Strong Revenue Growth
Consolidated revenues of $2.9 billion, up 9.2% year-over-year; consolidated organic revenue growth of 9.0% in Q1.
Volume Expansion
Total requisitions increased 10.9% year-over-year with organic volume up 10.8%; contribution from Fresenius Medical Care and Corewell Health was approximately 7% of organic volume (organic volume ex these relationships = 3.8%).
Improved Profitability and EPS
Reported operating income of $399 million (13.8% of revenues) vs $346 million (13.0%) prior year; adjusted operating income $447 million (15.4% of revenues) vs $406 million (15.3%); reported EPS $2.24 vs $1.94 prior year and adjusted EPS $2.50 vs $2.21 (adjusted EPS growth ~13%).
Raised Full-Year Guidance
Updated 2026 guidance: revenues $11.78B–$11.90B (growth 6.8%–7.8%); reported EPS $9.58–$9.78; adjusted EPS $10.63–$10.83; cash from operations ≈ $1.75B; capex ≈ $550M. Guidance excludes contributions from prospective M&A and expects operating margin expansion.
Consumer Channel Momentum
Direct-to-consumer (questhealth.com) grew strongly (management cited 'high‑20s' percentage growth); consumer partnerships produced even stronger growth, with robust double-digit customer repeat rates and demand for new profiles (Elite, autoimmune, hormone tests).
Advanced Diagnostics Outperformance
Double-digit revenue growth across key advanced diagnostics areas (brain health, cardiometabolic/endocrine, autoimmune, oncology, women’s health); AD-Detect Alzheimer's testing more than doubled year-over-year; growth in Lp(a) and ApoB testing following new AHA guidelines.
Operational Productivity Gains via AI and Automation
Productivity increases credited to automation and AI: 40% productivity improvement among customer service agents using AI triage; Quest AI Companion reached ~350,000 patient engagements since launch; Invigorate program targeted to deliver ~3% annual cost savings.
Strategic Collaborations and Capacity Investments
Key collaborations (Corewell Health Co-Lab, Fresenius Medical Care) driving volume and planned expansion (state-of-the-art lab in Southeast Michigan); capital plan includes ~$550M capex with significant portion toward esoteric lab capacity to support advanced diagnostics growth.