Guardian Pharmacy Services, Inc. Announces Preliminary Fourth Quarter and Full Year 2024 Results; Provides 2025 Financial Guidance and Earnings Conference Call Date ATLANTA

Guardian Pharmacy Services, Inc. Announces Preliminary Fourth Quarter and Full Year 2024 Results;

Provides 2025 Financial Guidance and Earnings Conference Call Date

ATLANTA March 3, 2025 (BUSINESS WIRE) Guardian Pharmacy Services, Inc. ( Guardian or the Company ) (NYSE: GRDN), one of

the nation s largest long-term care (LTC) pharmacy services companies, today announced certain preliminary unaudited financial results for the fourth quarter and full year ended December 31, 2024.

Guardian will discuss these preliminary unaudited financial results and guidance during a presentation today at 9:50 a.m. ET at the Raymond James &

Associates 46th Annual Institutional Investors Conference, being held in Orlando, Florida. The live audio webcast of the presentation will be available online at https://investors.guardianpharmacy.com. A replay will also be available at such

location for 30 days.

We re proud to report that we ended the year on a strong note, exceeding our expectations for the fourth quarter and

year ended December 31, 2024. The outperformance was driven by strong organic growth, acquisitions, and the new benefit of the seasonal trend related to conducting vaccine clinics in certain long-term care facilities we serve. Looking ahead, we

enter 2025 well-positioned for success and we remain committed to meeting the needs of all of the residents we serve, said Fred Burke, President & CEO of Guardian.

The selected unaudited results in this press release are preliminary and subject to the Company s normal quarter and

year-end accounting procedures and external audit by the Company s independent registered public accounting firm. Therefore, these preliminary unaudited results are subject to adjustment. In addition,

these preliminary unaudited results are not a comprehensive statement of the Company s financial results for the year ended December 31, 2024 and should not be viewed as a substitute for full, audited financial statements prepared in

accordance with U.S. generally accepted accounting principles ( GAAP ).

Fourth Quarter and Full Year Selected Preliminary Unaudited

Financial Information

Three Months Ended December 31, 2024

Year Ended December 31, 2024

Initial 2025 Full Year Guidance

ending December 31, 2025, Guardian is providing the following guidance:

Guardian has not provided a quantitative reconciliation of forecasted Adjusted EBITDA, a non-GAAP financial measure to

forecasted net income within this communication 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.

Earnings Conference Call Information

announce complete fourth quarter and full year 2024 financial results and host a conference call to discuss such results on Wednesday, March 26, 2025, at 4:30 p.m. ET.

The conference call can also be accessed by dialing +1 (646) 564-2877 for U.S. participants, or +1 (800) 549 8228 for

international participants, and referencing conference ID 69868. A replay will be available online at https:/investors.guardianpharmacy.com shortly after the call s completion and will remain available for approximately 60 days.

About Guardian Pharmacy Services

Services is a leading long-term care 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. As of December 31, 2024, our 51 pharmacies served approximately 186,000 residents in approximately 7,000 LTCFs across 38 states.

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 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 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; the misuse or off-

label use, or errors in the dispensing or administration, of the pharmaceuticals we dispense; and volatility of our stock price. 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, and Management s Discussion and Analysis of Financial Condition and Results of Operations sections

contained in our most recent Quarterly Report on Form 10-Q, which reports are made 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.

Preliminary Unaudited Financial Results

presenting certain preliminary unaudited financial results as of and for the three months and year ended December 31, 2024, based upon the information available to the Company as of the date of this press release. These preliminary unaudited

results are not a comprehensive statement of the Company s results for such periods, and the Company s actual results may differ materially from these preliminary unaudited results. These preliminary unaudited results are inherently

uncertain and subject to change as the Company completes the preparation of its consolidated financial statements and related notes and its financial close procedures for the year ended December 31, 2024. Therefore, you should not place undue

reliance upon this information. The Company s independent registered public accounting firm has not audited, reviewed, compiled or performed any procedures with respect to the preliminary unaudited financial information included herein and,

accordingly, does not express any opinion or any other form of assurance with respect thereto.

The Company currently intends to release its finalized

fourth quarter and full year earnings results on March 26, 2025, and management will hold a conference call to discuss the results at 4:30 p.m. ET on March 26, 2025. You should carefully review the Company s consolidated financial

statements for the year ended December 31, 2024, when they become available.

Use of Non-GAAP Financial

To supplement our results prepared in accordance with GAAP, we also present Adjusted EBITDA, which is a

non-GAAP financial measure. We define Adjusted EBITDA as net income (loss) 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, acquisition accounting adjustments, certain legal and regulatory items, and IPO-related costs. Adjusted EBITDA does

not have a definition under GAAP, and our definition of Adjusted EBITDA may not be the same as, or comparable to, similarly titled measures used by other companies.

We use Adjusted EBITDA to better understand and evaluate our core operating performance and trends. We believe that presenting Adjusted EBITDA 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 rather than the most directly comparable GAAP financial measure, including:

Because of these limitations, Adjusted EBITDA should not be considered in isolation from, or as a substitute

for, financial information prepared in accordance with GAAP. You should consider Adjusted EBITDA alongside other financial measures, including net income and our other financial results presented in accordance with GAAP. For a reconciliation of

Adjusted EBITDA to net income for the historical periods presented herein, please see the reconciliation tables below.

A reconciliation of Adjusted EBITDA to net income, the most directly comparable GAAP

financial measure, are set forth below.