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Side-by-side financial comparison of Quest Diagnostics (DGX) and Fastenal (FAST). Click either name above to swap in a different company.

Quest Diagnostics is the larger business by last-quarter revenue ($2.9B vs $2.0B, roughly 1.4× Fastenal). Fastenal runs the higher net margin — 14.5% vs 9.7%, a 4.8% gap on every dollar of revenue. On growth, Quest Diagnostics posted the faster year-over-year revenue change (9.2% vs 3.5%). Over the past eight quarters, Quest Diagnostics's revenue compounded faster (9.9% CAGR vs 2.9%).

Quest Diagnostics Incorporated is an American clinical laboratory. A Fortune 500 company, Quest operates in the United States, Puerto Rico, Mexico, and Brazil. Quest also maintains collaborative agreements with various hospitals and clinics across the globe.

Fastenal Company is an American publicly traded company based in Winona, Minnesota, founded in 1967. Fastenal is a major distributor of industrial and construction supplies, and the largest fastener distributor in North America. Fastenal provides supply chain solutions including bin stock, vending machines, inventory management, and logistics services.

DGX vs FAST — Head-to-Head

Bigger by revenue
DGX
DGX
1.4× larger
DGX
$2.9B
$2.0B
FAST
Growing faster (revenue YoY)
DGX
DGX
+5.7% gap
DGX
9.2%
3.5%
FAST
Higher net margin
FAST
FAST
4.8% more per $
FAST
14.5%
9.7%
DGX
Faster 2-yr revenue CAGR
DGX
DGX
Annualised
DGX
9.9%
2.9%
FAST

Income Statement — Q1 FY2026 vs Q1 FY2026

Metric
DGX
DGX
FAST
FAST
Revenue
$2.9B
$2.0B
Net Profit
$281.0M
$293.9M
Gross Margin
44.3%
Operating Margin
15.4%
18.9%
Net Margin
9.7%
14.5%
Revenue YoY
9.2%
3.5%
Net Profit YoY
12.0%
-1.6%
EPS (diluted)
$2.24
$-0.01

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
DGX
DGX
FAST
FAST
Q1 26
$2.9B
$2.0B
Q4 25
$2.8B
$2.0B
Q3 25
$2.8B
$2.1B
Q2 25
$2.8B
$2.1B
Q1 25
$2.7B
$2.0B
Q4 24
$2.6B
$1.8B
Q3 24
$2.5B
$1.9B
Q2 24
$2.4B
$1.9B
Net Profit
DGX
DGX
FAST
FAST
Q1 26
$281.0M
$293.9M
Q4 25
$245.0M
$293.9M
Q3 25
$245.0M
$335.5M
Q2 25
$282.0M
$330.3M
Q1 25
$220.0M
$298.7M
Q4 24
$222.0M
$262.1M
Q3 24
$226.0M
$298.1M
Q2 24
$229.0M
$292.7M
Gross Margin
DGX
DGX
FAST
FAST
Q1 26
44.3%
Q4 25
32.4%
44.3%
Q3 25
33.7%
45.3%
Q2 25
34.2%
45.3%
Q1 25
32.5%
45.1%
Q4 24
32.7%
44.8%
Q3 24
32.6%
44.9%
Q2 24
33.5%
45.1%
Operating Margin
DGX
DGX
FAST
FAST
Q1 26
15.4%
18.9%
Q4 25
13.8%
18.9%
Q3 25
13.7%
20.7%
Q2 25
15.9%
21.0%
Q1 25
13.0%
20.1%
Q4 24
13.8%
18.9%
Q3 24
13.3%
20.3%
Q2 24
14.8%
20.2%
Net Margin
DGX
DGX
FAST
FAST
Q1 26
9.7%
14.5%
Q4 25
8.7%
14.5%
Q3 25
8.7%
15.7%
Q2 25
10.2%
15.9%
Q1 25
8.3%
15.2%
Q4 24
8.5%
14.4%
Q3 24
9.1%
15.6%
Q2 24
9.6%
15.3%
EPS (diluted)
DGX
DGX
FAST
FAST
Q1 26
$2.24
$-0.01
Q4 25
$2.18
$-0.01
Q3 25
$2.16
$0.29
Q2 25
$2.47
$0.29
Q1 25
$1.94
$0.52
Q4 24
$1.95
$0.45
Q3 24
$1.99
$0.52
Q2 24
$2.03
$0.51

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
DGX
DGX
FAST
FAST
Cash + ST InvestmentsLiquidity on hand
$393.0M
$276.8M
Total DebtLower is stronger
$5.7B
$125.0M
Stockholders' EquityBook value
$7.7B
$3.9B
Total Assets
$16.7B
$5.1B
Debt / EquityLower = less leverage
0.74×
0.03×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
DGX
DGX
FAST
FAST
Q1 26
$393.0M
$276.8M
Q4 25
$420.0M
$276.8M
Q3 25
$432.0M
$288.1M
Q2 25
$319.0M
$237.8M
Q1 25
$188.0M
$231.8M
Q4 24
$549.0M
$255.8M
Q3 24
$764.0M
$292.2M
Q2 24
$271.0M
$255.5M
Total Debt
DGX
DGX
FAST
FAST
Q1 26
$5.7B
$125.0M
Q4 25
$5.2B
$125.0M
Q3 25
$5.2B
$195.0M
Q2 25
$5.2B
$230.0M
Q1 25
$5.9B
$200.0M
Q4 24
$5.6B
$200.0M
Q3 24
$5.6B
$240.0M
Q2 24
$3.8B
$235.0M
Stockholders' Equity
DGX
DGX
FAST
FAST
Q1 26
$7.7B
$3.9B
Q4 25
$7.2B
$3.9B
Q3 25
$7.3B
$3.9B
Q2 25
$7.2B
$3.8B
Q1 25
$6.9B
$3.7B
Q4 24
$6.8B
$3.6B
Q3 24
$6.8B
$3.6B
Q2 24
$6.6B
$3.5B
Total Assets
DGX
DGX
FAST
FAST
Q1 26
$16.7B
$5.1B
Q4 25
$16.2B
$5.1B
Q3 25
$16.2B
$5.1B
Q2 25
$16.0B
$5.0B
Q1 25
$15.8B
$4.9B
Q4 24
$16.2B
$4.7B
Q3 24
$16.1B
$4.7B
Q2 24
$13.9B
$4.6B
Debt / Equity
DGX
DGX
FAST
FAST
Q1 26
0.74×
0.03×
Q4 25
0.72×
0.03×
Q3 25
0.71×
0.05×
Q2 25
0.72×
0.06×
Q1 25
0.85×
0.05×
Q4 24
0.83×
0.06×
Q3 24
0.83×
0.07×
Q2 24
0.58×
0.07×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
DGX
DGX
FAST
FAST
Operating Cash FlowLast quarter
$278.0M
$368.2M
Free Cash FlowOCF − Capex
$308.2M
FCF MarginFCF / Revenue
15.2%
Capex IntensityCapex / Revenue
3.9%
3.0%
Cash ConversionOCF / Net Profit
0.99×
1.25×
TTM Free Cash FlowTrailing 4 quarters
$1.2B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
DGX
DGX
FAST
FAST
Q1 26
$278.0M
$368.2M
Q4 25
$465.0M
$368.2M
Q3 25
$563.0M
$386.9M
Q2 25
$544.0M
$278.6M
Q1 25
$314.0M
$262.2M
Q4 24
$464.0M
$282.8M
Q3 24
$356.0M
$296.9M
Q2 24
$360.0M
$258.0M
Free Cash Flow
DGX
DGX
FAST
FAST
Q1 26
$308.2M
Q4 25
$307.0M
$308.2M
Q3 25
$419.0M
$326.6M
Q2 25
$436.0M
$209.3M
Q1 25
$197.0M
$206.5M
Q4 24
$341.0M
$222.6M
Q3 24
$250.0M
$237.5M
Q2 24
$268.0M
$201.9M
FCF Margin
DGX
DGX
FAST
FAST
Q1 26
15.2%
Q4 25
10.9%
15.2%
Q3 25
14.9%
15.3%
Q2 25
15.8%
10.1%
Q1 25
7.4%
10.5%
Q4 24
13.0%
12.2%
Q3 24
10.0%
12.4%
Q2 24
11.2%
10.5%
Capex Intensity
DGX
DGX
FAST
FAST
Q1 26
3.9%
3.0%
Q4 25
5.6%
3.0%
Q3 25
5.1%
2.8%
Q2 25
3.9%
3.3%
Q1 25
4.4%
2.8%
Q4 24
4.7%
3.3%
Q3 24
4.3%
3.1%
Q2 24
3.8%
2.9%
Cash Conversion
DGX
DGX
FAST
FAST
Q1 26
0.99×
1.25×
Q4 25
1.90×
1.25×
Q3 25
2.30×
1.15×
Q2 25
1.93×
0.84×
Q1 25
1.43×
0.88×
Q4 24
2.09×
1.08×
Q3 24
1.58×
1.00×
Q2 24
1.57×
0.88×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

DGX
DGX

Segment breakdown not available.

FAST
FAST

Reportable Segment Aggregation Before Other Operating Segment$1.8B90%
Other$211.2M10%

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