QUEST DIAGNOSTICS REPORTS FOURTH QUARTER AND FULL YEAR 2022 FINANCIAL RESULTS; PROVIDES GUIDANCE FOR FULL YEAR 2023
Quest Diagnostics (DGX) reported fourth quarter revenues of $2.33 billion, a 15.0% decline from 2021. Reported diluted EPS stood at $0.87, down 72.1%, while adjusted diluted EPS was $1.98, a 40.5% decrease. Base business revenues rose 6.3% to $2.15 billion, contrasting with a 74.6% drop in COVID-19 testing revenues to $184 million. For the full year, total revenues were $9.88 billion, an 8.4% decrease, with an adjusted diluted EPS of $9.95, down 30.1%. Looking ahead, 2023 guidance estimates diluted EPS between $7.61 and $8.21 with a focus on base business growth and productivity.
- Base business revenues increased 6.3% in Q4 2022 and 5.1% for the full year.
- Full year COVID-19 testing revenues exceeded $1.4 billion despite a decline.
- Total revenues down 15.0% in Q4 and 8.4% for the year.
- Reported diluted EPS fell by 72.1% in Q4 and 48.7% for the year.
- COVID-19 testing revenues plummeted 74.6% in Q4 and 47.5% for the year.
- Operating income dropped 74.9% in Q4 and 40.0% for the full year.
- Fourth quarter revenues of
, down$2.33 billion 15.0% from 2021 - Fourth quarter reported diluted earnings per share ("EPS") of
, down$0.87 72.1% from 2021; and adjusted diluted EPS of , down$1.98 40.5% from 2021 - Fourth quarter base business revenues of
, up$2.15 billion 6.3% from 2021 - Fourth quarter COVID-19 testing revenues of
, down$184 million 74.6% from 2021 - Full year revenues of
, down$9.88 billion 8.4% from 2021 - Full year reported diluted EPS of
, down$7.97 48.7% from 2021; and adjusted diluted EPS of , down$9.95 30.1% from 2021 - Full year base business revenues of
, up$8.43 billion 5.1% from 2021 - Full year COVID-19 testing revenues of
, down$1.45 billion 47.5% from 2021 - Full year 2023 reported diluted EPS expected to be between
and$7.61 ; and adjusted diluted EPS expected to be between$8.21 and$8.40 $9.00
"Quest had another strong year in 2022, with base business revenues growing more than
"In 2023, our focus is on growing our base business and increasing our efforts to drive productivity and expand margins. Our guidance for the full year reflects continued growth in the base business, tailwinds from recent Medicare reimbursement changes, investments to accelerate growth, and declining COVID-19 revenues."
Three Months Ended | Twelve Months Ended | ||||||||||
2022 | 2021 | Change | 2022 | 2021 | Change | ||||||
(dollars in millions, except per share data) | |||||||||||
Reported: | |||||||||||
Net revenues | $ 2,333 | $ 2,744 | (15.0) % | $ 9,883 | (8.4) % | ||||||
Base business revenues (a) | $ 2,149 | $ 2,022 | 6.3 % | $ 8,429 | $ 8,018 | 5.1 % | |||||
COVID-19 testing revenues | $ 184 | $ 722 | (74.6) % | $ 1,454 | $ 2,770 | (47.5) % | |||||
Diagnostic information services revenues | $ 2,265 | $ 2,674 | (15.3) % | $ 9,609 | (8.4) % | ||||||
Revenue per requisition | (5.1) % | (4.5) % | |||||||||
Requisition volume | (11.2) % | (4.5) % | |||||||||
Organic requisition volume | (11.4) % | (5.1) % | |||||||||
Operating income (b) | $ 135 | $ 536 | (74.9) % | $ 1,428 | $ 2,381 | (40.0) % | |||||
Operating income as a percentage of net revenues (b) | 5.8 % | 19.5 % | (13.7) % | 14.5 % | 22.1 % | (7.6) % | |||||
Net income attributable to | $ 101 | $ 390 | (74.2) % | $ 946 | $ 1,995 | (52.6) % | |||||
Diluted EPS (b) (c) | $ 0.87 | $ 3.12 | (72.1) % | $ 7.97 | $ 15.55 | (48.7) % | |||||
Cash provided by operations | $ 334 | $ 481 | (30.5) % | $ 1,718 | $ 2,233 | (23.1) % | |||||
Capital expenditures | $ 147 | $ 144 | 2.7 % | $ 404 | $ 403 | 0.3 % | |||||
Adjusted (b): | |||||||||||
Operating income | $ 330 | $ 579 | (42.7) % | $ 1,742 | $ 2,565 | (32.0) % | |||||
Operating income as a percentage of net revenues | 14.2 % | 21.1 % | (6.9) % | 17.6 % | 23.8 % | (6.2) % | |||||
Net income attributable to | $ 229 | $ 416 | (44.9) % | $ 1,181 | $ 1,827 | (35.4) % | |||||
Diluted EPS (c) | $ 1.98 | $ 3.33 | (40.5) % | $ 9.95 | $ 14.24 | (30.1) % |
(a) | Excludes COVID-19 testing. |
(b) | 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 |
(c) | The sum of reported and adjusted diluted EPS for the four quarters of both 2022 and 2021 did not equal the totals for the years ended |
Guidance for Full Year 2023
We estimate full year 2023 guidance as follows:
Low | High | ||
Net revenues | |||
Net revenues decrease | (10.7) % | (8.6) % | |
Base business revenues (a) | |||
Base business revenues increase | 2.6 % | 3.8 % | |
COVID-19 testing revenues | |||
COVID-19 testing revenues decrease | (88.0) % | (81.1) % | |
Reported diluted EPS | |||
Adjusted diluted EPS | |||
Cash provided by operations | At least | ||
Capital expenditures | Approximately |
(a) | Excludes COVID-19 testing. |
Note on Non-GAAP Financial Measures
As used in this press release the term "reported" refers to measures under accounting principles generally accepted in
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
A replay of the call may be accessed online at www.QuestDiagnostics.com/investor or, from approximately
About
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, impacts of the COVID-19 pandemic and measures taken in response, 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.
ADDITIONAL TABLES FOLLOW
Consolidated Statements of Operations For the Three and Twelve Months Ended (in millions, except per share data) (unaudited) | |||||||
Three Months Ended | Twelve Months Ended | ||||||
2022 | 2021 | 2022 | 2021 | ||||
Net revenues | $ 2,333 | $ 2,744 | $ 9,883 | ||||
Operating costs and expenses and other operating income: | |||||||
Cost of services | 1,575 | 1,718 | 6,450 | 6,579 | |||
Selling, general and administrative | 563 | 464 | 1,874 | 1,727 | |||
Amortization of intangible assets | 39 | 26 | 120 | 103 | |||
Other operating expense (income), net | 21 | — | 11 | (2) | |||
Total operating costs and expenses, net | 2,198 | 2,208 | 8,455 | 8,407 | |||
Operating income | 135 | 536 | 1,428 | 2,381 | |||
Other income (expense): | |||||||
Interest expense, net | (32) | (37) | (138) | (151) | |||
Other income (expense), net | 6 | 3 | (55) | 369 | |||
Total non-operating (expense) income, net | (26) | (34) | (193) | 218 | |||
Income before income taxes and equity in earnings of equity method investees | 109 | 502 | 1,235 | 2,599 | |||
Income tax benefit (expense) | 4 | (114) | (264) | (597) | |||
Equity in earnings of equity method investees, net of taxes | 3 | 25 | 44 | 78 | |||
Net income | 116 | 413 | 1,015 | 2,080 | |||
Less: Net income attributable to noncontrolling interests | 15 | 23 | 69 | 85 | |||
Net income attributable to | $ 101 | $ 390 | $ 946 | $ 1,995 | |||
Earnings per share attributable to | |||||||
Basic | $ 0.89 | $ 3.19 | $ 8.10 | $ 15.85 | |||
Diluted | $ 0.87 | $ 3.12 | $ 7.97 | $ 15.55 | |||
Weighted average common shares outstanding: | |||||||
Basic | 113 | 122 | 116 | 125 | |||
Diluted | 115 | 125 | 118 | 128 | |||
Consolidated Balance Sheets (in millions, except per share data) (unaudited) | |||
|
| ||
Assets | |||
Current assets: | |||
Cash and cash equivalents | $ 315 | $ 872 | |
Accounts receivable, net | 1,195 | 1,438 | |
Inventories | 192 | 208 | |
Prepaid expenses and other current assets | 196 | 223 | |
Total current assets | 1,898 | 2,741 | |
Property, plant and equipment, net | 1,766 | 1,707 | |
Operating lease right-of-use assets | 585 | 597 | |
7,220 | 7,095 | ||
Intangible assets, net | 1,092 | 1,167 | |
Investment in equity method investees | 132 | 141 | |
Other assets | 144 | 163 | |
Total assets | $ 12,837 | $ 13,611 | |
Liabilities and Stockholders' Equity | |||
Current liabilities: | |||
Accounts payable and accrued expenses | $ 1,396 | $ 1,600 | |
Current portion of long-term debt | 2 | 2 | |
Current portion of long-term operating lease liabilities | 153 | 151 | |
Total current liabilities | 1,551 | 1,753 | |
Long-term debt | 3,978 | 4,010 | |
Long-term operating lease liabilities | 489 | 494 | |
Other liabilities | 812 | 792 | |
Redeemable noncontrolling interest | 77 | 79 | |
Stockholders' equity: | |||
Common stock, par value | 2 | 2 | |
Additional paid-in capital | 2,295 | 2,260 | |
Retained earnings | 8,290 | 7,649 | |
Accumulated other comprehensive loss | (21) | (14) | |
(4,673) | (3,453) | ||
5,893 | 6,444 | ||
Noncontrolling interests | 37 | 39 | |
Total stockholders' equity | 5,930 | 6,483 | |
Total liabilities and stockholders' equity | $ 12,837 | $ 13,611 |
Consolidated Statements of Cash Flows For the Twelve Months Ended (in millions) (unaudited) | |||
Twelve Months Ended | |||
2022 | 2021 | ||
Cash flows from operating activities: | |||
Net income | $ 1,015 | $ 2,080 | |
Adjustments to reconcile net income to net cash provided by operating activities: | |||
Depreciation and amortization | 437 | 408 | |
Provision for credit losses | 3 | 4 | |
Deferred income tax provision (benefit) | 1 | (57) | |
Stock-based compensation expense | 77 | 79 | |
Gain on disposition of joint venture | — | (314) | |
Other, net | 66 | (54) | |
Changes in operating assets and liabilities: | |||
Accounts receivable | 246 | 81 | |
Accounts payable and accrued expenses | (149) | 35 | |
Income taxes payable | (31) | (20) | |
Other assets and liabilities, net | 53 | (9) | |
Net cash provided by operating activities | 1,718 | 2,233 | |
Cash flows from investing activities: | |||
Business acquisitions, net of cash acquired | (144) | (331) | |
Proceeds from disposition of joint venture | — | 755 | |
Capital expenditures | (404) | (403) | |
Decrease in investments and other assets, net | 5 | — | |
Net cash (used in) provided by investing activities | (543) | 21 | |
Cash flows from financing activities: | |||
Repayments of debt | (2) | (2) | |
Purchases of treasury stock | (1,408) | (2,199) | |
Exercise of stock options | 123 | 129 | |
Employee payroll tax withholdings on stock issued under stock-based compensation plans | (28) | (22) | |
Dividends paid | (305) | (309) | |
Distributions to noncontrolling interest partners | (73) | (99) | |
Other financing activities, net | (39) | (38) | |
Net cash used in financing activities | (1,732) | (2,540) | |
Net change in cash and cash equivalents and restricted cash | (557) | (286) | |
Cash and cash equivalents and restricted cash, beginning of period | 872 | 1,158 | |
Cash and cash equivalents and restricted cash, end of period | $ 315 | $ 872 | |
Cash paid during the period for: | |||
Interest | $ 156 | $ 159 | |
Income taxes | $ 283 | $ 709 |
Notes to Financial Tables |
1) The computation of basic and diluted earnings per common share is as follows: |
Three Months Ended | Twelve Months Ended | ||||||
2022 | 2021 | 2022 | 2021 | ||||
(in millions, except per share data) | |||||||
Amounts attributable to | |||||||
Net income attributable to | $ 101 | $ 390 | $ 946 | $ 1,995 | |||
Less: Earnings allocated to participating securities | — | 1 | 4 | 7 | |||
Earnings available to | $ 101 | $ 389 | $ 942 | $ 1,988 | |||
Weighted average common shares outstanding - basic | 113 | 122 | 116 | 125 | |||
Effect of dilutive securities: | |||||||
Stock options and performance share units | 2 | 3 | 2 | 3 | |||
Weighted average common shares outstanding - diluted | 115 | 125 | 118 | 128 | |||
Earnings per share attributable to | |||||||
Basic | $ 0.89 | $ 3.19 | $ 8.10 | $ 15.85 | |||
Diluted | $ 0.87 | $ 3.12 | $ 7.97 | $ 15.55 |
2) The following tables reconcile reported GAAP results to non-GAAP adjusted results: |
Three Months Ended | |||||||||||
(dollars in millions, except per share data) | |||||||||||
Operating | Operating | Income tax | Equity in investees, net | Net income | Diluted EPS | ||||||
As reported | $ 135 | 5.8 % | $ 4 | $ 3 | $ 101 | $ 0.87 | |||||
Restructuring and | 51 | 2.2 | (12) | — | 39 | 0.34 | |||||
Gains and losses on | — | — | (2) | 3 | 1 | 0.01 | |||||
Quest for Health Equity | 84 | 3.6 | (22) | — | 62 | 0.53 | |||||
Other (d) | 21 | 0.9 | (20) | — | 1 | 0.01 | |||||
Amortization expense | 39 | 1.7 | (10) | — | 29 | 0.25 | |||||
ETB | — | — | (4) | — | (4) | (0.03) | |||||
As adjusted | $ 330 | 14.2 % | $ (66) | $ 6 | $ 229 | $ 1.98 | |||||
Twelve Months Ended | |||||||||||
(dollars in millions, except per share data) | |||||||||||
Operating | Operating | Income tax | Equity in | Net income | Diluted EPS | ||||||
As reported | $ 1,428 | 14.5 % | $ (264) | $ 44 | $ 946 | $ 7.97 | |||||
Restructuring and | 88 | 0.9 | (22) | — | 66 | 0.56 | |||||
Gains and losses on | — | — | (11) | 12 | 31 | 0.26 | |||||
Quest for Health Equity | 93 | 0.9 | (24) | — | 69 | 0.59 | |||||
Other (d) | 13 | 0.1 | (19) | — | (6) | (0.05) | |||||
Amortization expense | 120 | 1.2 | (31) | — | 89 | 0.74 | |||||
ETB | — | — | (14) | — | (14) | (0.12) | |||||
As adjusted | $ 1,742 | 17.6 % | $ (385) | $ 56 | $ 1,181 | $ 9.95 | |||||
Three Months Ended | |||||||||||
(dollars in millions, except per share data) | |||||||||||
Operating | Operating | Income tax | Equity in investees, net of taxes | Net income attributable | Diluted EPS | ||||||
As reported | $ 536 | 19.5 % | $ (114) | $ 25 | $ 390 | $ 3.12 | |||||
Restructuring and | 10 | 0.4 | (3) | — | 7 | 0.06 | |||||
Gains and losses on | — | — | 1 | (5) | (1) | (0.01) | |||||
Quest for Health Equity | 7 | 0.2 | (2) | — | 5 | 0.03 | |||||
Amortization expense | 26 | 1.0 | (7) | — | 19 | 0.16 | |||||
ETB | — | — | (4) | — | (4) | (0.03) | |||||
As adjusted | $ 579 | 21.1 % | $ (129) | $ 20 | $ 416 | $ 3.33 | |||||
Twelve Months Ended | |||||||||||
(dollars in millions, except per share data) | |||||||||||
Operating | Operating | Income tax | Equity in | Net income | Diluted EPS | ||||||
As reported | $ 2,381 | 22.1 % | $ (597) | $ 78 | $ 1,995 | $ 15.55 | |||||
Restructuring and | 61 | 0.6 | (16) | — | 45 | 0.36 | |||||
Gains and losses on | — | — | 11 | — | (28) | (0.24) | |||||
Quest for Health Equity | 16 | 0.1 | (4) | — | 12 | 0.08 | |||||
Gain on sale of ownership | — | — | 55 | — | (259) | (2.02) | |||||
COVID-19 impact (f) | 4 | — | (1) | — | 3 | 0.03 | |||||
Amortization expense | 103 | 1.0 | (27) | 2 | 78 | 0.62 | |||||
ETB | — | — | (19) | — | (19) | (0.14) | |||||
As adjusted | $ 2,565 | 23.8 % | $ (598) | $ 80 | $ 1,827 | $ 14.24 |
(a) | For both the three and twelve months ended |
Three Months Ended | Twelve Months Ended | ||||||
2022 | 2021 | 2022 | 2021 | ||||
(dollars in millions) | |||||||
Cost of services | $ 19 | $ 4 | $ 32 | $ 30 | |||
Selling, general and administrative | 32 | 6 | 56 | 31 | |||
Operating income | $ 51 | $ 10 | $ 88 | $ 61 |
(b) | For both the three and twelve months ended |
Three Months Ended | Twelve Months Ended | ||||||
2022 | 2021 | 2022 | 2021 | ||||
(dollars in millions) | |||||||
Other income (expense), net | $ — | $ 3 | $ 30 | $ (39) | |||
Equity in earnings of equity method investees, net of taxes | $ 3 | $ (5) | $ 12 | $ — |
(c) | For both the three and twelve months ended |
(d) | For the three months ended |
Three Months Ended | Twelve Months Ended | ||||||
2022 | 2021 | 2022 | 2021 | ||||
(dollars in millions) | |||||||
Cost of services | $ — | $ — | $ 2 | $ — | |||
Other operating expense (income), net | 21 | — | 11 | — | |||
Operating income | $ 21 | $ — | $ 13 | $ — |
(e) | For the twelve months ended |
(f) | For the twelve months ended |
(g) | For restructuring and integration charges, gains and losses on investments, Quest for Health Equity costs, other items, amortization expense and COVID-19 impacts, income tax impacts, where recorded, were primarily calculated using combined statutory income tax rates of |
3) | For the three months ended |
4) | The outlook for adjusted diluted EPS represents management's estimates for the full year 2023 before the impact of special items. Further impacts to earnings related to special items may occur throughout 2023. Additionally, the amount of ETB is dependent upon employee stock option exercises and our stock price, both of which are difficult to predict. The following table reconciles our 2023 outlook for diluted EPS under GAAP to our outlook for adjusted diluted EPS: |
Low | High | ||
Diluted EPS | $ 7.61 | $ 8.21 | |
Restructuring and integration charges (a) | 0.21 | 0.21 | |
Amortization expense (b) | 0.73 | 0.73 | |
ETB | (0.15) | (0.15) | |
Adjusted diluted EPS | $ 8.40 | $ 9.00 |
(a) | Represents estimated pre-tax charges of |
(b) | Represents estimated pre-tax amortization expenses of |
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