Revenue and Earnings Performance - Third quarter revenues of 2.49billion,up8.51.99, up 1.5% from 2023; adjusted diluted EPS of 2.30,up3.69.80 billion and 9.85billion;reporteddilutedEPSexpectedtobebetween7.60 and 7.70;adjusteddilutedEPSexpectedtobebetween8.85 and 8.95[1]−DiagnosticInformationServicesrevenuesof2.427 billion, up 9.0% from 2023[2] - Revenue per requisition increased by 3.3% and requisition volume increased by 5.5% in the third quarter[2] - Adjusted operating income increased by 1.3% to 385millioninthethirdquarter[2]−AdjustednetincomeattributabletoQuestDiagnosticsincreasedby3.1262 million in the third quarter[2] - Net income attributable to Quest Diagnostics was 649millionfortheninemonthsendedSeptember2024,slightlydownfrom662 million in 2023[14] - Diluted earnings per share (EPS) for the nine months ended September 2024 was 5.74,comparedto5.79 in 2023[14] - Adjusted operating income for the nine months ended September 2024 was 1,132million,representing15.66.70, up from 5.79in2023[17]−OperatingincomefortheninemonthsendedSeptember30,2023,was995 million, representing 14.3% of net revenues[19] - Adjusted operating income for the same period was 1,119million,or16.1356 million in the third quarter[2] - Net cash provided by operating activities was 870millionfortheninemonthsendedSeptember2024,comparedto745 million in the same period in 2023[13] - Cash and cash equivalents increased to 764millioninSeptember2024from686 million in December 2023[11] - Long-term debt rose to 5,648millioninSeptember2024from4,410 million in December 2023[11] - Business acquisitions, net of cash acquired, totaled 1,781millionfortheninemonthsendedSeptember2024[13]−Capitalexpenditureswere302 million for the nine months ended September 2024, down from 336millionin2023[13]AcquisitionsandGrowth−Thecompanyhascompletedeightacquisitionsbyyear−end,contributingtorevenuegrowthandprofitability[2]−Totalassetsincreasedto16,095 million in September 2024 from 14,022millioninDecember2023,reflectinggrowthingoodwillandintangibleassets[11]−Pre−taxlossesof13 million are expected in 2024 due to the increase in fair value of contingent consideration from previous acquisitions[24] - Pre-tax losses of 11millionareanticipatedin2024fromchangesinthecarryingvalueofstrategicinvestments[24]−Anon−recurringpre−taxgainof8 million is expected in 2024 from a foreign exchange forward contract related to an acquisition[25] Restructuring and Integration - Restructuring and integration charges for the nine months ended September 30, 2023, totaled 32million,withapre−taximpactof45 million[21] - Estimated pre-tax restructuring and integration charges for 2024 are 50million,primarilyrelatedtoworkforcereductions[24]−Estimatedpre−taxamortizationexpensesfor2024are129 million[24] - Amortization expense for the nine months ended September 30, 2023, was 81million[19]ExternalFactorsImpact−ThecompanyexpectsHurricaneMiltontonegativelyimpactnetrevenuesbyapproximately15 million and EPS by approximately 8 cents in the fourth quarter[3]