UNITED STATES |
SECURITIES AND EXCHANGE COMMISSION |
WASHINGTON, DC 20549 |
Large accelerated filer x | Accelerated filer o |
Non-accelerated filer o (Do not check if a smaller reporting company) | Smaller reporting company o |
Emerging growth company o |
Page | ||
Item 1. Financial Statements | ||
Index to unaudited consolidated financial statements filed as part of this report: | ||
Three Months Ended March 31, | |||||||
2018 | 2017 | ||||||
Net revenues | $ | 1,884 | $ | 1,817 | |||
Operating costs and expenses and other operating income: | |||||||
Cost of services | 1,226 | 1,165 | |||||
Selling, general and administrative | 363 | 355 | |||||
Amortization of intangible assets | 22 | 17 | |||||
Other operating expense, net | 1 | 1 | |||||
Total operating costs and expenses, net | 1,612 | 1,538 | |||||
Operating income | 272 | 279 | |||||
Other income (expense): | |||||||
Interest expense, net | (41 | ) | (36 | ) | |||
Other (expense) income, net | (2 | ) | 3 | ||||
Total non-operating expenses, net | (43 | ) | (33 | ) | |||
Income before income taxes and equity in earnings of equity method investees | 229 | 246 | |||||
Income tax expense | (52 | ) | (78 | ) | |||
Equity in earnings of equity method investees, net of taxes | 12 | 7 | |||||
Net income | 189 | 175 | |||||
Less: Net income attributable to noncontrolling interests | 12 | 11 | |||||
Net income attributable to Quest Diagnostics | $ | 177 | $ | 164 | |||
Earnings per share attributable to Quest Diagnostics’ common stockholders: | |||||||
Basic | $ | 1.30 | $ | 1.19 | |||
Diluted | $ | 1.27 | $ | 1.16 | |||
Weighted average common shares outstanding: | |||||||
Basic | 136 | 137 | |||||
Diluted | 139 | 141 | |||||
Dividends per common share | $ | 0.50 | $ | 0.45 |
Three Months Ended March 31, | |||||||
2018 | 2017 | ||||||
Net income | $ | 189 | $ | 175 | |||
Other comprehensive income (loss): | |||||||
Currency translation | 6 | 4 | |||||
Net deferred loss on cash flow hedges, net of taxes | 1 | — | |||||
Other comprehensive income | 7 | 4 | |||||
Comprehensive income | 196 | 179 | |||||
Less: Comprehensive income attributable to noncontrolling interests | 12 | 11 | |||||
Comprehensive income attributable to Quest Diagnostics | $ | 184 | $ | 168 |
March 31, 2018 | December 31, 2017 | ||||||
Assets | |||||||
Current assets: | |||||||
Cash and cash equivalents | $ | 124 | $ | 137 | |||
Accounts receivable, net of allowance for doubtful accounts of $6 and $8 as of March 31, 2018 and December 31, 2017, respectively | 1,026 | 924 | |||||
Inventories | 94 | 95 | |||||
Prepaid expenses and other current assets | 127 | 150 | |||||
Total current assets | 1,371 | 1,306 | |||||
Property, plant and equipment, net | 1,156 | 1,145 | |||||
Goodwill | 6,392 | 6,335 | |||||
Intangible assets, net | 1,174 | 1,119 | |||||
Investment in equity method investees | 474 | 462 | |||||
Other assets | 128 | 136 | |||||
Total assets | $ | 10,695 | $ | 10,503 | |||
Liabilities and Stockholders’ Equity | |||||||
Current liabilities: | |||||||
Accounts payable and accrued expenses | $ | 976 | $ | 1,021 | |||
Current portion of long-term debt | 141 | 36 | |||||
Total current liabilities | 1,117 | 1,057 | |||||
Long-term debt | 3,718 | 3,748 | |||||
Other liabilities | 717 | 663 | |||||
Commitments and contingencies | |||||||
Redeemable noncontrolling interest | 77 | 80 | |||||
Stockholders’ equity: | |||||||
Quest Diagnostics stockholders’ equity: | |||||||
Common stock, par value $0.01 per share; 600 shares authorized as of both March 31, 2018 and December 31, 2017; 217 and 216 shares issued as of March 31, 2018 and December 31, 2017, respectively | 2 | 2 | |||||
Additional paid-in capital | 2,616 | 2,612 | |||||
Retained earnings | 7,249 | 7,138 | |||||
Accumulated other comprehensive loss | (41 | ) | (48 | ) | |||
Treasury stock, at cost; 81 shares as of both March 31, 2018 and December 31, 2017 | (4,796 | ) | (4,783 | ) | |||
Total Quest Diagnostics stockholders’ equity | 5,030 | 4,921 | |||||
Noncontrolling interests | 36 | 34 | |||||
Total stockholders’ equity | 5,066 | 4,955 | |||||
Total liabilities and stockholders’ equity | $ | 10,695 | $ | 10,503 |
Three Months Ended March 31, | |||||||
2018 | 2017 | ||||||
Cash flows from operating activities: | |||||||
Net income | $ | 189 | $ | 175 | |||
Adjustments to reconcile net income to net cash provided by operating activities: | |||||||
Depreciation and amortization | 74 | 62 | |||||
Provision for doubtful accounts | 3 | 2 | |||||
Deferred income tax provision | 24 | 11 | |||||
Stock-based compensation expense | 19 | 17 | |||||
Other, net | (1 | ) | 1 | ||||
Changes in operating assets and liabilities: | |||||||
Accounts receivable | (97 | ) | (35 | ) | |||
Accounts payable and accrued expenses | (68 | ) | (95 | ) | |||
Income taxes payable | 5 | 63 | |||||
Other assets and liabilities, net | 32 | (5 | ) | ||||
Net cash provided by operating activities | 180 | 196 | |||||
Cash flows from investing activities: | |||||||
Business acquisitions, net of cash acquired | (130 | ) | (1 | ) | |||
Capital expenditures | (73 | ) | (42 | ) | |||
Increase in investments and other assets | (1 | ) | (4 | ) | |||
Net cash used in investing activities | (204 | ) | (47 | ) | |||
Cash flows from financing activities: | |||||||
Proceeds from borrowings | 935 | — | |||||
Repayments of debt | (832 | ) | (2 | ) | |||
Purchases of treasury stock | (50 | ) | (150 | ) | |||
Exercise of stock options | 34 | 46 | |||||
Employee payroll tax withholdings on stock issued under stock-based compensation plans | (20 | ) | (22 | ) | |||
Dividends paid | (61 | ) | (62 | ) | |||
Distributions to noncontrolling interests | (15 | ) | (9 | ) | |||
Sale of noncontrolling interest in subsidiaries | 2 | — | |||||
Other financing activities, net | 18 | 33 | |||||
Net cash provided by (used in) financing activities | 11 | (166 | ) | ||||
Net change in cash and cash equivalents and restricted cash | (13 | ) | (17 | ) | |||
Cash and cash equivalents and restricted cash, beginning of period | 137 | 384 | |||||
Cash and cash equivalents and restricted cash, end of period | $ | 124 | $ | 367 | |||
Cash and cash equivalents | $ | 124 | $ | 367 | |||
Restricted cash | — | — | |||||
Cash and cash equivalents and restricted cash, end of period | $ | 124 | $ | 367 |
Quest Diagnostics Stockholders’ Equity | |||||||||||||||||||||||||||||||||||
Shares of Common Stock Outstanding | Common Stock | Additional Paid-In Capital | Retained Earnings | Accumulated Other Compre- hensive Loss | Treasury Stock, at Cost | Non- controlling Interests | Total Stock- holders’ Equity | Redeemable Non-controlling Interest | |||||||||||||||||||||||||||
Balance, December 31, 2017 | 135 | $ | 2 | $ | 2,612 | $ | 7,138 | $ | (48 | ) | $ | (4,783 | ) | $ | 34 | $ | 4,955 | $ | 80 | ||||||||||||||||
Net income | 177 | 11 | 188 | 1 | |||||||||||||||||||||||||||||||
Other comprehensive income, net of taxes | 7 | 7 | |||||||||||||||||||||||||||||||||
Dividends declared | (66 | ) | (66 | ) | |||||||||||||||||||||||||||||||
Distributions to noncontrolling interests | (11 | ) | (11 | ) | (4 | ) | |||||||||||||||||||||||||||||
Issuance of common stock under benefit plans | — | — | 4 | 4 | 8 | ||||||||||||||||||||||||||||||
Stock-based compensation expense | 18 | 1 | 19 | ||||||||||||||||||||||||||||||||
Exercise of stock options | 1 | 2 | 32 | 34 | |||||||||||||||||||||||||||||||
Shares to cover employee payroll tax withholdings on stock issued under stock-based compensation plans | — | — | (20 | ) | (20 | ) | |||||||||||||||||||||||||||||
Purchases of treasury stock | — | (50 | ) | (50 | ) | ||||||||||||||||||||||||||||||
Sale of noncontrolling interest in subsidiaries | 2 | 2 | |||||||||||||||||||||||||||||||||
Balance, March 31, 2018 | 136 | $ | 2 | $ | 2,616 | $ | 7,249 | $ | (41 | ) | $ | (4,796 | ) | $ | 36 | $ | 5,066 | $ | 77 | ||||||||||||||||
Balance, December 31, 2016 | 137 | $ | 2 | $ | 2,545 | $ | 6,613 | $ | (72 | ) | $ | (4,460 | ) | $ | 32 | $ | 4,660 | $ | 77 | ||||||||||||||||
Net income | 164 | 10 | 174 | 1 | |||||||||||||||||||||||||||||||
Other comprehensive income, net of taxes | 4 | 4 | |||||||||||||||||||||||||||||||||
Dividends declared | (62 | ) | (62 | ) | |||||||||||||||||||||||||||||||
Distributions to noncontrolling interests | (9 | ) | (9 | ) | |||||||||||||||||||||||||||||||
Issuance of common stock under benefit plans | 1 | 2 | 3 | 5 | |||||||||||||||||||||||||||||||
Stock-based compensation expense | 16 | 1 | 17 | ||||||||||||||||||||||||||||||||
Exercise of stock options | 1 | 1 | 45 | 46 | |||||||||||||||||||||||||||||||
Shares to cover employee payroll tax withholdings on stock issued under stock-based compensation plans | (22 | ) | (22 | ) | |||||||||||||||||||||||||||||||
Purchases of treasury stock | (2 | ) | (150 | ) | (150 | ) | |||||||||||||||||||||||||||||
Balance, March 31, 2017 | 137 | $ | 2 | $ | 2,542 | $ | 6,715 | $ | (68 | ) | $ | (4,561 | ) | $ | 33 | $ | 4,663 | $ | 78 |
As Previously Reported | Adjustment for New Accounting Standard on Revenue Recognition | As Restated | |||||||||
Three Months Ended March 31, 2017 | |||||||||||
Consolidated Statement of Operations: | |||||||||||
Net revenues | $ | 1,899 | $ | (82 | ) | $ | 1,817 | ||||
Selling, general and administrative expenses | $ | 437 | $ | (82 | ) | $ | 355 | ||||
Net income attributable to Quest Diagnostics | $ | 164 | $ | — | $ | 164 | |||||
Consolidated Statements of Cash Flows: | |||||||||||
Provision for doubtful accounts | $ | 84 | $ | (82 | ) | $ | 2 | ||||
Changes in operating assets and liabilities: | |||||||||||
Accounts receivable | $ | (117 | ) | $ | 82 | $ | (35 | ) | |||
Balance, December 31, 2017 | |||||||||||
Consolidated Balance Sheets: | |||||||||||
Accounts receivable | $ | 1,193 | $ | (261 | ) | $ | 932 | ||||
Allowance for doubtful accounts | $ | 269 | $ | (261 | ) | $ | 8 | ||||
Accounts receivable, net of allowance for doubtful accounts | $ | 924 | $ | — | $ | 924 |
• | Amounts generally described as restricted cash and restricted cash equivalents are now presented with cash and cash equivalents when reconciling the beginning-of-period and end-of-period total amounts shown on the statement of cash flows. As a result of adoption, there was no impact to cash flows from operating, investing or financing activities for the three months ended March 31, 2018 and no impact to cash flows from operating or financing activities for the three months ended March 31, 2017. $25 million of escrow proceeds associated with the disposition of the Focus Diagnostics products business in May 2016, which was previously reported as a cash inflow from investing activities for the three months ended March 31, 2017, is no longer presented within the net change in cash and cash equivalents and restricted cash as it is included in the beginning-of-period balance of restricted cash. Refer to Note 6 to the consolidated financial statements contained in the Company’s 2017 Annual Report on Form 10-K for more information regarding the disposition of the Focus Diagnostics products business. |
• | The classification of how certain cash receipts and payments are presented within the statement of cash flows has been clarified. As a result, cash payments for debt retirement costs are now presented as a financing cash outflow in the consolidated statement of cash flows. There were no debt retirement costs for the three months ended March 31, 2018 and 2017. |
Three Months Ended March 31, | |||||
2018 | 2017 | ||||
Healthcare insurers: | |||||
Fee-for-service | 34 | % | 33 | % | |
Capitated | 4 | 4 | |||
Total healthcare insurers | 38 | 37 | |||
Government payers | 16 | 17 | |||
Client payers | 30 | 30 | |||
Patient | 12 | 11 | |||
Total DIS | 96 | 95 | |||
DS | 4 | 5 | |||
Net revenues | 100 | % | 100 | % |
Three Months Ended March 31, | |||||||
2018 | 2017 | ||||||
Amounts attributable to Quest Diagnostics’ common stockholders: | |||||||
Net income attributable to Quest Diagnostics | $ | 177 | $ | 164 | |||
Less: Earnings allocated to participating securities | 1 | 1 | |||||
Earnings available to Quest Diagnostics’ common stockholders – basic and diluted | $ | 176 | $ | 163 | |||
Weighted average common shares outstanding – basic | 136 | 137 | |||||
Effect of dilutive securities: | |||||||
Stock options and performance share units | 3 | 4 | |||||
Weighted average common shares outstanding – diluted | 139 | 141 | |||||
Earnings per share attributable to Quest Diagnostics’ common stockholders: | |||||||
Basic | $ | 1.30 | $ | 1.19 | |||
Diluted | $ | 1.27 | $ | 1.16 |
Three Months Ended March 31, | |||||
2018 | 2017 | ||||
Stock options | 2 | 1 |
Three Months Ended March 31, | |||||||
2018 | 2017 | ||||||
Employee separation costs | $ | 11 | $ | 3 | |||
Facility-related costs | 1 | — | |||||
Total restructuring charges | $ | 12 | $ | 3 |
Basis of Fair Value Measurements | |||||||||||||||
Quoted Prices in Active Markets for Identical Assets / Liabilities | Significant Other Observable Inputs | Significant Unobservable Inputs | |||||||||||||
March 31, 2018 | Total | Level 1 | Level 2 | Level 3 | |||||||||||
Assets: | |||||||||||||||
Trading securities | $ | 57 | $ | 57 | $ | — | $ | — | |||||||
Cash surrender value of life insurance policies | 36 | — | 36 | — | |||||||||||
Equity securities | 2 | 2 | — | — | |||||||||||
Total | $ | 95 | $ | 59 | $ | 36 | $ | — | |||||||
Liabilities: | |||||||||||||||
Interest rate swaps | $ | 114 | $ | — | $ | 114 | $ | — | |||||||
Deferred compensation liabilities | 102 | — | 102 | $ | — | ||||||||||
Contingent consideration | 20 | — | — | 20 | |||||||||||
Total | $ | 236 | $ | — | $ | 216 | $ | 20 |
Basis of Fair Value Measurements | |||||||||||||||
December 31, 2017 | Total | Level 1 | Level 2 | Level 3 | |||||||||||
Assets: | |||||||||||||||
Trading securities | $ | 58 | $ | 58 | $ | — | $ | — | |||||||
Cash surrender value of life insurance policies | 37 | — | 37 | — | |||||||||||
Equity securities | 2 | 2 | — | — | |||||||||||
Total | $ | 97 | $ | 60 | $ | 37 | $ | — | |||||||
Liabilities: | |||||||||||||||
Deferred compensation liabilities | $ | 103 | $ | — | $ | 103 | $ | — | |||||||
Interest rate swaps | 89 | — | 89 | — | |||||||||||
Contingent consideration | 7 | — | — | 7 | |||||||||||
Total | $ | 199 | $ | — | $ | 192 | $ | 7 |
Contingent Consideration | |||
Balance, December 31, 2017 | $ | 7 | |
Purchases, additions and issuances | 12 | ||
Settlements | — | ||
Total gains/losses - realized/unrealized: | |||
Included in earnings | 1 | ||
Balance, March 31, 2018 | $ | 20 |
March 31, 2018 | December 31, 2017 | ||||||
Balance, beginning of period | $ | 6,335 | $ | 6,000 | |||
Goodwill acquired during the period | 57 | 335 | |||||
Balance, end of period | $ | 6,392 | $ | 6,335 |
Weighted Average Amortization Period (in years) | March 31, 2018 | December 31, 2017 | |||||||||||||||||||||||
Cost | Accumulated Amortization | Net | Cost | Accumulated Amortization | Net | ||||||||||||||||||||
Amortizing intangible assets: | |||||||||||||||||||||||||
Customer-related | 18 | $ | 1,284 | $ | (422 | ) | $ | 862 | $ | 1,210 | $ | (404 | ) | $ | 806 | ||||||||||
Non-compete agreements | 7 | 7 | (5 | ) | 2 | 7 | (5 | ) | 2 | ||||||||||||||||
Technology | 17 | 96 | (46 | ) | 50 | 95 | (45 | ) | 50 | ||||||||||||||||
Other | 9 | 107 | (83 | ) | 24 | 105 | (80 | ) | 25 | ||||||||||||||||
Total | 17 | 1,494 | (556 | ) | 938 | 1,417 | (534 | ) | 883 | ||||||||||||||||
Intangible assets not subject to amortization: | |||||||||||||||||||||||||
Trade names | 235 | — | 235 | 235 | — | 235 | |||||||||||||||||||
Other | 1 | — | 1 | 1 | — | 1 | |||||||||||||||||||
Total intangible assets | $ | 1,730 | $ | (556 | ) | $ | 1,174 | $ | 1,653 | $ | (534 | ) | $ | 1,119 |
Year Ending December 31, | |||
Remainder of 2018 | $ | 66 | |
2019 | 87 | ||
2020 | 86 | ||
2021 | 80 | ||
2022 | 77 | ||
2023 | 76 | ||
Thereafter | 466 | ||
Total | $ | 938 |
Notional Amount | ||||||||
Debt Instrument | March 31, 2018 | December 31, 2017 | ||||||
4.25% Senior Notes due April 2024 | $ | 250 | $ | 250 | ||||
3.50% Senior Notes due March 2025 | 600 | 600 | ||||||
3.45% Senior Notes due June 2026 | 350 | 350 | ||||||
$ | 1,200 | $ | 1,200 |
Carrying Amount of Hedged Long-Term Debt | Hedge Accounting Basis Adjustment (a) | Carrying Amount of Hedged Long-Term Debt | Hedge Accounting Basis Adjustment (a) | ||||||||||||||
Balance Sheet Classification | March 31, 2018 | March 31, 2018 | December 31, 2017 | December 31, 2017 | |||||||||||||
Long-term debt | $ | 1,106 | $ | (62 | ) | $ | 1,132 | $ | (33 | ) |
Three Months Ended March 31, | |||||||||
2018 | 2017 | ||||||||
Other (expense) income, net | Other (expense) income, net | ||||||||
Total for line item in which the effects of fair value hedges are recorded | $ | (2 | ) | $ | 3 | ||||
Gain (loss) on fair value hedging relationships: | |||||||||
Hedged items (Long-term debt) | $ | 25 | $ | — | |||||
Derivatives designated as hedging instruments | $ | (25 | ) | $ | — |
March 31, 2018 | December 31, 2017 | |||||||||||
Derivatives Designated as Hedging Instruments | Balance Sheet Classification | Fair Value | Balance Sheet Classification | Fair Value | ||||||||
Interest rate swaps | Other liabilities | $ | 114 | Other liabilities | $ | 89 |
• | Foreign currency translation adjustments; |
• | Net deferred loss on cash flow hedges, which represents deferred losses, net of tax on interest rate related derivative financial instruments designated as cash flow hedges, net of amounts reclassified to interest expense (see Note 10). |
Three Months Ended March 31, | |||||||
2018 | 2017 | ||||||
Depreciation expense | $ | 52 | $ | 45 | |||
Amortization expense | 22 | 17 | |||||
Depreciation and amortization expense | $ | 74 | $ | 62 | |||
Interest expense | $ | (41 | ) | $ | (37 | ) | |
Interest income | — | 1 | |||||
Interest expense, net | $ | (41 | ) | $ | (36 | ) | |
Interest paid | $ | 49 | $ | 46 | |||
Income taxes paid | $ | 2 | $ | 8 | |||
Accounts payable associated with capital expenditures | $ | 16 | $ | 12 | |||
Dividends payable | $ | 66 | $ | 62 | |||
Businesses acquired: | |||||||
Fair value of assets acquired | $ | 148 | $ | 1 | |||
Fair value of liabilities assumed | (1 | ) | — | ||||
Fair value of net assets acquired | 147 | 1 | |||||
Merger consideration paid (payable), net | (12 | ) | — | ||||
Cash paid for business acquisitions | 135 | 1 | |||||
Less: Cash acquired | 5 | — | |||||
Business acquisitions, net of cash acquired | $ | 130 | $ | 1 |
Three Months Ended March 31, | |||||||
2018 | 2017 | ||||||
Net revenues: | |||||||
DIS business | $ | 1,803 | $ | 1,730 | |||
All other operating segments | 81 | 87 | |||||
Total net revenues | $ | 1,884 | $ | 1,817 | |||
Operating earnings (loss): | |||||||
DIS business | $ | 308 | $ | 306 | |||
All other operating segments | 11 | 13 | |||||
General corporate activities | (47 | ) | (40 | ) | |||
Total operating income | 272 | 279 | |||||
Non-operating expenses, net | (43 | ) | (33 | ) | |||
Income before income taxes and equity in earnings of equity method investees | 229 | 246 | |||||
Income tax expense | (52 | ) | (78 | ) | |||
Equity in earnings of equity method investees, net of taxes | 12 | 7 | |||||
Net income | 189 | 175 | |||||
Less: Net income attributable to noncontrolling interests | 12 | 11 | |||||
Net income attributable to Quest Diagnostics | $ | 177 | $ | 164 |
Item 2. | Management’s Discussion and Analysis of Financial Condition and Results of Operations |
• | Our total net revenues of $1.9 billion were 3.7% above the prior year period. We estimate that weather negatively impacted revenue growth by 0.6%. |
• | In our DIS business: |
◦ | Revenues of $1.8 billion increased by 4.1% compared to the prior year period. We estimate that reduced reimbursement due to the Protecting Access to Medicare Act ("PAMA") negatively impacted DIS revenue growth by 0.5%. |
◦ | Volume, measured by the number of requisitions, increased 2.2% compared to the prior year period. |
◦ | Revenue per requisition increased by 1.6% compared to the prior year period. |
• | DS revenues of $81 million were 5.3% below the prior year period primarily associated with our risk assessment services. |
• | Operating income was $272 million in 2018, a decrease of $7 million compared to the prior year period primarily due to higher restructuring costs associated with workforce reductions and the impact of weather. |
• | Net income attributable to Quest Diagnostics' stockholders was $177 million, or $1.27 per diluted share, in 2018, compared to $164 million, or $1.16 per diluted share, in the prior year period. For the three months ended March 31, 2018, net income attributable to Quest Diagnostics and diluted EPS benefited from the lower corporate income tax rate as a result of the Tax Cuts and Jobs Act ("TCJA"). |
• | Net cash provided by operating activities was $180 million in 2018, compared to $196 million in the prior year period. The $16 million decrease in net cash provided by operating activities was primarily a result of timing of movements in our working capital accounts. |
Three Months Ended March 31, | ||||||||||||||
2018 | 2017 | Increase (Decrease) | % Increase (Decrease) | |||||||||||
(dollars in millions, except per share amounts) | ||||||||||||||
Net revenues: | ||||||||||||||
DIS business | $ | 1,803 | $ | 1,730 | $ | 73 | 4.1 | % | ||||||
DS businesses | 81 | 87 | (6 | ) | (5.3 | ) | ||||||||
Total net revenues | $ | 1,884 | $ | 1,817 | $ | 67 | 3.7 | % | ||||||
Operating costs and expenses and other operating income: | ||||||||||||||
Cost of services | $ | 1,226 | $ | 1,165 | $ | 61 | 5.2 | % | ||||||
Selling, general and administrative | 363 | 355 | 8 | 2.2 | ||||||||||
Amortization of intangible assets | 22 | 17 | 5 | NM | ||||||||||
Other operating expense, net | 1 | 1 | — | NM | ||||||||||
Total operating costs and expenses, net | $ | 1,612 | $ | 1,538 | $ | 74 | 4.8 | % | ||||||
Operating income | $ | 272 | $ | 279 | $ | (7 | ) | (2.5 | )% | |||||
Other income (expense): | ||||||||||||||
Interest expense, net | $ | (41 | ) | $ | (36 | ) | $ | 5 | 12.7 | % | ||||
Other (expense) income, net | (2 | ) | 3 | 5 | NM | |||||||||
Total non-operating expenses, net | $ | (43 | ) | $ | (33 | ) | $ | 10 | 31.3 | % | ||||
Income tax expense | $ | (52 | ) | $ | (78 | ) | $ | (26 | ) | (34.3 | )% | |||
Effective income tax rate | 22.5 | % | 31.8 | % | (930) bps | NM | ||||||||
Equity in earnings of equity method investees, net of taxes | $ | 12 | $ | 7 | $ | 5 | 68.9 | % | ||||||
Net income attributable to Quest Diagnostics | $ | 177 | $ | 164 | $ | 13 | 8.2 | % | ||||||
Diluted earnings per common share attributable to Quest Diagnostics’ common stockholders | $ | 1.27 | $ | 1.16 | $ | 0.11 | 9.5 | % | ||||||
NM - Not Meaningful |
Three Months Ended March 31, | |||||
2018 | 2017 | ||||
Net revenues: | |||||
DIS business | 95.7 | % | 95.3 | % | |
DS businesses | 4.3 | 4.7 | |||
Total net revenues | 100.0 | % | 100.0 | % | |
Operating costs and expenses and other operating income: | |||||
Cost of services | 65.1 | % | 64.1 | % | |
Selling, general and administrative | 19.2 | 19.5 | |||
Amortization of intangible assets | 1.1 | 0.9 | |||
Other operating expense, net | 0.1 | 0.1 | |||
Total operating costs and expenses, net | 85.5 | % | 84.6 | % | |
Operating income | 14.5 | % | 15.4 | % | |
Bad debt expense | 0.2 | % | 0.1 | % |
• | pre-tax charges of $31 million ($12 million in cost of services, $18 million in selling, general and administrative expenses, and $1 million in other operating expense, net), or $0.17 per diluted share, primarily associated with workforce reductions, systems conversions and integration incurred in connection with further restructuring and integrating our business; partially offset by |
• | excess tax benefits associated with stock-based compensation arrangements of $8 million, or $0.06 per diluted share, recorded in income tax expense. |
• | pre-tax charges of $18 million ($10 million in cost of services and $8 million in selling, general and administrative expenses), or $0.08 per diluted share, primarily associated with systems conversions and integration incurred in connection with further restructuring and integrating our business; partially offset by |
• | excess tax benefits associated with stock-based compensation arrangements of $16 million, or $0.11 per diluted share, recorded in income tax expense. |
Three Months Ended March 31, | Increase (Decrease) | ||||||||||
2018 | 2017 | ||||||||||
(dollars in millions) | |||||||||||
Net cash provided by operating activities | $ | 180 | $ | 196 | $ | (16 | ) | ||||
Net cash used in investing activities | (204 | ) | (47 | ) | (157 | ) | |||||
Net cash provided by (used in) financing activities | 11 | (166 | ) | 177 | |||||||
Net change in cash and cash equivalents and restricted cash | $ | (13 | ) | $ | (17 | ) | $ | 4 |
• | a $129 million increase in net cash paid for business acquisitions, principally a result of the acquisition of MedXM, and |
• | a $31 million increase in capital expenditures. |
• | $103 million in net borrowings in 2018, compared to $2 million in net repayments in 2017; |
• | a $100 million decrease in repurchases of our common stock (see "Share Repurchases" for further details) in 2018; partially offset by |
• | a $16 million decrease in bank overdrafts, which are generally settled in cash the following business day; and |
• | a $12 million decrease in proceeds from the exercise of stock options, which was a result of a decrease in the volume of stock options exercised over the past year. |
Payments due by period | ||||||||||||||||||||
Contractual Obligations | Total | Remainder of 2018 | 1-3 years | 3-5 years | After 5 years | |||||||||||||||
(dollars in millions) | ||||||||||||||||||||
Outstanding debt | $ | 3,911 | $ | 135 | $ | 1,100 | $ | 550 | $ | 2,126 | ||||||||||
Capital lease obligations | 41 | 4 | 7 | 6 | 24 | |||||||||||||||
Interest payments on outstanding debt | 1,586 | 164 | 302 | 211 | 909 | |||||||||||||||
Operating leases | 665 | 145 | 263 | 129 | 128 | |||||||||||||||
Purchase obligations | 1,862 | 217 | 488 | 421 | 736 | |||||||||||||||
Merger consideration obligations | 20 | 8 | 12 | — | — | |||||||||||||||
Total contractual obligations | $ | 8,085 | $ | 673 | $ | 2,172 | $ | 1,317 | $ | 3,923 |
ISSUER PURCHASES OF EQUITY SECURITIES | ||||||||||||||
Period | Total Number of Shares Purchased | Average Price Paid per Share | Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs | Approximate Dollar Value of Shares that May Yet Be Purchased Under the Plans or Programs (in thousands) | ||||||||||
January 1, 2018 – January 31, 2018 | ||||||||||||||
Share Repurchase Program (A) | — | $ | — | — | $ | 917,117 | ||||||||
Employee Transactions (B) | 4,337 | $ | 99.51 | N/A | N/A | |||||||||
February 1, 2018 – February 28, 2018 | ||||||||||||||
Share Repurchase Program (A) | 219,622 | $ | 102.42 | 219,622 | $ | 894,624 | ||||||||
Employee Transactions (B) | 93,681 | $ | 101.77 | N/A | N/A | |||||||||
March 1, 2018 – March 31, 2018 | ||||||||||||||
Share Repurchase Program (A) | 264,344 | $ | 104.04 | 264,344 | $ | 867,121 | ||||||||
Employee Transactions (B) | 97,553 | $ | 101.06 | N/A | N/A | |||||||||
Total | ||||||||||||||
Share Repurchase Program (A) | 483,966 | $ | 103.30 | 483,966 | $ | 867,121 | ||||||||
Employee Transactions (B) | 195,571 | $ | 101.36 | N/A | N/A |
(A) | Since the share repurchase program’s inception in May 2003, our Board of Directors has authorized $8 billion of share repurchases of our common stock through March 31, 2018. The share repurchase authorization has no set expiration or termination date. |
(B) | Includes: (1) shares delivered or attested to in satisfaction of the exercise price and/or tax withholding obligations by holders of stock options (granted under the Company’s Amended and Restated Employee Long-Term Incentive Plan and its Amended and Restated Non-Employee Director Long-Term Incentive Plan) who exercised options; and (2) shares withheld (under the terms of grants under the Amended and Restated Employee Long-Term Incentive Plan) to offset tax withholding obligations that occur upon the delivery of common shares underlying restricted stock units and performance share units. |
Item 6. | Exhibits |
10.1 | |
31.1 | |
31.2 | |
32.1 | |
32.2 | |
101.INS | dgx-20180331.xml |
101.SCH | dgx-20180331.xsd |
101.CAL | dgx-20180331_cal.xml |
101.DEF | dgx-20180331_def.xml |
101.LAB | dgx-20180331_lab.xml |
101.PRE | dgx-20180331_pre.xml |
By | /s/ Stephen H. Rusckowski |
Stephen H. Rusckowski | |
Chairman, President and | |
Chief Executive Officer | |
By | /s/ Mark J. Guinan |
Mark J. Guinan | |
Executive Vice President and | |
Chief Financial Officer |
Annual Compounded Revenue Growth* | “Earnings Multiple”* multiplied by 50% of Target Performance Shares = Earned Performance Shares |
Greater Than or Equal to % Equal to % | 2 x 50% x Target Performance Shares 1 x 50% x Target Performance Shares |
Equal to % | 0.75 x 50% x Target Performance Shares |
Equal to % | 0.25 x 50% x Target Performance Shares |
Less Than % | 0 x 50% a Target Performance Shares |
Average ROIC* | “Earnings Multiple”* multiplied by 50% of Target Performance Shares = Earned Performance Shares |
Greater Than or Equal to % | 2 x 50% x Target Performance Shares |
Equal to % | 1 x 50% x Target Performance Shares |
Equal to % | 0.5 x 50% x Target Performance Shares |
Less Than % | 0 x 50% x Target Performance Shares |
Option Vesting Dates | Vesting Percent | Cumulative | ||
First anniversary of Grant Date | 33.3% | 33.3% | ||
Second anniversary of Grant Date | 33.3% | 66.6% | ||
Third anniversary of Grant Date | 33.4% | 100% |
RSU Vesting Dates | Vesting Percent | Cumulative | ||
First anniversary of Grant Date | 25% | 25% | ||
Second anniversary of Grant Date | 25% | 50% | ||
Third anniversary of Grant Date | 50% | 100% |
1. | I have reviewed this quarterly report on Form 10-Q of Quest Diagnostics Incorporated; |
2. | Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report; |
3. | Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report; |
4. | The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: |
a. | designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared; |
b. | designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles; |
c. | evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and |
d. | disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and |
5. | The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions): |
a. | all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and |
b. | any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting. |
By | /s/ Stephen H. Rusckowski |
Stephen H. Rusckowski | |
Chairman, President and | |
Chief Executive Officer |
1. | I have reviewed this quarterly report on Form 10-Q of Quest Diagnostics Incorporated; |
2. | Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report; |
3. | Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report; |
4. | The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: |
a. | designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared; |
b. | designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles; |
c. | evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and |
d. | disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and |
5. | The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions): |
a. | all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and |
b. | any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting. |
By | /s/ Mark J. Guinan |
Mark J. Guinan | |
Executive Vice President and | |
Chief Financial Officer |
Dated: | April 20, 2018 | /s/ Stephen H. Rusckowski | ||
Stephen H. Rusckowski | ||||
Chairman, President and | ||||
Chief Executive Officer |
Dated: | April 20, 2018 | /s/ Mark J. Guinan | ||
Mark J. Guinan | ||||
Executive Vice President and | ||||
Chief Financial Officer |
DOCUMENT AND ENTITY INFORMATION - shares |
3 Months Ended | |
---|---|---|
Mar. 31, 2018 |
Apr. 13, 2018 |
|
Document and Entity Information [Abstract] | ||
Document Type | 10-Q | |
Amendment Flag | false | |
Document Period End Date | Mar. 31, 2018 | |
Document Fiscal Year Focus | 2018 | |
Document Fiscal Period Focus | Q1 | |
Entity Registrant Name | QUEST DIAGNOSTICS INC | |
Entity Central Index Key | 0001022079 | |
Current Fiscal Year End Date | --12-31 | |
Entity Filer Category | Large Accelerated Filer | |
Entity Common Stock, Shares Outstanding | 135,817,201 |
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME - USD ($) $ in Millions |
3 Months Ended | |
---|---|---|
Mar. 31, 2018 |
Mar. 31, 2017 |
|
Statement of Comprehensive Income [Abstract] | ||
Net income | $ 189 | $ 175 |
Other comprehensive income (loss): | ||
Currency translation | 6 | 4 |
Net deferred loss on cash flow hedges, net of taxes | 1 | 0 |
Other comprehensive income | 7 | 4 |
Comprehensive income | 196 | 179 |
Less: Comprehensive income attributable to noncontrolling interests | 12 | 11 |
Comprehensive income attributable to Quest Diagnostics | $ 184 | $ 168 |
CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) shares in Millions, $ in Millions |
Mar. 31, 2018 |
Dec. 31, 2017 |
---|---|---|
Statement of Financial Position [Abstract] | ||
Allowance for doubtful accounts | $ 6 | $ 8 |
Common stock, par value | $ 0.01 | $ 0.01 |
Common stock, shares authorized | 600 | 600 |
Common stock, shares, issued | 217 | 216 |
Treasury stock, shares | 81 | 81 |
DESCRIPTION OF BUSINESS |
3 Months Ended |
---|---|
Mar. 31, 2018 | |
Description of Business (Abstract) | |
DESCRIPTION OF BUSINESS | DESCRIPTION OF BUSINESS Background Quest Diagnostics Incorporated and its subsidiaries ("Quest Diagnostics" or the "Company") empower people to take action to improve health outcomes. The Company uses its extensive database of clinical lab results to derive diagnostic insights that reveal new avenues to identify and treat disease, inspire healthy behaviors and improve healthcare management. The Company's diagnostic information services business ("DIS") provides information and insights based on the industry-leading menu of routine, non-routine and advanced clinical testing and anatomic pathology testing, and other diagnostic information services. The Company provides services to a broad range of customers, including patients, clinicians, hospitals, independent delivery networks ("IDNs"), health plans, employers and accountable care organizations ("ACOs"). The Company offers the broadest access in the United States to diagnostic information services through its nationwide network of laboratories, patient service centers and phlebotomists in physician offices and the Company's connectivity resources, including call centers and mobile paramedics, nurses and other health and wellness professionals. The Company is the world's leading provider of diagnostic information services. The Company provides interpretive consultation with one of the largest medical and scientific staffs in the industry and hundreds of M.D.s and Ph.D.s, many of whom are recognized leaders in their fields. The Company's Diagnostic Solutions businesses ("DS") are the leading provider of risk assessment services for the life insurance industry and the Company offers healthcare organizations and clinicians robust information technology solutions. |
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Accounting Policies [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES | SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Basis of Presentation The interim unaudited consolidated financial statements reflect all adjustments which in the opinion of management are necessary for a fair statement of results of operations, comprehensive income, financial condition, cash flows and stockholders' equity for the periods presented. Except as otherwise disclosed, all such adjustments are of a normal recurring nature. Operating results for the interim periods are not necessarily indicative of the results that may be expected for the full year. These interim unaudited consolidated financial statements should be read in conjunction with the audited consolidated financial statements included in the Company’s 2017 Annual Report on Form 10-K. The year-end balance sheet data was derived from the audited consolidated financial statements as of December 31, 2017, but does not include all the disclosures required by accounting principles generally accepted in the United States (“GAAP”). The accounting policies of the Company are the same as those set forth in Note 2 to the consolidated financial statements contained in the Company’s 2017 Annual Report on Form 10-K except for the impact of the adoption of new accounting standards discussed under New Accounting Pronouncements. Reclassifications As a result of the adoption of the new accounting standard associated with clarifying presentation and classification in the statement of cash flows, certain reclassifications have been made to the prior period financial statements to conform with the current period presentation. In addition, the Company adopted the new revenue recognition accounting standard on a full retrospective basis, which required the Company to restate certain previously reported results. For further details regarding the impact of these new accounting standards, see New Accounting Pronouncements. Use of Estimates The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. Earnings Per Share The Company's unvested restricted stock units that contain non-forfeitable rights to dividends are participating securities and, therefore, are included in the earnings allocation in computing earnings per share using the two-class method. Basic earnings per common share is calculated by dividing net income, adjusted for earnings allocated to participating securities, by the weighted average number of common shares outstanding. Diluted earnings per common share is calculated by dividing net income, adjusted for earnings allocated to participating securities, 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 the dilutive effect of outstanding stock options and performance share units granted under the Company's Amended and Restated Employee Long-Term Incentive Plan and its Amended and Restated Non-Employee Director Long-Term Incentive Plan. Earnings allocable to participating securities include the portion of dividends declared as well as the portion of undistributed earnings during the period allocable to participating securities. New Accounting Pronouncements Adoption of New Accounting Standards On January 1, 2018, the Company adopted a new accounting standard issued by the Financial Accounting Standards Board ("FASB") on revenue recognition using the full retrospective method. This new accounting standard outlines a single comprehensive model to use in accounting for revenue arising from contracts with customers. This standard supersedes existing revenue recognition requirements and eliminates most industry-specific guidance from GAAP. The core principle of the revenue recognition standard is to require an entity to recognize as revenue the amount that reflects the consideration to which it expects to be entitled in exchange for goods or services as it transfers control to its customers. As a result of the Company's adoption of this standard, the majority of the amounts that were historically classified as bad debt expense, primarily related to patient responsibility, are now considered an implicit price concession in determining net revenue. Accordingly, the Company reports uncollectible balances associated with patient responsibility as a reduction of the transaction price and therefore as a reduction in net revenues when historically these amounts were classified as bad debt expense within selling, general and administrative expenses. In addition, the adoption of this new accounting standard resulted in increased disclosure, including qualitative and quantitative disclosures about the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers. For further details, see Note 3. Adoption of the standard impacted the Company's previously reported results as follows:
On January 1, 2018, the Company adopted a new accounting standard issued by the FASB on the recognition and measurement of financial assets and financial liabilities. This new accounting standard requires that all equity investments (except those accounted for under the equity method of accounting or those that result in consolidation of the investee) be measured at fair value with changes in fair value recognized in net income. However, companies may elect to measure equity investments that do not have readily determinable fair values at cost minus impairment, if any, plus or minus changes resulting from observable price changes in orderly transactions for the identical or a similar investment of the same issuer. In addition, the new accounting standard eliminated the requirement to disclose the method and significant assumptions used to estimate the fair value for financial instruments measured at amortized cost on the balance sheet. The adoption of this standard did not have a material impact on the Company's results of operations or financial position. On January 1, 2018, the Company adopted two new accounting standards issued by the FASB that clarify presentation and classification in the statement of cash flows on a retrospective basis. As a result of adoption:
On January 1, 2018, the Company adopted a new accounting standard issued by the FASB that provides a framework for evaluating whether a transaction should be accounted for as an acquisition (or disposal) of assets or a business. If an entity determines that substantially all of the fair value of the gross assets acquired is concentrated in a single identifiable asset or a group of similar identifiable assets, then the set of transferred assets and activities is not a business. If this threshold is not met, in order to be considered a business the set of transferred assets and activities must include, at a minimum, an input and a substantive process that together significantly contribute to the ability to create outputs. The adoption of this standard, which was done on a prospective basis, will require future transactions to be evaluated under the new framework. New Accounting Standards To Be Adopted In February 2016, the FASB issued an Accounting Standard Updated ("ASU") that amends accounting for leases. Under the new guidance, a lessee will recognize assets and liabilities for most leases on its balance sheet but will recognize expense on its statement of operations similar to current lease accounting. The ASU is effective for the Company in the first quarter of 2019 with early adoption permitted. The new guidance must be adopted using a modified retrospective transition approach, and provides for certain practical expedients. The adoption of this ASU will result in a significant increase to the Company’s balance sheet for lease liabilities and right-of-use assets, which has not yet been quantified. The Company is currently assessing the impact of the adoption of this ASU on the Company’s results of operations, financial position and cash flows. Significant implementation matters being addressed by the Company include implementing an integrated third-party lease accounting application, assessing the impact to its internal controls over financial reporting and documenting the new lease accounting process. In June 2016, the FASB issued an ASU that changes the impairment model for most financial instruments, including trade receivables, from an incurred loss method to a new forward-looking approach, based on expected losses. The estimate of expected credit losses will require entities to incorporate considerations of historical information, current information and reasonable and supportable forecasts. This ASU is effective for the Company in the first quarter of 2020 and must be adopted using a modified retrospective transition approach. The Company is currently assessing the impact of the adoption of this ASU on the Company’s results of operations, financial position and cash flows. In February 2018, the FASB issued an ASU that provides companies with an option to reclassify stranded tax effects resulting from enactment of the Tax Cuts and Jobs Act ("TCJA") from accumulated other comprehensive income to retained earnings. The guidance will be effective for the Company beginning in the first quarter of 2019 with early adoption permitted, and would be applied either in the period of adoption or retrospectively to each period (or periods) in which the effect of the change in the tax rate as a result of TCJA is recognized. The Company does not expect the adoption of this ASU to have a material impact on its results of operations, financial position and cash flows. |
REVENUE RECOGNITION |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Revenue from Contract with Customer [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
REVENUE RECOGNITION | REVENUE RECOGNITION DIS Net revenues in the Company’s DIS business accounted for greater than 95% of the Company’s total net revenues for both the three months ended March 31, 2018 and 2017 and are primarily comprised of a high volume of relatively low-dollar transactions. The DIS business, which provides clinical testing services and other services, satisfies its performance obligation and recognizes revenues upon completion of the testing process or when services have been rendered. The Company estimates the amount of consideration it expects to be entitled to receive from customer groups, determined using the portfolio approach, in exchange for providing services. These estimates include the impact of contractual allowances and price concessions, as discussed below. The portfolios determined using the portfolio approach consist of the following groups of customers: healthcare insurers, government payers, client payers and patients. Contracts with customers in the DIS business do not contain significant financing components based on the typical period of time between performance of services and collection of consideration. The following are descriptions of the DIS business’ portfolios: Healthcare Insurers Reimbursements from healthcare insurers are based on negotiated fee-for-service schedules and on capitated payment rates. Revenues consist of amounts billed net of contractual allowances for differences between amounts billed and the estimated consideration the Company expects to receive from such payers, which considers historical denial and collection experience and the terms of the Company’s contractual arrangements. Adjustments to the allowances, based on actual receipts from the third-party payers, are recorded upon settlement. Collection of consideration the Company expects to receive is normally a function of providing complete and correct billing information to the healthcare insurers within the various filing deadlines and typically occurs within 30 to 60 days of billing. Provided the Company has billed healthcare insurers accurately with complete information prior to the established filing deadline, there has historically been little to no collection risk. If there has been a delay in billing, the Company determines if the amounts in question will likely go past the filing deadline, and if so, it will reserve accordingly for the billing. Under capitated arrangements with healthcare insurers, the Company recognizes revenue based on a predetermined monthly reimbursement rate for each member of an insurer's health plan regardless of the number or cost of services provided by the Company. Healthcare insurers typically reimburse the Company under capitated arrangements in the same month services are performed, essentially giving rise to no outstanding accounts receivable at the end of a reporting period. If any capitated payments are not received on a timely basis, the Company determines the cause and makes a separate determination as to whether or not the collection of the amount from the healthcare insurer is at risk and, if so, would reserve accordingly. Government Payers Reimbursements from government payers are based on fee-for-service schedules set by governmental authorities, including traditional Medicare and Medicaid. Revenues consist of amounts billed net of contractual allowances for differences between amounts billed and the estimated consideration the Company expects to receive from such payers, which considers historical denial and collection experience and other factors. Adjustments to the allowances, based on actual receipts from the government payers, are recorded upon settlement. Collection of consideration the Company expects to receive is normally a function of providing the complete and correct billing information within the various filing deadlines and typically occurs within 30 days of billing. Provided the Company has billed government payers accurately with complete information prior to the established filing deadline, there has historically been little to no collection risk. If there has been a delay in billing, the Company determines if the amounts in question will likely go past the filing deadline, and, if so, it will reserve for the billing, accordingly. Client Payers Client payers include physicians, hospitals, ACOs, IDNs, employers, other commercial laboratories and institutions for which services are performed on a wholesale basis, and are billed based on negotiated fee schedules. Credit risk and ability to pay are more of a consideration for these payers than healthcare insurers and government payers. Collection of consideration the Company expects to receive typically occurs within 60 to 90 days of billing. Patients Uninsured patients are billed based on established patient fee schedules or fees negotiated with physicians on behalf of their patients. Insured patients (includes coinsurance and deductible responsibilities) are billed based on fees negotiated with healthcare insurers. Collection of billings from patients is subject to credit risk and ability of the patients to pay. Revenues consist of amounts billed net of discounts provided to uninsured patients in accordance with the Company’s policies and implicit price concessions. Implicit price concessions represent differences between amounts billed and the estimated consideration the Company expects to receive from patients, which considers historical collection experience and other factors including current market conditions. Adjustments to the estimated allowances, based on actual receipts from the patients, are recorded upon settlement. Patient billings are generally fully reserved for when the related billing reaches 210 days outstanding. Balances are automatically written off when they are sent to collection agencies. Allowances are further adjusted for estimated recoveries of amounts sent to collection agencies based on historical collection experience, which is regularly monitored. Collection of consideration the Company expects to receive typically occurs within 30 to 60 days of billing. DS The Company’s DS businesses primarily satisfy their performance obligations and recognize revenues when delivery has occurred or services have been rendered. Collection of consideration the Company expects to receive typically occurs within 30 to 60 days of billing. The approximate percentage of net revenue by type of customer was as follows:
For the three months ended March 31, 2018 and 2017, substantially all of the Company’s services were provided within the United States, see Note |
EARNINGS PER SHARE |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Earnings Per Share, Basic and Diluted [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
EARNINGS (LOSS) PER SHARE | EARNINGS PER SHARE The computation of basic and diluted earnings per common share was as follows:
The following securities were not included in the calculation of diluted earnings per share due to their antidilutive effect:
|
RESTRUCTURING ACTIVITIES |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Restructuring and Related Activities [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
RESTRUCTURING ACTIVITIES | RESTRUCTURING ACTIVITIES Invigorate Program The Company is committed to a program called Invigorate which is designed to reduce its cost structure and improve performance. Invigorate consists of several flagship programs, with structured plans in each, to drive savings and improve performance across the customer value chain. These flagship programs include: organization excellence; information technology excellence; procurement excellence; service excellence; lab excellence; and billing excellence. The Invigorate program is intended to partially offset reimbursement pressures and labor and benefit cost increases; free up additional resources to invest in science, innovation and other growth initiatives; and enable us to improve service quality and operating profitability. Additionally, the program is driving the standardization of processes, information technology systems and equipment and data; digitization of the Company's services; and enhancement of reimbursement for work performed. Restructuring Charges The following table provides a summary of the Company's pre-tax restructuring charges for the three months ended March 31, 2018 and 2017:
The restructuring charges incurred for the three months ended March 31, 2018 and 2017 were primarily associated with various workforce reduction initiatives as the Company continues to simplify and restructure its organization. Of the total restructuring charges incurred during the three months ended March 31, 2018, $4 million and $8 million were recorded in cost of services and selling, general and administrative expenses, respectively. Of the total restructuring charges incurred during the three months ended March 31, 2017, $2 million and $1 million were recorded in cost of services and selling, general and administrative expenses, respectively. Charges for all periods presented were primarily recorded in the Company's DIS business. The restructuring liability as of March 31, 2018 and December 31, 2017, which is included in accounts payable and accrued expenses, was $27 million and $22 million, respectively. |
BUSINESS ACQUISITIONS |
3 Months Ended |
---|---|
Mar. 31, 2018 | |
Business Combinations [Abstract] | |
BUSINESS ACQUISITIONS | BUSINESS ACQUISITIONS On February 1, 2018, the Company completed its acquisition of Mobile Medical Examination Services, Inc. ("MedXM"), in an all cash transaction for $142 million, net of $5 million cash acquired, which consisted of cash consideration of $130 million and contingent consideration estimated at $12 million. The contingent consideration arrangement is dependent upon the achievement of certain revenue targets. MedXM is a leading national provider of home-based health risk assessments and related services. Through the acquisition, the Company acquired all of MedXM's operations. Based on the preliminary purchase price allocation, the assets acquired and liabilities assumed consist of $77 million of intangible assets, $57 million of goodwill (of which $45 million is currently tax deductible), $7 million of working capital and $1 million of property, plant and equipment. The intangible assets consist primarily of customer related assets which are being amortized over a useful life of 15 years. For further details regarding the fair value of the contingent consideration, see Note 7. This acquisition was accounted for under the acquisition method of accounting. As such, the assets acquired and liabilities assumed were recorded based on their estimated fair values as of the closing date. Supplemental pro forma combined financial information has not been presented as the impact of the acquisition is not material to the Company's consolidated financial statements. The goodwill recorded primarily includes the expected synergies resulting from combining the operations of the acquired entity with those of the Company and the value associated with an assembled workforce and other intangible assets that do not qualify for separate recognition. All of the goodwill acquired in connection with the acquisition has been allocated to the Company's DIS business. For further details regarding business segment information, see Note 14. On March 22, 2018, the Company finalized an agreement to acquire the outreach laboratory service business of Cape Cod Healthcare, Inc. Closing of the transaction remains subject to customary closing conditions. For details regarding the Company's 2017 acquisitions, see Note 5 to the consolidated financial statements in the Company's 2017 Annual Report on Form 10-K. |
FAIR VALUE MEASUREMENTS |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Fair Value Disclosures [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
FAIR VALUE MEASUREMENTS | FAIR VALUE MEASUREMENTS Assets and Liabilities Measured at Fair Value on a Recurring Basis The following table provides a summary of the recognized assets and liabilities that are measured at fair value on a recurring basis:
A full description regarding the Company's fair value measurements is contained in Note 7 to the consolidated financial statements in the Company's 2017 Annual Report on Form 10-K. The Company offers certain employees the opportunity to participate in non-qualified supplemental deferred compensation plans. A participant's deferrals, together with Company matching credits, are invested in a variety of participant-directed stock and bond mutual funds that are classified as trading securities. The trading securities are classified within Level 1 because the changes in the fair value of these securities are measured using quoted prices in active markets based on the market price per unit multiplied by the number of units held, exclusive of any transaction costs. A corresponding adjustment for changes in fair value of the trading securities is also reflected in the changes in fair value of the deferred compensation obligation. The deferred compensation liabilities are classified within Level 2 because their inputs are derived principally from observable market data by correlation to the trading securities. The Company offers certain employees the opportunity to participate in a non-qualified deferred compensation program. A participant's deferrals, together with Company matching credits, are “invested” at the direction of the employee in a hypothetical portfolio of investments which are tracked by an administrator. The Company purchases life insurance policies, with the Company named as beneficiary of the policies, for the purpose of funding the program's liability. Changes in the cash surrender value of the life insurance policies are based upon earnings and changes in the value of the underlying investments. Changes in the fair value of the deferred compensation obligation are derived using quoted prices in active markets based on the market price per unit multiplied by the number of units. The cash surrender value and the deferred compensation obligations are classified within Level 2 because their inputs are derived principally from observable market data by correlation to the hypothetical investments. The plan was amended effective January 1, 2018 so that future deferrals under the plan may only be made by participants who made deferrals under the plan in 2017. The fair value measurements of the Company's interest rate swaps classified within Level 2 of the fair value hierarchy are model-derived valuations as of a given date in which all significant inputs are observable in active markets including certain financial information and certain assumptions regarding past, present and future market conditions. Investment in equity securities represents an investment in registered shares of a publicly-held company. The Company's investment in equity securities is classified within Level 1 of the fair value hierarchy because the fair value is obtained from quoted prices in an active market. In April 2014, and as further discussed in Note 7 to the consolidated financial statements in the Company's 2017 Annual Report on Form 10-K, the Company completed the acquisition of Steward Health Care Systems, LLC's laboratory outreach business. In connection with the acquisition, the Company initially recorded a contingent consideration liability of $4 million. The contingent consideration liability was classified within Level 3 of the fair value hierarchy measured at fair value using a probability weighted and discounted cash flow method. The remaining balance as of March 31, 2018 of $1 million is expected to be paid in 2018. In December 2017, and as further discussed in Note 5 and Note 7 to the consolidated financial statements in the Company's 2017 Annual Report on Form 10-K, the Company completed the acquisition of Shiel Holdings, LLC ("Shiel") which provides for up to $15 million of contingent consideration to be paid based on the achievement of certain testing volume benchmarks. In connection with the acquisition, the Company initially recorded a contingent consideration liability of $6 million which was classified within Level 3 of the fair value hierarchy. The contingent consideration was measured at fair value using an option-pricing model. Significant inputs included management's estimate of volume and other market inputs including comparable company revenue volatility of 6.9% and a discount rate of 4.5%. The estimated fair value of the contingent consideration associated with Shiel was increased to $7 million in the first quarter of 2018 as a result of the remeasurement of the liability. Any contingent consideration associated with Shiel will be paid in 2018. In February 2018, the Company completed the acquisition of MedXM which provides for up to $30 million of contingent consideration to be paid based on the achievement of certain revenue targets. In connection with the acquisition, the Company initially recorded a contingent consideration liability of $12 million which was classified within Level 3 of the fair value hierarchy. The contingent consideration was measured at fair value using an option-pricing model. Significant inputs included management's estimate of revenue and other market inputs including comparable company revenue volatility of 12.7% and a discount rate of 5.4%. Any contingent consideration associated with MedXM is expected to be paid in 2019. For further details regarding the MedXM acquisition, see Note 6. The following table provides a reconciliation of the beginning and ending balances of liabilities using significant unobservable inputs (Level 3):
The $1 million loss included in earnings associated with the change in the fair value of contingent consideration for the three months ended March 31, 2018 is reported in other operating expense, net. The carrying amounts of cash and cash equivalents, accounts receivable and accounts payable and accrued expenses approximate fair value based on the short maturities of these instruments. As of March 31, 2018 and December 31, 2017, the fair value of the Company’s debt was estimated at $4.1 billion and $4.0 billion, respectively. Principally all of the Company's debt is classified within Level 1 of the fair value hierarchy because the fair value of the debt is estimated based on rates currently offered to the Company with identical terms and maturities, using quoted active market prices and yields, taking into account the underlying terms of the debt instruments. |
GOODWILL AND INTANGIBLE ASSETS |
3 Months Ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Goodwill and Intangible Assets Disclosure [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
GOODWILL AND INTANGIBLE ASSETS | GOODWILL AND INTANGIBLE ASSETS The changes in goodwill for the three months ended March 31, 2018 and for the year ended December 31, 2017 were as follows:
Principally all of the Company’s goodwill as of March 31, 2018 and December 31, 2017 was associated with its DIS business. For the three months ended March 31, 2018, goodwill acquired during the period was associated with the MedXM acquisition (see Note 6). For the year ended December 31, 2017, goodwill acquired was principally associated with the acquisitions of the clinical and anatomic pathology laboratory business of Shiel Holdings, LLC, the outreach laboratory service business of PeaceHealth Laboratories, Med Fusion, LLC and Clearpoint Diagnostic Laboratories, LLC, Cleveland HeartLab, Inc. and the outreach laboratory service businesses of The William W. Backus Hospital and The Hospital of Central Connecticut. For details regarding the Company's 2017 acquisitions, see Note 5 to the consolidated financial statements in the Company's 2017 Annual Report on Form 10-K. Intangible assets at March 31, 2018 and December 31, 2017 consisted of the following:
The estimated amortization expense related to amortizable intangible assets for each of the five succeeding fiscal years and thereafter as of March 31, 2018 is as follows:
|
DEBT |
3 Months Ended |
---|---|
Mar. 31, 2018 | |
Debt Instruments [Abstract] | |
DEBT | DEBT Senior Unsecured Revolving Credit Facility In March 2018, the Company amended and restated the agreement for its $750 million senior unsecured revolving credit facility (the “Credit Facility” or "Senior Unsecured Revolving Credit Facility"). As a result, the Credit Facility will mature in March 2023. Under the Credit Facility, the Company can issue letters of credit totaling $150 million (see Note 13). Issued letters of credit reduce the available borrowing capacity under the facility. Interest on the Credit Facility is based on certain published rates plus an applicable margin based on changes in the Company's public debt ratings. As of March 31, 2018, the Company's borrowing rate for LIBOR-based loans under the Credit Facility was LIBOR plus 1.125%. The Credit Facility contains various covenants, including the maintenance of a financial leverage ratio, which could impact the Company's ability to, among other things, incur additional indebtedness. As of March 31, 2018, there were no outstanding borrowings under the Credit Facility. During the three months ended March 31, 2018, there were $935 million in cumulative borrowings primarily associated with the funding of the MedXM acquisition in February 2018 and other working capital requirements and $830 million in repayments under the secured receivables credit facility. |
FINANCIAL INSTRUMENTS |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Derivative Instruments and Hedging Activities Disclosure [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
FINANCIAL INSTRUMENTS | FINANCIAL INSTRUMENTS The Company uses derivative financial instruments to manage its exposure to market risks for changes in interest rates and, from time to time, foreign currencies. This strategy includes the use of interest rate swap agreements, forward starting interest rate swap agreements, treasury lock agreements and foreign currency forward contracts to manage its exposure to movements in interest and currency rates. The Company has established 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 speculative purposes. The Company does not enter into derivative financial instruments that contain credit-risk-related contingent features or requirements to post collateral. Interest Rate Risk The Company is exposed to interest rate risk on its cash and cash equivalents and its debt obligations. Interest income earned on cash and cash equivalents may fluctuate as interest rates change; however, due to their relatively short maturities, the Company does not hedge these assets or their investment cash flows and the impact of interest rate risk is not material. The Company's debt obligations consist of fixed-rate and variable-rate debt instruments. The Company's primary objective is to achieve the lowest overall cost of funding while managing the variability in cash outflows within an acceptable range. In order to achieve this objective, the Company has entered into interest rate swaps. Interest rate swaps involve the periodic exchange of payments without the exchange of underlying principal or notional amounts. Net settlements between the counterparties are recognized as an adjustment to interest expense, net. Interest Rate Derivatives – Cash Flow Hedges From time to time, the Company has entered into various interest rate lock agreements and forward starting interest rate swap agreements to hedge part of the Company's interest rate exposure associated with the variability in future cash flows attributable to changes in interest rates. The total net loss, net of taxes, recognized in accumulated other comprehensive loss, related to the Company's cash flow hedges as of March 31, 2018 and December 31, 2017 was $8 million and $9 million, respectively. The net amount of deferred losses on cash flow hedges that is expected to be reclassified from accumulated other comprehensive loss into interest expense, net within the next twelve months is $3 million. Interest Rate Derivatives – Fair Value Hedges The Company maintains various fixed-to-variable interest rate swaps to convert a portion of the Company's long-term debt into variable interest rate debt. A summary of the notional amounts of these interest rate swaps as of March 31, 2018 and December 31, 2017 was as follows:
The fixed-to-variable interest rate swap agreements in the table above have variable interest rates ranging from one-month LIBOR plus 2.2% to one-month LIBOR plus 3.0%. As of March 31, 2018 and December 31, 2017, the following amounts were recorded on the consolidated balance sheet related to cumulative basis adjustments for fair value hedges included in the carrying amount of long-term debt:
(a) The balance includes $52 million and $56 million of remaining unamortized hedging adjustment on a discontinued relationship as of March 31, 2018 and December 31, 2017, respectively. The following table presents the effect of fair value hedge accounting on the statement of operations for the three months ended March 31, 2018 and 2017:
A summary of the fair values of derivative instruments in the consolidated balance sheets was as follows:
A full description regarding the Company's use of derivative financial instruments is contained in Note 14 to the consolidated financial statements in the Company's 2017 Annual Report on Form 10-K. |
STOCKHOLDERS’ EQUITY AND REDEEMABLE NONCONTROLLING INTEREST |
3 Months Ended | ||||||||
---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | |||||||||
Stockholders' Equity Attributable to Parent [Abstract] | |||||||||
STOCKHOLDERS’ EQUITY AND REDEEMABLE NONCONTROLLING INTEREST | STOCKHOLDERS’ EQUITY AND REDEEMABLE NONCONTROLLING INTEREST Stockholders' Equity Changes in Accumulated Other Comprehensive Income (Loss) by Component Comprehensive income (loss) includes:
Prior to adoption of the new accounting guidance on recognition and measurement of financial assets and liabilities, comprehensive income (loss) also included investment adjustments, which represented unrealized holding gains (losses), net of tax on available for sale securities, net of other-than-temporary impairment amounts reclassified to other (expense) income, net. Refer to Note 2 for details regarding the adoption of the new accounting standard related to the recognition and measurement of financial assets and liabilities. For the three months ended March 31, 2018 and 2017, the tax effects related to the deferred losses on cash flow hedges were not material. Foreign currency translation adjustments related to indefinite investments in non-U.S. subsidiaries are not adjusted for income taxes. Dividend Program During the first quarter of 2018, the Company's Board of Directors declared a quarterly cash dividend of $0.50 per common share. During each of the four quarters of 2017, the Company's Board of Directors declared a quarterly cash dividend of $0.45 per common share. Share Repurchase Program As of March 31, 2018, $867 million remained available under the Company’s share repurchase authorizations. The share repurchase authorization has no set expiration or termination date. Share Repurchases For the three months ended March 31, 2018, the Company repurchased 0.5 million shares of its common stock for $50 million. For the three months ended March 31, 2017, the Company repurchased 1.6 million shares of its common stock for $150 million. Shares Reissued from Treasury Stock For the three months ended March 31, 2018 and 2017, the Company reissued 0.6 million shares and 0.9 million shares, respectively, from treasury stock for shares issued under the Employee Stock Purchase Plan and stock option plans. For details regarding the Company's stock ownership and compensation plans, see Note 16 to the consolidated financial statements in the Company's 2017 Annual Report on Form 10-K. Redeemable Noncontrolling Interest In connection with the sale of an 18.9% noncontrolling interest in a subsidiary to UMass Memorial Medical Center ("UMass") on July 1, 2015, the Company granted UMass the right to require the Company to purchase all of its interest in the subsidiary at fair value commencing July 1, 2020. The subsidiary performs diagnostic information services in a defined territory within the state of Massachusetts. Since the redemption of the noncontrolling interest is outside of the Company's control, it has been presented outside of stockholders' equity at the greater of its carrying amount or its fair value. The Company records changes in the fair value of the noncontrolling interest immediately as they occur. As of March 31, 2018, the redeemable noncontrolling interest was presented at its fair value. |
SUPPLEMENTAL CASH FLOW & OTHER DATA |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Supplemental Cash Flow Elements [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
SUPPLEMENTAL CASH FLOW & OTHER DATA | SUPPLEMENTAL CASH FLOW & OTHER DATA Supplemental cash flow and other data for the three months ended March 31, 2018 and 2017 was as follows:
|
COMMITMENTS AND CONTINGENCIES |
3 Months Ended |
---|---|
Mar. 31, 2018 | |
Commitments and Contingencies Disclosure [Abstract] | |
COMMITMENTS AND CONTINGENCIES | COMMITMENTS AND CONTINGENCIES Letters of Credit The Company can issue letters of credit totaling $100 million under its secured receivables credit facility and $150 million under its senior unsecured revolving credit facility. For further discussion regarding the Company's secured receivables credit facility and senior unsecured revolving credit facility, see Note 13 to the consolidated financial statements in the Company's 2017 Annual Report on Form 10-K and Note 9 to the interim unaudited consolidated financial statements. In support of its risk management program, to ensure the Company’s performance or payment to third parties, $71 million in letters of credit under the secured receivables credit facility were outstanding as of March 31, 2018. The letters of credit primarily represent collateral for current and future automobile liability and workers’ compensation loss payments. Contingent Lease Obligations The Company remains subject to contingent obligations under certain real estate leases, including leases that were entered into by certain predecessor companies of a subsidiary prior to the Company's acquisition of the subsidiary. No liability has been recorded for any of these potential contingent obligations. For further details, see Note 17 to the consolidated financial statements in the Company’s 2017 Annual Report on Form 10-K. Legal Matters The Company is involved in various legal proceedings. Some of the proceedings against the Company involve claims that could be substantial in amount. In the normal course of business, the Company has been named, from time to time, as a defendant in various legal actions, including arbitrations, class actions and other litigation, arising in connection with the Company's activities as a provider of diagnostic testing, information and services. These legal actions may include lawsuits alleging negligence or other similar legal claims. These actions could involve claims for substantial compensatory and/or punitive damages or claims for indeterminate amounts of damages, and could have an adverse impact on the Company's client base and reputation. The Company is also involved, from time to time, in other reviews, investigations and proceedings by governmental agencies regarding the Company's business, including, among other matters, operational matters, which may result in adverse judgments, settlements, fines, penalties, injunctions or other relief. The number of these reviews, investigations and proceedings has increased in recent years with regard to many firms in the healthcare services industry, including the Company. The federal or state governments may bring claims based on the Company's current practices, which it believes are lawful. In addition, certain federal and state statutes, including the qui tam provisions of the federal False Claims Act, allow private individuals to bring lawsuits against healthcare companies on behalf of government or private payers. The Company is aware of lawsuits, and from time to time has received subpoenas, related to billing practices based on the qui tam provisions of the Civil False Claims Act or other federal and state statutes, regulations or other laws. The Company understands that there may be other pending qui tam claims brought by former employees or other "whistle blowers" as to which the Company cannot determine the extent of any potential liability. Management cannot predict the outcome of such matters. Although management does not anticipate that the ultimate outcome of such matters will have a material adverse effect on the Company's financial condition, given the high degree of judgment involved in establishing loss estimates related to these types of matters, the outcome of such matters may be material to the Company's results of operations or cash flows in the period in which the impact of such matters is determined or paid. These matters are in different stages. Some of these matters are in their early stages. Matters may involve responding to and cooperating with various government investigations and related subpoenas. As of March 31, 2018, the Company does not believe that material losses related to legal matters are probable. Reserves for legal matters totaled $2 million as of both March 31, 2018 and December 31, 2017. Reserves for General and Professional Liability Claims As a general matter, providers of clinical testing services may be subject to lawsuits alleging negligence or other similar legal claims. These suits could involve claims for substantial damages. Any professional liability litigation could also have an adverse impact on the Company's client base and reputation. The Company maintains various liability insurance coverages for, among other things, claims that could result from providing, or failing to provide, clinical testing services, including inaccurate testing results, and other exposures. The Company's insurance coverage limits its maximum exposure on individual claims; however, the Company is essentially self-insured for a significant portion of these claims. Reserves for such matters, including those associated with both asserted and incurred but not reported claims, are established on an undiscounted basis by considering actuarially determined losses based upon the Company's historical and projected loss experience. Such reserves totaled $113 million and $118 million as of March 31, 2018 and December 31, 2017, respectively. Management believes that established reserves and present insurance coverage are sufficient to cover currently estimated exposures. Management cannot predict the outcome of any claims made against the Company. Although management does not anticipate that the ultimate outcome of any such proceedings or claims will have a material adverse effect on the Company's financial condition, given the high degree of judgment involved in establishing accruals for loss estimates related to these types of matters, the outcome may be material to the Company's results of operations or cash flows in the period in which the impact of such claims is determined or paid. |
BUSINESS SEGMENT INFORMATION |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Segment Reporting [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
BUSINESS SEGMENT INFORMATION | BUSINESS SEGMENT INFORMATION The Company's DIS business is the only reportable segment based on the manner in which the Chief Executive Officer, who is the Company's chief operating decision maker ("CODM"), assesses performance and allocates resources across the organization. The DIS business provides diagnostic information services to a broad range of customers, including patients, clinicians, hospitals, IDNs, health plans, employers and ACOs. The Company is the world's leading provider of diagnostic information services, which includes providing information and insights based on the industry-leading menu of routine, non-routine and advanced clinical testing and anatomic pathology testing, and other diagnostic information services. The DIS business accounted for greater than 95% of net revenues in 2018 and 2017. All other operating segments include the Company's DS businesses, which consist of its risk assessment services and healthcare information technology businesses. The Company's DS businesses are the leading provider of risk assessment services for the life insurance industry and the Company offers healthcare organizations and clinicians robust information technology solutions. As of March 31, 2018, substantially all of the Company’s services were provided within the United States, and substantially all of the Company’s assets were located within the United States. The following table is a summary of segment information for the three months ended March 31, 2018 and 2017. Segment asset information is not presented since it is not used by the CODM at the operating segment level. Operating earnings (loss) of each segment represents net revenues less directly identifiable expenses to arrive at operating income (loss) for the segment. General corporate activities included in the table below are comprised of general management and administrative corporate expenses, amortization and impairment of intangibles assets and other operating income and expenses, net of certain general corporate activity costs that are allocated to the DIS and DS businesses. The accounting policies of the segments are the same as those of the Company as set forth in Note 2 to the consolidated financial statements contained in the Company’s 2017 Annual Report on Form 10-K and Note 2 to the interim unaudited consolidated financial statements.
|
RELATED PARTIES |
3 Months Ended |
---|---|
Mar. 31, 2018 | |
Related Party Transactions [Abstract] | |
Related Party Transactions | RELATED PARTIES The Company's equity method investees primarily consist of its clinical trials central laboratory services joint venture and its diagnostic information services joint ventures, which are accounted for under the equity method of accounting. During each of the three months ended March 31, 2018 and 2017, the Company recognized net revenues of $9 million associated with diagnostic information services provided to its equity method investees. As of March 31, 2018 and December 31, 2017, there was $4 million and $3 million, respectively, of accounts receivable from equity method investees related to such services. During each of the three months ended March 31, 2018 and 2017, the Company recognized income of $4 million associated with the performance of certain corporate services, including transition services, for its equity method investees, classified within selling, general and administrative expenses. As of March 31, 2018 and December 31, 2017, there was $5 million and $7 million, respectively, of other receivables from equity method investees included in prepaid expenses and other current assets related to these service agreements and other transition related items. In addition, accounts payable and accrued expenses both as of March 31, 2018 and December 31, 2017 included $1 million due to equity method investees. |
TAXES ON INCOME |
3 Months Ended |
---|---|
Mar. 31, 2018 | |
Income Tax Disclosure [Abstract] | |
TAXES ON INCOME | TAXES ON INCOME For the three months ended March 31, 2018 and 2017, the effective income tax rate was 22.5% and 31.8%, respectively. The lower effective income tax rate was primarily due to the reduced corporate tax rate as a result of the TCJA. In addition, the effective tax rate for the three months ended March 31, 2018 and 2017 benefited from $8 million and $16 million, respectively, of excess tax benefits associated with stock-based compensation arrangements. The Company recognized the income tax effects of the TCJA in its audited consolidated financial statements included in the Company’s 2017 Annual Report on Form 10-K in accordance with Staff Accounting Bulletin No. 118, which provides Securities and Exchange Commission staff guidance for the application of ASC Topic 740, Income Taxes, in the reporting period in which the TCJA was signed into law. The guidance also provides for a measurement period of up to one year from the enactment date for the Company to complete the accounting for the U.S. tax law changes. As such, the Company’s 2017 financial results reflected the provisional estimate of the income tax effects of the TCJA. No subsequent adjustments have been made to the amounts recorded as of December 31, 2017, which continue to represent a provisional estimate of the impact of TCJA. The estimate of the impact of TCJA is based on certain assumptions and the Company's current interpretation, and may change, as the Company receives additional clarification and implementation guidance and as the interpretation of the TCJA evolves over time. |
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Accounting Policies [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Basis of Presentation | The interim unaudited consolidated financial statements reflect all adjustments which in the opinion of management are necessary for a fair statement of results of operations, comprehensive income, financial condition, cash flows and stockholders' equity for the periods presented. Except as otherwise disclosed, all such adjustments are of a normal recurring nature. Operating results for the interim periods are not necessarily indicative of the results that may be expected for the full year. These interim unaudited consolidated financial statements should be read in conjunction with the audited consolidated financial statements included in the Company’s 2017 Annual Report on Form 10-K. The year-end balance sheet data was derived from the audited consolidated financial statements as of December 31, 2017, but does not include all the disclosures required by accounting principles generally accepted in the United States (“GAAP”). |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reclassifications | As a result of the adoption of the new accounting standard associated with clarifying presentation and classification in the statement of cash flows, certain reclassifications have been made to the prior period financial statements to conform with the current period presentation. In addition, the Company adopted the new revenue recognition accounting standard on a full retrospective basis, which required the Company to restate certain previously reported results. For further details regarding the impact of these new accounting standards, see New Accounting Pronouncements. |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Use Of Estimates | The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Earnings Per Share | The Company's unvested restricted stock units that contain non-forfeitable rights to dividends are participating securities and, therefore, are included in the earnings allocation in computing earnings per share using the two-class method. Basic earnings per common share is calculated by dividing net income, adjusted for earnings allocated to participating securities, by the weighted average number of common shares outstanding. Diluted earnings per common share is calculated by dividing net income, adjusted for earnings allocated to participating securities, 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 the dilutive effect of outstanding stock options and performance share units granted under the Company's Amended and Restated Employee Long-Term Incentive Plan and its Amended and Restated Non-Employee Director Long-Term Incentive Plan. Earnings allocable to participating securities include the portion of dividends declared as well as the portion of undistributed earnings during the period allocable to participating securities. |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
New Accounting Pronouncements | Adoption of New Accounting Standards On January 1, 2018, the Company adopted a new accounting standard issued by the Financial Accounting Standards Board ("FASB") on revenue recognition using the full retrospective method. This new accounting standard outlines a single comprehensive model to use in accounting for revenue arising from contracts with customers. This standard supersedes existing revenue recognition requirements and eliminates most industry-specific guidance from GAAP. The core principle of the revenue recognition standard is to require an entity to recognize as revenue the amount that reflects the consideration to which it expects to be entitled in exchange for goods or services as it transfers control to its customers. As a result of the Company's adoption of this standard, the majority of the amounts that were historically classified as bad debt expense, primarily related to patient responsibility, are now considered an implicit price concession in determining net revenue. Accordingly, the Company reports uncollectible balances associated with patient responsibility as a reduction of the transaction price and therefore as a reduction in net revenues when historically these amounts were classified as bad debt expense within selling, general and administrative expenses. In addition, the adoption of this new accounting standard resulted in increased disclosure, including qualitative and quantitative disclosures about the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers. For further details, see Note 3. Adoption of the standard impacted the Company's previously reported results as follows:
On January 1, 2018, the Company adopted a new accounting standard issued by the FASB on the recognition and measurement of financial assets and financial liabilities. This new accounting standard requires that all equity investments (except those accounted for under the equity method of accounting or those that result in consolidation of the investee) be measured at fair value with changes in fair value recognized in net income. However, companies may elect to measure equity investments that do not have readily determinable fair values at cost minus impairment, if any, plus or minus changes resulting from observable price changes in orderly transactions for the identical or a similar investment of the same issuer. In addition, the new accounting standard eliminated the requirement to disclose the method and significant assumptions used to estimate the fair value for financial instruments measured at amortized cost on the balance sheet. The adoption of this standard did not have a material impact on the Company's results of operations or financial position. On January 1, 2018, the Company adopted two new accounting standards issued by the FASB that clarify presentation and classification in the statement of cash flows on a retrospective basis. As a result of adoption:
On January 1, 2018, the Company adopted a new accounting standard issued by the FASB that provides a framework for evaluating whether a transaction should be accounted for as an acquisition (or disposal) of assets or a business. If an entity determines that substantially all of the fair value of the gross assets acquired is concentrated in a single identifiable asset or a group of similar identifiable assets, then the set of transferred assets and activities is not a business. If this threshold is not met, in order to be considered a business the set of transferred assets and activities must include, at a minimum, an input and a substantive process that together significantly contribute to the ability to create outputs. The adoption of this standard, which was done on a prospective basis, will require future transactions to be evaluated under the new framework. New Accounting Standards To Be Adopted In February 2016, the FASB issued an Accounting Standard Updated ("ASU") that amends accounting for leases. Under the new guidance, a lessee will recognize assets and liabilities for most leases on its balance sheet but will recognize expense on its statement of operations similar to current lease accounting. The ASU is effective for the Company in the first quarter of 2019 with early adoption permitted. The new guidance must be adopted using a modified retrospective transition approach, and provides for certain practical expedients. The adoption of this ASU will result in a significant increase to the Company’s balance sheet for lease liabilities and right-of-use assets, which has not yet been quantified. The Company is currently assessing the impact of the adoption of this ASU on the Company’s results of operations, financial position and cash flows. Significant implementation matters being addressed by the Company include implementing an integrated third-party lease accounting application, assessing the impact to its internal controls over financial reporting and documenting the new lease accounting process. In June 2016, the FASB issued an ASU that changes the impairment model for most financial instruments, including trade receivables, from an incurred loss method to a new forward-looking approach, based on expected losses. The estimate of expected credit losses will require entities to incorporate considerations of historical information, current information and reasonable and supportable forecasts. This ASU is effective for the Company in the first quarter of 2020 and must be adopted using a modified retrospective transition approach. The Company is currently assessing the impact of the adoption of this ASU on the Company’s results of operations, financial position and cash flows. In February 2018, the FASB issued an ASU that provides companies with an option to reclassify stranded tax effects resulting from enactment of the Tax Cuts and Jobs Act ("TCJA") from accumulated other comprehensive income to retained earnings. The guidance will be effective for the Company beginning in the first quarter of 2019 with early adoption permitted, and would be applied either in the period of adoption or retrospectively to each period (or periods) in which the effect of the change in the tax rate as a result of TCJA is recognized. The Company does not expect the adoption of this ASU to have a material impact on its results of operations, financial position and cash flows. |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Derivative Financial Instruments | The Company uses derivative financial instruments to manage its exposure to market risks for changes in interest rates and, from time to time, foreign currencies. This strategy includes the use of interest rate swap agreements, forward starting interest rate swap agreements, treasury lock agreements and foreign currency forward contracts to manage its exposure to movements in interest and currency rates. The Company has established 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 speculative purposes. The Company does not enter into derivative financial instruments that contain credit-risk-related contingent features or requirements to post collateral. Interest Rate Risk The Company is exposed to interest rate risk on its cash and cash equivalents and its debt obligations. Interest income earned on cash and cash equivalents may fluctuate as interest rates change; however, due to their relatively short maturities, the Company does not hedge these assets or their investment cash flows and the impact of interest rate risk is not material. The Company's debt obligations consist of fixed-rate and variable-rate debt instruments. The Company's primary objective is to achieve the lowest overall cost of funding while managing the variability in cash outflows within an acceptable range. In order to achieve this objective, the Company has entered into interest rate swaps. Interest rate swaps involve the periodic exchange of payments without the exchange of underlying principal or notional amounts. Net settlements between the counterparties are recognized as an adjustment to interest expense, net. |
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Accounting Policies [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of New Accounting Pronouncements and Changes in Accounting Principles | Adoption of the standard impacted the Company's previously reported results as follows:
|
REVENUE RECOGNITION (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Revenue from Contract with Customer [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Disaggregation of Revenue | The approximate percentage of net revenue by type of customer was as follows:
|
EARNINGS PER SHARE (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Earnings Per Share, Basic and Diluted [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Earnings Per Share, Basic and Diluted | The computation of basic and diluted earnings per common share was as follows:
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share | The following securities were not included in the calculation of diluted earnings per share due to their antidilutive effect:
|
RESTRUCTURING ACTIVITIES (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Restructuring and Related Activities [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Pre-Tax Restructuring and Integration Charges | The following table provides a summary of the Company's pre-tax restructuring charges for the three months ended March 31, 2018 and 2017:
|
FAIR VALUE MEASUREMENTS (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Fair Value Disclosures [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Fair Value, Measurement Inputs | The following table provides a summary of the recognized assets and liabilities that are measured at fair value on a recurring basis:
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation | The following table provides a reconciliation of the beginning and ending balances of liabilities using significant unobservable inputs (Level 3):
|
GOODWILL AND INTANGIBLE ASSETS (Tables) |
3 Months Ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Goodwill and Intangible Assets Disclosure [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Changes in Goodwill, Net | The changes in goodwill for the three months ended March 31, 2018 and for the year ended December 31, 2017 were as follows:
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Intangible Assets Excluding Goodwill | Intangible assets at March 31, 2018 and December 31, 2017 consisted of the following:
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Future Amortization Expense Intangible Assets | The estimated amortization expense related to amortizable intangible assets for each of the five succeeding fiscal years and thereafter as of March 31, 2018 is as follows:
|
FINANCIAL INSTRUMENTS (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Derivative Instruments and Hedging Activities Disclosure [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Derivative Instruments | A summary of the notional amounts of these interest rate swaps as of March 31, 2018 and December 31, 2017 was as follows:
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Debt Instrument Fair Value Basis Adjustment Attributable to Hedged Debt | As of March 31, 2018 and December 31, 2017, the following amounts were recorded on the consolidated balance sheet related to cumulative basis adjustments for fair value hedges included in the carrying amount of long-term debt:
(a) The balance includes $52 million and $56 million of remaining unamortized hedging adjustment on a discontinued relationship as of March 31, 2018 and December 31, 2017, respectively. |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Fair Value Hedge Accounting on the Statement of Operations | The following table presents the effect of fair value hedge accounting on the statement of operations for the three months ended March 31, 2018 and 2017:
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Derivative Liabilities at Fair Value | A summary of the fair values of derivative instruments in the consolidated balance sheets was as follows:
|
SUPPLEMENTAL CASH FLOW & OTHER DATA (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Supplemental Cash Flow Elements [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Supplemental Cash Flow and Other Data | Supplemental cash flow and other data for the three months ended March 31, 2018 and 2017 was as follows:
|
BUSINESS SEGMENT INFORMATION (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2018 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Segment Reporting [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Summary of Segment Reporting Information by Segment | The following table is a summary of segment information for the three months ended March 31, 2018 and 2017. Segment asset information is not presented since it is not used by the CODM at the operating segment level. Operating earnings (loss) of each segment represents net revenues less directly identifiable expenses to arrive at operating income (loss) for the segment. General corporate activities included in the table below are comprised of general management and administrative corporate expenses, amortization and impairment of intangibles assets and other operating income and expenses, net of certain general corporate activity costs that are allocated to the DIS and DS businesses. The accounting policies of the segments are the same as those of the Company as set forth in Note 2 to the consolidated financial statements contained in the Company’s 2017 Annual Report on Form 10-K and Note 2 to the interim unaudited consolidated financial statements.
|
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Details1) $ in Millions |
3 Months Ended |
---|---|
Mar. 31, 2017
USD ($)
| |
Disposal Group, Held-for-sale, Not Discontinued Operations [Member] | Focus Diagnostics Products [Member] | |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] | |
Decrease in restricted cash | $ 25 |
EARNINGS PER SHARE (Details) - USD ($) $ / shares in Units, shares in Millions, $ in Millions |
3 Months Ended | |
---|---|---|
Mar. 31, 2018 |
Mar. 31, 2017 |
|
Earnings Per Share, Basic and Diluted [Abstract] | ||
Net income attributable to Quest Diagnostics | $ 177 | $ 164 |
Less: Earnings allocated to participating securities | 1 | 1 |
Earnings available to Quest Diagnostics' common stockholders - basic and diluted | $ 176 | $ 163 |
Weighted average common shares outstanding - basic | 136 | 137 |
Stock options and performance share units | 3 | 4 |
Weighted average common shares outstanding - diluted | 139 | 141 |
Basic (per share) | $ 1.30 | $ 1.19 |
Diluted (per share) | $ 1.27 | $ 1.16 |
Stock options and performance share units not included due to their antidilutive effect | 2 | 1 |
RESTRUCTURING ACTIVITIES (Narrative) (Details) - Invigorate Program [Member] - USD ($) $ in Millions |
3 Months Ended | ||
---|---|---|---|
Mar. 31, 2018 |
Mar. 31, 2017 |
Dec. 31, 2017 |
|
Restructuring Cost and Reserve [Line Items] | |||
Total restructuring charges | $ 12 | $ 3 | |
Accounts Payable and Accrued Liabilities [Member] | |||
Restructuring Cost and Reserve [Line Items] | |||
Restructuring reserve | 27 | $ 22 | |
Cost of Revenue [Member] | |||
Restructuring Cost and Reserve [Line Items] | |||
Total restructuring charges | 4 | 2 | |
Selling, General and Administrative Expenses [Member] | |||
Restructuring Cost and Reserve [Line Items] | |||
Total restructuring charges | $ 8 | $ 1 |
RESTRUCTURING ACTIVITIES (Pre-Tax Restructuring and Integration Charges) (Details) - Invigorate Program [Member] - USD ($) $ in Millions |
3 Months Ended | |
---|---|---|
Mar. 31, 2018 |
Mar. 31, 2017 |
|
Restructuring Cost and Reserve [Line Items] | ||
Employee separation costs | $ 11 | $ 3 |
Facility-related costs | 1 | 0 |
Total restructuring charges | $ 12 | $ 3 |
BUSINESS ACQUISITIONS (Details) - USD ($) $ in Millions |
3 Months Ended | ||||
---|---|---|---|---|---|
Feb. 01, 2018 |
Mar. 31, 2018 |
Mar. 31, 2017 |
Dec. 31, 2017 |
Dec. 31, 2016 |
|
Business Acquisition [Line Items] | |||||
Cash acquired from acquisition | $ 5 | $ 0 | |||
Goodwill | $ 6,392 | $ 6,335 | $ 6,000 | ||
Customer Relationships [Member] | |||||
Business Acquisition [Line Items] | |||||
Intangible assets, useful life | 18 years | ||||
Mobile Medical Examination Services, Inc. (MedXM) [Member] | |||||
Business Acquisition [Line Items] | |||||
Consideration | $ 142 | ||||
Cash acquired from acquisition | 5 | ||||
Cash paid for acquisition | 130 | ||||
Contingent consideration, liability | 12 | ||||
Intangible assets | 77 | ||||
Goodwill | 57 | ||||
Goodwill, expected tax deductible amount | 45 | ||||
Working capital | 7 | ||||
Property, plant and equipment | $ 1 | ||||
Mobile Medical Examination Services, Inc. (MedXM) [Member] | Customer Relationships [Member] | |||||
Business Acquisition [Line Items] | |||||
Intangible assets, useful life | 15 years |
FAIR VALUE MEASUREMENTS (Reconciliation of Beginning and Ending Balances of Assets and Liabilities Unobservable Inputs) (Details) - Significant Unobservable Inputs, Level 3 [Member] - Contingent Consideration [Member] $ in Millions |
3 Months Ended |
---|---|
Mar. 31, 2018
USD ($)
| |
Fair Value, Net Derivative Asset (Liability) Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | |
Balance, December 31, 2017 | $ 7 |
Purchases, additions and issuances | 12 |
Settlements | 0 |
Included in earnings | 1 |
Balance, March 31, 2018 | $ 20 |
GOODWILL AND INTANGIBLE ASSETS (Goodwill) (Details) - USD ($) $ in Millions |
3 Months Ended | 12 Months Ended |
---|---|---|
Mar. 31, 2018 |
Dec. 31, 2017 |
|
Goodwill [Roll Forward] | ||
Goodwill, Balance at beginning of period | $ 6,335 | $ 6,000 |
Goodwill acquired during the period | 57 | 335 |
Goodwill, Balance at end of period | $ 6,392 | $ 6,335 |
DEBT (Details) - USD ($) |
3 Months Ended | |
---|---|---|
Mar. 31, 2018 |
Mar. 31, 2017 |
|
Debt Instrument [Line Items] | ||
Proceeds from borrowings | $ 935,000,000 | $ 0 |
Repayments of debt | 832,000,000 | $ 2,000,000 |
Secured Receivables Credit Facility [Member] | ||
Debt Instrument [Line Items] | ||
Proceeds from borrowings | 935,000,000 | |
Repayments of debt | 830,000,000 | |
Revolving Credit Facility [Member] | ||
Debt Instrument [Line Items] | ||
Credit facility capacity | $ 750,000,000 | |
Revolving Credit Facility [Member] | LIBOR [Member] | ||
Debt Instrument [Line Items] | ||
Interest rate in excess of LIBOR | 1.125% | |
Revolving Credit Facility [Member] | Letter of Credit [Member] | ||
Debt Instrument [Line Items] | ||
Credit facility capacity | $ 150,000,000 | |
Secured Receivables Credit Facility [Member] | Letter of Credit [Member] | ||
Debt Instrument [Line Items] | ||
Credit facility capacity | $ 100,000,000 |
FINANCIAL INSTRUMENTS (Narrative) (Details) - USD ($) $ in Millions |
3 Months Ended | |
---|---|---|
Mar. 31, 2018 |
Dec. 31, 2017 |
|
Derivative [Line Items] | ||
Accumulated net loss from designated or qualifying cash flow hedges | $ (41) | $ (48) |
Cash Flow Hedging [Member] | ||
Derivative [Line Items] | ||
Accumulated net loss from designated or qualifying cash flow hedges | 8 | $ 9 |
Net amount of deferred gains and losses on cash flow hedges that is expected to be reclassified within the next 12 months | $ 3 | |
Fair Value Hedging [Member] | One-Month LIBOR [Member] | Minimum [Member] | ||
Derivative [Line Items] | ||
Floating rate | 2.20% | |
Fair Value Hedging [Member] | One-Month LIBOR [Member] | Maximum [Member] | ||
Derivative [Line Items] | ||
Floating rate | 3.00% |
FINANCIAL INSTRUMENTS (Balance Sheets) (Details) - USD ($) $ in Millions |
Mar. 31, 2018 |
Dec. 31, 2017 |
---|---|---|
Derivative [Line Items] | ||
Hedging adjustment on a discontinued relationship | $ 52 | $ 56 |
Long-term Debt [Member] | Fair Value Hedging [Member] | ||
Derivative [Line Items] | ||
Carrying Amount of Hedged Long-Term Debt | 1,106 | 1,132 |
Hedge Accounting Basis Adjustment | $ (62) | $ (33) |
FINANCIAL INSTRUMENTS (Income Statement) (Details) - USD ($) $ in Millions |
3 Months Ended | |
---|---|---|
Mar. 31, 2018 |
Mar. 31, 2017 |
|
Derivative [Line Items] | ||
Other (expense) income, net | $ (2) | $ 3 |
Other Nonoperating Income (Expense) [Member] | ||
Derivative [Line Items] | ||
Hedged items (Long-term debt) | 25 | 0 |
Other Nonoperating Income (Expense) [Member] | Fair Value Hedging [Member] | ||
Derivative [Line Items] | ||
Derivatives designated as hedging instruments | $ (25) | $ 0 |
FINANCIAL INSTRUMENTS (Summary of Fair Value of Derivatives) (Details) - USD ($) $ in Millions |
Mar. 31, 2018 |
Dec. 31, 2017 |
---|---|---|
Designated as Hedging Instrument [Member] | Other Liabilities [Member] | Interest Rate Swaps [Member] | ||
Derivative [Line Items] | ||
Liability Derivatives | $ 114 | $ 89 |
STOCKHOLDERS’ EQUITY AND REDEEMABLE NONCONTROLLING INTEREST (Details) - USD ($) $ / shares in Units, shares in Millions, $ in Millions |
3 Months Ended | |||||
---|---|---|---|---|---|---|
Mar. 31, 2018 |
Dec. 31, 2017 |
Sep. 30, 2017 |
Jun. 30, 2017 |
Mar. 31, 2017 |
Jul. 01, 2015 |
|
Schedule of Stockholders' Equity and Redeemable Noncontrolling Interest [Line Items] | ||||||
Dividends per common share | $ 0.50 | $ 0.45 | $ 0.45 | $ 0.45 | $ 0.45 | |
Share repurchase authorization remaining available | $ 867 | |||||
Purchases of treasury stock, value | $ 50 | $ 150 | ||||
Reissuance of shares for employee benefit plan | 0.6 | 0.9 | ||||
UMass Joint Venture [Member] | ||||||
Schedule of Stockholders' Equity and Redeemable Noncontrolling Interest [Line Items] | ||||||
Ownership percentage by noncontrolling owners | 18.90% | |||||
Treasury Stock, at Cost [Member] | ||||||
Schedule of Stockholders' Equity and Redeemable Noncontrolling Interest [Line Items] | ||||||
Purchases of treasury stock- shares | 0.5 | 1.6 | ||||
Purchases of treasury stock, value | $ 50 | $ 150 |
SUPPLEMENTAL CASH FLOW & OTHER DATA (Details) - USD ($) $ in Millions |
3 Months Ended | |
---|---|---|
Mar. 31, 2018 |
Mar. 31, 2017 |
|
Supplemental Cash Flow Elements [Abstract] | ||
Depreciation expense | $ 52 | $ 45 |
Amortization expense | 22 | 17 |
Depreciation and amortization expense | 74 | 62 |
Interest expense | (41) | (37) |
Interest income | 0 | 1 |
Interest expense, net | (41) | (36) |
Interest paid | 49 | 46 |
Income taxes paid | 2 | 8 |
Accounts payable associated with capital expenditures | 16 | 12 |
Dividends payable | 66 | 62 |
Fair value of assets acquired | 148 | 1 |
Fair value of liabilities assumed | (1) | 0 |
Fair value of net assets acquired | 147 | 1 |
Merger consideration paid (payable), net | (12) | 0 |
Cash paid for business acquisitions | 135 | 1 |
Less: Cash acquired | 5 | 0 |
Business acquisitions, net of cash acquired | $ 130 | $ 1 |
COMMITMENTS AND CONTINGENCIES (Details) - USD ($) |
Mar. 31, 2018 |
Dec. 31, 2017 |
---|---|---|
Debt Instrument [Line Items] | ||
Litigation reserves | $ 2,000,000 | $ 2,000,000 |
Self-insurance reserves | 113,000,000 | $ 118,000,000 |
Secured Receivables Credit Facility [Member] | ||
Debt Instrument [Line Items] | ||
Letters of credit outstanding, amount | 71,000,000 | |
Senior Unsecured Revolving Credit Facility [Member] | ||
Debt Instrument [Line Items] | ||
Credit facility capacity | 750,000,000 | |
Letter of Credit [Member] | Secured Receivables Credit Facility [Member] | ||
Debt Instrument [Line Items] | ||
Credit facility capacity | 100,000,000 | |
Letter of Credit [Member] | Senior Unsecured Revolving Credit Facility [Member] | ||
Debt Instrument [Line Items] | ||
Credit facility capacity | $ 150,000,000 |
RELATED PARTIES (Details) - Equity Method Investee [Member] - USD ($) $ in Millions |
3 Months Ended | ||
---|---|---|---|
Mar. 31, 2018 |
Mar. 31, 2017 |
Dec. 31, 2017 |
|
Related Party Transaction [Line Items] | |||
Revenues | $ 9 | $ 9 | |
Receivables | 4 | $ 3 | |
Accounts payable, related parties | 1 | 1 | |
Prepaid Expenses and Other Current Assets [Member] | |||
Related Party Transaction [Line Items] | |||
Other receivables | 5 | $ 7 | |
Selling, General and Administrative Expenses [Member] | |||
Related Party Transaction [Line Items] | |||
Income from related party recognized | $ 4 | $ 4 |
TAXES ON INCOME (Details) - USD ($) $ in Millions |
3 Months Ended | |
---|---|---|
Mar. 31, 2018 |
Mar. 31, 2017 |
|
Income Tax Disclosure [Abstract] | ||
Effective income tax rate | 22.50% | 31.80% |
Share-based compensation, excess tax benefit, amount | $ 8 | $ 16 |
Label | Element | Value |
---|---|---|
Restricted Cash | us-gaap_RestrictedCash | $ 0 |
Restricted Cash | us-gaap_RestrictedCash | $ 0 |
]UD99D]:U[QUM0S^]E&IONL?$/C=#5SN\&'T:._9@^K?!^C]0
M2P,$% @ 0TF43-:SQ>%: @ R@< !@ !X;"]W;W)K O8SAS97B.PB,!]8D<3
M17J+)+[_&P2P$##5RV6]X.LE6R^G^FQ9CQ"WUXB:(MT4$9"A83 9J7B.C.7(
M*(=$'-=(ONPCA0*!T%"Y@+T#R5F0G(*@P6YSV@>>#R:2\Q0%2U%0BAQ1%'0Z
M0"$,)I,'+B_% :VHW0/;]X)LG8XGAF
M=[$]AO@#.<3V(&)+$J>>@^F3C^Y[MJ<,3V,6(7^&PIX)''W LST5.'[$ @BB8F+R>\S1O<9JS>X9?I2F.0&
M;^\(Z92@B\]M+J="6,+ <;!8TO1!1&6:*U-[4)[&KI 6BA%7;X3B*YP+08FA
M.L$":.=];!B06.IGP(LEW"D>W,4JJ#]8M 6D^RES/F<*3D=UN+IO SWZOA@F]$O-#Q"TS]['QO
M:OX;W(%(N2*1-2I*N'YZU8T+VDU9)$J'W\S8]GH,V,P,U$@&X2
MT^XJ>"M(/&4D[@4RXJXI]K@ B85>
+(.WZTJW$7X[@^%=^L$
MZ2I!&@G2_Y:X%K/_*PE;]%2!:>(T65)BK^,D+[SSP-XG\4U^AX_3_LA-([0E
M%W3^96/_:T0'7LKFQH]0ZS_8;$BH73CN_=F,8S8:#KOI!['Y&Q?O4$L#!!0
M ( $-)E$Q"HD1ZM0$ -(# 9 >&PO=V]R:W-H965T
V%L>W^0M?)SV'\+4LK7DC,Z_;.Q_A>C 2]E<^1%J
M_ >;#065"\<;?S;CF(V&PV[Z06S^QOE?4$L#!!0 ( $-)E$R[VH<2LP$
M -(# 9 >&PO=V]R:W-H965T
^>-FEA0BN(OXRYTW(?Q)MU-L'5 ,@&2&;"/>=B8*"K_PCTO,FL&
M8L?>=SP\\?:08&_*X(RMB'M^+\,2[(\?>E,$96Q'O,'F'WFO!^2%CUR T8TX3AJ\PNP7!4'T)P;="
MG/A_=+Y-WV]FN(_T_3KZ[?VV0+HID$:!])\2[]^5N('9)^^"L%5/-=@F3I,C
MI1FZ.,DK[S*P#SR^R5_X-.W?A&UDY\C%>'S9V/_:& ^82G*#(]3B!UL,!;4/
MQSL\VVG,)L.;?OY!;/G&Q1]02P,$% @ 0TF43'/V1E#! 0 -P0 !D
M !X;"]W;W)K,:WD_B#@5E0SV7.F[U]Z01\X5U0ZC)[U5N>ZRW8#1HS*OB7X7KM6X@>)U
MVT9!U\N7_P!02P,$% @ 0TF43,*G'4H @ :@4 !D !X;"]W;W)K
MS^4LT944&PV9B/V=A]LSDC*@@V&_,P&S.M96L$2XOY2(O=
M7X4Y(RH(-A;S,1:[OPIS1E00;"OF8ROFL;4$& R(IP"=^W\!> S [P$V W+*;*F?B")%)O@0"/>S>F+NQ&J'=3,KX[2]
MLV>Z6JF]UP)OMQFZ&J(14SI,/,.L;A'[>P3>/DX8I!5,,F*?C#*^(X@7*>X1
M:>3/@+V%8AN/YQ(?/R!8>PG6EF!]0[#H0^DP&XOIG$B,DT4E'E 4?2 E\4I)
M/%(6_2H=)IEE238+(?>0N=@;':E71^K1@1
,^YK;EW!7!%H
MEV*'XRB:SHD=C()6%ZXXPG02B$Z.U!(8/.(#M87 L!!@7T!#$8E<=C %!*(
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M:73K8_BIG:N#SK;7BUSOFNYGW/ZNAM<&PT5C3N,KD>#Z7F;U/U!+ P04
M" !#291,D,]JF:," <"@ &0 'AL+W=O
:J^T*!H64TK!WNIK5KKKL>$_A>$ V@30-H"D'P9$
M34#T'A"[YNO*7*M?F&;SJ11'3];_5L7L2T'N(R/FRFXZ[=PSTZTRNX=Y'$VF
MP<$2-9B'&D,[&-(B L/>IJ HQ0/MA=/S!,L^(@UQA@@V$;GXN-M$/$ 00X+8
M$41G*@P0)) @ 160"QD1AN(D*4R2 H+H(@G"Q#C)""89 8($$XPAP?AZ+2>0
M8'*%E@B3XB0DQ"]^>(6:$#0:R#-@, (HQ@,4T$ +0J^7E&"'$&212U$A:#*0
M!QN)Q->H"D#)4#_8;P28*1DXE0AV$TEO4!5[A0"S)/2RVQHTHB+)OZ:CZG>&":QQ]MB('I-9@L2!8\?CIW1&5+=(OU9.OON4
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M+RJ$]#$NTE&T:T=_7Y$-Z72)C&_%(W]-TL<)/A-_!=H!AFD^S/PJ[3AB_=_-8>:BA*7 W%[6+@8]KD(S#L4DA3N*_
MLWB1/:4C3&Z?HQ+K2>S0%>!"8(KX"8^<+>$)02<;YO,G\6(;@+?TKWMM:)03+JMW@GEY=1>Q\O7._@G]]VCUEULMA$FL
MO$.[!XBHVCW LH4\Q0K)MH_;\/^G5$6Q4GY:B'CW@+(Z*;=38%3W"9;<\2#X
MD>F@SL4+["J1S_!/I8>XM$3#"H?MTZCM8;-<'LPA8H]VCT_@O_UM!O6K'" ^
MBP];IMHZ.8U:QX>"45*_*)=6J,$@THBP]2O>_&F)\#-7+Y5HX?B8$&,'9