Quest Diagnostics raises FY26 guidance after Q2 revenue rises 10.2%
Quest Diagnostics Incorporated reported Q2 net revenue growth of 10.2% to $3.043 billion, with adjusted diluted EPS rising 19.1% to $3.12. Following the favorable resolution of tax contingencies, the company raised its full-year 2026 revenue guidance to $11.95 billion–$12.05 billion and its reported diluted EPS guidance to $9.97–$10.17.

*this image is generated using AI for illustrative purposes only.
Quest Diagnostics Incorporated reported financial results for the second quarter ended June 30, 2026, demonstrating robust top- and bottom-line growth that exceeded analyst expectations. Net revenues increased 10.2% to $3.043 billion, compared to $2.761 billion in the prior year, beating the analyst consensus estimate of $2.973 billion by 2.34%. Organic revenue growth was 10.0%. Reported diluted earnings per share (EPS) increased 15.0% to $2.84, while adjusted diluted EPS grew 19.1% to $3.12, surpassing the analyst consensus estimate of $2.83 by 10.25%.
Jim Davis, Chairman, CEO and President, attributed the growth to focused execution across physician, hospital, and consumer channels. "Revenues increased by over 10%, almost all from organic revenue growth across our physician, hospital and consumer channels, and adjusted diluted EPS grew over 19%," Davis stated. "With strong growth and sustained demand for our diagnostic insights, we are again raising our full year guidance."
Operational Highlights
The company advanced its Co-Lab Solutions implementation and joint venture laboratory with Corewell Health in Michigan. It developed new kidney care capabilities through a collaboration with Fresenius Medical Care in the United States. Quest Diagnostics also generated robust revenue growth through questhealth.com and consumer, wearable, and wellness partners.
In Advanced Diagnostics, revenues grew by double digits in several areas, including Quest AD-Detect blood tests for Alzheimer's disease and advanced cardiometabolic and endocrine tests. The company received New York State approval for its Haystack MRD test and became the largest reference lab to utilize Flatiron Health's OncoEMR Molecular Profiling Integration platform for select cancer tests.
Updated Guidance
Based on the favorable resolution of various tax contingencies in the second quarter, Quest Diagnostics raised its full-year 2026 guidance. The company now expects full-year revenues to be between $11.95 billion and $12.05 billion, compared to prior guidance of $11.78 billion to $11.90 billion. This compares to an analyst estimate of $11.851 billion.
Reported diluted EPS is now expected to be between $9.97 and $10.17, up from the prior range of $9.58 to $9.78. Adjusted diluted EPS is expected to be between $11.05 and $11.25, an increase from the previous guidance of $10.63 to $10.83. This compares to an analyst estimate of $10.76. The full-year adjusted effective tax rate is expected to be consistent with 2025.
Financial Performance
| Metric (Three Months Ended June 30) | 2026 | 2025 | Change |
|---|---|---|---|
| Net revenues ($ millions) | $ 3,043 | $ 2,761 | 10.2 % |
| Reported diluted EPS | $ 2.84 | $ 2.47 | 15.0 % |
| Adjusted diluted EPS | $ 3.12 | $ 2.62 | 19.1 % |
| Operating income ($ millions) | $ 459 | $ 438 | 4.6 % |
| Net income attributable to Quest ($ millions) | $ 320 | $ 282 | 13.4 % |
Cash provided by operations for the six months ended June 30, 2026, was $875 million, compared to $858 million in the prior year. Capital expenditures for the six-month period were $252 million, an increase from $225 million. As of June 30, 2026, the company had $1.3 billion remaining available under its share repurchase authorization.
How will the collaboration with Fresenius Medical Care impact Quest's market share in the kidney care sector?
What are the long-term revenue projections for the new Quest AD-Detect Alzheimer's test following its double-digit growth?
Will the increased capital expenditures in the first half of 2026 continue into the second half to support further expansion?



























