Johnson & Johnson Morgan Stanley 24th Annual Global Healthcare Conference
Review the key takeaways and the transcript of this earnings call.
- Johnson & Johnson has a more focused portfolio with three areas in innovative medicine: oncology, immunology, and neuroscience, and three in medical technology: vision, surgery, and cardiovascular.
- The company has grown through the Stelara biosimilar entry in 2025 and 2026, beating analyst expectations in both top and bottom lines and raising guidance.
- For 2026, Johnson & Johnson's guidance is 6.5% adjusted operational sales growth and 7.3% adjusted EPS growth, with total revenue expected to exceed $100 billion for the first time.
- The company anticipates 2027 to be better than 2026 and expects double-digit growth by the end of the decade.
- Johnson & Johnson has a strong balance sheet with a AAA credit rating and strong cash flow generation, supporting funding for new product launches, pipeline development, M&A, and dividends.
- Recent acquisitions include HALDA Therapeutics (RIPTAC platform), Firefly Bio (antibody degrader conjugate platform), and a deal with SAIL for non-integrated in vivo CAR-T.
- The myeloma franchise remains strong with Darzalex as the backbone therapy; 90% of patients are on Darzalex FastPro, the subcutaneous formulation.
- New myeloma therapies include Teck Bailey and Taubert biospecifics in second line, and the tri-specific Romantamig planned for first line with promising efficacy and tolerability.
- CAR-VICTI, the only CAR-T with overall survival data in myeloma, is being evaluated for front-line use as a potential replacement for bone marrow transplant.
- In immunology, Eiketide is growing rapidly with 74% growth in Q2, about 17,000 patients treated, and broad prescriber adoption; full commercial coverage in the US is in place.
- Eiketide is in phase three trials for ulcerative colitis and Crohn's disease, with psoriatic arthritis data expected before year-end to support filing.
- Johnson & Johnson is advancing combination therapies in immunology, including a co-antibody therapeutic combining TNF and IL-23, targeting refractory patients with high unmet need.
- MedTech growth continues with focus on the OTAVA soft tissue robotic surgical system (limited market release) and new electrophysiology catheters, including a recently approved dual energy catheter and upcoming BodyPulse Pro approval.
- The company is gaining market share in vision care with contact lenses and premium intraocular lenses.
STOCKNOW INSIGHTS
Continue with outlook and guidance.
Log in to unlock executive comments and Q&A highlights.
Log in for the full summaryStockNow uses AI to translate and summarize earnings calls. Accuracy and completeness are not guaranteed.
Transcript
Preview the first fifteen paragraphs, organized by speaker.
Great. Thanks so much, everybody. Good afternoon. I'm Terence Flynn, Morgan Stanley's U.S. BioPharma analyst. For important disclosures, please see Morgan Stanley's research disclosure website at www.morganstanley.com/researchdisclosures. If you have any questions, please reach out to your Morgan Stanley sales representative. I'm very pleased to be hosting Johnson & Johnson this afternoon. Joining us from the company, we have Joaquin Duato, the company's CEO and Chairman, and John Reed, Executive Vice President, Innovative Medicine, R&D. Thank you both so much for taking time out of your busy schedules to join us. Really appreciate it. Maybe we'd start, I thought, high level, Joaquin. The company laid out some long-term growth targets at the December 2023 enterprise business review meeting. Maybe you could just level set us in terms of the progress you've made there, but also the rationale for providing those targets when you did.
Yeah, thank you. There's been a lot of progress in Johnson & Johnson since 2023. First, we have a more focused portfolio today. We have three focus areas in Innovative Medicine, oncology, immunology, and neuroscience, and then three focus areas also in MedTech, vision, surgery, and cardiovascular. I think we have a very well-balanced portfolio that has a mix of innovation and growth that is driving a new cycle of accelerated growth for Johnson & Johnson. Since 2023, we have done what we said we were going to do. We said we were going to be able to grow through the STELARA biosimilar entry, and that's what we are doing. We did it in 2025, and we are also doing it in 2026.
In both quarters, in Q1 and Q2, we were able to beat analyst expectations in top and bottom line, and also to raise our guidance. Our guidance today for 2026 is 6.5% adjusted operational sales growth and 7.3% adjusted EPS growth. For the first time for the company, we're going to be ahead of $100 billion in total revenue. We also have said, and we said that in 2023, that this was going to be the beginning of a cycle of growth, and we see 2027 being a better year than 2026, and we have line of sight to double-digit growth by the end of the decade for total Johnson & Johnson. Together, combined, due to our existing portfolio, the new product launches, our pipeline, I believe today, Johnson & Johnson has one of the cleanest growth stories in our sector.
Great. Perfect place to start the conversation. You're hosting another enterprise business review day here in early December. I know you're not going to get into a lot of the specifics because you want to save that for the day, but maybe just a high-level preview of some of the themes that you guys are focused on as we look ahead to December.
Thank you. We are looking forward to that. We do it every 3 years, so it is an important event. There are 2 main topics that we plan to cover there. One is providing more granularity to double-digit growth by the end of the decade, which is a frequent question that we get from investors. We will provide more granularity on the state of our portfolio, our new product launches, and also our pipeline. The second one is going to give you more confidence on the durability of our growth beyond 2030. We will provide more information on our earlier-stage pipeline in order to be able to give you more confidence that this cycle of growth is going to continue, is going to be durable into the next decade.
Okay. Looking forward. Maybe the preview on that, if you just look at our pipeline with molecules that have achieved POC, they are now in Phase III, de-risked, and moving forward.
There are 12 molecules that have those criteria in the pipeline today. We will give some insights into what we see as the opportunities there. On top of right now, in addition to DARZALEX, our top medicine right now, we have 10 in-market medicines that are still pretty early in their life cycle journeys and growing robustly.
Okay, great. Looking forward to it. The other area I wanted to talk about at a high level is the policy front. Just anything that is on your radar as we head into the midterms here, Joaquin. I know you guys are very plugged into D.C.
Yeah. Compared to 2025, 2026 has been a more stable year from a policy perspective. I think we will agree all in that. It is likely that things may up before or after the midterms, although I do not see pharmaceutical pricing as the core theme of this election. I think all of you know that there are other topics that are more discussed than pharmaceutical pricing. I believe the things connected with affordability of medicines have been well-addressed with some of the changes that have been done in Medicare Part D that have addressed some of the tension that existed before. I do not anticipate that the midterms are going to create significant noise from a policy perspective, although there is always something going on in this space, but I do not think there is going to be anything that is going to constitute a major change.
Things may change again into 2028, as we may have different changes there. But as far as the midterms go, I think that you may see some different ideas, but I do not believe that pharmaceutical pricing and affordability is going to be one of the main topics going into this election.
Okay, great. The other one I want to touch on is just capital allocation business development.
I think high level, again, the company has become more streamlined. It spun off the consumer business several years ago. Orthopedics, we saw some headlines over the weekend there. So maybe just talk to us about the shape of the business as you think about divesting assets, but also layering in additional assets, where we are in that journey on that front.
A number of factors there. First, we have a strong balance sheet. We are only of one or two companies that have AAA credit rating, and we are proud of that because it's a reflection of our financial discipline. We are not married to that, but it's a reflection of the strength of our balance sheet and our financial discipline. Our cash flow generation is strong, and we foresee that cash flow generation even becoming stronger as we accelerate growth into the rest of the decade, because that will come with also improved margins. We are optimistic at our cash flow generation, which is at the basis of us being able to do M&A. When it comes to our capital allocation priorities, number one now is to fund our new product launches.
We are at the early innings of a number of new product launches, both in MedTech, and in Johnson & Johnson Innovative Medicine. Some of them, I'm sure we will discuss. Some of them are icotrokinra, our oral IL-23 peptide. We are launching also Inlexzo, our intravesical drug release system for bladder cancer. We are launching RYBREVANT in lung cancer and pretty soon in head and neck cancer. We are planning to launch nipocalimab, our FcRn inhibitor, also in some rheumatological indications. We just had the approval of our soft tissue robotic system, OTTAVA. We have a number of new catheters in electrophysiology that we plan to launch, in the U.S. and globally. The number one goal is to actually resource our new product launches, which are core to the cycle of growth that we want to deliver. Number two is to resource our pipeline.
John will talk about our pipeline, but we have a large number of assets in phase III. As you know, most of the expense in R&D is when you get into later stage. We have a number of things that we have to fund in our pipeline, and we are trying to do also parallel development, multiple indications at the same time, multiple phase IIIs. We are in the better position when we launch the product to maximize that opportunity. The second one is to identify external opportunities. The sweet spot for us is to identify opportunities that are earlier on, so we can create significant value using our scale in R&D, in manufacturing, and commercialization. Best examples of that are icotrokinra or Inlexzo, which were opportunities that we identified earlier on that were very capital-sparing, if you want.
FULL TRANSCRIPT
Continue the full translated transcript in StockNow.
Log in to unlock every statement, the English original, and speaker-by-speaker history.
Log in for the full transcriptCall participants
3 people spoke on this call — only 2 are shown here.
PARTICIPANT LIST
View participant details in StockNow.
Log in to see executives and analysts, their roles, and complete speaking history.
Log in to view all participantsKeep exploring
