Financial Performance - First quarter revenues reached 2.65billion,representinga12.11.94, up 12.8% from 2024; adjusted diluted EPS was 2.21,anincreaseof8.3346 million, a 15.4% increase from the previous year, with operating income as a percentage of net revenues at 13.0%[2] - Net income for the three months ended March 31, 2025, was 235million,anincreaseof12.99208 million in the same period of 2024[20] - Adjusted diluted EPS for the three months ended March 31, 2025, was 2.21,comparedto1.72 in the same period of 2024, reflecting a 28.49% increase[21] Revenue Guidance - The company reaffirmed its full year 2025 revenue guidance, expecting net revenues between 10.70billionand10.85 billion, reflecting an increase of 8.4% to 9.9%[4] - The company anticipates full year 2025 reported diluted EPS to be between 8.62and8.87, and adjusted diluted EPS to remain between 9.55and9.80[3] - The outlook for adjusted diluted EPS for the full year 2025 is estimated to be between 9.55and9.80[23] Cash Flow and Operations - Cash provided by operations for the first quarter was 314million,asignificantincreaseof103.4314 million, up from 154millionyear−over−year,representingagrowthof103.9115 million, a decrease from 213millionintheprioryear[20]CapitalExpenditures−Capitalexpendituresforthefirstquartertotaled117 million, an increase of 11.9% from the previous year[2] - Total capital expenditures for the three months ended March 31, 2025, were 117million,comparedto104 million in the same period of 2024[20] Assets and Liabilities - Total assets as of March 31, 2025, were 15.80billion,downfrom16.15 billion at the end of 2024[17] - Cash and cash equivalents at the end of the period decreased to 188millionfrom474 million, a decline of 60.4%[20] Other Expenses - The company incurred 19millioninrestructuringandintegrationchargesduringthethreemonthsendedMarch31,2025[22]−Estimatedpre−taxamortizationexpensesforthefullyear2025areprojectedtobe160 million[26] Operational Metrics - Diagnostic Information Services revenues for the first quarter were $2.59 billion, up 12.7% from 2024[2] - Requisition volume increased by 12.4% in the first quarter, although organic requisition volume saw a slight decline of 0.9%[2]