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BUSINESS SEGMENT INFORMATION (Details) (USD $)
3 Months Ended 12 Months Ended
Dec. 31, 2011
Sep. 30, 2011
Jun. 30, 2011
Mar. 31, 2011
Dec. 31, 2010
Sep. 30, 2010
Jun. 30, 2010
Mar. 31, 2010
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2009
Percentage of net revenues from clinical testing business 90.00%       90.00%       90.00% 90.00% 90.00%
Provision for special charge Medi-Cal matter       $ 236,000,000         $ 236,000,000    
Total net revenues 1,879,307,000 [1],[2] 1,906,405,000 [1],[3] 1,903,201,000 [1],[4],[5] 1,821,577,000 [1],[6] 1,824,040,000 [1],[7] 1,864,655,000 [1],[8] 1,874,727,000 [1] 1,805,503,000 [1],[9] 7,510,490,000 [1] 7,368,925,000 [1] 7,455,243,000
Total operating income                 995,048,000 1,295,535,000 1,359,111,000
Income from continuing operations before taxes                 856,232,000 1,184,335,000 1,227,932,000
Non-operating expenses, net                 (138,816,000) (111,200,000) (131,179,000)
Income tax expense                 349,000,000 425,531,000 460,474,000
Income (loss) from continuing operations 199,343,000 [1],[2] 182,143,000 [1],[3] 172,034,000 [1],[4],[5] (46,288,000) [1],[6] 175,341,000 [1],[7] 208,116,000 [1],[8] 204,142,000 [1] 171,205,000 [1],[9] 507,232,000 [1] 758,804,000 [1] 767,458,000
Loss from discontinued operations, net of taxes                 (1,582,000) (1,787,000) (1,236,000)
Net income 198,892,000 [1],[2] 181,893,000 [1],[3] 171,527,000 [1],[4],[5] (46,662,000) [1],[6] 174,232,000 [1],[7] 207,756,000 [1],[8] 203,876,000 [1] 171,153,000 [1],[9] 505,650,000 [1] 757,017,000 [1] 766,222,000
Less: Net income attributable to noncontrolling interests 9,455,000 [1],[2] 10,045,000 [1],[3] 8,384,000 [1],[4],[5] 7,199,000 [1],[6] 8,476,000 [1],[7] 9,681,000 [1],[8] 9,261,000 [1] 8,705,000 [1],[9] 35,083,000 [1] 36,123,000 [1] 37,111,000
Net income attributable to Quest Diagnostics 189,437,000 [1],[2] 171,848,000 [1],[3] 163,143,000 [1],[4],[5] (53,861,000) [1],[6] 165,756,000 [1],[7] 198,075,000 [1],[8] 194,615,000 [1] 162,448,000 [1],[9] 470,567,000 [1] 720,894,000 [1] 729,111,000
Pre tax losses on extinguishment of debt                     20,000,000
Discrete tax benefits 12,600,000 7,900,000       14,400,000     12,600,000    
Depreciation and amortization                 281,102,000 253,964,000 256,687,000
Capital expenditures                 161,556,000 205,400,000 166,928,000
Clinical laboratory testing business [Member]
                     
Total net revenues                 6,814,456,000 6,738,604,000 6,824,149,000
Total operating income                 1,403,797,000 1,424,173,000 1,491,131,000
Depreciation and amortization                 188,820,000 194,655,000 200,905,000
Capital expenditures                 132,024,000 166,445,000 136,248,000
All other operating segments [Member]
                     
Total net revenues                 696,034,000 630,321,000 631,094,000
Total operating income                 73,356,000 44,314,000 59,862,000
Depreciation and amortization                 21,356,000 17,457,000 17,337,000
Capital expenditures                 22,706,000 29,803,000 23,592,000
General corporate expenses [Member]
                     
Total operating income                 (482,105,000) (172,952,000) (191,882,000)
Depreciation and amortization                 70,926,000 41,852,000 38,445,000
Capital expenditures                 $ 6,826,000 $ 9,152,000 $ 7,088,000
[1] (a) During the third quarter of 2006, the Company completed its wind down of NID and classified the operations of NID as discontinued operations. Results of operations have been prepared to report the results of NID as discontinued operations for all periods presented (see Note 17).
[2] (f) Includes restructuring and integration charges of $5.7 million of which $8.7 million is principally associated with professional fees incurred in conjunction with further restructuring and integrating the Company. The remainder is primarily associated with the reversal of certain previously established reserves for restructuring activities, principally associated with workforce reductions. Of the total $5.7 million, $8.4 million was included in selling, general and administrative expenses, with the remaining $2.7 million representing a reduction in cost of services. Also includes pre-tax charges of $5.6 million, principally representing severance and other separation benefits as well as accelerated vesting of certain equity awards in connection with the succession of the Company's CEO. In addition, results for the fourth quarter also include discrete income tax benefits of $12.6 million.
[3] (e) Includes pre-tax charges of $27.3 million, principally associated with workforce reductions. Of these costs, $15.9 million and $11.4 million were included in cost of services and selling, general and administrative expenses, respectively. Also includes discrete income tax benefits of $7.9 million.
[4] (c) On April 4, 2011, we completed the acquisition of Athena. On May 17, 2011, we completed the acquisition of Celera (see Note 4).
[5] (d) Includes pre-tax transaction costs of $15.1 million associated with the acquisitions of Athena and Celera (see Note 4). Of these costs, $14.3 million, primarily related to professional fees, were recorded in selling, general and administrative expenses and $0.8 million of financing related costs were included in interest expense, net. In addition, results for the second quarter include $6.0 million of pre-tax integration charges, primarily associated with workforce reductions, related to the acqusitions of Athena and Celera.
[6] (b) Includes a pre-tax charge in "other operating expense (income), net" in the first quarter of 2011 of $236 million, associated with the settlement of the California Lawsuit (see Note 16). Also includes $13.3 million of pre-tax charges, principally associated with workforce reductions. Of these costs, $9.0 million and $4.3 million were included in cost of services and selling, general and administrative expenses, respectively. Results for the first quarter also includes $4.7 million of pre-tax transaction costs, associated with the acquisitions of Athena and Celera (see Note 4). Of these costs, $2.3 million, primarily related to professional and filing fees, was recorded in selling, general and administrative expenses and $2.4 million of financing related costs were recorded in interest expense, net. In addition, management estimates that the impact of severe weather during the first quarter adversely affected operating income by $18.5 million.
[7] (i) Includes $9.6 million of pre-tax charges, primarily related to workforce reductions. Of these costs, $1.9 million and $7.7 million were included in cost of services and selling, general and administrative expenses, respectively. In addition, the Company recorded pre-tax charges of $9.6 million associated with the settlement of employment litigation. Results for the fourth quarter of 2010 also include discrete income tax benefits of $9.1 million.
[8] (h) Includes discrete income tax benefits of $14.4 million.
[9] (g) Includes pre-tax charges of $17.3 million, principally associated with workforce reductions. Of these costs, $4.5 million and $12.8 million were included in cost of services and selling, general and administrative expenses, respectively. In addition, management estimates that the impact of severe weather during the first quarter of 2010 adversely affected operating income by $14.1 million.