Quest Diagnostics Reports Second Quarter 2025 Financial Results; Raises Guidance for Full Year 2025

Second quarter revenues of $2.76 billion, up 15.2% from 2024

Second quarter reported diluted earnings per share ("EPS") of $2.47, up 21.7% from 2024; and adjusted diluted EPS of $2.62, up 11.5% from 2024

Year-to-date cash provided by operations of $858 million, up 67.1% from 2024

Full year 2025 reported diluted EPS now expected to be between $8.60 and $8.80; and adjusted diluted EPS is expected to be between $9.63 and $9.83

SECAUCUS, N.J., July 22, 2025 /PRNewswire/ -- Quest Diagnostics Incorporated (NYSE:DGX), a leading provider of diagnostic information services, today announced financial results for the second quarter ended June 30, 2025.

"Through continued execution of our strategy, we delivered a strong second quarter, with revenues growing 15.2% which includes 5.2% from organic revenues, as well as adjusted EPS growth of 11.5%," said Jim Davis, Chairman, CEO and President. "Demand for our innovative clinical solutions and expanded business from enterprise accounts complemented growth from acquisitions. We also realized productivity gains as we continued to deploy automation and digital technologies across our operations. Given our performance in the quarter and continued utilization trends, we are raising our full year 2025 guidance."

Three Months Ended June 30,

Six Months Ended June 30,

2025

2024

Change

2025

2024

Change

(dollars in millions, except per share data)

Reported:

Net revenues

$       2,761

$       2,397

15.2 %

$     5,413

$     4,763

13.7 %

Diagnostic Information Services revenues

$       2,699

$       2,333

15.7 %

$     5,288

$     4,631

14.2 %

Revenue per requisition

(0.4) %

— %

Requisition volume

16.3 %

14.3 %

  Organic requisition volume

2.1 %

0.6 %

Operating income (a)

$          438

$          355

23.3 %

$         784

$         655

19.7 %

Operating income as a percentage of net revenues (a)

15.9 %

14.8 %

1.1 %

14.5 %

13.7 %

0.8 %

Net income attributable to Quest Diagnostics (a)

$          282

$          229

23.1 %

$         502

$         423

18.6 %

Diluted EPS (a)

$         2.47

$         2.03

21.7 %

$        4.41

$        3.75

17.6 %

Cash provided by operations

$          544

$          360

51.5 %

$         858

$         514

67.1 %

Capital expenditures

$          108

$            92

17.3 %

$         225

$         196

14.4 %

Adjusted (a):

Operating income

$          466

$          398

17.3 %

$         872

$         747

16.8 %

Operating income as a percentage of net revenues

16.9 %

16.6 %

0.3 %

16.1 %

15.7 %

0.4 %

Net income attributable to Quest Diagnostics

$          298

$          266

12.3 %

$         549

$         496

10.7 %

Diluted EPS

$         2.62

$         2.35

11.5 %

$        4.83

$        4.39

10.0 %

(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 2025

The company updates its full year 2025 guidance as follows:

Updated Guidance

Prior Guidance

Low

High

Low

High

Net revenues

$10.80 billion

$10.92 billion

$10.70 billion

$10.85 billion

Net revenues increase

9.4 %

10.6 %

8.4 %

9.9 %

Reported diluted EPS

$8.60

$8.80

$8.62

$8.87

Adjusted diluted EPS

$9.63

$9.83

$9.55

$9.80

Cash provided by operations

Approximately $1.55 billion

Approximately $1.5 billion

Capital expenditures

  Approximately $500 million

Approximately $500 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, impairment charges 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 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.  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 or, from approximately 10:30 a.m. Eastern Time on July 22, 2025 until midnight Eastern Time on August 5, 2025, by phone at 866-388-5361 for domestic callers or 203-369-0416 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 de-identifiable 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 more than 55,000 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.

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, uncertain and volatile economic conditions, 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 policies, including related to trade, and regulations, changing relationships with customers, payers, suppliers or strategic partners, acquisitions 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.

ADDITIONAL TABLES FOLLOW

Quest Diagnostics Incorporated and Subsidiaries

Consolidated Statements of Operations

For the Three and Six Months Ended June 30, 2025 and 2024

(in millions, except per share data)

(unaudited)

 

Three Months Ended June 30,

Six Months Ended June 30,

2025

2024

2025

2024

Net revenues

$    2,761

$    2,397

$  5,413

$    4,763

Operating costs and expenses and other operating income:

Cost of services

1,818

1,593

3,607

3,188

Selling, general and administrative

486

416

962

856

Amortization of intangible assets

39

29

78

58

Other operating (income) expense, net

(20)

4

(18)

6

Total operating costs and expenses, net

2,323

2,042

4,629

4,108

Operating income

438

355

784

655

Other income (expense):

Interest expense, net

(67)

(44)

(134)

(87)

Other income, net

13

3

10

12

Total non-operating expense, net

(54)

(41)

(124)

(75)

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