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Market News

Quest Diagnostics Reports First Quarter 2024 Financial Results; Raises Guidance for Full Year 2024
23-Apr-24 06:45

For best results when printing this announcement, please click on link below:

http://newsfile.refinitiv.com/getnewsfile/v1/story?guid=urn:newsml:reuters.com:20240423:nPn9FLsxa&default-theme=true

Quest Diagnostics Reports First Quarter 2024 Financial Results; Raises Guidance for Full Year 2024

PR Newswire

SECAUCUS, N.J., April 23, 2024

* First quarter revenues of $2.37 billion, up 1.5% from 2023

* First quarter reported diluted earnings per share ("EPS") of $1.72, down 3.4%

from 2023; and adjusted diluted EPS of $2.04, flat with 2023

* Full year 2024 revenues now expected to be between $9.40 billion and $9.48

billion; reported diluted EPS now expected to be between $7.57 and $7.82; and

adjusted diluted EPS expected to be between $8.72 and $8.97

SECAUCUS, N.J., April 23, 2024 /PRNewswire/ -- Quest Diagnostics Incorporated

(NYSE: DGX), a leading provider of diagnostic information services, today

announced financial results for the first quarter ended March 31, 2024.

(https://mma.prnewswire.com/media/200883/quest_diagnostics_incorporated_logo_logo.html)

"In the first quarter, we delivered nearly 6% base business revenue growth,

continuing the strong momentum of recent quarters. We also grew total revenues

for the first time since the height of the pandemic nearly three years ago,"

said Jim Davis, Chairman, CEO and President. "Our strong commercial focus on

physicians and hospitals combined with our broad health plan access enabled us

to take advantage of sustained high rates of healthcare utilization and drive

new customer growth. Our investments within advanced diagnostics also enabled

double digit growth within multiple key clinical areas, including brain

health, women's health and advanced cardiometabolic health.

"In addition, our Invigorate initiative, which includes ongoing investments in

automation and AI, continued to improve productivity as well as service levels

and quality. Given the strength of our business, we are raising our revenue

and adjusted earnings guidance for the full year," Mr. Davis said.

                                                       Three Months Ended March 31,

                                                       2024                                2023                                   Change

                                                       (dollars in millions, except per share data)

Reported:

Net revenues                                          $       2,366                       $       2,331                          1.5 %

Diagnostic Information Services revenues              $       2,298                       $       2,259                          1.7 %

Revenue per requisition                                                                                                          0.1 %

Requisition volume                                                                                                               1.6 %

   Organic requisition volume                                                                                                     1.0 %

Operating income (a)                                  $          300                      $          305                         (1.7) %

Operating income as a percentage of net revenues (a)  12.7 %                              13.1 %                                 (0.4) %

Net income attributable to Quest Diagnostics (a)      $          194                      $          202                         (3.9) %

Diluted EPS (a)                                       $         1.72                      $         1.78                         (3.4) %

Cash provided by operations                           $          154                      $            94                        64.8 %

Capital expenditures                                  $          104                      $          127                         (18.2) %

Adjusted (a):

Operating income                                      $          349                      $          350                         (0.2) %

Operating income as a percentage of net revenues      14.8 %                              15.0 %                                 (0.2) %

Net income attributable to Quest Diagnostics          $          230                      $          232                         (1.1) %

Diluted EPS                                           $         2.04                      $         2.04                         — %

 

(a)    For further details impacting the year-over-year comparisons related to

        operating income, operating income as a percentage of net revenues, net income

        attributable to Quest Diagnostics, and diluted EPS, see note 2 of the

        financial tables attached below.

 

Updated Guidance for Full Year 2024

The company updates its full year 2024 guidance as follows:

                              Updated Guidance                            Prior Guidance

                              Low                        High             Low                       High

Net revenues                 $9.40 billion              $9.48 billion    $9.35 billion             $9.45 billion

Net revenues increase        1.6 %                      2.5 %            1.1 %                     2.1 %

Reported diluted EPS         $7.57                      $7.82            $7.69                     $7.99

Adjusted diluted EPS         $8.72                      $8.97            $8.60                     $8.90

Cash provided by operations  Approximately $1.3 billion                  Approximately $1.3 billion

Capital expenditures           Approximately $420 million                Approximately $420 million

 

Note on Non-GAAP Financial Measures

As used in this press release the term "reported" refers to measures under

accounting principles generally accepted in the United States ("GAAP"). The

term "adjusted" refers to non-GAAP operating performance measures that exclude

special items such as restructuring and integration charges, amortization

expense, excess tax benefits ("ETB") associated with stock-based compensation,

gains and losses associated with changes in the carrying value of our

strategic investments, and other items.

Non-GAAP adjusted measures are presented because management believes those

measures are useful adjuncts to GAAP results. Non-GAAP adjusted measures

should not be considered as an alternative to the corresponding measures

determined under GAAP. Management may use these non-GAAP measures to evaluate

our performance period over period and relative to competitors, to analyze the

underlying trends in our business, to establish operational budgets and

forecasts and for incentive compensation purposes. We believe that these

non-GAAP measures are useful to investors and analysts to evaluate our

performance period over period and relative to competitors, as well as to

analyze the underlying trends in our business and to assess our performance.

The additional tables attached below include reconciliations of non-GAAP

adjusted measures to GAAP measures.

Conference Call Information

Quest Diagnostics will hold its quarterly conference call to discuss financial

results beginning at 8:30 a.m. Eastern Time today.  The conference call can

be accessed by dialing 888-455-0391 within the U.S. and Canada, or

773-756-0467 internationally, passcode: 7895081; or via live webcast on our

website at www.QuestDiagnostics.com/investor

(http://www.QuestDiagnostics.com/investor) .  We suggest participants dial in

approximately 10 minutes before the call.

A replay of the call may be accessed online at

www.QuestDiagnostics.com/investor (http://www.QuestDiagnostics.com/investor)

or, from approximately 10:30 a.m. Eastern Time on April 23, 2024 until

midnight Eastern Time on May 7, 2024, by phone at 866-363-1809 for domestic

callers or 203-369-0197 for international callers.  Anyone listening to the

call is encouraged to read our periodic reports, on file with the Securities

and Exchange Commission, including the discussion of risk factors and

historical results of operations and financial condition in those reports.

About Quest Diagnostics

Quest Diagnostics works across the healthcare ecosystem to create a healthier

world, one life at a time. We provide diagnostic insights from the results of

our laboratory testing to empower people, physicians and organizations to take

action to improve health outcomes. Derived from one of the world's largest

databases of deidentified clinical lab results, Quest's diagnostic insights

reveal new avenues to identify and treat disease, inspire healthy behaviors

and improve healthcare management. Quest Diagnostics annually serves one in

three adult Americans and half the physicians and hospitals in the United

States, and our nearly 50,000 employees understand that, in the right hands

and with the right context, our diagnostic insights can inspire actions that

transform lives and create a healthier world. www.QuestDiagnostics.com

(http://www.QuestDiagnostics.com) .

Forward Looking Statements

The statements in this press release which are not historical facts may be

forward-looking statements.  Readers are cautioned not to place undue

reliance on forward-looking statements, which speak only as of the date that

they are made and which reflect management's current estimates, projections,

expectations or beliefs and which involve risks and uncertainties that could

cause actual results and outcomes to be materially different. Risks and

uncertainties that may affect the future results of the company include, but

are not limited to, adverse results from pending or future government

investigations, lawsuits or private actions, the competitive environment, the

complexity of billing, reimbursement and revenue recognition for clinical

laboratory testing, changes in government regulations, changing relationships

with customers, payers, suppliers or strategic partners and other factors

discussed in the company's most recently filed Annual Report on Form 10-K and

in any of the company's subsequently filed Quarterly Reports on Form 10-Q and

Current Reports on Form 8-K, including those discussed in the "Business,"

"Risk Factors," "Cautionary Factors that May Affect Future Results" and

"Management's Discussion and Analysis of Financial Condition and Results of

Operations" sections of those reports.

This earnings release, including the attached financial tables, is available

online in the Newsroom section at www.QuestDiagnostics.com

(http://www.QuestDiagnostics.com) .

ADDITIONAL TABLES FOLLOW

 

Quest Diagnostics Incorporated and Subsidiaries

Consolidated Statements of Operations

For the Three Months Ended March 31, 2024 and 2023

(in millions, except per share data)

(unaudited)

                                                                               Three Months Ended

                                                                               March 31,

                                                                               2024                        2023

Net revenues                                                                  $    2,366                  $    2,331

Operating costs and expenses and other operating income:

Cost of services                                                              1,595                       1,560

Selling, general and administrative                                           440                         439

Amortization of intangible assets                                             29                          26

Other operating expense, net                                                  2                           1

Total operating costs and expenses, net                                       2,066                       2,026

Operating income                                                              300                         305

Other income (expense):

Interest expense, net                                                         (43)                        (35)

Other income, net                                                             9                           7

Total non-operating expense, net                                              (34)                        (28)

Income before income taxes and equity in earnings of equity method investees  266                         277

Income tax expense                                                            (66)                        (65)

Equity in earnings of equity method investees, net of taxes                   8                           5

Net income                                                                    208                         217

Less: Net income attributable to noncontrolling interests                     14                          15

Net income attributable to Quest Diagnostics                                  $       194                 $       202

Earnings per share attributable to Quest Diagnostics' common stockholders:

Basic                                                                         $      1.74                 $      1.80

Diluted                                                                       $      1.72                 $      1.78

Weighted average common shares outstanding:

Basic                                                                         111                         112

Diluted                                                                       112                         113

 

Quest Diagnostics Incorporated and Subsidiaries

Consolidated Balance Sheets

March 31, 2024 and December 31, 2023

(in millions, except per share data)

(unaudited)

                                                                               March 31,                                December 31,

                                                                               2024                                     2023

Assets

Current assets:

Cash and cash equivalents                                                     $                 474                    $                686

Accounts receivable, net                                                      1,322                                    1,210

Inventories                                                                   181                                      190

Prepaid expenses and other current assets                                     251                                      286

Total current assets                                                          2,228                                    2,372

Property, plant and equipment, net                                            1,810                                    1,816

Operating lease right-of-use assets                                           579                                      602

Goodwill                                                                      7,830                                    7,733

Intangible assets, net                                                        1,192                                    1,166

Investments in equity method investees                                        133                                      135

Other assets                                                                  182                                      198

Total assets                                                                  $            13,954                      $           14,022

Liabilities and Stockholders' Equity

Current liabilities:

Accounts payable and accrued expenses                                         $              1,239                     $             1,359

Current portion of long-term debt                                             906                                      303

Current portion of long-term operating lease liabilities                      153                                      153

Total current liabilities                                                     2,298                                    1,815

Long-term debt                                                                3,804                                    4,410

Long-term operating lease liabilities                                         489                                      503

Other liabilities                                                             817                                      876

Redeemable noncontrolling interest                                            77                                       76

Stockholders' equity:

Quest Diagnostics stockholders' equity:

Common stock, par value $0.01 per share; 600 shares authorized as of both     2                                        2

March 31, 2024

    and December 31, 2023; 162 shares issued as of both March 31, 2024 and

December 31, 2023

Additional paid-in capital                                                    2,292                                    2,320

Retained earnings                                                             8,935                                    8,825

Accumulated other comprehensive loss                                          (16)                                     (14)

Treasury stock, at cost; 51 shares as of both March 31, 2024 and              (4,781)                                  (4,826)

December 31, 2023

Total Quest Diagnostics stockholders' equity                                  6,432                                    6,307

Noncontrolling interests                                                      37                                       35

Total stockholders' equity                                                    6,469                                    6,342

Total liabilities and stockholders' equity                                    $            13,954                      $           14,022

 

Quest Diagnostics Incorporated and Subsidiaries

Consolidated Statements of Cash Flows

For the Three Months Ended March 31, 2024 and 2023

(in millions)

(unaudited)

                                                                        Three Months Ended

                                                                        March 31,

                                                                        2024                                            2023

Cash flows from operating activities:

Net income                                                             $              208                              $              217

Adjustments to reconcile net income to net cash provided by operating

activities:

Depreciation and amortization                                          116                                             107

Provision (credit) for credit losses                                   1                                               (1)

Deferred income tax benefit                                            (18)                                            (4)

Stock-based compensation expense                                       22                                              24

Other, net                                                             11                                              3

Changes in operating assets and liabilities:

Accounts receivable                                                    (114)                                           (58)

Accounts payable and accrued expenses                                  (152)                                           (211)

Income taxes payable                                                   42                                              11

Other assets and liabilities, net                                      38                                              6

Net cash provided by operating activities                              154                                             94

Cash flows from investing activities:

Business acquisitions, net of cash acquired                            (142)                                           (31)

Capital expenditures                                                   (104)                                           (127)

Other investing activities                                             33                                              —

Net cash used in investing activities                                  (213)                                           (158)

Cash flows from financing activities:

Proceeds from borrowings                                               —                                               140

Repayments of debt                                                     —                                               (140)

Exercise of stock options                                              12                                              25

Employee payroll tax withholdings on stock issued under stock-based    (23)                                            (28)

compensation plans

Dividends paid                                                         (79)                                            (74)

Distributions to noncontrolling interest partners                      (11)                                            (14)

Other financing activities, net                                        (52)                                            15

Net cash used in financing activities                                  (153)                                           (76)

Net change in cash and cash equivalents and restricted cash            (212)                                           (140)

Cash and cash equivalents and restricted cash, beginning of period     686                                             315

Cash and cash equivalents and restricted cash, end of period           $              474                              $              175

Cash paid during the period for:

Interest                                                               $                44                             $                32

Income taxes                                                           $                  3                            $                33

 

Notes to Financial Tables

1)  The computation of basic and diluted earnings per common share is as

follows:

 

                                                                             Three Months Ended

                                                                             March 31,

                                                                             2024                                  2023

                                                                             (in millions, except per

                                                                             share data)

Amounts attributable to Quest Diagnostics' common stockholders:

Net income attributable to Quest Diagnostics                                $           194                       $           202

Less: earnings allocated to participating securities                        1                                     1

Earnings available to Quest Diagnostics' common stockholders - basic and    $           193                       $           201

diluted

Weighted average common shares outstanding - basic                          111                                   112

Effect of dilutive securities:

Stock options and performance share units                                   1                                     1

Weighted average common shares outstanding - diluted                        112                                   113

Earnings per share attributable to Quest Diagnostics' common stockholders:

Basic                                                                       $          1.74                       $          1.80

Diluted                                                                     $          1.72                       $          1.78

 

2)  The following tables reconcile reported GAAP results to non-GAAP adjusted

results:

 

                           Three Months Ended March 31, 2024

                           (dollars in millions, except per share data)

                           Operating income                              Operating                           Income tax expense (d)                           Equity in                                           Net income                                    Diluted EPS

                                                                         income as a percentage of                                                            earnings of                                         attributable to

                                                                         net revenues                                                                         equity method investees, net                        Quest Diagnostics

                                                                                                                                                              of taxes

As reported               $                 300                         12.7 %                              $                  (66)                          $                     8                             $                 194                         $                1.72

Restructuring and         17                                            0.7                                 (4)                                              —                                                   13                                            0.12

integration charges (a)

Other (b)                 3                                             0.2                                 —                                                —                                                   3                                             0.03

Amortization expense      29                                            1.2                                 (7)                                              —                                                   22                                            0.19

ETB                       —                                             —                                   (2)                                              —                                                   (2)                                           (0.02)

As adjusted               $                 349                         14.8 %                              $                  (79)                          $                     8                             $                 230                         $                2.04

 

                                            Three Months Ended March 31, 2023

                                            (dollars in millions, except per share data)

                                            Operating income                              Operating                           Income tax expense (d)                           Equity in                                           Net income                                    Diluted EPS

                                                                                          income as a percentage of                                                            earnings of                                         attributable to

                                                                                          net revenues                                                                         equity method investees, net                        Quest Diagnostics

                                                                                                                                                                               of taxes

As reported                                $                 305                         13.1 %                              $                  (65)                          $                     5                             $                 202                         $                1.78

Restructuring and integration charges (a)  19                                            0.8                                 (5)                                              —                                                   14                                            0.12

Gains and losses on investments (c)        —                                             —                                   (1)                                              3                                                   2                                             0.02

Amortization expense                       26                                            1.1                                 (7)                                              —                                                   19                                            0.17

ETB                                        —                                             —                                   (5)                                              —                                                   (5)                                           (0.05)

As adjusted                                $                 350                         15.0 %                              $                  (83)                          $                     8                             $                 232                         $                2.04

 

(a)  For both the three months ended March 31, 2024 and 2023, the pre-tax impact

      represents costs primarily associated with workforce reductions and

      integration costs incurred in connection with further restructuring and

      integrating our business.  The following table summarizes the pre-tax impact

      of restructuring and integration charges on our consolidated statements of

      operations:

 

                                      Three Months Ended

                                      March 31,

                                      2024                                    2023

                                      (dollars in millions)

Cost of services                     $             13                        $             10

Selling, general and administrative  4                                       9

Operating income                     $             17                        $             19

 

(b)  For the three months ended March 31, 2024, the pre-tax impact represents a

      loss associated with the increase in the fair value of the contingent

      consideration accrual associated with previous acquisitions, recorded in other

      operating expense, net.

(c)  For the three months ended March 31, 2023, the pre-tax impact represents gains

      and losses associated with changes in the carrying value of our strategic

      investments, recorded in equity in earnings of equity method investees, net of

      taxes.

(d)  For restructuring and integration charges, gains and losses on investments,

      other items and amortization expense, income tax impacts, where recorded, were

      primarily calculated using combined statutory income tax rates of 25.5% for

      both 2024 and 2023.

 

3)  The outlook for adjusted diluted EPS represents management's estimates for the

     full year 2024 before the impact of special items. Further impacts to earnings

     related to special items may occur throughout 2024. Additionally, the amount

     of ETB is dependent upon employee stock option exercises and our stock price,

     which are difficult to predict. The following table reconciles our 2024

     outlook for diluted EPS under GAAP to our outlook for adjusted diluted EPS:

 

                                            Low                                                                           High

Diluted EPS                                $                                   7.57                                      $                                   7.82

Restructuring and integration charges (a)  0.25                                                                          0.25

Amortization expense (b)                   0.82                                                                          0.82

Other (c)                                  0.12                                                                          0.12

ETB                                        (0.04)                                                                        (0.04)

Adjusted diluted EPS                       $                                   8.72                                      $                                   8.97

 

(a)  Represents estimated pre-tax charges of $38 million primarily associated with

      workforce reductions and integration costs incurred in connection with further

      restructuring and integrating our business.  Income tax benefits were

      primarily calculated using a combined statutory income tax rate of 25.5%.

(b)  Represents estimated pre-tax amortization expenses of $125 million.  Income

      tax benefits were primarily calculated using a combined statutory income tax

      rate of 25.5%.

(c)  Represents estimated pre-tax losses of $12 million associated with the

      increase in the fair value of the contingent consideration accrual associated

      with previous acquisitions.  No income tax benefits are recorded on the

      losses.

 

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SOURCE Quest Diagnostics

Shawn Bevec (Investors): 973-520-2900 or Dennis Moynihan (Media): 973-520-2800

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