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Quest Diagnostics(DGX) - 2025 Q1 - Quarterly Report

Financial Performance - Net revenues for the three months ended March 31, 2025, increased by 12.1% to 2,652millioncomparedto2,652 million compared to 2,366 million in the prior year period [114]. - Operating income for the three months ended March 31, 2025, was 346million,a15.4346 million, a 15.4% increase from 300 million in the prior year [114]. - Net income attributable to Quest Diagnostics increased by 13.2% to 220million,withdilutedearningspersharerisingto220 million, with diluted earnings per share rising to 1.94 from 1.72[114][121].RevenueDriversDiagnosticInformationServices(DIS)revenuesroseby12.71.72 [114][121]. Revenue Drivers - Diagnostic Information Services (DIS) revenues rose by 12.7% to 2,589 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 19millioninpretaxchargesrelatedtorestructuringandintegrationactivitiesduringthequarter[116].CashFlowandInvestmentsThecompanyreportedanetcashprovidedbyoperatingactivitiesof19 million in pre-tax charges related to restructuring and integration activities during the quarter [116]. Cash Flow and Investments - The company reported a net cash provided by operating activities of 314 million for the three months ended March 31, 2025, an increase of 160millioncomparedto160 million compared to 154 million in the same period of 2024 [149]. - Net cash used in investing activities decreased to 115millionforthethreemonthsendedMarch31,2025,from115 million for the three months ended March 31, 2025, from 213 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,comparedto561 million for the three months ended March 31, 2025, compared to 153 million in the same period of 2024, mainly due to the repayment of 600millionofseniornotes[152].DebtandBorrowingAsofMarch31,2025,theestimatedfairvalueofthecompanysdebtwasapproximately600 million of senior notes [152]. Debt and Borrowing - As of March 31, 2025, the estimated fair value of the company's debt was approximately 5.8 billion, down from 6.1billionasofDecember31,2024,withafairvaluelessthanthecarryingvalueby6.1 billion as of December 31, 2024, with a fair value less than the carrying value by 59 million [139]. - The company had 1.1billionofborrowingcapacityavailableunderexistingcreditfacilitiesasofMarch31,2025,including1.1 billion of borrowing capacity available under existing credit facilities as of March 31, 2025, including 308 million under the secured receivables credit facility [164]. - As of March 31, 2025, the company had 215millionofborrowingsoutstandingunderthesecuredreceivablescreditfacilityandnoborrowingsundertheseniorunsecuredrevolvingcreditfacility[140].DividendsandShareholderReturnsThecompanydeclaredaquarterlycashdividendof215 million of borrowings outstanding under the secured receivables credit facility and no borrowings under the senior unsecured revolving credit facility [140]. Dividends and Shareholder Returns - The company declared a quarterly cash dividend of 0.80 per common share during the first quarter of 2025, up from 0.75pershareineachquarterof2024[155].OperationalEfficiencyDayssalesoutstandingimprovedto47daysasofMarch31,2025,downfrom50daysasofMarch31,2024,indicatingenhancedbillingandcollectionefficiency[150].Thecompanyiscommittedtoamultiyearproject("ProjectNova")aimedatmodernizingits"OrdertoCash"businessprocesses,whichisexpectedtodeliveroperationalbenefitsandimprovecustomerexperience[163].CapitalExpendituresThecompanyexpectstoinvestapproximately0.75 per share in each quarter of 2024 [155]. Operational Efficiency - Days sales outstanding improved to 47 days as of March 31, 2025, down from 50 days as of March 31, 2024, indicating enhanced billing and collection efficiency [150]. - The company is committed to a multi-year project ("Project Nova") aimed at modernizing its "Order-to-Cash" business processes, which is expected to deliver operational benefits and improve customer experience [163]. Capital Expenditures - The company expects to invest approximately 500 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,withanaggregatefairvalueinaliabilitypositionof1.25 billion as of March 31, 2025, with an aggregate fair value in a liability position of 6 million [141]. - The fair value of fixed-to-variable interest rate swaps was 6millioninaliabilitypositionasofMarch31,2025,downfrom6 million in a liability position as of March 31, 2025, down from 34 million as of December 31, 2024 [141].