Quest Diagnostics

DGX on NYSE. Quest Diagnostics sells lab tests and test results to patients, doctors, hospitals, and organizations. Market value $25.6bn.

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Price checks use the past 12 months to June 2026. Quality checks use five annual reports, the latest for the year to December 2025.

Should I look at this?

Worth a closer look

Read what could go wrong

This is not advice. Check the numbers below.

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Cash yield
past 12 months to June 2026
5.3%fair

For every $100 of what the whole company costs, it produced $5.26 of spare cash in the past 12 months. A savings account pays about $4.

Price to profit
past 12 months to June 2026
18.8×full

You pay 18.8 years of operating profit for the business. The average large US company costs around 18.

Return on capital
five annual reports to December 2025
9.9%five-year median

Each dollar kept in the business earns 10 cents a year. Above 10 is good.

Quality score: 84 of 100. Price score: 72 of 100. Our list needs 70 on quality and 60 on price.

$232.22 a share, 36% above its 1-year low

Over the past year the price has ranged from $171.18 to $248.84.

Dividend: 1.4% a year

Paid every year for at least 5 years

Prices from Monday’s close (5 October).

Five years of cash, in billions

1.8
1.3
0.9
0.9
1.4
1.3
2021202220232024202512 monthsto Jun '26
Revenue
$10.8bn$9.9bn$9.3bn$9.9bn$11.0bn
Operating margin
22.1%14.4%13.6%13.6%14.1%
Debt to equity
0.630.680.750.920.79
Shares outstanding
0.11bn0.11bn0.11bn0.11bn0.11bn

Health checks

  • Free cash flow positive5 of 5 years
  • Accounting looks honest (Beneish)Nothing unusual
  • Financial strength (Piotroski)7 of 8 checks we could run
  • Profit backed by cash (accruals)Yes
  • Debt0.79× equity
  • Revenue growth, five yearsSlow, 3.2% a year
  • Buying back its own sharesYes, 3% fewer since 2021

The quarter to June 2026

How the business did, compared with the same quarter a year earlier.

  • Sales: $3 billion last quarter, up 10% on a year ago.
  • Profit: $320 million, up 13% on a year ago.
  • It keeps 14 cents of each $1 of sales as operating profit, about the same as a year earlier.
  • Spare cash over the past 12 months: $1.3 billion, up from $1.2 billion.
  • 1% fewer shares than a year ago. Each share owns a bit more of the company.
  • Debt is $5 billion more than cash, down from $5.4 billion a year ago.
  • Sales grew on a year ago in each of the last 4 quarters.
Sales by quarter
Sales by quarter
Quarter toAmount
September 2024$2.5bn
December 2024$2.6bn
March 2025$2.7bn
June 2025$2.8bn
September 2025$2.8bn
December 2025$2.8bn
March 2026$2.9bn
June 2026$3.0bn
Profit by quarter
Profit by quarter
Quarter toAmount
September 2024$226m
December 2024$222m
March 2025$220m
June 2025$282m
September 2025$245m
December 2025$245m
March 2026$252m
June 2026$320m

From the company's quarterly reports to the SEC.

Dates

Next results (estimated)
20 October 2026
Last annual report (10-K)
26 February 2026
Next quarterly (estimated, 10-Q)
22 October 2026

Who owns it

12 long-term investors we follow own it, down from 13 last quarter. 1,105 funds in all.

Jun '25
Dec '25
Jun '26

Sold out this quarter

Largest holders overall

From 13F filings for the quarter ended 30 June 2026.

Big holders and activists

3 investors own more than 5%.

From Schedule 13D and 13G filings: anyone owning more than 5% must file one.

What insiders did

No insider bought shares on the open market in the last 12 months. 8 sold $37m, $36m of it under preset trading plans.

  • Davis J. E.
    CEO and President, Director
    Sold
    under a preset trading plan
    Date
    1 September 2026
    Shares
    10,000
    Price
    $242.72
    Value
    $2m
  • PREVOZNIK MICHAEL E
    SVP & General Counsel
    Sold
    under a preset trading plan
    Date
    28 August 2026
    Shares
    22,677
    Price
    $243.11
    Value
    $6m
  • DELANEY MARK E
    SVP & Chief Commercial Officer
    Sold
    under a preset trading plan
    Date
    28 July 2026
    Shares
    1,600
    Price
    $235.18
    Value
    $376,288
  • KUPPUSAMY KARTHIK
    SVP, Clinical Solutions
    Sold
    under a preset trading plan
    Date
    4 June 2026
    Shares
    8,147
    Price
    $200.00
    Value
    $2m
  • Davis J. E.
    CEO and President, Director
    Sold
    under a preset trading plan
    Date
    1 June 2026
    Shares
    10,000
    Price
    $194.14
    Value
    $2m
  • Doherty Catherine T.
    EVP, Regional Businesses
    Sold
    under a preset trading plan
    Date
    5 March 2026
    Shares
    5,558
    Price
    $206.21
    Value
    $1m
  • PREVOZNIK MICHAEL E
    SVP & General Counsel
    Sold
    under a preset trading plan
    Date
    5 March 2026
    Shares
    3,878
    Price
    $206.21
    Value
    $799,682
  • Plewman Patrick
    SVP for Diagnostic Services
    Sold
    under a preset trading plan
    Date
    5 March 2026
    Shares
    2,855
    Price
    $206.21
    Value
    $588,730
  • KUPPUSAMY KARTHIK
    SVP, Clinical Solutions
    Sold
    Date
    4 March 2026
    Shares
    2,628
    Price
    $204.86
    Value
    $538,372
  • Doherty Catherine T.
    EVP, Regional Businesses
    Sold
    under a preset trading plan
    Date
    3 March 2026
    Shares
    632
    Price
    $207.73
    Value
    $131,285

From Form 4 filings: insiders must report trades in their own company's shares within two days.

Warning signs in its filings

Problems the company itself reported to the SEC, in its own words.

None of the warning signs we check for were found.

We look for five warning signs: doubt it can keep going, weak checks on its own accounts, a notice that its past accounts can't be relied on, a change of auditor, and one customer bringing in a big share of sales. We don't check lawsuits, investigations or debt yet.

We checked the auditor's report, internal controls, restatement notices, auditor changes and big customers in the 10-K filed 26 Feb 2026, plus the 10-Q filed 23 Jul 2026 and 6 later 8-Ks.

A 10-K is the yearly report every US company files with the SEC. An 8-K is a short notice of a big event.

What could go wrong

Cheap for a reason is the question the numbers cannot answer.

Whether the price already reflects the risks is what the deep dive is for.

What changed in the risks this year

Companies must list what could hurt them each year. These are the parts that changed since last year’s report.

  • Business development activities are inherently risky and integrating our operations with businesses we acquire may be difficult.

    Could happen
    If we are unable successfully to integrate strategic acquisitions in a timely manner, our business and our growth strategies could be negatively affected. Even if we are able to successfully complete the integration of the operations of other assets or businesses we may acquire in the future, we may not be able to realize all or any of the benefits that we expect to result from such integration, either in monetary terms or in a timely manner. We have also entered into arrangements with a number of new entrants in the health services industry who are leveraging the increasing trend for consumers to manage and take direct responsibility for their own healthcare, where we provide the underlying testing services for their consumer health service offerings. These companies are operating in a new, rapidly evolving and uncertain regulatory landscape that subjects them to several risks, including those related to application of regulatory requirements ( e.g. , under CLIA, for testing performed outside of a commercial laboratory), unlicensed and corporate practice of medicine laws that differ across the United States, reimbursement uncertainty of direct-to-consumer health services, specimen collection errors and logistics, cybersecurity and health data privacy risks and clinical and professional liability. Our contractual relationship with these companies could expose us to these legal or regulatory risks and reputational harm.
    Read more
  • Our business and operations could be adversely impacted by the FDA's approach to regulation.

    Could happen
    In May 2024, the FDA announced it was phasing out its general enforcement discretion approach so that LDTs manufactured by a laboratory would generally fall under the same enforcement approach as medical devices. However, in March 2025, a U.S. District Court set aside and vacated the FDA’s LDT rule and the FDA did not appeal the court’s decision. Accordingly, the FDA does not have the authority to regulate LDTs. However, it is the purvey of Congress to enact new laws or amendments to CLIA or the Food, Drug and Cosmetic Act. If this were to occur, any new legislation could have a significant impact on us and the clinical laboratory testing industry. This new legislation could include the regulation of LDTs in a manner that is different than the prior LDT rule, while creating new avenues of opportunity and competition in clinical laboratory testing. New competitors may enter the industry, and competition may come in new forms.
    Read more
  • We are subject to numerous political (including geopolitical), legal, operational and other risks as a result of our international operations which could impact our business in many ways.

    Could happen
    Our international operations (including in Canada) increase our exposure to risks inherent in doing business in non-U.S. markets, which may vary by market and include: intellectual property legal protections and remedies; weak legal systems which may, among other things, affect our ability to enforce contractual rights; trade regulations and procedures and actions affecting approval, production, pricing, supply, reimbursement and marketing of products and services; existing and emerging data privacy regulations affecting the processing and transfer of personal data; new regulations relating to the use of AI; and challenges based on differing languages, cultures and unfamiliar practices. Tariffs, sanctions and other barriers imposed or threatened by the U.S. government, and the responses to those actions from other countries, may result in adverse impacts to the global economic environment, including the global financial and trading markets, which could have a negative impact on our results of operations and financial condition. These actions could also negatively impact our supply chain costs or availability of products we need to operate our business. The ongoing uncertainty with the current state of global trade policy magnifies these risks.
    Read more

Read it in the annual report

The deep dive

Everything above is arithmetic on public filings. The deep dive reads the last ten years of annual reports, the proxy statements, and the earnings calls, then argues the case the way Buffett, Klarman, and Hohn would, and checks every claim against the source.

  • What the business is worth, as a range, and the margin of safety at today’s price
  • Prices to start buying, buy, and buy hard
  • The three things that would make this a mistake
  • Every number footnoted to the filing it came from
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What a finished deep dive looks like

Not advice. Numbers on this page come from SEC filings and are updated each night; prices are updated again after the US market closes. The five-year figures are rounded.