Edwards Lifesciences Corp
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Health Care : Health Care Equipment & Supplies | Large Cap Growth
Company profile

Edwards Lifesciences Corporation is a manufacturer of heart valve systems and repair products used to replace or repair a patient's diseased or defective heart valve. The Company is engaged in patient-focused innovations for structural heart disease and critical care monitoring. Its segments include United States, Europe, Japan and Rest of World. Its products are categorized into three areas: Transcatheter Heart Valve Therapy, Surgical Heart Valve Therapy and Critical Care. It also develops hemodynamic monitoring systems that are used to measure a patient's cardiovascular function in the hospital setting. It is developing products, such as the Edwards SAPIEN 3 Ultra System and Edwards SAPIEN XT transcatheter heart valve, among others. Its Transcatheter Heart Valve Therapy and Surgical Heart Valve Therapy products are manufactured in the United States, Singapore and Switzerland. Critical Care products are manufactured in its facilities located in Puerto Rico and the Dominican Republic.

Closing Price
$87.87
Day's Change
0.38 (0.43%)
Bid
--
Ask
--
B/A Size
--
Day's High
88.15
Day's Low
86.84
Volume
(Heavy Day)
Volume:
3,128,902

10-day average volume:
2,258,643
3,128,902

Quest Diagnostics Reports Third Quarter 2020 Financial Results, Reflecting Continued Demand for COVID-19 Testing and Rapid Recovery in Health Care Utilization

6:45 am ET October 22, 2020 (PR Newswire) Print

Quest Diagnostics Incorporated (NYSE: DGX), the world's leading provider of diagnostic information services, announced today financial results for the third quarter ended September 30, 2020.

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"Quest had a very strong third quarter, benefiting from continued demand for COVID-19 testing and the rapid recovery of health care utilization," said Steve Rusckowski, Chairman, CEO and President, Quest Diagnostics. "Quest has performed over 22 million COVID-19 molecular and serology tests to date, more than any other provider. We also developed and introduced several new innovations that are contributing to enabling the country's return to work, the classroom, and the athletic field. I am extremely proud of all that Quest Diagnostics has accomplished throughout the COVID-19 pandemic, and would like to thank our more than 47,000 employees for their hard work and dedication.

"We've seen further signs of the health care system returning to pre-pandemic levels, as our base testing volume, which excludes COVID-19 molecular and antibody testing, continued to recover throughout the third quarter. As we exited September, organic volumes in our base business were down mid-to-high single digits compared to last year. We are raising our full year 2020 outlook given our year to date performance and a clearer line of sight for both the base business and COVID-19 testing."

Mr. Rusckowski continued: "We are grateful for the CARES Act funding that provided our company with support earlier this year at a time of great uncertainty for our nation. Several months into this pandemic, we do not require this funding. As a result, we believe returning these funds to the government now is the right thing to do."

                                                                        Three Months Ended September 30,         Nine Months Ended September 30,
                                                                        2020           2019           Change     2020           2019           Change
                                                                        (dollars in millions, except per share data)
Reported:
Net revenues                                                            $   2,786      $   1,956      42.5  %    $   6,435      $   5,800      11.0  %
Diagnostic Information Services revenues                                $   2,709      $   1,877      44.3  %    $   6,217      $   5,561      11.8  %
Revenue per requisition                                                                               20.9  %                                  12.4  %
Requisition volume                                                                                    19.7  %                                  (0.1) %
Organic requisition volume                                                                            16.6  %                                  (1.4) %
Operating income (a)                                                    $   718        $   313        129.5 %    $   1,176      $   868        35.5  %
Operating income as a percentage of net revenues (a)                    25.8      %    16.0      %    9.8   %    18.3      %    15.0      %    3.3   %
Income from continuing operations attributable to Quest Diagnostics (a) $   568        $   215        164.7 %    $   852        $   585        45.6  %
Diluted EPS (a) (b)                                                     $   4.14       $   1.56       164.6 %    $   6.25       $   4.27       46.0  %
Cash provided by operations                                             $   862        $   299        189.0 %    $   1,464      $   895        63.6  %
Capital expenditures                                                    $   91         $   96         (4.9) %    $   256        $   228        12.3  %
Adjusted:
Operating income                                                        $   831        $   349        138.1 %    $   1,350      $   987        36.8  %
Operating income as a percentage of net revenues                        29.8      %    17.9      %    11.9  %    21.0      %    17.0      %    4.0   %
Income from continuing operations attributable to Quest Diagnostics     $   591        $   241        144.9 %    $   912        $   668        36.5  %
Diluted EPS (b)                                                         $   4.31       $   1.76       144.9 %    $   6.69       $   4.89       36.8  %
(a) For further details impacting the year-over-year comparisons related to operating income, operating income as a percentage of net revenues, income from continuing operations attributable to Quest Diagnostics, and diluted EPS, see note 2 of the financial tables attached below.
(b) The sum of reported and adjusted diluted EPS for the first three quarters of 2020 did not equal the totals for the nine months ended September 30, 2020 due to quarterly fluctuations in the company's earnings and weighted average common shares outstanding throughout the period as a result of the impact of COVID-19 and the temporary cessation of repurchases under the company's share repurchase program.

Updated Outlook for Full Year 2020

The company updates its Full Year 2020 outlook as follows:

                            Updated Outlook             Previous Outlook
                            Low           High          Low           High
Net revenues                $8.8 billion  $9.1 billion  $8.4 billion  $8.8 billion
Net revenues increase       13.9%         17.8%         8.7%          13.9%
Reported diluted EPS        $8.22         $9.22         $7.42         $8.92
Adjusted diluted EPS        $9.00         $10.00        $7.50         $9.00
Cash provided by operations At least $1.75 billion      At least $1.45 billion
Capital expenditures        Approximately $400 million  $375 million  $400 million

Note on Non-GAAP Financial Measures

As used in this press release the term "reported" refers to measures under accounting principles generally accepted in the United States ("GAAP"). The term "adjusted" refers to non-GAAP operating performance measures that exclude special items such as restructuring and integration charges, certain financial impacts resulting from the COVID-19 pandemic, amortization expense, excess tax benefits ("ETB") associated with stock-based compensation, a gain on remeasurement of an equity interest, costs associated with the company's recently announced initiative with the Quest Diagnostics Foundation to reduce health disparities in underserved communities, and other items.

Non-GAAP adjusted measures are presented because management believes those measures are useful adjuncts to GAAP results. Non-GAAP adjusted measures should not be considered as an alternative to the corresponding measures determined under GAAP. Management may use these non-GAAP measures to evaluate our performance period over period and relative to competitors, to analyze the underlying trends in our business, to establish operational budgets and forecasts and for incentive compensation purposes. We believe that these non-GAAP measures are useful to investors and analysts to evaluate our performance period over period and relative to competitors, as well as to analyze the underlying trends in our business and to assess our performance. The additional tables attached below include reconciliations of non-GAAP adjusted measures to GAAP measures.

Conference Call Information

Quest Diagnostics will hold its quarterly conference call to discuss financial results beginning at 8:30 a.m. Eastern Time today. The conference call can be accessed by dialing 888-455-0391 within the U.S. and Canada, or 773-756-0467 internationally, passcode: 7895081; or via live webcast on the company's website at www.QuestDiagnostics.com/investor. The company suggests participants dial in approximately 10 minutes before the call.

A replay of the call may be accessed online at www.QuestDiagnostics.com/investor or by phone at 800-337-6568 for domestic callers or 402-220-9660 for international callers. No passcode is required. Telephone replays will be available from approximately 10:30 a.m. Eastern Time on October 22, 2020 until midnight Eastern Time on November 5, 2020. Anyone listening to the call is encouraged to read the company's periodic reports, on file with the Securities and Exchange Commission, including the discussion of risk factors and historical results of operations and financial condition in those reports.

About Quest Diagnostics

Quest Diagnostics empowers people to take action to improve health outcomes. Derived from the world's largest database of clinical lab results, our diagnostic insights reveal new avenues to identify and treat disease, inspire healthy behaviors and improve health care management. Quest annually serves one in three adult Americans and half the physicians and hospitals in the United States, and our 47,000 employees understand that, in the right hands and with the right context, our diagnostic insights can inspire actions that transform lives. www.QuestDiagnostics.com.

Forward Looking Statements

The statements in this press release which are not historical facts may be 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, impacts of the COVID-19 pandemic and measures taken in response, adverse results from pending or future government investigations, lawsuits or private actions, the competitive environment, the complexity of billing, reimbursement and revenue recognition for clinical laboratory testing, changes in government regulations, changing relationships with customers, payers, suppliers or strategic partners and other factors discussed in the company's most recently filed Annual Report on Form 10-K and in any of the company's subsequently filed Quarterly Reports on Form 10-Q and Current Reports on Form 8-K, including those discussed in the "Business," "Risk Factors," "Cautionary Factors that May Affect Future Results" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" sections of those reports.

This earnings release, including the attached financial tables, is available online in the Newsroom section at www.QuestDiagnostics.com.

ADDITIONAL TABLES FOLLOW

Quest Diagnostics Incorporated and Subsidiaries
Consolidated Statements of Operations
For the Three and Nine Months Ended September 30, 2020 and 2019
(in millions, except per share data)
(unaudited)
                                                                                                        Three Months Ended      Nine Months Ended
                                                                                                        September 30,           September 30,
                                                                                                        2020        2019        2020        2019
Net revenues                                                                                            $   2,786   $   1,956   $   6,435   $   5,800
Operating costs and expenses and other operating income:
Cost of services                                                                                        1,580       1,264       4,071       3,773
Selling, general and administrative                                                                     396         362         1,103       1,108
Amortization of intangible assets                                                                       27          23          77          72
Other operating expense (income), net                                                                   65          (6)         8           (21)
Total operating costs and expenses, net                                                                 2,068       1,643       5,259       4,932
Operating income                                                                                        718         313         1,176       868
Other income (expense):
Interest expense, net                                                                                   (42)        (44)        (124)       (133)
Other income, net                                                                                       77          1           74          13
Total non-operating income (expense), net                                                               35          (43)        (50)        (120)
Income from continuing operations before income taxes and equity in earnings of equity method investees 753         270         1,126       748
Income tax expense                                                                                      (177)       (62)        (269)       (175)
Equity in earnings of equity method investees, net of taxes                                             15          18          33          48
Income from continuing operations                                                                       591         226         890         621
Income from discontinued operations, net of taxes                                                       --          --          --          20
Net income                                                                                              591         226         890         641
Less: Net income attributable to noncontrolling interests                                               23          11          38          36
Net income attributable to Quest Diagnostics                                                            $   568     $   215     $   852     $   605
Amounts attributable to Quest Diagnostics' common stockholders:
Income from continuing operations                                                                       $   568     $   215     $   852     $   585
Income from discontinued operations, net of taxes                                                       --          --          --          20
Net income                                                                                              $   568     $   215     $   852     $   605
Earnings per share attributable to Quest Diagnostics' common stockholders - basic:
Income from continuing operations                                                                       $   4.20    $   1.59    $   6.33    $   4.33
Income from discontinued operations                                                                     --          --          --          0.15
Net income                                                                                              $   4.20    $   1.59    $   6.33    $   4.48
Earnings per share attributable to Quest Diagnostics' common stockholders - diluted:
Income from continuing operations                                                                       $   4.14    $   1.56    $   6.25    $   4.27
Income from discontinued operations                                                                     --          --          --          0.15
Net income                                                                                              $   4.14    $   1.56    $   6.25    $   4.42
Weighted average common shares outstanding:
Basic                                                                                                   135         135         134         135
Diluted                                                                                                 137         137         136         136
Quest Diagnostics Incorporated and Subsidiaries
Consolidated Balance Sheets
September 30, 2020 and December 31, 2019
(in millions, except per share data)
(unaudited)
                                                                                                                                                                                          September 30,  December 31,
                                                                                                                                                                                          2020           2019
Assets
Current assets:
Cash and cash equivalents                                                                                                                                                                 $     1,605    $     1,192
Accounts receivable, net                                                                                                                                                                  1,421          1,063
Inventories                                                                                                                                                                               205            123
Prepaid expenses and other current assets                                                                                                                                                 117            112
Total current assets                                                                                                                                                                      3,348          2,490
Property, plant and equipment, net                                                                                                                                                        1,544          1,453
Operating lease right-of-use assets                                                                                                                                                       535            518
Goodwill                                                                                                                                                                                  6,880          6,619
Intangible assets, net                                                                                                                                                                    1,192          1,121
Investments in equity method investees                                                                                                                                                    480            482
Other assets                                                                                                                                                                              164            160
Total assets                                                                                                                                                                              $     14,143   $     12,843
Liabilities and Stockholders' Equity
Current liabilities:
Accounts payable and accrued expenses                                                                                                                                                     $     1,686    $     1,041
Current portion of long-term debt                                                                                                                                                         555            804
Current portion of long-term operating lease liabilities                                                                                                                                  148            145
Total current liabilities                                                                                                                                                                 2,389          1,990
Long-term debt                                                                                                                                                                            4,018          3,966
Long-term operating lease liabilities                                                                                                                                                     428            413
Other liabilities                                                                                                                                                                         782            711
Redeemable noncontrolling interest                                                                                                                                                        80             76
Stockholders' equity:
Quest Diagnostics stockholders' equity:
Common stock, par value $0.01 per share; 600 shares authorized as of both September 30, 2020 and December 31, 2019; 217 shares issued as of both September 30, 2020 and December 31, 2019 2              2
Additional paid-in capital                                                                                                                                                                2,801          2,722
Retained earnings                                                                                                                                                                         8,800          8,174
Accumulated other comprehensive loss                                                                                                                                                      (42)           (39)
Treasury stock, at cost; 82 and 84 shares as of September 30, 2020 and December 31, 2019, respectively                                                                                    (5,161)        (5,218)
Total Quest Diagnostics stockholders' equity                                                                                                                                              6,400          5,641
Noncontrolling interests                                                                                                                                                                  46             46
Total stockholders' equity                                                                                                                                                                6,446          5,687
Total liabilities and stockholders' equity                                                                                                                                                $     14,143   $     12,843
Quest Diagnostics Incorporated and Subsidiaries
Consolidated Statements of Cash Flows
For the Nine Months Ended September 30, 2020 and 2019
(in millions)
(unaudited)
                                                                                       Nine Months Ended
                                                                                       September 30,
                                                                                       2020            2019
Cash flows from operating activities:
Net income                                                                             $      890      $      641
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization                                                          263             247
Provision for credit losses                                                            18              9
Deferred income tax provision                                                          12              15
Stock-based compensation expense                                                       63              44
Other, net                                                                             (60)            (44)
Changes in operating assets and liabilities:
Accounts receivable                                                                    (355)           (113)
Accounts payable and accrued expenses                                                  514             80
Income taxes payable                                                                   95              9
Termination of interest rate swap agreements                                           40              --
Other assets and liabilities, net                                                      (16)            7
Net cash provided by operating activities                                              1,464           895
Cash flows from investing activities:
Business acquisitions, net of cash acquired                                            (329)           (56)
Capital expenditures                                                                   (256)           (228)
Increase in investments and other assets                                               (19)            (27)
Net cash used in investing activities                                                  (604)           (311)
Cash flows from financing activities:
Proceeds from borrowings                                                               749             1,484
Repayments of debt                                                                     (1,002)         (1,448)
Purchases of treasury stock                                                            (75)            (153)
Exercise of stock options                                                              144             98
Employee payroll tax withholdings on stock issued under stock-based compensation plans (13)            (16)
Dividends paid                                                                         (222)           (215)
Distributions to noncontrolling interest partners                                      (34)            (39)
Other financing activities, net                                                        6               4
Net cash used in financing activities                                                  (447)           (285)
Net change in cash and cash equivalents and restricted cash                            413             299
Cash and cash equivalents and restricted cash, beginning of period                     1,192           135
Cash and cash equivalents and restricted cash, end of period                           $      1,605    $      434
Cash paid during the period for:
Interest                                                                               $      136      $      149
Income taxes                                                                           $      168      $      148

Notes to Financial Tables

1)  The computation of basic and diluted earnings per common share is as follows:
                                                                                     Three Months Ended          Nine Months Ended
                                                                                     September 30,               September 30,
                                                                                     2020          2019          2020          2019
                                                                                     (in millions, except per share data)
Amounts attributable to Quest Diagnostics' common stockholders:
Income from continuing operations                                                    $     568     $     215     $     852     $     585
Income from discontinued operations, net of taxes                                    --            --            --            20
Net income attributable to Quest Diagnostics' common stockholders                    $     568     $     215     $     852     $     605
Income from continuing operations                                                    $     568     $     215     $     852     $     585
Less: earnings allocated to participating securities                                 2             1             3             2
Earnings available to Quest Diagnostics' common stockholders - basic and diluted     $     566     $     214     $     849     $     583
Weighted average common shares outstanding - basic                                   135           135           134           135
Effect of dilutive securities:
Stock options and performance share units                                            2             2             2             1
Weighted average common shares outstanding - diluted                                 137           137           136           136
Earnings per share attributable to Quest Diagnostics' common stockholders - basic:
Income from continuing operations                                                    $     4.20    $     1.59    $     6.33    $     4.33
Income from discontinued operations                                                  --            --            --            0.15
Net income                                                                           $     4.20    $     1.59    $     6.33    $     4.48
Earnings per share attributable to Quest Diagnostics' common stockholders - diluted:
Income from continuing operations                                                    $     4.14    $     1.56    $     6.25    $     4.27
Income from discontinued operations                                                  --            --            --            0.15
Net income                                                                           $     4.14    $     1.56    $     6.25    $     4.42
2)  The following tables reconcile reported GAAP results to non-GAAP adjusted results:
                                             Three Months Ended September 30, 2020
                                             (dollars in millions, except per share data)
                                             Operating    Operating      Income tax     Equity in        Income from   Diluted EPS
                                             income       income as a    expense (e)    earnings of      continuing
                                                          percentage of                 equity           operations
                                                          net revenues                  method           attributable
                                                                                        investees, net   to Quest
                                                                                        of taxes         Diagnostics
As reported                                  $  718       25.8  %        $  (177)       $   15           $   568       $   4.14
Restructuring and integration charges (a)    18           0.6            (4)            --               14            0.10
COVID-19 impact (b)                          68           2.5            (18)           1                52            0.39
Gain on remeasurement of equity interest (c) --           --             7              --               (63)          (0.46)
Amortization expense                         27           0.9            (7)            3                23            0.16
ETB                                          --           --             (3)            --               (3)           (0.02)
As adjusted                                  $  831       29.8  %        $  (202)       $   19           $   591       $   4.31
                                             Nine Months Ended September 30, 2020
                                             (dollars in millions, except per share data)
                                             Operating    Operating      Income tax     Equity in        Income from   Diluted EPS
                                             income       income as a    expense (e)    earnings of      continuing
                                                          percentage of                 equity           operations
                                                          net revenues                  method           attributable
                                                                                        investees, net   to Quest
                                                                                        of taxes         Diagnostics
As reported                                  $  1,176     18.3  %        $  (269)       $   33           $   852       $   6.25
Restructuring and integration charges (a)    43           0.7            (9)            --               34            0.25
COVID-19 impact (b)                          54           0.8            (11)           (2)              39            0.29
Gain on remeasurement of equity interest (c) --           --             7              --               (63)          (0.46)
Amortization expense                         77           1.2            (21)           9                65            0.47
ETB                                          --           --             (15)           --               (15)          (0.11)
As adjusted                                  $  1,350     21.0  %        $  (318)       $   40           $   912       $   6.69
                                             Three Months Ended September 30, 2019
                                             (dollars in millions, except per share data)
                                             Operating    Operating      Income tax     Equity in        Income from   Diluted EPS
                                             income       income as a    expense (e)    earnings of      continuing
                                                          percentage of                 equity           operations
                                                          net revenues                  method           attributable
                                                                                        investees, net   to Quest
                                                                                        of taxes         Diagnostics
As reported                                  $  313       16.0  %        $  (62)        $   18           $   215       $   1.56
Restructuring and integration charges (a)    16           0.8            (4)            --               12            0.09
Other (d)                                    (3)          (0.1)          1              --               (2)           (0.01)
Amortization expense                         23           1.2            (6)            2                19            0.14
ETB                                          --           --             (3)            --               (3)           (0.02)
As adjusted                                  $  349       17.9  %        $  (74)        $   20           $   241       $   1.76
                                             Nine Months Ended September 30, 2019
                                             (dollars in millions, except per share data)
                                             Operating    Operating      Income tax     Equity in        Income from   Diluted EPS
                                             income       income as a    expense (e)    earnings of      continuing
                                                          percentage of                 equity           operations
                                                          net revenues                  method           attributable
                                                                                        investees, net   to Quest
                                                                                        of taxes         Diagnostics
As reported                                  $  868       15.0  %        $  (175)       $   48           $   585       $   4.27
Restructuring and integration charges (a)    64           1.1            (17)           --               47            0.35
Other (d)                                    (17)         (0.3)          --             --               (17)          (0.11)
Amortization expense                         72           1.2            (20)           12               64            0.46
ETB                                          --           --             (11)           --               (11)          (0.08)
As adjusted                                  $  987       17.0  %        $  (223)       $   60           $   668       $   4.89
  (a) For both the three and nine months ended September 30, 2020 and 2019, represents costs primarily associated with systems conversions and integration incurred in connection with further restructuring and integrating our business.  The following table summarizes the pre-tax impact of restructuring and integration charges on the company's consolidated statements of operations:
                                        Three Months Ended  Nine Months Ended
                                        September 30,       September 30,
                                        2020    2019        2020    2019
                                        (dollars in millions)
    Cost of services                    $  11   $  7        $  21   $  29
    Selling, general and administrative 7       9           22      35
    Operating income                    $  18   $  16       $  43   $  64
  (b) For both the three and nine months ended September 30, 2020, represents the impact of certain items resulting from the COVID-19 pandemic.  For the three months ended September 30, 2020, principally includes the reversal of $65 million of income previously recognized during the second quarter of 2020 attributable to the receipt of funds from the government that were appropriated to healthcare providers under the CARES Act and, to a lesser extent, incremental costs incurred primarily to protect the health and safety of the company's employees and customers.  For the nine months ended September 30, 2020, principally includes expense associated with a one-time payment to eligible employees to help offset expenses they incurred as a result of COVID-19, certain asset impairment charges, and incremental costs incurred primarily to protect the health and safety of the company's employees and customers.
      The following table summarizes the pre-tax impact of these COVID-19 items on the company's consolidated statements of operations:
                                                                Three Months Ended  Nine Months Ended
                                                                September 30,       September 30,
                                                                2020     2019       2020     2019
                                                                (dollars in millions)
    Cost of services                                            $  3     $  --      $  38    $  --
    Selling, general and administrative                         --       --         8        --
    Other operating expense (income), net                       65       --         8        --
    Operating income                                            $  68    $  --      $  54    $  --
    Equity in earnings of equity method investees, net of taxes $  1     $  --      $  (2)   $  --
    Net income attributable to noncontrolling interest          $  (1)   $  --      $  2     $  --
  (c) For the three and nine months ended September 30, 2020, the pre-tax impact represents a gain of $70 million recognized in other income, net based on the difference between the fair value and the carrying value of an equity interest.  On August 1, 2020, the company completed its acquisition of the remaining 56% interest in Mid America Clinical Laboratories, LLC ("MACL") from its joint venture partners. As a result of the transaction, the company remeasured its previously held minority interest in MACL to fair value and recognized a gain.
  (d) For the three months ended September 30, 2019, the pre-tax impact primarily represents a gain associated with the decrease in the fair value of the contingent consideration accrual associated with a previous acquisition, partially offset by costs incurred related to a data security incident.  For the nine months ended September 30, 2019, the pre-tax impact primarily represents a gain associated with an insurance claim for hurricane related losses, and a gain associated with the decrease in the fair value of the contingent consideration accruals associated with previous acquisitions, partially offset by non-cash asset impairment charges, and costs incurred related to a data security incident.
      The following table summarizes the pre-tax impact of these other items on the company's consolidated statements of operations:
                                          Three Months Ended  Nine Months Ended
                                          September 30,       September 30,
                                          2020    2019        2020    2019
                                          (dollars in millions)
    Selling, general and administrative   $  --   $  4        $  --   $  5
    Other operating expense (income), net --      (7)         --      (22)
    Operating income                      $  --   $  (3)      $  --   $  (17)
  (e) For restructuring and integration charges, COVID-19 impacts, other items and amortization expense, income tax impacts, where recorded, were primarily calculated using combined statutory income tax rates of 25.5% for both 2020 and 2019.  For the gain on remeasurement of equity interest, income tax expense was calculated based on an effective income tax rate on the transaction of 11.8%, which is lower than the statutory income tax rate due to a permanent difference in the financial reporting and tax basis of goodwill.  For the gain associated with an insurance claim for hurricane related losses in 2019, there was no net income tax expense as the company was able to utilize net operating loss carryforwards for which a valuation allowance had previously been established.  For the gain in 2019 associated with the decrease in the fair value of the contingent consideration accruals associated with previous acquisitions, there was no net income tax expense related to acquisitions in which the gain is non-taxable.
3) Discontinued operations, net of taxes, for the nine months ended September 30, 2019 includes discrete tax benefits of $20 million associated with the favorable resolution of certain tax contingencies related to Nichols Institute Diagnostics, a test kit manufacturing subsidiary whose operations were discontinued in 2006.
4) For the three months ended September 30, 2020, the company did not repurchase any shares of its common stock.  For the nine months ended September 30, 2020, the company repurchased 0.7 million shares of its common stock for $75 million.  As of September 30, 2020, $1.2 billion remained available under the company's share repurchase authorizations; however the company has temporarily suspended additional share repurchases under the existing authorization.
5) For the nine months ended September 30, 2020, net cash provided by operating activities includes $138 million that the company received from the funds that were appropriated to healthcare providers under the CARES Act, which is included in accounts payable and accrued expenses.  The company has determined that it will return the CARES Act funds.
6) The outlook for adjusted diluted EPS represents management's estimates for the full year 2020 before the impact of special items. Further impacts to earnings related to special items may occur throughout 2020.  Additionally, the amount of ETB is dependent upon employee stock option exercises and the company's stock price, which are difficult to predict. The outlook for diluted EPS and adjusted diluted EPS is subject to the risks and uncertainties described under "Forward Looking Statements".  The following table reconciles our 2020 outlook for adjusted diluted EPS to the corresponding amounts determined under GAAP:
                                                                        Low        High
 Diluted EPS                                                            $   8.22   $   9.22
 Restructuring and integration charges (a)                              0.39       0.39
 COVID-19 impact                                                        0.29       0.29
 Gain on remeasurement of equity interest                               (0.46)     (0.46)
 Amortization expense (b)                                               0.63       0.63
 Initiative to reduce health disparities in underserved communities (c) 0.05       0.05
 ETB                                                                    (0.12)     (0.12)
 Adjusted diluted EPS                                                   $   9.00   $   10.00
  (a) Represents estimated full year pre-tax charges of $71 million primarily associated with systems conversions and integration costs incurred in connection with further restructuring and integrating our business.  Income tax benefits were calculated using a combined statutory income tax rate of 25.5%.
  (b) Represents the estimated impact of amortization expense for 2020 on the calculation of adjusted diluted EPS. Amortization expense used in the calculation is as follows (dollars in millions):
 Amortization of intangible assets                                                                               $ 103
 Amortization expense included in equity in earnings of equity method investees, net of taxes                    11
 Total pre-tax amortization expense                                                                              $ 114
 Total amortization expense, net of an estimated tax benefit using a combined statutory income tax rate of 25.5% $ 85
  (c) Represents estimated full year pre-tax charges of $10 million associated with the company's recently announced initiative with the Quest Diagnostics Foundation to reduce health disparities in underserved communities including through a combination of donated testing services, education programs, partnerships, and financial support.  Income tax benefits were calculated using a combined statutory income tax rate of 25.5%.

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SOURCE Quest Diagnostics

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