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DGXQuest Diagnostics IncorporatedSell5.4·$215.72-0.14%
DGX · Why this verdict

Why Quest Diagnostics (DGX) is rated SELL

Updated

Model-generated analysis — not investment advice. Not a registered investment advisor. Past performance does not guarantee future results.

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Methodology · Editorial policy & full disclaimer

VerdictSELL
Overall score5.4/10
ConfidenceMEDIUM
MacroNEUTRAL

Thesis pillars

The business carries no recognized competitive moat and trades within 0.6% of its near-term resistance target, leaving essentially no margin for error and no structural advantage to justify holding through a potential reversal.

Stable
Quality breakdown
Expectation
Revenue growth accelerates above 10% year-over-year for 2 consecutive quarters, rebuilding the case for a premium valuation.

CounterA forward price-to-earnings of 17.3 times with a price-to-earnings-to-growth ratio of 1.56 is not egregiously expensive for a diagnostics franchise; the absence of a formal moat classification does not preclude sustained earnings power.

The company has beaten consensus EPS estimates in each of the last four quarters, with an average positive surprise of approximately 3.5%, reflecting steady operational execution in healthcare diagnostics.

Stable
Earnings
Expectation
Quarterly EPS continues to exceed consensus by at least 2% in the next two reporting periods.

CounterAverage surprises of 3.5% are modest and may reflect conservative guidance rather than genuine earnings power; any volume softness in routine diagnostics testing could push results toward in-line or missed prints.

The stock recently formed a golden cross and trades above all major moving averages with RSI at 66 and a bullish MACD reading, indicating constructive price momentum even as it approaches resistance.

Stable
Momentum breakdown
Expectation
Price remains above the 200-day moving average and RSI stays above 50 for the next two months.

CounterOn-balance volume has been falling even as price has risen—a classic divergence warning that the breakout may lack the institutional participation needed to sustain it through resistance.

A put/call ratio of 12.41—more than twelve put contracts outstanding for every call—combined with implied volatility at 61% signals unusually heavy downside hedging activity that may reflect institutional concern about a near-term catalyst or a large position unwind.

Stable
Risk breakdown
Expectation
Put/call ratio normalizes below 2.0 over the next quarter as hedging pressure unwinds.

CounterAn extreme put/call ratio can also reflect protective puts purchased by long-term holders rather than speculative short bets; if those hedges expire worthless, they represent no fundamental change in business prospects.

TrendMatrix Research · core thesis

Engine thesis — one sentence

Quest Diagnostics has posted four consecutive quarterly earnings beats and its price action shows a golden-cross breakout above all major moving averages, but an extraordinarily elevated options put/call ratio of 12.41 signals unusual institutional hedging activity, the stock is within 0.6% of near-term resistance, and the business carries no identifiable competitive moat; the risk/reward is unfavorable for new money at current levels.

Falsifiable statement — pillar-level invalidators below. Engine-derived; not personalized advice.

Per-dimension breakdown

Value

5.6/10data confidence 100%
ComponentSub-score
P/E5.4
P/S8.9
EV/EBITDA3.8
Fwd P/E6.9
PEG4.8
Analyst target4.0
  • Forward P/E: 18.5x
  • PEG: 1.66

Quality

5.1/10data confidence 100%
ComponentSub-score
ROE4.8
ROA4.2
Gross margin2.7
Op margin5.7
Net margin4.5
Current ratio4.5
FCF quality6.6
Moat4.8
Piotroski F7.8
  • No competitive moat
  • Strong Piotroski F-Score: 7/9

Growth

4.9/10data confidence 67%
ComponentSub-score
Rev growth4.8
EPS growth5.1

Momentum

6.7/10data confidence 100%
ComponentSub-score
RSI5.0
MACD10.0
OBV6.7
MA position9.0
Volume2.9
  • Above 200-day MA

Sentiment

6.1/10data confidence 100%
ComponentSub-score
Analyst rating7.3
Price target5.5
erm sentiment5.0

Insider

5.0/10data confidence 50%
ComponentSub-score
materiality5.0
holder change5.1
  • Insider selling (low materiality) — $3,570,800 (0.015% of mkt cap)

Peer rank

5.0/10data confidence 80%
ComponentSub-score
value rank8.3
quality rank6.8
growth rank4.7
  • Attractive P/E vs peers

Technical

3.7/10data confidence 100%
ComponentSub-score
bollinger0.5
support resistance0.7
52w position9.8

Risk (lower is worse)

6.2/10data confidence 100%
ComponentSub-score
short interest8.4
days to cover6.5
volatility7.4
put call0.0
implied vol5.4
beta9.6
debt equity6.0
  • Elevated put/call: 5.56

Catalyst

5.9/10data confidence 100%
ComponentSub-score
erm5.0
earnings history10.0
earnings timing5.0
surprise avg4.2
dividend safety5.2
  • Perfect beat streak: 4Q
  • Dividend: 159.0%

How the verdict was assembled

Engine trigger

Multiple concerning factors. Consider reducing position.

Engine technical detail
verdict_path: L4:PATH_F_SELL
Passed (6)
  • MOMENTUM:6.7>=5.5
  • INSIDER:OK
  • NEWS_EVENTS:NONE_RECENT
  • EARNINGS_PROXIMITY:20d clear
  • SEMI_CYCLE_PEAK:CLEAR
  • MATERIALS_CYCLE_PEAK:CLEAR
Failed (1)
  • ASYMMETRY:-0.6=NEGATIVE
Warning (1)
  • 8K_CSUITE_CHANGE:5.02 (officer departure/appointment)
Reward-to-Risk
-0.64
Upside
-6.8%
Downside
10.6%
Sizing output
AVOID

SetupBreakout Golden cross, above all MAs, RSI 67, MACD bullish

EdgeCatalyst-Driven Earnings in 20d with 4/4 beat streak

SuitabilityModerate Balanced profile

Investment implication

The F-path SELL output reflects an overall score of 5.4 below the 5.6 soft trigger — multiple weakening dimensions accumulated rather than a single hard-floor breach. The strongest dimension ( Momentum at 6.7) was not enough to lift the adjusted overall above the threshold. Co-occurring failed gates ( ASYMMETRY:-0.6=NEGATIVE) reinforce the read. Current asymmetry R:R is -0.64 — supplementary context, not the trigger for this path.

The strongest dimensions are Momentum at 6.7, Risk (lower is worse) at 6.2, and Sentiment at 6.1; the weakest are Technical at 3.7, Growth at 4.9, and Peer rank at 5.0. The V9 engine flagged 1 failed gate with 1 warning, producing an asymmetric reward-to-risk of -0.64 and an engine sizing output of AVOID.

What would invalidate the thesis

Falsifying conditions — when triggered, the corresponding pillar's thesis is invalidated.

  • P1Consistent Earnings Outperformance

    Trip ifEPS surprise falls below 0% for 2 consecutive quarters.

  • P2Technical Breakout Momentum

    Trip ifPrice closes below the 200-day moving average for more than 10 consecutive trading days.

  • P3Extreme Options Hedging Risk

    Trip ifPut/call ratio falls below 2.0 for 2 consecutive weeks.

  • P4No Moat At Resistance

    Trip ifRevenue growth exceeds 10% year-over-year for 2 consecutive quarters.

Engine reasoning is mechanically derived from pipeline gate outputs. See decision view.

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