DGX · QUEST DIAGNOSTICS INC
426 filings
DGX SEC Filings
QUEST DIAGNOSTICS INC - 426 total filings
DGX filed 11 annual reports (10-K), 32 quarterly reports (10-Q) and 132 current reports (8-K) between 2016 and 2026.
- 8-K · Jan 28, 2016
- 10-K · Feb 26, 2016
- 8-K · Mar 2, 2016
- 8-K · Mar 16, 2016
- 8-K · Mar 29, 2016
- 8-K · Apr 21, 2016
- 10-Q · Apr 27, 2016
- 8-K · May 18, 2016
- 8-K · May 20, 2016
- 8-K · May 23, 2016
- 8-K · May 26, 2016
- 8-K · Jul 21, 2016
- 10-Q · Jul 25, 2016
- 8-K · Oct 20, 2016
- 10-Q · Oct 21, 2016
- 8-K · Nov 14, 2016
- 8-K · Dec 16, 2016
- 8-K · Jan 26, 2017
- 10-K · Feb 22, 2017
- 8-K · Feb 24, 2017
- 8-K · Apr 20, 2017
- 10-Q · Apr 21, 2017
- 8-K · May 19, 2017
- 10-Q · Jul 25, 2017
- 8-K · Jul 25, 2017
- 8-K · Aug 8, 2017
- 8-K/A · Aug 21, 2017
- 8-K · Sep 5, 2017
- 8-K · Sep 27, 2017
- 10-Q · Oct 19, 2017
- 8-K · Oct 19, 2017
- 8-K · Nov 21, 2017
- 8-K · Feb 1, 2018
- 10-K · Feb 23, 2018
- 8-K · Mar 2, 2018
- 8-K · Apr 19, 2018
- 10-Q · Apr 20, 2018
- 8-K · May 18, 2018
- 8-K · May 25, 2018
- 8-K · Jul 24, 2018
- 10-Q · Jul 25, 2018
- 8-K · Aug 21, 2018
- 8-K · Oct 23, 2018
- 10-Q · Oct 24, 2018
- 8-K · Nov 28, 2018
- 8-K · Feb 14, 2019
- 10-K · Feb 21, 2019
- 8-K · Feb 22, 2019
- 8-K · Mar 4, 2019
- 8-K · Mar 12, 2019
- 8-K · Apr 1, 2019
- 8-K · Apr 23, 2019
- 10-Q · Apr 24, 2019
- 8-K · Apr 29, 2019
- 8-K · May 17, 2019
- 8-K/A · May 17, 2019
- 8-K · Jun 3, 2019
- 8-K · Jul 23, 2019
- 10-Q · Jul 24, 2019
- 8-K · Oct 22, 2019
- 10-Q · Oct 23, 2019
- 8-K · Nov 21, 2019
- 8-K · Dec 12, 2019
- 8-K · Dec 17, 2019
- 8-K · Jan 30, 2020
- 10-K · Feb 20, 2020
- 8-K · Mar 16, 2020
- 8-K · Mar 31, 2020
- 8-K · Apr 13, 2020
- 8-K · Apr 22, 2020
- 10-Q · May 4, 2020
- 8-K · May 4, 2020
- 8-K · May 13, 2020
- 8-K · May 21, 2020
- 8-K · Jun 3, 2020
- 8-K · Jun 24, 2020
- 8-K · Jul 13, 2020
- 8-K · Jul 23, 2020
- 10-Q · Jul 24, 2020
- 8-K · Aug 25, 2020
- 8-K · Sep 10, 2020
- 8-K · Oct 22, 2020
- 10-Q · Oct 23, 2020
- 8-K · Nov 19, 2020
- 8-K · Dec 16, 2020
- 8-K · Feb 4, 2021
- 10-K · Feb 22, 2021
- 8-K · Feb 23, 2021
- 8-K · Feb 23, 2021
- 8-K · Mar 11, 2021
- 8-K · Apr 22, 2021
- 10-Q · Apr 23, 2021
- 8-K · Apr 28, 2021
- 8-K · May 25, 2021
- 8-K · Jul 22, 2021
- 10-Q · Jul 23, 2021
- 8-K · Aug 17, 2021
- 8-K · Aug 18, 2021
- 8-K/A · Aug 19, 2021
- 8-K · Sep 9, 2021
- 8-K · Oct 8, 2021
- 8-K · Oct 21, 2021
- 10-Q · Oct 22, 2021
- 8-K · Jan 12, 2022
- 8-K · Feb 3, 2022
- 8-K · Feb 3, 2022
- 10-K · Feb 28, 2022
- 8-K/A · Mar 1, 2022
- 8-K · Mar 1, 2022
- 8-K · Mar 2, 2022
- 8-K · Apr 21, 2022
- 10-Q · Apr 22, 2022
- 8-K · May 20, 2022
- 8-K · May 20, 2022
- 8-K · May 25, 2022
- 8-K · Jun 14, 2022
- 8-K/A · Jul 1, 2022
- 8-K · Jul 21, 2022
- 10-Q · Jul 22, 2022
- 8-K · Oct 20, 2022
- 10-Q · Oct 21, 2022
- 8-K · Oct 28, 2022
- 8-K · Nov 1, 2022
- 8-K · Nov 18, 2022
- 8-K · Feb 2, 2023
- 10-K · Feb 21, 2023
- 8-K · Mar 7, 2023
- 8-K · Mar 17, 2023
- 8-K · Apr 27, 2023
- 10-Q · Apr 28, 2023
- 8-K · May 19, 2023
- 8-K · Jul 26, 2023
- 10-Q · Jul 27, 2023
- 8-K · Sep 29, 2023
- 8-K · Oct 24, 2023
- 10-Q · Oct 25, 2023
- 8-K · Nov 1, 2023
- 8-K · Feb 1, 2024
- 10-K · Feb 22, 2024
- 8-K · Apr 23, 2024
- 10-Q · Apr 24, 2024
- 8-K · May 21, 2024
- 8-K · May 21, 2024
- 8-K · Jul 3, 2024
- 8-K · Jul 23, 2024
- 10-Q · Jul 24, 2024
- 8-K · Aug 19, 2024
- 8-K · Aug 29, 2024
- 8-K · Oct 22, 2024
- 10-Q · Oct 23, 2024
- 8-K · Jan 30, 2025
- 10-K · Feb 20, 2025
- 8-K · Mar 19, 2025
- 8-K · Mar 19, 2025
- 8-K · Apr 22, 2025
- 10-Q · Apr 23, 2025
- 8-K · May 22, 2025
- 8-K · Jul 22, 2025
- 10-Q · Jul 23, 2025
- 10-Q · Oct 21, 2025
- 8-K · Oct 21, 2025
- 8-K · Jan 12, 2026
- 8-K · Feb 10, 2026
- 10-K · Feb 26, 2026
- 8-K · Mar 12, 2026
- 8-K · Apr 21, 2026
- 10-Q · Apr 22, 2026
- 8-K · May 1, 2026
- 8-K · May 8, 2026
- 8-K · May 21, 2026
- 10-Q · Jul 23, 2026
- 8-K · Jul 23, 2026
- 8-K · Oct 6, 2026
- 8-K · Oct 22, 2026
- 8-K · Oct 22, 2026
QUEST DIAGNOSTICS INC 8-K Report, Financial Results (Oct 22, 2026)
Quest Diagnostics Incorporated (DGX) reported strong third quarter 2026 financial results, exceeding expectations and prompting an upward revision of its full-year 2026 guidance. The company announced total revenues of $3.10 billion, a 10.0% increase year-over-year, driven by robust organic revenue growth. Reported diluted EPS rose by 28.7% to $2.78, with adjusted diluted EPS growing 15.4% to $3.00. This performance has led Quest Diagnostics to raise its full-year revenue guidance to a range of $12.065 billion to $12.105 billion and its adjusted diluted EPS guidance to $11.25-$11.35. The company attributes its success to strong performance across physician, hospital, and consumer channels, augmented by efficiency gains from automation and AI, and highlighted strategic initiatives such as expanding its Alzheimer's diagnostic offerings and an integration with Apple Health.
QUEST DIAGNOSTICS INC 8-K Report, Corporate Update (Oct 22, 2026)
Quest Diagnostics Incorporated (DGX) reported on October 22, 2026, an Item 8.01 filing concerning a cybersecurity incident discovered on October 21, 2026. The company identified unauthorized access to its Quanum LSM system, a platform used by clients for test ordering and results retrieval. Quest Diagnostics has initiated its cybersecurity response protocols, including notifying federal law enforcement and engaging external experts to investigate the nature and scope of the breach. While the full extent of the incident is still under investigation, the company currently believes that certain patient records may have been accessed. Importantly, Quest Diagnostics stated that this incident has not materially disrupted its business operations or its ability to serve patients. Investors should note that forward-looking statements within this filing are subject to risks and uncertainties, including the potential impact of this incident and other factors outlined in the company's SEC filings.
QUEST DIAGNOSTICS INC 8-K Report, Executive Changes (Oct 6, 2026)
Quest Diagnostics Incorporated (DGX) has announced a significant leadership transition involving Catherine T. Doherty, who will retire in July 2027. To ensure a smooth handover and leverage her expertise, Ms. Doherty will transition from her current role to Executive Vice President, effective November 1, 2026. In this new capacity, she will focus on key strategic areas including health systems, the company's joint venture with Corewell Health, and Project Nova, a critical initiative aimed at modernizing the "Order to Cash" business processes and associated IT infrastructure. This transition is accompanied by adjustments to Ms. Doherty's compensation and incentive structure. Her base salary of $650,000 and target annual incentive compensation remain unchanged. However, she will receive a long-term equity award valued at $1,200,000, entirely in restricted stock units, granted on November 3, 2026. This award aligns with the terms of other senior executive long-term incentives. Investors should note that this filing does not involve any new financial performance disclosures or material changes in business operations beyond this executive transition.
QUEST DIAGNOSTICS INC Quarterly Report for Q2 Ended Jun 30, 2026
Quest Diagnostics Inc. (DGX) reported a solid financial performance for the second quarter and the first half of 2026, demonstrating robust top-line growth and improved profitability. Total net revenues increased by 10.2% for the quarter and 9.7% for the six-month period, primarily driven by a significant increase in volume within the Diagnostic Information Services (DIS) segment. This growth was bolstered by new relationships, including the collaborative lab solutions with Corewell Health and increased testing for Fresenius Medical Care. Despite some headwinds such as a slight decrease in revenue per requisition due to business mix, the company managed operating costs effectively, leading to an increase in operating income of 4.6% for the quarter and 9.4% for the year-to-date period. Net income attributable to Quest Diagnostics also saw substantial growth, rising by 13.4% for the quarter and 13.9% for the six months. The company also continued its focus on capital allocation, with increased share repurchases and dividend payments, reflecting confidence in its financial position and future prospects.
QUEST DIAGNOSTICS INC 8-K Report, Financial Results (Jul 23, 2026)
Quest Diagnostics (DGX) reported strong second-quarter 2026 results, with net revenues of $3.04 billion, up 10.2% year over year, and 10.0% organic revenue growth. Requisition volume rose 13.1%, though revenue per requisition declined 2.8%, indicating that growth is being driven by volume rather than pricing or mix. Reported diluted EPS was $2.84 (up 15.0%), and adjusted diluted EPS was $3.12 (up 19.1%). Operating income grew 4.6% on a reported basis, with the operating margin falling to 15.1% from 15.9%, while the adjusted operating margin declined to 16.5% from 16.9%. Cash from operations rose 9.7% to $597 million for the quarter. Management raised full-year 2026 guidance. Net revenues are now expected at $11.95 to $12.05 billion (8.3% to 9.2% growth), up from $11.78 to $11.90 billion. Reported diluted EPS is now $9.97 to $10.17, and adjusted diluted EPS is $11.05 to $11.25, up from $10.63 to $10.83. Management attributed part of the EPS raise to favorable resolution of tax contingencies in the quarter, and the adjusted effective tax rate is expected to be consistent with 2025. Guidance for operating cash flow was lowered to approximately $1.75 billion from approximately $1.80 billion, which is a point investors should weigh against the earnings increase. Capital expenditures are unchanged at approximately $550 million. The balance sheet shows total debt of roughly $5.64 billion, down from about $5.67 billion at year-end 2025, with cash of $626 million. Accounts receivable rose 18% to $1.67 billion, which contributed to the year-to-date cash flow drag. Goodwill increased to $9.11 billion, and noncontrolling interests rose sharply to $303 million from $36 million, reflecting the Corewell Health joint venture. Share repurchases totaled $100 million in the quarter, with $1.3 billion remaining under the authorization.
QUEST DIAGNOSTICS INC 8-K Report, Shareholder Vote Results (May 21, 2026)
Quest Diagnostics Inc. (DGX) filed an 8-K report on May 21, 2026, detailing the results of its 2026 Annual Meeting of Stockholders held on May 20, 2026. The primary focus of this filing is the voting outcomes on key corporate governance matters, including director elections and executive compensation. The company saw overwhelming support for its nominated directors, with all nominees being re-elected with substantial 'For' votes, indicating strong shareholder confidence in the current board leadership. Furthermore, shareholders approved the executive compensation as disclosed in the 2026 Proxy Statement through an advisory resolution, and also ratified the appointment of PricewaterhouseCoopers as the independent registered public accounting firm for the fiscal year 2026. Notably, a stockholder proposal advocating for an independent board chairman was not approved, reflecting a preference for the current board structure. Overall, the results signal a positive shareholder sentiment regarding the company's governance and financial oversight.
QUEST DIAGNOSTICS INC 8-K Report, Material Agreement (May 8, 2026)
Quest Diagnostics Incorporated (DGX) has announced the issuance of $500 million in aggregate principal amount of 5.000% senior notes due 2036. This offering, detailed under Item 1.01 of their Form 8-K filed on May 8, 2026, represents a significant debt financing event for the company. The notes will mature on June 30, 2036, and will bear interest payable semi-annually. These senior unsecured notes rank equally with existing and future senior unsecured obligations of Quest Diagnostics. The issuance is governed by an indenture, which includes covenants restricting the company and certain subsidiaries from creating specific liens and entering into certain sale and leaseback transactions. Additionally, limitations are placed on the company's ability to consolidate, merge, or transfer substantially all of its assets. In the event of a change of control triggering event, Quest Diagnostics will be obligated to offer to repurchase the notes at 101% of their principal amount plus accrued interest.
QUEST DIAGNOSTICS INC 8-K Report, Corporate Update (May 1, 2026)
On May 1, 2026, Quest Diagnostics (NYSE: DGX) disclosed via Form 8-K that it priced a public offering of $500 million aggregate principal amount of 5.000% senior notes due 2036 under its existing shelf registration statement. The offering was priced on April 27, 2026, with closing expected on May 6, 2026, subject to customary conditions. Goldman Sachs & Co. LLC, J.P. Morgan Securities LLC, and Mizuho Securities USA LLC are the underwriters named in the Underwriting Agreement dated April 27, 2026. The company stated that it intends to use net proceeds for general corporate purposes, which may include repaying indebtedness. Notably, the filing specifically identifies the company's $500 million 3.45% Senior Notes maturing June 1, 2026 as a potential repayment target. This suggests the new issuance is at least partly a refinancing of a near-term maturity, which would largely keep total debt roughly unchanged while extending the maturity profile to 2036 and replacing a 3.45% coupon with a 5.000% coupon. For investors, the transaction is a routine debt refinancing rather than a signal of new strategic activity. The higher coupon implies increased annual interest expense on the refinanced amount, and the filing does not disclose use of proceeds for acquisitions, buybacks, or other growth initiatives. The 8-K contains no new operating, financial performance, or guidance information.
QUEST DIAGNOSTICS INC Quarterly Report for Q1 Ended Mar 31, 2026
Quest Diagnostics Inc. reported a strong first quarter for 2026, with net revenues increasing by 9.2% to $2.9 billion, driven primarily by a robust 9.4% growth in its Diagnostic Information Services (DIS) segment. This growth was fueled by a significant 10.9% increase in requisition volume, bolstered by new relationships with Corewell Health and expanded services at Fresenius Medical Care facilities, although revenue per requisition saw a slight decrease due to the business mix of these new partnerships. Diluted earnings per share also saw a healthy rise to $2.24, up from $1.94 in the prior year period, reflecting improved operational performance and cost management. The company also demonstrated solid cash flow generation, with net cash provided by operating activities at $278 million. Financially, Quest Diagnostics maintained a solid position, with total assets growing to $16.7 billion and total stockholders' equity increasing to $7.7 billion. The company's Invigorate program continues to be a focus, aiming for annual cost savings and productivity improvements, which are helping to offset inflationary pressures. Despite some charges related to restructuring and fair value adjustments of contingent considerations, the overall financial health appears robust, supported by continued strategic investments and a substantial share repurchase authorization.
QUEST DIAGNOSTICS INC 8-K Report, Financial Results (Apr 21, 2026)
Quest Diagnostics (DGX) reported first quarter 2026 results on April 21, 2026, with net revenues of $2.90 billion, up 9.2% year over year, including 9.0% organic growth. Growth was driven primarily by volume: requisition volume rose 10.9% (10.8% organic), partly offset by a 1.3% decline in revenue per requisition. Operating income rose 15.5% to $399 million, and operating margin expanded 80 basis points to 13.8%. Reported diluted EPS was $2.24, up 15.5%, and adjusted diluted EPS was $2.50, up 13.1%. Adjustments for amortization, restructuring, contingent consideration and ETB were the main drivers of the gap between GAAP and adjusted results. Management raised full-year 2026 guidance. Net revenue is now expected at $11.78 billion to $11.90 billion, up 6.8% to 7.8%, compared with the prior $11.70 billion to $11.82 billion. Reported diluted EPS is now $9.58 to $9.78 (previously $9.45 to $9.65), and adjusted diluted EPS is $10.63 to $10.83 (previously $10.50 to $10.70). Cash from operations and capital expenditures guidance was unchanged at roughly $1.75 billion and $550 million, respectively. Cash generation in the quarter was softer, with operating cash flow down 11.6% to $278 million, mainly due to a $180 million increase in accounts receivable. The balance sheet shows goodwill and intangibles increasing from acquisitions, and total debt was roughly $5.66 billion at quarter end, with $38 million spent on business acquisitions in the quarter. Noncontrolling interests rose sharply from $36 million to $300 million, which is notable and was not explained in the excerpted filing. Overall, the quarter was strong on volume, earnings and guidance, with working capital and cash conversion the primary points to monitor.
QUEST DIAGNOSTICS INC 8-K Report, Executive Changes (Mar 12, 2026)
Quest Diagnostics (DGX) filed an 8-K on March 12, 2026 disclosing that its Board of Directors elected Timothy Wentworth as a new independent director, effective March 9, 2026. Wentworth, 65, is the former CEO of Walgreens Boots Alliance, where he oversaw restructuring ahead of the company's mid-2025 sale to Sycamore Partners. He previously served as founding CEO of Evernorth Health Services (The Cigna Group) and as president and CEO of Express Scripts. The Board raised the board's size to eleven members with his addition. He was assigned to the Compensation and Leadership Development Committee and the Quality and Compliance Committee, and the Board determined he meets NYSE independence standards. The filing is governance-focused rather than financial. It contains no earnings, guidance, or financial results. Wentworth's compensation follows the standard non-employee director program, including a prorated one-time restricted share unit grant valued at approximately $43,000. The press release, filed as Exhibit 99.1, quotes Chairman, CEO and President Jim Davis praising his experience across health plan, employer and consumer channels, and Lead Independent Director Timothy Ring highlighting his operational expertise in large healthcare companies. For investors, the appointment is a modest governance development. Wentworth's experience in pharmacy benefit management, health plans and consumer health aligns with Quest's stated channels, which may be relevant to its strategy with payers and employers. The filing does not indicate any change in strategy, leadership at the executive officer level, or financial outlook.
QUEST DIAGNOSTICS INC Annual Report, Year Ended Dec 31, 2025
Quest Diagnostics (DGX) reported 2025 net revenues of $11.0 billion, up 11.8% year over year, with organic growth of 5.3%. Operating income rose 15.6% to $1.56 billion, and diluted EPS increased 13.8% to $8.75. Growth was driven largely by acquisitions, including Spectra Laboratories assets and the full-year contribution of LifeLabs, which together added roughly 6.7% to DIS revenue. Organic requisition volume grew 3.4%, while revenue per requisition rose only 0.1% (2.4% organic), reflecting lower-revenue LifeLabs volume. Operating cash flow improved to $1.89 billion from $1.33 billion, aided partly by lower cash taxes from the OBBBA and a CARES Act payroll tax credit, and capital expenditures rose to $527 million. Capital returns were expanded. The Board raised the quarterly dividend 7.5% to $0.86 and added $1 billion to the buyback authorization, bringing remaining capacity to $1.4 billion. Total debt stood at about $5.7 billion, with $500 million of 3.45% notes due June 2026 and about $1.3 billion of undrawn credit capacity. Management guides to roughly $550 million of 2026 capex and about $60 million of Project Nova spending that year. Key risks for investors include continued Medicare reimbursement pressure under PAMA, the anticipated effect of OBBBA and expiring enhanced ACA premium tax credits (estimated at up to 50-60 basis points of revenue pressure by 2028), growing health plan utilization management, and the execution risk of the multi-year Project Nova and Invigorate programs. Ongoing legal and government investigations, including a Corporate Integrity Agreement with HHS, also remain relevant. The company also disclosed a $29 million impairment tied to a business exit and a $154 million amortization charge. The company is valued on a reasonable basis, but it carries meaningful reimbursement and integration risk.
QUEST DIAGNOSTICS INC 8-K Report, Financial Results (Feb 10, 2026)
Quest Diagnostics (DGX) reported strong fourth-quarter and full-year 2025 results and issued 2026 guidance. Q4 net revenues were $2.81 billion, up 7.1% year over year, with reported diluted EPS of $2.18 (up 11.8%) and adjusted diluted EPS of $2.42 (up 8.5%). For the full year, net revenues rose 11.8% to $11.04 billion, reported diluted EPS rose 13.8% to $8.75, and adjusted diluted EPS rose 10.3% to $9.85. Full-year operating cash flow reached $1.89 billion, up 41.4%. Organic requisition volume growth accelerated to 7.9% in Q4 from 3.4% for the full year, though revenue growth also reflects acquisitions completed in 2024. Management also noted a $46 million one-time CARES Act payroll tax credit gain in 2025 results, which is excluded from adjusted EPS but boosts reported EPS. For 2026, the company guided to net revenues of $11.70 billion to $11.82 billion (6.0% to 7.1% growth), reported diluted EPS of $9.45 to $9.65, and adjusted diluted EPS of $10.50 to $10.70. Guidance calls for operating cash flow of about $1.75 billion, below 2025's $1.89 billion, and capital expenditures of about $550 million. Investors should note that the implied decline in operating cash flow contrasts with the strong 2025 result. Capital return was also expanded. The Board raised the quarterly dividend 7.5% to $0.86 per share from $0.80, effective with the April 20, 2026 payment (record date April 6, 2026), for an annualized dividend of $3.44. The Board also added $1 billion to the share repurchase authorization, on top of roughly $0.4 billion remaining at year-end 2025. The company marked its 15th consecutive year of dividend increases.
QUEST DIAGNOSTICS INC 8-K Report, Financial Results (Jan 12, 2026)
Quest Diagnostics (DGX) filed this Form 8-K on January 12, 2026 to furnish the slide presentation CEO Jim Davis delivered at the 44th Annual J.P. Morgan Healthcare Conference. The filing is a Regulation FD disclosure rather than an earnings release: it contains no new quarterly results, no revised guidance for a specific period, and no transaction or governance change. Its substance is management's strategic framing: a roughly $89 billion U.S. lab market growing 1%-4% annually, a Canadian business (LifeLabs) in a roughly $5 billion market, and a long-term outlook beyond 2025 of 4%-5% revenue CAGR and 7%-9% adjusted EPS CAGR, with operating margin expansion of 75-150 basis points by the end of 2027. The capital allocation framework is the most investor-relevant element. For 2025-2027, management targets $4.5-5.0 billion in operating cash flow, $1.5-1.7 billion in capital expenditures, and $3.0-3.3 billion in free cash flow. Planned uses are about $1.5 billion for acquisitions, roughly $1.0 billion in dividends, and about $0.7 billion in share repurchases to offset option dilution. Management says these targets are consistent with its March 2025 Investor Day, which signals continuity rather than a change in plans. M&A is presented as a central growth lever, with about $2.8 billion deployed over three years to generate over $1 billion in annual revenue, and acquisitions are screened for year-one adjusted EPS accretion and at least 10% ROIC by year three. Growth narratives emphasize advanced diagnostics (about $1 billion in 2025 revenue across five clinical areas, with double-digit growth expected), the Collaborative Lab Solutions hospital-partnership business (about $800 million in 2025 revenue, targeted at about $1 billion in 2026 including Corewell Health), consumer-initiated testing and wellness partnerships, and a 3% annual productivity target through the Invigorate program. The presentation contains no quantified 2026 guidance, and the adjusted EPS and operating margin figures are non-GAAP with no GAAP reconciliation provided, which investors should keep in mind when weighing these targets.
QUEST DIAGNOSTICS INC 8-K Report, Financial Results (Oct 21, 2025)
Quest Diagnostics (DGX) reported third quarter 2025 results on October 21, 2025, with revenues of $2.82 billion, up 13.1% year over year, including 6.8% organic growth. Reported diluted EPS was $2.16 (up 8.5%), and adjusted diluted EPS was $2.60 (up 13.0%). Year-to-date operating cash flow reached $1.4 billion, up 63.1%, driven largely by working capital and tax dynamics that management highlighted alongside improved profitability. Adjusted operating margin expanded 80 basis points to 16.3%, though reported GAAP results include restructuring, legal, and amortization items that investors should weigh alongside the adjusted figures. Management raised full-year 2025 guidance. Net revenue is now expected at $10.96 to $11.00 billion (11.0% to 11.4% growth), up from $10.80 to $10.92 billion. Reported diluted EPS guidance is $8.58 to $8.66 (narrowed and lowered at the low end versus the prior $8.60 to $8.80 range), while adjusted diluted EPS guidance rose to $9.76 to $9.84 from $9.63 to $9.83. Operating cash flow guidance was lifted substantially to approximately $1.8 billion from approximately $1.55 billion. Strategically, the company announced a lab services joint venture with Corewell Health in Michigan, with Co-Lab Solutions expected to reach roughly $1 billion in annual revenue next year across 21 hospitals. It also completed the acquisition of select dialysis testing assets from Fresenius Medical Care and began scaling testing for its U.S. dialysis centers, and formed consumer channel collaborations with WHOOP and OURA. The filing is a Form 8-K furnishing the earnings press release under Item 2.02, and the disclosed figures are unaudited.
QUEST DIAGNOSTICS INC Quarterly Report for Q3 Ended Sep 30, 2025
Quest Diagnostics reported solid financial performance for the nine months ended September 30, 2025, with net revenues increasing by 13.5% to $8.2 billion, driven significantly by acquisitions and organic growth within its Diagnostic Information Services (DIS) segment. Net income attributable to Quest Diagnostics grew by 15.0% to $747 million, and diluted earnings per share (EPS) rose by 14.5% to $6.57. The company generated substantial operating cash flow of $1.4 billion, reflecting improved operational efficiency and the positive impact of the CARES Act payroll tax credit. Strategic investments continue, including capital expenditures and the ongoing 'Invigorate' program aimed at cost savings and productivity improvements. While the company experienced increased interest expenses due to recent debt issuance and higher operating costs, including wages and supplies, these were largely offset by revenue growth and cost-saving initiatives. Management remains focused on navigating potential impacts from new healthcare legislation like the OBBBA and the expiration of enhanced premium tax credits, though current estimates suggest a minimal impact on near-term revenues. The company also actively managed its capital structure through debt repayments and share repurchases, demonstrating a commitment to shareholder returns and financial flexibility.
QUEST DIAGNOSTICS INC Quarterly Report for Q2 Ended Jun 30, 2025
Quest Diagnostics Inc. reported strong financial performance for the second quarter and first six months of 2025, with net revenues increasing significantly year-over-year, primarily driven by its Diagnostic Information Services (DIS) segment. This growth was fueled by a substantial increase in requisition volume, largely attributed to recent acquisitions, alongside positive organic growth. The company also saw an increase in revenue per requisition on an organic basis, indicating improving test mix and utilization. Profitability also showed a marked improvement, with operating income and net income attributable to Quest Diagnostics rising considerably. This was supported by effective cost management, including savings from the 'Invigorate' program, though partially offset by increased costs associated with acquisitions and wage inflation. The company continues to manage its capital structure prudently, with healthy cash flow from operations and significant available borrowing capacity. Looking ahead, Quest Diagnostics is navigating evolving healthcare legislation, such as the One Big Beautiful Bill Act, and currently anticipates a minimal material impact on its consolidated revenues in the near term.
QUEST DIAGNOSTICS INC 8-K Report, Financial Results (Jul 22, 2025)
Quest Diagnostics (DGX) reported strong second quarter 2025 results on July 22, 2025, with net revenues of $2.76 billion, up 15.2% year over year. Organic revenue growth was 5.2%, and the balance of the increase came from acquisitions. Reported diluted EPS was $2.47, up 21.7%, while adjusted diluted EPS was $2.62, up 11.5%. Operating income rose 23.3% to $438 million, and operating margin expanded to 15.9% from 14.8%. Year-to-date cash from operations reached $858 million, up 67.1%, supported by working capital and other operating asset and liability changes. Management raised full-year 2025 guidance. Net revenues are now expected at $10.80–$10.92 billion (9.4%–10.6% growth), up from $10.70–$10.85 billion. Reported diluted EPS is now $8.60–$8.80, narrowed and slightly lower at the low end than the prior $8.62–$8.87 range, while adjusted diluted EPS rose to $9.63–$9.83 from $9.55–$9.80. Operating cash flow guidance was increased to approximately $1.55 billion from $1.5 billion, and capital expenditures remain at about $500 million. Quality of earnings warrants attention. Q2 reported EPS benefited from a $46 million pre-tax CARES Act payroll tax credit gain, which is excluded from adjusted results. Interest expense rose to $67 million from $44 million, reflecting higher debt following acquisitions, and the company's cash balance fell to $319 million from $549 million at year-end 2024 after debt repayments. Revenue per requisition declined 0.4%, and growth in requisition volume (16.3%) was largely acquisition-driven, with organic requisition volume growing only 2.1%.
QUEST DIAGNOSTICS INC 8-K Report, Shareholder Vote Results (May 22, 2025)
Quest Diagnostics Inc. (DGX) filed an 8-K on May 22, 2025, reporting the voting results from its 2025 Annual Meeting of Stockholders held on May 15, 2025. The filing confirms the election of all nominated directors to serve until the 2026 Annual Meeting, with overwhelming support from shareholders. Additionally, the advisory resolution on executive compensation was approved, reflecting shareholder confidence in the company's pay practices. The appointment of PricewaterhouseCoopers as the independent registered public accounting firm for 2025 also received strong ratification from stockholders. Notably, a stockholder proposal seeking the ability to call a special meeting did not pass, indicating that current governance structures remain favored by the majority. Overall, the results suggest a stable shareholder base supportive of current management and board leadership.
QUEST DIAGNOSTICS INC Quarterly Report for Q1 Ended Mar 31, 2025
Quest Diagnostics Inc. (DGX) reported its first quarter 2025 results with a notable increase in net revenues, primarily driven by recent acquisitions and organic growth within its Diagnostic Information Services (DIS) segment. Net revenues grew by 12.1% year-over-year, reaching $2.65 billion. The company demonstrated improved operating income and net income, with diluted earnings per share (EPS) rising to $1.94 from $1.72 in the prior year's quarter. Cash flow from operations saw a significant increase, highlighting improved working capital management and higher operating income. While the company repaid $600 million in senior notes, it also utilized its secured receivables credit facility for new borrowings. Management remains confident in the company's liquidity and ability to fund future operations, capital expenditures, and growth initiatives.
QUEST DIAGNOSTICS INC 8-K Report, Financial Results (Apr 22, 2025)
Quest Diagnostics (DGX) reported first quarter 2025 results on April 22, 2025, with net revenues of $2.65 billion, up 12.1% year over year. Management cited roughly 2.5% organic growth, with the remainder driven by acquisitions and large enterprise accounts, demand for its advanced diagnostics portfolio, and expanded health plan access. Reported diluted EPS was $1.94 (up 12.8%), and adjusted diluted EPS was $2.21 (up 8.3%). Adjusted operating margin expanded to 15.3% from 14.8%, while reported operating margin rose to 13.0% from 12.7%. Organic requisition volume declined 0.9%, which is a point investors will want to watch, since headline growth relied heavily on acquired volume and pricing contributions. Cash flow was a bright spot, with operating cash flow of $314 million, up 103% from $154 million a year earlier, though that comparison benefited from a weak prior-year quarter. Interest expense more than doubled to $67 million from $43 million, reflecting higher debt levels following borrowings to refinance maturing notes. Cash and equivalents fell sharply to $188 million from $549 million at year-end 2024, and total debt rose modestly as the company repaid $600 million of debt and borrowed $215 million. Management reaffirmed full-year 2025 revenue guidance of $10.70 to $10.85 billion (8.4% to 9.9% growth) and adjusted diluted EPS guidance of $9.55 to $9.80. Reported diluted EPS guidance was raised to $8.62 to $8.87 from $8.34 to $8.59, largely reflecting a $46 million one-time payroll tax credit gain under the CARES Act and an $8 million non-recurring lease gain. Operating cash flow guidance was lowered to approximately $1.45 billion from $1.5 billion, although the press release table is ambiguous on this point and the direction should be confirmed against the full release.
QUEST DIAGNOSTICS INC 8-K Report, Regulation FD Disclosure (Mar 19, 2025)
Quest Diagnostics (DGX) furnished investor day materials on March 19, 2025 under Item 7.01 (Regulation FD), with four presentations from Jim Davis, Karthik Kuppusamy, Cathy Doherty and Alex Louis, and Sam Samad. The filing contains no new financial results. Its substance is management's long-term framework: a 4%-5% revenue CAGR and a 7%-9% adjusted EPS CAGR beyond 2025, anchored by 2025 guidance of $10.70B-$10.85B in revenue and adjusted EPS of $9.55-$9.80. The strategic pillars are growth in physician and hospital channels, expansion of advanced diagnostics (about $900 million in 2024 revenue, with management expecting double-digit growth across five clinical areas), and continued hospital outreach acquisitions. Management highlighted the CoLab hospital management business (about $800 million in revenue, targeting over $1 billion), eight acquisitions completed in 2024 expected to generate roughly $1 billion in annualized revenue, and a 3% annual productivity target through the Invigorate program. Project Nova, a $250M-$310M multi-year IT and order-to-cash modernization running through 2031, is a notable cost and capex commitment whose benefits ramp from 2027. For investors, the key points are the capital allocation framework (returning the majority of free cash flow to shareholders, with 2025-2027 capex of $1.5B-$1.7B and free cash flow of $3.0B-$3.3B) and the stated potential upside from a return of PAMA lab fee cuts. Because the figures are management targets and rely on non-GAAP measures, they carry execution and forward-looking risk, as the filing's safe-harbor language notes.
QUEST DIAGNOSTICS INC 8-K Report, Regulation FD Disclosure (Mar 19, 2025)
Quest Diagnostics (DGX) held its 2025 Investor Day on March 19, 2025, using the event to lay out strategies for sustainable growth and a long-term financial outlook beyond 2025. Management projects revenue growth of 4-5% CAGR and adjusted diluted EPS growth of 7-9% CAGR beyond 2025. Importantly, the company reaffirmed its full-year 2025 guidance, which calls for net revenues of $10.70-$10.85 billion (8.4%-9.9% growth), reported diluted EPS of $8.34-$8.59, and adjusted diluted EPS of $9.55-$9.80, alongside operating cash flow of roughly $1.45 billion and capital expenditures of roughly $500 million. The strategic framework centers on above-market growth in physician and hospital channels, double-digit growth in advanced diagnostics across five clinical areas (oncology, cardiometabolic health, women's health, brain health, and autoimmune disorders), and contributions from strategic partnerships and acquisitions. Operational initiatives include a 3% annual productivity and cost-savings program (Invigorate), automation/AI investments, and Project Nova, a multi-year IT modernization effort intended to lower long-term IT costs. Management also stated a capital allocation policy of returning the majority of free cash flow to shareholders while funding strategic investments and acquisitions. A notable near-term caveat is that worse-than-anticipated first-quarter 2025 weather is expected to reduce revenue by about $25 million and EPS by about $0.10. The filing is a Regulation FD disclosure, so the materials are furnished rather than filed, and the long-term targets are forward-looking and subject to the risks listed in the company's SEC filings.
QUEST DIAGNOSTICS INC Annual Report, Year Ended Dec 31, 2024
Quest Diagnostics (DGX) closed 2024 with net revenues of $9.87 billion, up 6.7% from $9.25 billion in 2023, and diluted EPS of $7.69, up 2.7%. Growth was driven mainly by acquisitions, which contributed roughly 3.9 points to DIS revenue growth, and by a 1.3% increase in revenue per requisition. Organic requisition volume grew only 0.7%, and COVID-19 testing continued to decline, so the underlying base-business growth (DIS revenue up 9.0% including acquisitions, with requisitions up 6.2%) is meaningfully flattered by M&A. Operating income rose 6.7% to $1.35 billion, but the operating margin was flat at 13.6% because cost of services and SG&A grew in line with revenue, and the company absorbed $127 million of intangible amortization and $62 million of restructuring and integration charges. Management attributes roughly $1.24 of 2024 diluted EPS to these items on a net basis. The defining event of the year was the roughly $2.2 billion of acquisitions, most notably LifeLabs in Canada (about $1 billion, funded with an $1.85 billion senior notes offering) and a series of outreach lab purchases from hospital systems including Allina Health, OhioHealth and University Hospitals. Management targets acquisitions that add about 1-2% of revenue per year, so 2024 was well above that pace. Free cash flow is thinner than the headline suggests: operating cash flow was $1.33 billion against $425 million of capital expenditures, and total debt rose to about $6.2 billion. Leverage increased while the company stated a continued commitment to an investment-grade rating, and it raised its quarterly dividend 6.7% to $0.80 per share while repurchasing only $150 million of stock during the year. Investors should weigh the strategic growth in Advanced Diagnostics, the MRD and Alzheimer's testing pipeline, and cost programs such as Invigorate against several watch items disclosed in the filing. These include PAMA Medicare reimbursement cuts, which Congress has delayed but which could resume in 2026, the FDA's phase-out of enforcement discretion for laboratory-developed tests, and a shift toward capitated payment arrangements, which rose to about 5% of revenue. The filing also notes a new multi-year "Project Nova" order-to-cash modernization program costing an estimated $250-310 million, and the risk of changes in federal healthcare policy following the 2024 U.S. presidential election.
QUEST DIAGNOSTICS INC 8-K Report, Financial Results (Jan 30, 2025)
Quest Diagnostics (DGX) reported fourth quarter and full year 2024 results on January 30, 2025, posting strong top-line growth driven largely by acquisitions. Q4 net revenues rose 14.5% to $2.62 billion, with requisition volume up 13.9% but organic requisition volume up only 0.6%, indicating growth was primarily acquisition-driven (including LifeLabs in Canada). Full-year revenues reached $9.87 billion, up 6.7%, with roughly 3% from organic growth. Reported diluted EPS for Q4 was $1.95 (up 14.7%), while adjusted diluted EPS was $2.23 (up 3.7%). Full-year reported diluted EPS was $7.69 (up 2.7%) and adjusted diluted EPS was $8.93 (up 2.5%). Adjusted operating margin for the full year held at 15.6%, down slightly from 15.8% in 2023, while reported operating margin was flat at 13.6%. For 2025, management guided to net revenues of $10.70 to $10.85 billion (8.4% to 9.9% growth), reported diluted EPS of $8.34 to $8.59, and adjusted diluted EPS of $9.55 to $9.80. Cash from operations is expected to be about $1.45 billion and capex about $500 million. Balance sheet leverage increased meaningfully: long-term debt plus current portion rose to roughly $6.2 billion from $4.7 billion, largely to fund $2.16 billion in 2024 acquisitions, which increased goodwill and intangibles. Management also announced a 6.7% quarterly dividend increase to $0.80 per share, payable April 21, 2025 to holders of record on April 7, 2025, continuing a streak of annual increases since 2011. For investors, the key takeaways are solid adjusted earnings growth and a constructive 2025 outlook, balanced against weak organic volume growth, rising interest expense (up to $201 million from $152 million), and a more leveraged balance sheet. Free cash flow in 2024 was about $909 million (operating cash flow of $1.33 billion less capex of $425 million), and the company repurchased $151 million of stock during the year.
QUEST DIAGNOSTICS INC Quarterly Report for Q3 Ended Sep 30, 2024
Quest Diagnostics Incorporated (DGX) reported its third-quarter and year-to-date financial results for the period ending September 30, 2024. The company demonstrated revenue growth, primarily driven by its Diagnostic Information Services (DIS) segment, which saw an 8.5% increase in net revenues for the quarter, largely due to organic growth and strategic acquisitions. Despite revenue improvements, operating income saw a slight decrease compared to the prior year, impacted by increased costs in services and selling, general, and administrative expenses. Significant strategic acquisitions, including LifeLabs and several other asset acquisitions, were completed during the period, bolstering the company's market position and contributing to revenue and volume growth. However, these acquisitions, along with restructuring efforts under the "Invigorate" program, also led to increased operational costs and integration expenses. The company also successfully raised significant capital through a senior notes offering to fund these strategic initiatives. Investors should note the continued focus on integration and cost management to translate top-line growth into bottom-line profitability.
QUEST DIAGNOSTICS INC 8-K Report, Financial Results (Oct 22, 2024)
Quest Diagnostics (DGX) reported third quarter 2024 results on October 22, 2024, with revenues of $2.49 billion, up 8.5% year over year, including 4.2% organic growth. Reported diluted EPS rose 1.5% to $1.99, while adjusted diluted EPS rose 3.6% to $2.30. Growth was driven by new customer wins, expanded business with physicians and hospitals, and recent acquisitions, most notably LifeLabs. Operating margin on a reported basis declined to 13.3% from 14.9%, while adjusted operating margin fell to 15.5% from 16.6%, reflecting acquisition-related dilution and higher amortization and integration costs. Cash from operations improved 72.5% to $356 million in the quarter and 17.0% to $870 million for the nine months. management raised full-year 2024 revenue guidance to $9.80–$9.85 billion (5.9%–6.5% growth) from $9.50–$9.58 billion, reflecting acquisition contributions. Reported diluted EPS guidance was narrowed to $7.60–$7.70 from $7.57–$7.77, and adjusted diluted EPS guidance was narrowed to $8.85–$8.95 from $8.80–$9.00, with the adjusted midpoint maintained at $8.90. Hurricane Milton is expected to reduce fourth-quarter revenue by about $15 million and EPS by about $0.08. Cash from operations and capital expenditure guidance were unchanged at roughly $1.3 billion and $420 million, respectively. For investors, the quarter shows solid top-line momentum driven by acquisitions and volume gains, with organic requisition volume growing only 0.5%, a key metric to monitor. Leverage has risen, with long-term debt increasing to $5.6 billion from $4.4 billion at year-end 2023 following about $1.8 billion in acquisition spending in the first nine months. Management expects accelerated revenue and earnings growth in 2025 as acquisitions contribute.
QUEST DIAGNOSTICS INC 8-K Report, Corporate Update (Aug 29, 2024)
Quest Diagnostics Incorporated (DGX) announced the closing of its acquisition of LifeLabs Inc. on August 26, 2024. This strategic move, previously disclosed on July 3, 2024, involves acquiring a Canadian company that offers laboratory diagnostic information and digital health connectivity systems. The acquisition is expected to expand Quest Diagnostics' geographic footprint and service offerings within the Canadian market, potentially enhancing its competitive position and revenue streams in the long term. Investors should note that this filing primarily serves to confirm the closing of the transaction. Further details regarding the financial implications and integration of LifeLabs into Quest Diagnostics' operations will likely be provided in future filings or investor communications. The company has filed the press release regarding this announcement as an exhibit to this report, which may offer additional context.
QUEST DIAGNOSTICS INC 8-K Report, Material Agreement (Aug 19, 2024)
On August 19, 2024, Quest Diagnostics (DGX) closed a $1.85 billion senior unsecured notes offering comprising $400 million of 4.600% notes due 2027, $600 million of 4.625% notes due 2029, and $850 million of 5.000% notes due 2034. The company intends to use the net proceeds mainly to fund the purchase price and transaction costs of its pending acquisition of LifeLabs, Inc. and related entities, with the balance available for general corporate purposes, including potentially repaying $600 million of 3.50% senior notes due 2025. The 2027 and 2029 notes carry a special mandatory redemption at 101% of principal plus accrued interest if the LifeLabs acquisition is not consummated by the Termination Date (November 2, 2024, extendable to no later than March 2, 2025), or if Quest notifies the trustee it will not pursue the deal. The 2034 notes have no such feature and would remain outstanding in that scenario. Proceeds from the 2034 notes would then fund general purposes, a possible LifeLabs termination fee, and part of the redemption payment. This structure means the financing largely de-risks the deal's funding but leaves a contingent cash obligation tied to deal completion. The filing also disclosed a board-approved amendment to the By-Laws (August 14, 2024) to add officer exculpation, conforming to a charter change approved by stockholders in May 2024. The notes are governed by the 2001 indenture as supplemented, with customary covenants limiting certain liens, sale-leasebacks, and consolidations, and a 101% change-of-control put. The filing itself does not disclose financial metrics such as leverage or pro forma impact, so investors should review the company's periodic reports for those.
QUEST DIAGNOSTICS INC Quarterly Report for Q2 Ended Jun 30, 2024
Quest Diagnostics Inc. reported solid financial results for the second quarter and first half of 2024. While net income attributable to Quest Diagnostics saw a slight decrease compared to the prior year periods, this was largely influenced by factors such as increased amortization, restructuring costs, and changes in the carrying value of strategic investments. However, the core Diagnostic Information Services (DIS) business demonstrated resilience, with net revenues growing by 2.8% for the quarter and 2.3% for the half-year. This growth was primarily driven by an increase in base business volume and revenue per requisition, as the company continues to reduce its reliance on COVID-19 testing. The company is actively pursuing strategic growth through acquisitions, having completed two acquisitions in the first half of 2024, and announced a significant agreement to acquire LifeLabs Inc. in Canada. Quest Diagnostics is also focused on internal efficiency improvements through its "Invigorate Program," aiming for 3% annual cost savings. Despite a challenging operating environment with inflationary pressures and reimbursement challenges, the company maintained a strong liquidity position and reaffirmed its commitment to returning capital to shareholders through dividends and share repurchases, with a substantial amount still available under its repurchase authorization.
QUEST DIAGNOSTICS INC 8-K Report, Financial Results (Jul 23, 2024)
Quest Diagnostics (DGX) reported second quarter 2024 results on July 23, 2024, with net revenues of $2.40 billion, up 2.5% year over year, and six-month revenues of $4.76 billion, up 2.0%. Management highlighted base business revenue growth of nearly 4%, driven by new physician and hospital customers, a more favorable test mix including advanced diagnostics, and continued healthcare utilization strength. Profitability was mixed on a GAAP basis: reported diluted EPS of $2.03 declined 1.0%, and operating margin contracted about 10 basis points to 14.8%. Adjusted diluted EPS of $2.35 rose 2.2%, and adjusted operating margin was roughly flat at 16.6%. Cash generation weakened, with operating cash flow down 18.9% in the quarter and 4.4% for the half, and cash balances fell to $271 million from $686 million at year-end 2023, while debt was reduced. The company raised its full-year 2024 guidance. Net revenues are now expected at $9.50–$9.58 billion, up from $9.40–$9.48 billion, implying 2.7%–3.5% growth. Adjusted diluted EPS guidance rose to $8.80–$9.00 from $8.72–$8.97, while reported diluted EPS guidance was narrowed to $7.57–$7.77 from $7.57–$7.82. Operating cash flow and capital expenditure outlooks were unchanged at about $1.3 billion and $420 million, respectively. Guidance excludes the pending LifeLabs acquisition in Canada, which management still expects to close by year-end, subject to customary conditions and Canadian regulatory approvals. Management also announced four acquisitions, including LifeLabs, and noted the completed PathAI Diagnostics deal, signaling continued portfolio expansion. For investors, the quarter shows steady top-line growth and improved underlying test mix, with the guidance raise supported by the base business rather than the pending acquisitions. Key watch items include the sharp decline in operating cash flow and cash balance, rising interest expense (up to $44 million in the quarter from $37 million), and the execution risk of a sizable acquisition program.
QUEST DIAGNOSTICS INC 8-K Report, Material Agreement (Jul 3, 2024)
On July 2, 2024, Quest Diagnostics (DGX) signed an Equity Purchase Agreement, through its subsidiary Ontario Inc., to acquire LifeLabs Inc. and BPC Lab Finance LP from Borealis Infrastructure, BPC Health Trust, and the OMERS pension plan. The cash purchase price is approximately CAN$1.35 billion (about US$985 million), including net debt and subject to customary adjustments. Quest guarantees the buyer's obligations. LifeLabs is Canada's leading community laboratory and digital health connectivity provider, with about 6,500 employees, and the company expects the deal to generate roughly CAN$970 million (about US$710 million) in annual revenue. For investors, the key economics are that Quest expects the deal to be slightly dilutive to GAAP EPS, mainly from intangible amortization, but accretive to adjusted EPS within the first 12 months after closing. Quest plans to fund it with cash on hand and debt, which implies higher leverage and interest costs. The deal meets Quest's criteria on growth, profitability, and returns, and management expects to close by year-end 2024. Quest also already has an existing relationship with LifeLabs through the Global Diagnostic Network and a reference-testing arrangement. Closing is subject to consents from certain key LifeLabs customers, Competition Act (Canada) clearance, and no prohibitive order under the Investment Canada Act. A termination fee is payable by the buyer if the agreement is terminated for failure to obtain these approvals, unless that failure was primarily caused by a Seller or Target Entity breach. The filing does not include a full quantitative reconciliation of projected adjusted EPS, and the full agreement will be filed with the Q2 2024 Form 10-Q.
QUEST DIAGNOSTICS INC 8-K Report, Executive Changes (May 21, 2024)
Quest Diagnostics (NYSE: DGX) filed an 8-K on May 21, 2024 to disclose that its Board of Directors elected Robert B. Carter to the Board effective May 16, 2024. Carter, 64, is Executive Vice President and Chief Information Officer of FedEx Corporation and Co-President and Co-CEO of FedEx Services. The Board determined he is independent under NYSE listing standards and the company's governance guidelines. His committee assignments have not yet been determined. Following his election, the Board has 10 members. This is a governance event rather than a financial one. The filing contains no financial results, guidance, or changes to Quest's operations, capital structure, or compensation program. Carter will receive compensation under the company's standard non-employee director program. The filing does not disclose the amount. For investors, the main significance is the addition of a technology-focused independent director at a time when Quest is emphasizing IT and generative AI to improve and grow its business, according to Chairman and CEO Jim Davis. Carter's relevant expertise includes cloud technologies and cybersecurity. Investors should watch for his committee appointments, which would show where the Board intends to deploy his skills, and for any statements about his June step-down from FedEx roles, since his continued FedEx advisory role through December 2024 could affect his availability.
QUEST DIAGNOSTICS INC 8-K Report, Bylaw Amendment (May 21, 2024)
Quest Diagnostics Inc. (DGX) filed an 8-K on May 21, 2024, reporting on outcomes from its Annual Meeting of Stockholders held on May 16, 2024. Key among these outcomes is the approval by stockholders of an amendment to the Company's Restated Certificate of Incorporation. This amendment allows for the exculpation of officers, a measure permitted by Delaware law, designed to shield officers from personal liability for certain breaches of fiduciary duty. This change was officially filed with the Secretary of State of Delaware on May 20, 2024. Additionally, the filing details the voting results for director elections, executive compensation approval, and the ratification of PricewaterhouseCoopers as the independent auditor. While director elections and auditor ratification passed with strong support, the advisory vote on executive compensation was also approved. Notably, a stockholder proposal concerning climate risk management was not approved, indicating differing views on the urgency or approach to setting science-based targets and transition planning.
QUEST DIAGNOSTICS INC Quarterly Report for Q1 Ended Mar 31, 2024
Quest Diagnostics Incorporated (DGX) reported its first quarter 2024 results, showing a modest increase in net revenues driven by its core Diagnostic Information Services (DIS) segment. Despite a slight overall revenue growth of 1.5% to $2.37 billion, operating income saw a marginal decline of 1.7% to $300 million, and net income attributable to Quest Diagnostics decreased by 3.9% to $194 million. This was reflected in diluted earnings per share, which fell to $1.72 from $1.78 in the prior year's comparable quarter. The company completed an acquisition of Lenco Diagnostic Laboratories for $111 million, contributing to the growth in its DIS segment, although overall revenue per requisition saw minimal change. Management highlighted the ongoing 'Invigorate' program aimed at driving cost savings and productivity improvements, which is being leveraged to offset inflationary pressures and reimbursement challenges. Looking ahead, Quest Diagnostics maintains a strong liquidity position with significant borrowing capacity available.
QUEST DIAGNOSTICS INC 8-K Report, Financial Results (Apr 23, 2024)
Quest Diagnostics (DGX) reported first quarter 2024 results on April 23, 2024, showing modest top-line growth alongside flat-to-lower profitability. Net revenues rose 1.5% year over year to $2.37 billion, the first year-over-year revenue increase since the pandemic peak, with management citing nearly 6% base business growth (excluding COVID-related testing and other items) and strong physician, hospital, and health plan demand. Reported diluted EPS fell 3.4% to $1.72, while adjusted diluted EPS was flat at $2.04. Operating margin contracted, with reported operating income down 1.7% to $300 million and adjusted operating margin declining 20 basis points to 14.8%. Restructuring, amortization, and higher interest expense weighed on the bottom line; net interest expense rose to $43 million from $35 million. The company raised full-year 2024 guidance. Revenue is now expected at $9.40 to $9.48 billion (versus prior $9.35 to $9.45 billion), reported diluted EPS at $7.57 to $7.82 (up from $7.69 to $7.99 at the low and high ends respectively, so the range was actually lowered on the GAAP side), and adjusted diluted EPS at $8.72 to $8.97 (up from $8.60 to $8.90). Investors should note that the reported EPS guidance was lowered despite the revenue raise, reflecting higher restructuring charges and amortization. Operating cash flow guidance of about $1.3 billion and capex of about $420 million were unchanged. Balance sheet and cash flow data show operating cash flow of $154 million, up 64.8%, with capital expenditures down 18.2% to $104 million. Cash fell to $474 million from $686 million at year end, partly due to $142 million in acquisitions and $79 million in dividends. Total debt declined from roughly $4.7 billion to $4.7 billion, with a notable reclassification of $906 million to current portion of long-term debt, which investors should monitor for near-term refinancing needs.
QUEST DIAGNOSTICS INC Annual Report, Year Ended Dec 31, 2023
Quest Diagnostics (DGX) closed 2023 with net revenues of $9.25 billion, down 6.4% from $9.88 billion in 2022, as COVID-19 testing revenue fell to $223 million from $1.45 billion. The decline masks a healthier core: base business revenues (excluding COVID-19 testing) rose to $9.03 billion from $8.43 billion, and base DIS revenue per requisition growth and volume growth both improved. Diluted EPS fell to $7.49 from $7.97, reflecting lower COVID volumes, a $29 million impairment tied to a business shutdown, and about $108 million of intangible amortization. Operating cash flow dropped to $1.27 billion from $1.72 billion, partly from the timing of COVID-era collections and lower operating income. Management continued to lean on acquisitions and capital return. Quest bought Haystack Oncology for $392 million (MRD testing), acquired select assets of NewYork-Presbyterian's lab business for $275 million, and closed other deals totaling about $699 million in aggregate consideration. The company issued $750 million of 6.40% senior notes due 2033 and raised its quarterly dividend 5.6% to $0.75 per share, its 13th increase since 2012. It repurchased only $276 million of stock in 2023 versus $1.4 billion in 2022, leaving $1.0 billion of authorization. Total debt is about $4.7 billion. The key risk for investors is reimbursement. The filing highlights PAMA-driven Medicare fee cuts, with the next round delayed to January 1, 2025 and capped at 15% annually from 2025 to 2027. It also flags FDA's proposed rule to regulate laboratory-developed tests, consumer and payer pressure on pricing, and growing health plan steering toward preferred lab networks. Management points to its Invigorate cost program (targeting about 3% annual savings) and Advanced Diagnostics growth as offsets.
QUEST DIAGNOSTICS INC 8-K Report, Financial Results (Feb 1, 2024)
Quest Diagnostics (DGX) reported fourth quarter and full year 2023 results on February 1, 2024, showing a sharp reversal in the mix of its business as COVID-19 testing revenue fell away. Q4 net revenues were $2.29 billion, down 1.9% year over year, but the base business (excluding COVID-19 testing) grew 4.7% to $2.25 billion. Full-year revenues were $9.25 billion, down 6.4%, while base business revenues rose 7.1% to $9.03 billion. COVID-19 testing revenues collapsed 84.7% for the year to $223 million. Reported diluted EPS for Q4 nearly doubled to $1.70 (up 95.4%), largely because Q4 2022 was depressed by Quest for Health Equity costs and other charges, but adjusted diluted EPS rose a more modest 8.6% to $2.15. For the full year, reported diluted EPS fell 6.0% to $7.49 and adjusted diluted EPS fell 12.5% to $8.71, reflecting the loss of high-margin COVID testing profit and lower adjusted operating margin (15.8% versus 17.6%). Management guided 2024 to a return to overall revenue growth of 1.1% to 2.1%, with net revenues of $9.35 to $9.45 billion, reported diluted EPS of $7.69 to $7.99, and adjusted diluted EPS of $8.60 to $8.90. Cash from operations is expected to be about $1.3 billion and capital expenditures about $420 million. The Board also approved a 5.6% increase in the quarterly dividend, from $0.71 to $0.75 per share ($3.00 annually), payable April 22, 2024. This marks continued annual dividend increases since 2011. Investors should note that the company's balance sheet carries higher leverage after 2023 borrowings (long-term debt of $4.41 billion plus a $303 million current portion, up from roughly $3.98 billion), and that 2023 acquisitions of $611 million supported its growth strategy. Overall, the filing signals that Quest's core diagnostics franchise is growing at a healthy mid-single-digit-plus pace, that the post-COVID earnings reset is largely complete, and that management expects a return to modest top-line growth in 2024. The primary items to monitor are execution on the 2024 guidance, the pace of base business growth, and the company's capital allocation priorities given higher debt levels and a $1.0 billion remaining share repurchase authorization.
QUEST DIAGNOSTICS INC 8-K Report, Material Agreement (Nov 1, 2023)
Quest Diagnostics (NYSE: DGX) issued $750 million aggregate principal amount of 6.400% senior unsecured notes due November 30, 2033 on November 1, 2023, following pricing announced October 30, 2023 under its existing shelf registration. The notes pay interest semi-annually on May 30 and November 30, beginning May 30, 2024, and rank equally with the company's other senior unsecured obligations. The indenture includes customary covenants limiting certain liens, sale-leaseback transactions, consolidations or mergers, and debt incurred at non-guarantor subsidiaries, along with customary events of default. Holders also have a change-of-control put at 101% of principal plus accrued interest. The company stated it expects to use net proceeds for general corporate purposes, which may include redeeming or repaying indebtedness. Specifically named targets include its $300 million 4.25% senior notes due 2024 and any outstanding borrowings under its senior unsecured revolving credit facility and secured receivables credit facility. This refinancing appears aimed at extending the maturity profile and replacing lower-coupon debt, though the filing does not quantify expected interest savings or the net proceeds amount after fees. For investors, the filing is primarily a debt financing event rather than an operating disclosure. The 6.400% coupon is significantly higher than the 4.25% notes being potentially retired, implying higher ongoing interest expense on the refinanced amount, which investors should weigh against the benefit of a longer maturity and reduced revolver and receivables-facility reliance. The 8-K contains no updated financial results, guidance, or earnings information.
QUEST DIAGNOSTICS INC Quarterly Report for Q3 Ended Sep 30, 2023
Quest Diagnostics Incorporated (DGX) reported its third quarter and year-to-date results for the period ending September 30, 2023. Overall revenue for the quarter decreased by 7.7% to $2.3 billion, and for the nine-month period, it declined by 7.8% to $7.0 billion, primarily due to a significant reduction in COVID-19 testing revenues. The core "base business" excluding COVID-19 testing showed resilience, with revenue and volume increasing year-over-year for both periods. Despite revenue headwinds, the company managed its costs effectively, with operating income decreasing at a slower pace than revenues. Diluted earnings per share for the third quarter were $1.96, down from $2.17 in the prior year. Net income attributable to Quest Diagnostics for the quarter was $225 million, a decrease from $256 million in the same period last year. The company continued to make strategic investments, including significant acquisitions, and maintained its commitment to returning capital to shareholders through dividends and share repurchases, although no shares were repurchased in the nine months ended September 30, 2023, compared to substantial repurchases in the prior year.
QUEST DIAGNOSTICS INC 8-K Report, Financial Results (Oct 24, 2023)
Quest Diagnostics (DGX) reported third quarter 2023 results on October 24, 2023, with reported net revenues of $2.30 billion, down 7.7% year over year, driven almost entirely by the expected decline in COVID-19 testing revenue, which fell 92% to $26 million. Excluding COVID-19 testing, base business revenues grew 4.6% to $2.27 billion, supported by strength in physician and hospital channels and the completion of all strategic health plan renewals scheduled for 2023. Profitability was pressured: reported operating income fell 13.0% to $342 million (14.9% margin), reported diluted EPS was $1.96 (down 9.7%), and adjusted diluted EPS was $2.22 (down 5.9%). Quarterly operating cash flow dropped sharply to $207 million from $502 million, and nine-month operating cash flow fell 46% to $745 million, while capital expenditures rose over the nine months. Management raised the lower end of its full-year 2023 guidance while narrowing the range. Net revenues are now expected at $9.19–$9.24 billion (versus the prior $9.12–$9.22 billion), reported diluted EPS at $7.61–$7.71 (versus $7.52–$7.92), and adjusted diluted EPS at $8.65–$8.75 (versus $8.50–$8.90). Base business revenue growth guidance was also tightened upward to 6.7%–7.3%. Cash from operations is guided to approximately $1.3 billion and capital expenditures to approximately $400 million. Balance sheet activity included roughly $611 million in business acquisitions over the nine months, funded partly by $1.7 billion of new borrowings, and goodwill rose to $7.73 billion, with total debt of about $4.25 billion including the current portion. For investors, the key takeaways are solid organic demand and pricing discipline offset by the rolling-off of COVID testing, margin compression, and weaker cash conversion this quarter. The management commentary emphasizes a robust pipeline of professional lab services and M&A opportunities, which suggests continued acquisition-driven growth ahead.
QUEST DIAGNOSTICS INC 8-K Report, Executive Changes (Sep 29, 2023)
This 8-K filing from Quest Diagnostics Incorporated (DGX) reports a change in its Board of Directors. Dr. Gail R. Wilensky has decided not to seek re-election at the upcoming 2024 Annual Stockholders Meeting and will retire from the Board at that time, upon the expiration of her current term. This is a voluntary decision by Dr. Wilensky, not a result of any disagreement with the Company. While the departure of a board member can sometimes signal strategic shifts or governance considerations, the filing indicates this is a planned retirement upon the conclusion of her term. Investors should note this change but recognize it as a standard transition unless further information is provided by the company regarding the reasons for her decision or any replacement appointments. The effective date of her retirement is tied to the 2024 Annual Stockholders Meeting, expected in May 2024.
QUEST DIAGNOSTICS INC Quarterly Report for Q2 Ended Jun 30, 2023
Quest Diagnostics Inc. (DGX) reported its second-quarter and first-half financial results for the period ending June 30, 2023. For the quarter, net revenues were $2.34 billion, a slight decrease of 4.7% year-over-year, impacted by a significant decline in COVID-19 testing revenues, though this was partially offset by growth in the base business and recent acquisitions. Diluted earnings per share (EPS) were $2.05, an increase of 4.6% compared to the prior year, showcasing improved profitability on a per-share basis despite lower overall revenues. For the first six months of the year, net revenues declined by 7.8% to $4.67 billion, primarily due to the ongoing normalization of COVID-19 testing volumes. However, the company's core diagnostic information services (DIS) business saw strong growth in its base operations. The company also made significant strategic acquisitions, including that of Haystack Oncology, Inc., and continued its Invigorate program aimed at cost structure improvement and performance enhancement. Despite a decrease in net cash from operating activities, the company maintained a strong liquidity position and reaffirmed its commitment to returning capital to shareholders through dividends and an active share repurchase program.
QUEST DIAGNOSTICS INC 8-K Report, Financial Results (Jul 26, 2023)
Quest Diagnostics (DGX) reported second quarter 2023 results on July 26, 2023, with reported net revenues of $2.34 billion, down 4.7% year over year, but base business revenues (excluding COVID-19 testing) rose 9.5% to $2.30 billion. The revenue decline was driven by a steep drop in COVID-19 testing revenue, which fell 88.3% to $41 million from $355 million. Profitability was mixed: reported diluted EPS rose 4.6% to $2.05, helped by a flat net income of $235 million and a lower share count, while adjusted diluted EPS fell 2.5% to $2.30 and operating income declined 10.1% to $348 million as operating margin compressed to 14.9% from 15.8%. Management attributed margin pressure to persistently high employee turnover that weighs on productivity and raises labor costs in a tight labor market. Guidance was updated for full year 2023. Net revenues are now expected at $9.12 billion to $9.22 billion, up from the prior $8.93 billion to $9.08 billion, and base business revenue growth is now projected at 5.8% to 7.0%, versus 4.2% to 5.4% previously. Reported diluted EPS guidance was narrowed to $7.52 to $7.92 from $7.52 to $8.02, reflecting a lower high end, while adjusted diluted EPS guidance was raised to $8.50 to $8.90 from $8.45 to $8.95 (the midpoint rises modestly). Operating cash flow guidance of at least $1.3 billion and capital expenditures of about $400 million were unchanged. The company's balance sheet grew through acquisitions: goodwill rose to $7.73 billion and intangible assets to $1.25 billion from year-end 2022, funded partly by $1.15 billion of new borrowings in the first half. Cash fell to $126 million, and total debt, including the current portion, stood at roughly $4.3 billion at June 30, 2023. Six-month operating cash flow dropped 39.1% to $538 million, and capital expenditures rose 65.8% to $231 million.
QUEST DIAGNOSTICS INC 8-K Report, Shareholder Vote Results (May 19, 2023)
This 8-K filing from Quest Diagnostics Inc. (DGX) details the voting results from their Annual Meeting of Stockholders held on May 17, 2023. Key outcomes include the overwhelming re-election of all director nominees, indicating strong shareholder confidence in the current board leadership. The advisory resolution to approve executive compensation was also approved, though with a notable percentage of opposition, suggesting some shareholders may have reservations regarding pay practices. Furthermore, shareholders voted to ratify the appointment of PricewaterhouseCoopers as the independent auditor, ensuring continued oversight of financial reporting.
QUEST DIAGNOSTICS INC Quarterly Report for Q1 Ended Mar 31, 2023
Quest Diagnostics reported its first-quarter 2023 financial results, showing a decrease in net revenues and net income compared to the prior year. This decline was primarily driven by a significant reduction in COVID-19 testing volumes, which had a substantial impact on overall revenue and profitability. Despite the top-line decrease, the company highlighted growth in its "base business" revenue, excluding COVID-19 testing, indicating resilience in its core operations. The company also provided an update on its strategic initiatives, including the "Invigorate" program aimed at cost structure improvement. Management discussed ongoing investments in acquisitions, such as the recent purchase of New York-Presbyterian's laboratory assets and the planned acquisition of Haystack Oncology, signaling a continued focus on strategic growth and expanding service offerings in specialized areas like oncology. Investors should monitor the integration of these acquisitions and the continued growth of the base business as key indicators of future performance.
QUEST DIAGNOSTICS INC 8-K Report, Financial Results (Apr 27, 2023)
Quest Diagnostics (DGX) reported first quarter 2023 results that showed a steep year-over-year decline in headline figures, driven mainly by the rolloff of COVID-19 testing. Net revenues fell 10.7% to $2.33 billion, and reported diluted EPS fell 39.0% to $1.78 (adjusted diluted EPS of $2.04, down 36.6%). Excluding COVID-19 testing, base business revenues grew 10.0% to $2.21 billion, which is the more relevant indicator of underlying demand. COVID-19 testing revenue dropped 80.2% to $119 million, and operating cash flow fell 80.5% to $94 million, partly reflecting working capital changes such as lower accounts payable and accrued expenses. Management raised its full-year 2023 base business revenue growth outlook to 4.2%-5.4% (from 2.6%-3.8%), but lowered total net revenue guidance to $8.93-$9.08 billion, reflecting faster-than-expected COVID-19 declines. Reported diluted EPS guidance was narrowed to $7.52-$8.02 (from $7.61-$8.21) and adjusted diluted EPS guidance was narrowed to $8.45-$8.95 (from $8.40-$9.00). Cash from operations is still expected to be at least $1.3 billion and capex about $400 million. Quest also agreed to acquire Haystack Oncology, a developer of minimal residual disease (MRD) ctDNA liquid biopsy testing, for $300 million in cash at closing plus up to $150 million in performance-based milestones. Management expects modest dilution over three years and accretion by 2026, with closing targeted for the second quarter of 2023 pending regulatory review. Quest plans to launch MRD-based clinical lab services starting in 2024.
QUEST DIAGNOSTICS INC 8-K Report, Regulation FD Disclosure (Mar 17, 2023)
Quest Diagnostics (DGX) held an Investor Day on March 16, 2023 and used it to update its long-term outlook for 2023 through 2026, while reaffirming its full-year 2023 guidance. Management now expects revenues to grow at a mid single-digit compound annual rate (about 3% organic plus 1-2% from acquisitions) and adjusted diluted EPS to grow at a high single-digit rate over 2023-2026. The 2023 guidance was left unchanged: net revenues of $8.83-$9.03 billion, base business revenues of $8.65-$8.75 billion, COVID-19 testing revenues of $175-$275 million, adjusted diluted EPS of $8.40-$9.00, and operating cash flow of at least $1.3 billion. The central message is a reset of the baseline. Management described 2023 as a more normalized, endemic-level year after the pandemic, with COVID-19 testing increasingly treated as part of the base business. It also targets roughly 75-150 basis points of operating margin expansion by 2026 from about 17% in 2023, with the low end assuming Medicare PAMA reimbursement cuts (about $85 million in 2024) return and the high end assuming the SALSA legislation passes. Growth levers include physician lab services (4-5% CAGR, partnerships with health plans and value-based care), hospital lab services (5-6% CAGR, expanded reference testing and outreach acquisitions), consumer health (targeting about $250 million in revenue), and advanced diagnostics in molecular genomics and oncology, where the company sees a germline and somatic testing market growing about 10% annually toward roughly $30 billion by 2030. For investors, the key points are that the outlook is a reasonable growth framework rather than a guidance raise, and that margin expansion depends heavily on the PAMA legislative outcome. The Invigorate productivity program, targeting about 3% annual savings and roughly $550 million of denials and patient-concession opportunity, is a central cost lever. Capital deployment stays balanced: reinvestment, M&A focused on hospital outreach and regional independent labs, opportunistic buybacks, a steadily rising dividend, and a commitment to returning most free cash flow to shareholders.
QUEST DIAGNOSTICS INC 8-K Report, Corporate Update (Mar 7, 2023)
Quest Diagnostics (NYSE: DGX) disclosed in an 8-K filed March 7, 2023 that its Board of Directors elected James E. Davis, the company's Chief Executive Officer and President, to also serve as Chairman of the Board effective April 1, 2023. Davis succeeds Stephen H. Rusckowski, who has chaired the board since January 1, 2017 and remains Chairman through March 31, 2023. The move combines the Chairman and CEO roles under one executive, a governance change that the board says is in shareholders' best interest for continuing to execute the company's strategy. The filing is a governance update rather than a financial disclosure. The 8-K contains no earnings, guidance, or financial statements, and the only exhibits are the March 3, 2023 press release and the Inline XBRL cover page. Davis took over as CEO on November 1, 2022 after a planned transition from Rusckowski, so this step completes the leadership handover rather than signaling a new strategic direction. Lead Independent Director Tim Ring is named as the counterweight on the board, and his role is the main check on the consolidated structure. For investors, the key question is whether a combined Chairman/CEO structure, with an independent lead director, adequately protects shareholder oversight. The filing does not address the financial effects of the change. Investors who want to judge the company's performance should look to the 10-K and quarterly reports rather than this 8-K.
QUEST DIAGNOSTICS INC Annual Report, Year Ended Dec 31, 2022
Quest Diagnostics (DGX) reported 2022 net revenues of $9.9 billion, down 8.4% from $10.8 billion in 2021, as COVID-19 testing revenue fell to $1.45 billion from $2.77 billion. Excluding COVID-19 testing, the base business grew 5.6% in revenue and 2.2% in testing volume, and the company described itself as the world's leading provider of diagnostic information services. Diluted EPS fell to $7.97 from $15.55, largely because 2021 included a $314 million gain on the sale of its Q2 Solutions stake and 2022 operating income declined 40% to $1.43 billion. The filing also shows $1.7 billion of operating cash flow, $1.4 billion of share repurchases, and $305 million of dividends, and management raised the quarterly dividend 7.6% to $0.71 and added $1 billion to the buyback authorization. The filing highlights strategic growth initiatives: a target of more than 2% annual revenue growth through acquisitions, Advanced Diagnostics growth of at least 8% per year, consumer-initiated testing through QuestHealth, and Professional Laboratory Services for hospital partners. 2022 acquisitions included Pack Health and the Summa Health outreach business, and an agreement was signed in February 2023 to acquire select assets of New York-Presbyterian's laboratory business. Cost-control progress under the Invigorate program included $88 million of 2022 restructuring-related charges. Gross margin compression is visible in the results, with cost of services rising to 65.3% of revenue from 61.0%, and SG&A rising to 19.0% from 16.0%, partly due to $93 million of Quest for Health Equity donations. Key risks for investors include ongoing PAMA-driven Medicare reimbursement pressure (with cuts deferred to 2024 and capped at 15% annually), health plan and IDN pressure on pricing, potential FDA regulation of laboratory-developed tests, a fragmented and competitive market, cybersecurity incidents (including the 2021 ReproSource breach and the earlier AMCA incident), and several pending class actions and government inquiries. Total debt was about $4.0 billion at year-end 2022, and the company stated it intends to remain investment-grade.