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2008 - A Year of Strong Performance




                        January 26, 2009
This presentation may contain forward-looking statements. Readers are cautioned not to place undue reliance
on forward-looking statements, which speak only as of the date that they are made and which reflect
management's current estimates, projections, expectations or beliefs and which involve risks and uncertainties
that could cause actual results and outcomes to be materially different. Risks and uncertainties that may affect
the future results of the Company include, but are not limited to, adverse results from pending or future
government investigations, lawsuits or private actions, the competitive environment, changes in government
regulations, changing relationships with customers, payers, suppliers and strategic partners and other factors
discussed in “Business” in Part I, Item 1, “Risk Factors” and “Cautionary Factors that May Affect Future Results”
in Part I, Item 1A, “Legal Proceedings” in Part I, Item 3, “Management’s Discussion and Analysis of Financial
Condition and Results of Operations” in Part II, Item 7 and “Quantitative and Qualitative Disclosures About
Market Risk” in Part II, Item 7A in the Quest Diagnostics 2007 Annual Report on Form 10-K and “Management’s
Discussion and Analysis of Financial Condition and Results of Operations” and “Quantitative and Qualitative
Disclosures About Market Risk” in the Company’s 2008 Quarterly Reports on Form 10-Q and other items
throughout the Form 10-K and the Company’s 2008 Quarterly Reports on Form 10-Q and Current Reports on
Form 8-K.




                                                                                            Patients | Growth | People


                                                                                                                         2
“2008 was a year of solid performance, and our
business is healthy and growing. We delivered
strong revenue and earnings growth, despite the
current economic environment. I am very pleased
with our continued progress, and expect continued
growth in both revenues and earnings in 2009.”

                           Surya N. Mohapatra, Ph.D.
                           Chairman and Chief Executive Officer

                                                     Patients | Growth | People


                                                                                  3
History of Strong Growth




                                                        20%
                                                   Revenue 1999-2008
                                                   10-year CAGR 20%




                                                        27%
                                                    EPS* 1999-2008
                                                   10-year CAGR 27%




$ in Billions except EPS
                                                      Patients | Growth | People
*EPS is from continuing operations

                                                                                   4
Moving to Higher Growth,
                       Higher Margin Testing Segments

     2000 Revenue                       2008 Revenue




Total Revenue: $3.4 Billion         Total Revenue: $7.2 Billion


                                                       Patients | Growth | People


                                                                                    5
Our Longer Term Goals

•Undisputed World Leader in Diagnostic Testing,
 Information and Services

•Profitably Grow > Industry Rate

•Expand Operating Income to 20% of Revenues

•Expand International Operations to ~10% of Revenues




                                              Patients | Growth | People


                                                                           6
Strategy to Drive Profitable Growth

Sustainable Competitive Advantage

Deliver Superior Patient Experience
Continuously Drive Six Sigma Quality
Lead in Medical Innovation/Information
Leverage Unparalleled Assets & Capabilities
Expand Diagnostic Scope
Expand Geographic Reach


                                              Patients | Growth | People


                                                                           7
Solid Q4 2008 Performance
•    Continuing Operations                                  Q4 Discussion Points
•    ($ in millions – except EPS)
                                $          ∆ 2007
                                                        •Revenues impacted by:
    Revenues                  $1,800       +1.7%
                                                               –Improved test mix
     - Rev/Req                             +2.8%
                                                               –Reduced drugs of abuse testing
     - Volume                              - 0.4%
                                                               –Lab management contracts

    Operating Income          $ 317        +1.6%        •$16 charge reduced operating income
                                                         % by ~1% and EPS $0.05
     - % of Revenues          17.6%                     •




    Earnings                     $170       +10%        •Tax contingency resolution increased
    Diluted EPS                 $0.87       +10%         EPS $0.05

    Operating Cash                  $363     +2%




                                                                                  Patients | Growth | People


                                                                                                               8
Strong Full Year 2008 Results
•    Continuing Operations                              FY Discussion Points
•    ($ in millions – except EPS)
                                        ∆ 2007
                                $
                                                    •Revenues impacted by:
    Revenues                  $7,249    +8.1%
                                                            –AmeriPath acquisition (+5%)
     - Rev/Req                          +5.5%
                                                            –Improved test mix
     - Volume                           +2.7%
                                                            –Reduced drugs of abuse testing
                                                    •




    Operating Income          $1,222    +12%            Improvement driven by top-line growth
                                                        and efficiencies
     - % of Revenues          16.9%     +0.6%

    Earnings                     $632    +14%
    Diluted EPS                 $3.23    +14%

    Operating Cash            $1,063     +15%




                                                                               Patients | Growth | People


                                                                                                            9
2008 – A Year of Considerable
                                          Accomplishments
•                 • 8.1% Revenue growth
    Financial
                  • 14% Earnings growth
                     0.6% Margin expansion
                   $ 1.1B Cash from operations
                   $300M Annualized cost savings, on track for $500M savings

                   Joined list of Fortune’s Most Admired Companies
•   Corporate
                   Dow Jones Sustainability Indexes
    Recognition
                    “Best Employer for Healthy Lifestyles” by
                   National Business Group on Health


                   Empowering patients by providing lab results through
•   Patient
                   Google HealthTM
•   Experience
                   Blueprint for WellnessTM available directly to consumers
                   through web and expanded employer access
                   Expanded use of popular Patient Appointment
                   Scheduling
                                                               Patients | Growth | People


                                                                                            10
2008 – A Year of Considerable
                                        Accomplishments
•   Medical      20% growth in gene-based, esoteric and AP revenues
•   Leadership   Gene-based, esoteric and AP is 36% of revenues

                 Launched HE4 -- FDA cleared test to monitor women with
                 ovarian cancer
                 Expanded LeumetaTM test offering to 22 tests
                 Introduced KRAS -- assists treatment decisions for lung and
                 colon cancer patients
                 Licensed Septin 9 biomarker -- developing plasma-based
                 colorectal cancer test
                 Introduced first commercially available test for Chikungunya
                 Launched UroRisk and StoneRisk – gold standard for kidney
                 stone evaluation
                 Introduced age-related macular degeneration susceptibility
                 test
                 Acquired additional biomarker capability to aid development of
                 companion diagnostics
                                                             Patients | Growth | People


                                                                                          11
2008 – A Year of Considerable
                                           Accomplishments
•                   Added 15,000 physician Care360TM users, bringing total to
    Unparalleled
•                    >140,000
    Assets
                    Increased medication e-prescribing volume ~120% to
                     annualized rate of 4.5 million
                    ChartMaxxTM named “Best in KLAS”
                    Completed implementation of clinical portal for 7 Health
                     Information Exchanges

•                   International presence
    International
•                    –   Obtained cervical cancer testing contract with National
    & Product
                         Cancer Screening Service of Ireland
    Expansion
                     –   Launched India lab, received CAP, NABL and NGSP Level 1
                         certification
                    Point of Care and Near Patient Testing
                     –   Received CLIA waiver for HemoCue Micro-albumin test
                     –   Launched DoYouHaveTheGuts.com to increase colorectal
                         cancer awareness
                                                                 Patients | Growth | People


                                                                                              12
2009 Guidance

Continued Revenue & Earnings Growth
                                                         ↑ ~3%
Revenues

Operating Income %                                       approaching 18%

                                                         $3.50 - $3.70, ↑ 8% - 15%
EPS

Cash from Operations *                                   ~$1 billion

CapEx                                                    ~$200 million

Improving Operational Efficiencies
*Excludes expected payment of the $316 million reserve
                                                                         Patients | Growth | People
established for the previously disclosed NID matter

                                                                                                      13
Driving Results

Clear Leader in an Attractive and Growing Industry

Differentiated Offering

Bi-focal Business Approach– Doing What is Right in the
Short Term and Planning for the Long Term

Operationally and Financially Strong

Committed to Driving Superior Shareholder Returns



                                              Patients | Growth | People


                                                                           14
Patients | Growth | People


                             15

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quest diagnostics 864527C3-2EA7-48BF-B6D1-814381520482_2008_Year_End_Presentation

  • 1. 2008 - A Year of Strong Performance January 26, 2009
  • 2. This presentation may contain forward-looking statements. Readers are cautioned not to place undue reliance on forward-looking statements, which speak only as of the date that they are made and which reflect management's current estimates, projections, expectations or beliefs and which involve risks and uncertainties that could cause actual results and outcomes to be materially different. Risks and uncertainties that may affect the future results of the Company include, but are not limited to, adverse results from pending or future government investigations, lawsuits or private actions, the competitive environment, changes in government regulations, changing relationships with customers, payers, suppliers and strategic partners and other factors discussed in “Business” in Part I, Item 1, “Risk Factors” and “Cautionary Factors that May Affect Future Results” in Part I, Item 1A, “Legal Proceedings” in Part I, Item 3, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in Part II, Item 7 and “Quantitative and Qualitative Disclosures About Market Risk” in Part II, Item 7A in the Quest Diagnostics 2007 Annual Report on Form 10-K and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and “Quantitative and Qualitative Disclosures About Market Risk” in the Company’s 2008 Quarterly Reports on Form 10-Q and other items throughout the Form 10-K and the Company’s 2008 Quarterly Reports on Form 10-Q and Current Reports on Form 8-K. Patients | Growth | People 2
  • 3. “2008 was a year of solid performance, and our business is healthy and growing. We delivered strong revenue and earnings growth, despite the current economic environment. I am very pleased with our continued progress, and expect continued growth in both revenues and earnings in 2009.” Surya N. Mohapatra, Ph.D. Chairman and Chief Executive Officer Patients | Growth | People 3
  • 4. History of Strong Growth 20% Revenue 1999-2008 10-year CAGR 20% 27% EPS* 1999-2008 10-year CAGR 27% $ in Billions except EPS Patients | Growth | People *EPS is from continuing operations 4
  • 5. Moving to Higher Growth, Higher Margin Testing Segments 2000 Revenue 2008 Revenue Total Revenue: $3.4 Billion Total Revenue: $7.2 Billion Patients | Growth | People 5
  • 6. Our Longer Term Goals •Undisputed World Leader in Diagnostic Testing, Information and Services •Profitably Grow > Industry Rate •Expand Operating Income to 20% of Revenues •Expand International Operations to ~10% of Revenues Patients | Growth | People 6
  • 7. Strategy to Drive Profitable Growth Sustainable Competitive Advantage Deliver Superior Patient Experience Continuously Drive Six Sigma Quality Lead in Medical Innovation/Information Leverage Unparalleled Assets & Capabilities Expand Diagnostic Scope Expand Geographic Reach Patients | Growth | People 7
  • 8. Solid Q4 2008 Performance • Continuing Operations Q4 Discussion Points • ($ in millions – except EPS) $ ∆ 2007 •Revenues impacted by: Revenues $1,800 +1.7% –Improved test mix - Rev/Req +2.8% –Reduced drugs of abuse testing - Volume - 0.4% –Lab management contracts Operating Income $ 317 +1.6% •$16 charge reduced operating income % by ~1% and EPS $0.05 - % of Revenues 17.6% • Earnings $170 +10% •Tax contingency resolution increased Diluted EPS $0.87 +10% EPS $0.05 Operating Cash $363 +2% Patients | Growth | People 8
  • 9. Strong Full Year 2008 Results • Continuing Operations FY Discussion Points • ($ in millions – except EPS) ∆ 2007 $ •Revenues impacted by: Revenues $7,249 +8.1% –AmeriPath acquisition (+5%) - Rev/Req +5.5% –Improved test mix - Volume +2.7% –Reduced drugs of abuse testing • Operating Income $1,222 +12% Improvement driven by top-line growth and efficiencies - % of Revenues 16.9% +0.6% Earnings $632 +14% Diluted EPS $3.23 +14% Operating Cash $1,063 +15% Patients | Growth | People 9
  • 10. 2008 – A Year of Considerable Accomplishments • • 8.1% Revenue growth Financial • 14% Earnings growth 0.6% Margin expansion $ 1.1B Cash from operations $300M Annualized cost savings, on track for $500M savings Joined list of Fortune’s Most Admired Companies • Corporate Dow Jones Sustainability Indexes Recognition “Best Employer for Healthy Lifestyles” by National Business Group on Health Empowering patients by providing lab results through • Patient Google HealthTM • Experience Blueprint for WellnessTM available directly to consumers through web and expanded employer access Expanded use of popular Patient Appointment Scheduling Patients | Growth | People 10
  • 11. 2008 – A Year of Considerable Accomplishments • Medical 20% growth in gene-based, esoteric and AP revenues • Leadership Gene-based, esoteric and AP is 36% of revenues Launched HE4 -- FDA cleared test to monitor women with ovarian cancer Expanded LeumetaTM test offering to 22 tests Introduced KRAS -- assists treatment decisions for lung and colon cancer patients Licensed Septin 9 biomarker -- developing plasma-based colorectal cancer test Introduced first commercially available test for Chikungunya Launched UroRisk and StoneRisk – gold standard for kidney stone evaluation Introduced age-related macular degeneration susceptibility test Acquired additional biomarker capability to aid development of companion diagnostics Patients | Growth | People 11
  • 12. 2008 – A Year of Considerable Accomplishments • Added 15,000 physician Care360TM users, bringing total to Unparalleled • >140,000 Assets Increased medication e-prescribing volume ~120% to annualized rate of 4.5 million ChartMaxxTM named “Best in KLAS” Completed implementation of clinical portal for 7 Health Information Exchanges • International presence International • – Obtained cervical cancer testing contract with National & Product Cancer Screening Service of Ireland Expansion – Launched India lab, received CAP, NABL and NGSP Level 1 certification Point of Care and Near Patient Testing – Received CLIA waiver for HemoCue Micro-albumin test – Launched DoYouHaveTheGuts.com to increase colorectal cancer awareness Patients | Growth | People 12
  • 13. 2009 Guidance Continued Revenue & Earnings Growth ↑ ~3% Revenues Operating Income % approaching 18% $3.50 - $3.70, ↑ 8% - 15% EPS Cash from Operations * ~$1 billion CapEx ~$200 million Improving Operational Efficiencies *Excludes expected payment of the $316 million reserve Patients | Growth | People established for the previously disclosed NID matter 13
  • 14. Driving Results Clear Leader in an Attractive and Growing Industry Differentiated Offering Bi-focal Business Approach– Doing What is Right in the Short Term and Planning for the Long Term Operationally and Financially Strong Committed to Driving Superior Shareholder Returns Patients | Growth | People 14
  • 15. Patients | Growth | People 15