强生公司 (JNJ.US) 2025年第四季度业绩电话会
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会议摘要
Johnson & Johnson achieved record pharmaceutical sales over $60 billion in 2025, with 5.3% operational sales growth, driven by oncology, immunology, and medtech. The company secured 51 approvals and filed 32 submissions, projecting 5.7%-6.7% sales growth for 2026, aiming for double-digit growth by decade's end. With $20 billion in cash and $19.7 billion free cash flow, J&J plans to elevate free cash flow to $21 billion in 2026, focusing on innovation and shareholder value.
会议速览
The dialogue outlines Johnson & Johnson's Q4 2025 earnings review, emphasizing business performance, growth drivers, and a detailed financial outlook for 2026. The CEO discusses the company's achievements, while the CFO presents cash position, capital allocation, and guidance. The call also previews key milestones for 2026, inviting participation from various executive vice presidents for Q&A.
Johnson & Johnson achieved significant growth in 2025, marking it as a pivotal year for the company. With a focus on innovation, strategic acquisitions, and expanding into high-growth areas, the company secured 51 approvals and initiated 11 new phase 3 programs. Key achievements include breakthroughs in oncology, immunology, and neuroscience, positioning Johnson & Johnson for double-digit growth by the end of the decade. The company's robust portfolio, including 28 billion-selling products, and its strong balance sheet contribute to its sustainable growth trajectory.
Johnson & Johnson showcases its leadership in cardiovascular, surgery, and vision segments, highlighting 15 major launches, over 40 regulatory approvals, and more than 60 active clinical trials. The company anticipates accelerated growth with innovations like the Monarch robotic platform, advancements in pulse field ablation, and the FDA submission of the Ataba robotic surgery system, aiming to redefine patient care and surgical experiences.
Johnson & Johnson reported Q4 sales of $24.6 billion, a 7.1% increase, and full year sales of $94.2 billion, growing double digits. Notable was the 24.1% growth in dazl X for multiple myeloma and 65.4% growth in tremfya for immunology. Acquisitions, particularly intracellular and shockwave, significantly boosted growth. Earnings per share rose to $2.10 in Q4 and $11.3 for the year, reflecting strong financial performance and strategic expansion.
The Medtech platform reported a 3.7% growth in surgery despite negative impacts from ISS vestiture. Biosurgery technology, wound closure, and envision contact lenses saw strong performance. Surgical vision and orthopedics also grew, driven by new product innovations and commercial execution. However, cost of goods sold deleveraged due to unfavorable product mix and tariffs. Litigation costs significantly increased, impacting net income, while a lower tax rate benefited earnings.
The dialogue outlines Johnson & Johnson's impressive Q4 2025 financial results, including margin improvements in innovative medicine and Medtech segments, leading to an overall increase in adjusted income before tax. It also discusses the company's litigation strategy regarding talc-related claims, emphasizing a focus on defending against meritless allegations.
Johnson & Johnson outlines its 2026 financial projections, highlighting a focus on free cash flow growth, strategic investments in new product launches, and a commitment to shareholder value. The company anticipates operational sales growth, driven by innovative medicines and Medtech products, while navigating challenges such as tariffs and generic competition. A separation of the orthopedics business is also discussed, with progress towards a mid-2027 separation. The guidance includes adjustments for currency impacts, a 53rd week, and a higher share count, reflecting the company's strong financial position and dedication to advancing healthcare solutions.
Discusses Johnson & Johnson's plans to achieve double-digit growth by 2026, focusing on oncology, immunology, and innovative medicines, with new blockbusters and market expansions. Highlights pipeline investments, successful launches, and strategic repositioning away from lower growth segments.
Johnson & Johnson highlights robust growth in its medtech business, particularly in cardiovascular and surgery markets, with innovations like PFA technology and OTAVA in robotics. Vision sector gains share and innovates, aiming to improve patient care with new product launches, reflecting confidence in 2026 guidance.
The dialogue discusses the company's positive outlook on the medtech market for 2026, expecting accelerated growth compared to 2025. It highlights the strategy shift towards higher innovation, growth, and margin markets, resulting in improved performance across cardiovascular, vision, and surgical segments. The EP business is noted for its acceleration, driven by product success and market leadership, with a focus on expanding offerings and maintaining competitive advantages in mapping and ablation technologies.
Discussion on achieving margin expansion through infrastructure improvements and efficiency gains, aligning with projected sales growth, with emphasis on long-term margin profile improvement commensurate with sales growth.
A discussion on vision care as a key growth area in medical technology, focusing on the performance of the contact lens market in the U.S. versus outside the U.S., and expressing confidence in the market's health.
Despite slight softness in Asia Pacific, the contact lens category showed robust underlying demand with significant share gains. Surgical vision grew strongly, led by premium IOLs, with market share expansion globally. Portfolio optimization and capital allocation are key strategies for future growth, focusing on RD, commercial execution, and digital transformation.
The dialogue discusses the positioning of Tech Valley franchise, particularly Tech Valley plus darzalex, relative to Carvic D in multiple myeloma treatment, emphasizing tailored therapies for different patient settings. It also touches on the implications of FDA's final guidance on MRD negativity and CRs endpoints for the development portfolio, highlighting growth potential for these agents across various lines of therapy.
The dialogue highlights advancements in myeloma treatments, focusing on dexamethasone-free regimens for improved patient quality of life and the FDA's priority review voucher for accelerated approval. It also discusses the potential of MRD-negative strategies and the promising efficacy and tolerability of the new trispecific antibody, rotamak, in combination with Dara for newly diagnosed myeloma.
The dialogue discusses the company's move towards higher growth end markets, questioning if the 70% target is aspirational or achievable. It also explores potential growth areas in innovative medicines and medtech, considering both organic and inorganic expansion strategies.
Focuses on achieving high growth in cardiovascular, surgery, and vision sectors, highlighting confidence in cardiovascular's double-digit growth, surgery's profitability, and vision's leadership. Emphasizes otava's unique role in surgical robotics, aiming for significant market impact with novel technology and global expansion strategies.
Discussed advancements in treating diseases like Sjogren's, lupus, and bladder cancer with new therapies and devices. Highlighted the launch success of a bladder cancer treatment, anticipation of a permanent J code, and expansion into different patient populations. Also, mentioned the potential of a targeted therapy device for intermediate-risk bladder cancer patients, showcasing a platform for addressing large unmet needs in bladder cancer treatment.
The company reaffirms its aggressive litigation strategy against TAC claims, emphasizing continued focus on business growth and innovation, despite ongoing legal challenges.
The dialogue highlights confidence in Mevacor's potential to outperform competitors, emphasizing its superior safety and efficacy in reducing bleeding risks. Anticipated data from trials later this year will focus on atrial fibrillation and secondary stroke, leveraging past successes with Xarelto to create a multi-billion dollar opportunity. The speaker underscores the product's alignment with a critical market need for safer anticoagulants, positioning it as a cornerstone asset in collaboration with Bristol Myers Squibb, aiming for significant growth and impact in key business areas.
要点回答
Q:What are the key business performance and growth drivers for Johnson Johnson discussed in the transcript?
A:The key business performance and growth drivers for Johnson Johnson discussed in the transcript include a strong portfolio pipeline, recent product launches, and planned separations of certain businesses. The company has a leading and expanding position in six key businesses: oncology, immunology, neuroscience, cardiovascular surgery, and vision. The company's focus on high growth and high unmet need areas is highlighted by the mention of a planned separation of the orthopedics business.
Q:What was the operational sales growth for the year and how did it contribute to Johnson Johnson's success?
A:The operational sales growth for the year was 5.3%, which contributed to Johnson Johnson's success by firmly placing the company in a strong position in innovative medicine, driven by strong commercial execution and a relentless focus on innovation.
Q:What are the highlights of Johnson Johnson's performance in oncology?
A:The highlights of Johnson Johnson's performance in oncology include a 21% operational sales growth, the delivery of 21% operational sales growth, and an expectation to exceed $50 billion in annual sales by 2030. The company is the number one in multiple myeloma, with key medicines like Daratumab and carvativore leading the treatment landscape. New results for Tech Valley plus Daratumab and findings from the phase 3 study Majestic 9 were also mentioned as milestones.
Q:What advancements were made in Johnson Johnson's solid tumor portfolio?
A:In the solid tumor portfolio, advancements were made with the FDA approval of ribociclib as a first subcutaneous therapy for EGFR mutated non-small cell lung cancer, and the introduction of inotuzumab for bladder cancer. The acquisition of halda therapeutics added a promising treatment for prostate cancer with potential across multiple tumor types.
Q:How did Johnson Johnson perform in the field of immunology and what are the expectations for the upcoming product?
A:In the field of immunology, Johnson Johnson performed well by increasing remission rates in immune-mediated diseases, with Stelara being the fastest-growing interleukin-23 therapy in the US, achieving operational sales growth of 75% in Q4 and global sales acceleration. The upcoming product, Icotuzumab, is expected to expand Johnson Johnson's leadership in immunology beyond injectable medicines and has the potential to lead the next wave of treatments for psoriasis and inflammatory bowel disease.
Q:What were the results and growth in neuroscience?
A:In neuroscience, the results showed a 10% operational sales growth with strong performance in Spravato and the U.S. launch of Kalita for agitation in major depressive disorder, which solidified the company's leadership and confidence in reaching its $5 billion peak year sales potential.
Q:What was the growth in Johnson Johnson's medtech segment and what are the future expectations?
A:The medtech segment experienced a 5.4% operational sales growth with strong performance across cardiovascular, surgery, and ambulatory markets. Future expectations include nearly $34 billion in sales, supported by 15 major launches and over 40 regulatory approvals, and continued innovation with more than 60 active clinical trials.
Q:What were the achievements in the cardiovascular, surgery, and vision segments?
A:The cardiovascular segment achieved a 15% operational sales growth with Body Pulse used in over 40,000 arrhythmia patients globally. In surgery, a first-of-its-kind robotics platform for urology and a new generation of robotic surgery systems are anticipated to elevate growth. The vision segment's robust growth was driven by the launch of Akivi Oasis max and the full market release of Technics Odyssey IOL, which is the fastest-growing intraocular lens in the U.S.
Q:What was the impact of acquisitions and divestitures on worldwide sales growth?
A:Acquisitions and divestitures had a net positive impact on worldwide sales growth of 100 basis points, primarily driven by the intracellular acquisition.
Q:How did the full year 2025 sales and earnings compare to the previous year?
A:For the full year 2025, worldwide sales were $94.2 billion, an increase of 9.8% despite an approximate 1.1 point headwind from stelara. Net earnings were $26.8 billion and diluted earnings per share was $11.3, including a $7 billion talc reserve reversal from Q1. This compared to diluted earnings per share of $5.79 a year ago.
Q:What were the key areas of sales growth mentioned?
A:Key areas of sales growth included oncology with the dazl x product, cardiovascular surgery and vision, and the medtech platform. The sales of the Medtech platform grew significantly with the addition of the shockwave acquisition, while surgery grew despite the divestiture's negative impact.
Q:What are the anticipated financial results for the full year 2026?
A:For the full year 2026, Johnson & Johnson expects operational sales growth in the range of 5.7% to 6.7%, with a midpoint of $100 billion or 6.2%, and an adjusted operational sales growth midpoint of 5.9%.
Q:What is the projected adjusted pretax operating margin for 2026?
A:The projected adjusted pretax operating margin for 2026 is expected to improve by at least 50 basis points.
Q:What costs and impacts are included in the financial guidance for 2026?
A:The pretax operating margin guidance includes the costs from the 53rd week of operations and full year medtech tariffs of approximately $500 million, the impact of the voluntary agreement with the US government to improve access to medicines and lower costs for patients, net interest expense between $300 million and $400 million, and a forecasted net other income of 1 to $1.2 billion.
Q:What are the strategic priorities and growth drivers within the Medtech business?
A:Strategic priorities within the Medtech business include cardiovascular surgery and vision sectors. Growth drivers include continued uptake and market expansion of new product launches, particularly in cardiovascular surgery and vision portfolios.
Q:What is the anticipated impact of the 53rd week on operational sales growth?
A:Operational sales growth is anticipated to be fairly consistent throughout the year with a higher fourth quarter due to the benefit from the 53rd week mentioned earlier.
Q:How does Johnson & Johnson plan to advance its pipeline and what are the anticipated regulatory submissions and approvals?
A:Johnson & Johnson plans to advance its pipeline through various regulatory submissions and approvals in both innovative medicine and Medtech sectors. Anticipated submissions and approvals include the ethesia and biosurgery, a dual energy thermocool smart touch SF catheter, and the introduction of new products in 2026.
Q:What are the company's strategic priorities and investment focus areas?
A:Strategic priorities include investing in oncology and immunology, focusing on oncology to become the number one company in the field, and investing in innovative medicines with a focus on three major blockbusters in immunology, as well as pursuing growth in cardiovascular, wound closure, and urology sectors.
Q:What is the outlook for Johnson & Johnson's growth in the health care sector and their focus?
A:The outlook for Johnson & Johnson's growth in the health care sector is positive, as indicated by their guidance for 2026. The company is focused on innovation in medicines and medical technologies to improve the standard of care for millions of patients, confident in their business results.
Q:What factors are considered in the medtech market outlook for 2026 versus 2025?
A:The medtech market outlook for 2026 compared to 2025 is expected to improve, with an acceleration in growth. The company anticipates a better year in 2026, driven by a strategy to shift the portfolio into higher innovation, growth, and margin markets. There is no indication at this stage that the loss of coverage from enhanced subsidies expiring will impact growth, with the primary constraint being clinical capacity rather than coverage levels.
Q:What impact has the company's portfolio transformation had on growth and future prospects?
A:The portfolio transformation has positively impacted growth, with Johnson & Johnson's assets in higher growth markets increasing from about 20% in 2018 to over 70% following the ortho separation. This indicates a strong trajectory for accelerated operational growth in the future, driven by the strategy to push into areas of higher innovation, growth, and margins.
Q:How has the EP business performed and what are the prospects for future growth?
A:The EP business has shown continued acceleration in the markets that matter most, especially in the U.S. and Europe. In the fourth quarter, the growth rate for the EP business was 9.5%, driven by the success of various devices and a strong safety profile. Looking forward, the company has plans to further enhance its position through product launches and continued market leadership in mapping, ablation, and cardiac imaging technologies.
Q:What is the vision care market performance and the company's strategy within this area?
A:Vision care is identified as a strong growth area within the medical technology sector. Contact lens category showed robust underlying demand and growth, while surgical vision experienced double-digit growth due to the focus on premium intraocular lenses. The company is expanding global market share, optimizing the portfolio, and enhancing the business with the Oro separation to allow greater capital allocation to vision. Future prospects include ongoing growth in both contact lenses and surgical vision.
Q:How is Johnson & Johnson planning to position its multiple myeloma franchise and address the FDA's final guidance on MRD negativity and the response criteria endpoint?
A:The company is considering how to position the multiple myeloma franchise in light of new FDA guidance regarding MRD negativity and response criteria endpoints. This will involve re-evaluating and potentially reshaping development strategies and timelines for their multiple myeloma treatments.
Q:What are the improvements in survival rates for people with multiple myeloma over the past 20 years?
A:Over the past 20 years, J and J therapies have dramatically improved survival for people with multiple myeloma, with 3 to 5-year survival rates increasing to 10 to 15 years or more.
Q:What are the results of the clinical trials for the new therapies in the second line and third line settings for multiple myeloma?
A:The new therapies, such as Tech Valley plus darzalex, have shown highly effective results in the second and third line settings for multiple myeloma. The hazard ratio for Tech Valley plus Dara was 0.17, indicating a highly effective treatment for both CD 38 naive and experienced patients. This treatment also led to a 71% reduction in the risk of disease progression and a 40% reduction in overall survival in patients refractory to previous therapies.
Q:What is the significance of the FDA offering a priority review voucher for the new treatment regimen?
A:The FDA offering a priority review voucher for the new treatment regimen is significant because it indicates that the FDA was impressed with the MAJESTIC II data, prompting them to offer the voucher unsolicited. This voucher could potentially accelerate the treatment's availability to patients.
Q:What is the potential for using biomarker strategies to detect minimal residual disease (MRD)?
A:The potential for using biomarker strategies to detect minimal residual disease (MRD) is significant as these strategies could be an option for finding rare residual malignant cells. Much of the evidence for this approach was pioneered by J and J over the years. Although the strategy is currently only an option in the United States, the company plans to deliver progression-free and overall survival data for other territories.
Q:What is the growth potential for the new surgical robot, Otava, and its expansion internationally?
A:The growth potential for the new surgical robot, Otava, is substantial, with an ambitious regulatory strategy that includes a de novo pathway due to its unique and novel platform without a predicate device for comparison. The company is confident in its unique offering and is building submissions outside the US, focusing on Japan and select markets. Plans include expanding into the lower abdomen IDE clinical study, positioning the company to become a formidable player in surgical robotics.
Q:What are the anticipated areas of growth in innovative medicines mentioned by the company?
A:The anticipated areas of growth in innovative medicines include Sjogren's disease, SLE (lupus), atopic dermatitis, and B cell malignancies with a development pipeline including a bicar and a partnership with Bristol Myers Squibb for atrial fibrillation and secondary stroke prevention.
Q:What is the current status of the new drug's launch and its expected impact on the company's growth?
A:The new drug has seen a positive launch with significant interest and receptivity from urologists and patients. Applications of the device have been made, particularly in the BCG unresponsive population, and there is anticipation for expanding into the BCG experienced and naive populations through studies like Sunrise 5 and 3. A permanent J code is expected to be implemented in the second quarter, which is anticipated to be a catalyst for utilization and is viewed as a key growth driver for the company.
Q:What is the new targeted therapy for bladder cancer being developed and how does it differ from the current m versa treatment?
A:The new targeted therapy for bladder cancer being developed is called idefi nib, which is the same targeted therapy as m versa but delivered through a unique device. While m versa is marketed for metastatic bladder cancer, idefi nib is delivered via a customized device that works similarly but is targeted at the intermediate risk population, broadening coverage for patients with bladder cancer.
Q:What patient population does the new device target, and what are the projected incidence numbers?
A:The new device, Tar 210 with the erde fittin IB carrying device, targets patients with localized bladder cancer. There are about 600,000 new cases of localized bladder cancer and another 400,000 cases of metastatic bladder cancer annually, making it a significant market opportunity.
Q:What is the success rate for the new bladder sparing technology?
A:The success rate with complete responses for the new bladder sparing technology, Tar 210, has been north of 90%, which is a very high rate of success and is a key factor for the company's optimism about the technology.
Q:What is the significance of combining innovative medicines and Medtech?
A:The significance of combining innovative medicines and Medtech is exemplified by the development of devices that integrate with drugs in an unprecedented way, such as the new bladder sparing technologies. This integration is seen as a platform that will address an incredible unmet need in the market and is anticipated to be a major growth driver for Johnson & Johnson.
Q:What are the implications of the initial decision in the TAC litigation and what are the company's plans for resolution and risk mitigation?
A:The implications of the initial decision in the TAC litigation are that the special master reviewing the motions issued a report and recommendation that has no legal import until accepted by the judge. The recommendation excluded certain aspects of the plaintiff's expert witnesses while endorsing virtually all of the company's experts. However, it failed to apply the new Federal Rules of Evidence. The company plans to appeal the erroneous parts of the recommendation and continue to fight each meritless claim through trials or appeals.
Q:What is the company's strategy regarding the TAC litigation and how does it intend to address the concerns raised by the special master?
A:The company's strategy regarding the TAC litigation is to continue fighting each meritless claim in the court system, whether through original trials or appeals, and to bring light to the tactics used by the plaintiffs, such as third-party litigation financing. The company plans to appeal the erroneous parts of the special master's recommendation that failed to apply the new Federal Rules of Evidence and gatekeeping responsibilities.
Q:How has the company been able to navigate the talc issue over the past decade?
A:The company has been able to navigate the talc issue over the past decade by continuing to deliver excellent results, investing in the business, and returning value to shareholders while fighting each meritless claim in the court system. This strategy is intended to maintain focus on the company's strengths, such as its 2025 guidance, strong outlook, and anticipated growth.
Q:What does the company see as its position of strength, and how does it intend to focus on the future?
A:The company sees its position of strength as having the strongest portfolio and pipeline in its history, as well as a leading and expanding position in its six key business areas. The company intends to focus on the future by continuing to develop new medicines and medical technologies that improve the standard of care for patients, while also continuing to fight legal claims and maintain its strategic focus.
Q:What data readouts are expected for millbeck later in the year, and why is atrial fibrillation a significant indication?
A:Data readouts are expected later in the year for millbeck in both secondary stroke and atrial fibrillation. Atrial fibrillation is a significant indication because previous competitor molecules have failed in this indication, and there is a high need for a highly efficacious and safe product due to patient fear of safety risks.
Q:What is the goal of the new mvac in product, and which study is anticipated to provide data on its safety and efficacy?
A:The goal of the new mvac in product is to demonstrate clear superiority in terms of safety and bleeding risk compared to existing treatments. Data on safety and efficacy is anticipated from a study that is comparing mvac in to other products, with a focus on showing superior safety and bleeding profile.

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