7Baggers

Quest Diagnostics Incorporated
(NYSE:DGX) 

DGX stock logo

Quest Diagnostics Incorporated provides diagnostic testing, information, and services in the United States and internationally. The company develops and delivers diagnostic information services, such as routine testing, non-routine and advanced clinical testing, anatomic pathology testing, and other...

Founded: 1967
Full Time Employees: 47,000
Sector: Healthcare
Industry: Diagnostics & Research

Share this website to your friends
• Market Cap:
• Exchange:
• Shs Outstanding:
• Employees:
• Beta:
• Return on Equity (ROE) ttm:
• Return on Assets (ROA) ttm:
• EPS ttm:
• Book value per Share:
• Cash per Share:
• Current ast per Share:
• P/E ttm:
• P/E forward:
• P/E ttm high:
• P/E ttm low:
• P/S ttm:
• P/B ttm:
• P/FCF ttm:
• PEG ratio:
• Cash Ratio ttm:
• Quick Ratio ttm:
• Current Ratio ttm:
• Gross Mgn ttm:
• EBITDA Mgn ttm:
• Operating Mgn ttm:
• Net Income Mgn ttm:
• Trailing Div yield:
• Forward Div yield:
• Payout Ratio ttm:
• Ex-Dividend date:
• Target Price High:
• Target Price Low:
• Target Price Mean:
• Number of Analysts:
• Debt Ratio ttm:
• Debt to Equity ttm:
• Total Net Debt:
At a glance:
Bull Thesis:
Bear Thesis:
Main Competitors:
Moat:
Income Statements:
Quarterly
Annual
    Unit: USD2026-03-31 2025-09-30 2025-06-30 2025-03-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-06-30 
                                                                                    
      net revenues
    2,895,000,000 2,816,000,000 2,761,000,000 2,652,000,000 2,488,000,000 2,397,000,000 2,366,000,000 2,288,000,000 2,295,000,000 2,338,000,000 2,331,000,000 2,333,000,000 2,486,000,000 2,453,000,000 2,611,000,000 2,744,000,000 2,774,000,000 2,550,000,000 2,720,000,000 3,002,000,000 2,786,000,000 1,827,000,000 1,822,000,000 1,926,000,000 1,956,000,000 1,953,000,000 1,891,000,000 1,839,000,000 1,889,000,000 1,919,000,000 1,884,000,000 1,936,000,000 1,931,000,000 1,943,000,000 1,899,000,000 1,861,000,000 1,885,000,000 1,906,000,000 1,863,000,000 1,849,000,000 1,880,000,000 1,925,000,000 1,839,000,000 1,883,000,000 1,904,000,000 1,902,000,000 1,746,000,000 1,756,473,000 1,787,140,000 1,815,740,000 1,786,647,000 1,687,857,000 1,851,439,000 1,906,810,000 1,936,456,000 1,879,307,000 1,906,405,000 1,903,201,000 1,821,577,000 1,824,040,000 1,864,655,000 1,874,727,000 1,805,503,000 1,848,273,000 1,897,146,000 1,901,818,000 1,808,006,000 1,800,306,000 1,826,603,000 1,837,901,000 1,784,637,000 1,770,473,000 1,767,070,000 1,641,156,000 1,526,208,000 1,583,202,000 1,584,335 1,555,408  1,377,529,000 
      operating costs and expenses and other operating income:
                                                                                    
      cost of services
    1,953,000,000 1,867,000,000 1,818,000,000 1,789,000,000 1,677,000,000 1,593,000,000 1,595,000,000 1,552,000,000 1,541,000,000 1,546,000,000 1,560,000,000 1,575,000,000 1,618,000,000 1,611,000,000 1,646,000,000 1,718,000,000 1,670,000,000 1,565,000,000 1,626,000,000 1,733,000,000 1,580,000,000 1,221,000,000 1,270,000,000 1,264,000,000 1,264,000,000 1,265,000,000 1,244,000,000 1,235,000,000 1,222,000,000 1,243,000,000 1,226,000,000 1,194,000,000 1,190,000,000 1,170,000,000 1,165,000,000 1,160,000,000 1,157,000,000 1,155,000,000 1,144,000,000 1,150,000,000 1,162,000,000 1,182,000,000 1,163,000,000 1,184,000,000 1,178,000,000 1,174,000,000 1,101,000,000 1,051,987,000 1,088,503,000 1,093,666,000 1,091,834,000 1,047,929,000 1,089,718,000 1,110,514,000 1,116,538,000 1,077,367,000 1,116,574,000 1,104,394,000 1,096,998,000 1,080,438,000 1,091,465,000 1,078,971,000 1,066,373,000 1,070,239,000 1,097,535,000 1,100,212,000 1,053,489,000 1,040,925,000 1,073,123,000 1,083,481,000 1,058,627,000 1,042,723,000 1,026,598,000 968,742,000 931,785,000 933,735,000 936,432 922,984  798,678,000 
      selling, general and administrative
    504,000,000 501,000,000 486,000,000 476,000,000 448,000,000 416,000,000 440,000,000 407,000,000 380,000,000 416,000,000 439,000,000 563,000,000 464,000,000 422,000,000 425,000,000 464,000,000 427,000,000 429,000,000 407,000,000 447,000,000 396,000,000 360,000,000 347,000,000 349,000,000 362,000,000 362,000,000 384,000,000 356,000,000 354,000,000 351,000,000 363,000,000 453,000,000 423,000,000 437,000,000 437,000,000 400,000,000 409,000,000 430,000,000 442,000,000 429,000,000 402,000,000 429,000,000 419,000,000 427,000,000 446,000,000 440,000,000 415,000,000 414,630,000 422,963,000 418,548,000 447,869,000 371,144,000 432,627,000 440,788,000 500,641,000 457,073,000 446,595,000 462,789,000 447,858,000 430,966,000 426,562,000 419,412,000 430,733,000 432,992,000 441,569,000 448,756,000 424,301,000 435,640,000 428,179,000 438,037,000 435,078,000 408,626,000 424,334,000 395,105,000 384,793,000 354,631,000 363,339 358,190  315,674,000 
      amortization of intangible assets
    37,000,000 39,000,000 39,000,000 39,000,000 32,000,000 29,000,000 29,000,000 27,000,000 27,000,000 28,000,000 26,000,000 39,000,000 27,000,000 27,000,000 27,000,000 26,000,000 25,000,000 25,000,000 27,000,000 26,000,000 27,000,000 25,000,000 25,000,000 24,000,000 23,000,000 25,000,000 24,000,000 24,000,000 22,000,000 22,000,000 22,000,000 20,000,000 19,000,000 18,000,000 17,000,000 18,000,000 18,000,000 17,000,000 19,000,000 20,000,000 20,000,000 20,000,000 21,000,000 23,000,000 24,000,000 25,000,000 22,000,000 19,802,000 20,158,000 19,756,000 19,284,000 14,387,000 19,961,000 20,169,000 20,231,000 19,189,000 19,402,000 18,592,000 9,849,000 10,677,000 9,915,000 9,270,000 9,359,000 9,526,000 9,154,000 9,377,000 9,005,000 9,323,000 8,790,000 9,916,000 9,264,000 9,162,000 8,932,000 5,350,000 4,460,000 3,045,000 2,257 2,338  933,000 
      other operating expense
    2,000,000 23,000,000  2,000,000 1,000,000 4,000,000 2,000,000 35,000,000 5,000,000  1,000,000   5,000,000      1,000,000 65,000,000  5,000,000    -9,000,000  -13,000,000  1,000,000  1,000,000 -1,000,000     1,000,000  -1,000,000 -7,000,000 8,000,000 -8,000,000  1,000,000  108,000 40,177,000 -4,951,000 666,000 -3,334,000 400,000 591,000 -539,000   572,000 235,912,000    476,000    148,000    1,407,000    4,300,000  19,682 27,355  1,091,000 
      total operating costs and expenses
    2,496,000,000 2,430,000,000 2,323,000,000 2,306,000,000 2,158,000,000 2,042,000,000 2,066,000,000 2,021,000,000 1,953,000,000 1,990,000,000 2,026,000,000 2,198,000,000 2,094,000,000 2,065,000,000 2,098,000,000 2,208,000,000 2,122,000,000 2,017,000,000 2,060,000,000 2,207,000,000 2,068,000,000 1,544,000,000 1,647,000,000 1,563,000,000 1,643,000,000 1,646,000,000 1,643,000,000 1,619,000,000 1,585,000,000 1,614,000,000 1,612,000,000 1,667,000,000 1,633,000,000 1,624,000,000 1,620,000,000     1,121,000,000 1,249,000,000 1,624,000,000 1,611,000,000 1,626,000,000 1,648,000,000 1,640,000,000 1,538,000,000 1,486,665,000 1,097,663,000 1,527,019,000 1,559,653,000 1,430,126,000 1,542,706,000 1,572,062,000 1,636,871,000 1,554,126,000 1,584,352,000 1,586,347,000 1,790,617,000 1,529,828,000 1,527,788,000 1,508,833,000 1,506,941,000 1,517,880,000 1,548,866,000 1,542,443,000 1,486,943,000 1,483,249,000 1,509,668,000 1,529,778,000 1,504,376,000 1,458,408,000 1,461,078,000 1,368,747,000 1,325,338,000 1,290,341,000 1,321,710 1,310,867  1,116,376,000 
      operating income
    399,000,000 386,000,000 438,000,000 346,000,000 330,000,000 355,000,000 300,000,000 267,000,000 342,000,000 348,000,000 305,000,000 135,000,000 392,000,000 388,000,000 513,000,000 536,000,000 652,000,000 533,000,000 660,000,000 795,000,000 718,000,000 283,000,000 175,000,000 363,000,000 313,000,000 307,000,000 248,000,000 220,000,000 304,000,000 305,000,000 272,000,000 269,000,000 298,000,000 319,000,000 279,000,000 276,000,000 322,000,000 422,000,000 257,000,000 239,000,000 631,000,000 301,000,000 228,000,000 257,000,000 256,000,000 262,000,000 208,000,000 269,808,000 689,477,000 288,721,000 226,994,000 257,731,000 308,733,000 334,748,000 299,585,000 325,181,000 322,053,000 316,854,000 30,960,000 294,212,000 336,867,000 365,894,000 298,562,000 330,393,000 348,280,000 359,375,000 321,063,000 317,057,000 316,935,000 308,123,000 280,261,000 312,065,000 305,992,000 272,409,000 200,870,000 292,861,000 262,625 244,541  261,153,000 
      yoy
    20.91% 8.73% 46.00% 29.59% -3.51% 2.01% -1.64% 97.78% -12.76% -10.31% -40.55% -74.81% -39.88% -27.20% -22.27% -32.58% -9.19% 88.34% 277.14% 119.01% 129.39% -7.82% -29.44% 65.00% 2.96% 0.66% -8.82% -18.22% 2.01% -4.39% -2.51% -2.54% -7.45% -24.41% 8.56% 15.48% -48.97% 40.20% 12.72% -7.00% 146.48% 14.89% 9.62% -4.75% -62.87% -9.25% -8.37% 4.69% 123.32% -13.75% -24.23% -20.74% -4.14% 5.65% 867.65% 10.53% -4.40% -13.40% -89.63% -10.95% -3.28% 1.81% -7.01% 4.21% 9.89% 16.63% 14.56% 1.60% 3.58% 13.11% 39.52% 6.56% 116412.90% 111296.04%  12.14%     
      qoq
    3.37% -11.87% 26.59% 4.85% -7.04% 18.33% 12.36% -21.93% -1.72% 14.10% 125.93% -65.56% 1.03% -24.37% -4.29% -17.79% 22.33% -19.24% -16.98% 10.72% 153.71% 61.71% -51.79% 15.97% 1.95% 23.79% 12.73% -27.63% -0.33% 12.13% 1.12% -9.73% -6.58% 14.34% 1.09% -14.29% -23.70% 64.20% 7.53% -62.12% 109.63% 32.02% -11.28% 0.39% -2.29% 25.96% -22.91% -60.87% 138.80% 27.19% -11.93% -16.52% -7.77% 11.74% -7.87% 0.97% 1.64% 923.43% -89.48% -12.66% -7.93% 22.55% -9.63% -5.14% -3.09% 11.93% 1.26% 0.04% 2.86% 9.94% -10.19% 1.98% 12.33% 35.61% -31.41% 111412.99% 7.40%    
      other income:
                                                                                    
      interest expense
    -63,000,000 -66,000,000 -67,000,000 -67,000,000 -49,000,000 -44,000,000 -43,000,000 -40,000,000 -40,000,000 -37,000,000 -35,000,000 -32,000,000 -33,000,000 -36,000,000 -37,000,000 -37,000,000 -38,000,000 -38,000,000 -38,000,000 -39,000,000 -42,000,000 -41,000,000 -41,000,000 -42,000,000 -44,000,000 -45,000,000 -44,000,000 -43,000,000 -41,000,000 -42,000,000 -41,000,000 -39,000,000 -38,000,000 -38,000,000 -36,000,000 -36,000,000 -37,000,000 -34,000,000 -36,000,000 -36,000,000 -35,000,000 -37,000,000 -45,000,000 -42,000,000 -41,000,000 -42,000,000 -39,000,000 -39,246,000 -39,968,000 -39,921,000 -39,865,000 -39,386,000 -41,028,000 -41,942,000 -42,333,000 -42,665,000 -43,408,000 -46,581,000 -37,929,000 -37,566,000 -36,200,000 -36,367,000 -35,955,000 -34,749,000 -33,065,000 -36,846,000  -43,581,000 -43,134,000  -47,617,000 -53,942,000 -58,687,000 -39,158,000 -26,527,000 -22,801,000 -22,662 -23,524  -12,640,000 
      other expense
    -2,000,000                                     -5,000,000 -49,000,000                       -7,119,000                   
      total non-operating expense
    -65,000,000 -58,000,000 -54,000,000 -70,000,000 -34,000,000 -41,000,000 -34,000,000 -25,500,000 -43,000,000 -31,000,000 -28,000,000    -61,000,000    -34,000,000                                                              
      income before income taxes and equity in earnings of equity method investees
    334,000,000 328,000,000 384,000,000 276,000,000 296,000,000 314,000,000 266,000,000 237,000,000 299,000,000 317,000,000 277,000,000 109,000,000 351,000,000 323,000,000 452,000,000 524,250,000 654,000,000 817,000,000 626,000,000    118,000,000    213,000,000 167,000,000 266,000,000 264,000,000 229,000,000 234,000,000 258,000,000 292,000,000 246,000,000 211,000,000 289,000,000 383,000,000 172,000,000 224,250,000 592,000,000                                        
      income tax expense
    -74,000,000 -77,000,000 -97,000,000 -59,000,000 -65,000,000 -74,000,000 -66,000,000 -40,000,000 -68,000,000 -75,000,000 -65,000,000 4,000,000 -81,000,000 -77,000,000 -110,000,000 -114,000,000 -153,000,000 -177,000,000 -153,000,000 -191,000,000 -177,000,000 -66,000,000 -26,000,000 -72,000,000 -62,000,000 -63,000,000 -50,000,000 -40,000,000 -48,000,000 -42,000,000 -52,000,000 23,000,000 -92,000,000 -94,000,000 -78,000,000 -84,000,000 -95,000,000 -183,000,000 -68,000,000 -14,000,000 -239,000,000 78,000,000 42,000,000 28,000,000 82,000,000 87,000,000 65,000,000 86,298,000 245,874,000 94,491,000 73,337,000 84,786,000 103,340,000 112,394,000 101,377,000 92,886,000 101,126,000 105,762,000 49,226,000 91,600,000 102,902,000 125,651,000 105,378,000 101,605,000 125,145,000 123,535,000 110,189,000 93,481,000 100,642,000 100,787,000 91,858,000 99,711,000 97,400,000 91,853,000 69,610,000 103,413,000 96,082 96,425  100,248,000 
      equity in earnings of equity method investees, net of taxes
    4,000,000 8,000,000 9,000,000 18,000,000 6,000,000  8,000,000 8,000,000 6,000,000 7,000,000 5,000,000 3,000,000 6,000,000 4,000,000 31,000,000 25,000,000 26,000,000 10,000,000 17,000,000 42,000,000 15,000,000 4,000,000 14,000,000 9,000,000 18,000,000 17,000,000 13,000,000 12,000,000 9,000,000 11,000,000 12,000,000 10,000,000 9,000,000 9,000,000 7,000,000 9,000,000 11,000,000 9,000,000 10,000,000 8,000,000 1,000,000                                        
      net income
    264,000,000 259,000,000 296,000,000 235,000,000 237,000,000 240,000,000 208,000,000 205,000,000 237,000,000 249,000,000 217,000,000 116,000,000 276,000,000 250,000,000 373,000,000 413,000,000 527,000,000 650,000,000 490,000,000 609,000,000 591,000,000 193,000,000 106,000,000 265,000,000 226,000,000 239,000,000 176,000,000 139,000,000 227,000,000 233,000,000 189,000,000 267,000,000 175,000,000 207,000,000 175,000,000 167,000,000 205,000,000 209,000,000 114,000,000 200,000,000 354,000,000 129,000,000 70,000,000 200,000,000 139,000,000 142,000,000 111,000,000 150,893,000 413,867,000 174,623,000 143,617,000 65,608,000 171,538,000 186,473,000 168,515,000 198,892,000 181,893,000 171,527,000 -46,662,000 174,232,000 207,756,000 203,876,000 171,153,000 190,562,000 201,635,000 198,369,000 175,656,000 169,813,000 110,742,000 161,328,000 139,607,000 -5,251,000 97,965,000 141,332,000 105,893,000 160,522,000 131,977 144,636  149,089,000 
      yoy
    11.39% 7.92% 42.31% 14.63% 0.00% -3.61% -4.15% 76.72% -14.13% -0.40% -41.82% -71.91% -47.63% -61.54% -23.88% -32.18% -10.83% 236.79% 362.26% 129.81% 161.50% -19.25% -39.77% 90.65% -0.44% 2.58% -6.88% -47.94% 29.71% 12.56% 8.00% 59.88% -14.63% -0.96% 53.51% -16.50% -42.09% 62.02% 62.86% 0.00% 154.68% -9.15% -36.94% 32.54% -66.41% -18.68% -22.71% 129.99% 141.27% -6.35% -14.77% -67.01% -5.69% 8.71% -461.14% 14.15% -12.45% -15.87% -127.26% -8.57% 3.04% 2.78% -2.56% 12.22% 82.08% 22.96% 25.82% -3333.92% 13.04% 14.15% 31.84% -103.27% 74128.84% 97615.64%  7.67%     
      qoq
    1.93% -12.50% 25.96% -0.84% -1.25% 15.38% 1.46% -13.50% -4.82% 14.75% 87.07% -57.97% 10.40% -32.98% -9.69% -21.63% -18.92% 32.65% -19.54% 3.05% 206.22% 82.08% -60.00% 17.26% -5.44% 35.80% 26.62% -38.77% -2.58% 23.28% -29.21% 52.57% -15.46% 18.29% 4.79% -18.54% -1.91% 83.33% -43.00% -43.50% 174.42% 84.29% -65.00% 43.88% -2.11% 27.93% -26.44% -63.54% 137.01% 21.59% 118.90% -61.75% -8.01% 10.66% -15.27% 9.35% 6.04% -467.59% -126.78% -16.14% 1.90% 19.12% -10.19% -5.49% 1.65% 12.93% 3.44% 53.34% -31.36% 15.56% -2758.67% -105.36% -30.68% 33.47% -34.03% 121528.77% -8.75%    
      less: net income attributable to noncontrolling interests
    12,000,000 14,000,000 14,000,000 15,000,000 11,000,000 11,000,000 14,000,000 13,000,000 12,000,000 14,000,000 15,000,000 15,000,000 20,000,000 16,000,000 18,000,000 23,000,000 22,000,000 19,000,000 21,000,000 30,000,000 23,000,000 8,000,000 7,000,000 12,000,000 11,000,000 13,000,000 12,000,000 12,000,000 14,000,000 14,000,000 12,000,000 13,000,000 14,000,000 14,000,000 11,000,000 12,000,000 13,000,000 14,000,000 12,000,000 12,000,000 12,000,000 11,000,000 9,000,000 10,000,000 10,000,000 9,000,000 7,000,000 8,283,000 8,724,000 9,155,000 7,838,000 9,792,000 8,456,000 8,768,000 9,397,000 9,455,000 10,045,000 8,384,000 7,199,000 8,476,000 9,681,000 9,261,000 8,705,000 8,972,000 9,416,000 10,169,000 8,554,000              
      net income attributable to quest diagnostics
    252,000,000 245,000,000 282,000,000 220,000,000 226,000,000 229,000,000 194,000,000 192,000,000 225,000,000 235,000,000 202,000,000 101,000,000 256,000,000 234,000,000 355,000,000 390,000,000 505,000,000 631,000,000 469,000,000 579,000,000 568,000,000 185,000,000 99,000,000 253,000,000 215,000,000 226,000,000 164,000,000 127,000,000 213,000,000 219,000,000 177,000,000 254,000,000 161,000,000 193,000,000 164,000,000 155,000,000 192,000,000 195,000,000 102,000,000 188,000,000 342,000,000 118,000,000 61,000,000 190,000,000 129,000,000 133,000,000 104,000,000 142,610,000 405,143,000 165,468,000 135,779,000 55,816,000 163,082,000 177,705,000 159,118,000 189,437,000 171,848,000 163,143,000  165,756,000 198,075,000 194,615,000 162,448,000 181,590,000 192,219,000 188,200,000 167,102,000              
      earnings per share attributable to quest diagnostics’ common stockholders:
                                                                                    
      basic
    2.27 2.18 2.51 1.97 2.01 2.05 1.74 1.72 1.99 2.08 1.8 0.93 2.2 2.97 3.158 4.11 5.05 3.52    0.74    1.22 0.93 1.56 1.6 1.3 1.86 1.18 1.4 1.19 0.865 1.37 1.38 0.71 0.903 2.37 0.82 0.42                                      
      diluted
    2.24 2.16 2.47 1.94 1.99 2.03 1.72 1.7 1.96 2.05 1.78 0.92 2.17 1.96 2.92 3.103 4.02 4.96 3.46    0.73    1.2 0.92 1.53 1.57 1.27 1.82 1.15 1.37 1.16 0.855 1.34 1.37 0.7 0.895 2.35 0.81 0.42                                      
      weighted-average common shares outstanding:
                                                                                    
      basic
    110 112 112 111 112 111 111  112 112 112  116 117 119  123 125 133  135 134 134  135 135 134  136 136 136  137 137 137  139 140 143  144 144 144  145 144 144  149,625 152,708 158,098  158,783 158,477 158,293  157,816  161,489      185,124 185,266 189,370  194,971,000 194,527,000 194,143,000  193,377,000 192,651,000 193,379,000 197,164,000 198,013 198,395 201,833,000 202,597,000 
      diluted
    112 113 113 113 113 112 112  114 114 113  118 119 121  125 127 135  137 136 135  137 136 136  139 139 139  140 140 141  142 142 144  145 145 146  145 145 145  150,920 154,059 159,406  160,702 159,784 159,706  159,002  161,489      187,164 187,003 190,698  197,190,000 196,119,000 195,783,000  195,589,000 194,476,000 195,263,000 200,129,000 200,586 201,034 205,530,000 206,554,000 
      other income
     8,000,000 13,000,000 -3,000,000 15,000,000 3,000,000 9,000,000 10,000,000 -3,000,000 6,000,000 7,000,000 6,000,000 -8,000,000 -29,000,000 -24,000,000 3,000,000 40,000,000 322,000,000 4,000,000 2,000,000 77,000,000 13,000,000 -16,000,000 7,000,000 1,000,000 3,000,000 9,000,000 -10,000,000 3,000,000 1,000,000 -2,000,000 4,000,000 -2,000,000 11,000,000 3,000,000 2,000,000 4,000,000   3,000,000 -4,000,000 -64,000,000 -78,000,000 1,000,000 -1,000,000 3,000,000 1,000,000 1,429,000 2,922,000 258,000 3,391,000 689,000 2,472,000 -1,256,000 4,757,000 3,628,000 -2,677,000 -346,000 2,208,000 3,288,000 3,150,000  6,012,000 -2,338,500 2,450,000 -9,095,000  -8,793,000 -12,409,000 548,000 -1,037,000 -3,919,000 495,000 337,000 2,008,000 -3,362,000 -12,686 17,440  -544,000 
      other operating income
      -20,000,000         -2,500,000 -15,000,000     -2,000,000    -62,000,000  -5,250,000 -6,000,000 -6,000,000    -2,000,000     1,000,000 -5,000,000 -21,000,000                   59,566,250 1,781,000       -3,786,500 608,000 -15,902,000  -2,639,000 -424,000   1,266,000 1,214,000 -450,000  -1,070,000     
      total non-operating income
               -26,000,000 -41,000,000 -65,000,000  -34,000,000 2,000,000 284,000,000  -12,500,000 35,000,000                                                            
      income from continuing operations before income taxes and equity in earnings of equity method investees
                       758,000,000 753,000,000 255,000,000  328,000,000 270,000,000 265,000,000                                                       
      income from continuing operations
                       609,000,000 591,000,000 193,000,000  265,000,000 226,000,000 219,000,000                  195,000,000 139,000,000 142,000,000 111,000,000 151,390,000 411,461,000 161,820,000 123,329,000 140,230,000 171,499,000 186,528,000 168,241,000 199,343,000 182,143,000 172,034,000 -46,288,000 175,341,000 208,116,000 204,142,000 171,205,000 190,758,000 201,092,000 198,281,000 177,327,000 169,596,000 159,676,000 162,218,000 140,694,000 154,009,000 150,325,000 141,979,000 107,515,000 163,853,000     
      income from discontinued operations, net of taxes
                             20,000,000                      -497,000 2,406,000 12,803,000 20,288,000 -74,622,000 39,000 -55,000 274,000 -282,750 -250,000   -169,500 -360,000 -266,000  -260,000 543,000 88,000  217,000 -48,934,000  -1,087,000 -159,260,000 -52,360,000 -647,000  -3,331,000     
      amounts attributable to quest diagnostics’ common stockholders:
                                                                                    
      earnings per share attributable to quest diagnostics’ common stockholders - basic:
                                                                                    
      income from discontinued operations
                             0.15                       0.02 0.08 0.13     -0.003        -0.003     -250  -10 -830 -270   -20     
      earnings per share attributable to quest diagnostics’ common stockholders - diluted:
                                                                                    
      total non-operating expenses
                         -28,000,000 -57,000,000 -35,000,000 -43,000,000 -42,000,000 -35,000,000 -53,000,000 -38,000,000 -41,000,000 -43,000,000 -35,000,000 -40,000,000 -27,000,000 -33,000,000 -34,000,000 -33,000,000 -39,000,000 -85,000,000 -33,000,000 -39,000,000 -94,000,000 -116,000,000 -34,000,000 -35,000,000 -33,000,000 -32,000,000 -32,120,000 -32,142,000 -32,410,000 -30,328,000 -32,715,000 -33,894,000 -35,826,000 -29,967,000 -32,952,000 -38,784,000 -39,058,000 -28,022,000 -27,271,000 -25,849,000 -36,101,000 -21,979,000 -38,030,000 -22,043,000 -37,559,000  -53,980,000 -56,617,000  -47,709,000 -58,345,000 -58,267,000 -38,577,000 -23,745,000 -25,595,000 -34,566 -3,480  -11,816,000 
      dividends per common share
                               0.375 0.5 0.5 0.5 0.45 0.45 0.45 0.45 0.45 0.4 0.4 0.4 0.38 0.38 0.38 0.38 0.33 0.33 0.33 0.33 0.3 0.3 0.3 0.3 0.3 0.17 0.17 0.17 0.17 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 100 100 100 100 100 100 100 100 100 0.1 0.1  90 
      gain on disposition of business
                                         -118,000,000                                           
      operating costs, expenses and other income:
                                                                                    
      total operating costs, expenses and other income
                                       1,163,250,000 1,563,000,000 1,484,000,000 1,606,000,000                                          
      operating costs and expenses:
                                                                                    
      gain on contribution of business to joint venture
                                            -334,000,000                                        
      equity in earnings of equity method investees
                                             7,000,000 7,000,000 7,000,000 7,000,000 6,000,000 6,000,000                                  
      income before income taxes
                                             207,000,000 112,000,000                                      
      gain on sale of royalty rights
                                                   138,000 -474,138,000                                
      income from continuing operations before taxes
                                               223,000,000 221,000,000 229,000,000 176,000,000 237,688,000 657,335,000 256,311,000 196,666,000 225,016,000 274,839,000 298,922,000 269,618,000 292,229,000 283,269,000 277,796,000 2,938,000 266,941,000 311,018,000 329,793,000 276,583,000 292,363,000 326,237,000 321,816,000 287,516,000 263,077,000 260,318,000 263,005,000 232,552,000 253,720,000 247,725,000 233,832,000 177,125,000 267,266,000     
      amounts attributable to quest diagnostics’ stockholders:
                                                                                    
      equity earnings in unconsolidated joint ventures
                                                   4,575,750 4,904,000 7,253,000 6,146,000 5,982,000 4,662,000 7,372,000 7,609,000 6,085,000 7,301,000 7,869,000 7,699,000 7,007,000 7,201,000 7,385,000 7,964,000 7,683,000 8,572,000 8,382,000 8,570,000 6,615,000 7,530,000 7,592,000 7,999,000 6,915,000 6,553,000 6,597,000 6,904,000 6,621,000 6,632 8,012  6,440,000 
      loss from discontinued operations, net of taxes
                                                             -507,000 -374,000    -52,000            -1,622,000      
      loss from discontinued operations
                                                                              -10      
      weighted average common shares outstanding:
                                                                                    
      basic
                                                             157,607   173,229 178,920 180,219                  
      diluted
                                                             159,352   174,315 180,760 182,383                  
      net income (loss) attributable to quest diagnostics
                                                              -53,861,000                      
      earnings (loss) per share attributable to quest diagnostics’ common stockholders - basic:
                                                                                    
      earnings (loss) per share attributable to quest diagnostics’ common stockholders - diluted:
                                                                                    
      other operating (income) expense
                                                               375,500 -154,000                    
      (loss) income from discontinued operations, net of taxes
                                                               -169,500 -360,000 -266,000                   
      other operating expense (income)
                                                                 1,180,000                   
      minority share of income
                                                                       -8,221,000 -8,604,000  -7,054,000 -7,399,000 -6,628,000 -6,353,000 -6,130,000 -6,053,000 -5,850 -5,408  -5,072,000 
      earnings per common share - basic:
                                                                                    
      earnings per common share - diluted:
                                                                                    
      income before taxes
                                                                                228,059 241,061  249,337,000 
      earnings per common share:
                                                                                    
      basic
                                                                                0.67 0.73  740 
      diluted
                                                                                0.66 0.72  720 
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2026-03-31 2025-09-30 2025-06-30 2025-03-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2012-02-16 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-06-30 
                                                                                       
        assets
                                                                                       
        current assets:
                                                                                       
        cash and cash equivalents
      393,000,000 432,000,000 319,000,000 188,000,000 764,000,000 271,000,000 474,000,000 686,000,000 143,000,000 126,000,000 175,000,000 315,000,000 700,000,000 790,000,000 712,000,000 872,000,000 987,000,000 560,000,000 1,230,000,000 1,158,000,000 1,605,000,000 988,000,000 342,000,000 1,192,000,000 434,000,000 273,000,000 464,000,000 135,000,000 263,000,000 132,000,000 124,000,000 137,000,000 350,000,000 314,000,000 367,000,000 359,000,000 406,000,000 283,000,000 128,000,000 133,000,000 123,000,000 150,000,000 974,000,000 192,000,000 170,000,000 144,000,000 144,000,000 187,000,000 158,280,000 148,342,000 133,603,000 295,586,000 191,770,000 173,742,000 145,439,000  164,886,000 110,825,000 184,218,000 994,242,000 449,301,000 369,261,000 447,888,000 463,239,000 534,256,000 247,033,000 119,294,000 204,221,000 253,946,000 286,679,000 143,398,000 170,022,000 167,594,000 164,623,000 122,298,000 158,397,000 105,115,000 150,679,000 156,461,000 92,130,000 204,107,000 
        accounts receivable
      1,587,000,000 1,456,000,000 1,419,000,000 1,404,000,000 1,376,000,000 1,319,000,000 1,322,000,000 1,210,000,000 1,281,000,000 1,235,000,000 1,254,000,000 1,195,000,000 1,280,000,000 1,293,000,000 1,371,000,000 1,438,000,000 1,473,000,000 1,255,000,000 1,382,000,000 1,520,000,000 1,421,000,000 1,126,000,000 972,000,000 1,063,000,000 1,117,000,000 1,088,000,000 1,079,000,000 1,012,000,000 1,097,000,000 1,055,000,000 1,026,000,000 924,000,000 960,000,000 947,000,000 960,000,000 926,000,000 966,000,000 975,000,000 952,000,000 901,000,000 914,000,000 937,000,000 949,000,000 932,000,000 953,000,000 963,000,000 977,000,000 852,000,000 920,833,000 946,753,000 929,966,000 867,010,000 930,732,000 941,469,000 973,888,000  906,455,000 936,259,000 929,372,000 940,358,000 845,299,000 884,094,000 869,643,000 865,160,000 827,343,000 888,288,000 896,535,000 888,253,000 832,873,000    881,967,000    857,030,000 800,279,000 775,724,000 732,907,000 693,378,000 
        inventories
      225,000,000 186,000,000 187,000,000 189,000,000 184,000,000 182,000,000 181,000,000 190,000,000 184,000,000 184,000,000 190,000,000 192,000,000 183,000,000 187,000,000 197,000,000 208,000,000 205,000,000 199,000,000 223,000,000 223,000,000 205,000,000 154,000,000 126,000,000 123,000,000 112,000,000 105,000,000 98,000,000 99,000,000 95,000,000 91,000,000 94,000,000 95,000,000 100,000,000 83,000,000 77,000,000 82,000,000 82,000,000 80,000,000 82,000,000 84,000,000 86,000,000 109,000,000 106,000,000 110,000,000 111,000,000 109,000,000 99,000,000 91,000,000 85,187,000 89,442,000 89,817,000 93,050,000 94,511,000 90,098,000 88,262,000  89,132,000 84,954,000 87,967,000 71,741,000 76,572,000 73,188,000 78,432,000 79,462,000 91,386,000 80,857,000 79,715,000 86,501,000 102,125,000 98,818,000 98,331,000 97,363,000 95,234,000 92,447,000 96,839,000 87,717,000 77,315,000 71,463,000 77,917,000 77,939,000 76,264,000 
        prepaid expenses and other current assets
      361,000,000 333,000,000 273,000,000 294,000,000 299,000,000 245,000,000 251,000,000 286,000,000 207,000,000 188,000,000 195,000,000 196,000,000 171,000,000 156,000,000 195,000,000 223,000,000 189,000,000 132,000,000 164,000,000 157,000,000 117,000,000 112,000,000 120,000,000 112,000,000 116,000,000 100,000,000 137,000,000 144,000,000 148,000,000 137,000,000 127,000,000 150,000,000 134,000,000 156,000,000 154,000,000 155,000,000 179,000,000 163,000,000 138,000,000 207,000,000 194,000,000 173,000,000 188,000,000 200,000,000 164,000,000 125,000,000 115,000,000 105,000,000 108,517,000 126,376,000 97,810,000 90,950,000 86,246,000 108,409,000 139,200,000  87,459,000 97,332,000 109,659,000 111,389,000 91,775,000 95,102,000 101,978,000 106,429,000 94,640,000 99,521,000 89,537,000 98,602,000 89,456,000 95,899,000 91,664,000 95,882,000 79,721,000 87,758,000 87,190,000 82,758,000 80,227,000 75,608,000 77,218,000 59,079,000 66,618,000 
        total current assets
      2,566,000,000 2,407,000,000 2,198,000,000 2,075,000,000 2,623,000,000 2,017,000,000 2,228,000,000 2,372,000,000 1,815,000,000 1,733,000,000 1,814,000,000 1,898,000,000 2,334,000,000 2,426,000,000 2,475,000,000 2,741,000,000 2,854,000,000 2,146,000,000 2,999,000,000 3,058,000,000 3,348,000,000 2,380,000,000 1,560,000,000 2,490,000,000 1,779,000,000 1,566,000,000 1,778,000,000 1,390,000,000 1,603,000,000 1,415,000,000 1,371,000,000 1,306,000,000 1,544,000,000 1,500,000,000 1,558,000,000 1,531,000,000 1,642,000,000 1,510,000,000 1,493,000,000 1,501,000,000 1,648,000,000 1,530,000,000 2,375,000,000 1,603,000,000 1,563,000,000 1,505,000,000 1,488,000,000 1,383,000,000 1,425,648,000 1,469,699,000 1,457,166,000 1,560,997,000 1,472,265,000 1,477,175,000 1,518,604,000  1,401,260,000 1,396,277,000 1,477,955,000 2,299,985,000 1,605,417,000 1,552,714,000 1,631,344,000 1,645,248,000 1,679,425,000 1,470,682,000 1,339,098,000 1,484,557,000 1,496,819,000 1,551,567,000 1,417,088,000 1,464,635,000 1,374,357,000 1,449,246,000 1,415,201,000 1,246,949,000 1,241,947,000 1,219,311,000 1,199,984,000 1,069,497,000 1,144,584,000 
        property, plant and equipment
      2,189,000,000 2,145,000,000 2,120,000,000 2,098,000,000 2,093,000,000 1,832,000,000 1,810,000,000 1,816,000,000 1,830,000,000 1,814,000,000 1,795,000,000 1,766,000,000 1,707,000,000 1,664,000,000 1,668,000,000 1,707,000,000 1,634,000,000 1,622,000,000 1,624,000,000 1,627,000,000 1,544,000,000 1,505,000,000 1,461,000,000 1,453,000,000 1,351,000,000 1,307,000,000 1,277,000,000 1,288,000,000 1,194,000,000 1,168,000,000 1,156,000,000 1,145,000,000 1,097,000,000 1,045,000,000 1,027,000,000 1,029,000,000 952,000,000 937,000,000 925,000,000 925,000,000 886,000,000 906,000,000 902,000,000 933,000,000 888,000,000 884,000,000 851,000,000 805,000,000 749,355,000 751,814,000 753,936,000 755,831,000 782,812,000 788,626,000 781,427,000  799,771,000 806,043,000 820,593,000 821,526,000 834,376,000 812,371,000 804,190,000 811,875,000 825,946,000 831,946,000 843,757,000 861,898,000 879,687,000 873,434,000 893,073,000 906,097,000 911,998,000 891,540,000 888,874,000 760,857,000 741,677,000 742,030,000 746,328,000 753,663,000 658,972,000 
        operating lease right-of-use assets
      691,000,000 649,000,000 655,000,000 656,000,000 661,000,000 603,000,000 579,000,000 602,000,000 607,000,000 611,000,000 589,000,000 585,000,000 607,000,000 599,000,000 620,000,000 597,000,000 596,000,000 589,000,000 600,000,000 604,000,000 535,000,000 522,000,000 512,000,000 518,000,000 508,000,000 511,000,000 497,000,000                                                       
        goodwill
      9,120,000,000 8,901,000,000 8,883,000,000 8,849,000,000 8,605,000,000 7,885,000,000 7,830,000,000 7,733,000,000 7,732,000,000 7,733,000,000 7,241,000,000 7,220,000,000 7,190,000,000 7,195,000,000 7,197,000,000 7,095,000,000 7,057,000,000 7,045,000,000 6,870,000,000 6,873,000,000 6,880,000,000 6,789,000,000 6,694,000,000 6,619,000,000 6,617,000,000 6,605,000,000 6,605,000,000 6,563,000,000 6,447,000,000 6,414,000,000 6,392,000,000 6,335,000,000 6,164,000,000 6,080,000,000 6,001,000,000 6,000,000,000 6,000,000,000 5,996,000,000 5,996,000,000 5,905,000,000 5,895,000,000 5,987,000,000 5,986,000,000 6,032,000,000 6,026,000,000 6,024,000,000 5,920,000,000 5,649,000,000 5,628,808,000 5,665,845,000 5,630,102,000 5,535,848,000 5,837,179,000 5,822,551,000 5,835,075,000  5,795,765,000 5,796,193,000 5,816,969,000 5,118,908,000 5,101,938,000 5,100,389,000 5,063,151,000 5,082,253,000 5,083,944,000 5,090,776,000 5,067,267,000 5,042,675,000 5,054,926,000 5,133,732,000 5,219,770,000 5,229,664,000 5,220,104,000 5,180,918,000 5,127,982,000 3,724,768,000 3,389,584,000 3,200,649,000 3,199,238,000 3,197,227,000 2,524,596,000 
        intangible assets
      1,717,000,000 1,662,000,000 1,706,000,000 1,725,000,000 1,716,000,000 1,202,000,000 1,192,000,000 1,166,000,000 1,219,000,000 1,247,000,000 1,077,000,000 1,092,000,000 1,115,000,000 1,144,000,000 1,172,000,000 1,167,000,000 1,152,000,000 1,172,000,000 1,141,000,000 1,167,000,000 1,192,000,000 1,141,000,000 1,138,000,000 1,121,000,000 1,138,000,000 1,172,000,000 1,200,000,000 1,207,000,000 1,168,000,000 1,166,000,000 1,174,000,000 1,119,000,000 1,029,000,000 949,000,000 933,000,000 949,000,000 972,000,000 990,000,000 1,008,000,000 984,000,000 1,004,000,000 1,022,000,000 1,041,000,000 1,071,000,000 1,095,000,000 1,117,000,000 1,078,000,000 896,000,000 903,899,000 929,421,000 899,423,000 872,172,000 1,002,519,000 1,016,293,000 1,041,513,000  1,035,612,000 1,054,606,000 1,082,171,000 795,378,000 796,405,000 806,077,000 799,834,000 817,454,000 823,665,000 829,653,000 819,320,000 813,811,000 827,403,000 846,028,000 873,633,000 884,087,000 886,733,000 891,659,000 901,510,000 312,037,000 194,754,000 140,799,000 143,031,000 147,383,000 10,546,000 
        investments in equity method investees
      134,000,000 137,000,000 136,000,000 134,000,000 125,000,000 126,000,000 133,000,000 135,000,000 130,000,000 135,000,000 128,000,000 132,000,000 138,000,000 147,000,000 155,000,000 141,000,000 124,000,000 111,000,000 527,000,000 521,000,000 480,000,000 495,000,000 496,000,000 482,000,000    436,000,000    462,000,000    443,000,000                                              
        other assets
      256,000,000 296,000,000 271,000,000 260,000,000 272,000,000 216,000,000 182,000,000 198,000,000 149,000,000 152,000,000 150,000,000 144,000,000 132,000,000 137,000,000 155,000,000 163,000,000 155,000,000 176,000,000 170,000,000 176,000,000 164,000,000 158,000,000 188,000,000 160,000,000 152,000,000 141,000,000 126,000,000 119,000,000 118,000,000 128,000,000 128,000,000 136,000,000 146,000,000 146,000,000 147,000,000 148,000,000 155,000,000 223,000,000 204,000,000 174,000,000 163,000,000 219,000,000 254,000,000 238,000,000 229,000,000 227,000,000 213,000,000 215,000,000 219,829,000 219,406,000 212,722,000 204,631,000 223,946,000 288,202,000 274,825,000  280,971,000 273,352,000 233,503,000 188,932,000 189,494,000 187,787,000 183,273,000 159,379,000 150,663,000 142,668,000 141,993,000 143,692,000 144,995,000 163,995,000 163,469,000 161,851,000 172,501,000 169,268,000 160,466,000 141,931,000 136,848,000 144,805,000 145,987,000 138,345,000 144,630,000 
        total assets
      16,673,000,000 16,197,000,000 15,969,000,000 15,797,000,000 16,095,000,000 13,881,000,000 13,954,000,000 14,022,000,000 13,482,000,000 13,425,000,000 12,794,000,000 12,837,000,000 13,223,000,000 13,312,000,000 13,442,000,000 13,611,000,000 13,572,000,000 12,861,000,000 13,931,000,000 14,026,000,000 14,143,000,000 12,990,000,000 12,049,000,000 12,843,000,000 12,019,000,000 11,760,000,000 11,937,000,000 11,003,000,000 10,986,000,000 10,747,000,000 10,695,000,000 10,503,000,000 10,439,000,000 10,171,000,000 10,109,000,000 10,100,000,000 10,173,000,000 10,109,000,000 10,097,000,000 9,962,000,000 10,074,000,000 9,720,000,000 10,613,000,000 9,877,000,000 9,801,000,000 9,757,000,000 9,550,000,000 8,948,000,000 8,927,539,000 9,036,185,000 9,306,164,000 9,283,863,000 9,318,721,000 9,392,847,000 9,451,444,000  9,313,379,000 9,326,471,000 9,431,191,000 9,224,729,000 8,527,630,000 8,459,338,000 8,481,792,000 8,516,209,000 8,563,643,000 8,365,725,000 8,211,435,000 8,346,633,000 8,403,830,000 8,568,756,000 8,567,033,000 8,646,334,000 8,565,693,000 8,582,631,000 8,494,033,000 6,186,542,000 5,704,810,000 5,447,594,000 5,434,568,000 5,306,115,000 4,507,604,000 
        liabilities and stockholders’ equity
                                                                                       
        current liabilities:
                                                                                       
        accounts payable and accrued expenses
      1,500,000,000 1,457,000,000 1,349,000,000 1,267,000,000 1,313,000,000 1,247,000,000 1,239,000,000 1,359,000,000 1,157,000,000 1,201,000,000 1,198,000,000 1,396,000,000 1,447,000,000 1,420,000,000 1,544,000,000 1,600,000,000 1,610,000,000 1,404,000,000 1,559,000,000 1,633,000,000 1,686,000,000 1,142,000,000 981,000,000 1,041,000,000 1,059,000,000 951,000,000 1,029,000,000 1,021,000,000 1,085,000,000 957,000,000 976,000,000 1,021,000,000 1,047,000,000 912,000,000 979,000,000 975,000,000 1,039,000,000 1,104,000,000 932,000,000 1,014,000,000 973,000,000 1,074,000,000 1,046,000,000 1,191,000,000 1,058,000,000 1,038,000,000 969,000,000 920,000,000 994,292,000 915,927,000 935,018,000 1,016,191,000 915,991,000 880,221,000 971,092,000  906,764,000 928,162,000 998,682,000 1,137,326,000 865,272,000 816,806,000 824,375,000 906,094,000 888,705,000 886,973,000 818,907,000 1,261,336,000 1,219,619,000 1,190,914,000 1,080,236,000 1,143,937,000 1,124,716,000 910,593,000 792,449,000 800,698,000 860,706,000 814,575,000 835,529,000 764,453,000 710,081,000 
        current portion of long-term debt
      503,000,000 504,000,000 504,000,000 1,000,000 603,000,000 606,000,000 906,000,000 303,000,000 304,000,000 518,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 1,000,000 2,000,000 2,000,000 2,000,000 555,000,000 555,000,000 3,000,000 804,000,000 805,000,000 807,000,000 1,108,000,000 464,000,000 304,000,000 305,000,000 141,000,000 36,000,000 5,000,000 5,000,000 6,000,000 6,000,000 7,000,000 7,000,000 158,000,000 159,000,000 160,000,000 168,000,000 1,043,000,000 518,000,000    212,000,000            629,238,000 348,996,000 331,526,000 171,128,000 170,404,000 170,507,000                 
        current portion of long-term operating lease liabilities
      174,000,000 173,000,000 171,000,000 173,000,000 176,000,000 159,000,000 153,000,000 153,000,000 157,000,000 156,000,000 155,000,000 153,000,000 153,000,000 155,000,000 154,000,000 151,000,000 148,000,000 145,000,000 146,000,000 141,000,000 148,000,000 146,000,000 145,000,000 145,000,000 147,000,000 146,000,000 145,000,000                                                       
        total current liabilities
      2,177,000,000 2,134,000,000 2,024,000,000 1,441,000,000 2,092,000,000 2,012,000,000 2,298,000,000 1,815,000,000 1,618,000,000 1,875,000,000 1,355,000,000 1,551,000,000 1,602,000,000 1,577,000,000 1,700,000,000 1,753,000,000 1,759,000,000 1,551,000,000 1,707,000,000 1,776,000,000 2,389,000,000 1,843,000,000 1,129,000,000 1,990,000,000 2,011,000,000 1,904,000,000 2,282,000,000 1,485,000,000 1,389,000,000 1,262,000,000 1,117,000,000 1,057,000,000 1,052,000,000 917,000,000 985,000,000 981,000,000 1,046,000,000 1,111,000,000 1,090,000,000 1,173,000,000 1,133,000,000 1,242,000,000 2,089,000,000 1,709,000,000 1,190,000,000 1,258,000,000 1,192,000,000 1,132,000,000 1,238,995,000 1,290,691,000 1,208,216,000 1,047,603,000 1,070,640,000 1,324,718,000 1,525,448,000  1,561,159,000 1,764,072,000 1,993,357,000 1,766,564,000 1,214,268,000 1,148,332,000 995,503,000 1,076,498,000 1,059,212,000 990,845,000 1,023,876,000 1,266,350,000 1,224,761,000 1,240,833,000 1,130,600,000 1,192,729,000 1,288,297,000 1,202,975,000 1,159,552,000 1,567,739,000 1,177,619,000 1,106,510,000 1,127,418,000 1,101,292,000 940,167,000 
        long-term debt
      5,155,000,000 5,171,000,000 5,169,000,000 5,858,000,000 5,648,000,000 3,816,000,000 3,804,000,000 4,410,000,000 3,946,000,000 3,777,000,000 3,975,000,000 3,978,000,000 3,980,000,000 3,983,000,000 3,985,000,000 4,010,000,000 4,006,000,000 4,008,000,000 4,010,000,000 4,013,000,000 4,018,000,000 4,020,000,000 4,033,000,000 3,966,000,000 3,188,000,000 3,169,000,000 3,131,000,000 3,429,000,000 3,394,000,000 3,408,000,000 3,718,000,000 3,748,000,000 3,759,000,000 3,732,000,000 3,725,000,000 3,728,000,000 3,815,000,000 3,835,000,000 3,740,000,000 3,492,000,000 3,571,000,000 3,568,000,000 3,688,000,000 3,244,000,000 3,732,000,000 3,738,000,000 3,724,000,000 3,120,000,000 3,122,208,000 3,121,601,000 3,146,783,000 3,354,173,000 3,375,727,000 3,378,190,000 3,365,257,000  3,370,522,000 3,367,847,000 3,332,931,000 3,594,643,000 2,641,160,000 2,835,937,000 2,973,839,000 2,944,789,000 2,936,792,000 2,877,734,000 2,877,767,000 3,077,171,000 3,078,089,000 3,078,421,000 3,209,298,000 3,378,715,000 3,377,212,000 3,471,755,000 3,545,043,000 1,238,265,000 1,239,002,000 1,240,613,000 1,240,501,000 1,255,386,000 624,150,000 
        long-term operating lease liabilities
      574,000,000 534,000,000 540,000,000 538,000,000 543,000,000 507,000,000 489,000,000 503,000,000 505,000,000 508,000,000 490,000,000 489,000,000 505,000,000 497,000,000 522,000,000 494,000,000 495,000,000 492,000,000 503,000,000 499,000,000 428,000,000 416,000,000 409,000,000 413,000,000 405,000,000 413,000,000 393,000,000                                                       
        other liabilities
      1,022,000,000 982,000,000 890,000,000 917,000,000 891,000,000 811,000,000 817,000,000 876,000,000 874,000,000 901,000,000 809,000,000 812,000,000 787,000,000 728,000,000 742,000,000 792,000,000 801,000,000 792,000,000 842,000,000 847,000,000 782,000,000 753,000,000 699,000,000 711,000,000 685,000,000 689,000,000 713,000,000 745,000,000 761,000,000 738,000,000 717,000,000 663,000,000 722,000,000 709,000,000 658,000,000 654,000,000 542,000,000 520,000,000 529,000,000 514,000,000 680,000,000 566,000,000 565,000,000 594,000,000 669,000,000 642,000,000 614,000,000 723,000,000 694,741,000 685,327,000 663,449,000 635,558,000 674,773,000 668,804,000 664,682,000  666,699,000 649,588,000 654,307,000 625,518,000 618,077,000 594,364,000 565,562,000 565,707,000 556,175,000 559,039,000 544,150,000 470,781,000 496,084,000 517,518,000 559,481,000 572,863,000 575,942,000 579,831,000 600,111,000 351,306,000 219,638,000 197,471,000 201,353,000 186,453,000 162,952,000 
        commitments and contingencies
                                                                                       
        redeemable noncontrolling interest
      79,000,000 81,000,000 81,000,000 81,000,000 80,000,000 79,000,000 77,000,000 76,000,000 76,000,000 77,000,000 77,000,000 77,000,000 77,000,000 77,000,000 78,000,000 79,000,000 79,000,000 78,000,000 79,000,000 82,000,000 80,000,000 77,000,000 76,000,000 76,000,000 76,000,000 76,000,000 77,000,000 77,000,000 77,000,000 76,000,000 77,000,000 80,000,000 78,000,000 80,000,000 78,000,000 77,000,000 76,000,000 74,000,000 72,000,000 70,000,000 69,000,000                                         
        stockholders’ equity:
                                                                                       
        quest diagnostics stockholders’ equity:
                                                                                       
        common stock, par value 0.01 per share...
      2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,154,000 2,154,000 2,153,000 2,151,000 2,151,000 2,151,000 2,151,000  2,146,000 2,146,000 2,146,000 2,146,000 2,142,000 2,142,000 2,142,000 2,142,000 2,141,000 2,141,000 2,141,000 2,141,000 2,141,000    2,137,000    2,137,000 2,137,000 2,137,000 2,137,000 2,136,000 
        additional paid-in capital
      2,347,000,000 2,355,000,000 2,332,000,000 2,310,000,000 2,332,000,000 2,314,000,000 2,292,000,000 2,320,000,000 2,302,000,000 2,284,000,000 2,266,000,000 2,295,000,000 2,272,000,000 2,250,000,000 2,226,000,000 2,260,000,000 1,936,000,000 2,555,000,000 2,824,000,000 2,841,000,000 2,801,000,000 2,764,000,000 2,738,000,000 2,722,000,000 2,705,000,000 2,686,000,000 2,671,000,000 2,667,000,000 2,656,000,000 2,633,000,000 2,616,000,000 2,612,000,000 2,585,000,000 2,565,000,000 2,542,000,000 2,545,000,000 2,526,000,000 2,472,000,000 2,493,000,000 2,481,000,000 2,469,000,000 2,444,000,000 2,427,000,000 2,418,000,000 2,406,000,000 2,394,000,000 2,381,000,000 2,379,000,000 2,306,433,000 2,326,926,000 2,364,695,000 2,370,677,000 2,361,477,000 2,357,648,000 2,347,152,000  2,347,518,000 2,331,164,000 2,317,074,000 2,305,827,000 2,311,421,000 2,305,520,000 2,290,817,000 2,276,306,000 2,302,368,000 2,283,384,000 2,273,170,000 2,259,061,000 2,262,065,000 2,247,098,000 2,237,346,000 2,223,863,000 2,210,825,000 2,204,026,000 2,197,013,000 2,183,699,000 2,188,299,000 2,177,011,000 2,176,531,000 2,175,533,000 2,187,299,000 
        retained earnings
      10,151,000,000 9,837,000,000 9,682,000,000 9,490,000,000 9,222,000,000 9,080,000,000 8,935,000,000 8,825,000,000 8,711,000,000 8,566,000,000 8,412,000,000 8,290,000,000 8,263,000,000 8,083,000,000 7,926,000,000 7,649,000,000 7,333,000,000 10,246,000,000 9,690,000,000 9,303,000,000 8,800,000,000 8,307,000,000 8,197,000,000 8,174,000,000 7,992,000,000 7,849,000,000 7,694,000,000 7,602,000,000 7,546,000,000 7,401,000,000 7,249,000,000 7,138,000,000 6,946,000,000 6,847,000,000 6,715,000,000 6,613,000,000 6,520,000,000 6,384,000,000 6,244,000,000 6,199,000,000 6,066,000,000 5,793,000,000 5,729,000,000 5,723,000,000 5,581,000,000 5,500,000,000 5,415,000,000 5,358,000,000 5,259,665,000 4,898,331,000 4,778,602,000 4,690,378,000 4,682,265,000 4,546,307,000 4,395,647,000  4,263,599,000 4,101,066,000 3,945,037,000 3,797,796,000 3,867,420,000 3,718,829,000 3,537,858,000 3,361,029,000 3,216,639,000 3,053,421,000 2,879,722,000 2,710,170,000 2,561,679,000 2,410,907,000 2,319,730,000 2,177,908,000 2,057,744,000 2,082,401,000 2,003,795,000 1,881,749,000 1,670,364,000 1,529,467,000 1,417,329,000 1,292,510,000 1,062,957,000 
        accumulated other comprehensive loss
      -43,000,000 -40,000,000 -16,000,000 -83,000,000 -15,000,000 -19,000,000 -16,000,000 -14,000,000 -20,000,000 -16,000,000 -18,000,000 -21,000,000 -31,000,000 -23,000,000 -16,000,000 -14,000,000 -13,000,000 -10,000,000 -31,000,000 -21,000,000 -42,000,000 -55,000,000 -58,000,000 -39,000,000 -55,000,000 -58,000,000 -55,000,000 -59,000,000 -58,000,000 -57,000,000 -41,000,000 -48,000,000 -48,000,000 -60,000,000 -68,000,000 -72,000,000 -61,000,000 -56,000,000 -40,000,000 -38,000,000 -31,000,000 -25,000,000 -30,000,000 -27,000,000 -15,000,000 -8,000,000 -11,000,000       -8,369,000         -48,230,000 -22,634,000 -20,961,000 -13,932,000 -55,589,000           -1,167,000 -4,274,000   
        treasury stock
      -5,091,000,000 -4,896,000,000 -4,772,000,000 -4,790,000,000 -4,732,000,000 -4,760,000,000 -4,781,000,000 -4,826,000,000 -4,570,000,000 -4,587,000,000 -4,612,000,000 -4,673,000,000 -4,271,000,000 -3,901,000,000 -3,761,000,000 -3,453,000,000 -2,866,000,000 -6,894,000,000 -5,740,000,000 -5,366,000,000 -5,161,000,000 -5,187,000,000 -5,222,000,000 -5,218,000,000 -5,039,000,000 -5,020,000,000 -5,022,000,000 -4,996,000,000 -4,829,000,000 -4,756,000,000 -4,796,000,000 -4,783,000,000 -4,691,000,000 -4,657,000,000 -4,561,000,000 -4,460,000,000 -4,324,000,000 -4,265,000,000 -4,063,000,000 -3,960,000,000 -3,917,000,000 -3,900,000,000 -3,885,000,000 -3,815,000,000 -3,792,000,000 -3,796,000,000 -3,795,000,000 -3,783,000,000 -3,717,583,000 -3,302,686,000 -2,955,596,000 -2,914,479,000 -2,888,603,000 -2,902,533,000 -2,886,217,000  -2,912,324,000 -2,906,546,000 -2,869,150,000 -2,923,388,000 -2,158,129,000 -2,175,402,000 -1,858,255,000 -1,712,669,000 -1,510,548,000 -1,412,248,000 -1,358,300,000  -1,152,921,000    -971,743,000    -794,667,000  -726,427,000 -697,670,000 -469,592,000 
        total quest diagnostics stockholders’ equity
      7,366,000,000 7,258,000,000 7,228,000,000 6,929,000,000 6,809,000,000 6,617,000,000 6,432,000,000 6,307,000,000 6,425,000,000 6,249,000,000 6,050,000,000 5,893,000,000 6,235,000,000 6,411,000,000 6,377,000,000 6,444,000,000 6,392,000,000 5,899,000,000 6,745,000,000 6,759,000,000 6,400,000,000 5,831,000,000 5,657,000,000 5,641,000,000 5,605,000,000 5,459,000,000 5,290,000,000 5,216,000,000 5,317,000,000 5,223,000,000 5,030,000,000 4,921,000,000 4,794,000,000 4,697,000,000 4,630,000,000 4,628,000,000 4,663,000,000 4,537,000,000 4,636,000,000 4,684,000,000 4,589,000,000 4,314,000,000 4,243,000,000 4,301,000,000 4,182,000,000 4,092,000,000 3,992,000,000 3,948,000,000 3,842,681,000 3,911,956,000 4,199,949,000 4,163,047,000 4,171,258,000 3,995,204,000 3,869,293,000  3,692,872,000 3,522,386,000 3,429,150,000 3,214,590,000 4,033,480,000 3,857,365,000 3,924,332,000 3,904,174,000 3,989,639,000 3,912,766,000 3,741,144,000 3,508,546,000              
        noncontrolling interests
      300,000,000 37,000,000 37,000,000 33,000,000 32,000,000 39,000,000 37,000,000 35,000,000 38,000,000 38,000,000 38,000,000 37,000,000 37,000,000 39,000,000 38,000,000 39,000,000 40,000,000 41,000,000 45,000,000 50,000,000 46,000,000 50,000,000 46,000,000 46,000,000 49,000,000 50,000,000 51,000,000 51,000,000 48,000,000 40,000,000 36,000,000 34,000,000 34,000,000 36,000,000 33,000,000 32,000,000 31,000,000 32,000,000 30,000,000 29,000,000 32,000,000 30,000,000 28,000,000 29,000,000 28,000,000 27,000,000 28,000,000 25,000,000 28,914,000 26,610,000 27,404,000 22,682,000 26,323,000 25,931,000 26,764,000  22,127,000 22,578,000 21,446,000 23,414,000 20,645,000 23,340,000 22,556,000 25,041,000 21,825,000 25,341,000 24,498,000 23,785,000              
        total stockholders’ equity
      7,666,000,000 7,295,000,000 7,265,000,000 6,962,000,000 6,841,000,000 6,656,000,000 6,469,000,000 6,342,000,000 6,463,000,000 6,287,000,000 6,088,000,000 5,930,000,000 6,272,000,000 6,450,000,000 6,415,000,000 6,483,000,000 6,432,000,000 5,940,000,000 6,790,000,000 6,809,000,000 6,446,000,000 5,881,000,000 5,703,000,000 5,687,000,000 5,654,000,000 5,509,000,000 5,341,000,000 5,267,000,000 5,365,000,000 5,263,000,000 5,066,000,000 4,955,000,000 4,828,000,000 4,733,000,000 4,663,000,000 4,660,000,000 4,694,000,000 4,569,000,000 4,666,000,000 4,713,000,000 4,621,000,000 4,344,000,000 4,271,000,000 4,330,000,000 4,210,000,000 4,119,000,000 4,020,000,000 3,973,000,000 3,871,595,000 3,938,566,000 4,227,353,000 4,185,729,000 4,197,581,000 4,021,135,000 3,896,057,000  3,714,999,000 3,544,964,000 3,450,596,000 3,238,004,000 4,054,125,000 3,880,705,000 3,946,888,000 3,929,215,000 4,011,464,000 3,938,107,000 3,765,642,000 3,532,331,000 3,604,896,000 3,731,984,000 3,667,654,000 3,502,027,000 3,324,242,000 3,328,070,000 3,189,327,000 3,029,232,000 3,068,551,000 2,903,000,000 2,865,296,000 2,762,984,000 2,780,335,000 
        total liabilities and stockholders’ equity
      16,673,000,000 16,197,000,000 15,969,000,000 15,797,000,000 16,095,000,000 13,881,000,000 13,954,000,000 14,022,000,000 13,482,000,000 13,425,000,000 12,794,000,000 12,837,000,000 13,223,000,000 13,312,000,000 13,442,000,000 13,611,000,000 13,572,000,000 12,861,000,000 13,931,000,000 14,026,000,000 14,143,000,000 12,990,000,000 12,049,000,000 12,843,000,000 12,019,000,000 11,760,000,000 11,937,000,000 11,003,000,000 10,986,000,000 10,747,000,000 10,695,000,000 10,503,000,000 10,439,000,000 10,171,000,000 10,109,000,000 10,100,000,000 10,173,000,000 10,109,000,000 10,097,000,000 9,962,000,000 10,074,000,000 9,720,000,000 10,613,000,000 9,877,000,000 9,801,000,000 9,757,000,000 9,550,000,000 8,948,000,000 8,927,539,000 9,036,185,000 9,306,164,000 9,283,863,000 9,318,721,000 9,392,847,000 9,451,444,000  9,313,379,000 9,326,471,000 9,431,191,000 9,224,729,000 8,527,630,000 8,459,338,000 8,481,792,000 8,516,209,000 8,563,643,000 8,365,725,000 8,211,435,000 8,346,633,000 8,403,830,000 8,568,756,000 8,567,033,000 8,646,334,000 8,565,693,000 8,582,631,000 8,494,033,000 6,186,542,000 5,704,810,000 5,447,594,000 5,434,568,000 5,306,115,000 4,507,604,000 
        investment in equity method investees
                              474,000,000 458,000,000 454,000,000  456,000,000 456,000,000 474,000,000  459,000,000 451,000,000 443,000,000  452,000,000 453,000,000 471,000,000 473,000,000 478,000,000                                         
        assets held for sale
                                         9,000,000 9,000,000 9,000,000 193,000,000 176,000,000 166,000,000                                         
        deferred income taxes
                                              165,000,000 161,000,000 158,000,000 169,000,000 165,000,000 164,000,000 153,000,000 148,000,000 152,831,000 158,786,000 158,676,000 174,209,000 169,006,000 163,457,000 171,815,000  153,328,000 166,907,000 166,739,000 182,255,000 142,470,000 131,069,000 133,403,000 130,958,000 131,800,000 154,983,000 154,017,000 206,980,000 218,419,000 182,056,000 161,182,000 153,630,000 149,841,000 141,554,000 135,806,000 107,501,000 122,260,000 121,282,000 112,664,000 107,442,000 104,217,000 
        non-current assets held for sale
                                               56,000,000 55,000,000        352,815,000 354,384,000                              
        short-term borrowings and current portion of long-term debt
                                                  132,000,000 220,000,000 223,000,000  244,703,000 374,764,000 254,420,000 9,404,000 154,649,000 444,497,000 554,356,000  654,395,000 835,910,000 994,675,000       103,872,000 204,969,000 5,014,000 5,142,000 49,919,000 50,364,000 48,792,000 163,581,000 292,382,000 367,103,000 767,041,000 316,913,000 291,935,000 291,889,000 336,839,000 230,086,000 
        current assets held for sale
                                                        47,294,000 40,192,000                              
        current liabilities held for sale
                                                        18,778,000 22,008,000                              
        non-current liabilities held for sale
                                                        60,363,000 60,800,000                              
        accumulated other comprehensive income
                                                     -8,000,000 -7,988,000 -12,769,000 10,095,000 14,320,000 13,968,000  10,560,000  -8,067,000 -5,444,000 34,043,000 32,209,000 10,626,000 6,276,000       -68,068,000 -14,503,000 46,951,000 51,638,000 25,279,000 34,332,000 5,114,000 593,000 2,418,000   -6,205,000 684,000 
        and 250,067 at september 30, 2008 and december 31, 2007,
                                                                                       
        respectively
                                                                           888,115,000    962,864,000        
        both september 30, 2008 and december 31, 2007; 214,116 shares and
                                                                                       
        213,745 shares issued at september 30, 2008 and december 31, 2007,
                                                                                       
        and december 31, 2007, respectively
                                                                           -913,659,000            
        and 250,067 at june 30, 2008 and december 31, 2007, respectively
                                                                            922,513,000           
        both june 30, 2008 and december 31, 2007; 214,112 and 213,745
                                                                                       
        issued at june 30, 2008 and december 31, 2007, respectively
                                                                            2,141,000           
        december 31, 2007, respectively
                                                                             -953,523,000          
        and 250,067 at march 31, 2008 and december 31, 2007, respectively
                                                                             947,738,000          
        both march 31, 2008 and december 31, 2007; 214,129 and 213,745
                                                                                       
        issued at march 31, 2008 and december 31, 2007, respectively
                                                                             2,141,000          
        and 205,086 at september 30, 2007 and december 31, 2006,
                                                                                       
        both september 30, 2007 and december 31, 2006; 213,750 and
                                                                                       
        213,755 shares issued at september 30, 2007 and december 31, 2006,
                                                                                       
        and december 31, 2006, respectively
                                                                               -994,827,000        
        and 205,086 at june 30, 2007 and december 31, 2006, respectively
                                                                                973,068,000       
        both june 30, 2007 and december 31, 2006; 213,741 and 213,755
                                                                                       
        issued at june 30, 2007 and december 31, 2006, respectively
                                                                                2,137,000       
        december 31, 2006, respectively
                                                                                -1,018,732,000 -1,038,946,000      
        and 205,086 at march 31, 2007 and december 31, 2006, respectively
                                                                                 810,576,000      
        both march 31, 2007 and december 31, 2006; 213,743 and 213,755
                                                                                       
        issued at march 31, 2007 and december 31, 2006, respectively
                                                                                 2,137,000      
        unearned compensation
                                                                                     -3,321,000 -3,149,000 
        december 31, 2005, respectively
                                                                                   -804,448,000    
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2026-03-31 2025-09-30 2025-06-30 2025-03-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-09-30 2006-06-30 2006-03-31 
                                                                                      
          cash flows from operating activities:
                                                                                      
          net income
        264,000,000 259,000,000 296,000,000 235,000,000 237,000,000 240,000,000 208,000,000 205,000,000 237,000,000 249,000,000 217,000,000 116,000,000 276,000,000 250,000,000 373,000,000 413,000,000 527,000,000 650,000,000 490,000,000 609,000,000 591,000,000 193,000,000 106,000,000 265,000,000 226,000,000 239,000,000 176,000,000 139,000,000 227,000,000 233,000,000 189,000,000 267,000,000 175,000,000 207,000,000 175,000,000 167,000,000 205,000,000 210,000,000 114,000,000 200,000,000 354,000,000 129,000,000 70,000,000 200,000,000 139,000,000 142,000,000 111,000,000 150,893,000 413,867,000 174,623,000 143,617,000 65,608,000 171,538,000 186,473,000 168,515,000 198,892,000 181,893,000 171,527,000 -46,662,000 174,232,000 207,756,000 203,876,000 171,153,000 190,562,000 201,635,000 198,369,000 175,656,000 169,813,000 110,742,000 161,328,000 139,607,000 -5,251,000 97,965,000 141,332,000 105,893,000 160,522,000 276,468,364 144,636 
          adjustments to reconcile net income to net cash from operating activities:
                                                                                      
          depreciation and amortization
        147,000,000 142,000,000 143,000,000 140,000,000 125,000,000 117,000,000 116,000,000 109,000,000 111,000,000 112,000,000 107,000,000 116,000,000 108,000,000 107,000,000 106,000,000 106,000,000 101,000,000 100,000,000 101,000,000 98,000,000 89,000,000 89,000,000 85,000,000 82,000,000 82,000,000 81,000,000 84,000,000 81,000,000 77,000,000 77,000,000 74,000,000 73,000,000 69,000,000 66,000,000 62,000,000 63,000,000 63,000,000 61,000,000 62,000,000 74,000,000 77,000,000 75,000,000 78,000,000 79,000,000 79,000,000 81,000,000 75,000,000 72,017,000 68,969,000 71,796,000 70,218,000 71,296,000 71,271,000 71,855,000 72,174,000 71,671,000 73,347,000 72,719,000 63,365,000 63,520,000 64,137,000 62,974,000 63,333,000 63,025,000 63,615,000 65,187,000 64,860,000 65,765,000 66,144,000 67,425,000 65,259,000 68,622,000 64,024,000 54,898,000 50,335,000 49,388,000 98,570,940 49,060 
          provision for credit losses
        1,000,000   1,000,000        2,000,000   1,000,000 1,000,000 2,000,000 1,000,000 5,000,000 6,000,000 7,000,000                                                        
          deferred income tax expense
        48,000,000 110,000,000 1,000,000 7,000,000                                                                           
          stock-based compensation expense
        20,000,000 20,000,000 21,000,000 22,000,000 19,000,000 20,000,000 22,000,000 19,000,000 18,000,000 16,000,000 24,000,000 22,000,000 18,000,000 19,000,000 18,000,000 19,000,000 21,000,000 21,000,000 18,000,000 34,000,000 32,000,000 17,000,000 14,000,000 12,000,000 12,000,000 15,000,000 17,000,000 8,000,000 19,000,000 15,000,000 19,000,000 25,000,000 17,000,000 20,000,000 17,000,000 17,000,000 16,000,000 18,000,000 18,000,000 13,000,000 12,000,000 15,000,000 12,000,000 13,000,000 13,000,000 13,000,000 12,000,000 3,893,000 7,592,000 11,496,000 5,019,000 7,245,000 8,909,000 14,110,000 20,068,000 21,117,000 15,597,000 16,247,000 18,945,000 8,885,000 16,467,000 17,448,000 11,127,000 21,729,000 20,164,000 19,075,000 14,091,000  12,725,000 15,607,000 21,234,000  14,640,000 15,524,000 16,084,000 13,467,000 39,469,621 19,379 
          other
        8,000,000 11,000,000 27,000,000 -1,000,000 1,000,000 5,000,000 11,000,000 29,000,000 11,000,000 -2,000,000 3,000,000 29,000,000 4,000,000 29,000,000 4,000,000 -15,000,000 -49,000,000 3,000,000 -2,000,000 -21,000,000 -63,000,000 5,000,000 -2,000,000 5,000,000 -11,000,000 -15,000,000 -18,000,000 1,000,000 -11,000,000 19,000,000 -1,000,000 -1,000,000 3,000,000 -9,000,000 1,000,000 9,000,000 -24,000,000 8,000,000 1,000,000 10,000,000 1,000,000 -11,000,000 6,000,000 -7,000,000 -3,000,000 -2,000,000 2,668,000 22,854,000 -22,891,000 -631,000 -2,431,000 -5,614,000 461,000 -197,000 2,895,000 -698,000 2,956,000 3,474,000 8,645,000 3,056,000 2,558,000 8,708,000 18,800,000 1,374,000   11,726,000   -3,401,000 11,326,000 -3,555,000 -809,000 1,348,000 7,291,000 -1,848,409 -17,591 
          changes in operating assets and liabilities:
                                                                                      
          accounts receivable
        -180,000,000 -38,000,000 -14,000,000 -101,000,000 -27,000,000 1,000,000 -114,000,000 71,000,000 -48,000,000 20,000,000 -58,000,000 84,000,000 12,000,000 78,000,000 72,000,000 36,000,000 -220,000,000 127,000,000 138,000,000 -100,000,000 -280,000,000 -160,000,000 85,000,000 50,000,000 -32,000,000 -10,000,000 -71,000,000 101,000,000 -39,000,000 -30,000,000 -97,000,000 -33,000,000 -80,000,000 -68,000,000 -117,000,000 -27,000,000 -67,000,000 -104,000,000 -145,000,000 -48,000,000 -51,000,000 -66,000,000 -97,000,000 -52,000,000 -69,000,000 -39,000,000 -152,000,000 5,441,000 -39,129,000 -81,589,000 -131,723,000 -11,644,000 -49,457,000 -34,744,000 -147,174,000 -35,539,000 -77,056,000 -22,782,000 -171,275,000 -30,053,000 -86,711,000 -77,881,000 -115,287,000 -10,056,000 -75,661,000   -22,985,000   -151,793,000 -915,000 -78,970,000 -91,431,000 -94,031,000 -105,888,000 -191,037,761 -106,239 
          accounts payable and accrued expenses
        -12,000,000 124,000,000 42,000,000 -53,000,000 9,000,000 41,000,000 -152,000,000 176,000,000 -75,000,000 55,000,000 -211,000,000 20,000,000 32,000,000 -36,000,000 -165,000,000 -1,000,000 235,000,000 -35,000,000 -164,000,000 -62,000,000 472,000,000 89,000,000 -47,000,000 -7,000,000 53,000,000 -5,000,000 32,000,000 -70,000,000 115,000,000 4,000,000 -68,000,000 -5,000,000 90,000,000 2,000,000 -95,000,000 13,000,000 20,000,000 100,000,000 -77,000,000 10,000,000 8,000,000 71,000,000 -120,000,000 48,000,000 59,000,000 47,000,000 -86,000,000 55,798,000 -8,600,000 8,947,000 -77,145,000 42,978,000 31,564,000 28,511,000 -116,209,000 66,772,000 -9,862,000 -27,420,000 -47,126,000 44,881,000 57,944,000 -2,655,000 -81,935,000 -10,757,000 78,375,000   -3,853,000   -48,472,000 7,907,000 54,876,000 -22,816,000 -45,398,000 46,768,000 28,459,916 -1,916 
          income taxes payable
        13,000,000 -10,000,000 -6,000,000 15,000,000 11,000,000 -22,000,000 42,000,000   -6,000,000 11,000,000 -30,000,000 3,000,000 -99,000,000 95,000,000 -69,000,000 -36,000,000 -78,000,000 163,000,000 -73,000,000 44,000,000 54,000,000 -3,000,000 20,000,000 -6,000,000 -28,000,000 43,000,000 5,000,000 6,000,000 -12,000,000 5,000,000   -66,000,000 63,000,000 -32,000,000 -67,000,000 78,000,000 63,000,000 -26,000,000 -32,000,000 7,000,000 10,000,000 -106,000,000 -22,000,000 -26,000,000 70,000,000 -169,967,000 111,514,000 -6,035,000 -28,512,000 68,274,000 3,663,000 -83,391,000 112,039,000 -82,999,000 82,738,000 -39,353,000 78,676,000 14,637,000 -22,685,000 -56,633,000 98,413,000 7,873,000 5,250,000 -55,833,000 63,900,000 15,965,000 6,501,000 -66,840,000 69,027,000 -9,027,000 6,543,000 -62,198,000 67,895,000 2,601,000 49,454,118 98,882 
          other assets and liabilities
        -31,000,000 -55,000,000 33,000,000 49,000,000 -35,000,000 -26,000,000 38,000,000 -71,000,000 -20,000,000 12,000,000 6,000,000 19,000,000 -16,000,000 30,000,000 20,000,000 -48,000,000 -21,000,000 58,000,000 2,000,000 -21,000,000 -17,000,000 13,000,000 -12,000,000 -11,000,000 -31,000,000 33,000,000 5,000,000 1,000,000 -7,000,000 5,000,000 32,000,000 -12,000,000 -2,000,000 -7,000,000 -5,000,000 10,000,000 3,000,000 -3,000,000 15,000,000 -39,000,000 -3,000,000 1,000,000 12,000,000 -6,000,000 5,000,000 -9,000,000 2,308,000 -5,720,000 -3,095,000 -4,493,000 -13,766,000 18,187,000 -2,374,000 -9,932,000 4,240,000 8,722,000 10,450,000 -8,747,000 1,052,000 16,622,000 -4,900,000 3,388,000 -12,793,000 2,420,000 26,130,000 6,205,000 -175,000   -21,089,000 12,673,000 7,316,000 4,680,000 -9,109,000 -1,944,000 -10,563,188 -14,812 
          net cash from operating activities
        278,000,000 563,000,000 544,000,000 314,000,000 356,000,000 360,000,000 154,000,000 527,000,000 207,000,000 444,000,000 94,000,000 334,000,000 502,000,000 402,000,000 480,000,000 481,000,000 561,000,000 460,000,000 731,000,000 541,000,000 862,000,000 355,000,000 247,000,000 348,000,000 299,000,000 321,000,000 275,000,000 295,000,000 402,000,000 323,000,000 180,000,000 323,000,000 362,000,000 294,000,000 196,000,000 304,000,000 301,000,000 321,000,000 143,000,000 271,000,000 212,000,000 275,000,000 52,000,000 303,000,000 271,000,000 280,000,000 84,000,000 210,352,000 186,324,000 208,081,000 47,243,000 380,413,000 394,621,000 250,867,000 161,267,000 337,746,000 337,645,000 59,503,000 160,580,000 339,589,000 330,074,000    373,543,000 -9,207,000 272,763,000 362,922,000 328,917,000 213,303,000 157,907,000 355,376,000 291,202,000 128,793,000 151,553,000 234,695,000 410,870,341 240,659 
          cash flows from investing activities:
                                                                                      
          business acquisitions, net of cash acquired
        -38,000,000 -34,000,000   -1,533,000,000 -106,000,000 -142,000,000 -2,000,000 -578,000,000 -31,000,000 -38,000,000 -1,000,000 -105,000,000 -80,000,000 -20,000,000   -1,000,000 -101,000,000 -120,000,000 -108,000,000 -2,000,000 -56,000,000 -202,000,000 -54,000,000 -35,000,000 -130,000,000 -282,000,000 -187,000,000 -111,000,000 -1,000,000 -4,000,000 -135,000,000 -26,000,000 -35,000,000   -3,000,000 -2,000,000 -156,000,000 -567,000,000 -33,105,000 54,000 -89,556,000 -90,393,000 -6,000 -12,000 -50,556,000 -106,000 -162,138,000       -1,692,000 -4,551,000   -11,267,000 -554,000 -2,930,000 22,817,000 -32,427,000 -23,960,000 -1,172,812,000 -306,627,000    
          capital expenditures
        -114,000,000 -144,000,000 -108,000,000 -117,000,000 -106,000,000 -92,000,000 -104,000,000 -72,000,000 -105,000,000 -104,000,000 -127,000,000 -147,000,000 -118,000,000 -76,000,000 -63,000,000 -144,000,000 -89,000,000 -84,000,000 -86,000,000 -162,000,000 -91,000,000 -82,000,000 -83,000,000 -172,000,000 -96,000,000 -85,000,000 -47,000,000 -151,000,000 -81,000,000 -78,000,000 -73,000,000 -82,000,000 -63,000,000 -65,000,000 -42,000,000 -128,000,000 -61,000,000 -57,000,000 -47,000,000 -94,000,000 -52,000,000 -61,000,000 -56,000,000 -89,000,000 -102,000,000 -49,000,000 -68,000,000 -75,533,000 -50,749,000 -55,621,000 -49,097,000 -59,916,000 -44,910,000 -47,410,000 -29,998,000 -43,677,000 -39,255,000 -39,633,000 -38,991,000 -69,109,000 -47,443,000    -41,037,000 -72,520,000 -46,923,000 -76,176,000 -53,593,000 -49,206,000 -40,126,000 -45,377,000 -88,101,814 -42,186 
          free cash flows
        164,000,000 419,000,000 436,000,000 197,000,000 250,000,000 268,000,000 50,000,000 455,000,000 102,000,000 340,000,000 -33,000,000 187,000,000 384,000,000 326,000,000 417,000,000 337,000,000 472,000,000 376,000,000 645,000,000 379,000,000 771,000,000 273,000,000 164,000,000 176,000,000 203,000,000 236,000,000 228,000,000 144,000,000 321,000,000 245,000,000 107,000,000 241,000,000 299,000,000 229,000,000 154,000,000 176,000,000 240,000,000 264,000,000 96,000,000 177,000,000 160,000,000 214,000,000 -4,000,000 214,000,000 169,000,000 231,000,000 16,000,000 134,819,000 135,575,000 152,460,000 -1,854,000 320,497,000 349,711,000 203,457,000 131,269,000 294,069,000 298,390,000 19,870,000 121,589,000 270,480,000 282,631,000    332,506,000 -9,207,000 272,763,000 290,402,000 328,917,000 213,303,000 110,984,000 279,200,000 237,609,000 79,587,000 111,427,000 189,318,000 322,768,527 198,473 
          other investing activities
         -23,000,000 1,000,000 2,000,000 6,000,000 -2,000,000 33,000,000                                                                        
          net cash from investing activities
        -152,000,000 -201,000,000 -124,000,000 -115,000,000 -1,633,000,000 -200,000,000 -213,000,000 -114,000,000 -107,000,000 -682,000,000 -158,000,000 -174,000,000 -118,000,000 -82,000,000 -169,000,000 -227,000,000 -96,000,000 437,000,000 -93,000,000 -168,000,000 -193,000,000 -205,000,000 -206,000,000 -100,000,000 -109,000,000 -92,000,000 -110,000,000 -346,000,000 -125,000,000 -126,000,000 -204,000,000 -366,000,000 -247,000,000 -170,000,000 -22,000,000 -107,000,000 -72,000,000 217,000,000 -190,000,000 -125,000,000 -114,000,000 -68,000,000 -55,000,000 -91,000,000 -93,000,000 -205,000,000 -636,000,000 -105,640,000 453,002,000 120,766,000 -140,128,000 -42,149,000 -44,449,000 -47,298,000 -83,243,000 -41,377,000 -194,092,000 -967,213,000 -40,753,000 -76,676,000 -47,790,000    -46,117,000   -82,400,000   -17,220,000 -109,106,000 -74,828,000 -1,229,312,000 -345,947,000 -275,567,000 -75,666,009 -27,991 
          cash flows from financing activities:
                                                                                      
          proceeds from borrowings
         10,000,000 185,000,000 215,000,000    889,000,000 556,000,000 1,007,000,000 140,000,000           797,000,000 345,000,000 1,139,000,000 460,000,000 110,000,000 585,000,000 935,000,000     1,204,000,000 665,000,000 239,000,000 385,000,000 440,000,000 1,389,000,000 65,000,000 215,000,000 225,000,000 1,513,000,000 106,377,000 211,541,000 401,541,000 176,541,000 30,000,000 320,000,000 365,000,000 31,077,000 225,000,000 615,000,000 1,818,329,000     735,525,000 460,000,000 50,000,000 1,445,000 1,445,000 20,039,000 80,000,000 3,495,000 3,220,995,000 450,000,000    
          repayments of debt
        -1,000,000 -10,000,000 -401,000,000 -600,000,000 -1,000,000   -418,000,000 -598,000,000 -688,000,000 -140,000,000 -1,000,000 -1,000,000 -1,000,000 -1,000,000 -552,000,000 -1,000,000 -200,000,000 -801,000,000 -1,000,000 -646,000,000 -802,000,000 -301,000,000 -112,000,000 -721,000,000 -832,000,000 -177,000,000 -2,000,000 -1,000,000 -2,000,000 -2,000,000 -2,000,000 -1,267,000,000 -453,000,000 -302,000,000 -414,000,000 -1,381,000,000 -440,000,000 -181,000,000 -307,000,000 -236,000,000 -923,000,000 -142,766,000 -342,442,000 -282,398,000 -132,394,000 -147,374,000 -322,390,000 -432,334,000 -467,312,000 -215,246,000 -386,276,000 -531,895,000 -576,891,000 -166,913,000 -1,091,000 -788,000 -699,000 -600,732,000 -106,621,000   -46,963,000   -135,506,000 -305,508,000 -152,023,000 -2,119,495,000 -128,343,000 -356,073,000 -60,024,956 -60,044 
          exercise of stock options
        65,000,000 19,000,000 13,000,000 29,000,000 24,000,000 16,000,000 12,000,000 12,000,000 13,000,000 22,000,000 25,000,000 27,000,000 28,000,000 58,000,000 10,000,000 21,000,000 40,000,000 51,000,000 17,000,000 45,000,000 27,000,000 37,000,000 80,000,000 21,000,000 32,000,000 46,000,000 20,000,000 4,000,000 24,000,000 37,000,000 34,000,000 5,000,000 28,000,000 51,000,000 46,000,000 10,000,000 25,000,000 31,000,000 7,000,000 2,000,000 3,000,000 20,000,000 35,000,000 23,000,000 25,000,000 18,000,000 12,000,000 39,943,000 34,800,000 49,086,000 14,171,000 18,151,000 53,366,000 26,180,000 64,399,000 32,814,000 6,788,000 43,428,000 53,788,000 7,748,000 613,000 20,435,000 19,739,000 40,544,000 29,351,000 7,209,000 10,016,000 2,563,000 16,386,000 5,115,000 6,447,000 11,534,000 42,134,000 9,708,000 17,552,000 18,376,000 73,264,202 38,798 
          employee payroll tax withholdings on stock issued under stock-based compensation plans
        -37,000,000 -2,000,000 -42,000,000 -1,000,000 -23,000,000 -28,000,000 -1,000,000 -27,000,000 -1,000,000 -21,000,000 -2,000,000 -13,000,000 -1,000,000 -15,000,000 -1,000,000 -20,000,000 -1,000,000 -22,000,000 -1,000,000                                          
          dividends paid
        -88,000,000 -89,000,000 -90,000,000 -84,000,000 -84,000,000 -84,000,000 -79,000,000 -80,000,000 -80,000,000 -80,000,000 -74,000,000 -75,000,000 -78,000,000 -78,000,000 -74,000,000 -77,000,000 -76,000,000 -81,000,000 -75,000,000 -75,000,000 -76,000,000 -75,000,000 -71,000,000 -71,000,000 -72,000,000 -71,000,000 -72,000,000 -68,000,000 -69,000,000 -68,000,000 -61,000,000 -61,000,000 -62,000,000 -62,000,000 -62,000,000 -55,000,000 -57,000,000 -56,000,000 -55,000,000 -54,000,000 -55,000,000 -55,000,000 -48,000,000 -48,000,000 -48,000,000 -48,000,000 -43,000,000 -43,999,000 -45,734,000 -47,572,000 -47,695,000 -27,102,000 -27,053,000 -27,081,000 -26,900,000 -15,832,000 -15,900,000 -15,794,000 -17,136,000 -17,104,000 -17,787,000 -18,058,000 -18,372,000 -18,522,000 -18,610,000   -19,562,000   -19,408,000 -19,360,000 -19,305,000 -19,261,000 -19,401,000 -19,709,000 -37,668,123 -17,877 
          distributions to noncontrolling interest partners
        -7,000,000 -14,000,000 -11,000,000 -18,000,000 -17,000,000 -7,000,000 -11,000,000 -16,000,000 -13,000,000 -14,000,000 -14,000,000 -15,000,000 -22,000,000 -16,000,000 -20,000,000 -24,000,000 -22,000,000 -24,000,000 -29,000,000 -24,000,000 -24,000,000 -3,000,000 -7,000,000 -15,000,000 -12,000,000 -15,000,000 -12,000,000                                                    
          other financing activities
        -84,000,000 -11,000,000 11,000,000 -61,000,000 3,000,000 13,000,000 -52,000,000 18,000,000 39,000,000 -58,000,000 15,000,000 -20,000,000 -27,000,000 -6,000,000 14,000,000 21,000,000 -12,000,000 -47,000,000 38,000,000 22,000,000 -12,000,000 -4,000,000 -21,000,000 73,000,000 -28,000,000 -41,000,000 10,000,000 6,000,000 -11,000,000 18,000,000 -15,000,000 25,000,000 -3,000,000 33,000,000 -37,000,000 -9,000,000   30,000,000 -11,000,000 -8,000,000 -33,000,000 9,000,000 -3,000,000 2,000,000 -15,000,000 17,356,000 2,023,000 -3,191,000 -6,188,000 2,647,000 -7,635,000 -2,751,000 19,928,000 -15,107,000 12,562,000 -1,577,000 -17,387,000 3,707,000 -9,701,000 9,266,000 -11,632,000                
          net cash from financing activities
        -152,000,000 -247,000,000 -293,000,000 -561,000,000 1,770,000,000 -363,000,000 -153,000,000 130,000,000 -83,000,000 189,000,000 -76,000,000 -545,000,000 -474,000,000 -242,000,000 -471,000,000 -369,000,000 -38,000,000 -1,567,000,000 -566,000,000 -820,000,000 -52,000,000 496,000,000 -891,000,000 510,000,000 -29,000,000 -420,000,000 164,000,000 -77,000,000 -146,000,000 -189,000,000 11,000,000 -170,000,000 -79,000,000 -177,000,000 -166,000,000 -244,000,000 -106,000,000 -383,000,000 42,000,000 -136,000,000 -125,000,000 -1,031,000,000 785,000,000 -190,000,000 -152,000,000 -75,000,000 509,000,000 -76,172,000 -629,388,000 -340,740,000 -59,700,000 -217,214,000 -332,144,000 -175,266,000 -97,471,000 -242,308,000 -216,946,000 97,686,000 425,114,000 -182,873,000 -360,911,000   -17,385,000 -199,687,000   -313,255,000   -138,259,000 -243,299,000 -174,049,000 1,064,420,000 203,151,000 -4,692,000 -276,719,663 -148,337 
          effect of exchange rate changes on cash and cash equivalents and restricted cash
        -1,000,000 -2,000,000 4,000,000 1,000,000                                                                           
          net change in cash and cash equivalents and restricted cash
        -27,000,000 113,000,000 131,000,000 -361,000,000 493,000,000 -203,000,000 -212,000,000 543,000,000 17,000,000 -49,000,000 -140,000,000 -385,000,000 -90,000,000 78,000,000 -160,000,000 -115,000,000 427,000,000 -670,000,000 72,000,000 -447,000,000 617,000,000 646,000,000 -850,000,000 758,000,000 161,000,000 -191,000,000 329,000,000 -128,000,000 131,000,000 8,000,000 -13,000,000                                                
          cash and cash equivalents and restricted cash, beginning of period
        420,000,000 549,000,000 686,000,000  315,000,000  872,000,000  1,158,000,000  1,192,000,000  135,000,000  137,000,000                                                
          cash and cash equivalents and restricted cash, end of period
        393,000,000 113,000,000 131,000,000 188,000,000 493,000,000 -203,000,000 474,000,000  17,000,000 -49,000,000 175,000,000  -90,000,000 78,000,000 712,000,000  427,000,000 -670,000,000 1,230,000,000  617,000,000 646,000,000 342,000,000  161,000,000 -191,000,000 464,000,000  131,000,000 8,000,000 124,000,000                                                
          purchases of treasury stock
                   -461,000,000 -374,000,000 -200,000,000 -373,000,000 -289,000,000 -1,500,000,000 -410,000,000 -250,000,000 -75,000,000 -200,000,000 -50,000,000 -50,000,000 -53,000,000 -172,000,000 -100,000,000 -50,000,000 -115,000,000 -50,000,000 -150,000,000 -150,000,000 -150,000,000 -50,000,000 -275,000,000 -115,000,000 -50,000,000 -25,000,000 -39,000,000 -110,000,000 -50,000,000 -25,000,000 -25,000,000 -32,000,000 -42,898,000 -482,472,000 -450,000,000 -61,630,000 -50,000,000 -49,996,000 -50,000,000 -50,000,000 -49,999,000 -49,994,000 -835,001,000 -324,227,000 -175,061,000 -250,712,000 -150,000,000 -99,991,000       -40,660,000 -105,000,000 -21,951,000 -253,871,023 -103,977 
          benefit from credit losses
                                                                                      
          deferred income tax benefit
            15,000,000 -18,000,000 -18,000,000   -12,000,000 -4,000,000   23,000,000 -43,000,000                              5,000,000 -16,000,000 -10,000,000   -10,822,000 -169,000    -15,437,000                -2,585,000    -8,758,000 -643,000 -40,173,367 -11,633 
          provision (credit) for credit losses
             2,000,000 1,000,000                                                                        
          deferred income tax provision
               -10,000,000    -44,000,000    30,000,000 2,000,000 -72,000,000 -17,000,000 73,000,000 -11,000,000 9,000,000 14,000,000 2,000,000 10,000,000 3,000,000 21,000,000 13,000,000 15,000,000 24,000,000 -81,000,000 11,000,000 68,000,000 11,000,000 18,000,000   8,000,000 -26,000,000   14,000,000     22,098,000    6,396,000 11,444,000   25,369,000 -5,635,000 47,656,000 -38,766,000  -971,000 -7,265,000 3,563,000 24,172,000 1,927,000 43,960,000 13,061,000     -5,657,000 -3,598,000      
          gain on disposition of joint venture
                                                                                     
          proceeds from disposition of joint venture
                                                                                     
          decrease in investments and other assets
                   11,000,000                5,000,000 10,000,000   -2,000,000 3,000,000   21,000,000   -8,000,000 -9,000,000   1,000,000 1,000,000        17,767,000                       -1,119,000    
          cash and cash equivalents and restricted cash, beginning of year
                                                                                      
          cash and cash equivalents and restricted cash, end of year
                                                                                      
          increase in investments and other assets
                     -5,000,000 -1,000,000   -3,000,000 -7,000,000  -1,000,000 -3,000,000 -15,000,000  -13,000,000 -7,000,000 -7,000,000    -1,000,000    -4,000,000           -1,000,000  -874,000 -98,000 -638,000   124,000 -2,689,000   -4,741,000 -1,762,000  -347,000 -365,000 -2,831,000  -529,000       -503,000 2,725,000      
          (credit) provision for credit losses
                                                                                      
          credit for credit losses
                  -1,000,000                                                                    
          termination of interest rate swap agreements
                                                                                  
          gain on disposition of investment
                                                                                      
          proceeds from disposition of investment
                                                                                      
          losses on sale of property, plant and equipment
                                                                                      
          proceeds from disposition of property, plant, and equipment
                                                                                      
          contributions from noncontrolling interest partners
                                                                                      
          provision for doubtful accounts
                               2,000,000 4,000,000 1,000,000 4,000,000 4,000,000   3,000,000 74,000,000 76,000,000 81,000,000 84,000,000 66,000,000 75,000,000 81,000,000 86,000,000  74,000,000 79,000,000 79,000,000 72,000,000 76,000,000 73,000,000 75,000,000 65,899,000 64,652,000 67,526,000 71,923,000 60,255,000 61,177,000 66,465,000 80,718,000   68,609,000 77,376,000 68,855,000 74,479,000 72,124,000 76,279,000            67,508,000    
          proceeds from disposition of business
                                                                                      
          cash and cash equivalents
                               758,000,000 161,000,000 -191,000,000 464,000,000 -128,000,000 131,000,000 8,000,000 124,000,000                                                
          restricted cash
                                                                                      
          loss on disposition of business
                                                                                      
          payment of debt extinguishment costs
                                                                                      
          distributions to noncontrolling interests
                                    -13,000,000 -13,000,000 -15,000,000 -13,000,000 -18,000,000 -11,000,000 -9,000,000 -10,000,000 -12,000,000 -10,000,000 -9,000,000 -14,000,000 -9,000,000 -9,000,000 -10,000,000 -8,000,000 -9,000,000 -11,000,000 -3,000,000 -10,619,000 -7,934,000 -10,081,000 -3,366,000 -13,682,000 -8,317,000 -9,911,000 -5,884,000 -9,906,000 -8,915,000 -11,582,000 -5,268,000 -11,171,000 -8,738,000 -11,341,000 -5,489,000 -12,488,000 -8,573,000              
          sale of noncontrolling interest in subsidiaries
                                    8,000,000 2,000,000 2,000,000                                                
          gain on disposition of business
                                                                                    
          escrow proceeds associated with disposition of business
                                       25,000,000                                            
          investment in equity method investee
                                               4,000,000                                       
          sale of noncontrolling interest in subsidiary
                                               12,000,000                                       
          payment of deferred business acquisition consideration
                                                                                     
          net change in cash and cash equivalents
                                       -213,000,000 36,000,000 -53,000,000 8,000,000 -47,000,000 123,000,000 155,000,000 -5,000,000 10,000,000 -27,000,000 -824,000,000 782,000,000 22,000,000 26,000,000 -43,000,000 28,540,000 9,938,000 -11,893,000 -152,585,000 121,050,000 18,028,000 28,303,000 -19,447,000 54,061,000 -73,393,000 -810,024,000 544,941,000 80,040,000 -78,627,000 -15,351,000 -71,017,000 287,223,000 127,739,000   -32,733,000   2,428,000 2,971,000 42,325,000 -36,099,000 8,757,000 -45,564,000 58,484,669 64,331 
          cash and cash equivalents, beginning of year
                                                                                      
          cash and cash equivalents, end of year
                                                                                      
          proceeds from disposition of businesses
                                                                                      
          cash and cash equivalents, beginning of period
                                        359,000,000  133,000,000  192,000,000  187,000,000  295,586,000  164,886,000  449,301,000  534,256,000  253,946,000  167,594,000  149,640,000 92,037,870 92,130 
          cash and cash equivalents, end of period
                                        36,000,000 -53,000,000 367,000,000  123,000,000 155,000,000 128,000,000  -27,000,000 -824,000,000 974,000,000  26,000,000 144,000,000  9,938,000 14,739,000 133,603,000  18,028,000 28,303,000 145,439,000  -73,393,000 -810,024,000 994,242,000  -78,627,000 -15,351,000 463,239,000  127,739,000 -84,927,000 204,221,000  143,281,000 -26,624,000 170,022,000  42,325,000 -36,099,000 158,397,000 -45,564,000 150,522,539 156,461 
          disposition of businesses
                                                                                      
          proceeds from sale of businesses
                                                       -333,000                               
          excess tax benefits from stock-based compensation arrangements
                                              -2,000,000 -1,000,000 -1,000,000 -1,000,000 -2,000,000     -434,000 -830,000 -1,875,000 -861,000 -146,000 119,000 -631,000 -3,298,000 109,000 211,000 -106,000 -4,680,000 -860,000 -20,000   -2,350,000 -1,400,000 -2,852,000 1,062,000 -336,000 -3,307,000 1,826,000 -603,000 -2,280,000 -6,125,000 -1,375,000 -4,201,000 -5,172,000 -25,520,256 -12,744 
          benefit from doubtful accounts
                                                                        83,908,000 83,996,000 81,428,000 78,226,000 80,434,000 81,546,000 86,022,000 77,266,000 84,235,000   60,854,000 123,709,577 63,423 
          gain on contribution of business to joint venture
                                                                                     
          gain on sale of royalty rights
                                                       138,000                               
          proceeds from sale of royalty rights
                                                       -279,000                               
          change in cash and cash equivalents included in assets held for sale
                                                                                      
          non-cash portion of loss on retirement of debt
                                                  1,000,000                                    
          asset impairment and loss on sale of businesses
                                                                                      
          change in cash and cash equivalents included in current assets held for sale
                                                                                      
          loss on sale of businesses
                                                                                      
          gain on sale of business
                                                                                      
          provision for special charge
                                                                 236,000,000                    
          settlement of special charge
                                                                                    
          sale of securities acquired in business acquisition
                                                                                    
          add: decrease in cash and cash equivalents included in assets held for sale
                                                                                     
          proceeds from sale of business
                                                                                      
          less: increase in cash and cash equivalents included in assets held for sale
                                                          -9,398,000                            
          asset impairment and loss on sale of business
                                                                                      
          less: cash included in current assets held for sale
                                                                                      
          benefit from special charge
                                                                                      
          decrease (increase) in investments and other assets
                                                                           1,387,000 -1,620,000 -500,000 6,465,000     152,000 13,477,808 14,192 
          provision for special charges
                                                                                      
          deferred income tax (benefit) provision
                                                                                      
          settlement and other special charges
                                                                                      
          benefits from stock-based compensation arrangements
                                                                      473,000                
          net cash provided by operating activities
                                                                      239,215,000                
          net cash used in investing activities
                                                                      -42,594,000                
          net cash used in financing activities
                                                                      -267,638,000                
          integration, settlement and other special charges
                                                                       -1,528,000 -8,064,000   -2,157,000   -2,353,000 -5,073,000 -3,777,000 -3,020,000 -2,143,000 -1,329,000 -407,965 -35 
          increase in book overdrafts
                                                                       4,292,000    12,781,000           
          benefit from restructuring and other special charges
                                                                               187,781,000    2,727,000   
          financing costs paid
                                                                          -612,000    -4,195,000 -16,040,000 -957,000 -727,485 -515 
          decrease in book overdrafts
                                                                              -4,688,000  -2,679,000 -8,269,000 -10,158,000 207,000 -13,700,664 -14,336 
          minority share of income
                                                                           8,221,000 8,604,000 7,826,000 7,054,000 7,399,000 6,628,000 6,353,000 6,130,000 6,053,000 11,252,592 5,408 
          stock compensation expense
                                                                                      
          distributions to minority partners
                                                                           -9,246,000   -5,746,000 -8,401,000 -6,941,000 -4,593,000 -4,743,000 -5,714,000 -9,511,870 -3,130 
          adjustments to reconcile net income to net cash from operating
                                                                                      
          activities:
                                                                                      
          proceeds from disposition of assets
                                                                              421,000    1,925,000   
          tax benefits associated with stock-based compensation plans
                                                                                      
          provision for restructuring and other special charges
                                                                                      
          business acquisition, net of cash acquired
                                                                                      
          benefit from restructuring
                                                                                     24,841