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Cowen and Company
Health Care Conference




              March 18, 2008
Safe Harbor Disclaimer
                                                                                          »
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, 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 Statement for Purposes of the ‘Safe Harbor’ Provisions of the Private
Securities Litigation Reform Act of 1995” in Item I, Part 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.

  A copy of this presentation is available on
  our website at www.questdiagnostics.com                            Patients Growth People
Who is Quest Diagnostics?
                                                                            »



»   Leader in Providing Healthcare Insights and Solutions
    Comprehensive Diagnostic Testing
        Routine ——» Esoteric
         • Diagnose
         • Monitor
         • Predict
         • Prevent
    Advanced Information Technology Solutions
        Improve Care and Efficiency
    Facilitate Introduction of New Therapeutics
        Clinical Trials Testing
    Innovative Diagnostic Products
        Enable Care Closer to the Patient
    Risk Assessment Solutions to Life Insurance Industry
    Touching Patients ~150 Million Times Each Year
                                                       Patients Growth People
The Leader in Diagnostic Testing
                                                                                            »
                                                         US Diagnostic Testing
»                                                        Market: >$45 B




                      $ in millions




Source: Washington G-2 Reports and company information
                                                                       Patients Growth People
Consistently Strong Growth
                                                                                                                  »

                      #11 Fortune 500 Ranking: 10-year Total Shareholder Return
  »                     $8
Dollars in Billions




                        $7                                                                           Revenue
                        $6                                                                          1999-2007
                                                                                                 10 yr CAGR 18%
                        $5
                        $4
                        $3
                        $2
                        $1
                         0
                               1999    2000    2001    2002   2003   2004   2005   2006   2007

                       $3.50
                                                                                                       EPS
                       $3.00                                                                        1999-2007
                                                                                                 10 yr CAGR 25%
                       $2.50
                       $2.00
                       $1.50
                       $1.00
                       $0.50
                       $0.00
                                1999    2000    2001   2002   2003   2004   2005   2006   2007
Fortune Ranking based on years 1997-2006                                                     Patients Growth People
Favorable Industry Trends
                                                                         »



»   Essential Healthcare Service
                      Growing and Aging Population
                      Innovations in Science & Medicine
                      Personal Interest in Health
                      Convergence of Information
                       • Genetic Predisposition
                       • Diagnostic Testing
                       • Diagnostic Imaging
                       • Information Technology
    Influences >70% of Healthcare Decisions
                                                    Patients Growth People
Moving to Higher Growth,
                                  Higher Margin Segments                           »



»         2000 Revenue                   2007 Pro Forma Revenue




    Total Revenue: $3.4 Billion       Total Pro Forma Revenue: $7.0 Billion




                                                              Patients Growth People
Expanding Market Leadership
                                                                           »
                                               2000        2008
»    Clinical Testing
     Gene-based & Esoteric Testing
     Employer Services
     Anatomic Pathology Testing                 P
     Risk Assessment Services                   -
     Healthcare Information Technology          -
     Point of Care (Near Patient) Testing       -
     Clinical Trials Testing                    P             P
     International Market                       -             P

      Overall Market Leader/Niche Leadership
    P Market Participant
                                                      Patients Growth People
Our Goals
                                                                   »



»   Undisputed World Leader in Diagnostic Testing,
    Information and Services

    Profitably Grow > Industry Rate

    Expand Operating Income to 20%

    Expand International Operations to ~10% of Revenues




                                              Patients Growth People
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
Providing Superior Patient Experience
                                                                       »



»   Patient Gold Standards
    Prompt, Caring, Courteous Service

    PSC Appointment Scheduling
    Only Laboratory with Appointment Scheduling at PSC’s
    Reduces Patient Wait Time
    Improves Patient Convenience

    Google Health Collaboration
    Facilitate Patient-Physician Communications
    Secure Electronic Access to Lab Results

                                                  Patients Growth People
Leading Medical Innovator
                                                                           »



»   Broadest Product and Service Offering
    Multiple Channels to Access New Technology
       Internal Development – Nichols Institute
       Joint Development Relationships
       Licensing/Distribution Relationships
    Most Comprehensive Test Menu
       Leader in Cancer, CVD & Infectious Disease Testing
       Pioneer in Molecular Diagnostics, LC-MS/MS & Micro-array
    Leading Experts for Medical Consultation
        900 MDs & PhDs
        >30 Academic Associates

    Unmatched Medical & Technical Expertise
                                                      Patients Growth People
Most Comprehensive Test Menu
                                                                     »



»   Cancer                       Transplantation / Coag
     LeumetaTM                    HLA FDA-registered lab
     H/I Breast Recurrence        Coag consultations
     Cancer of Unknown Primary   New Technology
    Cardiovascular Disease        XSenseTM
    Infectious Disease            ClarisureTM
     HepaScoreTM                  Amino Acids by LC/MS
     PhenoscriptTM                LC-MS/MS
     Chikungunya                 Personalized Medicine
     Epstein Barr Virus


                                                Patients Growth People
Enabling Personalized & Targeted Medicine
                                                                            »



»   Improving Patient Care
    Enables More Appropriate Drug Therapy
       Rituxan®          Rituxan® Sensitivity (CD20)
       Herceptin®        Her2
       Campath®          Campath Sensitivity (CD2)
       Irinotecan        UGT1A1
       Warfarin          CYP450 2C9
       Carbamazephine    HLA - screens out certain Asian patients
       Abacavir          HLA - predisposition to hypersensitivity
       Aspirin           Monitor personal resistance levels
       Tysabri           Tysabri Antibody testing
    Improves Disease Management
       Leumeta™          CellSearch
       Hepascore™

    Reducing Medical Costs                             Patients Growth People
Unparalleled Assets and Capabilities
                                                                                                                  »



   »                                     Patients   Physicians   Hospitals
                                                                             Health
                                                                             Plans
                                                                                      Employers   Pharma
                                                                                                             Life
                                                                                                           Insurers
Serving ½ US Physicians & Hospitals

Broadest Services Offering

Leading Esoteric Labs

POC Products

Connectivity with 125,000 Physicians

4,000 Logistics Vehicles & 25 Aircraft

2,100 Patient Service Centers

Nationwide Appointment Scheduling

1,000 Person Sales Force

800 Pathologists & Dermatopathologists

13,500 Phlebotomists & Paramedical
Professionals

                                                                                             Patients Growth People
Expanding Diagnostic Scope
                                      Near Patient Testing             »



»   Opportunity to Improve Patient Care
     Attractive Benefits For Hospitals,
     Physician Offices & International
     Markets

     Enables More Timely And Effective
     Decisions

     Expanding Product Menu

     Platform Technology

     Results Integrated into Care360



    Reducing Medical Costs
                                                  Patients Growth People
Expanding Geographic Reach
                                                                          »



»   Broadening Our Geographical Coverage

    Clear Leadership in US….with Room to Grow
    Leverage Existing Labs in Puerto Rico, Mexico, and UK
    Increase Foreign Testing Sent to Nichols Institute
    Exploit Point of Care Distribution Network in 130 Countries
    Entering India – Serving Multiple Markets



    Increasing Market Opportunity
                                                     Patients Growth People
India. . .An Untapped Opportunity
                                                                              »



»   1 Billion People and Emerging Economic Power
       300 Million People in Middle Class
       Expanding Consumerism
    Increased Incidence of Chronic Disease
       Diabetes: 17% (among the highest in the world)
       Hypertension: 51% of adults
       Hyperlipidemia
       Cancer: ~1 million new cases each year
       Infectious diseases: 1000 deaths/day from Tuberculosis
    Expanding Interest in Early Detection, Prevention & Treatment
    Highly Fragmented Diagnostic Testing Market


                                                         Patients Growth People
Leverage Strong Brands and
                               Expertise in India Market                      »



»
          • Physicians
          • Hospitals



          • Pharmaceutical Companies




          • Life Insurers
    Medical/Scientific Expertise and Operational Excellence
          • World renowned scientists,    • Six Sigma
            pathologists and testing      • Laboratory best practices
            methods
                                                         Patients Growth People
India: Tailored Solutions
                                                           »



»




    Global Brand + Local Conditions
                                      Patients Growth People
Reducing Costs by $500 Million
                                                                   »



»   Leverage Lean Six Sigma to Improve Efficiency
     Streamline Lab Operations

     Optimize Logistics Routes
     and PSC Resources

     Improve Billing and Call
     Center Operations

     Leverage Purchasing
     Capabilities


    Maintain Service Levels
                                              Patients Growth People
2007 Full Year Results
                                                                   »



»   Decisive Actions and Bold Moves Restored Momentum


    Revenues                   $6.7 billion

    Operating Income           16.3%

    EPS                        $2.84

    Cash from Operations       $927 million



    Positioned for Sustained Revenue & Earnings Growth
                                              Patients Growth People
2008 / 2009 Focus
                                                                   »



»   Margin Expansion and Earnings Growth


    Drive Top-Line Growth

    Integrate AmeriPath

    Reduce Costs by $500 Million

    Expand International and Products Businesses


    Excellence in Execution
                                              Patients Growth People
Building on Strength
                                                                     »



»   Industry Leader in a Vital and Growing Industry

    A History of Disciplined Growth

    Track Record of Successfully Integrating Acquisitions

    Strong Cash Generator

    Proven Management Team
    Uniquely Positioned with Unparalleled Assets &
    Capabilities

    Focused on Execution
                                                Patients Growth People
»



»




    Patients Growth People

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quest diagnostics 3_18_08Cowen

  • 1. Cowen and Company Health Care Conference March 18, 2008
  • 2. Safe Harbor Disclaimer » 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, 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 Statement for Purposes of the ‘Safe Harbor’ Provisions of the Private Securities Litigation Reform Act of 1995” in Item I, Part 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. A copy of this presentation is available on our website at www.questdiagnostics.com Patients Growth People
  • 3. Who is Quest Diagnostics? » » Leader in Providing Healthcare Insights and Solutions Comprehensive Diagnostic Testing Routine ——» Esoteric • Diagnose • Monitor • Predict • Prevent Advanced Information Technology Solutions Improve Care and Efficiency Facilitate Introduction of New Therapeutics Clinical Trials Testing Innovative Diagnostic Products Enable Care Closer to the Patient Risk Assessment Solutions to Life Insurance Industry Touching Patients ~150 Million Times Each Year Patients Growth People
  • 4. The Leader in Diagnostic Testing » US Diagnostic Testing » Market: >$45 B $ in millions Source: Washington G-2 Reports and company information Patients Growth People
  • 5. Consistently Strong Growth » #11 Fortune 500 Ranking: 10-year Total Shareholder Return » $8 Dollars in Billions $7 Revenue $6 1999-2007 10 yr CAGR 18% $5 $4 $3 $2 $1 0 1999 2000 2001 2002 2003 2004 2005 2006 2007 $3.50 EPS $3.00 1999-2007 10 yr CAGR 25% $2.50 $2.00 $1.50 $1.00 $0.50 $0.00 1999 2000 2001 2002 2003 2004 2005 2006 2007 Fortune Ranking based on years 1997-2006 Patients Growth People
  • 6. Favorable Industry Trends » » Essential Healthcare Service Growing and Aging Population Innovations in Science & Medicine Personal Interest in Health Convergence of Information • Genetic Predisposition • Diagnostic Testing • Diagnostic Imaging • Information Technology Influences >70% of Healthcare Decisions Patients Growth People
  • 7. Moving to Higher Growth, Higher Margin Segments » » 2000 Revenue 2007 Pro Forma Revenue Total Revenue: $3.4 Billion Total Pro Forma Revenue: $7.0 Billion Patients Growth People
  • 8. Expanding Market Leadership » 2000 2008 » Clinical Testing Gene-based & Esoteric Testing Employer Services Anatomic Pathology Testing P Risk Assessment Services - Healthcare Information Technology - Point of Care (Near Patient) Testing - Clinical Trials Testing P P International Market - P Overall Market Leader/Niche Leadership P Market Participant Patients Growth People
  • 9. Our Goals » » Undisputed World Leader in Diagnostic Testing, Information and Services Profitably Grow > Industry Rate Expand Operating Income to 20% Expand International Operations to ~10% of Revenues Patients Growth People
  • 10. 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
  • 11. Providing Superior Patient Experience » » Patient Gold Standards Prompt, Caring, Courteous Service PSC Appointment Scheduling Only Laboratory with Appointment Scheduling at PSC’s Reduces Patient Wait Time Improves Patient Convenience Google Health Collaboration Facilitate Patient-Physician Communications Secure Electronic Access to Lab Results Patients Growth People
  • 12. Leading Medical Innovator » » Broadest Product and Service Offering Multiple Channels to Access New Technology Internal Development – Nichols Institute Joint Development Relationships Licensing/Distribution Relationships Most Comprehensive Test Menu Leader in Cancer, CVD & Infectious Disease Testing Pioneer in Molecular Diagnostics, LC-MS/MS & Micro-array Leading Experts for Medical Consultation 900 MDs & PhDs >30 Academic Associates Unmatched Medical & Technical Expertise Patients Growth People
  • 13. Most Comprehensive Test Menu » » Cancer Transplantation / Coag LeumetaTM HLA FDA-registered lab H/I Breast Recurrence Coag consultations Cancer of Unknown Primary New Technology Cardiovascular Disease XSenseTM Infectious Disease ClarisureTM HepaScoreTM Amino Acids by LC/MS PhenoscriptTM LC-MS/MS Chikungunya Personalized Medicine Epstein Barr Virus Patients Growth People
  • 14. Enabling Personalized & Targeted Medicine » » Improving Patient Care Enables More Appropriate Drug Therapy Rituxan® Rituxan® Sensitivity (CD20) Herceptin® Her2 Campath® Campath Sensitivity (CD2) Irinotecan UGT1A1 Warfarin CYP450 2C9 Carbamazephine HLA - screens out certain Asian patients Abacavir HLA - predisposition to hypersensitivity Aspirin Monitor personal resistance levels Tysabri Tysabri Antibody testing Improves Disease Management Leumeta™ CellSearch Hepascore™ Reducing Medical Costs Patients Growth People
  • 15. Unparalleled Assets and Capabilities » » Patients Physicians Hospitals Health Plans Employers Pharma Life Insurers Serving ½ US Physicians & Hospitals Broadest Services Offering Leading Esoteric Labs POC Products Connectivity with 125,000 Physicians 4,000 Logistics Vehicles & 25 Aircraft 2,100 Patient Service Centers Nationwide Appointment Scheduling 1,000 Person Sales Force 800 Pathologists & Dermatopathologists 13,500 Phlebotomists & Paramedical Professionals Patients Growth People
  • 16. Expanding Diagnostic Scope Near Patient Testing » » Opportunity to Improve Patient Care Attractive Benefits For Hospitals, Physician Offices & International Markets Enables More Timely And Effective Decisions Expanding Product Menu Platform Technology Results Integrated into Care360 Reducing Medical Costs Patients Growth People
  • 17. Expanding Geographic Reach » » Broadening Our Geographical Coverage Clear Leadership in US….with Room to Grow Leverage Existing Labs in Puerto Rico, Mexico, and UK Increase Foreign Testing Sent to Nichols Institute Exploit Point of Care Distribution Network in 130 Countries Entering India – Serving Multiple Markets Increasing Market Opportunity Patients Growth People
  • 18. India. . .An Untapped Opportunity » » 1 Billion People and Emerging Economic Power 300 Million People in Middle Class Expanding Consumerism Increased Incidence of Chronic Disease Diabetes: 17% (among the highest in the world) Hypertension: 51% of adults Hyperlipidemia Cancer: ~1 million new cases each year Infectious diseases: 1000 deaths/day from Tuberculosis Expanding Interest in Early Detection, Prevention & Treatment Highly Fragmented Diagnostic Testing Market Patients Growth People
  • 19. Leverage Strong Brands and Expertise in India Market » » • Physicians • Hospitals • Pharmaceutical Companies • Life Insurers Medical/Scientific Expertise and Operational Excellence • World renowned scientists, • Six Sigma pathologists and testing • Laboratory best practices methods Patients Growth People
  • 20. India: Tailored Solutions » » Global Brand + Local Conditions Patients Growth People
  • 21. Reducing Costs by $500 Million » » Leverage Lean Six Sigma to Improve Efficiency Streamline Lab Operations Optimize Logistics Routes and PSC Resources Improve Billing and Call Center Operations Leverage Purchasing Capabilities Maintain Service Levels Patients Growth People
  • 22. 2007 Full Year Results » » Decisive Actions and Bold Moves Restored Momentum Revenues $6.7 billion Operating Income 16.3% EPS $2.84 Cash from Operations $927 million Positioned for Sustained Revenue & Earnings Growth Patients Growth People
  • 23. 2008 / 2009 Focus » » Margin Expansion and Earnings Growth Drive Top-Line Growth Integrate AmeriPath Reduce Costs by $500 Million Expand International and Products Businesses Excellence in Execution Patients Growth People
  • 24. Building on Strength » » Industry Leader in a Vital and Growing Industry A History of Disciplined Growth Track Record of Successfully Integrating Acquisitions Strong Cash Generator Proven Management Team Uniquely Positioned with Unparalleled Assets & Capabilities Focused on Execution Patients Growth People
  • 25. » » Patients Growth People