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GRDNGuardian Pharmacy Services, IncSell5.5·$41.39-1.45%
SellModerate Confidence
Investment thesis

A pharmacy services provider with excellent cash conversion (126% of net income), 27% return on equity, three consecutive quarterly earnings beats, and growing institutional ownership trades just below its near-term technical target with only 0.5% headroom remaining—creating a favorable long-term quality picture but an unfavorable near-term entry geometry at current prices.

Thesis pillars

  • High Quality Cash ConversionStable
  • Earnings Beat Streak ConsistencyStable
  • Price At Technical CeilingStable
  • +2 more pillars — see the Why tab for full reasoning

Full reasoning →

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Guardian Pharmacy Services, Inc (GRDN) Stock Analysis

Range Bound setup

SellModerate Confidence

Healthcare · Medical Care Facilities

Sell if holding. Engine safety override at $41.39: a dimension score below its floor triggers a hard block regardless of the otherwise-positive setup — overall score 5.5/10. Specifically: Elevated put/call ratio: 6.00.

Guardian Pharmacy Services operates 61 pharmacies serving 205,000 residents in 8,400 long-term care facilities across 38 states, generating over two-thirds of revenue from assisted living and behavioral health facilities. Revenue comes from prescription dispensing reimbursed by... Read more

$41.39+4.2% A.UpsideScore 5.5/10#19 of 36 Medical Care Facilities
QualityF-score7 / 9FCF yield2.52%
Stop $38.48Target $43.12(resistance)A.R:R -0.1:1
Analyst target$47.00+13.6%6 analysts
$43.12our TP
$41.39price
$47.00mean
$50

Sell if holding. Engine safety override at $41.39: a dimension score below its floor triggers a hard block regardless of the otherwise-positive setup — overall score 5.5/10. Specifically: Elevated put/call ratio: 6.00. Chart setup: RSI 44 mid-range, Bollinger mid-band. Score 5.5/10, moderate confidence.

Passes 6/8 gates (positive momentum, clean insider activity, no SEC red flags, earnings proximity 36d clear, semi cycle peak clear, materials cycle peak clear). Fails on favorable risk/reward ratio. Suitability: aggressive.

10-K grounded · weekly refresh

About Guardian Pharmacy Services, Inc

About Guardian Pharmacy Services, Inc

Guardian Pharmacy Services' 61 pharmacies — 54 full-service — served approximately 205,000 residents across about 8,400 long-term care facilities in 38 states at December 31, 2025, generating more than two-thirds of annual revenue from assisted living facilities (ALFs) and behavioral health facilities (BHFs). The U.S. institutional pharmacy market was estimated at approximately $24.3 billion for 2025 by IBISWorld, with Guardian claiming roughly 13.0% national market share in ALF and memory care settings.

Guardian earns revenue through prescription dispensing reimbursed by Medicare Part D, Medicaid, and commercial health plans, adjudicating every prescription and assisting residents in optimizing pharmacy benefit plan coverage. The company deploys over 100 automated robotic dispensing machines across its pharmacy network, integrates with facility Electronic Medication Administration Records (EMARs), and offers compliance packaging, pharmacist consultations, and clinical analytics programs under the GuardianShield platform. The competitive landscape includes two national providers historically focused on skilled nursing facilities (SNFs), several regional providers, and over 1,200 independent pharmacies. The ALF sector presents specific operational challenges that favor specialized providers: residents typically carry multiple pharmacy benefit plans with distinct formularies, facilities often lack on-site medical directors, and residents have the right to choose their own pharmacy.

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Reimbursement risk is the primary financial exposure. Guardian's revenue depends substantially on Medicare Part D and Medicaid rates, which are subject to federal and state rate-setting cycles. The 10-K identifies ongoing government and private efforts to limit pharmacy reimbursements as a material risk factor, and flags consolidation of managed care organizations as a structural headwind that could alter payor agreement terms unfavorably. With operations spanning 38 states, the company is exposed to varied state Medicaid fee schedules; any compression in reimbursement rates paid by health plan payors could reduce revenue per prescription without a corresponding reduction in dispensing cost.

See also: Healthcare · Medical Care Facilities

From Guardian Pharmacy Services, Inc's most recent 10-K filing, extracted June 10, 2026.

TrendMatrix Research · upcoming catalyst calendar

Upcoming dated catalysts

Mon, Aug 10, 202636d to earnings· next earnings call

Thesis

Rewards
No bull case signals
Risks
Concentration risk — Customer: ALF and BHF residents
Target reached (-1.2% upside)
Risk below floor (2.8 < 3.0)

Key Metrics

P/E (TTM)50.0
P/E (Fwd)30.9
Mkt Cap$2.7B
EV/EBITDA23.9
Profit Mgn3.6%
ROE26.9%
Rev Growth2.2%
Beta
DividendNone
Rating analysts12

Quality Signals

Piotroski F7/9MoatNarrow

Options Flow

P/C6.00bearish
IV86%elevated
Max Pain$23-45.6% vs spot

Concentration Risks(10-K Item 1A)

  • HIGHCustomerALF and BHF residents
    10-K Item 1: 'More than two-thirds of our annual revenue for each of the past three years has been generated from residents of ALFs and BHFs'

Model-generated analysis — not investment advice. Not a registered investment advisor. Past performance does not guarantee future results.

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About TrendMatrix. TrendMatrix is a publisher of general securities research and market commentary. We publish on a regular schedule. All content is the same for every subscriber in a tier — we do not provide personalized investment advice and we do not take into account any individual subscriber's financial situation, investment objectives, risk tolerance, tax situation, or holdings.

Not investment advice. TrendMatrix is not a registered investment adviser. Our content is for informational and educational purposes only. Consult your own licensed investment adviser, broker, or tax professional before making any investment decision.

Conflicts and positions. The TrendMatrix editorial team frequently holds personal long-term positions in securities discussed. We disclose positions held at the time of publication on each piece. We maintain a trading-window policy: we do not initiate or close positions in the same direction as a TrendMatrix publication within 24 hours before or 72 hours after publication.

No paid promotion. TrendMatrix does not accept payment from any issuer, broker, or third party in exchange for coverage of any security. Our sole compensation is subscription revenue.

No fiduciary duty. No fiduciary, advisory, or agency relationship is created between you and TrendMatrix by reading our content or subscribing to our service.

Performance. Past performance is not indicative of future results. Performance figures reflect the published model only and do not reflect any individual subscriber's actual results.

Methodology · Editorial policy & full disclaimer

Rating Breakdown

2 floor-breakers

Ranks in the bottom of its industry peers on the composite signal. Better names in the same sector exist.static

Value Rank
1.6
Growth Rank
2.0
Quality Rank
6.0

Volatile — 5.1% daily ATR makes tight stops impractical. Position-size conservatively.static

Volatility
0.0
Put Call
0.0
Implied Vol
0.0
Days To Cover
1.9
Max Pain Risk
3.0
Short Interest
5.6
Debt Equity
9.3
Elevated put/call: 6.00High IV: 86%Above max pain $22Concentration risks: 1 HIGH (10-K Item 1A — sized via position_sizing, validated via buy_confidence)
GatesA.R:R -0.1=NEGATIVEMomentum 4.7<5.5 (soft — BUY_NOW allowed but watch)Momentum 4.7>=4.5Insider activity: OKNo SEC red flagsEARNINGS PROXIMITY 36d clearSEMI CYCLE PEAK CLEARMATERIALS CYCLE PEAK CLEARRange BoundSuitability: Aggressive
RSI
44 · Neutral
20D MA 50D MA 200D MAGOLDEN CROSSSupport $38.15Resistance $44.00

Price Targets

$38
$43
A.Upside+4.2%
A.R:R-0.1:1

Position Sizing

ConvictionNone
Suggested %0.5%
Max %1%
RegimeSteady

Risk Alerts

! Target reached (-1.2% upside)
! Risk below floor (2.8 < 3.0)
! Negative risk/reward — downside exceeds upside

Earnings

B
B
B
M
3/4 beats
Next Earnings2026-08-10 (36d)

Verdict History

reverse chrono — latest first
Loading history...
Verdicts are recorded on every nightly pipeline run. Rows capture transitions (verdict flips, score deltas ≥0.3, entry/TP/SL changes). Rows with a ▶ can be expanded to see the change reason. Aggregate cohort performance is tracked in the recommendation ledger.
Frequently Asked Questions
Is GRDN stock a buy right now?

Sell if holding. Engine safety override at $41.39: a dimension score below its floor triggers a hard block regardless of the otherwise-positive setup — overall score 5.5/10. Specifically: Elevated put/call ratio: 6.00. Chart setup: RSI 44 mid-range, Bollinger mid-band. Prior stop was $38.48. Score 5.5/10, moderate confidence.

What is the GRDN stock price target?

Take-profit target: $43.12 (+4.2% upside). Prior stop was $38.48. Stop-loss: $38.48.

What are the risks of investing in GRDN?

Concentration risk — Customer: ALF and BHF residents; Target reached (-1.2% upside); Risk below floor (2.8 < 3.0).

Is GRDN overvalued or undervalued?

Guardian Pharmacy Services, Inc trades at a P/E of 50.0 (forward 30.9). TrendMatrix value score: 4.7/10. Verdict: Sell.

What do analysts say about GRDN?

12 analysts cover GRDN with a consensus score of 4.4/5. Average price target: $47.

What does Guardian Pharmacy Services, Inc do?Guardian Pharmacy Services operates 61 pharmacies serving 205,000 residents in 8,400 long-term care facilities across...

Guardian Pharmacy Services operates 61 pharmacies serving 205,000 residents in 8,400 long-term care facilities across 38 states, generating over two-thirds of revenue from assisted living and behavioral health facilities. Revenue comes from prescription dispensing reimbursed by Medicare, Medicaid, and commercial health plans. The company holds approximately 13.0% national market share in ALF and memory care pharmacy.

Related stocks: NUTX (Nutex Health Inc.) · THC (Tenet Healthcare Corporation) · SRTA (Strata Critical Medical, Inc.) · ARDT (Ardent Health, Inc.) · AVAH (Aveanna Healthcare Holdings Inc)
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