1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the Quarter ended March 31, 2001 Commission file number 1-12215 QUEST DIAGNOSTICS INCORPORATED One Malcolm Avenue Teterboro, NJ 07608 (201) 393-5000 DELAWARE (State of Incorporation) 16-1387862 (I.R.S. Employer Identification Number) Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes X No ______ --------- As of April 23, 2001, there were outstanding 46,986,279 shares of Common Stock, $.01 par value. 2 PART I - FINANCIAL INFORMATION ITEM 1. FINANCIAL STATEMENTS Index to consolidated financial statements filed as part of this report: Page Consolidated Statements of Operations for the Three Months Ended March 31, 2001 and 2000 2 Consolidated Balance Sheets as of March 31, 2001 and December 31, 2000 3 Consolidated Statements of Cash Flows for the Three Months Ended March 31, 2001 and 2000 4 Notes to Consolidated Financial Statements 5 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS Management's Discussion and Analysis of Financial Condition and Results of Operations 16 ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK See Item 2. "Management's Discussion and Analysis of Financial Condition and Results of Operations" 3 QUEST DIAGNOSTICS INCORPORATED AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF OPERATIONS FOR THE THREE MONTHS ENDED MARCH 31, 2001 AND 2000 (IN THOUSANDS, EXCEPT PER SHARE DATA) (UNAUDITED) 2001 2000 ---- ---- NET REVENUES $ 882,553 $ 857,479 --------- --------- COSTS AND EXPENSES: Cost of services ........................ 529,065 529,037 Selling, general and administrative ..... 252,802 249,835 Interest, net ........................... 22,700 29,763 Amortization of intangible assets ....... 11,100 11,940 Minority share of income ................ 1,116 2,136 Other, net .............................. 298 (428) --------- --------- Total ................................. 817,081 822,283 --------- --------- INCOME BEFORE TAXES ........................ 65,472 35,196 INCOME TAX EXPENSE ......................... 29,724 17,387 --------- --------- NET INCOME ................................. $ 35,748 $ 17,809 ========= ========= BASIC NET INCOME PER COMMON SHARE .......... $ 0.78 $ 0.40 DILUTED NET INCOME PER COMMON SHARE ........ $ 0.74 $ 0.39 WEIGHTED AVERAGE COMMON SHARES OUTSTANDING - BASIC ..................... 45,945 44,131 WEIGHTED AVERAGE COMMON SHARES OUTSTANDING - DILUTED ................... 48,310 45,616 The accompanying notes are an integral part of these statements. 2 4 QUEST DIAGNOSTICS INCORPORATED AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS MARCH 31, 2001 AND DECEMBER 31, 2000 (IN THOUSANDS, EXCEPT PER SHARE DATA) (UNAUDITED) MARCH 31, DECEMBER 31, 2001 2000 ---- ---- ASSETS CURRENT ASSETS: Cash and cash equivalents ........................................................ $ 120,730 $ 171,477 Accounts receivable, net of allowance of $130,164 and $120,358 at March 31, 2001 and December 31, 2000, respectively ............................. 509,272 485,573 Inventories ...................................................................... 45,161 44,274 Deferred taxes on income ......................................................... 185,533 188,483 Prepaid expenses and other current assets ........................................ 92,118 90,882 ----------- ----------- Total current assets ........................................................... 952,814 980,689 PROPERTY, PLANT AND EQUIPMENT, NET .................................................. 473,064 449,856 INTANGIBLE ASSETS, NET .............................................................. 1,297,679 1,261,603 DEFERRED TAXES ON INCOME ............................................................ 50,457 42,622 OTHER ASSETS ........................................................................ 129,221 129,766 ----------- ----------- TOTAL ASSETS ........................................................................ $ 2,903,235 $ 2,864,536 =========== =========== LIABILITIES AND STOCKHOLDERS' EQUITY CURRENT LIABILITIES: Accounts payable and accrued expenses ............................................ $ 654,989 $ 689,582 Short-term borrowings and current portion of long-term debt ...................... 265,030 265,408 ----------- ----------- Total current liabilities ...................................................... 920,019 954,990 LONG-TERM DEBT ...................................................................... 758,481 760,705 OTHER LIABILITIES ................................................................... 124,519 117,046 COMMITMENTS AND CONTINGENCIES PREFERRED STOCK ..................................................................... 1,000 1,000 COMMON STOCKHOLDERS' EQUITY: Common stock, par value $0.01 per share; 100,000 shares authorized; 46,876 and 46,541 shares issued at March 31, 2001 and December 31, 2000, respectively ................................................ 469 465 Additional paid-in capital ....................................................... 1,626,116 1,591,976 Accumulated deficit .............................................................. (489,392) (525,111) Unearned compensation ............................................................ (28,243) (31,077) Accumulated other comprehensive loss ............................................. (9,734) (5,458) ----------- ----------- Total common stockholders' equity .............................................. 1,099,216 1,030,795 ----------- ----------- TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY .......................................... $ 2,903,235 $ 2,864,536 =========== =========== The accompanying notes are an integral part of these statements. 3 5 QUEST DIAGNOSTICS INCORPORATED AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS FOR THE THREE MONTHS ENDED MARCH 31, 2001 AND 2000 (IN THOUSANDS) (UNAUDITED) 2001 2000 ---- ---- CASH FLOWS FROM OPERATING ACTIVITIES: Net income ............................................... $ 35,748 $ 17,809 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation and amortization ......................... 34,265 33,185 Provision for doubtful accounts ....................... 55,283 62,646 Deferred income tax benefit ........................... (2,743) (4,161) Minority share of income .............................. 1,116 2,136 Stock compensation expense ............................ 6,933 3,455 Other, net ............................................ 2,370 521 Changes in operating assets and liabilities: Accounts receivable ................................. (78,982) (76,657) Accounts payable and accrued expenses ............... (28,622) (18,687) Integration, settlement and other special charges ... (14,215) (6,313) Other assets and liabilities, net ................... 29,578 19,223 --------- --------- NET CASH PROVIDED BY OPERATING ACTIVITIES ................ 40,731 33,157 --------- --------- CASH FLOWS FROM INVESTING ACTIVITIES: Business acquisition ..................................... (47,216) (925) Capital expenditures ..................................... (43,615) (17,613) Proceeds from disposition of assets ...................... 763 666 Increase in investments .................................. (200) (2,605) --------- --------- NET CASH USED IN INVESTING ACTIVITIES .................... (90,268) (20,477) --------- --------- CASH FLOWS FROM FINANCING ACTIVITIES: Repayments of long-term debt ............................. (2,601) (11,248) Distributions to minority partners ....................... (1,161) (1,414) Exercise of stock options ................................ 3,101 1,331 Preferred stock dividends paid ........................... (118) (29) Other .................................................... (431) (117) --------- --------- NET CASH USED IN FINANCING ACTIVITIES .................... (1,210) (11,477) --------- --------- NET CHANGE IN CASH AND CASH EQUIVALENTS .................. (50,747) 1,203 CASH AND CASH EQUIVALENTS, BEGINNING OF YEAR ............. 171,477 27,284 --------- --------- CASH AND CASH EQUIVALENTS, END OF PERIOD ................. $ 120,730 $ 28,487 ========= ========= CASH PAID DURING THE PERIOD FOR: Interest ................................................. $ 19,978 $ 25,529 Income taxes ............................................. 1,309 2,953 The accompanying notes are an integral part of these statements. 4 6 QUEST DIAGNOSTICS INCORPORATED AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (IN THOUSANDS, UNLESS OTHERWISE INDICATED) (UNAUDITED) 1. BASIS OF PRESENTATION Background Quest Diagnostics Incorporated and its subsidiaries ("Quest Diagnostics" or the "Company") is the largest clinical laboratory testing business in the United States. As the nation's leading provider of diagnostic testing and related services for the healthcare industry, Quest Diagnostics offers a broad range of clinical laboratory testing services to physicians, hospitals, managed care organizations, employers, governmental institutions and other independent clinical laboratories. Quest Diagnostics has the leading market share in clinical laboratory testing and esoteric testing, including molecular diagnostics, as well as anatomic pathology services and testing for drugs of abuse. Through the Company's national network of laboratories and patient service centers, and its leading esoteric testing laboratory and development facility known as Nichols Institute, Quest Diagnostics offers comprehensive and innovative diagnostic testing, information and related services used by physicians and other healthcare customers to diagnose, treat and monitor diseases and other medical conditions. Quest Diagnostics offers clinical testing and services to support clinical trials of new pharmaceuticals worldwide. Quest Informatics collects and analyzes laboratory, pharmaceutical and other data to develop information products to help pharmaceutical companies with their marketing and disease management efforts, as well as to help healthcare customers better manage the health of their patients. Quest Diagnostics currently processes over 100 million requisitions each year through its extensive network of laboratories and patient service centers in virtually every major metropolitan area throughout the United States. Basis of Presentation The interim consolidated financial statements reflect all adjustments which, in the opinion of management, are necessary for a fair statement of financial condition and results of operations for the periods presented. Except as otherwise disclosed, all such adjustments are of a normal recurring nature. The interim consolidated financial statements have been compiled without audit and are subject to year-end adjustments. Operating results for the interim periods are not necessarily indicative of the results that may be expected for the full year. These interim consolidated financial statements should be read in conjunction with the audited consolidated financial statements included in the Company's Form 10-K for the year ended December 31, 2000. Earnings Per Share Basic net income per common share is calculated by dividing net income, less preferred stock dividends (approximately $30 per quarter), by the weighted average number of common shares outstanding. Diluted net income per common share is calculated by dividing net income, less preferred stock dividends, by the weighted average number of common shares outstanding after giving effect to all potentially dilutive common shares outstanding during the period. Potentially dilutive common shares include outstanding stock options and restricted common shares granted under the Company's Employees Equity Participation Program. These dilutive securities increased the weighted average number of common shares outstanding by 2.4 million shares and 1.5 million shares, respectively, for the three months ended March 31, 2001 and 2000. Financial Instruments The Company's policy is to use financial instruments only to manage exposure to market risks. The Company has established a control environment that includes policies and procedures for risk assessment and the approval, reporting and monitoring of derivative financial instrument activities. These policies prohibit holding or issuing derivative financial instruments for trading purposes. The Company's credit agreement requires the Company to mitigate the risk of changes in interest rates associated with its variable interest rate indebtedness through the use of interest rate swap agreements. Under such arrangements, the Company converts a portion of its variable rate indebtedness to fixed rates based on a notional principal amount. The settlement dates are correlated to correspond to the interest payment dates of the hedged debt. At both March 31, 2001 and December 31, 2000, the aggregate notional principal amount under interest rate swap 5 7 QUEST DIAGNOSTICS INCORPORATED AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - CONTINUED (IN THOUSANDS, UNLESS OTHERWISE INDICATED) (UNAUDITED) agreements, at a weighted average fixed interest rate of 6.2%, totaled approximately $410 million. The interest rate swap agreements mature at various dates through November 2002. In June 1998, the Financial Accounting Standards Board ("FASB") issued Statement of Financial Accounting Standards ("SFAS") No. 133, "Accounting for Derivative Instruments and Hedging Activities" ("SFAS 133"). In June 1999, the FASB issued SFAS 137, "Accounting for Derivative Instruments and Hedging Activities - Deferral of the Effective Date of FASB Statement No. 133", under which SFAS 133 is effective for all fiscal quarters of all fiscal years beginning after June 15, 2000 (2001 for the Company). In June 2000, the FASB issued SFAS 138, "Accounting for Certain Derivative Instruments and Certain Hedging Activities", which addresses a limited number of issues causing implementation difficulties for entities applying SFAS 133. SFAS 133, as amended, requires that all derivative instruments be recorded on the balance sheet at their fair value. Changes in the fair value of derivatives are recorded each period in current earnings or other comprehensive income, depending on whether a derivative is designated as part of a hedge transaction and, if it is, the type of hedge transaction. Effective January 1, 2001, the Company adopted SFAS 133, as amended. The Company's interest rate swap agreements are considered to be a hedge against changes in the amount of future cash flows associated with the interest payments of the Company's variable rate debt obligations. Accordingly, the interest rate swap agreements are reflected at fair value in the Company's consolidated balance sheet as of March 31, 2001 and the related gains or losses on these contracts are deferred in shareholders' equity as a component of comprehensive income. These deferred gains or losses are then amortized as an adjustment to interest expense over the same period in which the related interest payments being hedged are recognized in earnings. The estimated net amount of deferred losses expected to be recorded in earnings within the next twelve months was approximately $0.7 million at March 31, 2001. The net effect of this accounting on the Company's operating results is that interest expense on the portion of the variable rate debt being hedged is generally recorded based on fixed interest rates. The cumulative effect of the change in accounting for derivative financial instruments upon adoption of SFAS 133, as amended, reduced comprehensive income by approximately $1 million as indicated in Note 5 which highlights changes in stockholders' equity for the three months ended March 31, 2001 and 2000. 2. INTEGRATION OF SBCL AND QUEST DIAGNOSTICS BUSINESSES During the fourth quarter of 1999, Quest Diagnostics finalized its plan to integrate SmithKline Beecham Clinical Laboratories, Inc. ("SBCL") into Quest Diagnostics' laboratory network. The plan focuses principally on laboratory consolidations in geographic markets served by more than one of the Company's laboratories, and the redirection of testing volume within the Company's national network to provide more local testing and improve customer service. While the Company is not exiting any geographic markets as a result of the plan, laboratories that will be closed or reduced in size are located in the following metropolitan areas: Boston, Baltimore, Cleveland, Dallas, Detroit, Miami, New York and Philadelphia. The Company is also transferring esoteric testing performed at SBCL's National Esoteric Testing Center in Van Nuys, California to Nichols Institute. Employee groups to be impacted as a result of these actions include those involved in the collection and testing of specimens, as well as administrative and other support functions. During the fourth quarter of 1999, the Company recorded the estimated costs associated with executing the integration plan. The majority of these integration costs related to employee severance, contractual obligations associated with leased facilities and equipment, and the write-off of fixed assets which management believes will have no future economic benefit upon combining the operations. Integration costs related to planned activities affecting SBCL's operations and employees were recorded as a cost of the acquisition. Integration costs associated with the planned integration of SBCL affecting Quest Diagnostics' operations and employees were recorded as a charge to earnings in the fourth quarter of 1999. 6 8 QUEST DIAGNOSTICS INCORPORATED AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - CONTINUED (IN THOUSANDS, UNLESS OTHERWISE INDICATED) (UNAUDITED) The following table summarizes the Company's accruals for integration costs affecting the acquired operations and employees of SBCL (in millions): Costs of Employee Exiting Severance Leased Costs Facilities Other Total ----- ---------- ----- ----- Balance, December 31, 2000 ... $19.9 $ 1.9 $ 1.8 $23.6 Amounts utilized in 2001 ..... (5.7) (0.2) (1.1) (7.0) ----- ----- ----- ----- Balance, March 31, 2001 ...... $14.2 $ 1.7 $ 0.7 $16.6 ===== ===== ===== ===== Of the 1,000 SBCL employees expected to be severed during the initial phase of the SBCL integration, approximately 800 employees had been severed in connection with integration activities through March 31, 2001, including approximately 100 employees severed during 2001. The following table summarizes the Company's accruals for restructuring costs associated with the planned integration of SBCL affecting Quest Diagnostics' operations and employees (in millions): Costs of Employee Exiting Severance Leased Costs Facilities Other Total ----- ---------- ----- ----- Balance, December 31, 2000 ... $ 8.8 $ 6.6 $ 0.7 $16.1 Amounts utilized in 2001 ..... (2.9) (0.7) (0.2) (3.8) ----- ----- ----- ----- Balance, March 31, 2001 ...... $ 5.9 $ 5.9 $ 0.5 $12.3 ===== ===== ===== ===== Of the 500 Quest Diagnostics employees expected to be severed during the initial phase of the SBCL integration, approximately 400 employees had been severed in connection with integration activities through March 31, 2001, including approximately 50 severed during 2001. The remaining planned integration of the Company's principal laboratories, provided for in accruals for integration costs as of December 31, 2000, will be completed during the second quarter of 2001. While a significant portion of the remaining accruals associated with the SBCL integration plan are expected to be paid in 2001, there are certain severance and facility related exit costs, principally lease obligations, that have payment terms extending beyond 2001. 3. ACQUISITION OF BUSINESS On February 1, 2001, the Company acquired the assets of Clinical Laboratories of Colorado, LLC ("CLC") for $47 million which included $4 million associated with non-competition agreements. At the closing of the acquisition, the Company used existing cash to fund the purchase price and related transaction costs of the acquisition. The acquisition of CLC was accounted for under the purchase method of accounting. The historical financial statements of Quest Diagnostics include the results of operations of CLC subsequent to the closing of the acquisition. Goodwill in the amount of approximately $42 million, representing acquisition costs in excess of the fair value of net assets acquired, is being amortized on the straight-line basis over forty years. The amounts paid under the non-compete agreements are being amortized on the straight-line basis over five years. 4. COMMITMENTS AND CONTINGENCIES The Company has entered into several settlement agreements with various governmental and private payers during recent years relating to industry-wide billing and marketing practices that had been substantially discontinued by early 1993. In addition, the Company is aware of several pending lawsuits filed under the qui tam provisions of the civil False Claims Act and has received notices of private claims relating to billing issues similar to those that were the 7 9 QUEST DIAGNOSTICS INCORPORATED AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - CONTINUED (IN THOUSANDS, UNLESS OTHERWISE INDICATED) (UNAUDITED) subject of prior settlements with various governmental payers. Several of the cases involve the operations of SBCL prior to the closing of the SBCL acquisition. Corning Incorporated ("Corning") has agreed to indemnify the Company against all monetary settlements for any governmental claims relating to the billing practices of the Company and its predecessors based on investigations that were pending on December 31, 1996. Corning also agreed to indemnify the Company in respect of private claims relating to indemnified or previously settled government claims that alleged overbillings by Quest Diagnostics or any of its existing subsidiaries for services provided before January 1, 1997. Corning will indemnify Quest Diagnostics in respect of private claims for 50% of the aggregate of all judgment or settlement payments made by December 31, 2001 that exceed $42 million. The 50% share will be limited to a total amount of $25 million and will be reduced to take into account any deductions or tax benefits realized by Quest Diagnostics. In accordance with the indemnity described above, the Company received $8.1 million from Corning during the first quarter of 2001 in connection with the Company's civil settlement of claims in the fourth quarter of 2000 with respect to Nichols Institute's former regional laboratories. Similar to Quest Diagnostics, SBCL has entered into settlement agreements with various governmental agencies and private payers primarily relating to its prior billing and marketing practices. Effective in 1997, SBCL and the United States government and various states reached a settlement with respect to the government's civil and administrative claims. SBCL is also responding to claims from private payers relating to billing and marketing issues similar to those that were the subject of the settlement with the government. The claims include ten purported class actions filed in various jurisdictions in the United States and two non-class action complaints by a number of insurance companies. Nine of the purported class actions have been consolidated into one complaint, which has been consolidated with one of the insurers' suits for pre-trial proceedings. During April 2001, a settlement was reached in two of the complaints against SBCL. The settlement was paid directly by SmithKline Beecham plc ("SmithKline Beecham") in April 2001, under the terms of the indemnity described below. SmithKline Beecham has agreed to indemnify Quest Diagnostics, on an after-tax basis, against monetary payments for governmental claims or investigations relating to the billing practices of SBCL that had been settled before or were pending as of the closing date of the SBCL acquisition. SmithKline Beecham has also agreed to indemnify Quest Diagnostics, on an after- tax basis, against monetary payments to private payers, relating to or arising out of the governmental claims. The indemnification with respect to governmental claims is for 100% of those claims. SmithKline Beecham will indemnify Quest Diagnostics, in respect of private claims for: 100% of those claims, up to an aggregate amount of $80 million; 50% of those claims to the extent the aggregate amount exceeds $80 million but is less than $130 million; and 100% of such claims to the extent the aggregate amount exceeds $130 million. The indemnification also covers 80% of out-of-pocket costs and expenses relating to investigations of the claims indemnified against by SmithKline Beecham. SmithKline Beecham has also agreed to indemnify the Company with respect to pending actions relating to a former SBCL employee that at times reused certain needles when drawing blood from patients. In addition, SmithKline Beecham has agreed to indemnify the Company against all monetary payments relating to professional liability claims of SBCL for services provided prior to the closing of the SBCL acquisition. Amounts due from SmithKline Beecham at March 31, 2001, related to indemnified billing, professional liability and other claims discussed above, totaled approximately $59 million and represented management's best estimate of the amounts which are probable of being received from SmithKline Beecham to satisfy the indemnified claims on an after-tax basis. The estimated reserves and related amounts due from SmithKline Beecham are subject to change as additional information regarding the outstanding claims is gathered and evaluated. At March 31, 2001 recorded reserves, relating primarily to billing claims including those indemnified by Corning and SmithKline Beecham, approximated $85 million, including $2 million in other long-term liabilities. Although management believes that established reserves for both indemnified and non-indemnified claims are sufficient, it is possible that additional information (such as the indication by the government of criminal activity, additional tests being questioned or other changes in the government's or private claimants' theories of wrongdoing) may become available which may cause the final resolution of these matters to exceed established reserves by an amount which could be material to the Company's results of operations and cash flows in the period in which such claims are settled. The Company does not believe that these issues will have a material adverse effect on its overall financial condition. 8 10 QUEST DIAGNOSTICS INCORPORATED AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - CONTINUED (IN THOUSANDS, UNLESS OTHERWISE INDICATED) (UNAUDITED) 5. COMMON STOCKHOLDERS' EQUITY Changes in common stockholders' equity for the three months ended March 31, 2001 were as follows: Accumulated Compre- Additional Other hensive Common Paid-In Accumulated Unearned Comprehensive Income Stock Capital Deficit Compensation Loss (Loss) ------ ---------- ----------- ------------ ------------- ------- BALANCE, DECEMBER 31, 2000 $465 $1,591,976 $(525,111) $(31,077) $(5,458) Net income 35,748 $35,748 Cumulative effect of change in accounting for derivative financial instruments, net of $0.6 million tax benefit (955) (955) Increase in unrealized losses on derivative financial instruments, net of $1.7 million tax benefit (2,516) (2,516) Other comprehensive loss (805) (805) ------- Comprehensive income $31,472 ======= Preferred dividends declared (29) Issuance of common stock under benefit plans (165 common shares) 2 21,488 (4,099) Exercise of options (171 common shares) 2 3,099 Shares to cover employee payroll tax withholdings on exercised stock options (2 common shares) (190) Tax benefits associated with stock-based compensation plans 9,743 Amortization of unearned compensation 6,933 ---- ---------- --------- -------- ------- BALANCE, MARCH 31, 2001 $469 $1,626,116 $(489,392) $(28,243) $(9,734) ==== ========== ========= ======== ======= 9 11 QUEST DIAGNOSTICS INCORPORATED AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - CONTINUED (IN THOUSANDS, UNLESS OTHERWISE INDICATED) (UNAUDITED) Changes in common stockholders' equity for the three months ended March 31, 2000 were as follows: Accumulated Other Additional Comprehensive Compre- Common Paid-In Accumulated Unearned Income hensive Stock Capital Deficit Compensation (Loss) Income ------ ---------- ----------- ------------ ------------- ------- BALANCE, DECEMBER 31, 1999 $444 $1,502,551 $(627,045) $(11,438) $(2,450) Net income 17,809 $17,809 Other comprehensive income 1,009 1,009 ------- Comprehensive income $18,818 ======= Preferred dividends declared (29) Issuance of common stock under benefit plans (643 common shares) 6 23,555 (14,459) Exercise of options (137 common shares) 1 1,330 Tax benefits associated with stock-based compensation plans 1,291 Amortization of unearned compensation 3,455 ---- ---------- --------- -------- ------- BALANCE, MARCH 31, 2000 $451 $1,528,727 $(609,265) $(22,442) $(1,441) ==== ========== ========= ======== ======= 6. PROPOSED STOCK SPLIT On February 21, 2001, the Board of Directors approved a two-for-one stock split of the Company's common stock, subject to stockholder approval of an increase in the number of common shares authorized from 100 million shares to 300 million shares. The stock split will be effected by the issuance on May 31, 2001, of a stock dividend of one new share of common stock for each share of common stock held by stockholders of record on May 16, 2001. All references to the number of common shares and per common share amounts, including earnings per common share calculations, have not been restated to reflect this proposed stock dividend, since the stock dividend is contingent upon stockholder approval. 7. SUBSEQUENT EVENT On April 25, 2001, the Company signed a definitive agreement to acquire the outstanding voting shares of MedPlus, Inc. ("MedPlus"), a leading developer and integrator of clinical connectivity and data management solutions for healthcare organizations and clinicians. The agreement calls for the Company to pay $2 per share in cash for the remaining 82% of voting shares of MedPlus it does not currently own. The closing of this transaction, which also is dependent on approval by MedPlus shareholders, is expected to occur after the MedPlus annual meeting in June 2001. At the closing of the acquisition, the Company expects to use existing cash to fund the purchase price (estimated at approximately $18 million) and related transaction costs of the acquisition. The acquisition of MedPlus is expected to be accounted for under the purchase method of accounting. 10 12 QUEST DIAGNOSTICS INCORPORATED AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - CONTINUED (IN THOUSANDS, UNLESS OTHERWISE INDICATED) (UNAUDITED) 8. SUMMARIZED FINANCIAL INFORMATION The Company's 10 3/4% senior subordinated notes due 2006 are guaranteed, fully, jointly and severally, and unconditionally, on a senior subordinated basis by substantially all of the Company's wholly-owned, domestic subsidiaries ("Subsidiary Guarantors"). With the exception of Quest Diagnostics Receivables Incorporated (see paragraph below), the non-guarantor subsidiaries are foreign and less than wholly-owned subsidiaries. In conjunction with the Company's receivables financing in the third quarter of 2000, the Company formed a new wholly-owned non-guarantor subsidiary, Quest Diagnostics Receivables Incorporated ("QDRI"). The Company and the Subsidiary Guarantors transferred all private domestic receivables (principally excluding receivables due from Medicare, Medicaid and other federal programs and receivables due from customers of its joint ventures) to QDRI. QDRI utilized the transferred receivables to collateralize the receivables financing. The Company and the Subsidiary Guarantors provide collection services to QDRI. QDRI uses cash collections principally to purchase new receivables from the Company and the Subsidiary Guarantors. Investments in subsidiaries are accounted for by the parent using the equity method for purposes of the supplemental consolidating presentation. Earnings (losses) of subsidiaries are therefore reflected in the parent's investment accounts and earnings. The principal elimination entries eliminate investments in subsidiaries and intercompany balances and transactions. The following condensed consolidating financial data illustrates the composition of the combined guarantors. The Company believes that separate complete financial statements of the respective guarantors would not provide additional material information which would be useful in assessing the financial composition of the Subsidiary Guarantors. 11 13 QUEST DIAGNOSTICS INCORPORATED AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - CONTINUED (IN THOUSANDS, UNLESS OTHERWISE INDICATED) (UNAUDITED) Condensed Consolidating Statement of Operations Three Months Ended March 31, 2001 Subsidiary Non-Guarantor Parent Guarantors Subsidiaries Eliminations Consolidated ------ ---------- ------------ ------------ ------------ Net revenues ............................ $ 146,089 $ 700,864 $ 93,072 $ (57,472) $ 882,553 Costs and expenses: Cost of services ...................... 97,526 407,916 23,623 -- 529,065 Selling, general and administrative ... 41,652 152,668 62,074 (3,592) 252,802 Interest, net ......................... 14,386 54,791 7,403 (53,880) 22,700 Amortization of intangibles ........... 791 10,168 141 -- 11,100 Royalty (income) expense .............. (59,983) 59,983 -- -- -- Other, net ............................ (974) (882) 3,270 -- 1,414 --------- --------- --------- --------- --------- Total ................................ 93,398 684,644 96,511 (57,472) 817,081 --------- --------- --------- --------- --------- Income (loss) before taxes .............. 52,691 16,220 (3,439) -- 65,472 Income tax expense (benefit) ............ 25,100 5,858 (1,234) -- 29,724 Equity earnings from subsidiaries ....... 8,157 -- -- (8,157) -- --------- --------- --------- --------- --------- Net income (loss) ....................... $ 35,748 $ 10,362 $ (2,205) $ (8,157) $ 35,748 ========= ========= ========= ========= ========= Condensed Consolidating Statement of Operations Three Months Ended March 31, 2000 Subsidiary Non-Guarantor Parent Guarantors Subsidiaries Eliminations Consolidated ------ ---------- ------------ ------------ ------------ Net revenues ............................ $ 167,181 $ 661,892 $ 28,406 $-- $ 857,479 Costs and expenses: Cost of services ...................... 110,032 403,206 15,799 -- 529,037 Selling, general and administrative ... 62,391 174,850 12,594 -- 249,835 Interest, net ......................... 3,528 26,083 152 -- 29,763 Amortization of intangibles ........... 1,917 9,937 86 -- 11,940 Royalty (income) expense .............. (19,223) 19,223 -- -- -- Other, net ............................ 438 (98) 1,368 -- 1,708 --------- --------- --------- --------- --------- Total ................................ 159,083 633,201 29,999 -- 822,283 --------- --------- --------- --------- --------- Income (loss) before taxes .............. 8,098 28,691 (1,593) -- 35,196 Income tax expense ...................... 2,478 14,571 338 -- 17,387 Equity earnings from subsidiaries ....... 12,189 -- -- (12,189) -- --------- --------- --------- --------- --------- Net income (loss) ....................... $ 17,809 $ 14,120 $ (1,931) $ (12,189) $ 17,809 ========= ========= ========= ========= ========= 12 14 QUEST DIAGNOSTICS INCORPORATED AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - CONTINUED (IN THOUSANDS, UNLESS OTHERWISE INDICATED) (UNAUDITED) Condensed Consolidating Balance Sheet March 31, 2001 Subsidiary Non-Guarantor Parent Guarantors Subsidiaries Eliminations Consolidated ------ ---------- ------------ ------------ ------------ Assets Current assets: Cash and cash equivalents .................... $ -- $ 111,628 $ 9,102 $ -- $ 120,730 Accounts receivable, net ..................... 2,983 41,784 464,505 -- 509,272 Other current assets ......................... 214,677 110,771 9,174 (11,810) 322,812 ----------- ----------- ----------- ----------- ----------- Total current assets ...................... 217,660 264,183 482,781 (11,810) 952,814 Property, plant and equipment, net ........... 137,475 322,122 13,467 -- 473,064 Intangible assets, net ....................... 71,813 1,217,173 8,693 -- 1,297,679 Intercompany receivable (payable) ............ 81,233 101,034 (182,267) -- -- Investment in subsidiaries ................... 1,038,684 -- -- (1,038,684) -- Other assets ................................. 80,591 68,162 30,925 -- 179,678 ----------- ----------- ----------- ----------- ----------- Total assets .............................. $ 1,627,456 $ 1,972,674 $ 353,599 $(1,050,494) $ 2,903,235 =========== =========== =========== =========== =========== Liabilities and Stockholders' Equity Current liabilities: Accounts payable and accrued expenses ........ $ 388,020 $ 242,857 $ 35,922 $ (11,810) $ 654,989 Short-term borrowings and current portion of long-term debt ............................. 845 7,829 256,356 -- 265,030 ----------- ----------- ----------- ----------- ----------- Total current liabilities ................. 388,865 250,686 292,278 (11,810) 920,019 Long-term debt ............................... 90,821 659,320 8,340 -- 758,481 Other liabilities ............................ 47,554 65,218 11,747 -- 124,519 Preferred stock .............................. 1,000 -- -- -- 1,000 Common stockholders' equity .................. 1,099,216 997,450 41,234 (1,038,684) 1,099,216 ----------- ----------- ----------- ----------- ----------- Total liabilities and stockholders' equity $ 1,627,456 $ 1,972,674 $ 353,599 $(1,050,494) $ 2,903,235 =========== =========== =========== =========== =========== 13 15 QUEST DIAGNOSTICS INCORPORATED AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - CONTINUED (IN THOUSANDS, UNLESS OTHERWISE INDICATED) (UNAUDITED) Condensed Consolidating Balance Sheet December 31, 2000 Subsidiary Non-Guarantor Parent Guarantors Subsidiaries Eliminations Consolidated ------ ---------- ------------ ------------ ------------ Assets Current assets: Cash and cash equivalents ..................... $ -- $ 163,863 $ 7,614 $-- $ 171,477 Accounts receivable, net ...................... 6,159 29,548 449,866 -- 485,573 Other current assets .......................... 191,693 129,881 9,030 (6,965) 323,639 ----------- ----------- ----------- ----------- ----------- Total current assets ....................... 197,852 323,292 466,510 (6,965) 980,689 Property, plant and equipment, net ............ 121,159 316,630 12,067 -- 449,856 Intangible assets, net ........................ 72,514 1,180,341 8,748 -- 1,261,603 Intercompany receivable (payable) ............. (78,538) 253,994 (175,456) -- -- Investment in subsidiaries .................... 1,031,135 -- -- (1,031,135) -- Other assets .................................. 66,623 71,692 34,073 -- 172,388 ----------- ----------- ----------- ----------- ----------- Total assets ............................... $ 1,410,745 $ 2,145,949 $ 345,942 $(1,038,100) $ 2,864,536 =========== =========== =========== =========== =========== Liabilities and Stockholders' Equity Current liabilities: Accounts payable and accrued expenses ......... $ 247,558 $ 418,147 $ 30,842 $ (6,965) $ 689,582 Short-term borrowings and current portion of long-term debt .............................. 837 8,215 256,356 -- 265,408 ----------- ----------- ----------- ----------- ----------- Total current liabilities .................. 248,395 426,362 287,198 (6,965) 954,990 Long-term debt ................................ 95,711 661,340 3,654 -- 760,705 Other liabilities ............................. 34,844 71,159 11,043 -- 117,046 Preferred stock ............................... 1,000 -- -- -- 1,000 Common stockholders' equity ................... 1,030,795 987,088 44,047 (1,031,135) 1,030,795 ----------- ----------- ----------- ----------- ----------- Total liabilities and stockholders' equity . $ 1,410,745 $ 2,145,949 $ 345,942 $(1,038,100) $ 2,864,536 =========== =========== =========== =========== =========== 14 16 QUEST DIAGNOSTICS INCORPORATED AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - CONTINUED (IN THOUSANDS, UNLESS OTHERWISE INDICATED) (UNAUDITED) Condensed Consolidating Statement of Cash Flows Three Months Ended March 31, 2001 Subsidiary Non-Guarantor Parent Guarantors Subsidiaries Eliminations Consolidated ------ ---------- ------------ ------------ ------------ Cash flows from operating activities: Net income (loss) ............................. $ 35,748 $ 10,362 $ (2,205) $ (8,157) $ 35,748 Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: Depreciation and amortization ............... 9,010 24,130 1,125 -- 34,265 Provision for doubtful accounts ............. (114) 5,303 50,094 -- 55,283 Other, net .................................. (27,084) 19,158 7,445 8,157 7,676 Changes in operating assets and liabilities . 4,983 (33,963) (63,261) -- (92,241) --------- --------- --------- --------- --------- Net cash provided by (used in) operating activities .................................. 22,543 24,990 (6,802) -- 40,731 Net cash used in investing activities ......... (17,671) (69,479) (484) (2,634) (90,268) Net cash (used in) provided by financing activities .................................. (4,872) (7,746) 8,774 2,634 (1,210) --------- --------- --------- --------- --------- Net change in cash and cash equivalents ....... -- (52,235) 1,488 -- (50,747) Cash and cash equivalents, beginning of year .. -- 163,863 7,614 -- 171,477 --------- --------- --------- --------- --------- Cash and cash equivalents, end of period ...... $ -- $ 111,628 $ 9,102 $ -- $ 120,730 ========= ========= ========= ========= ========= Condensed Consolidating Statement of Cash Flows Three Months Ended March 31, 2000 Subsidiary Non-Guarantor Parent Guarantors Subsidiaries Eliminations Consolidated ------ ---------- ------------ ------------ ------------ Cash flows from operating activities: Net income (loss) ............................. $ 17,809 $ 14,120 $ (1,931) $(12,189) $ 17,809 Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: Depreciation and amortization ............... 8,768 23,449 968 -- 33,185 Provision for doubtful accounts ............. 5,944 55,341 1,361 -- 62,646 Other, net .................................. (20,227) 8,420 1,569 12,189 1,951 Changes in operating assets and liabilities . 868 (80,670) (2,632) -- (82,434) -------- -------- -------- -------- -------- Net cash provided by (used in) operating activities .................................. 13,162 20,660 (665) -- 33,157 Net cash used in investing activities ......... (11,266) (11,000) (76) 1,865 (20,477) Net cash (used in) provided by financing activities .................................. (1,896) (8,146) 430 (1,865) (11,477) -------- -------- -------- -------- -------- Net change in cash and cash equivalents ....... -- 1,514 (311) -- 1,203 Cash and cash equivalents, beginning of year .. -- 18,864 8,420 -- 27,284 -------- -------- -------- -------- -------- Cash and cash equivalents, end of period ...... $ -- $ 20,378 $ 8,109 $ -- $ 28,487 ======== ======== ======== ======== ======== 15 17 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS INTEGRATION OF SBCL AND QUEST DIAGNOSTICS BUSINESSES We expect to continue to realize significant benefits from combining our existing laboratory network with that of SmithKline Beecham Clinical Laboratories, Inc. ("SBCL"). We have essentially completed the process of reducing redundant facilities and infrastructure, including laboratory consolidations in geographic markets served by more than one of our laboratories, and redirecting testing volume within our national network to provide more local testing and improve customer service. We have not exited any geographic markets as a result of the plan. Employee groups impacted as a result of these actions include those involved in the collection and testing of specimens, as well as administrative and other support functions. During the fourth quarter of 1999, we recorded the estimated costs associated with executing the integration plan. The majority of these integration costs related to employee severance, contractual obligations associated with leased facilities and equipment, and the write-off of fixed assets which management believes will have no future economic benefit upon combining the operations. Integration costs related to planned activities affecting SBCL's operations and employees were recorded as a cost of the acquisition. Integration costs associated with the planned integration of SBCL affecting Quest Diagnostics' operations and employees were recorded as a charge to earnings in the fourth quarter of 1999. A full discussion and analysis of the reserves related to the SBCL integration is contained in Note 2 to the Interim Consolidated Financial Statements. Through the end of March 2001, we had completed the transition of approximately 96% of our business affected by integration throughout our national laboratory network, with approximately 98% transitioned by early April 2001. The remaining planned integration of the Company's principal laboratories, provided for in accruals for integration costs as of December 31, 2000, will be completed during the second quarter of 2001. Other activities, for which no accruals had been recorded as of December 31, 2000, including the standardization of information systems, will continue beyond 2001. Management continues to expect that this integration will result in approximately $150 million of annual synergies to be achieved by the end of 2002. During the first quarter of 2001, the Company estimates that it achieved approximately $25 million in synergies, which represents approximately $100 million on an annual basis. For the full year 2001, management expects that the Company will realize approximately $100 - $120 million of synergies driven by cost reductions. Management anticipates that additional charges may be recorded in 2001 associated with further consolidation activities. Management cannot estimate the amount of these charges at this time, but expects to fund these charges with cash from operations. RESULTS OF OPERATIONS THREE MONTHS ENDED MARCH 31, 2001 COMPARED WITH THREE MONTHS ENDED MARCH 31, 2000 Net income for the three months ended March 31, 2001 increased to $35.7 million from $17.8 million for the three months ended March 31, 2000. The increase in net income was primarily due to an improvement in average revenue per requisition, the realization of synergies from the SBCL integration and a reduction in net interest expense, partially offset by increases in employee compensation costs and investments in our Six Sigma quality initiative, information technology strategy and strategic growth opportunities. Results for the three months ended March 31, 2000 included the effects of testing performed by third parties under our laboratory network management arrangements. As laboratory network manager, we included in our consolidated revenues and expenses the cost of testing performed by third parties. This treatment added $32.4 million to both reported revenues and cost of services for the three months ended March 31, 2000. This treatment also serves to increase cost of services as a percentage of net revenues and decrease selling, general and administrative expenses as a percentage of net revenues. During the first quarter of 2000, we terminated a 16 18 laboratory network management arrangement with Aetna USHealthcare, and entered into a new non-exclusive contract under which we are no longer responsible for the cost of testing performed by third parties. In addition, during the third quarter of 2000, we amended our laboratory network management contract with Oxford Health to remove the financial risk associated with testing performed by third parties. As a result of these contract modifications, we are no longer required to include in our consolidated revenues and expenses, the cost of testing performed by third parties. This impacts the comparability of results between the periods presented and serves to reduce reported net revenues during the three months ended March 31, 2001 by $32.4 million. Net Revenues Excluding the effect of testing performed by third parties under our laboratory network management arrangements in 2000, net revenues for the three months ended March 31, 2001 grew by 7%, compared to the prior year period, primarily due to an increase in average revenue per requisition. The improvement in average revenue per requisition was primarily attributable to improved pricing on managed care business, a shift in test mix to higher value testing and a shift in payer mix to fee-for-service reimbursement. Business contributed to our unconsolidated joint ventures during 2000 in Phoenix, Indianapolis and Dayton reduced our reported requisition volume by approximately 1.5% during the first quarter of 2001, compared to the prior year period. After adjusting for business contributed to unconsolidated joint ventures, clinical testing volume, measured by the number of requisitions, for the first quarter of 2001 increased approximately 1% over the prior year period. Contributing to this increase was our acquisition of the assets of Clinical Laboratories of Colorado, LLC ("CLC"), which increased volume by approximately 1%, and an increase in volume from our principal customers, physicians and hospitals, of approximately 1.5%. Partially offsetting these increases was a decline in testing volumes associated with our drugs of abuse testing business, driven by a general slowing of the economy and a corresponding slowdown in hiring, which reduced total company volume by about 1.5% during the first quarter of 2001, compared to the prior year period. Overall, reported volumes decreased by approximately 1% during the first quarter of 2001, compared to the prior year period. Operating Costs and Expenses Excluding the effect of testing performed by third parties under our laboratory network management arrangements in 2000, total operating costs for the three months ended March 31, 2001 increased approximately $35 million from the year earlier period, primarily due to increases in employee compensation and supply costs partially offset by a reduction in bad debt expense. While our cost structure has been favorably impacted by the synergies realized as a result of the SBCL integration, we continue to make investments to enhance our infrastructure to pursue our overall business strategy. These investments include those related to: - Our Six Sigma quality initiative which we believe will provide us with a competitive advantage in the market place and ultimately serve to reduce costs; - Skills training for all employees, which together with our competitive pay and benefits, helps to increase employee satisfaction and performance, thereby enabling us to provide the best services to our customers; - Our information technology strategy; and - Our strategic growth opportunities such as direct-to-consumer testing. The following discussion and analysis regarding cost of services, selling, general and administrative expenses and bad debt expense exclude the effect of testing performed by third parties under our laboratory network management arrangements in 2000, which serve to increase cost of services as a percentage of net revenues and reduce selling, general and administrative expenses as a percentage of net revenues. Cost of services, which include the costs of obtaining, transporting and testing specimens, decreased during the first quarter of 2001 as a percentage of net revenues to 59.9% from 60.2% a year ago. This decrease was primarily attributable to the improvement in average revenue per requisition, partially offset by increases in employee compensation and supply costs. Selling, general and administrative expenses, which include the costs of the sales force, billing operations, bad debt expense, general management and administrative support, decreased during the first quarter of 2001 as a 17 19 percentage of net revenues to 28.6% from 30.3% in the prior year period. This decrease was primarily due to improvements in average revenue per requisition and bad debt expense, partially offset by an increase in employee compensation costs. During the first quarter of 2001, bad debt expense was 6.3% of net revenues, compared to 7.6% of net revenues in the first quarter of 2000. The improvement in bad debt expense was principally attributable to the significant progress that we have made to improve the overall collection experience of the combined company through process improvements around the collection of diagnosis, patient and insurance information necessary to effectively bill for services performed. Based on prior experience as well as the continued sharing of internal best practices in the billing functions, we believe that substantial opportunities continue to exist to improve our overall collection experience. Interest, Net Net interest expense for the first quarter of 2001 decreased from the prior year period by $7.1 million. This reduction was primarily due to an overall reduction in debt levels, the favorable impact of our receivables financing which has served to lower the weighted average borrowing rate on our outstanding debt and lower interest rates on our variable rate debt. Amortization of Intangible Assets Amortization of intangible assets for the first quarter of 2001 decreased from the prior year period by $0.8 million, principally as a result of adjustments recorded in the third and fourth quarters of 2000 to reduce the amount of goodwill associated with the SBCL acquisition by approximately $130 million. Minority Share of Income Minority share of income for the first quarter of 2001 decreased from the prior year level, primarily due to start up losses associated with a new joint venture in Oklahoma in which we hold a 51% interest. Other, Net Other, net for the first quarter of 2001 increased from the prior year level, primarily due to the write-down of an impaired asset partially offset by an increase in equity earnings from our unconsolidated joint ventures. Income Taxes Our effective tax rate is significantly impacted by goodwill amortization, the majority of which is not deductible for tax purposes, and has the effect of increasing the overall tax rate. The reduction in the effective tax rate for the first quarter of 2001 was primarily due to pretax earnings increasing at a faster rate than goodwill amortization and other non-deductible items. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK We address our exposure to market risks, principally the market risk of changes in interest rates, through a controlled program of risk management that includes the use of derivative financial instruments. We do not hold or issue derivative financial instruments for trading purposes. In accordance with the terms of our credit agreement, we maintain interest rate swap agreements to mitigate the risk of changes in interest rates associated with our variable rate bank debt. We do not believe that our foreign exchange exposure is material to our financial position or results of operations. See Note 1 to the Interim Consolidated Financial Statements for additional information regarding our adoption of Statement of Financial Accounting Standards No. 133, "Accounting for Derivative Instruments and Hedging Activities", as amended. See Note 2 to the Consolidated Financial Statements contained in our 2000 Annual Report on Form 10-K for additional discussion of our financial instruments and hedging activities. 18 20 Interest Rates At both March 31, 2001 and December 31, 2000, the fair value of our debt was estimated at approximately $1.0 billion using quoted market prices and yields for the same or similar types of borrowings, taking into account the underlying terms of the debt instruments. At March 31, 2001 and December 31, 2000, the estimated fair value exceeded the carrying value of the debt by approximately $6 million and $5 million, respectively. An assumed 10% increase in interest rates (representing approximately 100 basis points) would potentially reduce the estimated fair value of our debt by approximately $8 million at March 31, 2001. At both March 31, 2001 and December 31, 2000, we had approximately $848 million of variable interest rate debt outstanding. Our credit agreement requires us to mitigate the risk of changes in interest rates associated with a portion of our variable interest rate indebtedness through the use of interest rate swap agreements. Under such arrangements, we convert a portion of our variable rate indebtedness to fixed rates based on a notional principal amount. The settlement dates are correlated to correspond to the interest payment dates of the hedged debt. During the term of the credit agreement, the notional amounts under the interest rate swap agreements, plus the principal amount outstanding of our fixed interest rate indebtedness, must be at least 50% of our net funded debt (as defined in the credit agreement). At both March 31, 2001 and December 31, 2000, the aggregate notional principal amount under the interest rate swap agreements, which mature at various dates through November 2002, totaled $410 million. At March 31, 2001 and December 31, 2000, the estimated fair value of the interest rate swap agreements approximated a liability of $6 million and $2 million, respectively. An assumed 10% adverse change in interest rates (representing approximately 100 basis points) would potentially increase the estimated fair value of the liability associated with our interest rate swap agreements by approximately $1 million at March 31, 2001. Based on our net exposure to interest rate changes, an assumed 10% increase in interest rates (representing approximately 100 basis points) would result in a $0.4 million reduction in our after-tax earnings and cash flows for the three months ended March 31, 2001 based on debt levels as of March 31, 2001, after considering the impact of our interest rate swap agreements. The primary interest rate exposures on the variable interest rate debt are with respect to interest rates on United States dollars as quoted in the London interbank market. LIQUIDITY AND CAPITAL RESOURCES Cash and cash equivalents at March 31, 2001 totaled $120.7 million, a decrease of $50.7 million from December 31, 2000. Cash flows from operating activities in 2001 provided cash of $40.7 million, which was offset by investing and financing activities which required cash of $91.5 million. Cash and cash equivalents at March 31, 2000 totaled $28.5 million, an increase of $1.2 million from December 31, 1999. Cash flows from operating activities in 2000 provided cash of $33.2 million, which was offset by investing and financing activities which required cash of $32.0 million. Net cash from operating activities for 2001 was $7.6 million higher than the 2000 level. The increase was primarily due to improved operating performance offset by increases in spending associated with the SBCL integration and employee incentive payments. Days sales outstanding, a measure of billing and collection efficiency, improved to 51 days at March 31, 2001 from 56 days at December 31, 2000. Net cash used in investing activities in 2001 was $90.3 million for the first quarter consisting primarily of the acquisition and related transaction costs of $47.2 million to acquire the assets of CLC in Denver, and capital expenditures of $43.6 million. Net cash used in investing activities in 2000 was $20.5 million consisting primarily of capital expenditures of $17.6 million. The increase in capital spending above the prior year level was primarily attributable to facility expansions and reconfigurations initiated as part of our integration plans and information technology investments. Net cash used in financing activities for 2001 and 2000 was $1.2 million and $11.5 million, respectively, reflecting scheduled repayments of debt and distributions to minority partners, offset by proceeds from the exercise of stock options. We estimate that we will invest approximately $140 million to $150 million during 2001 for capital expenditures, principally related to investments in information technology, equipment, and facility upgrades and expansions. Other than the reduction for outstanding letters of credit, which approximated $13 million at March 19 21 31, 2001, all of the revolving credit facility under our credit agreement was available for borrowing at March 31, 2001. We believe that cash from operations and the revolving credit facility under our credit agreement, together with the indemnifications by Corning Incorporated and SmithKline Beecham plc against monetary fines, penalties or losses from outstanding government and other related claims, will provide sufficient financial flexibility to integrate the operations of Quest Diagnostics and SBCL, to meet seasonal working capital requirements and to fund capital expenditures and additional growth opportunities for the foreseeable future. Recent upgrades in the Company's credit ratings by both Standard & Poor's and Moody's Investor Services are expected to have a favorable impact on the Company's cost of and access to capital. Additionally, we believe that our improved financial performance should provide us with access to additional financing, if necessary, to fund growth opportunities which cannot be funded from existing sources. We do not anticipate paying dividends on our common stock in the foreseeable future. Our credit agreement prohibits the payment of cash dividends on our common stock and the indenture governing our 10 3/4% senior subordinated notes due 2006 (the "Indenture") restricts our ability to pay cash dividends on all classes of stock. These restrictions are primarily based on a percentage of the Company's earnings as defined in the Indenture. Additionally, our credit agreement contains various covenants and conditions including the maintenance of certain financial ratios and tests, and restricts our ability to, among other things, incur additional indebtedness and repurchase shares of our outstanding common stock. On February 21, 2001, the Board of Directors approved a two-for-one stock split of the Company's common stock, subject to stockholder approval of an increase in the number of common shares authorized from 100 million shares to 300 million shares. The stock split will be effected by the issuance on May 31, 2001, of a stock dividend of one new share of common stock for each share of common stock held by stockholders of record on May 16, 2001. All references to the number of common shares and per common share amounts, including earnings per common share calculations, have not been restated to reflect this proposed stock dividend, since the stock dividend is contingent upon stockholder approval. On April 25, 2001, the Company signed a definitive agreement to acquire the outstanding voting shares of MedPlus, Inc. ("MedPlus"), a leading developer and integrator of clinical connectivity and data management solutions for healthcare organizations and clinicians. The agreement calls for the Company to pay $2 per share in cash for the remaining 82% of voting shares of MedPlus it does not currently own. The closing of this transaction, which also is dependent on approval by MedPlus shareholders, is expected to occur after the MedPlus annual meeting in June 2001. At the closing of the acquisition, the Company expects to use existing cash to fund the purchase price (estimated at approximately $18 million) and related transaction costs of the acquisition. The acquisition of MedPlus is expected to be accounted for under the purchase method of accounting. EBITDA EBITDA represents income before income taxes, net interest expense, depreciation and amortization. EBITDA is presented and discussed because management believes that EBITDA is a useful adjunct to net income and other measurements under accounting principles generally accepted in the United States of America since it is a meaningful measure of a company's performance and ability to meet its future debt service requirements, fund capital expenditures and meet working capital requirements. EBITDA is not a measure of financial performance under accounting principles generally accepted in the United States of America and should not be considered as an alternative to (i) net income (or any other measure of performance under accounting principles generally accepted in the United States of America) as a measure of performance or (ii) cash flows from operating, investing or financing activities as an indicator of cash flows or as a measure of liquidity. EBITDA for the first quarter of 2001 improved to $122.4 million, or 13.9% of net revenues, from $98.1 million, or 11.4% of net revenues, in the prior year period. The improvement in EBITDA is primarily due to improvements in the average revenue per requisition and cost synergies resulting from the SBCL integration, partially offset by increases in employee compensation costs and investments in our Six Sigma quality initiative, information technology strategy and strategic growth opportunities. 20 22 FORWARD LOOKING STATEMENTS Some statements and disclosures in this document are forward-looking statements. Forward-looking statements include all statements that do not relate solely to historical or current facts and can be identified by the use of words such as "may", "believe", "will", "expect", "project", "estimate", "anticipate", "plan" or "continue". These forward-looking statements are based on our current plans and expectations and are subject to a number of risks and uncertainties that could significantly cause our plans and expectations, including actual results, to differ materially from the forward-looking statements. The Private Securities Litigation Reform Act of 1995 provides a "safe harbor" for forward-looking statements to encourage companies to provide prospective information about their companies without fear of litigation. We would like to take advantage of the "safe harbor" provisions of the Litigation Reform Act in connection with the forward-looking statements included in this document. The risks and other factors that could cause our actual financial results to differ materially from those projected, forecasted or estimated by us in forward-looking statements are detailed in our 2000 Annual Report on Form 10-K. 21 23 PART II - OTHER INFORMATION ITEM 1. LEGAL PROCEEDINGS See Note 4 to the interim consolidated financial statements for information regarding the status of government investigations and private claims, including those related to SBCL. ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K (a) Exhibits: Exhibit Number Description None. (b) Reports on Form 8-K: On March 15, 2001, the Company filed a current report on Form 8-K in accordance with Regulation FD (Fair Disclosure) requirements. 22 24 SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. May 2, 2001 Quest Diagnostics Incorporated By /s/Kenneth W. Freeman ----------------------- Kenneth W. Freeman Chairman of the Board and Chief Executive Officer By /s/Robert A. Hagemann ----------------------- Robert A. Hagemann Corporate Vice President and Chief Financial Officer 23