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QUEST DIAGNOSTICS (DGX)

Earnings summaries and quarterly performance for QUEST DIAGNOSTICS.

Research analysts who have asked questions during QUEST DIAGNOSTICS earnings calls.

David Westenberg

Piper Sandler

6 questions for DGX

Also covers: ADPT, AKYA, CTKB +12 more

Elizabeth Anderson

Evercore ISI

6 questions for DGX

Also covers: AGL, ALGN, CAH +23 more

Erin Wright

Morgan Stanley

6 questions for DGX

Also covers: ALGN, BTSG, CAH +18 more

Jack Meehan

Nephron Research LLC

6 questions for DGX

Also covers: A, AVTR, BIO +17 more

Kevin Caliendo

UBS

6 questions for DGX

Also covers: AHCO, ALGN, AMWL +15 more

Patrick Donnelly

Citi

6 questions for DGX

Also covers: A, AVTR, BIO +21 more

Pito Chickering

Deutsche Bank

6 questions for DGX

Also covers: ACHC, AHCO, AVAH +18 more

Michael Cherny

Leerink Partners

5 questions for DGX

Also covers: ACCD, ALGN, CAH +18 more

Andrew Brackmann

William Blair & Company, L.L.C.

4 questions for DGX

Also covers: ADPT, AWH, BDSX +11 more

Luke Sergott

Barclays

4 questions for DGX

Also covers: A, AVTR, BRKR +19 more

Michael Ryskin

Bank of America Merrill Lynch

4 questions for DGX

Also covers: A, ALGN, AVTR +28 more

Tycho Peterson

Jefferies

3 questions for DGX

Also covers: A, AVTR, BIO +21 more

Andrew Brackman

William Blair

2 questions for DGX

Also covers: LH, VCYT

Ann Hynes

Mizuho Financial Group

2 questions for DGX

Also covers: ARDT, BTSG, CI +17 more

Eric Caldwell

Baird

2 questions for DGX

Noah Kava

Jefferies

2 questions for DGX

Aaron David Izen

Bank of America

1 question for DGX

Anna Krasinski

Barclays

1 question for DGX

Lisa Gill

JPMorgan Chase & Co.

1 question for DGX

Also covers: AGL, CAH, CI +13 more

Meghan Holtz

Jefferies Financial Group Inc.

1 question for DGX

Also covers: AHCO, AVAH, EHAB +4 more

Michael Cherney

Jefferies Financial Group Inc.

1 question for DGX

Also covers: COR, LH

Stephanie Davis

Barclays

1 question for DGX

Also covers: ACCD, CAH, COR +20 more

Recent press releases and 8-K filings for DGX.

Quest Diagnostics discusses utilization, growth, guidance and strategic investments
DGX
Guidance Update
New Projects/Investments
  • Quest highlighted sustained elevated test utilization, driven by expanded payer access, chronic disease screening, consumer health engagement, and growth in advanced diagnostics (cardiometabolic, autoimmune, women’s health, brain health, oncology).
  • The direct-to-consumer channel (QuestHealth.com) is growing ~35% QoQ YoY, approaching $100 million in revenue; advanced diagnostics now contribute ~$1 billion and grow in the low double digits.
  • For FY 2025, Quest expects organic revenue growth of 4.5%–5% (YTD 4.8%) and targets 75–150 bps of operating margin expansion over 2025–2027; Q4 typically sees a 50–100 bps seasonal margin decline vs. Q3.
  • Project Nova, a lab IT transformation, carries $250–310 million in one-time costs (40% OpEx, 60% CapEx) over 6–7 years, with ~$20 million spend in 2025 and benefits anticipated from 2027.
  • Management is planning for policy headwinds including potential PAMA cuts (~$100 million impact) and expiry of ACA exchange subsidies (~30 bps revenue/volume impact), and sees a >50% chance of a PAMA delay.
5 days ago
Quest Diagnostics outlines FY25 growth drivers and strategic initiatives
DGX
Guidance Update
New Projects/Investments
M&A
  • Utilization remains resilient, with tests per requisition up to 4.3–4.4 from pre-COVID 3.8–3.9, driving 4.8% YTD organic revenue growth and full-year guidance of 4.5–5%.
  • Direct-to-consumer channel questhealth.com is growing ~35% QoQ Y/Y, approaching $100 M in revenue, and expanding via partnerships (WHOOP, Oura, Hims & Hers) where Quest is the exclusive testing engine.
  • Project Nova (lab information system overhaul) entails $250–310 M of one-time costs (40% OpEx, 60% CapEx) over 6–7 years, with <$20 M spent in 2025 and full benefits expected from 2027.
  • 75–150 bps operating margin expansion target for 2025–27 is reaffirmed, with an expected 50–100 bps seasonal dip from Q3 to Q4.
  • Acquisition and partnership pipeline focuses on physician outreach and lab services (Corewell +$200 M, Fresenius +$100 M), plus strategic tests like Haystack MRD (addressable $5–10 B market), with deals designed for >10% ROIC by year 3 and year-1 EPS accretion.
5 days ago
Quest Diagnostics highlights elevated utilization and strategic investments at Citi Healthcare Conference
DGX
Guidance Update
New Projects/Investments
Product Launch
  • Maintained elevated utilization post-COVID with tests per requisition rising to 4.3–4.4 (vs. ~3.8–3.9 pre-COVID), driving organic revenue growth of 4.8% YTD and guided 4.5–5% for FY 25.
  • Consumer channel revenue nearing $100 million, up 35% QoQ YoY, and advanced diagnostics tests (~$1 billion revenue) growing low double digits across cardiometabolic, autoimmune, women’s health, brain health and oncology.
  • Investing $250–310 million in Project Nova (40% OpEx, 60% CapEx) over six to seven years, with initial FY 25 spend < $20 million and expected productivity benefits from 2027.
  • Launched Haystack MRD test with Medicare PLA codes reimbursed at $3,900 baseline and $800 monitoring effective Jan 2026, expanded commercial reps to 35–40, targeting break-even by end-2026.
5 days ago
Quest Diagnostics reports Q3 2025 results and raises full-year guidance
DGX
Earnings
Guidance Update
New Projects/Investments
  • Revenues increased 13.1% to $2.82 billion, with 6.8% organic growth; diagnostic services up 13.5%, and requisitions rose 12.5% year-over-year.
  • Reported EPS of $2.16 and adjusted EPS of $2.60, with operating income at 13.7% of revenues (adjusted 16.3%); raised full-year revenue guidance to $10.96 billion–$11.0 billion, EPS to $8.58–$8.66, and adjusted EPS to $9.76–$9.84.
  • Formed a lab services JV with Corewell Health (projected $1 billion annual COLAB Solutions revenue), launched Project Nova with Epic Systems, and expanded consumer channel partnerships with Whoop and Oura.
  • Advanced diagnostics saw strong traction: autoimmune Analyzer growth, Quest AD-Detect volumes more than doubled, Haystack MRD earned FDA Breakthrough Device designation and Medicare reimbursement pending; targeting 3% annual cost savings via Invigorate automation.
Oct 21, 2025, 12:30 PM
Quest Diagnostics posts strong Q3 2025 results and raises guidance
DGX
Earnings
Guidance Update
New Projects/Investments
  • Q3 revenue: $2.82 billion, up 13.1% year-over-year, including 6.8% organic growth.
  • Adjusted diluted EPS: $2.60 per share, a 13.0% increase versus prior year.
  • Expanded partnerships with Corewell Health via a lab services joint venture expected to generate ~$1 billion in annual revenues, and selected Epic for Project Nova to modernize order-to-cash processes.
  • Full-year 2025 guidance raised: net revenue now expected at $10.96–11.00 billion and adjusted EPS at $9.76–9.84.
Oct 21, 2025, 12:30 PM
Quest Diagnostics reports Q3 2025 results
DGX
Earnings
Guidance Update
M&A
  • Revenues were $2.82 B, up 13.1% year-over-year with 6.8% organic growth in Q3 2025.
  • Adjusted operating margin expanded to 16.3% (from 15.5%) and adjusted EPS was $2.60 versus $2.30 a year ago.
  • Cash from operations was $1.42 B year-to-date (up 63.1%); full-year 2025 guidance raised to ~$1.8 B with capex of ~$500 M.
  • Full-year guidance lifted: revenues of $10.96 B–$11.00 B, reported EPS of $8.58–8.66 and adjusted EPS of $9.76–9.84.
  • Growth fueled by clinical innovations, acquisitions (e.g., Fresenius testing assets) and consumer channel expansion via partnerships (WHOOP, Aura) plus a joint venture with CoreWell Health.
Oct 21, 2025, 12:30 PM
Quest Diagnostics reports Q3 2025 financial results
DGX
Earnings
Guidance Update
New Projects/Investments
  • Third quarter net revenues of $2.82 billion, up 13.1% year-over-year; reported diluted EPS of $2.16 (+8.5%) and adjusted diluted EPS of $2.60 (+13.0%).
  • Year-to-date cash provided by operations of $1.4 billion, up 63.1% from the prior year.
  • Raised full-year 2025 guidance: net revenues of $10.96–11.00 billion, reported EPS of $8.58–8.66, and adjusted EPS of $9.76–9.84.
  • Entered a lab services joint venture with Corewell Health, targeting $1 billion in annual Co-Lab Solutions revenue next year.
Oct 21, 2025, 10:50 AM
Quest Diagnostics reports Q3 2025 results and raises guidance for full year 2025
DGX
Earnings
Guidance Update
New Projects/Investments
  • Third quarter net revenues were $2.816 billion, up 13.1% year-over-year.
  • Reported diluted EPS of $2.16, up 8.5%, and adjusted diluted EPS of $2.60, up 13.0%.
  • Year-to-date operating cash flow reached $1.421 billion, up 63.1%.
  • Raised full-year 2025 guidance to $10.96–$11.00 billion in revenues, $8.58–$8.66 reported EPS and $9.76–$9.84 adjusted EPS.
  • Entered a lab services joint venture with Corewell Health in Michigan, aiming for $1 billion in Co-Lab Solutions revenues across 21 hospitals next year.
Oct 21, 2025, 10:45 AM
Quest Diagnostics outlines strategic initiatives and growth drivers at Jefferies 2025 Healthcare Services Conference
DGX
M&A
New Projects/Investments
  • Quest emphasized its consumer health expansion into a $2.5 billion market, targeting $250 million in revenue via questhealth.com and partnerships with WHOOP and Function Health, with margins at or above enterprise averages.
  • In oncology, Quest partners on early-cancer screening (Guardant Health’s Shield, Grail’s Galleri) and is developing its own colorectal tests (Universal DX), while its Haystack Oncology MRD test secured two PLA codes and is on track for Medicare reimbursement by January 2026 at prices similar to Signatera.
  • Its Alzheimer’s blood-based AD Detect LDT portfolio is experiencing high double-digit growth, offering reimbursements over $350 per multi-analyte test, though adoption awaits guideline updates to move directly from positive results to therapy.
  • Quest plans 1–2% annual revenue growth from M&A (deploying ~$500 million per year), highlighted by the Canada LifeLabs deal outperforming margins, and is capturing share through hospital-lab acquisitions; structural utilization and mix shifts have lifted tests per requisition to 4.2.
Sep 29, 2025, 8:35 PM
Quest Diagnostics and Rutgers Cancer Institute launch ctDNA MRD lung cancer trial
DGX
New Projects/Investments
  • Quest Diagnostics’ Haystack Oncology and Rutgers Cancer Institute are initiating the MRD-PORT phase II trial (NCT06979661) to evaluate the Haystack MRD circulating tumor DNA test for guiding postoperative radiation and systemic therapy decisions in stage II/III NSCLC patients.
  • The study will use postoperative ctDNA positivity to personalize adjuvant treatment—including chemotherapy, immunotherapy, targeted therapy, and PORT—based on tumor biology and clinical context.
  • This marks the second Rutgers–Haystack collaboration following a 2023 triple-negative breast cancer study; in August 2025, the FDA granted Breakthrough Device Designation to Haystack MRD for stage II colorectal cancer.
  • An April 2025 NEJM study showed Haystack MRD detected clinical complete response at a median of 1.4 months versus 6+ months for imaging, and 96% of oncologists believe MRD testing can identify recurrence earlier than current methods.
Sep 22, 2025, 12:07 PM

Quarterly earnings call transcripts for QUEST DIAGNOSTICS.