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Quest Diagnostics Incorporated


                             Annual Report 1998




Dedicated people improving the health of patients
         through unsurpassed diagnostic insights.
Our Values




        Quality                                Innovation                                Collaboration
        The patient comes first in everything   We constantly seek innovative             We believe in teamwork
        we do. Our passion is to provide       ways to enhance patient care and          and the limitless possibilities of
        every patient and every customer       provide value to our customers.           collaborative energy. We achieve
        with services and products of          We support the creativity, courage        excellence by putting collective
        uncompromising quality — error         and persistence that transform            goals ahead of personal interests.
        free, on time, every time. We do       information into knowledge, and           We support and encourage open
        that by dedicating ourselves to the    knowedge into insights. We seek           communication and meaningful
        relentless pursuit of excellence in    continuous advancementthrough             cooperation among colleagues
        the services we provide.               theadaptation of existing knowledge       from varying backgrounds and
                                               as well as through experimentation,       disciplines. We respect individual
        Integrity
                                               with the full understanding that we       differences, and we value diversity.
        Credibility is the key to our
                                               learn from our failures as well as
        success; therefore, all of our
                                               our successes.                            Leadership
        processes, decisions and actions
                                                                                         We strive to be the best at what we
        ultimately are driven by integrity.
                                               Accountability                            do — both as a company, and as
        We are honest and forthright in all
                                               As a company and as individuals,          individuals. We embrace the
        our dealings with our customers
                                               we accept full responsibility for our     qualities of personal leadership —
        and with each other. We are
                                               performance and acknowledge               courage, competence, confidence
        responsible corporate citizens in
                                               our accountability for the ultimate       and a passion for surpassing
        the communities we serve. We
                                               outcome of all that we do. We strive      expectations. We will provide growth
        strictly comply with the laws and
                                               for continuous improvement,               opportunities for our employees,
        regulations governing our business,
                                               believing that competence, reliability,   quality services and products to our
        not only as a legal obligation and a
                                               and rigorous adherence to process         customers and superior returns to
        competitive necessity, but because
                                               discipline are the keys to excellence.    our shareholders.
        it is the right thing to do.




Our Business:
        Quest Diagnostics Incorporated is one of the nation’s leading providers of
        diagnostic testing, information and services with laboratories and patient service
        centers across the United States. The wide variety of tests performed on human
        tissue and fluids help doctors and hospitals diagnose, treat and monitor disease.
        Nichols Institute conducts research, specializes in esoteric testing using genetic
        screening and other advanced technologies, and manufactures and distributes
        diagnostic test kits and instruments. Quest Informatics collects and analyzes laboratory,
        pharmaceutical and other data to help large health care customers identify and
        monitor patients who are at-risk for certain diseases.




2
Quest Diagnostics Incorporated and Subsidiaries




                                                            financial highlights




                           Y   E   A   R   S    E   N   D   E   D       D   E    C     E   M   B    E     R      3   1

(in millions, except per share data)                                     1998                      1997




                        Net revenues                                    $ 1,458.6              $ 1,528.7

                        Net income (loss) before restructuring
                        and other non-recurring charges                         26.9                     17.6

                        Net income (loss) (a)                                   26.9                    (22.3)

                        Weighted average common
                        shares outstanding – diluted                            30.2                     29.2

                        Diluted net income per common share             $       0.89           $        (0.77)

                        Adjusted EBITDA (b)                             $   158.6              $        153.8


                                                                                                   (a)
                                                              Includes non-recurring charges totaling
                                                                                  $56 million in 1997.
                                                                                                   (b)
                                                    Adjusted EBITDA represents income (loss) before
                                                     income taxes, net interest expense, depreciation,
                                                            amortization and restructuring and other
                                                                               non-recurring charges.




                                                                                                                         3
Chairman’s Letter




        By most measures, 1998 was a year          the clinical laboratory business of       As anticipated, requisition volume
        in which your company made solid           SmithKline Beecham plc. Quest             declined 7% from 1997, although
                                                                                             the rate of decline did slow over
        progress. Even as we met the challenges    Diagnostics has agreed to purchase
                                                                                             the course of the year. Given these
        of growing competition and declining       SmithKline Beecham Clinical
                                                                                             conditions, we are particularly
        clinical testing volume, we generated      Laboratories(SBCL) for approximately
                                                                                             pleased with our ability to generate
        strong cash flow, extended our strategic    $1.3 billion in cash and stock. This
                                                                                             substantial amounts of cash. We
        partnerships in new and innovative         important acquisition will enable us
                                                                                             ended the year with $203 million
        ways, aggressively managed costs, and      to provide a higher level of service
        made significant progress toward            for customers and patients in a cost-     of cash on hand, and generated
        achieving our goal of becoming a unified,   constrained environment, thereby          $141 million in cash from operations.
        customer-driven company with               increasing shareholder returns.           Strong cash generation reflects
                                                                                             significant improvements in
        common systems, practices and values
                                                   This transaction is highly strategic      our billing, collection and cost
        everywhere throughout the country.
                                                   and timely. We are confident we            management processes.
        At yearend, we were well positioned
                                                   have the discipline and the focus to
        to take a new strategic step to further
                                                   ensure successful integration of the      There are many other indicators
        improve our prospects.
                                                   two companies. We are acquiring a         of financial strength in our
                                                   company that in many ways mirrors         1998 performance:
        Perhaps most important for long-
                                                   our own business. Both companies
        term success, we reinforced in 1998
                                                                                             In addition to repaying $33 million
                                                   have strong reputations as well-
        the commitment to our vision –
                                                                                             of scheduled bank debt, we prepaid
                                                   managed operations. We share a
        “dedicated people improvingthehealth
                                                                                             an additional $20 million of debt
                                                   common commitment to quality,
        of patients through unsurpassed
                                                                                             ahead of schedule, while also buying
                                                   integrity and compliance, and are
        diagnostic insights” – by pledging
                                                                                             back $13 million of our stock.
                                                   both dedicated to improving
        ourselves to a set of ambitious and
                                                   patient health. Combining the two
        clearly quantifiable goals for
                                                                                             We remained firmly on track to
                                                   companies will improve the quality,
        instilling unsurpassed quality in
                                                                                             meet the commitment made at the
                                                   convenience and accessibility of our
        every aspect of the business.
                                                                                             time of our spinoff from Corning
                                                   services; accelerate innovation of
                                                                                             Incorporated in early 1997 to reduce
        As the information included in             new tests and information products;
                                                                                             the cost of running our business by
        this report demonstrates, Quest            and enable continued reduction in
                                                                                             $180 million by the end of 2000.
        Diagnostics has come a long, long          our costs by sharing the best practices
                                                                                             Through the end of 1998, we
        way from the difficult years of the         from each of our organizations. We
                                                                                             eliminated $100 million in costs
        mid-1990s. Our turnaround is               expect to complete the transaction
                                                                                             unrelated to the decline in requisition
        succeeding. We are committed to            this summer, following shareholder
                                                                                             volume, and we remain confident
        becoming the clear industry leader         approval and regulatory clearance.
                                                                                             that we will meet our goal. These
        by providing our patients and              Upon completion, SmithKline
                                                                                             savings are allowing us to reinvest in
        customers with services and products       Beecham plc will become our largest
                                                                                             our business to assure long term
        of exceptional quality. In a business      shareholder, owning approximately
                                                                                             profitable growth.
        where the quality of what we do can        29.5% of our shares.
        literally mean the difference between
                                                                                             We reduced bad debt expense from
                                                   Performance Summary
        life and death, we are absolutely
                                                                                             7.4% of revenues in 1997 to 6.1% in
                                                   We are pleased to report that in
        convinced that consistent, unsurpassed
                                                                                             1998, steadily progressing toward
                                                   1998, Quest Diagnostics reported
        quality will provide the ultimate
                                                                                             our goal of 4% by the end of 2000.
                                                   net income of $26.9 million, or $0.89
        competitive edge.
                                                                                             A major step was the conversion of
                                                   per diluted share, on revenues of
                                                                                             our Teterboro facility to a new
        SBCL Acquisition                           $1.46 billion, versus 1997 net income,
                                                                                             billing system, by far the largest and
                                                   adjusted to exclude special charges, of
        We announced an agreement as this
                                                   $17.6 million, or $0.60 per share, on     most successful conversion to date.
        report was going to press to acquire
                                                   revenues of $1.53 billion.


4
We saw average revenue per requisition   slowed in the second half; moreover,      1995   $177 million
increase for the second consecutive      of the 7% year-over-year decline in
                                                                                           $166 million
                                                                                   1996
year, following five straight years of    volume, about half was directly
                                                                                           $154 million
                                                                                   1997
declines. Partly, this was a result      attributable to our own consolidation
of replacing low-profit business with     of facilities and to our decision to      1998    $159 million
higher-profit business as we demon-       reduce unprofitable business. Still,
                                                                                                                       Adjusted EBITDA*
strated our steadfast commitment         we do not intend to shrink our
to provide services only to those        way to success, and we continue to
customers from whom we are               pursue top line growth through the
properly compensated, even if            strategic acquisition of SBCL and
                                                                                   1995            $ 36 million
that means a decline in volume.          the active development of new high
                                                                                                    $ 42 million
                                                                                   1996
                                         growth businesses.
We made substantial progress during
                                                                                          $162 million
                                                                                   1997
1998 toward addressing the Year 2000     Strategic Partnerships
                                                                                   1998   $203 million
computer-programming problem.            Your company intensified efforts to
Although substantial work remains,                                                        Cash and Cash Equivalents at End of Year
                                         become the preferred partner with
we are on track to complete the first     large buyers of health care services.
phase on schedule midway through         We made important inroads within
1999, which will leave the second half   the highly competitive field of
of the year for testing and refine-                                                 1995    $1,208 million
                                         hospital testing, which accounts
ments. Consequently, we fully expect     for nearly 55% of the $30-plus                    $ 536 million
                                                                                   1996
core systems to be Year 2000-ready       billion market in clinical testing.
                                                                                           $ 515 million
                                                                                   1997
before the end of the year. Our Year     In part, our success comes from
2000 work has provided the added         viewing traditional competitors           1998    $ 465 million
benefit of accelerating efforts to        as potential partners, and providing                                        Debt at End of Year
standardize billing and laboratory       ways we can profitably work together
systems across the country.              to reduce their lab testing costs while
                                         simultaneously improving quality.
Nevertheless, 1998 was not without
                                                                                   1995    9.4%
disappointments. Our progress            Over time, we have come to realize
toward standardization of systems                                                          6.9%
                                                                                   1996
                                         there is no “one-size-fits-all” model of
and practices was significant, but        collaboration; each situation is unique           7.4%
                                                                                   1997
not as swift as we had hoped. Also,      and requires creative approaches,
                                                                                   1998    6.1%
the joint venture in Arizona, Sonora     ranging from outsourcing routine
Quest Laboratories, in which we hold                                                      Bad Debt as Percentage of Net Revenues
                                         testing to fully integrated joint
a minority interest, encountered         ventures. Some of the partnerships
significant integration challenges        successfully established in 1998
that hindered its first year of           include:
operations. Also, Nichols Institute                                                            *Adjusted EBITDA; excludes restructuring charge
                                                                                                                    and other special charges
                                         Joint ventures with UPMC Health
Diagnostics, our medical products
                                         System in western Pennsylvania
subsidiary, encountered startup losses
                                         and Unity Health in St. Louis, both
associated with the introduction of
                                         leading hospital network and health
its state-of-the-art Nichols Advantage
                                         care providers in their respective
instrument.
                                         regions;
Finally, the decline in the volume of
                                         Partnerships through which we
test requisitions was disappointing.
                                         provide multiple clinical services to
Admittedly, the rate of decline




                                                                                                                                                 5
the highly regarded hospitals of the    and will be our primary focus in the       Achieve Six Sigma Medical Quality:
    Johns Hopkins Health System in          new year.                                  The ultimate measure of our service
    Maryland and Sutter Health Systems                                                 to customers andclients is the accuracy
                                            Our Quality Journey
    in California. During the year we                                                  of our medical test results and reports.
                                            We began “Our Quality Journey”
    established or renewed long-term                                                   Generally speaking, our industry has
                                            by establishing some exceptionally
    supply arrangements with more                                                      been comfortable with an accuracy
                                            ambitious quality challenges that we
    than 100 hospitals and hospital                                                    rate above 90%. We have established
                                            fully intend to meet by the end of
    systems;                                                                           a new goal of Six Sigma– an accuracy
                                            2002. The only way we can achieve          rate of 99.99966% or only 3.4 errors
    A long-term contract with Oxford        them is through a fundamentally            per million – which approaches error-
    Health Plans to manage a network of     different approach to doing business       free testing and reporting. We fully
    laboratory service providers, as well   based on quality excellence – through      intend to become the first in our
    as provide lab services, for its 1.75   education and training in the              industry to achieve this goal.
    million members. We will provide        principles of quality management,
                                                                                       Deliver Bottom Line Growth:
    network management services using       through rigorous process discipline,
                                                                                       Our goal is to more than double
    QuestNet, an innovative new product     and through performance-based
                                                                                       operating profit (EBITA) by 2002.
    developed during the past year; and     compensation linked directly to our
                                                                                       That means we must continue
                                            company-wide goals. Here is what
    A partnership with Premier                                                         to remove costs while restoring
                                            we have set out to accomplish:
    Inc., a leading group purchasing                                                   profitable growth to the top line.
                                            Improve Employee Satisfaction:
    organization for hospitals, through
                                                                                       These four goals are interrelated.
                                            Our goal is to reduce voluntary
    which Quest Diagnostics obtained
                                                                                       We must achieve the first three:
                                            employee turnover from almost
    an exclusive 10-year contract
                                                                                       increased employee satisfaction,
                                            16% to 10% in 2000 and 7% by
    to provide strategic services for
                                                                                       greater customer satisfaction, and
                                            the end of 2002. We estimate that
    Premier members and affiliates.
                                                                                       dramatically improved medical
                                            voluntary turnover is costing our
    Historically, our primary avenue                                                   quality, to enable us to meet the
                                            company at least $60 million each
    into the hospital testing market has                                               financial goal.
                                            year in terms of recruitment, training
    been the highly specialized esoteric    and inefficient operations. Increased
                                                                                       To help us accelerate growth and
    testing provided by our Nichols         retention willhave a significant impact
                                                                                       improve organizational effectiveness,
    Institute. We are proud that in 1998    on the quality of our work and our
                                                                                       we made two senior-level appoint-
    Nichols Institute became the first       success at managing expenses.
                                                                                       ments in January. We added a
    clinical laboratory in North America
                                            Improve Customer Satisfaction:             distinguished health care industry
    to receive ISO 9001 Certification.
                                            Each quarter, we survey our customers      veteran, Dr. Surya Mohapatra, as
    This internationally recognized
                                            to determine their level of satisfaction   Senior Vice President and Chief
    standard of quality encompasses the
                                            with our service. For the past four        Operating Officer. In this new
    management and document control
                                            years, our results have improved,          position, Surya, who comes to
    systems for design, development and
                                            but only marginally.                       us after nearly 18 years at Picker
    performance of diagnostic lab
                                                                                       International, will be responsible
    testing, information and services.      Using benchmarks and measures
                                                                                       for all facets of our core clinical
    Other Quest Diagnostics labs are        provided by outside specialists, we
                                                                                       laboratory testing business. In
    pursuing certification, and we           have set specific numerical goals
                                                                                       addition, Jim Chambers has accepted
    are intent on replicating Nichols       for improvement for each of the
                                                                                       a new assignment as Senior Vice
    Institute’s success throughout our      next four years. The bottom line:
                                                                                       President and Chief Growth Officer.
    company. Indeed, that achievement       Satisfactory is not acceptable. We
                                                                                       He will lead the integration of
    helped set the tone for the company-    intend to become the benchmark
                                                                                       SBCL and Quest Diagnostics, while
    wide emphasis on quality excellence     for quality in our industry.
                                                                                       continuing to spearhead our efforts to
    that was reinvigorated in the fall
                                                                                       grow beyond our traditional business.



6
Meeting the Challenges of 1999             • We will reestablish top line
                                           growth at Quest Diagnostics and
The four quality challenges represent
                                           continue strong cash generation.
an ambitious agenda. We are fully
committed to meeting these new             In short, 1999 promises a year full
challenges, while continuing to            of challenges for your company, but
build on the initiatives that gained       one in which we have the opportunity
momentum in 1998.                          to move far beyond the solid record
                                           of accomplishments we have established
During 1999:
                                           during our first two years as a public
• We will begin the process of
                                           company. We are convinced that
bringing Quest Diagnostics and
                                           our attention is focused on the right
SBCL together;
                                           goals: providing quality services for
• We will maintain and intensify
                                           our customers and patients, an
our efforts to standardize practices,
                                           exceptional working environment
policies and priorities across the
                                           for our dedicated employees, and
company;
                                           a strong return on our shareholders’
• We will continue to manage costs
                                           investment. By maintaining an
aggressively;
                                           unswerving focus on these critical
• We will complete preparations to
                                           areas, we can look forward to
ensure our information technology
                                           reporting another year of strong
systems are Year 2000-ready;
                                           performance improvement in the
• Despite a difficult environment
                                           new year.
characterized by ever-changing
government regulations and
requirements, we remain committed
to maintaining our status as the
industry leader in compliance;
• We will maintain our focus on
                                           Kenneth W. Freeman
raising revenue per requisition by
                                           Chairman and Chief Executive Officer
providing higher value to cost-sensitive
customers in a highly fragmented,
competitive environment;
• We will continue to seek out
profitable partnerships with large
buyers of health services as we
pursue new growth opportunities
to offset continuing declines in
our traditional markets; and




                                                                                    7
The 15,000 employees of Quest Diagnostics are our most
    valuable resource. Across the country, every day, they put
    their hearts and souls into their work. Why? They know that
    every time they collect a specimen, transport it to one of our
    laboratories, perform testing or report the results back to
    a physician, someone’s life may depend on the job they do.
    During the 1980s and early 1990s, our company grew through
    acquisitions. Employees came from many predecessor companies.
    Today, they are all building a common company-wide culture
    at Quest Diagnostics, based on shared values and best practices,
    with a single-minded focus on quality that starts with
    understanding our customers’ expectations. For many of
    our employees, it is not enough merely to help patients
    during work hours. Our national volunteer program, called
    “reach!” (remember every act can help), enables our
    employees to contribute to the communities in which they
    live and work, thereby helping to improve the lives of those




                                                                                                                                     people
    who use our services every day.
                                                                                                          dedicated




                                                                       Clockwise,from top: Mervat Ayad, Cytogenetics Laboratory Manager, Nichols Institute; Brian Wade, Systems Analyst, Clinical Studies Center, San
                                                                       Juan Capistrano; Jose Martinez, Customer Service Rep, Nichols Institute; Joan Zou, Forensic Certifier, San Diego; Nina Green, Operations Leader,
                                                                       San Diego; Maria Ortega, Project Manager, Lab Operations, Teterboro; Phil McGill, Shipping and Receiving Supervisor, San Diego; Clarence Johnson,
                                                                       Courier, Denver; Estela Comba, Lab Support Supervisor, Nichols Institute; and Sylvia Harrison, Courier, San Diego.
8                                                                                                                                                                                                                          9
Most medical care decisions simply are not made without
                                                                                                          laboratory test results. The thousands of different clinical tests
                                                                                                            we perform help doctors and large health care organizations
                                                                                                             diagnose, treat and monitor the health of patients. In 1998,
                                                                                                             some of the biggest buyers of health care services entrusted
                                                                                                                   their patients to our care—household names like Johns
                                                                                                             Hopkins Health System, Oxford Health Plans, Premier Inc.,
                                                                                                                    Sutter Health, Unity Health and UPMC Health System
                                                                                                            (formerly University of Pittsburgh Medical Center). Why did
                                                                                                            these demanding customers partner with Quest Diagnostics?
                                                                                                               First and foremost, because they have confidence that our
                                                                                                                   quality is second to none. (It is no coincidence that our
                                                                                                           Nichols Institute was the first laboratory in North America to
                                                                                                               receive ISO 9001 quality process certification.) Our expert
                                                                                                                  medical staff is on call for consultations to help treating
                                                                                                          physicians diagnose their most difficult cases—24 hours a day,
                                                                                                              365 days a year. Our courier service helps hospital partners
                                                                                                           reduce overall turnaround time for outpatient testing, giving
                                                                                                               doctors and their patients precious time to consider more




                               patients                                                                        treatment options. Every patient expects and deserves the
                                                                                                                 best medical care. Quest Diagnostics provides a vital link.
     improving the health of




                                          Clockwise, from top: Ellen Simonson, Customer Service Technical Representative, Denver; Jayshri Kapadia, Client Services, Teterboro;
                                          Tess Eusebio, Clinical Toxicology Supervisor, Teterboro; Ralph J. Partridge, Jr., Inventory Control Clerk, Billing Data Entry, Horsham;
                                          Amy Verrinder, Sales Support Specialist, San Diego; Raymond Gambino, M.D., Chief Medical Officer Emeritus, Teterboro; Brenda Ellison, Data Entry
                                          Operator, Histology, Horsham.
10                                                                                                                                                                                          11
Knowledge plus experience yields insights. We offer insights
 that improve patient care in a variety of ways. At the world-
 renowned Nichols Institute, our specialty laboratory and
 research and development center, insights emerge from our
 review of a steady stream of cases that are rarely seen anywhere
 else. Nichols Institute is the “laboratory’s laboratory,” drawing
 unusual cases not only from Quest Diagnostics’ own network,
 but also from hospital labs and other independent labs. At
 Quest Informatics, insights come from our ability to detect
 patterns in vast databases containing hundreds of millions
 of ordinary test results. Managed care providers and
 pharmaceutical companies use this valuable information
 resource to identify patients at risk for certain diseases
 for early treatment. Our insights enable us to help bring
 patients the benefits of new technology. Since the 1970s,
 Nichols Institute has been a leader in tests for breast tumor
 markers—tests not only to diagnose disease, but to help
 physicians manage therapy by predicting a patient’s response
 to a given treatment. In 1998, Quest Diagnostics became the
 first national laboratory to offer the HercepTest assay,
 approved by the FDA to identify women who are likely to



                                                                                                                  insights
                                                                     through unsurpassed diagnostic
 benefit from Herceptin, a new monoclonal antibody therapy
 for metastatic breast cancer developed by Genentech, Inc.




                                                                                    Clockwise, from top: Michael Samoszuk, M.D., Medical & Scientific Director, Oncology, Nichols Institute; Michael Lewinski, Ph.D., Scientific Director,
                                                                                    Infectious Diseases, Nichols Institute; Delbert Fisher, M.D., Chief Science Officer, Nichols Institute; Avelino Diao, Molecular Microbiology Lab Supervisor,
                                                                                    Nichols Institute Reference Laboratory; Raj Pandian, Ph.D., Science Leader, Nichols Institute Reference Laboratory; Scott Todd, Human Resources Manager,
                                                                                    Nichols Institute; Salli Schwartz, Supervisor, Referral Testing, Horsham; Geoffrey Gottlieb, M.D., Dermatopathologist, Teterboro; and Candice Miller, Quest
12                                                                                                                                                                                                                                           13
                                                                                    Informatics Business Leader.
Board of Directors                 Executive Officers                   Major Facilities

     Kenneth D. Brody                   Kenneth W. Freeman                  Regional Laboratories:
     Founding Partner                   Chairman and
                                                                            San Diego, California
     Winslow Partners LLC               Chief Executive Officer
                                                                            Wallingford, Connecticut
     Washington, District of Columbia
                                                                            Denver, Colorado
                                        Surya N. Mohapatra, Ph.D.
                                                                            Deerfield Beach, Florida
                                        Senior Vice President
     William F. Buehler
                                                                            Wood Dale, Illinois
     Vice Chairman                      Chief Operating Officer
                                                                            Baltimore, Maryland
     Xerox Corporation
                                        James D. Chambers                   Cambridge, Massachusetts
     Stamford, Connecticut
                                        Senior Vice President               Auburn Hills, Michigan
                                        Chief Growth Officer
     Van C. Campbell                                                        Lincoln, Nebraska
     Vice Chairman                                                          Teterboro, New Jersey
                                        Gerald C. Marrone
     Corning Incorporated                                                   Portland, Oregon
                                        Senior Vice President
     Corning, New York                                                      Horsham, Pennsylvania
                                        Chief Information Officer
                                                                            Pittsburgh, Pennsylvania
     Mary A. Cirillo
                                                                            Irving, Texas
                                        Kurt R. Fischer
     Executive Vice President
                                        Vice President                      Nichols Institute
     Managing Director
                                        Human Resources                     San Juan Capistrano, California
     Bankers Trust Company
     New York, New York                 Robert A. Hagemann                  Nichols Institute Diagnostics
                                        Vice President                      San Juan Capistrano, California
     Kenneth W. Freeman
                                        Chief Financial Officer
     Chairman and                                                           Patient Service Centers located
     Chief Executive Officer             Bernard L. Kasten, M.D.             across the United States
     Quest Diagnostics Incorporated     Vice President                      For the center nearest you, please call:
     Teterboro, New Jersey              Chief Laboratory Officer             1-800-225-7483 or visit our web site:
                                                                            www.questdiagnostics.com
     Dan C. Stanzione, Ph.D.            Raymond C. Marier
     President of Bell Laboratories,    Vice President                      Affiliated Equity Ventures
     Executive Vice President and       General Counsel                     (% ownership):
     Chief Operating Officer
                                        C. Kim McCarthy                     Associated Clinical Laboratories (54%)
     Lucent Technologies Incorporated
                                        Vice President                      Erie, Pennsylvania
     Murray Hill, New Jersey
                                        Government Relations and Services   Partners: Hamot Health
     Gail R. Wilensky, Ph.D.                                                Foundation, Saint Vincent Health
                                        Alister W. Reynolds
     John M. Olin Senior Fellow                                             Center
                                        Vice President
     Project HOPE
                                        Strategic Planning                  Quest Diagnostics Venture LLC (51%)
     Bethesda, Maryland
                                                                            Pittsburgh, Pennsylvania
                                        Paul J. Traina
                                                                            Partner: UPMC Health System
                                        Vice President
                                                                            (formerly known as University of
                                        Compliance
                                                                            Pittsburgh Medical Center)
                                        David M. Zewe
                                                                            Quest Diagnostics of Missouri LLC (51%)
                                        Vice President
                                                                            St. Louis, Missouri
                                        Sales
                                                                            Partner: Unity Health

                                                                            Sonora Quest Laboratories LLC (49%)
                                                                            Phoenix, Arizona
                                                                            Partner: Samaritan Health System

                                                                            National Imaging Associates (27%)
                                                                            Saddle River, New Jersey

                                                                            Home Access Health Corporation (13%)
                                                                            Hoffman Estates, Illinois


14
Investor Information                     For the hearing impaired, Harris            Quest Diagnostics requires that all
                                                                                                                                                                                                                   Bank has a Telecommunications               employees abide by these laws, rules
                                                                                                                                                                                                                   Device for the Deaf (TDD)                   and regulations and provides annu-
                                                                                                                                                                          Common Stock
                                                                                                                                                                                                                   telephone. The listing is Harris            al compliance training for all
                                                                                                                                                                          Shares in Quest Diagnostics
                                                                                                                                                                                                                   Bank Hearing Impaired Telephone:            employees. Quest Diagnostics is
                                                                                                                                                                          Incorporated (ticker symbol:
                                                                                                                                                                                                                   TDD 312-461-5633.                           committed to protecting the health
                                                                                                                                                                          “DGX”) are listed on the New York
                                                                                                                                                                                                                                                               and safety of its employees as well as
                                                                                                                                                                          Stock Exchange. Options on Quest
                                                                                                                                                                                                                   Report change of address to
                                                                                                                                                                                                                                                               the environmental resources of the
                                                                                                                                                                          Diagnostics shares are traded on the
                                                                                                                                                                                                                   Harris Bank at the above address.
                                                                                                                                                                                                                                                               communities in which it operates.
                                                                                                                                                                          Chicago Board Options Exchange.
                                                                                                                                                                                                                   Quest Diagnostics does not pay any
                                                                                                                                                                                                                                                               The Raymond Gambino
                                                                                                                                                                          Corporate Headquarters
                                                                                                                                                                                                                   dividends on common stock.
                                                                                                                                                                                                                                                               Quality Award
                                                                                                                                                                          One Malcolm Avenue
                                                                                                                                                                                                                                                               The purpose of the Raymond
                                                                                                                                                                          Teterboro, New Jersey 07608              ‘Safe Harbor’ Statement under the Private
                                                                                                                                                                                                                                                               Gambino Quality Award is to
                                                                                                                                                                          Telephone: 201-393-5000                  Securities Litigation Reform Act of 1995
                                                                                                                                                                                                                                                               encourage and recognize quality
                                                                                                                                                                                                                   The statements in this Annual
                                                                                                                                                                          Annual Meeting                                                                       excellence within Quest
                                                                                                                                                                                                                   Report which are not historical facts
                                                                                                                                                                          The next annual meeting of share-                                                    Diagnostics. The award is named
Produced by Quest Diagnostics’ Corporate Communications Department; Design: Q. Cassetti; Photography: Ed Wheeler, Fred Smith and Associates; Printing: Daniels Printing




                                                                                                                                                                                                                   or information are forward-looking
                                                                                                                                                                          holders is scheduled to be held in                                                   for Quest Diagnostics’ distinguished
                                                                                                                                                                                                                   statements. These forward-looking
                                                                                                                                                                          late June, 1999 in New York City. A                                                  Chief Medical Officer Emeritus
                                                                                                                                                                                                                   statements involve risks and uncer-
                                                                                                                                                                          proxy statement is expected to be                                                    whose long career includes service
                                                                                                                                                                                                                   tainties that could cause the out-
                                                                                                                                                                          mailed to shareholders during May,                                                   as Director of Laboratories and
                                                                                                                                                                                                                   come to be materially different.
                                                                                                                                                                          1999.                                                                                Chief Pathologist at St. Luke’s-
                                                                                                                                                                                                                   Certain of these risks and uncertain-
                                                                                                                                                                                                                                                               Roosevelt Hospital in New York City
                                                                                                                                                                                                                   ties are listed in the 1998 Form 10-K
                                                                                                                                                                          Additional Information
                                                                                                                                                                                                                                                               as well as a tenured professorship of
                                                                                                                                                                                                                   Annual Report. These risks and
                                                                                                                                                                          All inquiries should be addressed
                                                                                                                                                                                                                                                               pathology at the Columbia
                                                                                                                                                                                                                   uncertainties include heightened
                                                                                                                                                                          to: Investor Relations Department
                                                                                                                                                                                                                                                               University College of Physicians and
                                                                                                                                                                                                                   competition, impact of changes
                                                                                                                                                                          Quest Diagnostics Incorporated
                                                                                                                                                                                                                                                               Surgeons.
                                                                                                                                                                                                                   in payor mix, adverse actions by
                                                                                                                                                                          One Malcolm Avenue
                                                                                                                                                                                                                   governmental and other third-party
                                                                                                                                                                          Teterboro, New Jersey 07608                                                          1998 Recipients:
                                                                                                                                                                                                                   payors, the impact upon Quest
                                                                                                                                                                          Telephone: 201-393-5030                                                              Denver, Colorado
                                                                                                                                                                                                                   Diagnostics’ collection rates or
                                                                                                                                                                                                                                                               Horsham, Pennsylvania
                                                                                                                                                                          Annual Report on Form 10-K               general or administrative expenses
                                                                                                                                                                                                                                                               San Diego, California
                                                                                                                                                                          A copy of the Quest Diagnostics          resulting from compliance with
                                                                                                                                                                          1998 Annual Report on Form 10-K,                                                     1998 Challenger:
                                                                                                                                                                                                                   Medicare administrative policies,
                                                                                                                                                                          filed with the Securities and                                                         Cambridge, Massachusetts
                                                                                                                                                                                                                   adverse results from pending
                                                                                                                                                                          Exchange Commission, is contained        governmental investigations,
                                                                                                                                                                          in this Annual Report, starting after    reduction in tests ordered by exist-
                                                                                                                                                                          page 14. Additional copies are           ing customers, material increases in        Trademarks
                                                                                                                                                                          available without charge by contacting   premiums for insurance coverage,            QUEST, QUESTNET, QUEST DIAGNOSTICS
                                                                                                                                                                          the Investor Relations Department.                                                   and the associated Logo are trade/servicemarks
                                                                                                                                                                                                                   denial of licensure, computer or
                                                                                                                                                                                                                                                               of Quest Diagnostics Incorporated. QUICK-
                                                                                                                                                                                                                   other system failures, development
                                                                                                                                                                          Internet Access                                                                      STREP and CHEM-SCREEN are registered ser-
                                                                                                                                                                                                                   of technologies that substantially          vicemarks of CLMP, INC. SMARTECH is a trade-
                                                                                                                                                                          Corporate news releases, our annual
                                                                                                                                                                                                                                                               mark of CLMP, Inc. NICHOLS INSTITUTE is a
                                                                                                                                                                                                                   alter the practice of medicine and
                                                                                                                                                                          report, Forms 10-K and 10-Q and                                                      servicemark and NICHOLS ADVANTAGE is a
                                                                                                                                                                                                                   changes in interest rates.
                                                                                                                                                                          other information about the                                                          trademark of Quest Diagnostics Incorporated.
                                                                                                                                                                                                                                                               QUICK-INTRAOPERATIVE and QUICK-PAK are
                                                                                                                                                                          company are available through            Compliance                                  trademarks of Nichols Institute Diagnostics, Inc.
                                                                                                                                                                          Quest Diagnostics’ web site on the       Quest Diagnostics is committed to           QUEST INFORMATICS is a servicemark of
                                                                                                                                                                          Internet:                                                                            Quest Diagnostics Incorporated.
                                                                                                                                                                                                                   the highest ethical standards and
                                                                                                                                                                          http://www.questdiagnostics.com          complying with all applicable laws
                                                                                                                                                                                                                                                               HercepTest is a trademark of Dako Corporation.
                                                                                                                                                                                                                   and regulations that govern its             Herceptin is a trademark of Genentech, Inc.
                                                                                                                                                                          Transfer Agent and Registrar
                                                                                                                                                                                                                   business operations, including those
                                                                                                                                                                          Harris Trust and Savings Bank                                                        Neither this report nor any statement
                                                                                                                                                                                                                   that apply to reimbursement for
                                                                                                                                                                          311 West Monroe Street                                                               contained herein is furnished in connection with
                                                                                                                                                                                                                   testing under the federal Medicare          any offering of securities or for the purpose of
                                                                                                                                                                          Chicago, Illinois 60606
                                                                                                                                                                                                                   and Medicaid programs.                      promoting or influencing the sale of securities.
                                                                                                                                                                          Telephone: 312-461-6001




                                                                                                                                                                                                                                                                                                                   15
Quest Diagnostics Incorporated
     One Malcolm Avenue
     Teterboro, New Jersey 07608
     www.questdiagnostics.com




      Annual Report without 10K: MI0532
      Annual Report: MI0533
16

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quest diagnostics 98annualreport

  • 1. Quest Diagnostics Incorporated Annual Report 1998 Dedicated people improving the health of patients through unsurpassed diagnostic insights.
  • 2. Our Values Quality Innovation Collaboration The patient comes first in everything We constantly seek innovative We believe in teamwork we do. Our passion is to provide ways to enhance patient care and and the limitless possibilities of every patient and every customer provide value to our customers. collaborative energy. We achieve with services and products of We support the creativity, courage excellence by putting collective uncompromising quality — error and persistence that transform goals ahead of personal interests. free, on time, every time. We do information into knowledge, and We support and encourage open that by dedicating ourselves to the knowedge into insights. We seek communication and meaningful relentless pursuit of excellence in continuous advancementthrough cooperation among colleagues the services we provide. theadaptation of existing knowledge from varying backgrounds and as well as through experimentation, disciplines. We respect individual Integrity with the full understanding that we differences, and we value diversity. Credibility is the key to our learn from our failures as well as success; therefore, all of our our successes. Leadership processes, decisions and actions We strive to be the best at what we ultimately are driven by integrity. Accountability do — both as a company, and as We are honest and forthright in all As a company and as individuals, individuals. We embrace the our dealings with our customers we accept full responsibility for our qualities of personal leadership — and with each other. We are performance and acknowledge courage, competence, confidence responsible corporate citizens in our accountability for the ultimate and a passion for surpassing the communities we serve. We outcome of all that we do. We strive expectations. We will provide growth strictly comply with the laws and for continuous improvement, opportunities for our employees, regulations governing our business, believing that competence, reliability, quality services and products to our not only as a legal obligation and a and rigorous adherence to process customers and superior returns to competitive necessity, but because discipline are the keys to excellence. our shareholders. it is the right thing to do. Our Business: Quest Diagnostics Incorporated is one of the nation’s leading providers of diagnostic testing, information and services with laboratories and patient service centers across the United States. The wide variety of tests performed on human tissue and fluids help doctors and hospitals diagnose, treat and monitor disease. Nichols Institute conducts research, specializes in esoteric testing using genetic screening and other advanced technologies, and manufactures and distributes diagnostic test kits and instruments. Quest Informatics collects and analyzes laboratory, pharmaceutical and other data to help large health care customers identify and monitor patients who are at-risk for certain diseases. 2
  • 3. Quest Diagnostics Incorporated and Subsidiaries financial highlights Y E A R S E N D E D D E C E M B E R 3 1 (in millions, except per share data) 1998 1997 Net revenues $ 1,458.6 $ 1,528.7 Net income (loss) before restructuring and other non-recurring charges 26.9 17.6 Net income (loss) (a) 26.9 (22.3) Weighted average common shares outstanding – diluted 30.2 29.2 Diluted net income per common share $ 0.89 $ (0.77) Adjusted EBITDA (b) $ 158.6 $ 153.8 (a) Includes non-recurring charges totaling $56 million in 1997. (b) Adjusted EBITDA represents income (loss) before income taxes, net interest expense, depreciation, amortization and restructuring and other non-recurring charges. 3
  • 4. Chairman’s Letter By most measures, 1998 was a year the clinical laboratory business of As anticipated, requisition volume in which your company made solid SmithKline Beecham plc. Quest declined 7% from 1997, although the rate of decline did slow over progress. Even as we met the challenges Diagnostics has agreed to purchase the course of the year. Given these of growing competition and declining SmithKline Beecham Clinical conditions, we are particularly clinical testing volume, we generated Laboratories(SBCL) for approximately pleased with our ability to generate strong cash flow, extended our strategic $1.3 billion in cash and stock. This substantial amounts of cash. We partnerships in new and innovative important acquisition will enable us ended the year with $203 million ways, aggressively managed costs, and to provide a higher level of service made significant progress toward for customers and patients in a cost- of cash on hand, and generated achieving our goal of becoming a unified, constrained environment, thereby $141 million in cash from operations. customer-driven company with increasing shareholder returns. Strong cash generation reflects significant improvements in common systems, practices and values This transaction is highly strategic our billing, collection and cost everywhere throughout the country. and timely. We are confident we management processes. At yearend, we were well positioned have the discipline and the focus to to take a new strategic step to further ensure successful integration of the There are many other indicators improve our prospects. two companies. We are acquiring a of financial strength in our company that in many ways mirrors 1998 performance: Perhaps most important for long- our own business. Both companies term success, we reinforced in 1998 In addition to repaying $33 million have strong reputations as well- the commitment to our vision – of scheduled bank debt, we prepaid managed operations. We share a “dedicated people improvingthehealth an additional $20 million of debt common commitment to quality, of patients through unsurpassed ahead of schedule, while also buying integrity and compliance, and are diagnostic insights” – by pledging back $13 million of our stock. both dedicated to improving ourselves to a set of ambitious and patient health. Combining the two clearly quantifiable goals for We remained firmly on track to companies will improve the quality, instilling unsurpassed quality in meet the commitment made at the convenience and accessibility of our every aspect of the business. time of our spinoff from Corning services; accelerate innovation of Incorporated in early 1997 to reduce As the information included in new tests and information products; the cost of running our business by this report demonstrates, Quest and enable continued reduction in $180 million by the end of 2000. Diagnostics has come a long, long our costs by sharing the best practices Through the end of 1998, we way from the difficult years of the from each of our organizations. We eliminated $100 million in costs mid-1990s. Our turnaround is expect to complete the transaction unrelated to the decline in requisition succeeding. We are committed to this summer, following shareholder volume, and we remain confident becoming the clear industry leader approval and regulatory clearance. that we will meet our goal. These by providing our patients and Upon completion, SmithKline savings are allowing us to reinvest in customers with services and products Beecham plc will become our largest our business to assure long term of exceptional quality. In a business shareholder, owning approximately profitable growth. where the quality of what we do can 29.5% of our shares. literally mean the difference between We reduced bad debt expense from Performance Summary life and death, we are absolutely 7.4% of revenues in 1997 to 6.1% in We are pleased to report that in convinced that consistent, unsurpassed 1998, steadily progressing toward 1998, Quest Diagnostics reported quality will provide the ultimate our goal of 4% by the end of 2000. net income of $26.9 million, or $0.89 competitive edge. A major step was the conversion of per diluted share, on revenues of our Teterboro facility to a new SBCL Acquisition $1.46 billion, versus 1997 net income, billing system, by far the largest and adjusted to exclude special charges, of We announced an agreement as this $17.6 million, or $0.60 per share, on most successful conversion to date. report was going to press to acquire revenues of $1.53 billion. 4
  • 5. We saw average revenue per requisition slowed in the second half; moreover, 1995 $177 million increase for the second consecutive of the 7% year-over-year decline in $166 million 1996 year, following five straight years of volume, about half was directly $154 million 1997 declines. Partly, this was a result attributable to our own consolidation of replacing low-profit business with of facilities and to our decision to 1998 $159 million higher-profit business as we demon- reduce unprofitable business. Still, Adjusted EBITDA* strated our steadfast commitment we do not intend to shrink our to provide services only to those way to success, and we continue to customers from whom we are pursue top line growth through the properly compensated, even if strategic acquisition of SBCL and 1995 $ 36 million that means a decline in volume. the active development of new high $ 42 million 1996 growth businesses. We made substantial progress during $162 million 1997 1998 toward addressing the Year 2000 Strategic Partnerships 1998 $203 million computer-programming problem. Your company intensified efforts to Although substantial work remains, Cash and Cash Equivalents at End of Year become the preferred partner with we are on track to complete the first large buyers of health care services. phase on schedule midway through We made important inroads within 1999, which will leave the second half the highly competitive field of of the year for testing and refine- 1995 $1,208 million hospital testing, which accounts ments. Consequently, we fully expect for nearly 55% of the $30-plus $ 536 million 1996 core systems to be Year 2000-ready billion market in clinical testing. $ 515 million 1997 before the end of the year. Our Year In part, our success comes from 2000 work has provided the added viewing traditional competitors 1998 $ 465 million benefit of accelerating efforts to as potential partners, and providing Debt at End of Year standardize billing and laboratory ways we can profitably work together systems across the country. to reduce their lab testing costs while simultaneously improving quality. Nevertheless, 1998 was not without 1995 9.4% disappointments. Our progress Over time, we have come to realize toward standardization of systems 6.9% 1996 there is no “one-size-fits-all” model of and practices was significant, but collaboration; each situation is unique 7.4% 1997 not as swift as we had hoped. Also, and requires creative approaches, 1998 6.1% the joint venture in Arizona, Sonora ranging from outsourcing routine Quest Laboratories, in which we hold Bad Debt as Percentage of Net Revenues testing to fully integrated joint a minority interest, encountered ventures. Some of the partnerships significant integration challenges successfully established in 1998 that hindered its first year of include: operations. Also, Nichols Institute *Adjusted EBITDA; excludes restructuring charge and other special charges Joint ventures with UPMC Health Diagnostics, our medical products System in western Pennsylvania subsidiary, encountered startup losses and Unity Health in St. Louis, both associated with the introduction of leading hospital network and health its state-of-the-art Nichols Advantage care providers in their respective instrument. regions; Finally, the decline in the volume of Partnerships through which we test requisitions was disappointing. provide multiple clinical services to Admittedly, the rate of decline 5
  • 6. the highly regarded hospitals of the and will be our primary focus in the Achieve Six Sigma Medical Quality: Johns Hopkins Health System in new year. The ultimate measure of our service Maryland and Sutter Health Systems to customers andclients is the accuracy Our Quality Journey in California. During the year we of our medical test results and reports. We began “Our Quality Journey” established or renewed long-term Generally speaking, our industry has by establishing some exceptionally supply arrangements with more been comfortable with an accuracy ambitious quality challenges that we than 100 hospitals and hospital rate above 90%. We have established fully intend to meet by the end of systems; a new goal of Six Sigma– an accuracy 2002. The only way we can achieve rate of 99.99966% or only 3.4 errors A long-term contract with Oxford them is through a fundamentally per million – which approaches error- Health Plans to manage a network of different approach to doing business free testing and reporting. We fully laboratory service providers, as well based on quality excellence – through intend to become the first in our as provide lab services, for its 1.75 education and training in the industry to achieve this goal. million members. We will provide principles of quality management, Deliver Bottom Line Growth: network management services using through rigorous process discipline, Our goal is to more than double QuestNet, an innovative new product and through performance-based operating profit (EBITA) by 2002. developed during the past year; and compensation linked directly to our That means we must continue company-wide goals. Here is what A partnership with Premier to remove costs while restoring we have set out to accomplish: Inc., a leading group purchasing profitable growth to the top line. Improve Employee Satisfaction: organization for hospitals, through These four goals are interrelated. Our goal is to reduce voluntary which Quest Diagnostics obtained We must achieve the first three: employee turnover from almost an exclusive 10-year contract increased employee satisfaction, 16% to 10% in 2000 and 7% by to provide strategic services for greater customer satisfaction, and the end of 2002. We estimate that Premier members and affiliates. dramatically improved medical voluntary turnover is costing our Historically, our primary avenue quality, to enable us to meet the company at least $60 million each into the hospital testing market has financial goal. year in terms of recruitment, training been the highly specialized esoteric and inefficient operations. Increased To help us accelerate growth and testing provided by our Nichols retention willhave a significant impact improve organizational effectiveness, Institute. We are proud that in 1998 on the quality of our work and our we made two senior-level appoint- Nichols Institute became the first success at managing expenses. ments in January. We added a clinical laboratory in North America Improve Customer Satisfaction: distinguished health care industry to receive ISO 9001 Certification. Each quarter, we survey our customers veteran, Dr. Surya Mohapatra, as This internationally recognized to determine their level of satisfaction Senior Vice President and Chief standard of quality encompasses the with our service. For the past four Operating Officer. In this new management and document control years, our results have improved, position, Surya, who comes to systems for design, development and but only marginally. us after nearly 18 years at Picker performance of diagnostic lab International, will be responsible testing, information and services. Using benchmarks and measures for all facets of our core clinical Other Quest Diagnostics labs are provided by outside specialists, we laboratory testing business. In pursuing certification, and we have set specific numerical goals addition, Jim Chambers has accepted are intent on replicating Nichols for improvement for each of the a new assignment as Senior Vice Institute’s success throughout our next four years. The bottom line: President and Chief Growth Officer. company. Indeed, that achievement Satisfactory is not acceptable. We He will lead the integration of helped set the tone for the company- intend to become the benchmark SBCL and Quest Diagnostics, while wide emphasis on quality excellence for quality in our industry. continuing to spearhead our efforts to that was reinvigorated in the fall grow beyond our traditional business. 6
  • 7. Meeting the Challenges of 1999 • We will reestablish top line growth at Quest Diagnostics and The four quality challenges represent continue strong cash generation. an ambitious agenda. We are fully committed to meeting these new In short, 1999 promises a year full challenges, while continuing to of challenges for your company, but build on the initiatives that gained one in which we have the opportunity momentum in 1998. to move far beyond the solid record of accomplishments we have established During 1999: during our first two years as a public • We will begin the process of company. We are convinced that bringing Quest Diagnostics and our attention is focused on the right SBCL together; goals: providing quality services for • We will maintain and intensify our customers and patients, an our efforts to standardize practices, exceptional working environment policies and priorities across the for our dedicated employees, and company; a strong return on our shareholders’ • We will continue to manage costs investment. By maintaining an aggressively; unswerving focus on these critical • We will complete preparations to areas, we can look forward to ensure our information technology reporting another year of strong systems are Year 2000-ready; performance improvement in the • Despite a difficult environment new year. characterized by ever-changing government regulations and requirements, we remain committed to maintaining our status as the industry leader in compliance; • We will maintain our focus on Kenneth W. Freeman raising revenue per requisition by Chairman and Chief Executive Officer providing higher value to cost-sensitive customers in a highly fragmented, competitive environment; • We will continue to seek out profitable partnerships with large buyers of health services as we pursue new growth opportunities to offset continuing declines in our traditional markets; and 7
  • 8. The 15,000 employees of Quest Diagnostics are our most valuable resource. Across the country, every day, they put their hearts and souls into their work. Why? They know that every time they collect a specimen, transport it to one of our laboratories, perform testing or report the results back to a physician, someone’s life may depend on the job they do. During the 1980s and early 1990s, our company grew through acquisitions. Employees came from many predecessor companies. Today, they are all building a common company-wide culture at Quest Diagnostics, based on shared values and best practices, with a single-minded focus on quality that starts with understanding our customers’ expectations. For many of our employees, it is not enough merely to help patients during work hours. Our national volunteer program, called “reach!” (remember every act can help), enables our employees to contribute to the communities in which they live and work, thereby helping to improve the lives of those people who use our services every day. dedicated Clockwise,from top: Mervat Ayad, Cytogenetics Laboratory Manager, Nichols Institute; Brian Wade, Systems Analyst, Clinical Studies Center, San Juan Capistrano; Jose Martinez, Customer Service Rep, Nichols Institute; Joan Zou, Forensic Certifier, San Diego; Nina Green, Operations Leader, San Diego; Maria Ortega, Project Manager, Lab Operations, Teterboro; Phil McGill, Shipping and Receiving Supervisor, San Diego; Clarence Johnson, Courier, Denver; Estela Comba, Lab Support Supervisor, Nichols Institute; and Sylvia Harrison, Courier, San Diego. 8 9
  • 9. Most medical care decisions simply are not made without laboratory test results. The thousands of different clinical tests we perform help doctors and large health care organizations diagnose, treat and monitor the health of patients. In 1998, some of the biggest buyers of health care services entrusted their patients to our care—household names like Johns Hopkins Health System, Oxford Health Plans, Premier Inc., Sutter Health, Unity Health and UPMC Health System (formerly University of Pittsburgh Medical Center). Why did these demanding customers partner with Quest Diagnostics? First and foremost, because they have confidence that our quality is second to none. (It is no coincidence that our Nichols Institute was the first laboratory in North America to receive ISO 9001 quality process certification.) Our expert medical staff is on call for consultations to help treating physicians diagnose their most difficult cases—24 hours a day, 365 days a year. Our courier service helps hospital partners reduce overall turnaround time for outpatient testing, giving doctors and their patients precious time to consider more patients treatment options. Every patient expects and deserves the best medical care. Quest Diagnostics provides a vital link. improving the health of Clockwise, from top: Ellen Simonson, Customer Service Technical Representative, Denver; Jayshri Kapadia, Client Services, Teterboro; Tess Eusebio, Clinical Toxicology Supervisor, Teterboro; Ralph J. Partridge, Jr., Inventory Control Clerk, Billing Data Entry, Horsham; Amy Verrinder, Sales Support Specialist, San Diego; Raymond Gambino, M.D., Chief Medical Officer Emeritus, Teterboro; Brenda Ellison, Data Entry Operator, Histology, Horsham. 10 11
  • 10. Knowledge plus experience yields insights. We offer insights that improve patient care in a variety of ways. At the world- renowned Nichols Institute, our specialty laboratory and research and development center, insights emerge from our review of a steady stream of cases that are rarely seen anywhere else. Nichols Institute is the “laboratory’s laboratory,” drawing unusual cases not only from Quest Diagnostics’ own network, but also from hospital labs and other independent labs. At Quest Informatics, insights come from our ability to detect patterns in vast databases containing hundreds of millions of ordinary test results. Managed care providers and pharmaceutical companies use this valuable information resource to identify patients at risk for certain diseases for early treatment. Our insights enable us to help bring patients the benefits of new technology. Since the 1970s, Nichols Institute has been a leader in tests for breast tumor markers—tests not only to diagnose disease, but to help physicians manage therapy by predicting a patient’s response to a given treatment. In 1998, Quest Diagnostics became the first national laboratory to offer the HercepTest assay, approved by the FDA to identify women who are likely to insights through unsurpassed diagnostic benefit from Herceptin, a new monoclonal antibody therapy for metastatic breast cancer developed by Genentech, Inc. Clockwise, from top: Michael Samoszuk, M.D., Medical & Scientific Director, Oncology, Nichols Institute; Michael Lewinski, Ph.D., Scientific Director, Infectious Diseases, Nichols Institute; Delbert Fisher, M.D., Chief Science Officer, Nichols Institute; Avelino Diao, Molecular Microbiology Lab Supervisor, Nichols Institute Reference Laboratory; Raj Pandian, Ph.D., Science Leader, Nichols Institute Reference Laboratory; Scott Todd, Human Resources Manager, Nichols Institute; Salli Schwartz, Supervisor, Referral Testing, Horsham; Geoffrey Gottlieb, M.D., Dermatopathologist, Teterboro; and Candice Miller, Quest 12 13 Informatics Business Leader.
  • 11. Board of Directors Executive Officers Major Facilities Kenneth D. Brody Kenneth W. Freeman Regional Laboratories: Founding Partner Chairman and San Diego, California Winslow Partners LLC Chief Executive Officer Wallingford, Connecticut Washington, District of Columbia Denver, Colorado Surya N. Mohapatra, Ph.D. Deerfield Beach, Florida Senior Vice President William F. Buehler Wood Dale, Illinois Vice Chairman Chief Operating Officer Baltimore, Maryland Xerox Corporation James D. Chambers Cambridge, Massachusetts Stamford, Connecticut Senior Vice President Auburn Hills, Michigan Chief Growth Officer Van C. Campbell Lincoln, Nebraska Vice Chairman Teterboro, New Jersey Gerald C. Marrone Corning Incorporated Portland, Oregon Senior Vice President Corning, New York Horsham, Pennsylvania Chief Information Officer Pittsburgh, Pennsylvania Mary A. Cirillo Irving, Texas Kurt R. Fischer Executive Vice President Vice President Nichols Institute Managing Director Human Resources San Juan Capistrano, California Bankers Trust Company New York, New York Robert A. Hagemann Nichols Institute Diagnostics Vice President San Juan Capistrano, California Kenneth W. Freeman Chief Financial Officer Chairman and Patient Service Centers located Chief Executive Officer Bernard L. Kasten, M.D. across the United States Quest Diagnostics Incorporated Vice President For the center nearest you, please call: Teterboro, New Jersey Chief Laboratory Officer 1-800-225-7483 or visit our web site: www.questdiagnostics.com Dan C. Stanzione, Ph.D. Raymond C. Marier President of Bell Laboratories, Vice President Affiliated Equity Ventures Executive Vice President and General Counsel (% ownership): Chief Operating Officer C. Kim McCarthy Associated Clinical Laboratories (54%) Lucent Technologies Incorporated Vice President Erie, Pennsylvania Murray Hill, New Jersey Government Relations and Services Partners: Hamot Health Gail R. Wilensky, Ph.D. Foundation, Saint Vincent Health Alister W. Reynolds John M. Olin Senior Fellow Center Vice President Project HOPE Strategic Planning Quest Diagnostics Venture LLC (51%) Bethesda, Maryland Pittsburgh, Pennsylvania Paul J. Traina Partner: UPMC Health System Vice President (formerly known as University of Compliance Pittsburgh Medical Center) David M. Zewe Quest Diagnostics of Missouri LLC (51%) Vice President St. Louis, Missouri Sales Partner: Unity Health Sonora Quest Laboratories LLC (49%) Phoenix, Arizona Partner: Samaritan Health System National Imaging Associates (27%) Saddle River, New Jersey Home Access Health Corporation (13%) Hoffman Estates, Illinois 14
  • 12. Investor Information For the hearing impaired, Harris Quest Diagnostics requires that all Bank has a Telecommunications employees abide by these laws, rules Device for the Deaf (TDD) and regulations and provides annu- Common Stock telephone. The listing is Harris al compliance training for all Shares in Quest Diagnostics Bank Hearing Impaired Telephone: employees. Quest Diagnostics is Incorporated (ticker symbol: TDD 312-461-5633. committed to protecting the health “DGX”) are listed on the New York and safety of its employees as well as Stock Exchange. Options on Quest Report change of address to the environmental resources of the Diagnostics shares are traded on the Harris Bank at the above address. communities in which it operates. Chicago Board Options Exchange. Quest Diagnostics does not pay any The Raymond Gambino Corporate Headquarters dividends on common stock. Quality Award One Malcolm Avenue The purpose of the Raymond Teterboro, New Jersey 07608 ‘Safe Harbor’ Statement under the Private Gambino Quality Award is to Telephone: 201-393-5000 Securities Litigation Reform Act of 1995 encourage and recognize quality The statements in this Annual Annual Meeting excellence within Quest Report which are not historical facts The next annual meeting of share- Diagnostics. The award is named Produced by Quest Diagnostics’ Corporate Communications Department; Design: Q. Cassetti; Photography: Ed Wheeler, Fred Smith and Associates; Printing: Daniels Printing or information are forward-looking holders is scheduled to be held in for Quest Diagnostics’ distinguished statements. These forward-looking late June, 1999 in New York City. A Chief Medical Officer Emeritus statements involve risks and uncer- proxy statement is expected to be whose long career includes service tainties that could cause the out- mailed to shareholders during May, as Director of Laboratories and come to be materially different. 1999. Chief Pathologist at St. Luke’s- Certain of these risks and uncertain- Roosevelt Hospital in New York City ties are listed in the 1998 Form 10-K Additional Information as well as a tenured professorship of Annual Report. These risks and All inquiries should be addressed pathology at the Columbia uncertainties include heightened to: Investor Relations Department University College of Physicians and competition, impact of changes Quest Diagnostics Incorporated Surgeons. in payor mix, adverse actions by One Malcolm Avenue governmental and other third-party Teterboro, New Jersey 07608 1998 Recipients: payors, the impact upon Quest Telephone: 201-393-5030 Denver, Colorado Diagnostics’ collection rates or Horsham, Pennsylvania Annual Report on Form 10-K general or administrative expenses San Diego, California A copy of the Quest Diagnostics resulting from compliance with 1998 Annual Report on Form 10-K, 1998 Challenger: Medicare administrative policies, filed with the Securities and Cambridge, Massachusetts adverse results from pending Exchange Commission, is contained governmental investigations, in this Annual Report, starting after reduction in tests ordered by exist- page 14. Additional copies are ing customers, material increases in Trademarks available without charge by contacting premiums for insurance coverage, QUEST, QUESTNET, QUEST DIAGNOSTICS the Investor Relations Department. and the associated Logo are trade/servicemarks denial of licensure, computer or of Quest Diagnostics Incorporated. QUICK- other system failures, development Internet Access STREP and CHEM-SCREEN are registered ser- of technologies that substantially vicemarks of CLMP, INC. SMARTECH is a trade- Corporate news releases, our annual mark of CLMP, Inc. NICHOLS INSTITUTE is a alter the practice of medicine and report, Forms 10-K and 10-Q and servicemark and NICHOLS ADVANTAGE is a changes in interest rates. other information about the trademark of Quest Diagnostics Incorporated. QUICK-INTRAOPERATIVE and QUICK-PAK are company are available through Compliance trademarks of Nichols Institute Diagnostics, Inc. Quest Diagnostics’ web site on the Quest Diagnostics is committed to QUEST INFORMATICS is a servicemark of Internet: Quest Diagnostics Incorporated. the highest ethical standards and http://www.questdiagnostics.com complying with all applicable laws HercepTest is a trademark of Dako Corporation. and regulations that govern its Herceptin is a trademark of Genentech, Inc. Transfer Agent and Registrar business operations, including those Harris Trust and Savings Bank Neither this report nor any statement that apply to reimbursement for 311 West Monroe Street contained herein is furnished in connection with testing under the federal Medicare any offering of securities or for the purpose of Chicago, Illinois 60606 and Medicaid programs. promoting or influencing the sale of securities. Telephone: 312-461-6001 15
  • 13. Quest Diagnostics Incorporated One Malcolm Avenue Teterboro, New Jersey 07608 www.questdiagnostics.com Annual Report without 10K: MI0532 Annual Report: MI0533 16