Quest Diagnostics Q1 2025: Navigating Contradictions in Tariffs, Growth, and M&A Strategies
Earnings DecryptThursday, Apr 24, 2025 11:15 am ET

Impact of tariffs on supply costs, gain share contracts and payer dynamics, tariff impact and supply chain, organic growth and contributors, M&A pipeline and integration strategy are the key contradictions discussed in Quest Diagnostics' latest 2025Q1 earnings call.
Strong Revenue Growth and Adjusted Earnings:
- Quest Diagnostics reported revenue of $2.65 billion for Q1 2025, up 12.1% year-over-year, with adjusted EPS of $2.21 versus $2.04 the prior year.
- Growth was driven by contributions from acquisitions, demand for advanced diagnostics, and expanded health plan access, as well as improved operational efficiency through automation and robotics.
Impact of FDA Court Decision on LDT Regulation:
- Quest Diagnostics welcomed the court decision to vacate the FDA rule on lab developed tests, which would have required them to comply with additional regulatory costs.
- This decision ensures patients and providers can continue to access innovative testing services without added regulatory costs.
Organic Volume Recovery and Enterprise Partnerships:
- Organic volume increased by 2.4%, with reported volume down 0.9%, correcting for weather and leap-year impacts; this aligns with 2024 Q3 and Q4 trends.
- Growth was supported by large enterprise partnerships, such as being selected for the Optum Health preferred lab network, and demand from functional medicine providers.
Investment in Automation and Operational Excellence:
- Quest Diagnostics is targeting 3% annual cost savings and productivity improvements through Invigorate, automating various lab processes like tuberculosis testing and cervical cancer screening.
- These investments aim to enhance quality, customer experiences, and productivity across the business.
Strong Revenue Growth and Adjusted Earnings:
- Quest Diagnostics reported revenue of $2.65 billion for Q1 2025, up 12.1% year-over-year, with adjusted EPS of $2.21 versus $2.04 the prior year.
- Growth was driven by contributions from acquisitions, demand for advanced diagnostics, and expanded health plan access, as well as improved operational efficiency through automation and robotics.
Impact of FDA Court Decision on LDT Regulation:
- Quest Diagnostics welcomed the court decision to vacate the FDA rule on lab developed tests, which would have required them to comply with additional regulatory costs.
- This decision ensures patients and providers can continue to access innovative testing services without added regulatory costs.
Organic Volume Recovery and Enterprise Partnerships:
- Organic volume increased by 2.4%, with reported volume down 0.9%, correcting for weather and leap-year impacts; this aligns with 2024 Q3 and Q4 trends.
- Growth was supported by large enterprise partnerships, such as being selected for the Optum Health preferred lab network, and demand from functional medicine providers.
Investment in Automation and Operational Excellence:
- Quest Diagnostics is targeting 3% annual cost savings and productivity improvements through Invigorate, automating various lab processes like tuberculosis testing and cervical cancer screening.
- These investments aim to enhance quality, customer experiences, and productivity across the business.

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