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Income Taxes - Additional Information (Detail) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2024
Dec. 31, 2024
Dec. 31, 2023
Income Taxes [Line Items]      
Effective income tax rate reconciliation, percent (6.85%) (6.85%)  
Effective income tax rate reconciliation, at federal statutory income tax rate, percent 21.00% 21.00% 21.00%
Incremental share-based compensation upon modification $ 125,741    
Payments for merger related costs   $ 55,176  
Deferred tax asset net 5,272 5,272 $ 0
Unrecognized tax benefits $ 0 0 $ 0
Adjustment of Deferred Tax Asset Liability Through Additional Paid in Capital   5,973  
Partnership income of non controlling interest before corporate reorganization   $ 39,115  
Guardian Pharmacy, LLC [Member]      
Income Taxes [Line Items]      
Subsidiary, ownership percentage, parent 100.00% 100.00%