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Cover and table of contents

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Cover and table of contents

10-K 1 dgx1231201810-k.htm 10-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, DC 20549

FORM 10-K

Annual Report Pursuant to Section 13 or 15(d) of

the Securities Exchange Act of 1934

For the Fiscal Year Ended December 31, 2018

Commission File Number 001-12215

Quest Diagnostics Incorporated

500 Plaza Drive

Secaucus, New Jersey 07094

(973) 520-2700

Delaware

(State of Incorporation)

16-1387862

(I.R.S. Employer Identification Number)

Securities registered pursuant to Section 12(b) of the Act:
Title of Each ClassName of Each Exchange on Which Registered
Common Stock, $.01 par value per shareNew York Stock Exchange
Securities registered pursuant to Section 12(g) of the Act:None

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.

Yes X No

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Exchange Act.

Yes No X

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.

Yes X No

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).

Yes X No

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§229.405 of this chapter) is not contained herein, and will not be contained, to the best of registrant's knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. [X]

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and "emerging growth company" in Rule 12b-2 of the Exchange Act.

Large accelerated filer xAccelerated filer o
Non-accelerated filer oSmaller reporting company o
Emerging growth company o

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. [ ]

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes No X

As of June 30, 2018, the aggregate market value of the approximately $136 million shares of voting and non-voting common equity held by non-affiliates of the registrant was approximately $14.9 billion, based on the closing price on such date of the registrant's Common Stock on the New York Stock Exchange.

As of January 31, 2019, there were outstanding 134,261,768 shares of the registrant’s common stock, $.01 par value.

Documents Incorporated by ReferencePart of Form 10-K into which incorporated
Document
Portions of the registrant's Proxy Statement to be filed by April 30, 2019Part III

Such Proxy Statement, except for the portions thereof which have been specifically incorporated by reference, shall not be deemed “filed” as part of this report on Form 10-K.

TABLE OF CONTENTS

ItemPage
Item 1.Business1
Overview, Vision, Goals and Values1
Our Strategy2
Our Strengths6
Business Operations10
The United States Clinical Testing Industry13
General21
Regulation24
Available Information27
Executive Officers of the Company28
Item 1A.Risk Factors30
Cautionary Factors That May Affect Future Results38
Item 1B.Unresolved Staff Comments39
Item 2.Properties39
Item 3.Legal Proceedings40
Item 4.Mine Safety Disclosures40
Item 5.Market for Registrant's Common Stock, Related Stockholder Matters and Issuer Purchases of Equity Securities41
Item 6.Selected Financial Data42
Item 7.Management's Discussion and Analysis of Financial Condition and Results of Operations43
Item 7A.Quantitative and Qualitative Disclosures About Market Risk43
Item 8.Financial Statements and Supplementary Data43
Item 9.Changes in and Disagreements with Accountants on Accounting and Financial Disclosure43
Item 9A.Controls and Procedures43
Item 9B.Other Information43
Item 10.Directors, Executive Officers and Corporate Governance44
Item 11.Executive Compensation44
Item 12.Security Ownership of Certain Beneficial Owners and Management and Related Stockholders' Matters44
Item 13.Certain Relationships and Related Transactions, and Director Independence44
Item 14.Principal Accounting Fees and Services44
Item 15.Exhibits, Financial Statement Schedules45
Item 16.Form 10-K Summary46
Selected Historical Financial Data of Our Company49
Management's Discussion and Analysis of Financial Condition and Results of Operations53
Report of Management on Internal Control Over Financial Reporting72
Report of Independent Registered Public Accounting FirmF- 1
Consolidated Financial Statements and Related NotesF- 3
Supplementary Data: Quarterly Operating Results (unaudited)F- 45
Schedule II - Valuation Accounts and ReservesF- 47

i

The discussion in Item 1 below includes several defined terms:

ACA - Affordable Care Act

ACO - Accountable Care Organization

CAP - The College of American Pathologists

CLIA - Clinical Laboratory Improvement Act

CMS - Centers for Medicare and Medicaid Services

FDA - U.S. Food and Drug Administration

IDN - Independent Delivery Network (including hospital health systems)

IPA - Independent Physician Association

LDT - Laboratory-Developed Test

PAMA - The Protecting Access to Medicare Act of 2014

The discussion also includes several tables, indexed in the following guide.

Guide to Tables
Table 1 - Portfolio Growth3
Table 2 - Approaches to Accelerate Growth3
Table 3 - Key Professional Laboratory Services Offerings4
Table 4 - Clinical Franchises4
Table 5 - Recent Consumer-Centric Initiatives5
Table 6 - Major Themes to Drive Operational Excellence6
Table 7 - Assets and Capabilities8
Table 8 - 2018 Net Revenues10
Table 9 - U.S. Clinical Testing Industry13
Table 10 - Key Trends13
Table 11 - Contributing to Reducing Healthcare Costs and Improving Care17
Table 12 - Customers18
Table 13 - Factors Considered When Selecting a Diagnostics Information Services Provider21
Table 14 - 2018 Medicare and Medicaid Revenues as % of Consolidated Net Revenues24
Table 15 - Key Regulatory Schemes24
Table 16 - Information Available at Our Corporate Governance Webpage27
Table 17 - Executive Officers28

Next: Item 1. Business