Quest Diagnostics
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Quest Diagnostics (DGX) investor relations material

Quest Diagnostics Q2 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q2 2026 earnings summary23 Jul, 2026

Executive summary

  • Q2 2026 revenues reached $3.04 billion, up 10.2% year-over-year, driven by strong clinical demand, expanded collaborations with Corewell Health and Fresenius Medical Care, and double-digit growth in Advanced Diagnostics.

  • Adjusted diluted EPS rose 19.1% to $3.12, while reported diluted EPS increased 15% to $2.84; net income attributable to shareholders grew 13.4% to $320 million.

  • Automation and AI investments enhanced productivity and customer engagement, supporting ongoing improvements and cost-saving initiatives.

  • Full-year 2026 guidance for revenue and EPS was raised due to robust first-half performance and sustained demand.

  • Innovations included new kidney care capabilities, expanded automation, digital health partnerships, and New York State approval for the Haystack MRD test.

Financial highlights

  • Consolidated Q2 revenues were $3.04 billion, up 10.2% year-over-year; organic revenues grew 10%.

  • Diagnostic Information Services revenues rose 10.3% year-over-year, with 13.1% volume growth; revenue per requisition declined 2.8% due to business mix.

  • Adjusted operating income was $502 million (16.5% margin), up from $466 million; reported operating income was $459 million (15.1% margin).

  • Adjusted net income was $350 million (up 17.3%); cash from operations for the first half was $875 million, up from $858 million.

  • Capital expenditures for the first half were $252 million; full-year capex expected at ~$550 million.

Outlook and guidance

  • Full-year 2026 revenue guidance raised to $11.95–$12.05 billion (8.3%–9.2% growth); adjusted diluted EPS expected at $11.05–$11.25, reported EPS at $9.97–$10.17.

  • Cash from operations projected at ~$1.8 billion; capital expenditures at ~$550 million.

  • Operating margin expected to expand year-over-year; share count to be slightly below 2025.

  • Guidance assumes a 30 basis point revenue impact from ACA exchange subsidy expiration and higher fuel costs.

  • Adjusted effective tax rate for 2026 expected to be consistent with 2025.

Drivers of the 13.1% requisition volume growth
Double-digit growth areas in Advanced Diagnostics
Tax contingency impact on raised EPS guidance
Impact of Fresenius and Corewell on pricing mix
Maintaining margin expansion despite H2 headwinds
Haystack MRD growth following NY State approval
Three possible outcomes for PAMA reimbursement
Elevance p-tau217 reimbursement impact
Corewell Health JV transition timeline
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