Financial Performance - Net revenues for the three months ended March 31, 2025, increased by 12.1% to 2,652millioncomparedto2,366 million in the prior year period [114]. - Operating income for the three months ended March 31, 2025, was 346million,a15.4300 million in the prior year [114]. - Net income attributable to Quest Diagnostics increased by 13.2% to 220million,withdilutedearningspersharerisingto1.94 from 1.72[114][121].RevenueDrivers−DiagnosticInformationServices(DIS)revenuesroseby12.72,589 million, driven primarily by recent acquisitions contributing approximately 10.0% to DIS revenues [122][133]. - Requisition volume increased by 12.4%, with organic volume down by 0.9%, while revenue per requisition increased by 0.3% [114][133]. Cost and Expenses - Cost of services increased by 194 million, primarily due to recent acquisitions and wage increases, partially offset by cost savings from the Invigorate program [126]. - Selling, general and administrative expenses (SG&A) rose by 36 million, mainly driven by the impact of recent acquisitions [128]. - The Invigorate program aims to deliver 3% annual cost savings and productivity improvements to offset inflationary pressures [115]. Tax and Charges - The effective income tax rate decreased to 21.5% from 25.0%, benefiting from excess tax benefits associated with stock-based compensation arrangements [136]. - The company incurred 19millioninpre−taxchargesrelatedtorestructuringandintegrationactivitiesduringthequarter[116].CashFlowandInvestments−Thecompanyreportedanetcashprovidedbyoperatingactivitiesof314 million for the three months ended March 31, 2025, an increase of 160millioncomparedto154 million in the same period of 2024 [149]. - Net cash used in investing activities decreased to 115millionforthethreemonthsendedMarch31,2025,from213 million in the prior year, primarily due to reduced cash used for business acquisitions [151]. - Net cash used in financing activities increased to 561millionforthethreemonthsendedMarch31,2025,comparedto153 million in the same period of 2024, mainly due to the repayment of 600millionofseniornotes[152].DebtandBorrowing−AsofMarch31,2025,theestimatedfairvalueofthecompany′sdebtwasapproximately5.8 billion, down from 6.1billionasofDecember31,2024,withafairvaluelessthanthecarryingvalueby59 million [139]. - The company had 1.1billionofborrowingcapacityavailableunderexistingcreditfacilitiesasofMarch31,2025,including308 million under the secured receivables credit facility [164]. - As of March 31, 2025, the company had 215millionofborrowingsoutstandingunderthesecuredreceivablescreditfacilityandnoborrowingsundertheseniorunsecuredrevolvingcreditfacility[140].DividendsandShareholderReturns−Thecompanydeclaredaquarterlycashdividendof0.80 per common share during the first quarter of 2025, up from 0.75pershareineachquarterof2024[155].OperationalEfficiency−Dayssalesoutstandingimprovedto47daysasofMarch31,2025,downfrom50daysasofMarch31,2024,indicatingenhancedbillingandcollectionefficiency[150].−Thecompanyiscommittedtoamulti−yearproject("ProjectNova")aimedatmodernizingits"Order−to−Cash"businessprocesses,whichisexpectedtodeliveroperationalbenefitsandimprovecustomerexperience[163].CapitalExpenditures−Thecompanyexpectstoinvestapproximately500 million in capital expenditures during 2025 to support and grow existing operations, particularly in laboratory equipment and facilities [162]. Interest Rate Swaps - The notional amount of fixed-to-variable interest rate swaps was 1.25billionasofMarch31,2025,withanaggregatefairvalueinaliabilitypositionof6 million [141]. - The fair value of fixed-to-variable interest rate swaps was 6millioninaliabilitypositionasofMarch31,2025,downfrom34 million as of December 31, 2024 [141].