Quest Diagnostics Reports First Quarter 2026 Financial Results; Raises Revenue and EPS Guidance for Full Year 2026

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  • First quarter revenues of $2.90 billion, up 9.2% from 2025, with 9.0% organic revenue growth
  • First quarter reported diluted earnings per share (“EPS”) of $2.24, up 15.5% from 2025; and adjusted diluted EPS of $2.50, up 13.1% from 2025
  • Full year 2026 reported diluted EPS now expected to be between $9.58 and $9.78; and adjusted diluted EPS is expected to be between $10.63 and $10.83

SECAUCUS, N.J., April 21, 2026 /PRNewswire/ — Quest Diagnostics Incorporated (NYSE: DGX), a leading provider of diagnostic information services, today announced financial results for the first quarter ended March 31, 2026.

“Our more than 9% revenue growth, almost entirely organic, and approximately 13% adjusted diluted earnings per share growth reflect our team’s disciplined execution of our strategy to deliver innovative diagnostic solutions for our customers’ evolving needs,” said Jim Davis, Chairman, CEO and President. “We are raising our revenue and EPS guidance for the year, given our robust first quarter performance and continued strategic focus.” 

Recent Highlights:

Serving Clinicians and Health Systems

  • Continued to advance our Co-Lab Solutions implementation and joint venture laboratory with Corewell Health, a leading health system in Michigan.
  • Scaled our lab and water purity testing solutions for several dialysis clinics and hospitals, extending our reach beyond dialysis clinics owned by Fresenius Medical Care in the United States.

Serving Consumers

  • Grew revenues robustly across the consumer channel through our questhealth.com platform and collaborations with top consumer health companies.

Delivering Diagnostic Innovations

  • Generated double-digit revenue growth in several areas of Advanced Diagnostics, including for our Quest AD-Detect® blood tests for Alzheimer’s disease and in several clinical areas of advanced cardiometabolic and endocrine disease.
  • Formed a research collaboration with City of Hope to study the use of Haystack MRD® as an aid in cancer monitoring and treatment decisions for four solid tumor cancers at 14 U.S. sites.

Driving Operational Excellence

  • Launched our AI Companion tool to help patients better understand their lab test reports. Patients have engaged Quest AI Companion approximately 350,000 times since we rolled it out to users of our myQuest patient app earlier this quarter.
  • Advanced our planning and design work for Project Nova, our multi-year initiative to transform our order-to-cash processes and systems, with plans to implement our first wave of solutions in the fall of 2027.

Three Months Ended March 31,

2026

2025

Change

(dollars in millions, except per share data)

Reported:

Net revenues

$       2,895

$       2,652

9.2 %

Diagnostic Information Services revenues

$       2,832

$       2,589

9.4 %

Revenue per requisition

(1.3) %

Requisition volume

10.9 %

  Organic requisition volume

10.8 %

Operating income (a)

$          399

$          346

15.5 %

Operating income as a percentage of net revenues (a)                         

13.8 %

13.0 %

0.8 %

Net income attributable to Quest Diagnostics (a)

$          252

$          220

14.4 %

Diluted EPS (a)

$         2.24

$         1.94

15.5 %

Cash provided by operations

$          278

$          314

(11.6) %

Capital expenditures

$          114

$          117

(1.8) %

Adjusted (a):

Operating income

$          447

$          406

10.0 %

Operating income as a percentage of net revenues

15.4 %

15.3 %

0.1 %

Net income attributable to Quest Diagnostics

$          281

$          251

12.1 %

Diluted EPS

$         2.50

$         2.21

13.1 %

(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 2026

The company updates its full year 2026 guidance as follows:

Updated Guidance

Prior Guidance

Low

High

Low

High

Net revenues

$11.78 billion

$11.90 billion

$11.70 billion

$11.82 billion

Net revenues increase

6.8 %

7.8 %

6.0 %

7.1 %

Reported diluted EPS

$9.58

$9.78

$9.45

$9.65

Adjusted diluted EPS

$10.63

$10.83

$10.50

$10.70

Cash provided by operations

Approximately $1.75 billion

Approximately $1.75 billion

Capital expenditures

  Approximately $550 million

Approximately $550 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.  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 April 21, 2026 until midnight Eastern Time on May 5, 2026, 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 healthcare to create a healthier world, one life at a time. We help connect people, from clinicians to consumers, with laboratory insights that illuminate a path to better health. With a focus on delivering smarter, simpler testing, our insights reveal new avenues to identify and treat disease, inspire healthy behaviors and improve healthcare management. Quest Diagnostics serves half the physicians and hospitals in the United States and one in three adult Americans each year, and our nearly 57,000 employees work together to deliver diagnostic insights that inspire actions to transform lives. 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.

For further information: Wendy Bost, Quest Diagnostics (Media): 973-520-2800, Daniel Haemmerle, Quest Diagnostics (Investors): 973-520-2900

This earnings release, including the attached financial tables, is available online in the Newsroom section at www.QuestDiagnostics.com

 

Quest Diagnostics Incorporated and Subsidiaries

Consolidated Statements of Operations

For the Three Months Ended March 31, 2026 and 2025

(in millions, except per share data)

(unaudited)

Three Months Ended

March 31,

2026

2025

Net revenues

$    2,895

$    2,652

Operating costs and expenses and other operating income:

Cost of services

1,953

1,789

Selling, general and administrative

504

476

Amortization of intangible assets

37

39

Other operating expense, net

2

2

Total operating costs and expenses, net

2,496

2,306

Operating income

399

346

Other income (expense):

Interest expense, net

(63)

(67)

Other expense, net

(2)

(3)

Total non-operating expense, net

(65)

(70)

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

334

276

Income tax expense

(74)

(59)

Equity in earnings of equity method investees, net of taxes

4

18

Net income

264

235

Less: Net income attributable to noncontrolling interests

12

15

Net income attributable to Quest Diagnostics

$       252

$       220

Earnings per share attributable to Quest Diagnostics’ common stockholders:

Basic

$      2.27

$      1.97

Diluted

$      2.24

$      1.94

Weighted average common shares outstanding:

Basic

110

111

Diluted

112

113

 

Quest Diagnostics Incorporated and Subsidiaries

Consolidated Balance Sheets

March 31, 2026 and December 31, 2025

(in millions, except per share data)

(unaudited)

March 31,

2026

December 31,

2025

Assets

Current assets:

Cash and cash equivalents

$                 393

$                420

Accounts receivable, net

1,587

1,408

Inventories

225

189

Prepaid expenses and other current assets

361

361

Total current assets

2,566

2,378

Property, plant and equipment, net

2,189

2,203

Operating lease right-of-use assets

691

657

Goodwill

9,120

8,945

Intangible assets, net

1,717

1,636

Investments in equity method investees

134

136

Other assets

256

270

Total assets

$            16,673

$           16,225

Liabilities and Stockholders’ Equity

Current liabilities:

Accounts payable and accrued expenses

$              1,500

$             1,600

Current portion of long-term debt

503

504

Current portion of long-term operating lease liabilities

174

174

Total current liabilities

2,177

2,278

Long-term debt

5,155

5,167

Long-term operating lease liabilities

574

537

Other liabilities

1,022

957

Redeemable noncontrolling interest

79

80

Stockholders’ equity:

Quest Diagnostics stockholders’ equity:

 

Common stock, par value $0.01 per share; 600 shares authorized as of both March 31, 2026 and

  December 31, 2025; 162 shares issued as of both March 31, 2026 and December 31, 2025

2

2

Additional paid-in capital

2,347

2,381

Retained earnings

10,151

9,994

Accumulated other comprehensive loss

(43)

(27)

Treasury stock, at cost; 51 shares and 52 shares as of March 31, 2026 and December 31, 2025,

  respectively

(5,091)

(5,180)

Total Quest Diagnostics stockholders’ equity

7,366

7,170

Noncontrolling interests

300

36

Total stockholders’ equity

7,666

7,206

Total liabilities and stockholders’ equity

$            16,673

$           16,225

 

Quest Diagnostics Incorporated and Subsidiaries

Consolidated Statements of Cash Flows

For the Three Months Ended March 31, 2026 and 2025

(in millions)

(unaudited)

Three Months Ended

March 31,

2026

2025

Cash flows from operating activities:

Net income

$              264

$              235

Adjustments to reconcile net income to net cash provided by operating activities:

Depreciation and amortization

147

140

Provision for credit losses

1

1

Deferred income tax expense

48

7

Stock-based compensation expense

20

22

Other, net

8

(1)

Changes in operating assets and liabilities:

Accounts receivable

(180)

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