Quest Diagnostics 2014 Annual Report Download - page 27

Download and view the complete annual report

Please find page 27 of the 2014 Quest Diagnostics annual report below. You can navigate through the pages in the report by either clicking on the pages listed below, or by using the keyword search tool below to find specific information within the annual report.

Page out of 121

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40
  • 41
  • 42
  • 43
  • 44
  • 45
  • 46
  • 47
  • 48
  • 49
  • 50
  • 51
  • 52
  • 53
  • 54
  • 55
  • 56
  • 57
  • 58
  • 59
  • 60
  • 61
  • 62
  • 63
  • 64
  • 65
  • 66
  • 67
  • 68
  • 69
  • 70
  • 71
  • 72
  • 73
  • 74
  • 75
  • 76
  • 77
  • 78
  • 79
  • 80
  • 81
  • 82
  • 83
  • 84
  • 85
  • 86
  • 87
  • 88
  • 89
  • 90
  • 91
  • 92
  • 93
  • 94
  • 95
  • 96
  • 97
  • 98
  • 99
  • 100
  • 101
  • 102
  • 103
  • 104
  • 105
  • 106
  • 107
  • 108
  • 109
  • 110
  • 111
  • 112
  • 113
  • 114
  • 115
  • 116
  • 117
  • 118
  • 119
  • 120
  • 121

 

The U.S. healthcare system is evolving, and our business could be adversely impacted if we fail to adapt.
 7KH86KHDOWKFDUHV\VWHPLVHYROYLQJLQSDUWLQUHVSRQVHWR0DUFK86IHGHUDOOHJLVODWLRQHQDFWHGWRUHIRUP
KHDOWKFDUH7KHODZSURYLGHVIRUUHGXFWLRQVLQWKH0HGLFDUHFOLQLFDOODERUDWRU\IHHVFKHGXOHRIIRUILYH\HDUVEHJLQQLQJ
LQDQGDOVRLQFOXGHVDSURGXFWLYLW\DGMXVWPHQWWKDWUHGXFHVWKH&3,PDUNHWEDVNHWXSGDWHEHJLQQLQJLQ7KHODZ
LPSRVHVDQH[FLVHWD[RQWKHVHOOHUIRUWKHVDOHRIFHUWDLQPHGLFDOGHYLFHVLQWKH8QLWHG6WDWHVLQFOXGLQJWKRVHSXUFKDVHGDQG
XVHGE\ODERUDWRULHV7KHODZHVWDEOLVKHGWKH,QGHSHQGHQW3D\PHQW$GYLVRU\%RDUGZKLFKLVUHVSRQVLEOHDQQXDOO\WRVXEPLW
SURSRVDOVDLPHGDWUHGXFLQJ0HGLFDUHFRVWJURZWKZKLOHSUHVHUYLQJTXDOLW\7KHVHSURSRVDOVDXWRPDWLFDOO\ZLOOEH
LPSOHPHQWHGXQOHVV&RQJUHVVHQDFWVDOWHUQDWLYHSURSRVDOVWKDWDFKLHYHWKHVDPHVDYLQJVWDUJHWV)XUWKHUWKHODZFDOOVIRUD
&HQWHUIRU0HGLFDUHDQG0HGLFDLG,QQRYDWLRQWKDWZLOOH[DPLQHDOWHUQDWLYHSD\PHQWPHWKRGRORJLHVDQGFRQGXFWGHPRQVWUDWLRQ
SURJUDPV7KHODZSURYLGHVIRUH[WHQVLYHKHDOWKLQVXUDQFHUHIRUPVLQFOXGLQJWKHHOLPLQDWLRQRISUHH[LVWLQJFRQGLWLRQ
H[FOXVLRQVDQGRWKHUOLPLWDWLRQVRQFRYHUDJHIL[HGSHUFHQWDJHVRQPHGLFDOORVVUDWLRVH[SDQVLRQLQ0HGLFDLGDQGRWKHU
SURJUDPVHPSOR\HUPDQGDWHVLQGLYLGXDOPDQGDWHVFUHDWLRQRIVWDWHDQGUHJLRQDOKHDOWKLQVXUDQFHH[FKDQJHVDQGWD[
VXEVLGLHVIRULQGLYLGXDOVWRKHOSFRYHUWKHFRVWRILQGLYLGXDOLQVXUDQFHFRYHUDJH7KHODZDOVRSHUPLWVWKHHVWDEOLVKPHQWRI
$&2V
 6LJQLILFDQWFKDQJHLVWDNLQJSODFHLQWKHKHDOWKFDUHV\VWHPLQFOXGLQJDVGLVFXVVHGDERYHXQGHUWKHKHDGLQJ7KH
8QLWHG6WDWHV&OLQLFDO7HVWLQJ,QGXVWU\EHJLQQLQJRQSDJH)RUH[DPSOH$&2VDQGSDWLHQWFHQWHUHGPHGLFDOKRPHVDUH
JURZLQJDVDPHDQVWRGHOLYHUSDWLHQWFDUH9DOXHEDVHGUHLPEXUVHPHQWLVLQFUHDVLQJ+HDOWKFDUHVHUYLFHVLQFUHDVLQJO\DUH
EHLQJSURYLGHGE\QRQWUDGLWLRQDOSURYLGHUVHJSK\VLFLDQDVVLVWDQWVLQQRQWUDGLWLRQDOYHQXHVHJUHWDLOPHGLFDOFOLQLFV
XUJHQWFDUHFHQWHUVDQGXVLQJQHZWHFKQRORJLHVHJWHOHPHGLFLQH:HH[SHFWWKDWWKHHYROXWLRQRIWKHKHDOWKFDUHLQGXVWU\
ZLOOFRQWLQXHDQGWKDWLQGXVWU\FKDQJHLVOLNHO\WREHH[WHQVLYH
The clinical testing business is highly competitive, and if we fail to provide an appropriately priced level of service or
otherwise fail to compete effectively it could have a material adverse effect on our revenues and profitability.
 7KHFOLQLFDOWHVWLQJEXVLQHVVUHPDLQVDIUDJPHQWHGDQGKLJKO\FRPSHWLWLYHLQGXVWU\:HSULPDULO\FRPSHWHZLWKWKUHH
W\SHVRIFOLQLFDOWHVWLQJSURYLGHUVRWKHUFRPPHUFLDOFOLQLFDOODERUDWRULHVKRVSLWDODIILOLDWHGODERUDWRULHVDQGSK\VLFLDQRIILFH
ODERUDWRULHV:HDOVRFRPSHWHZLWKRWKHUSURYLGHUVLQFOXGLQJDQDWRPLFSDWKRORJ\SUDFWLFHVDQGODUJHSK\VLFLDQJURXS
SUDFWLFHV+RVSLWDOVJHQHUDOO\PDLQWDLQRQVLWHODERUDWRULHVWRSHUIRUPWHVWLQJRQWKHLUSDWLHQWVLQSDWLHQWRURXWSDWLHQW,Q
DGGLWLRQPDQ\KRVSLWDOVFRPSHWHZLWKFRPPHUFLDOFOLQLFDOODERUDWRULHVIRURXWUHDFKQRQKRVSLWDOSDWLHQWVWHVWLQJ+RVSLWDOV
PD\VHHNWROHYHUDJHWKHLUUHODWLRQVKLSVZLWKFRPPXQLW\SK\VLFLDQVDQGHQFRXUDJHWKHSK\VLFLDQVWRVHQGWKHLURXWUHDFKWHVWLQJ
WRWKHKRVSLWDOVODERUDWRU\,QDGGLWLRQKRVSLWDOVWKDWRZQSK\VLFLDQSUDFWLFHVPD\UHTXLUHWKHSUDFWLFHVWRUHIHUWHVWLQJWRWKH
KRVSLWDOVODERUDWRU\,QUHFHQW\HDUVWKHUHKDVEHHQDWUHQGRIKRVSLWDOVDFTXLULQJSK\VLFLDQSUDFWLFHVDQGDVDUHVXOWDQ
LQFUHDVHGSHUFHQWDJHRISK\VLFLDQSUDFWLFHVDUHRZQHGE\KRVSLWDOV$VDUHVXOWRIWKLVDIILOLDWLRQEHWZHHQKRVSLWDOVDQG
FRPPXQLW\SK\VLFLDQVZHFRPSHWHDJDLQVWKRVSLWDODIILOLDWHGODERUDWRULHVSULPDULO\EDVHGRQTXDOLW\DQGVFRSHRIVHUYLFHDV
ZHOODVSULFLQJ,QFUHDVHGKRVSLWDODFTXLVLWLRQVRISK\VLFLDQSUDFWLFHVHQKDQFHSK\VLFLDQWLHVWRKRVSLWDODIILOLDWHGODERUDWRULHV
DQGPD\VWUHQJWKHQWKHLUFRPSHWLWLYHSRVLWLRQ7KHIRUPDWLRQRI$&2VDQG,'1VDQGWKHLUDSSURDFKWRFRQWUDFWVZLWK
KHDOWKFDUHSURYLGHUVLQDGGLWLRQWRWKHLPSDFWRILQIRUPDWLFVDOVRPD\LQFUHDVHFRPSHWLWLRQWRSURYLGHGLDJQRVWLFLQIRUPDWLRQ
VHUYLFHV
 7KHGLDJQRVWLFLQIRUPDWLRQVHUYLFHVLQGXVWU\DOVRLVIDFHGZLWKFKDQJLQJWHFKQRORJ\DQGQHZSURGXFWLQWURGXFWLRQV
&RPSHWLWRUVPD\FRPSHWHXVLQJDGYDQFHGWHFKQRORJ\LQFOXGLQJWHFKQRORJ\WKDWHQDEOHVPRUHFRQYHQLHQWRUFRVWHIIHFWLYH
WHVWLQJ&RPSHWLWRUVDOVRPD\RIIHUWHVWLQJWREHSHUIRUPHGRXWVLGHRIDFRPPHUFLDOFOLQLFDOODERUDWRU\VXFKDVSRLQWRI
FDUHWHVWLQJWKDWFDQEHSHUIRUPHGE\SK\VLFLDQVLQWKHLURIILFHVFRPSOH[WHVWLQJWKDWFDQEHSHUIRUPHGE\KRVSLWDOVLQWKHLU
RZQODERUDWRULHVDQGKRPHWHVWLQJWKDWFDQEHFDUULHGRXWZLWKRXWUHTXLULQJWKHVHUYLFHVRIRXWVLGHSURYLGHUV
Government payers, such as Medicare and Medicaid, have taken steps to control the utilization and reimbursement of
healthcare services, including clinical testing services.
 :HIDFHHIIRUWVE\JRYHUQPHQWSD\HUVWRUHGXFHXWLOL]DWLRQRIDQGUHLPEXUVHPHQWIRUGLDJQRVWLFLQIRUPDWLRQVHUYLFHV
:HH[SHFWHIIRUWVWRUHGXFHUHLPEXUVHPHQWVWRLPSRVHPRUHVWULQJHQWFRVWFRQWUROVDQGWRUHGXFHXWLOL]DWLRQRIFOLQLFDOWHVW
VHUYLFHVZLOOFRQWLQXH
 )URPWLPHWRWLPH&RQJUHVVKDVOHJLVODWHGUHGXFWLRQVLQRUIUR]HQXSGDWHVWRWKH0HGLFDUH&OLQLFDO/DERUDWRU\)HH
6FKHGXOH,QDGGLWLRQ&06KDVDGRSWHGSROLFLHVOLPLWLQJRUH[FOXGLQJFRYHUDJHIRUFOLQLFDOWHVWVWKDWZHSHUIRUP:HDOVR
SURYLGHSK\VLFLDQVHUYLFHVZKLFKDUHUHLPEXUVHGE\0HGLFDUHXQGHUDSK\VLFLDQIHHVFKHGXOHZKLFKLVVXEMHFWWRDGMXVWPHQWRQ
DQDQQXDOEDVLV,QUHFHQW\HDUVUHGXFWLRQVLQWKH0HGLFDUH3K\VLFLDQ)HH6FKHGXOHIRUDQDWRPLFSDWKRORJ\VHUYLFHVDGYHUVHO\
LPSDFWHGRXUEXVLQHVVUHODWLYHWRWKHEXVLQHVVRIVRPHRIRXUFRPSHWLWRUVZKRVHDQDWRPLFSDWKRORJ\EXVLQHVVZDVQRWDV
48(67',$*1267,&6)250.