timing and public-company costs explain most of the EPS variance despite healthy revenue .
  • Trajectory: Q3 and Q4 2024 both exceeded revenue consensus; Primary EPS (S&P) actuals exceeded in Q3, modestly above in Q4, and modestly below in Q1 2025, consistent with the integration cost timing commentary .
  • Implication: Street models may hold on FY EBITDA (range reiterated) but could rebalance quarterly cadence (flat Q2, seasonal lift in Q4) and fine-tune EPS for integration/public-company expense timing .

Values marked with * are from S&P Global.

Key Takeaways for Investors

  • Core growth intact: +20% revenue and +16% Adjusted EBITDA YoY underscore resilient demand and contribution from recent acquisitions .
  • Mix of integration cost and pubco expenses capped EPS despite revenue strength; timing effects should normalize as Heartland transitions complete through 2H25 .
  • FY25 outlook steady with upside bias to revenue; EBITDA range intact with conservatism for integration variability; Q2 set up to mirror Q1, with seasonal Q4 uplift likely again .
  • Balance sheet flexible: $14M cash, no long-term debt, available revolver lends capacity to pursue bolt-on M&A and contiguous expansions .
  • External risks appear manageable: tariff exposure limited by AWP-based reimbursement and competitive generics; IRA discussions ongoing with PBMs, with more clarity expected over time .
  • Execution focus: 10 of 52 pharmacies are ≤~1 year old and remain earnings ramps; the integration playbook typically drives margin convergence by years 3–4, creating embedded earnings power .
  • Near-term trading lens: Expect a “steady” Q2 print, with narrative dominated by integration progress and pipeline updates; set up turns more favorable into Q4 seasonality if execution remains on track .

Appendix: Detailed Tables

Detailed GAAP and Non-GAAP Metrics

MetricQ3 2024Q4 2024Q1 2025
Revenues ($USD Millions)$314.393 $338.569 $329.308
Gross Profit ($USD Millions)$60.878 $67.104 $64.349
SG&A ($USD Millions, GAAP)$165.491 $50.349 $51.344
Operating Income ($USD Millions)$(104.613) $16.755 $13.005
Net Income ($USD Millions)$(105.817) $11.841 $9.273
Diluted EPS (GAAP)$(2.00) $0.19 $0.15
Adjusted EBITDA ($USD Millions)$23.012 $25.890 $23.433
Adjusted EBITDA Margin %7.3% 7.6% 7.1%
Net Income Margin %(33.7)% 3.5% 2.8%
Resident Count (end of period)180,000 186,000 189,000
Cash and Equivalents ($USD Millions)$37.221 $4.660 $13.999
Long-term Debt OutstandingNotes/LOC in place at 9/30/24 No long-term debt at 12/31/24 No long-term debt

Reconciliation/Adjustments (Q1 2025)

  • Adjusted EBITDA bridge: GAAP EBITDA $18.371M; add share-based comp $3.968M; legal/regulatory matters $0.296M; public company/financing $0.798M ⇒ Adjusted EBITDA $23.433M; Adjusted EBITDA margin 7.1% .
  • SG&A (GAAP) $51.344M; minus share-based comp $3.968M; legal/regulatory $0.296M; public company/financing $0.798M ⇒ Adjusted SG&A $46.282M; 14.1% of revenue .

Quarterly Estimates vs Actuals (S&P Global)

MetricQ3 2024Q4 2024Q1 2025
Revenue Consensus Mean ($USD Millions)*303.159*332.772*321.214*
Revenue Actual ($USD Millions)314.393 338.569 329.308
Primary EPS Consensus Mean ($)*0.19*0.22*0.22*
Primary EPS Actual ($)*0.275*0.238*0.207*

Values marked with * are from S&P Global.