Cover and table of contents

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Cover and table of contents

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, 2019

Or

☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from __________ to __________

Commission File Number 001-12215

Quest Diagnostics Inc****orporated

Delaware16-1387862
(State of Incorporation)(I.R.S. Employer Identification Number)
500 Plaza Drive
Secaucus,NJ07094
(973)520-2700
Securities registered pursuant to Section 12(b) of the Act:
Title of Each ClassTrading Symbol(s)Name of Each Exchange on Which Registered
Common Stock, $.01 par valueDGXNew 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 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 such files).

Yes X No

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☒Accelerated filer☐
Non-accelerated filer☐Smaller reporting company☐
Emerging growth company☐

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, 2019, the aggregate market value of the approximately 134 million shares of voting and non-voting common equity held by non-affiliates of the registrant was approximately $13.7 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, 2020, there were outstanding 133,455,068 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 29, 2020Part 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
Introduction1
Our Strategy2
Our Strengths7
Business Operations10
The Clinical Testing Industry13
General21
Regulation23
Available Information26
Information about Our Executive Officers26
Item 1A.Risk Factors28
Cautionary Factors That May Affect Future Results37
Item 1B.Unresolved Staff Comments38
Item 2.Properties38
Item 3.Legal Proceedings39
Item 4.Mine Safety Disclosures39
Item 5.Market for Registrant's Common Stock, Related Stockholder Matters and Issuer Purchases of Equity Securities40
Item 6.Selected Financial Data41
Item 7.Management's Discussion and Analysis of Financial Condition and Results of Operations42
Item 7A.Quantitative and Qualitative Disclosures About Market Risk42
Item 8.Financial Statements and Supplementary Data42
Item 9.Changes in and Disagreements with Accountants on Accounting and Financial Disclosure42
Item 9A.Controls and Procedures42
Item 9B.Other Information42
Item 10.Directors, Executive Officers and Corporate Governance43
Item 11.Executive Compensation43
Item 12.Security Ownership of Certain Beneficial Owners and Management and Related Stockholders' Matters43
Item 13.Certain Relationships and Related Transactions, and Director Independence43
Item 14.Principal Accounting Fees and Services43
Item 15.Exhibits, Financial Statement Schedules44
Item 16.Form 10-K Summary49
Selected Historical Financial Data of Our Company52
Management's Discussion and Analysis of Financial Condition and Results of Operations57
Report of Management on Internal Control Over Financial Reporting74
Report of Independent Registered Public Accounting FirmF- 1
Consolidated Financial Statements and Related NotesF- 3
Supplementary Data: Quarterly Operating Results (unaudited)F- 48
Schedule II - Valuation Accounts and ReservesF- 51

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

LAB Act - Laboratory Access for Beneficiaries Act

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
Services PortfolioTable 1
Approaches to Accelerate GrowthTable 2
Key Professional Laboratory Services OfferingsTable 3
Clinical FranchisesTable 4
Consumer-Centric InitiativesTable 5
Major Themes to Drive Operational ExcellenceTable 6
Our StrengthsTable 7
Assets and CapabilitiesTable 8
2019 Net RevenuesTable 9
Clinical Testing IndustryTable 10
Key TrendsTable 11
Reducing Healthcare Costs and Improving CareTable 12
CustomersTable 13
Potential Factors Considered When Selecting a Diagnostics Information Services ProviderTable 14
2019 Medicare and Medicaid Revenues as % of Consolidated Net RevenuesTable 15
Key Regulatory SchemesTable 16
Information Available at Our Corporate Governance WebpageTable 17
Executive OfficersTable 18

Next: Item 1. Business