0000200406jnj:MedicalDevicesMemberus-gaap:NonUsMemberjnj:SurgeryMember2021-01-042022-01-02Wholesaler2Memberjnj:WholesalerConcentrationRiskMemberus-gaap:SalesRevenueNetMember2022-01-032023-01-01

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
ANNUAL REPORT PURSUANT TO SECTION 13 OF THE SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended January 2, 2022December 31, 2023
or
Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
for the transition period from            to
Commission file number 1-3215

JOHNSONJohnson & JOHNSONJohnson
(Exact name of registrant as specified in its charter)
New Jersey 22-1024240
(State of incorporation) (I.R.S. Employer Identification No.)
One Johnson & Johnson Plaza
New Brunswick, New Jersey
 08933
(Address of principal executive offices) (Zip Code)
One Johnson & Johnson Plaza
New Brunswick, New Jersey 08933
(Address of principal executive offices)

Registrant’s telephone number, including area code: (732) 524-0400
SECURITIES REGISTERED PURSUANT TO SECTION 12(b) OF THE ACT
Title of each classTrading SymbolName of each exchange on which registered
Common Stock, Par Value $1.00JNJNew York Stock Exchange
0.650% Notes Due May 2024JNJ24CNew York Stock Exchange
5.50% Notes Due November 2024JNJ24BPNew York Stock Exchange
1.150% Notes Due November 2028JNJ28New York Stock Exchange
1.650% Notes Due May 2035JNJ35New York Stock Exchange
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.  Yes þ     No o
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Exchange Act.  Yes o     No þ
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Exchange Act during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  Yes þ     No o
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).  Yes þ     No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange  Act.
Large accelerated filerAccelerated filer
Non-accelerated filerSmaller reporting company
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o



Indicate by check mark whether the registrant has filed a report on and attestation to its management's assessment of the effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report. Yes ☑     Noo
If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the filing reflect the correction of an error to previously issued financial statements. o
Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received by any of the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b). o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).  Yes      No þ
The aggregate market value of the Common Stock held by non-affiliates computed by reference to the price at which the Common Stock was last sold as of the last business day of the registrant’s most recently completed second fiscal quarter was approximately $445$430 billion.
On February 10, 2022,9, 2024, there were 2,629,268,1582,408,767,228 shares of Common Stock outstanding.
DOCUMENTS INCORPORATED BY REFERENCE
Parts I andPart III:Portions of the registrant’s proxy statement for its 20222024 annual meeting of shareholders filed within 120 days after the close of the registrant’s fiscal year (the “Proxy Statement”), are incorporated by reference to this report on Form 10-K (this “Report”).




ItemItem PageItemPage
111
1A.1A.1A.
1B.1B.1B.
1C.1C.
222
333
444
555
666
777
7A.7A.7A.
888
999
9A.9A.9A.
9B.9B.9B.
9C.9C.9C.
101010
111111
121212
131313
141414
151515
161616




Cautionary note regarding forward-looking statements
CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

This Annual Report on Form 10-K and Johnson & Johnson’s other publicly available documents contain “forward-looking statements” within the meaning of the safe harbor provisions of the United States Private Securities Litigation Reform Act of 1995. Management and representatives of Johnson & Johnson and its subsidiaries (the Company) also may from time to time make forward-looking statements. Forward-looking statements do not relate strictly to historical or current facts and reflect management’s assumptions, views, plans, objectives and projections about the future. Forward-looking statements may be identified by the use of words such as “plans,” “expects,” “will,” “anticipates,” “estimates” and other words of similar meaning in conjunction with, among other things: discussions of future operations; expected operating results and financial performance; impact of planned acquisitions and dispositions; impact and timing of restructuring initiatives, including associated cost savings and other benefits; the planned separation of the Company’s Consumer Health business; the Company’s strategy for growth; product development activities; regulatory approvals; market position and expenditures.

Because forward-looking statements are based on current beliefs, expectations and assumptions regarding future events, they are subject to uncertainties, risks and changes that are difficult to predict and many of which are outside of the Company’s control. Investors should realize that if underlying assumptions prove inaccurate, or known or unknown risks or uncertainties materialize, the Company’s actual results and financial condition could vary materially from expectations and projections expressed or implied in its forward-looking statements. Investors are therefore cautioned not to rely on these forward-looking statements. Risks and uncertainties include, but are not limited to:

Risks Relatedrelated to Product Development, Market Successproduct development, market success and Competitioncompetition
Challenges and uncertainties inherent in innovation and development of new and improved products and technologies on which the Company’s continued growth and success depend, including uncertainty of clinical outcomes, additional analysis of existing clinical data, obtaining regulatory approvals, health plan coverage and customer access, and initial and continued commercial success;
Challenges to the Company’s ability to obtain and protect adequate patent and other intellectual property rights for new and existing products and technologies in the United States and other important markets;
The impact of patent expirations, typically followed by the introduction of competing generic, biosimilar or other products and resulting revenue and market share losses;
Increasingly aggressive and frequent challenges to the Company’s patents by competitors and others seeking to launch competing generic, biosimilar or other products and increased receptivity of courts, the United States Patent and Trademark Office and other decision makers to such challenges, potentially resulting in loss of market exclusivity and rapid decline in sales for the relevant product sooner than expected;
Competition in research and development of new and improved products, processes and technologies, which can result in product and process obsolescence;
Competition to reach agreement with third parties for collaboration, licensing, development and marketing agreements for products and technologies;
Competition based on cost-effectiveness, product performance, technological advances and patents attained by competitors; and
Allegations that the Company’s products infringe the patents and other intellectual property rights of third parties, which could adversely affect the Company’s ability to sell the products in question and require the payment of money damages and future royalties.
Risks Relatedrelated to Product Liability, Litigationproduct liability, litigation and Regulatory Activityregulatory activity
Product efficacy or safety concerns, whether or not based on scientific evidence, potentially resulting in product withdrawals, recalls, regulatory action on the part of the United States Food and Drug Administration (U.S. FDA) (or international counterparts), declining sales, reputational damage, increased litigation expense and share price impact;
The impact, including declining sales and reputational damage, of significant litigation or government action adverse to the Company, including product liability claims and allegations related to pharmaceutical marketing practices and contracting strategies;



The impact of an adverse judgment or settlement and the adequacy of reserves related to legal proceedings, including patent litigation, product liability, personal injury claims, securities class actions, government investigations, employment and other legal proceedings;



Increased scrutiny of the healthcare industry by government agencies and state attorneys general resulting in investigations and prosecutions, which carry the risk of significant civil and criminal penalties, including, but not limited to, debarment from government business;
Failure to meet compliance obligations in compliance agreements with governments or government agencies, which could result in significant sanctions;
Potential changes to applicable laws and regulations affecting United States and international operations, including relating to: approval of new products; licensing and patent rights; sales and promotion of healthcare products; access to, and reimbursement and pricing for, healthcare products and services; environmental protection; and sourcing of raw materials;
Compliance with local regulations and laws that may restrict the Company’s ability to manufacture or sell its products in relevant markets, including requirements to comply with medical device reporting regulations and other requirements such as the European Union’s Medical Devices Regulation;
Changes in domestic and international tax laws and regulations, increasing audit scrutiny by tax authorities around the world and exposures to additional tax liabilities potentially in excess of existing reserves; and
The issuance of new or revised accounting standards by the Financial Accounting Standards Board and regulations by the Securities and Exchange Commission.
Risks Relatedrelated to the Company’s Strategic Initiatives, Healthcare Market Trendsstrategic initiatives, healthcare market trends and the Planned Separationrealization of benefits from the separation of the Company’s Consumer Health Business
Pricing pressures resulting from trends toward healthcare cost containment, including the continued consolidation among healthcare providers and other market participants, trends toward managed care, the shift toward governments increasingly becoming the primary payerspayors of healthcare expenses, significant new entrants to the healthcare markets seeking to reduce costs and government pressure on companies to voluntarily reduce costs and price increases;
Restricted spending patterns of individual, institutional and governmental purchasers of healthcare products and services due to economic hardship and budgetary constraints;
Challenges to the Company’s ability to realize its strategy for growth including through externally sourced innovations, such as development collaborations, strategic acquisitions, licensing and marketing agreements, and the potential heightened costs of any such external arrangements due to competitive pressures;
The potential that the expected strategic benefits and opportunities from any planned or completed acquisition or divestiture by the Company may not be realized or may take longer to realize than expected;
The potential that the expected benefits and opportunities related to past and ongoing restructuring actions may not be realized or may take longer to realize than expected;
The Company’s ability to consummate the planned separation ofdivest the Company’s Consumer Health business on a timely basis or at all;
The Company’s ability to successfully separate the Company’s Consumer Health businessremaining ownership interest in Kenvue Inc. (Kenvue) and realize the anticipated benefits from the planned separation; and
The New Consumer Health Company’sKenvue's ability to succeed as a standalone publicly traded company.
Risks Relatedrelated to Economic Conditions, Financial Marketseconomic conditions, financial markets and Operating Internationallyoperating internationally
The risks associated with global operations on the Company and its customers and suppliers, including foreign governments in countries in which the Company operates;
The impact of inflation and fluctuations in interest rates and currency exchange rates and the potential effect of such fluctuations on revenues, expenses and resulting margins;
Potential changes in export/import and trade laws, regulations and policies of the United States and other countries, including any increased trade restrictions or tariffs and potential drug reimportation legislation;
The impact on international operations from financial instability in international economies, sovereign risk, possible imposition of governmental controls and restrictive economic policies, and unstable international governments and legal systems;
The impact of global public health crises and pandemics, including the novel coronavirus (COVID-19) pandemic;pandemics;



Changes to global climate, extreme weather and natural disasters that could affect demand for the Company’s products and services, cause disruptions in manufacturing and distribution networks, alter the availability of goods and services within the supply chain, and affect the overall design and integrity of the Company’s products and operations;
The impact of global or economic changes or events, including global tensions and war; and
The impact of armed conflicts and terrorist attacks in the United States and other parts of the world, including social and economic disruptions and instability of financial and other markets.
Risks Relatedrelated to Supply Chainsupply chain and Operationsoperations
Difficulties and delays in manufacturing, internally, through third-party providers or otherwise within the supply chain, that may lead to voluntary or involuntary business interruptions or shutdowns, product shortages, withdrawals or suspensions of products from the market, and potential regulatory action;
Interruptions and breaches of the Company’s information technology systems or those of the Company’s vendors, which could result in reputational, competitive, operational or other business harm as well as financial costs and regulatory action;
Reliance on global supply chains and production and distribution processes that are complex and subject to increasing regulatory requirements that may adversely affect supply, sourcing and pricing of materials used in the Company’s products; and
The potential that the expected benefits and opportunities related to restructuring actions contemplated for the global supply chain may not be realized or may take longer to realize than expected, including due to any required approvals from applicable regulatory authorities.
Investors also should carefully read the Risk Factorsrisk factors described in Item 1A of this Annual Report on Form 10-K for a description of certain risks that could, among other things, cause the Company’s actual results to differ materially from those expressed in its forward-looking statements. Investors should understand that it is not possible to predict or identify all such factors and should not consider the risks described above and in Item 1A to be a complete statement of all potential risks and uncertainties. The Company does not undertake to publicly update any forward-looking statement that may be made from time to time, whether as a result of new information or future events or developments.




PARTPart I
Item 1.BUSINESS Business
General
Johnson & Johnson and its subsidiaries (the Company) have approximately 141,700131,900 employees worldwide engaged in the research and development, manufacture and sale of a broad range of products in the healthcare field. Johnson & Johnson is a holding company, with operating companies conducting business in virtually all countries of the world. The Company’s primary focus is products related to human health and well-being. Johnson & Johnson was incorporated in the State of New Jersey in 1887.
The Executive Committee of Johnson & Johnson is the principal management group responsible for the strategic operations and allocation of the resources of the Company. This Committee oversees and coordinates the activities of the Company's threetwo business segments: Consumer Health, PharmaceuticalInnovative Medicine (previously referred to as Pharmaceutical) and Medical Devices.MedTech. Within the strategic parameters provided by the Committee, senior management groups at U.S. and international operating companies are each responsible for their own strategic plans and the day-to-day operations of those companies. Each subsidiary within the business segments is, with limited exceptions, managed by residents of the country where located.
Segments of Businessbusiness
    TheFollowing the completion of the separation of the Consumer Health business (Kenvue) in August 2023, the Company is now organized into threetwo business segments: Consumer Health, PharmaceuticalInnovative Medicine and Medical Devices.MedTech. Additional information required by this item is incorporated herein by reference to the narrative and tabular descriptions of segments and operating results under: “ItemItem 7. Management’s Discussiondiscussion and Analysisanalysis of Resultsresults of Operationsoperations and Financial Condition”financial condition of this Report; and Note 17 “SegmentsSegments of Businessbusiness and Geographic Areas”geographic areas of the Notesnotes to Consolidated Financial Statementsconsolidated financial statements included in Item 8 of this Report.
Consumer HealthInnovative Medicine
The Consumer Health segment includes a broad range of products focused on personal healthcare used in the Skin Health/Beauty, Over-the-Counter medicines, Baby Care, Oral Care, Women’s Health and Wound Care markets. Major brands in Skin Health/Beauty include the AVEENO®; CLEAN & CLEAR®; DR. CI:LABO®; NEUTROGENA® and OGX® product lines. Over-the-Counter (OTC) medicines include the broad family of TYLENOL® acetaminophen products; SUDAFED® cold, flu and allergy products; BENADRYL® and ZYRTEC® allergy products; MOTRIN® IB ibuprofen products; NICORETTE® smoking cessation products outside the U.S.; ZARBEE’S® products, inspired by nature, and the PEPCID® line of acid reflux products. Baby Care includes the JOHNSON’S® and AVEENO Baby® line of products. Oral Care includes the LISTERINE® product line. Major brands in Women’s Health outside of North America are STAYFREE® and CAREFREE® sanitary pads and o.b.® tampon brands. Wound Care brands include the BAND-AID® Brand Adhesive Bandages and NEOSPORIN® First Aid product lines. These products are marketed to the general public and sold online (eCommerce) and to retail outlets and distributors throughout the world.
In November 2021, the Company announced its intention to separate the Company’s Consumer Health business, with the intention to create a new, publicly traded company. The Company is targeting completion of the planned separation in 18 to 24 months after initial announcement.
Pharmaceutical
    The PharmaceuticalInnovative Medicine segment is focused on sixthe following therapeutic areas: Immunology (e.g., rheumatoid arthritis, psoriatic arthritis, inflammatory bowel disease and psoriasis), Infectious Diseases (e.g., HIV/AIDS and COVID-19)AIDS), Neuroscience (e.g., mood disorders, neurodegenerative disorders and schizophrenia), Oncology (e.g., prostate cancer, hematologic malignancies, lung cancer and bladder cancer), Cardiovascular and Metabolism (e.g., thrombosis, diabetes and macular degeneration) and Pulmonary Hypertension (e.g., Pulmonary Arterial Hypertension). Medicines in this segment are distributed directly to retailers, wholesalers, distributors, hospitals and healthcare professionals for prescription use. Key products in the PharmaceuticalInnovative Medicine segment include: REMICADE® (infliximab), a treatment for a number of immune-mediated inflammatory diseases; SIMPONI® (golimumab), a subcutaneous treatment for adults with moderate to severe rheumatoid arthritis, active psoriatic arthritis, active ankylosing spondylitis and moderately active to severely active ulcerative colitis; SIMPONI ARIA® (golimumab), an intravenous treatment for adults with moderate to severe rheumatoid arthritis, active psoriatic arthritis and active ankylosing spondylitis and active polyarticular juvenile idiopathic arthritis (pJIA) in people 2 years of age and older; STELARA® (ustekinumab), a treatment for adults and children with moderate to severe plaque psoriasis, for adults with active psoriatic arthritis, for adults with moderately to severely active Crohn's disease and treatment of moderately to severely active ulcerative colitis; TREMFYA® (guselkumab), a treatment for adults with moderate to severe plaque psoriasis and active psoriatic arthritis; the Janssen COVID-19 vaccine, authorized for use under Emergency Use Authorization (EUA) for active immunization to prevent coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in individuals 18 years of age and older; EDURANT® (rilpivirine), PREZISTA® (darunavir) and PREZCOBIX®/PREZCOBIX/REZOLSTA® (darunavir/cobicistat), antiretroviral medicines for the treatment of human immunodeficiency virus (HIV-1)(HIV) in combination with other antiretroviral products and SYMTUZA® (darunavir/cobicistat/emtricitabine/tenofovir alafenamide), a once-daily single tablet regimen for the treatment of HIV; CONCERTA® (methylphenidate HCl) extended-release tablets CII, a treatment
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for attention deficit hyperactivity disorder; INVEGA SUSTENNA®/SUSTENNA/XEPLION® (paliperidone palmitate), for the treatment of schizophrenia and schizoaffective disorder in adults; INVEGA TRINZA®/TRINZA/TREVICTA® (paliperidone palmitate), for the treatment of schizophrenia in patients after they have been adequately treated with INVEGA SUSTENNA® for at least four months; RISPERDAL CONSTA® (risperidone long-acting injection)SPRAVATO (Esketamine), a nasal spray, used along with an oral antidepressant, to treat adults with treatment-resistant depression (TRD) and depressive symptoms in adults with major depressive disorder (MDD) with suicidal thoughts or actions; CARVYKTI (ciltacabtagene autoleucel), a chimeric antigen receptor (CAR)-T-cell therapy for the treatment of schizophrenia and the maintenance treatment of Bipolar 1 Disorder in adults;patients with relapsed/refractory multiple myeloma; ZYTIGA (abiraterone
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® (abiraterone acetate), a treatment for patients with prostate cancer; ERLEADA® (apalutamide), a next-generationnext-generation androgen receptor inhibitor for the treatment of patients with prostate cancer; IMBRUVICA® (ibrutinib), a treatment for certain B-cell malignancies, or blood cancers and chronic graft versus host disease; DARZALEX® (daratumumab), a treatment for multiple myeloma; DARZALEX FASPRO® (daratumumab and hyaluronidase-fihj), a treatment for multiple myeloma and light chain (AL) Amyloidosis; PROCRIT®/EPREX® (epoetin alfa), a treatment for chemotherapy-induced anemia and patients with chronic kidney disease; XARELTO® (rivaroxaban), an oral anticoagulant for the prevention of deep vein thrombosis (DVT), which may lead to pulmonary embolism (PE) in patients undergoing hip or knee replacement surgery, to reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation, and for the treatment and reduction of risk of recurrence of DVT and PE to reduce the risk of major cardiovascular events in patients with coronary artery disease (CAD) and peripheral artery disease (PAD), for the treatment and secondary prevention of thromboembolism in pediatric patients, and for thromboprophylaxis in pediatric patients following the Fontan procedure; INVOKANA® (canagliflozin), for the treatment of adults with type 2 diabetes; INVOKAMET®/VOKANAMET® (canagliflozin/metformin HCl), a combination therapy of fixed doses of canagliflozin and metformin hydrochloride for the treatment of adults with type 2 diabetes; and INVOKAMET® XR (canagliflozin/metformin hydrochloride extended-release), a once-daily, fixed-dose combination therapy of canagliflozin and metformin hydrochloride extended-release, for the treatment of adults with type 2 diabetes; OPSUMIT® (macitentan) as monotherapy or in combination, indicated for the long-term treatment of pulmonary arterial hypertension (PAH); UPTRAVI® (selexipag), the only approved oral and intravenous, selective IP receptor agonist targeting a prostacyclin pathway in PAH. Many of these medicines were developed in collaboration with strategic partners or are licensed from other companies and maintain active lifecycle development programs.
Medical DevicesMedTech
The Medical DevicesMedTech segment includes a broad rangeportfolio of products used in the Interventional Solutions, Orthopaedics, Surgery and Vision fields. Medical Devices incategories. Interventional Solutions include Electrophysiologyelectrophysiology products (Biosense Webster) to treat cardiovascular diseases,heart rhythm disorders, the heart recovery portfolio (Abiomed) which includes technologies to treat severe coronary artery disease requiring high-risk PCI or AMI cardiogenic shock, and Neurovascular care (Cerenovus) that treats hemorrhagic and ischemic stroke; thestroke. The Orthopaedics portfolio (DePuy Synthes) is comprised ofincludes products inand enabling technologies that support of Hips, Knees, Trauma, and Spine, Sports & Other; theOther. The Surgery portfolios include advanced and general surgery offeringstechnologies (Ethicon), as well as solutions that focus on Breast Aestheticsbreast aesthetics (Mentor), and Ear, Nose and Throat (Acclarent) procedures; andprocedures. Johnson & Johnson Vision products such asinclude ACUVUE® Brand disposable contact lenses and ophthalmic products related toTECNIS intraocular lenses for cataract and laser refractive surgery. These products are distributed to wholesalers, hospitals and retailers, and used predominantly in the professional fields by physicians, nurses, hospitals, eye care professionals and clinics. Beginning in the fiscal first quarter of 2022, the Medical Devices segment will be referred to as the MedTech segment.
Geographic Areasareas
Johnson & Johnson and its subsidiaries (the Company) have approximately 141,700131,900 employees worldwide engaged in the research and development, manufacture and sale of a broad range of products in the healthcare field. The Company conducts business in virtually all countries of the world with the primary focus on products related to human health and well-being.
The products made and sold in the international business include many of those described above under “– Segments of Business – Consumer Health,” “– Pharmaceutical”Innovative Medicine and “– Medical Devices.”MedTech. However, the principal markets, products and methods of distribution in the international business vary with the country and the culture. The products sold in international business include those developed in the U.S. and by subsidiaries abroad.
Investments and activities in some countries outside the U.S. are subject to higher risks than comparable U.S. activities because the investment and commercial climate may be influenced by financial instability in international economies, restrictive economic policies and political and legal system uncertainties.
Raw Materialsmaterials
Raw materials essential to the Company's business are generally readily available from multiple sources. Where there are exceptions, the temporary unavailability of those raw materials would not likely have a material adverse effect on the financial results of the Company.
Patents
The Company's subsidiaries have made a practice of obtaining patent protection on their products and processes where possible. They own, or are licensed under, a significant number of patents in the U.S. and other countries relating to their products, product uses, formulations and manufacturing processes, which in the aggregate are believed to be of material importance to the Company in the operation of its businesses. The Company’s subsidiaries face patent challenges from third parties, including challenges seeking to manufacture and market generic and biosimilar versions of the Company's key
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pharmaceutical products prior to expiration of the applicable patents covering those products. Significant legal proceedings and
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claims involving the Company's patent and other intellectual property are described in Note 19 “Legal Proceedings—Legal proceedings—Intellectual Property”property of the Notes to Consolidated Financial Statements included in Item 8 of this Report.
Sales of the Company’s largest product, STELARA® (ustekinumab), accounted for approximately 9.7%12.8% of the Company's total revenues for fiscal 2021.2023. Accordingly, the patents related to this product are believed to be material to the Company. Janssen Biotech, Inc., a wholly-owned subsidiary of Johnson & Johnson, owns patents specifically related to STELARA®.STELARA. The latest expiring United States composition of matter patent expiresexpired in 2023. As a result of settlements and other agreements with third parties, the Company does not anticipate the launch of a biosimilar version of STELARA before January 1, 2025 in the United States. The latest expiring European composition of matter patent (Supplementary Protection Certificate) expires in 2024.

Sales of the Company’s second largest product, collectively DARZALEX® (daratumumab) and DARZALEX FASPRO® (daratumumab and hyaluronidase-fihj), accounted for approximately 6.4%11.4% of the Company's total revenues for fiscal 2021.2023. Accordingly, the patents related to this product are believed to be material to the Company. Genmab A/S owns two patent families related to DARZALEX,®, and Janssen Biotech, Inc. has an exclusive license to those patent families. The two patent families both expire in the United States in 2029. The latest expiring licensed European2029, and in Europe, compound patent expiresprotection in select countries extends to 2031/2032. Janssen Biotech, Inc. owns a separate patent portfolio related to DARZALEX FASPRO®.
FASPRO.
Trademarks
The Company’s subsidiaries have made a practice of selling their products under trademarks and of obtaining protection for these trademarks by all available means. These trademarks are protected by registration in the U.S. and other countries where such products are marketed. The Company considers these trademarks in the aggregate to be of material importance in the operation of its businesses.
Seasonality
Worldwide sales do not reflect any significant degree of seasonality; however, spending has typically been heavier in the fourth quarter of each year than in other quarters. This reflects increased spending decisions, principally for advertising and research and development activity.
Competition
In all of their product lines, the Company's subsidiaries compete with companies both locally and globally. Competition exists in all product lines without regard to the number and size of the competing companies involved. Competition in research, both internally and externally sourced, involving the development and the improvement of new and existing products and processes, is particularly significant. The development of new and innovative products, as well as protecting the underlying intellectual property of the Company’s product portfolio, is important to the Company's success in all areas of its business. The competitive environment requires substantial investments in continuing research. In addition, the development and maintenance of customer demand for the Company’s consumer products involve significant expenditures for advertising and promotion.
Environment
The Company is subject to a variety of U.S.environmental laws and international environmental protection measures.regulations in the United States and other jurisdictions. The Company believes that its operations comply in all material respects with applicable environmental laws and regulations. The Company’s compliance with these requirements is not expected to have a material effect upon its capital expenditures, cash flows, earnings or competitive position.
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Regulation
The Company’s businesses are subject to varying degrees of governmental regulation in the countries in which operations are conducted, and the general trend is toward increasingly stringent regulation and enforcement. The Company is subject to costly and complex U.S. and foreign laws and governmental regulations and any adverse regulatory action may materially adversely affect the Company's financial condition and business operations. In the U.S., the drug, devicepharmaceutical product and cosmeticmedical technology industries have long been subject to regulation by various federal and state agencies, primarily as to product safety, efficacy, manufacturing, advertising, labeling and safety reporting. The exercise of broad regulatory powers by the U.S. Food and Drug Administration (the U.S. FDA) continues to result in increases in the amounts of testing and documentation required for U.S. FDA approval of new drugs and devices and a corresponding increase in the expense of product introduction. Similar trends are also evident in major markets outside of the U.S.
The new medical device regulatory framework and the newevolving privacy, data localization, and emerging cyber security laws and regulations in Europe and in other countriesaround the world are examples of such increased regulation. Within the U.S., an increasing number of U.S. States have enacted comprehensive privacy laws and federal regulators (e.g., the U.S. FDA, FTC and HHS) continue to stress the intersection of health and privacy as a compliance and enforcement priority. In the EU, multiple directives and laws (including NIS2, EHDS, the Data Act, the Cyber Resilience Act, and the AI Act) are rapidly changing privacy and cybersecurity compliance requirements while introducing new enforcement risks. In addition, China has introduced broad personal information protection and data security regulations, with more anticipated, thereby increasing China’s scrutiny of company compliance and data transfer practices. With other jurisdictions enacting similar privacy laws, local data protection authorities will force greater accountability on the collection, access and use of personal data in the healthcare industry. These laws can also restrict transfers of data across borders, potentially impacting how data-driven health care solutions are developed and deployed globally in a compliant manner. Moreover, as a result of the broad scale release and availability of Artificial Intelligence (AI) technologies such as generative AI, a global trend towards more comprehensive and nuanced regulation (e.g., White House’s Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence; the EU AI Act) to ensure the ethical use, privacy, and security of AI is underway that includes standards for transparency, accountability, and fairness, which will require compliance developments or enhancements.
The regulatory agencies under whose purview the Company operates have administrative powers that may subject it to actions such as product withdrawals, recalls, seizure of products and other civil and criminal sanctions. In some cases, the Company’s subsidiaries may deem it advisable to initiate product recalls.recalls regardless of whether it has been required or directed to.
The U.S. FDA and regulatory agencies around the globe are also increasing their enforcement activities. If the U.S. FDA were to conclude that we are not in compliance with applicable laws or regulations, or that any of our drugspharmaceutical products or medical
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devices technologies are ineffective or pose an unreasonable health risk, the U.S. FDA could ban such products, detain or seize adulterated or misbranded products, order a recall, repair, replacement, or refund of such products, refuse to grant pending applications for marketing authorization or require certificates of foreign governments for exports, and/or require us to notify health professionals and others that the products present unreasonable risks of substantial harm to the public health. The U.S. FDA may also assess civil or criminal penalties against us, our officers or employees and impose operating restrictions on a company-wide basis, or enjoin and/or restrain certain conduct resulting in violations of applicable law. The U.S. FDA may also recommend prosecution to the U.S. Department of Justice. Any adverse regulatory action, depending on its magnitude, may restrict us from effectively marketing and selling our products and limit our ability to obtain future clearances or approvals, and could result in a substantial modification to our business practices and operations. Equivalent enforcement mechanisms exist in different countries in which we conduct business.
The costs of human healthcare have been and continue to be a subject of study, investigation and regulation by governmental agencies and legislative bodies around the world. In the U.S., attention has been focused by states, regulatory agencies and congressCongress on drug prices, profits, overutilization and profitsthe quality and programs that encourage doctors to write prescriptions for particular drugs, or to recommend, use or purchase particular medical devices.costs of healthcare generally. Laws and regulations have been enacted to require adherence to strict compliance standards and prevent fraud and abuse in the healthcare industry.There is increased focus on interactions and financial relationships between healthcare companies and healthcare providers. Various state and federal transparency laws and regulations require disclosures of payments and other transfers of value made to certain healthcare practitioners, including physicians, and teaching hospitals, and beginning with disclosures in 2022, to certain non-physician practitioners. Federal and foreign laws governing international business practices require strict compliance with anti-bribery standards and certain prohibitions with respect to payments to any foreign government official. Payers have becomePayors and Pharmacy Benefit Managers (PBMs) are a more potent force in the market placemarketplace, and increased attention is being paid to drugthe impact of PBM practices on healthcare cost and medical deviceaccess in the U.S.
Our business has been and continues to be affected by federal and state legislation that alters the pricing, appropriate drugcoverage, and medical device utilizationreimbursement landscape. At the federal level, in August 2022, President Biden signed into law the Inflation Reduction Act
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(IRA), which includes provisions that effectively authorize the government to establish prices for certain high-spend single-source drugs and biologics reimbursed by the qualityMedicare program, starting in 2026 for Medicare Part D drugs and costs of healthcare generally.
U.S. government actors continue efforts to repeal, modify, or invalidate provisions of2028 for Medicare Part B drugs. On August 29, 2023, the Patient Protection and Affordable Care Act (the ACA) which passed in 2010. For example, federal legislation repealed the ACA’s individual mandate tax penalty as well as the tax on generous employer-sponsored healthcare plans; the CenterCenters for Medicare & Medicaid Services (CMS) began permitting states to impose work requirements on persons covered by Medicaid expansion plans; certain federal subsidies to insurers have ended;(“CMS”) published the first “Selected Drug” list, which includes XARELTO and certain short-term insurance plans not offering the full array of ACA benefits have been allowed to extendSTELARA as well as IMBRUVICA, which is developed in duration. Some of these changes are being challengedcollaboration and co-commercialized in U.S. courts and so their long-term impact remains uncertain. The ACA has also been subject to judicial challenge. In November 2020, the U.S. Supreme Court heard argumentwith Pharmacyclics LLC, an AbbVie company. The Selected Drug list also included other medicines targeting disease states that are prevalent in Texas v. Azar, which challenges the constitutionalityMedicare population. There remains uncertainty, however, regarding how the federal government will establish prices for the selected products, as the IRA specifies a ceiling price but not a minimum price. In any event, we anticipate that the selected products will be subjected to a government-established price for the Medicare population.
The IRA also contains provisions that impose rebates if certain prices increase at a rate that outpaces the rate of the ACA. Pending resolution of the litigation, all of the ACA but the individual mandate to buy health insurance remains in effect.The U.S. government also continues to proposeinflation, beginning October 1, 2022, for Medicare Part D drugs and implement changes toJanuary 1, 2023, for Medicare Part B drugs. Separate IRA provisions redesign the Medicare Part D benefit in various ways, including by shifting a greater portion of costs to manufacturers within certain coverage phases and replacing the size of manufacturer discounts in thePart D coverage gap discount program with a new manufacturer discounting program. Failure to comply with IRA provisions may subject manufacturers to various penalties, including civil monetary penalties.
In July 2023, Janssen Pharmaceuticals, Inc. (Janssen) filed litigation against the U.S. Department of Health and catastrophic phasesHuman Services as well as the Centers for Medicare and Medicaid Services challenging the constitutionality of the benefit. Inflation Reduction Act’s (IRA) Medicare Drug Price Negotiation Program. The litigation requests a declaration that the IRA violates Janssen’s rights under the First Amendment and the Fifth Amendment to the Constitution and therefore that Janssen is not subject to the IRA’s mandatory pricing scheme. The impact of the IRA on our business and the broader pharmaceutical industry remains uncertain, as litigation filed by Janssen and other pharmaceutical companies remains ongoing and CMS has yet to publicly announce the maximum fair price for each of the selected drugs.
Additionally, we expect continued scrutiny on drug pricing and government price reporting from Congress, agencies, and other bodies at the federal and state levels, which may result in additional regulations or other mechanisms to increase pricing transparency and controls.
There are a number of additional bills pending in Congress and healthcare reform proposals at the state level that would affect drug pricing, including in the Medicare and Medicaid programs. This changing federallegal landscape has both positive and negative impacts on the U.S. healthcare industry with much remaining uncertain as to how various provisions of federal and state law, and potential modification or repeal of these laws, will ultimately affect the industry. The IRA and any other federal or state legislative change could affect the pricing and market conditions for our products.
In addition, business practices in the healthcare industry have come under increased scrutiny, particularly in the U.S., by government agencies and state attorneys general, and resulting investigations and prosecutions carry the risk of significant civil and criminal penalties. Of note is the increased enforcement activity by data protection authorities in various jurisdictions, particularly in the European Union, where significant fines have been levied on companies for data breaches, violations of privacy requirements, and unlawful cross-border data transfers. In the U.S., the Federal Trade Commission has stepped up enforcement of data privacy with several significant settlements (including settlements concerning the downstream sharing of personal information and use and disclosure of personal health data) and there have been a material increase in class-action lawsuits linked to the collection and use of biometric data and use of tracking technologies.
Further, the Company relies on global supply chains, and production and distribution processes, that are complex, areand subject to increasing regulatory requirements and may be faced with unexpected changes such as those resulting from the COVID-19 pandemic and Brexit that may affect sourcing, supply and pricing of materials used in the Company's products. These processes also are subject to complex and lengthy regulatory approvals.
The global regulatory landscape is also subject to change as the COVID-19 pandemic continues to affect the U.S. and global economies. The U.S. FDA and other health authorities have shifted resources and priorities to meet the many challenges presented by the pandemic. Pandemic-related disruptions could negatively impact the processing of regulatory submissions and slow agency review times necessary for the approval or clearance of new drugs and devices. The duration and severity of the COVID-19 pandemic is unpredictable and difficult to assess.

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Employees and Human Capital Management

human capital management
As of January 2, 2022 and January 3, 2021,December 31, 2023, the number of employees werewas approximately:
2021 2020 
Employees1
144,300 136,400 
Full-time equivalent (FTE) positions2
141,700 134,500 

2023
Employees1
134,400 
Full-time equivalent (FTE) positions2
131,900 
1“Employee” is defined as an individual working full-time or part-time, excluding fixed term employees, interns and co-op employees. Employee data may not include full population from more recently acquired companies and individuals on long-term disability are excluded. Contingent workers, contractors and subcontractors are also excluded.
2FTE represents the total number of full-time equivalent positions and does not reflect the total number of individual employees as some work part-time.

jnj-20220102_g1.jpgEmployees by region (in percentages)
10995116292674

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Strategy
The Company believes that its employees are critical to its continued success and are an essential element of its long-term strategy. Management is responsible for ensuring that its policies and processes reflect and reinforce the Company's desired corporate culture, including policies and processes related to strategy, risk management, and ethics and compliance. The Company’s human capital management strategy is built on three fundamental focus areas:
Attracting and recruiting the best talent
Developing and retaining talent
Empowering and inspiring talent
Underpinning these focus areas are ongoing efforts to cultivate and foster a culture built on diversity, equity and inclusion (DEI), innovation, health, well-being and safety, where the Company's employees are encouraged to succeed both professionally and personally while helping the Company achieve its business goals.
Culture and Employee Engagementemployee engagement
At Johnson & Johnson,the Company, employees are guided by Our Credo which sets forth the Company's responsibilities to patients, consumers, customers, healthcare professionals, employees, communities and shareholders. Employees worldwide are further guided bymust adhere to the Company’s Code of Business Conduct which sets basic requirements for business conduct and serves as a foundation for the Company policies, procedures and guidelines, all of which provide additional guidance on expected employee behaviors in every market where it operates. The Company conducts global surveys that offer its employees the ability to provide feedback and valuable insight to help address potential human resources risks and identify opportunities to improve. In 2021, 91%2023, 94% of global employees across 7776 countries participated in Our VoiceCredo Survey which was offered in 36 languages.
Growth and Developmentdevelopment
To continue to lead in the changing healthcare landscape, it is crucial that the Company continue to attract and retain top talent. In 2023, the Company's voluntary turnover rate was 7%. The Company believes that its employees must be equipped with the right knowledge and skills and be provided with opportunities to grow and develop in their careers. Accordingly, professional development programs and educational resources
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are available to all employees. The Company's objective is to foster a learning culture that helps shape each person’s unique career path while creating a robust pipeline of talent to deliver on the Company’s long-term strategies. In furtherance of this objective, the Company deploys a global approach to ensure development is for everyone, regardless of where they are on their career journey. In 2021, 45.8% of employees in ManagerTo prioritize learning, the Company recently held Johnson & Johnson's first Global Learning Day. Employees were encouraged to set aside a full day to explore skill-building courses across five areas: leadership, business skills, digital upskilling, DEI, and above job categories took advantage of career opportunities by moving across functions, country or business segment lines (including upward promotion or lateral transfer and excluding employees inwell-being, on J&J Learn, the research and development organizations). The Company's voluntary turnover rate was 8%.new learning platform.
Diversity, Equity,equity, and Inclusioninclusion (DEI)
The Company is committed to workplace diversity and to cultivating, fostering, and advancing a culture of equity and inclusion. Enabling employees to perform at their best while being themselves is fundamental toThe Company’s evidenced-based global enterprise Diversity, Equity and Inclusion strategy recognizes how DEI accelerates the Company's continued success.ability to meet the changing needs of the communities the Company serves in, as outlined in Our Credo. The Company’s DEI visionVision is: Be yourself, change the world. The Company's DEI strategy focusesMission is: Make diversity, equity and inclusion how we work everyday. The Company's enterprise DEI Strategy is aligned to the DEI Vision and Mission and rests on three pillars that reflect the strategic priorities identified to enable the Company to address the challenges and opportunities presented by this evolving understanding of diversity:
Accelerate the Company’s efforts to advance a culture of inclusion and innovationfour core pillars:
Build a workforce of individuals with diverse workforce for the futurebackgrounds, cultures, abilities and perspectives
EnhanceFoster a culture of inclusion where every individual belongs
Transform talent and business resultsprocesses to achieve equitable opportunities for all
Drive innovation and reputationgrowth with our business to serve diverse markets around the world
The Company's DEI strategy is guided by internal and external insights, global best practices and continual employee feedback which remind the Companyand recognizes that while diversity changes by location, inclusion is the same everywhere.
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Compensation and Benefitsbenefits
As part of the Company's total rewards philosophy, the Company offers competitive compensation and benefits to attract and retain top talent. The Company is committed to fairness and equitable treatment in its compensation and benefits for employees at all levels. The Company observes legal minimum wage provisions and exceeds them where possible. The Company's total rewards offerings include an array of programs to support its employees' financial, physical, and mental well-being, including annual performance incentive opportunities, pension and retirement savings programs, health and welfare benefits, paid time off, leave programs, flexible work schedules and employee assistance programs. In recognition of the Company’s commitment to help employees balance their personal and professional responsibilities, the Company enhanced its caregiver, bereavement, and volunteer paid leave benefits, effective July 2023.
Health, Wellnesswellness and Safetysafety
The Company’s investment in employee health, well-being and safety is built on its conviction that advancing health for humanity starts with advancing the health of its employees. With the right awareness, focus, practices and tools, the Company ensures that all its employees around the world, as well as temporary contractors and visitors to the Company's sites, can work safely. The Company has continuously expanded health and well-being programs throughout the Company and across the globe, incorporating new thinking and technologies to keep its offerings best-in-class and to help employees achieve their personal health goals. The programs and practices the Company advances for total health—physical, mental, emotional and financial—help ensure employee health protection fromfor emerging health risks.

Safety and COVID-19 Pandemic Response
Protecting and supporting The Company continues to address our employees during the COVID-19 pandemic continues to be a top priority and our approach includes: keeping employees informed of local COVID-19 transmission rates and corresponding risk levels; promoting the health and safety of our employees in the workplaceneeds through robust layers of protection; enhanced cleaning and access to cleaning supplies and personal protective equipment; supporting employees with pay continuity, benefits and well-being tools; and recognizing extraordinary employee contributions at work and in our communities. In 2021, in recognition of the new way of working, we initiated J&J Flex, a hybrid model that empowers ourthe Company’s office-based employees to find the right productivity and balance of in-person and remote work. This model allows for work to happen seamlessly across a variety of workplaces and is enabled by an array of enhanced collaboration tools and technology to optimize productivity and connection. J&J Flex rolled out in fourth quarter 2021 globally, and will continue deployment through 2022 as protocol and requirements related to the COVID-19 pandemic allow. The Company is evaluating flexible work strategies for its on-site workforce, such as virtual on-boarding and training, to help our employees balance their personal and professional lives. Also, we continued to enhance our benefits offerings with access to wellness tools, on-site vaccine clinics, mental health support resources and delivery of at-home testing kits. In addition, as COVID-19 vaccines were broadly distributed and administered in 2021, including the one developed by Johnson & Johnson, we adopted policies in the U.S., Puerto Rico, and certain other countries to require proof of vaccination from Johnson & Johnson employees and contingent workers, in order to return to our sites, where permitted by local law and regulation. In the U.S. and Puerto Rico, this requirement took effect on October 4, 2021, with processes established for granting accommodations to those with medical or religious needs. Select manufacturing and distribution employees and contractors in the U.S. and Puerto Rico, as well as certain additional countries, are adopting similar policies through early 2022.

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Available Informationinformation
The Company’s main corporate website address is www.jnj.com. All of the Company’sThe Company makes its SEC filings are also available on the Company’s website at www.investor.jnj.com/sec.cfmfinancials/sec-filings, as soon as reasonably practicable after having been electronically filed or furnished to the SEC. AllThe Company's SEC filings are also available at the SEC’s website at www.sec.gov.
Investors and the public should note that the Company also announces information at www.factsaboutourprescriptionopioids.com, www.factsabouttalc.com and www.LTLManagementInformation.comwww.LLTManagementInformation.com.
We use these websites to communicate with investors and the public about our products, litigation and other matters. It is possible that the information we post to these websites could be deemed to be material information. Therefore, we encourage investors and others interested in the Company to review the information posted to these websites in conjunction with www.jnj.com, the Company's SEC filings, press releases, public conference calls and webcasts.
In addition, the Amended and Restated Certificate of Incorporation, By-Laws, the written charters of the Audit Committee, the Compensation & Benefits Committee, the Nominating & Corporate Governance Committee, the Regulatory Compliance & Sustainability Committee, the Science Technology & SustainabilityTechnology Committee and any special committee of the Board of Directors and the Company’s Principles of Corporate Governance, Code of Business Conduct (for employees), Code of Business Conduct & Ethics for Members of the Board of Directors and Executive Officers, and other corporate governance materials, are available at www.investor.jnj.com/gov.cfmgovernance/corporate-governance-overview on the Company's website and will be provided without charge to any shareholder submitting a written request, as provided above. The information on www.jnj.com, www.factsaboutourprescriptionopioids.com, www.factsabouttalc.com and www.LTLManagementInformation.comwww.LLTManagementInformation.com is not, and will not be deemed, a part of this Report or incorporated into any other filings the Company makes with the SEC.
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Item 1A. RISK FACTORSRisk factors
An investment in the Company’s common stock or debt securities involves risks and uncertainties. The Company seeks to identify, manage and mitigate risks to our business, but uncertainties and risks are difficult to predict and many are outside of the Company’s control and cannot therefore be eliminated. In addition to the other information in this report and the Company’s other filings with the SEC, investors should consider carefully the factors set forth below. Investors should be aware that it is not possible to predict or identify all such factors and that the following is not meant to be a complete discussion of all potential risks or uncertainties. If known or unknown risks or uncertainties materialize, the Company’s business, results of operations or financial condition could be adversely affected, potentially in a material way.

Risks Relatedrelated to Our Business, Industryour business, industry and Operations

operations
The Company’s businesses operate in highly competitive product markets and competitive pressures could adversely affect the Company’s earnings.
The Company faces substantial competition in all threeits two operating segments and in all geographic markets. The Company’s businesses compete with companies of all sizes on the basis of cost-effectiveness, technological innovations, intellectual property rights, product performance, real or perceived product advantages, pricing and availability and rate of reimbursement. The Company also competes with other market participants in securing rights to acquisitions, collaborations and licensing agreements with third parties. Competition for rights to product candidates and technologies may result in significant investment and acquisition costs and onerous agreement terms for the Company. Competitors’ development of more effective or less costly products, and/or their ability to secure patent and other intellectual property rights and successfully market products ahead of the Company, could negatively impact sales of the Company’s existing products as well as its ability to bring new products to market despite significant prior investment in the related product development.

The Company may also experience operational and financial risk in connection with acquisitions if we are unable to fully identify potential risks and liabilities associated with acquired businesses or products, successfully integrate operations and employees, and successfully identify and realize synergies with existing businesses while containing acquisition-related strain on our management, operations and financial resources.
For the Company’s PharmaceuticalInnovative Medicine businesses, loss of patent exclusivity for a product often is followed by a substantial reduction in sales as competitors gain regulatory approval for generic and other competing products and enter the market. Similar competition can be triggered by the loss of exclusivity for a biological product. For the Company’s Medical DevicesMedTech businesses, technological innovation, product quality, reputation and customer service are especially important to competitiveness. Development by other companies of new or improved products, processes and technologies could threaten to make the Company’s products or technologies less desirable, less economical or obsolete. The Company’s Consumer Health businesses face intense competition from other brandedbusiness and operations will be negatively impacted if we are unable to introduce new products and retailers’ private-label brands. If the Company fails to sufficiently differentiate and market its brand name consumer products, this could adversely affect revenues and profitabilityor technological advances that are safe, more effective, more effectively marketed or otherwise outperform those of those products.

our competitors.
Interruptions and delays in manufacturing operations could adversely affect the Company’s business, sales and reputation.
The Company’s manufacturemanufacturing of products requires the timely delivery of sufficient amounts of complex, high-quality components and materials. The Company’s subsidiaries operate 8561 manufacturing facilities as well as sourcing from thousands of suppliers around the world. The Company has in the past, and may in the future, face unanticipated interruptions and delays in manufacturing through its internal or external supply chain. Manufacturing disruptions can occur for many reasons including regulatory action, production quality deviations or safety issues, labor disputes, labor shortages, site-specific incidents (such as fires), natural disasters such as hurricanes and other severe weather events, raw material shortages, political unrest, terrorist attacks and epidemics or pandemics. Such delays and difficulties in manufacturing can result in product shortages, declines in sales and reputational impact as well as significant remediation and related costs associated with addressing the shortage.

The Company relies on third parties to manufacture and supply certain of our products. Any failure by or loss of a third-party manufacturer or supplier could result in delays and increased costs, which may adversely affect our business.
The Company relies on third parties to manufacture and supply certain of our raw materials, component parts and products. We depend on these third-party manufacturers to allocate to us a portion of their manufacturing capacity sufficient to meet our needs, to produce products of acceptable quality and at acceptable manufacturing yields and to deliver those products to us on a timely basis and at acceptable prices. However, we cannot guarantee that these third-party manufacturers will be able to meet our near-term or long-term manufacturing requirements, which could result in lost sales and have an adverse effect on our business.
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Other risks associated with our reliance on third parties to manufacture these products include reliance on the third party for regulatory compliance and quality assurance, misappropriation of the Company’s intellectual property, limited ability to manage our inventory, possible breach of the manufacturing agreement by the third party and the possible termination or nonrenewal of the manufacturing agreement by the third party at a time that is costly or inconvenient for us. Moreover, if any of our third-partythird-party manufacturers suffers any damage to facilities, loses benefits under material agreements, experiences power outages, encounters financial difficulties, is unable to secure necessary raw materials from its suppliers or suffers any other reduction in efficiency, the Company may experience significant business disruption. In the event of any such disruption, the
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Company would need to seek and source other qualified third-party manufacturers, likely resulting in further delays and increased costs which could affect our business adversely.

Counterfeit versions of our products could harm our patients and have a negative impact on our revenues, earnings, reputation and business.
Our industry continues to be challenged by the vulnerability of distribution channels to illegal counterfeiting and the presence of counterfeit products in a growing number of markets and over the Internet. Third parties may illegally distribute and sell counterfeit versions of our products, which do not meet our rigorous manufacturing and testing standards. To distributors and patients, counterfeit products may be visually indistinguishable from the authentic version. Counterfeit medicines pose a risk to patient health and safety because of the conditions under which they are manufactured often in unregulated, unlicensed, uninspected and unsanitary sites as well as the lack of regulation of their contents.

The industry’s failure to mitigate the threat of counterfeit medicines could adversely impact our business and reputation by impacting patient confidence in our authentic products, potentially resulting in lost sales, product recalls, and an increased threat of litigation. In addition, diversion of our products from their authorized market into other channels may result in reduced revenues and negatively affect our profitability.

The COVID-19 pandemic hasGlobal health crises, pandemics, epidemics, or other outbreaks could adversely impacteddisrupt or impact certain aspects of the Company’s business and could cause disruptions or future impact to the Company’s business, results of operations and financial condition.
We are subject to risks associated with global health crises, epidemics, pandemics and pandemics, includingother outbreaks (such incident(s), a health crisis or health crises). For example, the global outbreak of coronavirus and its variants (COVID-19). The COVID-19 pandemic has adversely impacted and is expected to continue to adversely impact, certain aspects of the Company’s business, results of operations and financial condition, including lower sales and reduced customer demand and usage of certain of our products. The spread of COVID-19 has causedany health crises may cause the Company to modify its business practices, (including instituting remote work for many of the Company’s employees), and the Company may take further actions as may be required by government authorities or as the Company determines are in the best interests of our patients, customers, employees and business partners. Thepartners under such circumstances. While the Company continues to monitor the situation and while we havehas robust business continuity plans in place across our global supply chain network designed to help mitigate the impact of COVID-19,health crises, these efforts may not completely prevent our business from being adversely affected and future impacts remain uncertain.

While the U.S. and other countries have begun or will begin to reopen their economies, the extent to which COVID-19 will impact the Company’s future operations will depend on many factors which cannot be predicted with confidence, including the duration of the outbreak and impact of variants. Any resurgence in COVID-19 could result in the impositionevent of new mandates and prolonged restrictive measures implemented in order to control the spread of the disease. The continued global spread of COVID-19a health crisis. Health crises could adversely impact the Company’s operations, including, among other things, our manufacturing operations, supply chain, including third-party suppliers, sales and marketing, and clinical trial operations. Any of these factors could adversely affect the Company’s business, financial results, and global economic conditions generally.

We also face uncertaintiesRisks related to our COVID-19 vaccine, including uncertainties related to the risk that our continued development programs may not be successful, commercially viable or receive approval from regulatory authorities; risks associated with clinical trialgovernment regulation and real-world data, including further analyses of its efficacy, safety and durability; the risk that data are subject to differing interpretations and assessments, including during the peer review/publication process, in the scientific community generally, and by national immunization technical advisory groups (NITAGs) and regulatory authorities; disruptions in the relationships between us, our third-party suppliers and external manufacturers; the risk that other companies may produce superior or competitive products; the risk that demand for any products we may develop may no longer exist; risks related to the availability of raw materials to manufacture any such products; the risk that we may not be able to recoup costs associated with our R&D and manufacturing efforts and risks associated with any changes in the way we approach or provide additional research funding for potential drug development related to COVID-19; the risk that we may not be able to create or scale up manufacturing capacity on a timely basis, that we may continue to experience manufacturing delays once a manufacturing site is activated, or have access to logistics or supply channels commensurate with global demand for any potential approved vaccine or product candidate, which would negatively impact our ability to supply the estimated numbers of doses of our vaccine within the projected time periods indicated, and other challenges and risks associated with the pace of our vaccine development program; and pricing and access challenges for such products, including in the U.S.

In addition, to the extent the COVID-19 pandemic adversely affects our business and financial results, it may also have the effect of heightening many of the other risks described in this “Risk Factors” section and those incorporated by reference herein, including risks relating to the Company’s effective tax rate as a result of changes in consumption as well as changes in laws relating to supply of the Company’s products. Given that developments concerning the COVID-19 pandemic have been constantly evolving, additional impacts and risks may arise, including litigation, that are not presently known to the Company.
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Risks Related to Government Regulation and Legal Proceedings

legal proceedings
Global sales in the Company’s PharmaceuticalInnovative Medicine and Medical DevicesMedTech segments may be negatively impacted by healthcare reforms and increasing pricing pressures.
Sales of the Company’s PharmaceuticalInnovative Medicine and Medical DevicesMedTech products are significantly affected by reimbursements by third-party payersthird-party payors such as government healthcare programs, private insurance plans and managed care organizations. As part of various efforts to contain healthcare costs, these payerspayors are putting downward pressure on prices at which products will be reimbursed. In the U.S., increased purchasing power of entities that negotiate on behalf of Medicare, Medicaid, and private sector beneficiaries, in part due to continued consolidation among healthcare providers, could result in further pricing pressures. In addition, increasedrecent legislation and ongoing political scrutiny on pricing, coverage and reimbursement could result in additional pricing pressures. Specifically, the Inflation Reduction Act of 2022 (IRA) may subject certain products to government-established pricing, potentially impose rebates, and subject manufacturers who fail to adhere to the government's interpretations of the law to penalties. Further, increased third-party utilization of the 340B Federal Drug Discount Program from expanded interpretations of the statute may have a negative impact on the Company's financial performance. Outside the U.S., numerous major markets, including the EU, United Kingdom, Japan and China, have pervasive government involvement in funding healthcare and, in that regard, directly or indirectly impose price controls, limit access to, or reimbursement for, the Company’s products, or reduce the value of its intellectual property protection.
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We are subject to an increasing number of costly and complex governmental regulations in the countries in which operations are conducted which may materially adversely affect the Company’s financial condition and business operations.
As described in Item 1. Business, the Company is subject to an increasing number of extensive government laws and regulations, investigations and legal action by national, state and local government agencies in the U.S. and other countries in which it operates. For example, changes to the U.S. FDA’s timing or requirements for approval or clearance of our products may have a negative impact on our ability to bring new products to market. New laws and regulations may also impose deadlines on the Company, or its third-party suppliers, manufacturers or other partners and providers, for which there may be insufficient time to implement changes to comply with such new regulations and may result in manufacturing delays or other supply chain constraints. If the Company is unable to identify ways to mitigate these delays or constraints, there may be an adverse effect on sales and access to our products.
The Company is subject to significant legal proceedings that can result in significant expenses, fines and reputational damage.
In the ordinary course of business, Johnson & Johnson and its subsidiaries are subject to numerous claims and lawsuits involving various issues such as product liability, patent disputes and claims that their product sales, marketing and pricing practices violate various antitrust, unfair trade practices and/or consumer protection laws. The Company’s more significant legal proceedings are described in Note 19 “Legal Proceedings”Legal proceedings under Notes to the Consolidated Financial Statements included in Item 8 of this Report. Litigation, in general, and securities, derivative action, class action and multi-district litigation, in particular, can be expensive and disruptive. Some of these matters may include thousands of plaintiffs, may involve parties seeking large and/or indeterminate amounts, including punitive or exemplary damages, and may remain unresolved for several years. For example, the Company is a defendant in numerous lawsuits arising out of the use of body powders containing talc, primarily JOHNSON’S® Baby Powder, and the Company’s sale, manufacturing and marketing of opioids.While the Company believes it has substantial defenses in these matters, it is not feasible to predict the ultimate outcome of litigation. The Company could in the future be required to pay significant amounts as a result of settlements or judgments in these matters, potentially in excess of accruals, including matters where the Company could be held jointly and severally liable among other defendants. The resolution of, or increase in accruals for, one or more of these matters in any reporting period could have a material adverse effect on the Company’s results of operations and cash flows for that period. The Company does not purchase third-party product liability insurance; however, the Company utilizes a wholly owned captive insurance company subject to certain limits.

Product reliability, safety and effectiveness concerns can have significant negative impacts on sales and results of operations, lead to litigation and cause reputational damage.
Concerns about product safety, whether raised internally or by litigants, regulators or consumer advocates, and whether or not based on scientific evidence, can result in safety alerts, product recalls, governmental investigations, regulatory action on the part of the U.S. Food and Drug Administration(orFDA (or its counterpart in other countries), private claims and lawsuits, payment of fines and settlements, declining sales and reputational damage. These circumstances can also result in damage to brand image, brand equity and consumer trust in the Company’s products. Product recalls have in the past, and could in the future, prompt government investigations and inspections, the shutdown of manufacturing facilities, continued product shortages and related sales declines, significant remediation costs, reputational damage, possible civil penalties and criminal prosecution.

The Company faces significant regulatory scrutiny, which imposes significant compliance costs and exposes the Company to government investigations, legal actions and penalties.
Like other companiesThe rapid increase in the healthcare industry,new government laws and regulations imposes significant compliance costs to the Company is subjectand a failure of the Company to extensive regulation,timely implement changes to comply with these new laws may expose the Company to investigations, and legal action by national, state and local government agencies in the U.S. and other countries in which it operates.actions or penalties. Regulatory issues regarding compliance with current Good Manufacturing Practices (cGMP) (and comparable quality regulations in foreign countries) by manufacturers of drugs devices and consumer productsdevices can lead to fines and penalties, product recalls, product shortages, interruptions in production, delays in new product approvals and litigation. In addition, the marketing, pricing and sale of the Company’s products are subject to regulation, investigations and legal actions including under the Federal Food, Drug, and Cosmetic Act, the Medicaid Rebate Program, federal and state false claims acts, state unfair trade practices acts and consumer protection laws. Scrutiny of healthcare industry business practices by government agencies and state attorneys general in the U.S., and any resulting investigations and prosecutions, carry risk of significant civil and criminal penalties including, but not limited to, debarment from participation in government healthcare programs. Any such debarment could have a material adverse effect on the Company’s business and results of operations. The most significant current investigations and litigation brought by government agencies are described in Note 19 “Legal Proceedings—Legal proceedings—Government Proceedings”proceedings under Notes to the Consolidated Financial Statements included in Item 8 of this Report.

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Changes in tax laws or exposures to additional tax liabilities could negatively impact the Company’s operating results.
Changes in tax laws or regulations around the world, including in the U.S. and as led by the Organization for Economic Cooperation and Development, such as the recent enactment by certain EU and non-EU countries, and the anticipated enactment by additional countries, of a global minimum tax, could negatively impact the Company’s effective tax rate and results of operations. A change in statutory tax rate or certain international tax provisions in any country would result in the revaluation of the Company’s deferred tax assets and liabilities related to that particular jurisdiction in the period in which the new tax law is enacted. This change would result in an expense or benefit recorded to the Company’s Consolidated Statement of Earnings. The Company closely monitors these proposals as they arise in the countries where it operates. Changes to tax laws or regulationsmay occur at any time, and any related expense or benefit recorded may be material to the fiscal quarter and year in which the law change is enacted.

See Note 8 “Income Taxes”Income taxes under Notes to the Consolidated Financial Statements included in Item 8 of this Report for additional information.

The Company conducts business and files tax returns in numerous countries and is addressing tax audits and disputes with many tax authorities. In connection with various government initiatives, companies are required to disclose more information to tax authorities on operations around the world, which may lead to greater audit scrutiny of profits earned in other countries. The Company regularly assesses the likely outcomes of its tax audits and disputes to determine the appropriateness of its tax reserves. However, any tax authority could take a position on tax treatment that is contrary to the Company’s expectations, which could result in tax liabilities in excess of reserves.

Risks Relatedrelated to Our Intellectual Property

our intellectual property
The Company faces increased challenges to intellectual property rights central to its business.
The Company owns or licenses a significant number of patents and other proprietary rights relating to its products and manufacturing processes. These rights are essential to the Company’s businesses and materially important to the Company’s results of operations. Public policy, both within and outside the U.S., has become increasingly unfavorable toward intellectual property rights. The Company cannot be certain that it will obtain adequate patent protection for new products and technologies in the United States and other important markets or that such protections, once granted, will last as long as originally anticipated.

Competitors routinely challenge the validity or extent of the Company’s owned or licensed patents and proprietary rights through litigation, interferences, oppositions and other proceedings, such as inter partes review (IPR) proceedings before the United States Patent & Trademark Office (USPTO). These proceedings absorb resources and can be protracted as well as unpredictable. In addition, challenges that the Company’s products infringe the patents of third parties could result in an injunction and/or the need to pay past damages and future royalties and adversely affect the competitive position and sales of the products in question.

The Company has faced increasing patent challenges from third parties seeking to manufacture and market generic and biosimilar versions of the Company’s key pharmaceutical products prior to expiration of the applicable patents covering those products. In the U.S., manufacturers of generic versions of innovative human pharmaceutical products may challenge the validity, or claim non-infringement, of innovator products through the Abbreviated New Drug Application, or ANDA, process with the U.S. FDA and related ANDA litigation. The Biologics Price Competition and Innovation Act (BPCIA), enacted in 2010, which created a new regulatory pathway for the approval by the U.S. FDA of biosimilar alternatives to innovator-developed biological products, also created mechanisms for biosimilar applicants to challenge the patents on the innovator biologics. The IPR process with the USPTO is also being used by competitors to challenge patents asserted in litigation.

In the event the Company is not successful in defending its patents against such challenges, or upon the “at-risk” launch by the generic or biosimilar firm of its product, the Company can lose a major portion of revenues for the referenced product in a very short period of time. Current legal proceedings involving the Company’s patents and other intellectual property rights are described in Note 19 “Legal Proceedings—Legal proceedings—Intellectual Property”property under Notes to the Consolidated Financial Statements included in Item 8 of this Report.
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Risks Relatedrelated to Product Development, Regulatory Approvalproduct development, regulatory approval and Commercialization

commercialization
Significant challenges or delays in the Company’s innovation, development and developmentimplementation of new products, technologies and indications could have an adverse impact on the Company’s long-term success.
The Company’s continued growth and success depends on its ability to innovate and develop new and differentiated products and services that address the evolving healthcare needs of patients, providers and consumers. Development of successful
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products and technologies is also necessary to offset revenue losses when the Company’s existing products lose market share due to various factors such as competition and loss of patent exclusivity. New products introduced within the past five years accounted for approximately 25% of 20212023 sales. The Company cannot be certain when or whether it will be able to develop, license or otherwise acquire companies, products and technologies, whether particular product candidates will be granted regulatory approval, and, if approved, whether the products will be commercially successful.

The Company pursues product development through internal research and development as well as through collaborations, acquisitions, joint ventures and licensing or other arrangements with third parties. In all of these contexts, developing new products, particularly pharmaceutical and biotechnology products and medical devices, requires significant investment of resources over many years. Only a very few biopharmaceutical research and development programs result in commercially viable products. The process depends on many factors including the ability to: discern patients’ and healthcare providers’ future needs; develop promising new compounds, strategies and technologies; achieve successful clinical trial results; secure effective intellectual property protection; obtain regulatory approvals on a timely basis; and, if and when they reach the market, successfully differentiate the Company’s products from competing products and approaches to treatment. New products or enhancements to existing products may not be accepted quickly or significantly in the marketplace due to product and price competition, changes in customer preferences or healthcare purchasing patterns, resistance by healthcare providers or uncertainty over third-party reimbursement. Even following initial regulatory approval, the success of a product can be adversely impacted by safety and efficacy findings in larger real-world patient populations, as well as market entry of competitive products.

The Company leverages the use of data science, machine learning and other forms of AI and emerging technologies across varying parts of its business and operations, and the introduction and incorporation of AI may result in unintended consequences or other new or expanded risks and liabilities. AI technology is continuously evolving, and the AI technologies we develop and adopt may become obsolete earlier than planned. Our investments in these technologies may not result in the benefits we anticipate or enable us to obtain or maintain a competitive advantage. The application of machine learning and AI in our business is emerging and evolving alongside new laws and regulations that may entail significant costs or ultimately limit our ability to continue the use of these technologies. These technologies also carry inherent risks related to data privacy and security further described below.
Risks Relatedrelated to Financialfinancial and Economic Market Conditionseconomic market conditions

The Company faces a variety of financial, economic, legal, social and political risks associated with conducting business internationally.internationally.
The Company’s extensive operations and business activity throughout the world are accompanied by certain financial, economic, legal, social and political risks, including those listed below.

Foreign Currency Exchangecurrency exchange: In fiscal 2021,2023, approximately 50%45% of the Company’s sales occurred outside of the U.S., with approximately 25%24% in Europe, 6%5% in the Western Hemisphere, excluding the U.S., and 19%16% in the Asia-Pacific and Africa region. Changes in non-U.S. currencies relative to the U.S. dollar impact the Company’s revenues and expenses. While the Company uses financial instruments to mitigate the impact of fluctuations in currency exchange rates on its cash flows, unhedged exposures continue to be subject to currency fluctuations. In addition, the weakening or strengthening of the U.S. dollar may result in significant favorable or unfavorable translation effects when the operating results of the Company’s non-U.S. business activity are translated into U.S. dollars.

Inflation and Currency Devaluation Riskscurrency devaluation risks: The Company faces challenges in maintaining profitability of operations in economies experiencing high inflation rates. TheSpecifically, the Company has accounted for operations in Argentina, Turkey and Venezuela as highly inflationary, as the prior three-year cumulative inflation rate surpassed 100%. While the Company strives to maintain profit margins in these areas through cost reduction programs, productivity improvements and periodic price increases, it might experience operating losses as a result of continued inflation. In addition, the impact of currency devaluations in
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countries experiencing high inflation rates or significant currency exchange fluctuations could negatively impact the Company’s operating results.

Illegal Importationimportation of Pharmaceutical Productspharmaceutical products: The illegal importation of pharmaceutical products from countries where government price controls or other market dynamics result in lower prices may adversely affect the Company’s sales and profitability in the U.S. and other countries in which the Company operates. With the exception of limited quantities of prescription drugs for personal use, foreign imports of pharmaceutical products are illegal under current U.S. law. However, the volume of illegal imports continues to rise as the ability of patients and other customers to obtain the lower-priced imports has grown significantly.

Anti-BriberyAnti-bribery and Other Regulations: other regulations: The Company is subject to various federal and foreign laws that govern its international business practices with respect to payments to government officials. Those laws include the U.S. Foreign Corrupt Practices Act (FCPA), which prohibits U.S. publicly traded companies from promising, offering, or giving anything of value to foreign officials with the corrupt intent of influencing the foreign official for the purpose of helping the Company obtain or retain business or gain any improper advantage. The Company’s business is heavily regulated and therefore involves significant interaction with foreign officials. Also, in many countries outside the U.S., the healthcare providers who prescribe human pharmaceuticals are employed by the government and the purchasers of human pharmaceuticals are government entities;
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therefore, the Company’s interactions with these prescribers and purchasers are subject to regulation under the FCPA. In addition to the U.S. application and enforcement of the FCPA, various jurisdictions in which the Company operates have laws and regulations, including the U.K. Bribery Act 2010, aimed at preventing and penalizing corrupt and anticompetitive behavior. Enforcement activities under these laws could subject the Company to additional administrative and legal proceedings and actions, which could include claims for civil penalties, criminal sanctions, and administrative remedies, including exclusion from healthcare programs.

Other Financial, Economic, Legal, Socialfinancial, economic, legal, social and Political Riskspolitical risks. Other risks inherent in conducting business globally include:
local and regional economic environments and policies in the markets that we serve, including interest rates, monetary policy, inflation, economic growth, recession, commodity prices, and currency controls or other limitations on the ability to expatriate cash;
protective economic policies taken by governments, such as trade protection measures, increased antitrust reporting requirements and enforcement activity, and import/export licensing requirements;
compliance with local regulations and laws including, in some countries, regulatory requirements restricting the Company’s ability to manufacture or sell its products in the relevant market;
diminished protection of intellectual property and contractual rights in certain jurisdictions;
potential nationalization or expropriation of the Company’s foreign assets;
political or social upheavals, economic instability, repression, or human rights issues; and
geopolitical events, including natural disasters, disruptions to markets due to war, armed conflict, terrorism, epidemics or pandemics.
Due to the international nature of the Company's business, geopolitical or economic changes or events, including global tensions and war, could adversely affect our business, results of operations or financial condition.
As described above, the Company has extensive operations and business activity throughout the world. Global tensions, conflict and/or war among any of the countries in which we conduct business or distribute our products may result in foreign currency volatility, decreased demand for our products in affected countries, and challenges to our global supply chain related to increased costs of materials and other inputs for our products and suppliers. Most recently, we have experienced, and expect to continue to experience, impacts to the Company's business resulting from the Russia-Ukraine war, rising conflict in the Middle East as well as increasing tensions between the U.S. and China. In response to heightened conflict, such as the Russia-Ukraine war, governments may impose export controls and broad financial and economic sanctions. Our business and operations may be further impacted by the imposition of trade protection measures or other policies adopted by any country that favor domestic companies and technologies over foreign competitors. Additional sanctions or other measures may be imposed by the global community, including but not limited to limitations on our ability to file, prosecute and maintain patents, trademarks and other intellectual property rights. Furthermore, in some countries, such as in Russia, action may be taken that allows companies and individuals to exploit inventions owned by patent holders from the United States and many other countries without consent or compensation and we may not be able to prevent third parties from practicing the Company's inventions in Russia or from selling or importing products in and into Russia.
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FailureWeak financial performance, failure to maintain a satisfactory credit rating or disruptions in the financial markets could adversely affect our liquidity, capital position, borrowing costs and access to capital markets.
We currently maintain investment grade credit ratings with Moody’s Investors Service and Standard & Poor’s Ratings Services. Rating agencies routinely evaluate us, and their ratings of our long-term and short-term debt are based on a number of factors. Any downgrade of our credit ratings by a credit rating agency, whether as a result of our actions or factors which are beyond our control, can increase the cost of borrowing under any indebtedness we may incur, reduce market capacity for our commercial paper or require the posting of additional collateral under our derivative contracts. There can be no assurance that we will be able to maintain our credit ratings, and any additional actual or anticipated changes or downgrades in our credit ratings, including any announcement that our ratings are under review for a downgrade, may have a negative impact on our liquidity, capital position and access to capital markets.

Other risks
Risks Related to the Planned Separation of our Consumer Health Business

The planned separation of the Company’s Consumer Health business may not be completed on the terms or timeline currently contemplated, if at all, and may not achieve the expected results.
In November 2021, the Company announced its intention to separate the Company’s Consumer Health business, with the intention to create a new, publicly traded company. The planned separation is intended to qualify as a tax-free transaction for U.S. federal income tax purposes. The Company is targeting completion of the planned separation in 18 to 24 months after initial announcement. Completion of the planned separation will be subject to the satisfaction of certain conditions, including, among others, consultations with works councils and other employee representative bodies, as required, final approval of the Company’s Board of Directors, receipt of a favorable opinion and Internal Revenue Service (“IRS”) ruling with respect to the tax-free nature of the transaction, and the receipt of other regulatory approvals. There can be no assurance regarding the ultimate timing of the planned separation or that such separation will be completed. Unanticipated developments could delay, prevent or otherwise adversely affect the planned separation, including but not limited to disruptions in general or financial market conditions or potential problems or delays in obtaining various regulatory and tax approvals or clearances.

The costs to complete the planned separation will be significant. In addition, the Company may be unable to achieve some or all of the strategic and financial benefits that it expects to achieve from the planned separation of the Company’s Consumer Health business.
The Company will incur significant expenses in connection with the planned separation. In addition, the Company may not be able to achieve the full strategic and financial benefits that are expected to result from the planned separation. The anticipated benefits of the planned separation are based on a number of assumptions, some of which may prove incorrect.



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Following the planned separation, the price of shares of the Company’s common stock may fluctuate significantly.
The Company cannot predict the effect of the planned separation on the trading price of shares of its common stock, and the market value of shares of its common stock may be less than, equal to or greater than the market value of shares of its common stock prior to the planned separation. In addition, the price of the Company’s common stock may be more volatile around the time of the planned separation.

The planned separation could result in substantial tax liability.
The Company intends to obtain an opinion from its U.S. tax advisors and a ruling from the IRS as to the tax-free nature of the planned separation under the U.S. Internal Revenue Code of 1986, as amended. The opinion and ruling will be based on, among other things, various factual assumptions and representations that the Company and the New Consumer Health Company will make regarding the past and future conduct of the companies’ respective businesses and other matters. If any of these assumptions or representations are, or become, inaccurate or incomplete, reliance on the opinion and ruling may be jeopardized. If subsequent to the planned separation it is determined that the transaction does not qualify for tax-free treatment for U.S. federal income tax purposes, the resulting tax liability to the Company and its shareholders could be substantial.The planned separation may also not qualify for tax-free treatment in other countries around the world, and as a result may trigger substantial tax liability to the Company.

Other Risks

Our business depends on our ability to recruit and retain talented, highly skilled employees and a diverse workforce.
Our continued growth requires us to recruit and retain talented employees representing diverse backgrounds, experiences, and skill sets. The market for highly skilled workers and leaders in our industry is extremely competitive and our ability to compete depends on our ability to hire, develop and motivate highly skilled personnel in all areas of our organization. Maintaining our brand and reputation, as well as a diverse, equitable and inclusive work environment enables us to attract top talent. If we are less successful in our recruiting efforts, or if we cannot retain highly skilled workers and key leaders, our ability to develop and deliver successful products and services may be adversely affected. In addition, effective succession planning is important to our long-term success. Any unsuccessful implementation of our succession plans or failure to ensure effective transfer of knowledge and smooth transitions involving key employees couldadversely affect our business, financial condition, or results of operations.

Climate change or legal, regulatory or market measures to address climate change may negatively affect our business and results of operations.
Climate change resulting from increased concentrations of carbon dioxide and other greenhouse gases in the atmosphere could present risks to our operations, including an adverse impact on global temperatures, weather patterns and the frequency and severity of extreme weather and natural disasters. Natural disasters and extreme weather conditions, such as a hurricane, tornado, earthquake, wildfire or flooding, may pose physical risks to our facilities and disrupt the operation of our supply chain. The impacts of the changing climate on water resources may result in water scarcity, limiting our ability to access sufficient high-quality water in certain locations, which may increase operational costs.

Concern over climate change may also result in new or additional legal or regulatory requirements designed to reduce greenhouse gas emissions and/or mitigate the effects of climate change on the environment. If such laws or regulations are more stringent than current legal or regulatory obligations, we may experience disruption in, or an increase in the costs associated with sourcing, manufacturing and distribution of our products, which may adversely affect our business, results of operations or financial condition. Further, the impacts of climate change have an influence on customer preferences, and failure to provide climate-friendly products could potentially result in loss of market share.

An information security incident, including a cybersecurity breach, could have a negative impact toon the Company’s business or reputation.
To meet business objectives, the Company relies on both internal information technology (IT) systems and networks, and those of third parties and their vendors, to process and store sensitive data, including confidential research, business plans, financial information, intellectual property, and personal data that may be subject to legal protection, and ensure the continuity of the Company’s supply chain.chain and operations. The extensive information security and cybersecurity threats, which affect companies globally, pose a risk to the security and availability of these systems and networks, including customer products that are connected to or rely on such systems and networks, and the confidentiality, integrity, and availability of the Company’s sensitive data. The Company continually assesses these threats and makes investments to increase internal protection, detection, and response capabilities, as well as ensure the Company’s third-party providers have required capabilities and controls, to address this risk. To date, the Company has not experienced any material impact to the business or operations resulting from information or cybersecurity attacks; however, becauserisk. Because of the frequently changing attack techniques, along with the increased volume and sophistication of the attacks, there is the potential for the Company to be adversely
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impacted. This impact could result in reputational, competitive, operational or other business harm as well as financial costs and regulatory action. Also, increasing use of AI could increase these risks. The Company maintains cybersecurity insurance in the event of an information security or cyber incident; however, the coverage may not be sufficient to cover all financial, legal, business or reputational losses.
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As a result of increased global tensions, the Company expects there will continue to be, an increased risk of information security or cybersecurity incidents, including cyberattacks perpetrated by adversaries of countries where the Company maintains operations. Given the potential sophistication of these attacks, the Company may not be able to address the threat of information security or cybersecurity incidents proactively or implement adequate preventative measures and we may not be able to detect and address any such disruption or security breach promptly, or at all, which could adversely affect our business, results of operations or financial condition. Moreover, these threats could also impact our third-party partners resulting in compromise of the Company's IT systems, networks and data which could negatively affect the Company.
A breach of privacy laws or unauthorized access, loss or misuse of personal data could have a negative impact toon the Company’s business or reputation.
The Company is subject to privacy and data protection laws across the globe that impose broad compliance obligations on the collection, use, storage, access, transfer and protection of personal data. Breach of such requirements could result in substantial fines, penalties, private right of actions, claims and damage to our reputation and business. New privacy laws are expected in other territories, together with greater privacy enforcement by governmental authorities globally, particularly on data localization requirements and international data flows. The Company has established privacy compliance programs and controls that our businesses worldwide are required to comply with, but with many technology and data-driven initiatives being prioritized across the Company and involving multiple vendors and third parties, there are potential risks of controls imposed on cross border data flows, unauthorized access, and loss of personal data through internal and external threats that could impact our business operations and research activities.

The Company may be unable to achieve some or all of the anticipated strategic and financial benefits following the separation of Kenvue Inc. (Kenvue), including with respect to the Company’s remaining ownership interest.

The Company incurred significant expenses in connection with the Kenvue separation (the Separation). In addition, the Company may not be able to achieve the full strategic and financial benefits that are expected to result from the Separation. The anticipated benefits of the Separation were based on a number of assumptions, some of which may prove incorrect. The Company holds a 9.5% ownership interest in Kenvue. The Company cannot predict the trading price of shares of Kenvue’s common stock and the market value of the Kenvue shares are subject to market volatility and other factors outside of the Company’s control. The Company intends to divest its ownership interest in Kenvue, but there can be no assurance regarding the ultimate timing of such divestiture. Unanticipated developments could delay, prevent or otherwise adversely affect the divestiture, including but not limited to financial market conditions.

The Separation could result in substantial tax liability.




Item 1B.UNRESOLVED STAFF COMMENTS
    Not applicable.

The Company received a private letter ruling from the IRS as to the tax-free nature of the Separation under the U.S. Internal Revenue Code of 1986, as amended. Notwithstanding the private letter ruling and opinions of tax advisors, if the IRS determines that certain steps of the transaction did not qualify for tax-free treatment for U.S. federal income tax purposes, the resulting tax liability to the Company and its shareholders could be substantial. The Separation may also not qualify for tax-free treatment in other countries around the world, and as a result may trigger substantial tax liability to the Company.
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Item 1B. Unresolved staff comments
Not applicable.
Item 1C. Cybersecurity
Risk management and strategy
The Company has documented cybersecurity policies and standards, assesses risks from cybersecurity threats, and monitors information systems for potential cybersecurity issues. To protect the Company’s information systems from cybersecurity threats, the Company uses various security tools supporting protection, detection, and response capabilities. The Company maintains a cybersecurity incident response plan to help ensure a timely, consistent response to actual or attempted cybersecurity incidents impacting the Company.
The Company also identifies and assesses third-party risks within the enterprise, and through the Company's use of third-party service providers, across a range of areas including data security and supply chain through a structured third-party risk management program.
The Company maintains a formal information security training program for all employees that includes training on matters such as phishing and email security best practices. Employees are also required to complete mandatory training on data privacy.
To evaluate and enhance its cybersecurity program, the Company periodically utilizes third-party experts to undertake maturity assessments of the Company’s information security program.
To date, the Company is not aware of any cybersecurity incident that has had or is reasonably likely to have a material impact on the Company’s business or operations; however, because of the frequently changing attack techniques, along with the increased volume and sophistication of the attacks, there is the potential for the Company to be adversely impacted. This impact could result in reputational, competitive, operational or other business harm as well as financial costs and regulatory action. Refer to the risk factor captioned An information security incident, including a cybersecurity breach, could have a negative impact to the Company’s business or reputation in Part I, Item 1A. Risk factors for additional description of cybersecurity risks and potential related impacts on the Company.
Governance - management’s responsibility
The Company takes a risk-based approach to cybersecurity and has implemented cybersecurity controls designed to address cybersecurity threats and risks. The Chief Information Officer (CIO), who is a member of the Company’s Executive Committee, and the Chief Information Security Officer (CISO) are responsible for assessing and managing cybersecurity risks, including the prevention, mitigation, detection, and remediation of cybersecurity incidents.
The Company’s CISO, in coordination with the CIO, is responsible for leading the Company’s cybersecurity program and management of cybersecurity risk. The current CISO has over twenty-five years of experience in information security, and his background includes technical experience, strategy and architecture focused roles, cyber and threat experience, and various leadership roles.
Governance - board oversight
The Company’s Board of Directors oversees the overall risk management process, including cybersecurity risks, directly and through its committees. The Regulatory Compliance & Sustainability Committee (RCSC) of the board is primarily responsible for oversight of risk from cybersecurity threats and oversees compliance with applicable laws, regulations and Company policies related to, among others, privacy and cybersecurity.
RCSC meetings include discussions of specific risk areas throughout the year including, among others, those relating to cybersecurity. The CISO provides at least two updates each year to RCSC on cybersecurity matters. These reports include an overview of the cybersecurity threat landscape, key cybersecurity initiatives to improve the Company’s risk posture, changes in the legal and regulatory landscape relative to cybersecurity, and overviews of certain cybersecurity incidents that have occurred within the Company and within the industry.
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Item 2. Properties
Item 2.PROPERTIES
The Company's subsidiaries operate 8561 manufacturing facilities occupying approximately 15.09.8 million square feet of floor space. The manufacturing facilities are used by the industry segments of the Company’s business approximately as follows:
SegmentSquare Feet
(in thousands)
Consumer HealthInnovative Medicine4,562 5,026
PharmaceuticalMedTech5,517 4,782
Medical Devices4,908 
Worldwide Total14,987 9,808
Within the U.S., fourfive facilities are used by the Consumer HealthInnovative Medicine segment fiveand 18 by the Pharmaceutical segment and 17 by the Medical DevicesMedTech segment. Outside of the U.S., 2313 facilities are used by the Consumer HealthInnovative Medicine segment 13and 25 by the Pharmaceutical segment and 23 by the Medical DevicesMedTech segment.
The locations of the manufacturing facilities by major geographic areas of the world are as follows:
Geographic AreaNumber of FacilitiesSquare Feet
(in thousands)
United States26 4,233 
Europe25 5,991 
Western Hemisphere, excluding U.S. 1,733 
Africa, Asia and Pacific25 3,030 
Worldwide Total85 14,987 
Geographic AreaNumber of
Facilities
Square Feet
(in thousands)
United States232,973
Europe204,900
Western Hemisphere, excluding U.S. 5692
Africa, Asia and Pacific131,243
Worldwide Total619,808
In addition to the manufacturing facilities discussed above, the Company maintains numerous office and warehouse facilities throughout the world.
The Company's subsidiaries generally seek to own, rather than lease, their manufacturing facilities, although some, principally in non-U.S. locations, are leased. Office and warehouse facilities are often leased. The Company also engages contract manufacturers.
The Company is committed to maintaining all of its properties in good operating condition.
    McNEIL-PPC, Inc. (now Johnson & Johnson Consumer Inc.) (McNEIL-PPC) operated under a consent decree, signed in 2011 with the U.S. FDA, which governed certain McNeil Consumer Healthcare manufacturing operations, and required McNEIL-PPC to remediate the facilities it operates in Lancaster, Pennsylvania, Fort Washington, Pennsylvania, and Las Piedras, Puerto Rico (the “Consent Decree”). Following U.S. FDA inspections McNEIL-PPC received notifications from the U.S FDA that all three manufacturing facilities were in conformity with applicable laws and regulations, and commercial production restarted in 2015.
Under the Consent Decree, after receiving notice from the U.S. FDA of being in compliance with applicable laws and regulations, each of the three facilities was subject to a five-year audit period by a third-party cGMP expert. A third-party expert continued to reassess the sites at various times through 2020. U.S. FDA inspections of the facilities which have been delayed due to COVID-19 were completed and the Consent Decree was vacated in July of 2021.
Segment information on additions to property, plant and equipment is contained in Note 17 “SegmentsSegments of Businessbusiness and Geographic Areas”geographic areas of the Notes to Consolidated Financial Statements included in Item 8 of this Report.
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Item 3.LEGAL PROCEEDINGS Legal proceedings
The information called for by this item is incorporated herein by reference to the information set forth in Note 19 “Legal Proceedings”Legal proceedings of the Notes to Consolidated Financial Statements included in Item 8 of this Report.
Item 4. Mine safety disclosures
Not applicable.
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Item 4.MINE SAFETY DISCLOSURES
Not applicable.Executive officers of the registrant
EXECUTIVE OFFICERS OF THE REGISTRANT
Listed below are the executive officers of the Company. There are no family relationships between any of the executive officers, and there is no arrangement or understanding between any executive officer and any other person pursuant to which the executive officer was selected. At the annual meeting of the Board of Directors, the executive officers are elected by the Board to hold office for one year and until their respective successors are elected and qualified, or until earlier resignation or removal.
Information with regard to the directors of the Company is incorporated herein by reference to the material captioned “Item 1. Election of Directors” in the Proxy Statement.
NameAgePosition
Vanessa Broadhurst5355
Member, Executive Committee; Executive Vice President, Global Corporate Affairs(a)
Joaquin Duato5961
Chairman of the Board; Chief Executive Officer; Chairman, Executive CommitteeOfficer(b)
Peter M. Fasolo, Ph.D.5961
Member, Executive Committee; Executive Vice President, Chief Human Resources Officer(c)
Elizabeth Forminard53
Member, Executive Committee; Executive Vice President, General Counsel(d)
William N. Hait, M.D., Ph. D.7274
Member, Executive Committee; Executive Vice President, Chief External Innovation Medical Safety and Global Public HealthMedical Officer(d)(e)
Mathai Mammen, Ph. D.John C. Reed, M.D., Ph.D.5465
Member, Executive Committee; Executive Vice President, Pharmaceuticals,Innovative Medicine, R&D(e)(f)
Ashley McEvoyTim Schmid5154
Member, Executive Committee; Executive Vice President, Worldwide Chairman, Medical Devices(f)
Thibaut Mongon52
Member, Executive Committee, Executive Vice President, Worldwide Chairman, Consumer HealthMedTech(g)
James Swanson5658
Member, Executive Committee; Executive Vice President, Chief Information Officer(h)
Jennifer L. Taubert5860
Member, Executive Committee; Executive Vice President, Worldwide Chairman, PharmaceuticalsInnovative Medicine(i)
Michael H. Ullmann63
Member, Executive Committee; Executive Vice President, General Counsel(j)
Kathryn E. Wengel5658
Member, Executive Committee; Executive Vice President, Chief Global Supply ChainTechnical Operations & Risk Officer(k)(j)
Joseph J. Wolk5557
Member, Executive Committee; Executive Vice President, Chief Financial Officer(l)(k)
(a)Ms. V. Broadhurst joinedwas named Executive Vice President, Global Corporate Affairs and appointed to the Executive Committee in 2022. Ms. Broadhurst rejoined the Company in 2005 as Worldwide Vice President, Anemia & Oncology Supportive Care. She then went on to become Vice President of the Cardiovascular & Institutional Franchise2017 and was appointed Company Group Chairman, Global Commercial Strategy Organization in 2008, and President of Janssen Therapeutics in 2011 before becoming U.S. President, Internal Medicine in 2012.2018. From 2013 to 2017, she held General Manager roles at Amgen in Inflammation & Cardiovascular, and Cardiovascular & Bone. In 2017, Ms. Broadhurst rejoined Johnson & Johnson as U.S. President, Cardiovascular & Metabolism and a member ofPrior to her roles at Amgen, she served in various leadership roles at the Janssen Americas Leadership Team. In this role she also provided operational oversight of the full portfolio of Janssen medicines in Puerto Rico and Canada. In 2018, she was appointed Company Group Chairman, Global Commercial Strategy Organization. In 2022, Ms. Broadhurst was named Executive Vice President, Global Corporate Affairs and afrom 2005-2013.
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member of the Executive Committee, leading the Company's global marketing, communication, design and philanthropy functions.
(b)Mr. J. Duato became Chief Executive Officer and Chairman of the Executive Committee and joined the Board of Directors in January 2023 subsequent to his appointments as Chief Executive Officer and Director in January 2022. HeMr. Duato was appointed to the Executive Committee in 2016 when he was named Executive Vice President, Worldwide Chairman, Pharmaceuticals and subsequently served as Vice Chairman of the Executive Committee. Mr. Duato first joined the Company in 1989 with Janssen-Farmaceutica S.A. (Spain), a subsidiary of the Company, and held executive positions of increasing responsibility in all business sectors and across multiple geographies and functions. In 2009, he was named Company Group Chairman, Pharmaceuticals, and in 2011, he was named Worldwide Chairman, Pharmaceuticals. In 2016, Mr. Duato became a member of the Executive Committee and was named Executive Vice President, Worldwide Chairman, Pharmaceuticals. In July 2018, Mr. Duato was promoted to Vice Chairman of the Executive Committee, where he provided strategic direction for the Pharmaceutical and Consumer Health sectors and oversaw both the Global Supply Chain, Information Technology and Health & Wellness teams. As a dual citizen of Spain and the United States, Mr. Duato's international perspective and global lens gives him a deep appreciation of diverse thoughts and opinions.
(c)Dr. P. M. Fasolo was appointed to the Executive Committee in 2011 and was named Executive Vice President, Chief Human Resources Officer in 2016. He first joined the Company in 2004 as Worldwide Vice President, Human Resources in the Medical DevicesMedTech segment, and subsequently served as the Company’s Chief Talent Officer. He left Johnson & Johnson in 2007 to join Kohlberg Kravis Roberts & Co. as Chief Talent Officer. Dr. FasoloOfficer and returned to the Company in 2010 as the Vice President, Global Human Resources,Resources.
(d)Ms. E. Forminard was appointed as Executive Vice President, General Counsel and in 2011, he became a member of the Executive Committee. In April 2016, he was named ExecutiveCommittee in October 2022. Ms. Forminard joined the Company in 2006, serving in roles of increasing responsibility including General Counsel Medical Devices & Diagnostics, General Counsel Consumer Group & Supply Chain, Worldwide Vice President Chief Human Resources Officer. Dr. Fasolo has responsibility for global talent, recruiting, diversity, compensation benefits, employee relationsCorporate Governance, and all aspects of the human resources agenda for the Company. He also serves on the Boards of the Human Resources Policy Association, Tufts University and Save the Children and was named a Fellow of the National Academy of Human Resources in 2017.her immediate past role as General Counsel Pharmaceuticals.
(d)(e)Dr. W. Hait joined the Company in 2007 as Senior Vice President, Worldwide Head of Oncology Research. He then served as the first Global Therapeutic Area Head for Oncology from 2009 to 2011, and then as Global Head, Janssen Research & Development from 2011 through 2018. From 2018 to 2022, he was Global Head, Johnson & Johnson Global External Innovation. In 2022, he becameappointed Executive Vice President, Chief External Innovation, Medical Safety and Global Public Health Officer, and a member of the Executive Committee.Committee in 2022. He is responsible for leading external sourcing and creation of transformational innovation to help Johnson & Johnson achieve its mission to improve human health utilizing the Company’s excellence in pharmaceuticals, medical devices and consumer products. He also has oversight over Global Public Health and the Office of the Chief Medical Officer.
(e)Dr. M. Mammenfirst joined the Company in 2017 as 2007 and has served in a number of leadership roles including
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Global Head, of R&D at the Janssen Pharmaceutical Companies ofResearch & Development from 2011 to 2018 and Global Head, Johnson & Johnson. PriorJohnson Global External Innovation from 2018 to joining Janssen2022.
(f)Dr. J. C. Reed joined the Company in June 2017, Dr. Mammen was Senior Vice President at Merck Research Laboratories, responsible for research in the areas of Cardiovascular, Metabolic and Renal Diseases, Oncology/lmmuno-Oncology and Immunology. Prior to Merck, he led R&D at Theravance, a company he co-founded in the San Francisco Bay Area in 1997 based on his work at Harvard University. In 2022, he was named2023 as Executive Vice President, PharmaceuticalsInnovative Medicine, R&D and a member of the Executive Committee. Prior to joining the Company, Dr. Reed held executive leadership positions at Sanofi (2018-2022) and Roche (2013-2018), serving on their respective executive committees. He is responsible for a team whose mission is to make transformational medicines with unequivocal benefit for patients worldwide, working across a wide rangealso served as CEO of Sanford-Burnham Medical Research Institute (now Sanford Burnham Prebys) where he established multiple therapeutic areasarea-aligned research centers and biological pathways in the areas of: Oncology, Cardiovascular and Metabolic Disease, Retinal Disease, Pulmonary Hypertension, Immunology, Neuroscience and Infectious Disease and Vaccines. These Therapeutic Areas are fueled by world-class Global Functions in Discovery Sciences and Manufacturing, Regulatory Affairs, Development Operations and Data Science.platform technology centers.
(f)(g)Ms. A. McEvoy joined the Company in 1996Mr. T. Schmid was named as Assistant Brand Manager of McNeil Consumer Health, a subsidiary of the Company, advancing through positions of increasing responsibilities until she was appointed Company Group Chairman, Vision Care in 2012, followed by Company Group Chairman, Consumer Medical Devices in 2014. In July 2018, Ms. McEvoy was promoted to Executive Vice President, Worldwide Chairman, Medical Devices,MedTech and became a member ofappointed to the Executive Committee. Ms. McEvoy has responsibility for the surgery, orthopaedics, interventional solutions and eye health businesses across Ethicon, DePuy Synthes, Biosense Webster and Johnson & Johnson Vision.
(g)Mr. T. MongonCommittee in October 2023. He joined the Company in 2000 as Director1993 and has served in leadership positions throughout Johnson & Johnson MedTech, including Chief Strategic Customer Officer and President of Marketing for the Vision Care group in FranceEthicon, and subsequently held positions of increasing responsibility until he transitioned to the Pharmaceutical sector in 2012, as the Global Commercial Strategy Leader for the Neuroscience therapeutic area. In 2014, he joined the Consumer Health sectormost recently served as Company Group Chairman Asia-Pacific. In 2019, he was promoted to Executive Vice President and Worldwide Chairman, Consumer Health, and became a member of the Executive Committee. Mr. Mongon has responsibility for the global development of Johnson & Johnson’s health and wellness products and solutions in beauty, OTC, oral care, baby care, women’s health, and wound care.MedTech Asia Pacific from 2018-2023.
(h)Mr. J. Swanson was appointed Executive Vice President, Chief Information Officer and a member of the Executive Committee in 2022. He rejoined the Company in 2019 as Chief Information Officer of Johnson & Johnson from Bayer Crop Science, where he served as a member of the Executive Leadership Team and as CIOChief Information Officer and Head of Digital Transformation. From 1996 to 2005, Mr. Swanson held positions of increasing responsibility at the Company, including Project Manager, Director IT, Sr. Director IT and Vice President, Chief Information Officer. Mr. Swanson is
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responsible for enhancing Johnson & Johnson’s business impact and shaping its direction through the strategic use of technology. Mr. Swanson, Executive Vice President, Chief Information Officer, joined the Executive Committee effective January 3, 2022.
(i)Ms. J. L. Taubert was appointed Executive Vice President, Worldwide Chairman, Innovative Medicine (formerly Pharmaceuticals) and a member of the Executive Committee in 2018. She joined the Company in 2005 as Worldwide Vice President and she held several executive positions of increasing responsibility in the Pharmaceutical sector. In 2012, she was appointedPharmaceuticals sector, including Company Group Chairman, North America, Pharmaceuticals, and in 2015 became Company Group Chairman, The Americas Pharmaceuticals. In July 2018, from 2012-2018.
(j)Ms. TaubertK. E. Wengel was promoted toappointed Executive Vice President, Worldwide Chairman, Pharmaceuticals, and became a member of the Executive Committee. Ms. Taubert is responsible for the Pharmaceutical sector globally, including shaping the company’s strategy of transformational medical innovation and for successfully bringingChief Technical Operations & Risk Officer in 2023, subsequent to market critical new medicines that significantly improve the lives of patients living with cancer, immune-related diseases, cardiovascular disease, infectious diseases, pulmonary hypertension and serious mental illness.
(j)Mr. M. H. Ullmann joined the Company in 1989 as a corporate attorney in the Law Department. He was appointed Corporate Secretary in 1998 and served in that role until 2006.  During that time, he also held various management positions in the Law Department.  In 2006, he was named General Counsel, Medical Devices and Diagnostics and was appointed Vice President, General Counsel and became a member ofher appointment to the Executive Committee in 2012. In April 2016, Mr. Ullmann2018 when she was named as Executive Vice President, General Counsel. Mr. Ullmann has worldwide responsibility for legal, government affairs & policy, global security, aviation, healthcare compliance, global brand protection and privacy.
(k)Chief Global Supply Chain Officer. Ms. K. E. Wengel first joined the Company in 1988 as Project Engineer and Engineering Supervisor at Janssen, a subsidiary of the Company. During her tenure with the Company, she has held a variety of strategic leadership and executive positions, across the global enterprise,including in roles within operations, quality, engineering, new products, information technology, and other technical and business functions. In 2010, Ms. Wengel became the first Chief Quality Officer of the Company. In 2014, she
(k)Mr. J. J. Wolk was promoted to Vice President, Johnson & Johnson Supply Chain. In July 2018, she was promoted toappointed Executive Vice President, Chief Global Supply ChainFinancial Officer and became a member of the Executive Committee. Ms. Wengel has enterprise-wide responsibilities for Supply Chain, Quality & Compliance, Procurement, Engineering & Property Services, Environmental Health & Safety and Sustainability.
(l)Mr. J. J. WolkCommittee in July 2018. He first joined the Company in 1998 as Finance Manager, Business Development for Ortho-McNeil, a subsidiary of the Company. During his tenure at the Company, and through the yearshe has held a variety of senior leadership roles in several segments and functions across the Company's subsidiaries, in Pharmaceuticals, Medical Devices and Supply Chain. From 2014 to 2016, he served asincluding Vice President, Finance and Chief Financial Officer of the Janssen Pharmaceutical Companies, of Johnson & Johnson. In 2016, Mr. Wolk became theand Vice President, Investor Relations. In July 2018, he was appointed Executive Vice President, Chief Financial Officer and became a member of the Executive Committee. Mr. Wolk plays a strategic role in the overall management of the Company, and leads the development and execution of the Company's global long-term financial strategy.
2019
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PARTPart II
Item 5.MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES Market for registrant’s common equity, related stockholder matters and issuer purchases of equity securities
As of February 10, 2022,9, 2024, there were 127,899118,772 record holders of common stock of the Company. Additional information called for by this item is incorporated herein by reference to the following sections of this Report: Note 16 “Common Stock, Stock Option Plans and Stock Compensation Agreements” of the Notes to Consolidated Financial Statements included in Item 8; and Item 12 “Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters – Equity Compensation Plan Information.”
Issuer Purchasespurchases of Equity Securitiesequity securities
On September 14, 2022, the Company announced that its Board of Directors approved a share repurchase program, authorizing the Company to purchase up to $5.0 billion of the Company's Common Stock. The repurchase program was completed during the fiscal first quarter of 2023.
The following table provides information with respect to common stock purchases by the Company during the fiscal fourth quarter of 2021.2023. Common stock purchases on the open market are made as part of a systematic plan to meet the needs of the Company’s compensation programs. The repurchases below also include the stock-for-stock option exercises that settled in the fiscal fourth quarter.
Fiscal Period
Total Number
of Shares Purchased(1)
Avg. Price
Paid Per Share
Total Number of Shares (or Units) Purchased as Part of Publicly Announced Plans or ProgramsMaximum Number (or Approximate Dollar Value) of Shares (or Units) that May Yet Be Purchased Under the Plans or Programs
October 4, 2021 through October 31, 2021549,068 $163.78 --
November 1, 2021 through November 28, 2021100,000 163.23 --
November 29, 2021 through January 2, 20225,391,956 165.09 --
Total6,041,024 
Fiscal Period
Total Number
of Shares Purchased(1)
Avg. Price
Paid Per Share
Total Number of Shares (or
Units) Purchased as Part
of Publicly Announced
Plans or Programs
Maximum Number (or Approximate
Dollar Value) of Shares (or Units)
that May Yet Be Purchased Under
the Plans or Programs
October 2, 2023 through October 29, 2023
October 30, 2023 through November 26, 2023125,000$147.61
November 27, 2023 through December 31, 20231,265,000$156.76
Total1,390,000
(1)During the fiscal fourth quarter of 2021,2023, the Company repurchased an aggregate of 6,041,0241,390,000 shares of Johnson & Johnson Common Stock in open-market transactions, all of which were purchased in open-market transactions as part of a systematic plan to meet the needs of the Company’s compensation programs.


Item 6. Reserved

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Item 7.MANAGEMENT’S DISCUSSION AND ANALYSIS OF RESULTS OF OPERATIONS AND FINANCIAL CONDITION Management’s discussion and analysis of results of operations and financial condition
Organization and Business Segmentsbusiness segments
Description of the Companycompany and Business Segmentsbusiness segments
Johnson & Johnson and its subsidiaries (the Company) have approximately 141,700131,900 employees worldwide engaged in the research and development, manufacture and sale of a broad range of products in the healthcare field. The Company conducts business in virtually all countries of the world with the primary focus on products related to human health and well-being.
The Company is organized into threetwo business segments: Consumer Health, PharmaceuticalInnovative Medicine and Medical Devices.MedTech. The Consumer Health segment includes a broad range of products used in the Baby Care, Oral Care, Skin Health/Beauty, Over-the-Counter pharmaceutical, Women’s Health and Wound Care markets. These products are marketed to the general public and sold online (eCommerce) and to retail outlets and distributors throughout the world. The PharmaceuticalInnovative Medicine segment is focused on sixthe following therapeutic areas, including Immunology, Infectious diseases, Neuroscience, Oncology, Pulmonary Hypertension, and Cardiovascular and Metabolic diseases. Products in this segment are distributed directly to retailers, wholesalers, distributors, hospitals and healthcare professionals for prescription use. The Medical DevicesMedTech segment includes a broad rangeportfolio of products used in the Orthopaedic, Surgery, Interventional Solutions (cardiovascular and neurovascular) and Vision fields. These products are distributed to wholesalers, hospitals and retailers, and used principally in the professional fields by physicians, nurses, hospitals, eye care professionals and clinics.
The Executive Committee of Johnson & Johnson is the principal management group responsible for the strategic operations and allocation of the resources of the Company. This Committee oversees and coordinates the activities of the Consumer Health, PharmaceuticalInnovative Medicine and Medical DevicesMedTech business segments.
In all of its product lines, the Company competes with other companies both locally and globally, throughout the world. Competition exists in all product lines without regard to the number and size of the competing companies involved. Competition in research, involving the development and the improvement of new and existing products and processes, is particularly significant. The development of new and innovative products, as well as protecting the underlying intellectual property of the Company's product portfolio, is important to the Company’s success in all areas of its business. The competitive environment requires substantial investments in continuing research. In addition, the development and maintenance of customer demand for the Company’s consumer products involves significant expenditures for advertising and promotion.

Management’s Objectivesobjectives
With “Our Credo” as the foundation, the Company’s purpose is to blend heart, science and ingenuity to profoundly change the trajectory ofimpact health for humanity. The Company, believes health is committedeverything. The Company's strength in healthcare innovation empowers us to bringing its full breadthbuild a world where complex diseases are prevented, treated, and depth to ensure health for people todaycured, where treatments are smarter and for future generations. United around this common ambition,less invasive, and solutions are personal. Through the Company's expertise in Innovative Medicine and MedTech, the Company is poiseduniquely positioned to fulfill its purposeinnovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and successfully meet the demands of the rapidly evolving markets in which it competes.profoundly impact health for humanity.
The Company is broadly based in human healthcare, and is committed to creating value by developing accessible, high quality, innovative products and services. New products introduced within the past five years accounted for approximately 25% of 20212023 sales. In 2021, $14.72023, $15.1 billion was invested in research and development reflecting management’s commitment to create life-enhancing innovations and to create value through partnerships that will profoundly change the trajectoryimpact of health for humanity.
A critical driver of the Company’s success is the diversity of its 141,700131,900 employees worldwide. Employees are empowered and inspired to lead with the Company’s Our Credo and purpose as guides. This allows every employee to use the Company’s reach and size to advance the Company'sCompany’s purpose, and to also lead with agility and urgency. Leveraging the extensive resources across the enterprise enables the Company to innovate and execute with excellence. This ensures the Company can remain focused on addressing the unmet needs of society every day and invest for an enduring impact, ultimately delivering value to its patients, consumers and healthcare professionals, employees, communities and shareholders.

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Research &
development
4401
Acquisitions*
(net of cash acquired)
4403*Includes acquisitions of in process research and development assets that were not accounted for as a business combination
Dividends paid
per share
4405

Results of Operationsoperations
Analysis of Consolidated Salesconsolidated sales
For discussion on results of operations and financial condition pertaining to the fiscal years 20202022 and 20192021 see the Company’s Annual Report on Form 10-K for the fiscal year ended January 3, 2021,1, 2023, Item 7. Management's Discussiondiscussion and Analysisanalysis of Resultsresults of Operationsoperations and Financial Condition.

financial condition. Prior periods disclosed herein were recast to reflect the continuing operations of the Company.
In 2021,2023, worldwide sales increased 13.6%6.5% to $93.8$85.2 billion as compared to an increase of 0.6%1.6% in 2020.2022. These sales changes consisted of the following:

Sales increase/(decrease) due to:20212020
Volume12.9 %3.5 %
Price(0.7)(2.3)
Currency1.4 (0.6)
Total13.6 %0.6 %

Sales increase/(decrease) due to:20232022
Volume6.8 %8.3 %
Price0.6 (1.8)
Currency(0.9)(4.9)
Total6.5 %1.6 %
The net impact of acquisitions and divestitures on the worldwide sales growth was a negativepositive impact of 0.6%1.5% in 20212023 and a negativeno impact of 0.3% in 2020.2022.
Sales by U.S. companies were $47.2$46.4 billion in 20212023 and $43.1$42.0 billion in 2020.2022. This represents increases of 9.3%10.6% in 20212023 and 2.5%3.3% in 2020.2022. Sales by international companies were $46.6$38.7 billion in 20212023 and $39.5$38.0 billion in 2020.2022. This represents an increase of 18.2%1.9% in 20212023 and a decrease of 1.3%0.2% in 2020.2022.
The five-year compound annual growth rates for worldwide, U.S. and international sales were 5.5%4.7%, 4.5%5.2% and 6.5%4.1%, respectively. The ten-year compound annual growth rates for worldwide, U.S. and international sales were 3.7%4.2%, 5.0%5.7% and 2.6%, respectively.
In 2021,2023, sales by companies in Europe experienced a decline of 1.2% as compared to the prior year, which included an operational decline of 2.2% and a positive currency impact of 1.0%. In fiscal 2023, the net impact of the Covid-19 Vaccine and the loss of exclusivity of Zytiga on the European regions change in operational sales was a negative 9.8%. Sales by companies in the Western Hemisphere, excluding the U.S., achieved growth of 24.3%10.7% as compared to the prior year, which included operational growth of 20.7%15.8%, and a positivenegative currency impact of 3.6%. Sales by companies in the Western Hemisphere (excluding the U.S.) achieved growth of 7.8% as compared to the prior year, which included operational growth of 7.3% and a positive currency impact of 0.5%5.1%. Sales by companies in the Asia-Pacific, Africa region achieved growth of 14.1%3.9% as compared to the prior year, including operational growth of 11.4%9.5% and a positivenegative currency impact of 2.7%5.6%.
The Company estimated that the inclusion of a 53rd week in the fiscal year 2020 results negatively impacted the 2021 comparative sales growth by approximately 1.0%. (See Note 1 to the Consolidated Financial Statements for Annual Closing Date details). While the additional week added a few days to sales, it also added a full week's worth of operating costs; therefore, the net earnings impact was negligible.
2023 Annual Report23


In 2021,2023, the Company utilized three wholesalers distributing products for all threeboth segments that represented approximately 14.0%18.2%, 11.0%15.1% and 11.0%14.2% of the total consolidated revenues. In 2020,2022, the Company had three wholesalers distributing products for all threeboth segments that represented approximately 16.0%18.9%, 12.0%15.0% and 12.0%13.8% of the total consolidated revenues.

2023 Sales by geographic region (in billions)
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2023 Sales by segment (in billions)
2113
Note: values may have been rounded
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Analysis of Salessales by Business Segmentsbusiness segments
Consumer Health SegmentInnovative Medicine segment(1)
Consumer HealthInnovative Medicine segment sales in 20212023 were $14.6$54.8 billion, an increase of 4.1%4.2% from 2020,2022, which included 2.8% operational growth of 4.8% and a positivenegative currency impact of 0.6%. U.S. sales were $31.2 billion, an increase of 9.0%. International sales were $23.6 billion, a decrease of 1.5%, which included an operational decline of 0.2% and a negative currency impact of 1.3%. U.S. Consumer Health segment sales were $6.5 billion, an increase of 2.4%. International sales were $8.1 billion, an increase of 5.6%, which included 3.1% operational growth and a positive currency impact of 2.5%. In 2021,2023, acquisitions and divestitures had a net negative impact of 1.0%0.1% on the operational sales growth of the worldwide Consumer HealthInnovative Medicine segment.
Major Consumer Health Franchise Sales:
   % Change
(Dollars in Millions)20212020’21 vs. ’20
OTC$5,227 4,824 8.4 %
Skin Health/Beauty4,541 4,450 2.0 
Oral Care1,645 1,641 0.2 
Baby Care1,566 1,517 3.2 
Women’s Health917 901 1.8 
Wound Care/Other739 720 2.6 
Total Consumer Health Sales$14,635 14,053 4.1 %

The OTC franchise sales of $5.2 billion increased 8.4% as compared to the prior year. Growth was primarily attributable to Analgesics, TYLENOL® and MOTRIN®, digestive health and the hydration benefit offering (ORSL).
The Skin Health/Beauty franchise sales of $4.5 billion increased 2.0% as compared to the prior year. Growth was primarily due to COVID-19 recovery, strong performance of NEUTROGENA® and AVEENO®, and eCommerce acceleration partially offset by the divestiture of DR. CI:LABO - Sedona business in Asia Pacific and external supply constraints.
The Oral Care franchise sales of $1.6 billion increased 0.2% as compared to the prior year. Market growth in the U.S. along with strong performance in the Asia Pacific region due to successful brand building and promotional campaigns and the positive impact of currency offset the negative impact of the floss divestiture and U.S. external supply constraints.
The Baby Care franchise sales of $1.6 billion increased 3.2% compared to the prior year. Growth was driven by AVEENO® Asia Pacific eCommerce strength, innovation and COVID-19 recovery.
The Women’s Health franchise sales of $0.9 billion increased 1.8% as compared to the prior year primarily driven by COVID-19 market recovery, favorable price and strong brand building in Asia Pacific partially offset by disruptions in Europe due to flooding.
The Wound Care/Other franchise sales of $0.7 billion increased 2.6% as compared to the prior year. Growth was due to strong performance of BAND-AID® Brand Adhesive Bandages in the U.S. partially offset by product discontinuations and competitive pressures in Asia Pacific.
In November 2021, the Company announced its intention to separate the Company’s Consumer Health business, with the intention to create a new, publicly traded company. The Company is targeting completion of the planned separation in 18 to 24 months after initial announcement.



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Major Innovative Medicine therapeutic area sales:
Pharmaceutical Segment
(Dollars in Millions)20232022Total
Change
Operations
Change
Currency
Change
Total Immunology$18,052$16,9356.6 %7.1 %(0.5)%
REMICADE1,8392,343(21.5)(20.7)(0.8)
SIMPONI/SIMPONI ARIA2,1972,1840.6 2.4 (1.8)
STELARA10,8589,72311.7 11.9 (0.2)
TREMFYA3,1472,66817.9 18.3 (0.4)
Other Immunology1117(33.8)(33.8)— 
Total Infectious Diseases4,4185,449(18.9)(19.8)0.9 
COVID-19 VACCINE1,1172,179(48.8)(50.1)1.3 
EDURANT/rilpivirine1,1501,00814.1 11.5 2.6 
PREZISTA/ PREZCOBIX/REZOLSTA/SYMTUZA1,8541,943(4.6)(4.9)0.3 
Other Infectious Diseases297318(6.7)(3.6)(3.1)
Total Neuroscience7,1406,8933.6 5.4 (1.8)
CONCERTA/methylphenidate78364421.6 24.9 (3.3)
INVEGA SUSTENNA/XEPLION/INVEGA TRINZA/TREVICTA4,1154,140(0.6)0.0(0.6)
SPRAVATO68937484.1 84.0 0.1 
Other Neuroscience(2)
1,5531,734(10.4)(5.9)(4.5)
Total Oncology17,66115,98310.5 11.2 (0.7)
CARVYKTI500133***
DARZALEX9,7447,97722.2 22.9 (0.7)
ERLEADA2,3871,88126.9 27.5 (0.6)
IMBRUVICA3,2643,784(13.7)(13.2)(0.5)
ZYTIGA /abiraterone acetate8871,770(49.9)(48.4)(1.5)
Other Oncology879438***
Total Pulmonary Hypertension3,8153,41711.6 12.9 (1.3)
OPSUMIT1,9731,78310.6 11.6 (1.0)
UPTRAVI1,5821,32219.7 20.4 (0.7)
Other Pulmonary Hypertension260313(16.7)(12.0)(4.7)
Total Cardiovascular / Metabolism / Other3,6713,887(5.5)(5.5)0.0
XARELTO2,3652,473(4.4)(4.4)— 
Other(3)
1,3061,414(7.6)(7.4)(0.2)
Total Innovative Medicine Sales$54,75952,5634.2 %4.8 %(0.6)%
Pharmaceutical segment sales in 2021 were $52.1 billion, an increase of 14.3% from 2020, which included operational growth of 13.1% and a positive currency impact of 1.2%. U.S. sales were $28.0 billion, an increase of 8.6%. International sales were $24.1 billion, an increase of 21.6%, which included 18.8% operational growth and a positive currency impact of 2.8%. In 2021, acquisitions and divestitures had a net negative impact of 0.5% on the operational sales growth of the worldwide Pharmaceutical segment. Adjustments to previous sales reserve estimates were approximately $0.7 billion and $0.6 billion in fiscal years 2021 and 2020, respectively.

Major Pharmaceutical Therapeutic Area Sales*:
% Change
(Dollars in Millions)20212020’21 vs. ’20
Total Immunology$16,750 15,055 11.3 %
     REMICADE®
3,190 3,747 (14.9)
     SIMPONI®/SIMPONI ARIA®
2,276 2,243 1.4 
     STELARA®
9,134 7,707 18.5 
     TREMFYA®
2,127 1,347 57.9 
     Other Immunology24 11 **
Total Infectious Diseases5,861 3,574 64.0 
     COVID-19 VACCINE2,385 — **
     EDURANT®/rilpivirine
994 964 3.1 
     PREZISTA®/ PREZCOBIX®/REZOLSTA®/SYMTUZA®
2,083 2,184 (4.6)
     Other Infectious Diseases399 427 (6.5)
Total Neuroscience7,011 6,548 7.1 
     CONCERTA®/methylphenidate
667 622 7.3 
     INVEGA SUSTENNA®/XEPLION®/INVEGA TRINZA®/TREVICTA®
4,022 3,653 10.1 
     RISPERDAL CONSTA®
592 642 (7.7)
     Other Neuroscience1,729 1,632 6.0 
Total Oncology14,548 12,367 17.6 
     DARZALEX®
6,023 4,190 43.8 
     ERLEADA®
1,291 760 70.0 
     IMBRUVICA®
4,369 4,128 5.8 
     ZYTIGA® /abiraterone acetate
2,297 2,470 (7.0)
     Other Oncology(1)
568 821 (30.8)
Total Pulmonary Hypertension3,450 3,148 9.6 
     OPSUMIT®
1,819 1,639 11.0 
     UPTRAVI®
1,237 1,093 13.1 
     Other Pulmonary Hypertension395 416 (5.0)
Total Cardiovascular / Metabolism / Other4,460 4,878 (8.6)
     XARELTO®
2,438 2,345 4.0 
     INVOKANA®/ INVOKAMET®
563 795 (29.3)
     PROCRIT®/EPREX®
479 552 (13.3)
     Other981 1,186 (17.3)
Total Pharmaceutical Sales$52,080 45,572 14.3 %
*Certain prior year amounts have been reclassified to conform to current year presentation
**    Percentage greater than 100% or not meaningful
(1)Previously referred to as Pharmaceutical
(2)Inclusive of VELCADE® RISPERDAL CONSTA which was previously disclosed separately

(3)

Inclusive of INVOKANA which was previously disclosed separately
2023 Annual Report2425


Immunology products achieved sales of $16.8$18.1 billion in 2021,2023, representing an increase of 11.3%6.6% as compared to the prior yearyear. Increased sales of STELARA (ustekinumab) were primarily driven by strong uptake of STELARA® (ustekinumab) in Crohn's diseasepatient mix, market growth, and Ulcerative Colitis andcontinued strength in Inflammatory Bowel Disease. Growth of TREMFYA® (guselkumab) was due to market growth, continued strength in PsoriasisPsO/PsA (Psoriasis and uptake in Psoriatic Arthritis. ThisArthritis) and patient mix. Additionally, SIMPONI/SIMPONI ARIA growth was partially offsetdriven by lowergrowth outside the U.S. Lower sales of REMICADE® (infliximab) were due to biosimilar competition.
Biosimilar versions of REMICADE® have been introduced in the United States and certain markets outside the United States and additional competitors continue to enter the market. Continued infliximab biosimilar competition will result in a further reduction in sales of REMICADE®.REMICADE.
The latest expiringSales of STELARA in the United States patent for STELARA® (ustekinumab) will expire in September 2023. STELARA® (ustekinumab) U.S. saleswere approximately $7.0 billion in fiscal 2021 were approximately $5.9 billion.2023. Third parties have filed abbreviated Biologics License Applications with the FDA seeking approval to market biosimilar versions of STELARA. The expirationCompany has settled certain litigation under the Biosimilar Price Competition and Innovation Act of 2009. As a result of these settlements and other agreements with separate third parties, the Company does not anticipate the launch of a product patent or lossbiosimilar version of market exclusivity is likely to resultSTELARA until January 1, 2025 in a reduction in sales.the United States.

Infectious disease products achieved sales of $5.9were $4.4 billion in 2021,2023, a decline of 18.9% as compared to the prior year primarily driven by a decline in COVID-19 vaccine revenue and loss of exclusivity of PREZISTA.
Neuroscience products sales were $7.1 billion in 2023, representing an increase of 64.0%3.6% as compared to the prior year. GrowthThe growth of SPRAVATO (esketamine) was primarily driven by the contribution of the COVID-19 vaccine.Thisongoing launches as well as increased physician confidence and patient demand. Growth was partially offset by lower sales of PREZISTA® declines in RISPERDAL/RISPERDAL CONSTA and PREZCOBIX®/REZOLSTA® (darunavir/cobicistat)the paliperidone long-acting injectables outside the U.S. due to increased competition andthe XEPLION loss of exclusivity of PREZISTA® in certain countries outside the U.S.European Union.
NeuroscienceOncology products achieved sales of $7.0$17.7 billion in 2023, representing an increase of 7.1%10.5% as compared to the prior year. Paliperidone long-acting injectables growth wasSales of DARZALEX (daratumumab) were driven by sales of INVEGA SUSTENNA®/XEPLION® (paliperidone palmitate) and INVEGA TRINZA®/TREVICTA® from new patient starts and persistence as well as the launch of INVEGA HAFYERA™.
Oncology products achieved sales of $14.5 billion in 2021, representing an increase of 17.6% as compared to the prior year. Contributors to the growth were strong sales of DARZALEX® (daratumumab) driven by continued strong market growth, share gains in all regions and solid uptakemarket growth. Growth of the subcutaneous formulation launchedERLEADA (apalutamide) was due to continued share gains and market growth in 2020; the continued global launch uptakeMetastatic Castration Resistant Prostate Cancer. Sales of ERLEADA® (apalutamide) and IMBRUVICA® (ibrutinib) growth primarilyCARVYKTI (ciltacabtagene autoleucel) were driven by marketthe ongoing launch, share gains and continued share leadership. The growthcapacity improvement. Additionally, sales from the launch of IMBRUVICA® (ibrutinib)TECVAYLI (teclistamab-cqyv) and TALVEY (talquetamab-tgvs), included in Other Oncology, contributed to the growth. Growth was partially offset by ZYTIGA (abiraterone acetate) due to loss of exclusivity and IMBRUVICA (ibrutinib) due to global competitive pressures from novel oral agents and COVID-19 related market dynamics including delays in new patient starts.pressures.
Pulmonary Hypertension products achieved sales of $3.5were $3.8 billion, representing an increase of 9.6%11.6% as compared to the prior year. Sales growth of OPSUMIT® (macitentan) and UPTRAVI® (selexipag) werewas due to continuedfavorable patient mix, share gains and market growth.growth from UPTRAVI (selexipag) and OPSUMIT (macitentan) partially offset by declines in Other Pulmonary Hypertension.
Cardiovascular/Metabolism/Other products sales were $4.5$3.7 billion, a decline of 8.6%5.5% as compared to the prior year. The decline of XARELTO (rivaroxaban) sales was primarily attributabledriven by unfavorable patient mix and access changes.
The Company maintains a policy that no end customer will be permitted direct delivery of product to lowera location other than the billing location. This policy impacts contract pharmacy transactions involving non-grantee 340B covered entities for most of the Company’s drugs, subject to multiple exceptions. Both grantee and non-grantee covered entities can maintain certain contract pharmacy arrangements under policy exceptions. The Company has been and will continue to offer 340B discounts to covered entities on all of its covered outpatient drugs, and it believes its policy will improve its ability to identify inappropriate duplicate discounts and diversion prohibited by the 340B statute. The 340B Drug Pricing Program is a U.S. federal government program requiring drug manufacturers to provide significant discounts on covered outpatient drugs to covered entities. This policy had discount implications which positively impacted sales of INVOKANA®/INVOKAMET® (canagliflozin) due to share erosion and PROCRIT®/ EPREX® (epoetin alfa) due to biosimilar competition.

customers in 2023.
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During 2021,2023, the Company advanced its pipeline with several regulatory submissions and approvals for new drugs and additional indications for existing drugs as follows:
Product Name (Chemical
(Chemical
Name)
IndicationUS
Approval
EU
Approval
US
Filing
EU
Filing
BYANNLIAKEEGA (Niraparib and Abiraterone Acetate)®
MaintenanceFirst-And-Only Dual Action Tablet for the Treatment of Schizophrenia in Adults
CABENUVA (rilpivirine and cabotegravir)HIV treatment for use every two months
COVID-19 VaccineCOVID-19 Emergency UsePatients with BRCA-Positive Metastatic Castration-Resistant Prostate Cancer (MAGNITUDE)
BALVERSA (erdafitinib)Treatment of Patients with Locally Advanced or Metastatic Urothelial Carcinoma and Selected Fibroblast Growth Factor Receptor Gene Alterations (THOR)
COVID-19 Vaccine Booster ShotCARVYKTI (ciltacabtagene autoleucel)COVID-19 Emergency UseTreatment for Relapsed and Refactor multiple myeloma with 1-3 PL (CARTITUDE-4)
EDURANT (rilpivirine)Treatment for pediatric patients (2-12 years old) with HIV
ERLEADA
(apalutamide)
Tablet reduction
DARZALEX® (daratumumab)
Subcutaneous (SC) formulation Treatment for Newly Diagnosed Systemic Light Chain Amyloidosis and Gains an Additional Approval in Pre-Treated Multiple Myeloma
DARZALEX FASPRO® (daratumumab and hyaluronidase-fihj)
Combination with Carfilzomib and Dexamethasone for Patients with Multiple Myeloma After First or Subsequent Relapse
INVEGA HAFYERA (paliperidone palmitate)First and Only Twice-Yearly Treatment for Adults with Schizophrenia
PONVORY (Ponesimod)Treatment of Adults with Relapsing Forms of Multiple Sclerosis with Active Disease Defined by Clinical or Imaging Features
PONVORY (Ponesimod)Oral Treatment for Adults with Relapsing Multiple Sclerosis
RYBREVANT (amivantamab-vmjw)OPSUMIT (macitentan)Treatment for pediatric pulmonary arterial hypertension
OPSYNVI (mecitentan/tadalafil STCT)Treatment for pulmonary arterial hypertension
 RYBREVANT (amivantamab)In Combination with Chemotherapy for the First-Line Treatment of Adult Patients with Advanced Non-Small Cell Lung Cancer with Activating EGFR Exon 20 Insertion Mutations (PAPILLON)
SPRAVATORYBREVANT / lazertinib® (esketamine)
Rapid reduction of depressive symptoms in a psychiatric emergencyTreatment for patients with major depressive disorderNon-Small Cell Lung Cancer 2L (MARIPOSA)
STELARARYBREVANT / lazertinib® (ustekinumab)
Treatment of Pediatric Patients with Juvenille Psoriatic Arthritisfor Non-Small Cell Lung Cancer 2L (MARIPOSA-2)
TeclistamabTECVAYLI (teclistamab)Treatment of Patients with Relapsed orRefractory Multiple Myeloma Biweekly Dosing
TALVEY (talquetamab)Treatment of Patients with Relapsed and Refractory Multiple Myeloma
UPTRAVI®
(selexipag)
Intravenous Use in Adult Patients with Pulmonary Arterial Hypertension (PAH)
XARELTO® (rivaroxaban)
Help Prevent and Treat Blood Clots in Pediatric Patients
XARELTO® (rivaroxaban)
Expanded Peripheral Artery Disease (PAD) Indication to Include Patients After Lower-Extremity Revascularization (LER)
2023 Annual Report2627



Medical Devices SegmentMedTech segment
The Medical DevicesMedTech segment sales in 20212023 were $27.1$30.4 billion, an increase of 17.9%10.8% from 2020,2022, which included operational growth of 16.2%12.4% and a positivenegative currency impact of 1.7%1.6%. U.S. sales were $12.7$15.3 billion, an increase of 14.9%14.2% as compared to the prior year. International sales were $14.4$15.1 billion, an increase of 20.6%7.7% as compared to the prior year, which included operational growth of 17.3%10.6% and a positivenegative currency impact of 3.3%2.9%. In 2021,2023, the net impact of acquisitions and divestitures on the Medical DevicesMedTech segment worldwide operational sales growth was a negative 0.6%positive 4.6% primarily duerelated to the divestiture of Advanced Sterilization Products (ASP). The Company has seen a market recovery in global procedural volumes in the Medical Devices segment as compared to the prior year which had significant negative impacts from COVID-19. This procedural volume recovery is the primary driver of sales and earnings growth as compared to the prior year.Abiomed acquisition.
Major Medical Devices Franchise Sales:
   % Change
(Dollars in Millions)20212020’21 vs. ’20
Surgery$9,812 8,232 19.2 %
     Advanced4,622 3,839 20.4 
     General5,190 4,392 18.1 
Orthopaedics8,588 7,763 10.6 
     Hips1,485 1,280 16.0 
     Knees1,325 1,170 13.3 
     Trauma2,885 2,614 10.4 
     Spine, Sports & Other2,893 2,699 7.2 
Vision4,688 3,919 19.6 
     Contact Lenses/Other3,440 2,994 14.9 
     Surgical1,248 925 34.9 
Interventional Solutions
3,971 3,046 30.4 
Total Medical Devices Sales$27,060 22,959 17.9 %
MedTech franchise sales:

(Dollars in Millions)20232022Total
Change
Operations
Change
Currency
Change
Surgery$10,037 9,690 3.6 %5.5 %(1.9)%
Advanced4,671 4,569 2.2 4.2 (2.0)
General5,366 5,121 4.8 6.8 (2.0)
Orthopaedics8,942 8,587 4.1 4.6 (0.5)
Hips1,560 1,514 3.0 3.5 (0.5)
Knees1,456 1,359 7.1 7.5 (0.4)
Trauma2,979 2,871 3.8 4.0 (0.2)
Spine, Sports & Other2,947 2,843 3.7 4.5 (0.8)
Interventional Solutions6,350 4,300 47.7 49.8 (2.1)
Electrophysiology4,688 3,937 19.1 21.1 (2.0)
Abiomed1,306 31 ***
Other Interventional Solutions356 332 7.1 9.9 (2.8)
Vision5,072 4,849 4.6 6.6 (2.0)
Contact Lenses/Other3,702 3,543 4.5 6.9 (2.4)
Surgical1,370 1,306 4.9 5.8 (0.9)
Total MedTech Sales$30,400 27,427 10.8 %12.4 %(1.6)%

*    Percentage greater than 100% or not meaningful
The Surgery franchise achieved sales of $9.8were $10.0 billion in 20212023, representing an increase of 19.2%3.6% from 2020.2022. The growth in Advanced Surgery was primarily driven by Endocutter, Biosurgery global procedure growth and Energy products attributable to market recovery, market expansion andstrength of the successportfolio as well as uptake of new products offsettingin Endocutters and Energy. The growth was partially offset by competitive pressures and volume-based procurement impacts in the U.S.Endocutters and Energy. The growth in General Surgery was primarily driven by market recoveryincreased procedures coupled with technology penetration and benefits from the continued strength of the suture portfolio partially offset by the impact of the ASP divestiture in the prior year.differentiated Wound Closure portfolio.
The Orthopaedics franchise achieved sales of $8.6were $8.9 billion in 2021,2023, representing an increase of 10.6%4.1% from 2020.2022. The growth in hips reflects the market recovery combined withglobal procedure growth and continued strength of the portfolio including the ACTIS® stempartially offset by volume-based procurement impacts and enabling technologies – KINCISE™ and VELYS™ Hip Navigation.Russia sanctions. The growth in knees was primarily driven by procedure recoveryprocedures, benefits from recent product additions to the ATTUNE portfolio and new product introductions.pull through related to the VELYS Robotic assisted solution. This was partially offset by stocking dynamics, primarily outside the U.S. The growth in Trauma was driven by global market recoveryprocedures and uptakethe adoption of newrecently launched products. This was partially offset by volume-based procurement impacts. The growth in Spine, Sports & Other was primarily driven by procedure recoveryDigital Solutions, Shoulders, Sports and new product introductions.
The Vision franchise achieved sales of $4.7 billion in 2021, representing an increase of 19.6% from 2020. The Contact Lenses/Other operational growth was due to market recoveryCraniomaxillofacial products partially offset by Russia sanctions and market share gains from new products. Surgical Vision operational growth wassupply constraints, primarily due to market recovery and uptake of recently launched products.outside the U.S.
The Interventional Solutions franchise achieved sales of $4.0$6.4 billion in 2021,2023, representing an increase of 30.4%47.7% from 2020. Growth2022, which includes sales from Abiomed acquired on December 22, 2022. Electrophysiology grew by double digits due to global procedure growth, new product performance and commercial execution. This was partially offset by the impacts of volume-based procurement in China. Abiomed sales reflect the strength of all commercialized regions and continued adoption of Impella 5.5 and Impella RP.
The Vision franchise achieved sales of $5.1 billion in 2023, representing an increase of 4.6% from 2022. The Contact Lenses/Other growth was primarily driven by the continued strong performance in the electrophysiologyACUVUE OASYS 1-Day family including recent launches and stroke businesses werecommercial execution. This was partially offset by impacts of U.S. stocking dynamics, Russia sanctions, impacts from strategic portfolio decisions and supply challenges. The Surgical operational growth was primarily driven by market recoverycataract procedure growth, continued strength of recent innovations and successreduction of new productsprior year stocking outside the U.S. This was partially offset by softer Refractive and commercial strategies.

Beginning in the fiscal first quarter of 2022, the Medical Devices segment will be referred to as the MedTech segment.premium IOL markets and Russia sanctions.
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Analysis of Consolidated Earnings Before Provisionconsolidated earnings before provision for Taxestaxes on Incomeincome
Consolidated earnings before provision for taxes on income was $22.8$15.1 billion and $16.5$19.4 billion for the years 20212023 and 2020,2022, respectively. As a percent to sales, consolidated earnings before provision for taxes on income was 24.3%17.7% and 20.0%24.2%, in 20212023 and 2020,2022, respectively.

Earnings before provision for taxes
jnj-20220102_g7.jpg12094627945450
(Dollars in billions. Percentages in chart are as a percent to total sales)

Cost of products sold and selling, marketing and administrative expenses:

Cost of Products Sold and products sold
12094627945624
Selling, Marketing and Administrative Expenses:marketing & administrative

12094627945662
jnj-20220102_g8.jpgjnj-20220102_g9.jpg
(Dollars in billions. Percentages in chart are as a percent to total sales)

Cost of products sold:
Cost of products sold decreasedincreased as a percent to sales driven by:
Non-recurring prior year COVID-19 productionCommodity inflation, unfavorable product mix, restructuring related slow-downsexcess inventory costs and related inventory impacts
Fixed cost deleveragingAbiomed amortization in the Medical DevicesMedTech business in the fiscal 2020
partially offset by
Favorable patient mix within the Pharmaceutical business as well as at the enterprise level with a higher percentage of sales coming from the Pharmaceutical business
Supply chain efficienciesand lower one-time COVID-19 vaccine manufacturing related exit costs in 2023 in the Consumer Health segmentInnovative Medicine business
The intangible asset amortization expense included in cost of products sold was $4.7$4.5 billion and $3.9 billion for boththe fiscal years 20212023 and 2020.

2022, respectively.
28
2023 Annual Report29



Selling, Marketing and Administrative expense:
Selling, Marketing and Administrative Expenses decreased slightly as a percent to sales driven by:
Leveraging in Selling and Marketing expenses both the Medical Devices business resulting from the recovery of sales from the prior years impact of COVID-19Innovative Medicine and MedTech businesses
Partiallypartially offset by:by
Increased brand marketing expensesAn increase in the Consumer Health business

administrative costs
Research and Development Expense:
Research and development expense by segment of business was as follows:
20212020
(Dollars in Millions)(Dollars in Millions)Amount% of Sales*Amount% of Sales*
Consumer Health$455 3.1 %$422 3.0 %
Pharmaceutical11,882 22.8 9,563 21.0 
Medical Devices2,377 8.8 2,174 9.5 
(Dollars in Millions)
(Dollars in Millions)
Innovative Medicine
Innovative Medicine
Innovative Medicine
MedTech
MedTech
MedTech
Total research and development expense
Total research and development expense
Total research and development expenseTotal research and development expense$14,714 15.7 %$12,159 14.7 %
Percent increase/(decrease) over the prior yearPercent increase/(decrease) over the prior year21.0 % 7.1 % 
Percent increase/(decrease) over the prior year
Percent increase/(decrease) over the prior year
*As a percent to segment sales*As a percent to segment sales
*As a percent to segment sales
*As a percent to segment sales
Research and development activities represent a significant part of the Company's business. These expenditures relate to the processes of discovering, testing and developing new products, upfront payments and developmental milestones, improving existing products, as well as ensuring product efficacy and regulatory compliance prior to launch. The Company remains committed to investing in research and development with the aim of delivering high quality and innovative products.
Research and Development increasedwas flat as a percent to sales primarily driven by:
General portfolio progressionHigher milestone payments in the PharmaceuticalInnovative Medicine business
COVID-19 vaccine expenses, net of governmental reimbursementsAcquired in-process research & development asset from the Laminar acquisition in the MedTech business in the fiscal year 2023
offset by

Portfolio prioritization in the Innovative Medicine business
In-Process Research and Development Impairments (IPR&D): In the fiscal year 2021,2023, the Company recorded a partial IPR&D charge of $0.9approximately $0.3 billion primarilywhich included $0.2 billion related to expected development delays in the general surgery digital robotics platform (Ottava)market dynamics associated with a non-strategic asset (M710) acquired with the Auris Health acquisition in 2019. The impairment charge was calculated based on revisions to the discounted cash flow valuation model reflecting a delay of first in human procedures of approximately two years from the initial acquisition model assumptionas part of the second halfacquisition of 2022. The Company will continue to monitor the remaining $1.5 billion Ottava platform intangible asset as development program activities are ongoing.Momenta Pharmaceuticals in 2020, In fiscal year 2020, the Company recorded an IPR&D charge of $0.2 billion primarily related to a partial impairment due to timing and progression of one of the digital surgery platforms acquired with the Auris Health acquisition.

On January 28, 2022, subsequent to the fiscal year 2021, additional information regarding efficacy became available which led2022, the Company to the decision to terminate the development of bermekimab for Atopic Dermatitis (AD). The Company recorded an intangible asset impairment charge of approximately $0.6$0.8 billion related to an in-process research and development asset, bermekimab (JnJ-77474462), an investigational drug for the treatment of ADAtopic Dermatitis (AD) and Hidradenitis Suppurativa (HS). The impairment charge is related toAdditional information regarding efficacy of the AD indication and is a nonrecognized subsequent eventHS indication became available which led the Company to the decision to terminate the development of bermekimab for both AD and will be reflected in the first quarter 2022 financial statements.HS. The Company acquired all rights to bermekimab from XBiotech, Inc. in the fiscal year 2020.

Other (Income) Expense, Net: Other (income) expense, net is the account where the Company records gains and losses related to the sale and write-down of certain investments in equity securities held by Johnson & Johnson Innovation - JJDC, Inc. (JJDC), unrealized gains and losses on investments, income and losses associated with certainchanges in the fair value of securities, investment (income)/loss related to employee benefit programs, gains and losses on divestitures, certain transactional currency gains and losses, acquisition-relatedacquisition and divestiture related costs, litigation accruals and settlements, as well as royalty income.

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Other (income) expense, net for the fiscal year 20212023 was favorableunfavorable by $2.4$5.8 billion as compared to the prior year primarily due to the following:
(Dollars in Billions)(Income)/Expense20212020Change
Litigation expense(1)
$2.3 5.1 (2.8)
Acquisition, Integration and Divestiture related(2)
(0.5)(1.1)0.6 
(Gains)/losses on securities(0.5)(0.5)0.0 
Restructuring related0.1 0.1 0.0 
Employee benefit plan related(0.6)(0.4)(0.2)
Other(3)
(0.3)(0.3)— 
Total Other (Income) Expense, Net$0.5 2.9 (2.4)
(Dollars in Billions)(Income)/Expense20232022Change
Litigation related(1)
$6.90.96.0
Changes in the fair value of securities(2)
0.60.7(0.1)
COVID-19 vaccine manufacturing exit related costs0.40.7(0.3)
Acquisition, Integration and Divestiture related(3)
0.30.20.1
Employee benefit plan related(1.4)(1.2)(0.2)
Other(0.2)(0.5)0.3
Total Other (Income) Expense, Net$6.60.85.8
((1)1)2021 is2023 was primarily related to the approximately $7.0 billion charge for talc (See Note 19 to the Consolidated Financial Statements for more details) and Risperdal. 2020 isfavorable intellectual property related litigation settlements of approximately $0.3 billion. 2022 was primarily related to talc and the opioid litigation settlement.pelvic mesh.
(2)2021 is primarily related to divestiture gains of two pharmaceutical brands outside the U.S.
2020 is primarily driven by a contingent consideration reversal of approximately $1.1The fiscal 2023 includes $0.4 billion related to the timingunfavorable change in the fair value of certain developmental milestones associated with the Auris Health acquisition.
(3)2021 includes Consumer Health separation costsremaining stake in Kenvue and $0.4 billion related to the partial impairment of $0.1 billion. CostsIdorsia convertible debt and the change in future years are expected to be significantly higher.the fair value of the Idorsia equity securities held.

(3)
2023 primarily related to the impairment of Ponvory and one-time integration costs related to the acquisition of Abiomed. 2022 was primarily costs related to the acquisition of Abiomed.
Interest (Income) Expense:The fiscal year 2021 included net interest expense of $130 million as compared to $90 million net interest expense Interest income in the fiscal year 2020. This2023 was $1.3 billion as compared to interest income of $0.5 billion in the fiscal year 2022 primarily due to lowerhigher rates of interest earned on cash balances and abalances. Interest expense in the fiscal year 2023 was $0.8 billion as compared to interest expense of $0.3 billion in the fiscal year 2022 primarily due to higher averageinterest rates on debt balance, partially offset by the benefit from net investment hedging.balances. Cash, cash equivalents and marketable securities totaled $31.6$22.9 billion at the end of 2021,2023, and averaged $28.4$22.6 billion as compared to the cash, cash equivalents and marketable securities total of $25.2$22.3 billion and $22.2$26.9 billion average cash balance in 2020.2022. The total debt balance at the end of 20212023 was $33.8$29.3 billion with an average debt balance of $34.5 billion as compared to $35.3$39.6 billion at the end of 20202022 and an average debt balance of $31.5$36.7 billion. The lower average cash, cash equivalents and marketable securities was primarily due to the acquisition of Abiomed in late December of 2022. The lower average debt balance was primarily due to the repayment of commercial paper.
Income Before Taxbefore tax by Segmentsegment
Income (loss) before tax by segment of business were as follows:
 Income Before TaxSegment SalesPercent of Segment Sales
(Dollars in Millions)202120202021202020212020
Consumer Health$1,294 (1,064)14,635 14,053 8.8 %(7.6)
Pharmaceutical18,181 15,462 52,080 45,572 34.9 33.9 
Medical Devices4,373 3,044 27,060 22,959 16.2 13.3 
Total (1)
23,848 17,442 93,775 82,584 25.4 21.1 
Less: Net expense not allocated to segments (2)
1,072 945   
Earnings before provision for taxes on income$22,776 16,497 93,775 82,584 24.3 %20.0 

 Income Before TaxSegment SalesPercent of Segment Sales
(Dollars in Millions)202320222023202220232022
Innovative Medicine$18,24615,64754,75952,56333.3 %29.8 
MedTech4,6694,44730,40027,42715.4 16.2 
Segment earnings before tax(1)
22,91520,09485,15979,99026.9 25.1 
Less: Expenses not allocated to segments(2)
7,853735
Worldwide income before tax$15,06219,35985,15979,99017.7 %24.2 
(1)See Note 17 to the Consolidated Financial Statements for more details.
(2)Amounts not allocated to segments include interest (income) expense and general corporate (income) expense. Fiscal 2023 includes an approximately $7.0 billion charge related to talc matters and the approximately $0.4 billion unfavorable change in the fair value of the retained stake in Kenvue.
Consumer Health Segment:
2023 Annual Report31


Innovative Medicine segment:
In 2021,2023, the Consumer HealthInnovative Medicine segment income before tax as a percent ofto sales was 8.8%33.3% versus a loss before tax of 7.6%29.8% in 2020.2022. The increase in the income before tax as a percent of sales was primarily driven by the following:
2021Lower one-time COVID-19 Vaccine related exit costs of $0.7 billion in 2023 versus $1.5 billion in 2022
Lower In-process research & development impairments of $0.2 billion in 2023 versus $0.8 billion in 2022
Unfavorable changes in the fair value of securities in 2023 of $0.4 billion as compared to $0.7 billion in 2022
Lower litigation related expense includes $1.6of $0.2 billion of talc expenses; 2020 includes $3.9 billion of talc
Leveraging in selling and marketing expenses
Supply chain efficienciesR&D Portfolio prioritization
partially offset by:by
Increased brand marketing expenses and commodity inflationRestructuring charges of $0.5 billion in 2023 versus $0.1 billion in 2022
Impairment of Ponvory in 2023
Pharmaceutical Segment:Higher milestone payments in 2023
MedTech segment: 
In 2021,2023, the PharmaceuticalMedTech segment income before tax as a percent to sales was 34.9%15.4% versus 33.9%16.2% in 2020.2022. The increase in the income before tax as a percent of sales was primarily driven by the following:
Divestiture gains of $0.6 billion related to two pharmaceutical brands outside the U.S. in fiscal 2021
2021 litigation expense includes $0.6 billion primarily related to Risperdal; 2020 includes $0.8 billion primarily related to the opioid litigation settlement
partially offset by:
Research & Development investment in the COVID-19 vaccine net of governmental reimbursements and general portfolio progression
30


Medical Devices Segment: In 2021, the Medical Devices segment income before tax as a percent to sales was 16.2% versus 13.3% in 2020. The increasedecrease in the income before tax as a percent to sales was primarily driven by the following:
Higher amortization expense of $0.5 billion in 2023 related to Abiomed
RecoveryExpense of prior year COVID-19 production related slow downs$0.4 billion for an acquired in process research and related inventory impactsdevelopment asset from the Laminar acquisition in 2023
Overall expense leveraging resulting from the Medical Devices sales recoveryCommodity inflation in 2023
partially offset by
Litigation expenseIncome from litigation settlements of $0.1 billion in 2021 vs.2023 versus expense of $0.6 billion in 2022
Lower integration/acquisition costs related to Abiomed of $0.2 billion in 2023 versus $0.3 billion in 2020
partially offset by:
A contingent consideration reversal of approximately $1.1 billion in the fiscal 2020 related to the timing of certain developmental milestones associated with the Auris Health acquisition2022
A higher IPR&D charge of $0.7 billion ($0.9 billionLeveraging in 2021 related to the general surgery offeringselling and marketing expenses in digital robotics (Ottava) acquired with the Auris Health acquisition in 2019)

2023
Restructuring: In the fiscal second quarter of 2018,year 2023, the Company announced planscompleted a prioritization of its research and development (R&D) investment within the Innovative Medicine segment to implement actions acrossfocus on the most promising medicines with the greatest benefit to patients. This resulted in the exit of certain programs within therapeutic areas. The R&D program exits are primarily in infectious diseases and vaccines including the discontinuation of its Global Supply Chain that are intended to enablerespiratory syncytial virus (RSV) adult vaccine program, hepatitis and HIV development. The pre-tax restructuring charge of approximately $0.5 billion in the fiscal year 2023, of which $449 million was recorded in Restructuring and $30 million was recorded in Cost of products sold on the Consolidated Statement of Earnings, included the termination of partnered and non-partnered program costs and asset impairments.
In the fiscal year 2023, the Company initiated a restructuring program of its Orthopaedics franchise within the MedTech segment to focus resourcesstreamline operations by exiting certain markets, product lines and increase investments in critical capabilities, technologies and solutions necessary to manufacture and supply its product portfoliodistribution network arrangements. The pre-tax restructuring expense of the future, enhance agility and drive growth. The Company expects these supply chain actions will include expanding its use of strategic collaborations, and bolstering its initiatives to reduce complexity, improving cost-competitiveness, enhancing capabilities and optimizing its network.  Discussions regarding specific future actions are ongoing and are subject to all relevant consultation requirements before they are finalized. In total, the Company expects these actions to generate approximately $0.6 to $0.8$0.3 billion in annual pre-tax cost savings that will be substantially delivered by the endfiscal year 2023, of 2022. The Company expectswhich $40 million was recorded in Restructuring and $279 million was recorded in Cost of products sold on the Consolidated Statement of Earnings, primarily included inventory and instrument charges related to record pre-tax restructuring charges of approximately $2.1 to $2.3 billion. The Company estimates that approximately 70% of the cumulative pre-tax costs will result in cash outlays. market and product exits.
In 2021,2022, the Company recorded a pre-tax charge of $0.5$0.4 billion which is included onrelated to a restructuring program of its Global Supply Chain. The Global Supply Chain program was announced in the following linessecond quarter of 2018 and was completed in the Consolidated Statement of Earnings, $0.3 billion in restructuring, $0.1 billion in other (income) expense and $0.1 billion in cost of products sold. Total project costs of approximately $1.8 billion have been recorded since the restructuring was announced. The program is set to be completed at the endfiscal fourth quarter of 2022.

See Note 20 to the Consolidated Financial Statements for additional details related to the restructuring programs.
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Provision for Taxes on Income: The worldwide effective income tax rate from continuing operations was 8.3%11.5% in 20212023 and 10.8%15.4% in 2020.2022.

On December 15, 2022, the European Union (EU) Member States formally adopted the EU’s Pillar Two Directive, which generally provides for a minimum effective tax rate of 15%, as established by the Organization for Economic Co-operation and Development (OECD) Pillar Two Framework that was supported by over 130 countries worldwide. As of December 31, 2023, several EU and non-EU countries have enacted Pillar 2 legislation with an initial effective date of January 1, 2024, with other aspects of the law effective in 2025 or later. The Company is estimating that as result of this legislation the 2024 effective tax rate will increase by approximately 1.5% or 150 basis points compared to fiscal 2023. Further legislation, guidance and regulations that may be issued in fiscal 2024, as well as other business events, may impact this estimate.
For discussion related to the fiscal 20212023 provision for taxes refer to Note 8 to the Consolidated Financial Statements.


Liquidity and Capital Resourcescapital resources
Liquidity & Cash Flowscash flows
Cash and cash equivalents were $14.5$21.9 billion at the end of 20212023 as compared to $14.0$14.1 billion at the end of 2020.2022.
The primary sources and uses of cash that contributed to the $0.5$7.8 billion increase were:
(Dollars In Billions)in billions)
$14.114.0 Q4 20202022 Cash and cash equivalents balance
23.4 22.8cash generated from operating activities
(8.7)0.9net cash used byfrom investing activities
(14.0)(15.8)net cash used by financing activities
(0.2)(0.1)effect of exchange rate and rounding
$21.914.5 Q4 20212023 Cash and cash equivalents balance

In addition, the Company had $17.1$1.1 billion in marketable securities at the end of fiscal year 20212023 and $11.2$9.4 billion at the end of fiscal year 2020.2022. See Note 1 to the Consolidated Financial Statements for additional details on cash, cash equivalents and marketable securities.






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Cash flow from operations of $23.4$22.8 billion was the result of:
(Dollars In Billions)billions)
$35.220.9 Net Earnings
6.8 (14.9)gain on the Kenvue separation, net gain on sale of assets/businesses and the deferred tax provision partially offset by non-cash expenses and other adjustments primarily for depreciation and amortization, stock-based compensation, and asset write-downs partially offset by the deferred tax provision, net gain on saleand charge for purchase of assets/businessesin process research and credit losses and accounts receivable allowancesdevelopment assets
(1.1)5.6a decreasean increase in current and non-current liabilities
2.4 (3.5)an increase in other current and non-current assets
2.3an increase in accounts payable and accrued liabilities
(5.6)(1.9)an increase in accounts receivable inventories and other current and non-current assetsinventories
$22.823.4 Cash Flowflow from operations
2023 Annual Report33


InvestingCash flow from investing activities use of $8.7$0.9 billion of cash was primarily used for:due to:
(Dollars In Billions)in billions)
$(4.5)(3.7)additions to property, plant and equipment
(5.4)net purchases of investments
0.7 0.4proceeds from the disposal of assets/businesses, net
0.2 (0.5)purchases of in-process research and development assets
8.5Creditnet sales of investments
(3.0)credit support agreements activity, net
(0.1) acquisitions
(0.4)other (primarily licenses and milestones) and rounding
$0.9(8.7)Net cash used forfrom investing activities

FinancingCash flow used for financing activities use of $14.0$15.8 billion of cash was primarily used for:due to:
(Dollars In Billions)in billions)
$(11.8)(11.0)dividends to shareholders
(3.5)(5.1)repurchase of common stock for employee share programs
(1.0)(10.8)net repayment from short and long term debt
1.0 1.1proceeds from stock options exercised/employee withholding tax on stock awards, net
0.3 (0.2)Credit support agreements activity, net
0.2 8.0Proceeds of short and long-term debt, net of issuance cost, related to the debt that transferred to Kenvue at separation
4.2proceeds from Kenvue initial public offering
(1.1)Cash transferred to Kenvue at separation
(0.1)other and rounding
$(15.8)(14.0)Net cash used for financing activities

As of January 2, 2022,December 31, 2023, the Company's notes payable and long-term debt was in excess of cash, cash equivalents and marketable securities. As of January 2, 2022,December 31, 2023, the net debt position was $2.1$6.4 billion as compared to the prior year of $10.1$17.4 billion. There was a decrease in the net debt position due to repayment of debt and an increase in cash, cash equivalents, and marketable securities generating from operations. The debt balance at the end of 20212023 was $33.8$29.3 billion as compared to $35.3$39.6 billion in 2020.2022. Considering recent market conditions, and the on-going COVID-19 crisis, the Company has evaluatedre-evaluated its operating cash flows and liquidity profile and does not foresee any significant incremental risk. The Company anticipates that operating cash flows, the ability to raise funds from external sources, borrowing capacity from existing committed credit facilities and access to the commercial paper markets will continue to provide sufficient resources to fund operating needs, including the Company's approximate $1.1 billion in contractual supply commitments associated with its development ofremaining balance to be paid on the COVID-19 vaccine, theagreement to settle opioid litigation settlement for $5.0approximately $2.1 billion and the establishment of the $2.0approximately $9 billion trustreserve for talc related liabilitiesmatters (See Note 19 to the Consolidated Financial Statements for additional details). In addition, the Company monitors the global capital markets on an ongoing basis and from time to time may raise capital when market conditions are favorable. Effective beginning
On May 8, 2023, Kenvue, completed an initial public offering (the IPO) resulting in fiscal 2022, the U.S. Tax Cutsissuance of 198,734,444 shares of its common stock, par value $0.01 per share (the Kenvue Common Stock), at an initial public offering of $22.00 per share for net proceeds of $4.2 billion. The excess of the net proceeds from the IPO over the net book value of the Johnson & Johnson divested interest was $2.5 billion and Job Actwas recorded to additional paid-in capital. As of 2017 currently requiresthe closing of the IPO, Johnson & Johnson owned approximately 89.6% of the total outstanding shares of Kenvue Common Stock and at July 2, 2023, the non-controlling interest of $1.3 billion associated with Kenvue was reflected in equity attributable to non-controlling interests in the consolidated balance sheet.
On August 23, 2023, Johnson & Johnson completed the disposition of an additional 80.1% ownership of Kenvue Common Stock through an exchange offer, which resulted in Johnson & Johnson acquiring 190,955,436 shares of the Company’s common stock in exchange for 1,533,830,450 shares of Kenvue Common Stock. The $31.4 billion of Johnson & Johnson common stock received in the exchange offer is recorded in Treasury stock. Following the exchange offer, the Company owns 9.5% of the total outstanding shares of Kenvue Common Stock that was recorded in other assets within continuing operations at the fair market value of $4.3 billion as of August 23, 2023 and $3.9 billion as of December 31, 2023.
Johnson & Johnson divested net assets of $11.6 billion as of August 23, 2023, and the accumulated other comprehensive loss attributable to deduct U.S. and international research and development expenditures for tax purposes over 5the Consumer Health business at that date was $4.3 billion. Additionally, at the date of the exchange offer,
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Johnson & Johnson decreased the non-controlling interest by $1.2 billion to 15 years, insteadrecord the deconsolidation of Kenvue. This resulted in a gain on the exchange offer of $21.0 billion that was recorded in Net earnings from discontinued operations, net of taxes in the current fiscal year. As a result, the Company is expecting an increase in annual cash tax payments to the U.S Treasuryconsolidated statements of an incremental $1.0 to 1.5 billion beginning in fiscal 2022. The Company will concurrently record a deferred tax benefitearnings for the future amortization of the research and development (R&D) for tax purposes and therefore, the Company is not expecting a significant impact to its effective tax rate related to this change. The requirement to expense R&D as incurred is unchanged for U.S. GAAP purposes and the impact to pre-tax R&D expense is not affected by this provision.Additionally, as a result of the Tax Cuts and Jobs Act (TCJA), the Company has access to its cash outside the U.S. at a significantly reduced cost. During the fiscal third quarter of 2023. This one-time gain includes a gain of $2.8 billion on the Kenvue Common Stock retained by Johnson & Johnson. The gain on the exchange offer qualifies as a tax-free transaction for U.S. federal income tax purposes.
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2021, in accordance withOn September 14, 2022, the termsCompany announced that its Board of Directors approved a share repurchase program, authorizing the Company to purchase up to $5.0 billion of the agreement associated withCompany’s Common Stock. In the acquisition of Actelion,fiscal year 2022, approximately $2.5 billion was repurchased under the Company's undrawn credit facility with Idorsiaprogram. In the fiscal year 2023, $2.5 billion has been repurchased and the repurchase program was terminated.

completed.
The following table summarizes the Company’s material contractual obligations and their aggregate maturities as of January 2, 2022:December 31, 2023: To satisfy these obligations, the Company intends to use cash from operations.
(Dollars in Millions)Tax Legislation (TCJA)Debt ObligationsInterest on
Debt Obligations
Total
2022$812 2,131 909 3,852 
20231,522 1,551 893 3,966 
20242,029 1,518 843 4,390 
20252,536 1,732 789 5,057 
2026— 1,995 744 2,739 
After 2026— 23,189 8,786 31,975 
Total$6,899 32,116 12,964 51,979 

(Dollars in Millions)Tax Legislation (TCJA)Debt ObligationsInterest on
Debt Obligations
Total
2024$2,0291,4698434,341
20252,5361,7007895,025
20261,9977442,741
20272,3207363,056
20282,3256913,016
After 202817,5398,70626,245
Total$4,56527,35012,50944,424
For tax matters, see Note 8 to the Consolidated Financial Statements. The table does not include activity related to business combinations or the Company’s approximate $1.1 billion in contractual supply commitments associated with its development of a COVID-19 vaccine.
2023 Annual Report35


Financing and Market Riskmarket risk
The Company uses financial instruments to manage the impact of foreign exchange rate changes on cash flows. Accordingly, the Company enters into forward foreign exchange contracts to protect the value of certain foreign currency assets and liabilities and to hedge future foreign currency transactions primarily related to product costs. Gains or losses on these contracts are offset by the gains or losses on the underlying transactions. A 10% appreciation of the U.S. Dollar from the January 2, 2022December 31, 2023 market rates would increase the unrealized value of the Company’s forward contracts by $0.1 billion. Conversely, a 10% depreciation of the U.S. Dollar from the January 2, 2022December 31, 2023 market rates would decrease the unrealized value of the Company’s forward contracts by $0.1 billion. In either scenario, the gain or loss on the forward contract would be offset by the gain or loss on the underlying transaction, and therefore, would have no impact on future anticipated earnings and cash flows.
The Company hedges the exposure to fluctuations in currency exchange rates, and the effect on certain assets and liabilities in foreign currency, by entering into currency swap contracts. A 1% change in the spread between U.S. and foreign interest rates on the Company’s interest rate sensitive financial instruments would either increase or decrease the unrealized value of the Company’s swap contracts by approximately $2.2$1.6 billion. In either scenario, at maturity, the gain or loss on the swap contract would be offset by the gain or loss on the underlying transaction, and therefore, would have no impact on future anticipated cash flows.
The Company does not enter into financial instruments for trading or speculative purposes. Further, the Company has a policy of only entering into contracts with parties that have at least an investment grade credit rating. The counterparties to these contracts are major financial institutions and there is no significant concentration of exposure with any one counterparty. Management believes the risk of loss is remote. The Company entered into credit support agreements (CSA) with certain derivative counterparties establishing collateral thresholds based on respective credit ratings and netting agreements. See Note 6 to the Consolidated Financial Statements for additional details on credit support agreements.
The Company invests in both fixed rate and floating rate interest earning securities which carry a degree of interest rate risk. The fair market value of fixed rate securities may be adversely impacted due to a rise in interest rates, while floating rate securities may produce less income than predicted if interest rates fall. A 1% (100 basis points) change in spread on the Company’s interest rate sensitive investments would either increase or decrease the unrealized value of cash equivalents and current marketable securities by approximately $0.1less than $0.8 billion.
The Company has access to substantial sources of funds at numerous banks worldwide. In September 2021,2023, the Company secured a new 364-day Credit Facility. Total credit available to the Company approximatesFacility of $10 billion, which expires on September 8, 2022.5, 2024. The Company early terminated the additional 364-day revolving Credit Facility of $10 billion, which had an expiration of November 21, 2023. Interest charged on borrowings under the credit line agreement is based on either Secured Overnight Financing Rate (SOFR) Reference Rate or other applicable market rate as allowed plus applicable margins. Commitment fees under the agreement are not material.
Total borrowings at the end of 20212023 and 20202022 were $33.8$29.3 billion and $35.3$39.6 billion, respectively. The decrease in borrowingsthe debt balance was due to the repayment of debt.commercial paper. In 2021,2023, net debt (cash and current marketable securities, net of debt) was $2.1$6.4 billion compared to net debt of $10.1$17.4 billion in 2020.2022. Total debt represented 31.3%30.0% of total capital (shareholders’ equity and total debt) in 20212023 and 35.8%34.0% of total capital in 2020.2022. Shareholders’ equity per share at the end of 20212023 was $28.16$28.57 compared to $24.04$29.39 at year-end 2020.2022.
A summary of borrowings can be found in Note 7 to the Consolidated Financial Statements.
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Dividends
The Company increased its dividend in 20212023 for the 59th61st consecutive year. Cash dividends paid were $4.19$4.70 per share in 20212023 and $3.98$4.45 per share in 2020.

2022.
On January 4, 2022,2, 2024, the Board of Directors declared a regular cash dividend of $1.06$1.19 per share, payable on March 8, 20225, 2024 to shareholders of record as of February 22, 2022.20, 2024.
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Other Informationinformation
Critical Accounting Policiesaccounting policies and Estimatesestimates
Management’s discussion and analysis of results of operations and financial condition are based on the Company’s consolidated financial statements that have been prepared in accordance with accounting principles generally accepted in the U.S. (GAAP). The preparation of these financial statements requires that management make estimates and assumptions that affect the amounts reported for revenues, expenses, assets, liabilities and other related disclosures. Actual results may or may not differ from these estimates. The Company believes that the understanding of certain key accounting policies and estimates are essential in achieving more insight into the Company’s operating results and financial condition. These key accounting policies include revenue recognition, income taxes, legal and self-insurance contingencies, valuation of long-lived assets, assumptions used to determine the amounts recorded for pensions and other employee benefit plans and accounting for stock based awards.
The extent to which COVID-19 impacts the Company’s business and financial results will depend on numerous evolving factors including, but not limited to, the magnitude and duration of COVID-19, the extent to which it will impact worldwide macroeconomic conditions including interest rates, employment rates and health insurance coverage, the speed of the anticipated recovery, and governmental and business reactions to the pandemic. The Company assessed certain accounting matters that generally require consideration of forecasted financial information in context with the information reasonably available to the Company and the unknown future impacts of COVID-19 as of January 2, 2022 and through the date of this report. The accounting matters assessed included, but were not limited to, the Company’s allowance for doubtful accounts and credit losses, inventory and related reserves, accrued rebates and associated reserves, and the carrying value of the goodwill and other long-lived assets. While there was not a material impact to the Company’s consolidated financial statements as of and for the year ended January 2, 2022, the Company’s future assessment of the magnitude and duration of COVID-19, as well as other factors, could result in material impacts to the Company’s consolidated financial statements in future reporting periods.

Revenue Recognition:The Company recognizes revenue from product sales when obligations under the terms of a contract with the customer are satisfied; generally, this occurs with the transfer of control of the goods to customers. The Company's global payment terms are typically between 30 to 90 days. Provisions for certain rebates, sales incentives, trade promotions, coupons, product returns, discounts to customers and governmental clawback provisions are accounted for as variable consideration and recorded as a reduction in sales.
Product discounts granted are based on the terms of arrangements with direct, indirect and other market participants, as well as market conditions, including consideration of competitor pricing. Rebates are estimated based on contractual terms, historical experience, patient outcomes, trend analysis and projected market conditions in the various markets served. The Company evaluates market conditions for products or groups of products primarily through the analysis of wholesaler and other third-party sell-through and market research data, as well as internally generated information.
Sales returns are estimated and recorded based on historical sales and returns information. Products that exhibit unusual sales or return patterns due to dating, competition or other marketing matters are specifically investigated and analyzed as part of the accounting for sales return accruals.
Sales returns allowances represent a reserve for products that may be returned due to expiration, destruction in the field, or in specific areas, product recall. The sales returns reserve is based on historical return trends by product and by market as a percent to gross sales. In accordance with the Company’s accounting policies, the Company generally issues credit to customers for returned goods. The Company’s sales returns reserves are accounted for in accordance with the U.S. GAAP guidance for revenue recognition when right of return exists. Sales returns reserves are recorded at full sales value. Sales returns in the Consumer Health and PharmaceuticalInnovative Medicine segments are almost exclusively not resalable. Sales returns for certain franchises in the Medical DevicesMedTech segment are typically resalable but are not material. The Company infrequently exchanges products from inventory for returned products. The sales returns reserve for the total Company has been approximatelyless than 1.0% of annual net trade sales during the fiscal years 20212023, 2022 and 2020.2021.
Promotional programs, such as product listing allowances and cooperative advertising arrangements, are recorded in the same period as related sales. Continuing promotional programssales and include coupons and volume-based sales incentive programs. The redemption cost of consumer coupons is based on historical redemption experience by product and value. Volume-based incentive programs are based on the estimated sales volumes for the incentive period and are recorded as products are sold. These arrangements are evaluated to determine the appropriate amounts to be deferred or recorded as a reduction of revenue. The Company also earns profit-share payments through collaborative arrangements of certain products, which are included in
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sales to customers. For all years presented, profit-shareProfit-share payments were less than 2.0% of the total revenues in fiscal year 2023 and less than 3.0% of the total revenues in fiscal year 2022 and 2021 are included in sales to customers.
In addition, the Company enters into collaboration arrangements that contain multiple revenue generating activities. Amounts due from collaborative partners for these arrangements are recognized as each activity is performed or delivered, based on the relative selling price. Upfront fees received as part of these arrangements are deferred and recognized over the performance period. See Note 1 to the Consolidated Financial Statements for additional disclosures on collaborations.
Reasonably likely changes to assumptions used to calculate the accruals for rebates, returns and promotions are not anticipated to have a material effect on the financial statements. The Company currently discloses the impact of changes to assumptions in the quarterly or annual filing in which there is a material financial statement impact.

2023 Annual Report37


Below are tables that show the progression of accrued rebates, returns, promotions, reserve for doubtful accounts and reserve for cash discounts by segment of business for the fiscal years ended January 2, 2022December 31, 2023 and January 3, 2021.1, 2023.

Innovative Medicine segment
Consumer Health Segment
(Dollars in Millions)(Dollars in Millions)Balance at
Beginning of Period
AccrualsPayments/CreditsBalance at
End of Period
(Dollars in Millions)
Balance at
Beginning
of Period
Accruals
Payments/
Credits(2)
Balance at
End of
Period
2021    
20232023 
Accrued rebates (1)
Accrued rebates (1)
$289 893 (895)287 
Accrued rebates (1)
$12,28947,523(45,151)14,661
Accrued returnsAccrued returns76 136 (136)76 Accrued returns649332(347)634
Accrued promotionsAccrued promotions428 1,958 (1,999)387 Accrued promotions112(7)6
SubtotalSubtotal$793 2,987 (3,030)750 Subtotal$12,93947,867(45,505)15,301
Reserve for doubtful accountsReserve for doubtful accounts39 (7)32 Reserve for doubtful accounts440(11)33
Reserve for cash discountsReserve for cash discounts12 213 (210)15 Reserve for cash discounts1101,386(1,385)111
TotalTotal$844 3,200 (3,247)797 Total$13,09349,253(46,901)15,445
2020    
2022
2022
2022 
Accrued rebates(1)
Accrued rebates(1)
$284 793 (788)289 
Accrued rebates (1)
$10,33143,026(41,068)12,289
Accrued returnsAccrued returns63 138 (125)76 Accrued returns520444(315)649
Accrued promotionsAccrued promotions487 1,988 (2,047)428 Accrued promotions35(7)1
SubtotalSubtotal$834 2,919 (2,960)793 Subtotal$10,85443,475(41,390)12,939
Reserve for doubtful accountsReserve for doubtful accounts35 (3)39 Reserve for doubtful accounts500(6)44
Reserve for cash discountsReserve for cash discounts17 201 (206)12 Reserve for cash discounts941,281(1,265)110
TotalTotal$886 3,127 (3,169)844 Total$10,99844,756(42,661)13,093
(1)Includes reserve for customer rebates of $80$165 million at December 31, 2023 and $203 million at January 2, 2022 and $66 million at January 3, 2021, recorded as a contra asset.






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Pharmaceutical Segment
(Dollars in Millions)Balance at
Beginning of Period
Accruals
Payments/Credits(2)
Balance at
End of Period
2021    
Accrued rebates (1)
$9,837 37,922 (37,428)10,331 
Accrued returns460 345 (285)520 
Accrued promotions13 (16)
Subtotal10,303 38,280 (37,729)10,854 
Reserve for doubtful accounts52 18 (20)50 
Reserve for cash discounts70 1,163 (1,139)94 
Total10,425 39,461 (38,888)10,998 
2020    
Accrued rebates (1)
$9,013 32,415 (31,591)9,837 
Accrued returns500 233 (273)460 
Accrued promotions10 (9)
Subtotal$9,518 32,658 (31,873)10,303 
Reserve for doubtful accounts36 24 (8)52 
Reserve for cash discounts65 1,034 (1,029)70 
Total$9,619 33,716 (32,910)10,425 
(1)Includes reserve for customer rebates of $218 million at January 2, 2022 and $174 million at January 3, 2021,1, 2023, recorded as a contra asset.
(2)Includes prior period adjustments
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Medical Devices Segment
(Dollars in Millions)Balance at
Beginning of Period
AccrualsPayments/CreditsBalance at
End of Period
2021    
Accrued rebates(1)
$1,174 5,942 (5,670)1,446 
Accrued returns138 559 (563)134 
Accrued promotions52 140 (138)54 
Subtotal1,364 6,641 (6,371)1,634 
Reserve for doubtful accounts202 12 (66)148 
Reserve for cash discounts96 (95)10 
Total1,575 6,749 (6,532)1,792 
2020    
Accrued rebates(1)
$1,013 5,144 (4,983)1,174 
Accrued returns118 578 (558)138 
Accrued promotions46 118 (112)52 
Subtotal$1,177 5,840 (5,653)1,364 
Reserve for doubtful accounts155 95 (48)202 
Reserve for cash discounts10 88 (89)
Total$1,342 6,023 (5,790)1,575 
MedTech segment
(Dollars in Millions)Balance at
Beginning of
Period
AccrualsPayments/
Credits
Balance at
End of
Period
2023    
Accrued rebates(1)
$1,4706,241(6,256)1,455
Accrued returns134555(564)125
Accrued promotions4374(92)25
Subtotal$1,6476,870(6,912)1,605
Reserve for doubtful accounts12533(25)133
Reserve for cash discounts996(100)5
Total$1,7816,999(7,037)1,743
2022    
Accrued rebates(1)
$1,4466,131(6,107)1,470
Accrued returns134531(531)134
Accrued promotions54102(113)43
Subtotal$1,6346,764(6,751)1,647
Reserve for doubtful accounts1486(29)125
Reserve for cash discounts1099(100)9
Total$1,7926,869(6,880)1,781
(1)Includes reserve for customer rebates of $845$740 million at December 31, 2023 and $802 million at January 2, 2022 and $707 million at January 3, 2021,1, 2023, recorded as a contra asset.

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Income Taxes: Income taxes are recorded based on amounts refundable or payable for the current year and include the results of any difference between U.S. GAAP accounting and tax reporting, recorded as deferred tax assets or liabilities. The Company estimates deferred tax assets and liabilities based on enacted tax regulations and rates. Future changes in tax laws and rates may affect recorded deferred tax assets and liabilities.
The Company has unrecognized tax benefits for uncertain tax positions. The Company follows U.S. GAAP, which prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Management believes that changes in these estimates would not have a material effect on the Company's results of operations, cash flows or financial position.
The Company has recorded deferred tax liabilities on all undistributed earnings prior to December 31, 2017 from its international subsidiaries. The Company has not provided deferred taxes on the undistributed earnings subsequent to January 1, 2018 from certain international subsidiaries where the earnings are considered to be indefinitely reinvested. The Company intends to continue to reinvest these earnings in those international operations. If the Company decides at a later date to repatriate these earnings to the U.S., the Company would be required to provide for the net tax effects on these amounts. The Company estimates that the tax effect of this repatriation would be approximately $0.7$0.5 billion under currently enacted tax laws and regulations and at current currency exchange rates. This amount does not include the possible benefit of U.S. foreign tax credits, which may substantially offset this cost.
See Note 1 and Note 8 to the Consolidated Financial Statements for further information regarding income taxes.
Legal and Self Insurance Contingencies:The Company records accruals for various contingencies, including legal proceedings and product liability claims as these arise in the normal course of business. The accruals are based on management’s judgment as to the probability of losses and, where applicable, actuarially determined estimates. The Company has self insurance through a wholly-owned captive insurance company. In addition to accruals in the self insurance program, claims that exceed the insurance coverage are accrued when losses are probable and amounts can be reasonably estimated.
The Company follows the provisions of U.S. GAAP when recording litigation related contingencies. A liability is recorded when a loss is probable and can be reasonably estimated.
2023 Annual Report39


See Notes 1 and 19 to the Consolidated Financial Statements for further information regarding product liability and legal proceedings.
Long-Lived and Intangible Assets: The Company assesses changes, both qualitatively and quantitatively, in economic conditions and makes assumptions regarding estimated future cash flows in evaluating the value of the Company’s property, plant and equipment, goodwill and intangible assets. As these assumptions and estimates may change over time, it may or may not be necessary for the Company to record impairment charges.
Employee Benefit Plans: The Company sponsors various retirement and pension plans, including defined benefit, defined contribution and termination indemnity plans, which cover most employees worldwide. These plans are based on assumptions for the discount rate, expected return on plan assets, mortality rates, expected salary increases, healthcare cost trend rates and attrition rates. See Note 10 to the Consolidated Financial Statements for further details on these rates.
Stock Based Compensation: The Company recognizes compensation expense associated with the issuance of equity instruments to employees for their services. Based on the type of equity instrument, the fair value is estimated on the date of grant using either the Black-Scholes option valuation model or a combination of both the Black-Scholes option valuation model and Monte Carlo valuation model, and is expensed in the financial statements over the service period. The input assumptions used in determining fair value are the expected life, expected volatility, risk-free rate and expected dividend yield. Prior to fiscal 2020, for performance share units, the fair market value was calculated for each of the three component goals at the date of grant: operational sales, adjusted operational earnings per share and relative total shareholder return. Beginning in fiscal 2020, forFor performance share units, the fair market value is calculated for the two component goals at the date of grant: adjusted operational earnings per share and relative total shareholder return. The fair values for the earnings per share goal of each performance share unit was estimated on the date of grant using the fair market value of the shares at the time of the award, discounted for dividends, which are not paid on the performance share units during the vesting period. The fair value for the relative total shareholder return goal of each performance share unit was estimated on the date of grant using the Monte Carlo valuation model. See Note 16 to the Consolidated Financial Statements for additional information.
New Accounting Pronouncementsaccounting pronouncements
Refer to Note 1 to the Consolidated Financial Statements for recently adopted accounting pronouncements and recently issued accounting pronouncements not yet adopted as of January 2, 2022.

December 31, 2023.
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Economic and Market Factors
COVID-19 considerations and business continuity
The Company has considered various internal and externalmarket factors in assessing the potential impact of COVID-19 on its business and financial results based upon information available at this time, as follows:
Operating Model: The Company has a diversified business model across the healthcare industry with flexibility designed into its manufacturing, research and development clinical operations and commercial capabilities.
Supply Chain: The Company continues to leverage its global manufacturing footprint and dual-source capabilities while closely monitoring and maintaining critical inventory at major distribution centers away from high-risk areas to help ensure adequate and effective distribution.
Business Continuity: The robust, active business continuity plans across the Company's network have been instrumental in preparing the Company for events like COVID-19 and the ability to meet the majority of patient and consumer needs remains uninterrupted.
Workforce: The Company has put procedures in place to protect its essential workforce in manufacturing, distribution, commercial and research operations while ensuring appropriate remote working protocols have been established for other employees.
Liquidity: The Company's high-quality credit rating allows the Company superior access to the financial capital markets for the foreseeable future.
Domestic and Foreign Legislation: The Company will continue to assess and evaluate the on-going global legislative efforts to combat the COVID-19 impact on economies and the sectors in which it participates. Currently, the recent legislative acts put in place are not expected to have a material impact on the Company’s operations.
In fiscal 2020 and 2021, the Company entered into a series of contract manufacturing arrangements for vaccine production with third party contract manufacturing organizations. These arrangements provide the Company with future supplemental commercial capacity for vaccine production and potentially transferable rights to such production if capacity is not required. Amounts paid for services to be deliveredand contractually obligated to be paid to these contract manufacturing organizations of approximately $1.1 billion are reflected in the prepaid expenses and other, other assets, accrued liabilities and other liabilities accounts in the Company's consolidated balance sheet upon execution of each agreement. Additionally, the Company has entered into certain vaccine development cost sharing arrangements with government related organizations.
The Company continues to evaluate and monitor both its internal and external supply arrangements, including its contract with Emergent BioSolutions and related production activities at its Bayview, Maryland facility. The Company has established a global vaccine supply network, where, in addition to its internal manufacturing site in Leiden, the Netherlands, ten other manufacturing sites will be involved in the production of vaccine across different countries and continents. The Company does not believe that a disruption at a vaccine manufacturing site, or the resulting delay would have a material financial impact on the Company’s consolidated financial statements or results.
The Company is aware that its products are used in an environment where, for more than a decade, policymakers, consumers and businesses have expressed concerns about the rising cost of healthcare. In response to these concerns, the Company has a long-standing policy of pricing products responsibly. For the period 20112013 - 2021,2023, in the U.S., the weighted average compound annual growth rate of the Company’s net price increases for healthcare products (prescription and over-the-counter drugs, hospital and professional products) was below the U.S. Consumer Price Index (CPI).
The Company operates in certain countries where the economic conditions continue to present significant challenges. The Company continues to monitor these situations and take appropriate actions. Inflation rates continue to have an effect on worldwide economies and, consequently, on the way companies operate. The Company has accounted for operations in Argentina, Venezuela and VenezuelaTurkey (beginning in the fiscal second quarter of 2022) as highly inflationary, as the prior three-year cumulative inflation rate surpassed 100%. This did not have a material impact to the Company's results in the period. In the face of increasing costs, the Company strives to maintain its profit margins through cost reduction programs, productivity improvements and periodic price increases.
In December 2023, the Argentine government devalued the peso by approximately 50%. During 2023, the Company recorded a charge of approximately $130 million related to operations in Argentina due to the application of highly inflationary accounting. As of December 31, 2023, the Company’s Argentine subsidiaries represented less than 1.0% of the Company's consolidated assets, liabilities, revenues and profits from continuing operations; therefore, the effect of a change in the exchange rate is not expected to have a material adverse effect on the Company's 2024 full-year results.
In July 2023, Janssen Pharmaceuticals, Inc. (Janssen) filed litigation against the U.S. Department of Health and Human Services as well as the Centers for Medicare and Medicaid Services challenging the constitutionality of the Inflation Reduction Act’s (IRA) Medicare Drug Price Negotiation Program. The litigation requests a declaration that the IRA violates Janssen’s rights under the First Amendment and the Fifth Amendment to the Constitution and therefore that Janssen is not subject to the IRA’s mandatory pricing scheme.
Russia-Ukraine War
Although the long-term implications of Russia’s invasion of Ukraine are difficult to predict at this time, the financial impact of the conflict in the fiscal year 2023, including accounts receivable or inventory reserves, was not material. As of and for each of the fiscal years ending December 31, 2023 and January 1, 2023, the business of the Company’s Russian subsidiaries represented less than 1% of the Company’s consolidated assets and represented 1% of revenues. The Company does not maintain Ukraine subsidiaries subsequent to the Kenvue separation.
In early March of 2022, the Company took steps to suspend all advertising, enrollment in clinical trials, and any additional investment in Russia. The Company continues to supply products relied upon by patients for healthcare purposes.
Conflict in the Middle East
Although the long-term implications of Israel's conflict are difficult to predict at this time, the financial impact of the conflict in the fiscal year 2023, including accounts receivable or inventory reserves, was not material. As of and for the fiscal year ending December 31, 2023, the business of the Company’s Israel subsidiaries represented 1% of the Company’s consolidated assets and represented less than 1% of revenues.
The Company is exposed to fluctuations in currency exchange rates. A 1% change in the value of the U.S. Dollar as compared to all foreign currencies in which the Company had sales, income or expense in 20212023 would have increased or decreased the translation of foreign sales by approximately $0.5$0.4 billion and net income by approximately $0.2 billion.
Governments around the world consider various proposals to make changes to tax laws, which may include increasing or decreasing existing statutory tax rates. In connection with various government initiatives, companies are required to disclose more information to tax authorities on operations around the world, which may lead to greater audit scrutiny of profits earned in other countries. A change in statutory tax rate in any country would result in the revaluation of the Company’s deferred tax assets and liabilities related to that particular jurisdiction in the period in which the new tax law is enacted. This change would result in an expense or benefit recorded to the Company’s Consolidated Statement of Earnings. The Company closely monitors these proposals as they arise in the countries where it operates. Changes to the statutory tax rate may occur at any time, and any related expense or benefit recorded may be material to the fiscal quarter and year in which the law change is enacted.
The Company faces various worldwide healthcare changes that may continue to result in pricing pressures that include healthcare cost containment and government legislation relating to sales, promotions, pricing and reimbursement of healthcare products.
38


Changes in the behavior and spending patterns of purchasers of healthcare products and services, including delaying medical procedures, rationing prescription medications, reducing the frequency of physician visits and foregoing healthcare insurance coverage as a result of the current global economic downturn, may continue to impact the Company’s businesses.
2023 Annual Report41


The Company also operates in an environment increasingly hostile to intellectual property rights. Firms have filed Abbreviated New Drug Applications or Biosimilar Biological Product Applications with the U.S. FDA or otherwise challenged the coverage and/or validity of the Company's patents, seeking to market generic or biosimilar forms of many of the Company’s key pharmaceutical products prior to expiration of the applicable patents covering those products. In the event the Company is not successful in defending the patent claims challenged in the resulting lawsuits, generic or biosimilar versions of the products at issue will be introduced to the market, resulting in the potential for substantial market share and revenue losses for those products, and which may result in a non-cash impairment charge in any associated intangible asset. There is also a risk that one or more competitors could launch a generic or biosimilar version of the product at issue following regulatory approval even though one or more valid patents are in place.
Legal Proceedingsproceedings
Johnson & Johnson and certain of its subsidiaries are involved in various lawsuits and claims regarding product liability, intellectual property, commercial, employment, indemnification and other matters; governmental investigations; and other legal proceedings that arise from time to time in the ordinary course of business.
The Company records accruals for loss contingencies associated with these legal matters when it is probable that a liability will be incurred and the amount of the loss can be reasonably estimated. As of January 2, 2022,December 31, 2023, the Company has determined that the liabilities associated with certain litigation matters are probable and can be reasonably estimated. The Company has accrued for these matters and will continue to monitor each related legal issue and adjust accruals as might be warranted based on new information and further developments in accordance with ASC 450-20-25.450-20-25, Contingencies. For these and other litigation and regulatory matters discussed below for which a loss is probable or reasonably possible, the Company is unable to estimate the possible loss or range of loss beyond the amounts accrued. Amounts accrued for legal contingencies often result from a complex series of judgments about future events and uncertainties that rely heavily on estimates and assumptions including timing of related payments. The ability to make such estimates and judgments can be affected by various factors including, among other things, whether damages sought in the proceedings are unsubstantiated or indeterminate; scientific and legal discovery has not commenced or is not complete; proceedings are in early stages; matters present legal uncertainties; there are significant facts in dispute; procedural or jurisdictional issues; the uncertainty and unpredictability of the number of potential claims; ability to achieve comprehensive multi-party settlements; complexity of related cross-claims and counterclaims; and/or there are numerous parties involved. To the extent adverse awards, judgments or verdicts have been rendered against the Company, the Company does not record an accrual until a loss is determined to be probable and can be reasonably estimated.
In the Company's opinion, based on its examination of these matters, its experience to date and discussions with counsel, the ultimate outcome of legal proceedings, net of liabilities accrued in the Company's balance sheet, is not expected to have a material adverse effect on the Company's financial position. However, the resolution of, or increase in accruals for, one or more of these matters in any reporting period may have a material adverse effect on the Company's results of operations and cash flows for that period.
See Note 19 to the Consolidated Financial Statements included in Item 8 of this report for further information regarding legal proceedings.
Common Stockstock
The Company’s Common Stock is listed on the New York Stock Exchange under the symbol JNJ. As of February 10, 2022,9, 2024, there were 127,899118,772 record holders of Common Stock of the Company.

Item 7A.QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK Quantitative and qualitative disclosures about market risk
The information called for by this item is incorporated herein by reference to “ItemItem 7. Management’s Discussiondiscussion and Analysisanalysis of Resultsresults of Operationsoperations and Financial Conditionfinancial condition - Liquidity and Capital Resourcescapital resources - Financing and Market Risk”market risk of this Report; and Note 1 “SummarySummary of Significant Accounting Policiessignificant accounting policies - Financial Instruments”instruments of the Notes to Consolidated Financial Statements included in Item 8 of this Report.

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Item 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATAFinancial statements and supplementary data
Index to audited Consolidated Financial Statements
Index to Audited Consolidated Financial Statements

2023 Annual Report4043


JOHNSONJohnson & JOHNSON AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
Johnson and subsidiaries consolidated balance sheets
At January 2, 2022December 31, 2023 and January 3, 2021
1, 2023
(Dollars in Millions Except Share and Per Share Amounts) (Note 1)
20212020
Assets
Current assets  
Cash and cash equivalents (Notes 1 and 2)$14,487 13,985 
Marketable securities (Notes 1 and 2)17,121 11,200 
Accounts receivable trade, less allowances for doubtful accounts $230 (2020, $293)15,283 13,576 
Inventories (Notes 1 and 3)10,387 9,344 
Prepaid expenses and other receivables3,701 3,132 
Total current assets60,979 51,237 
Property, plant and equipment, net (Notes 1 and 4)18,962 18,766 
Intangible assets, net (Notes 1 and 5)46,392 53,402 
Goodwill (Notes 1 and 5)35,246 36,393 
Deferred taxes on income (Note 8)10,223 8,534 
Other assets10,216 6,562 
Total assets$182,018 174,894 
Liabilities and Shareholders’ Equity  
Current liabilities  
Loans and notes payable (Note 7)$3,766 2,631 
Accounts payable11,055 9,505 
Accrued liabilities13,612 13,968 
Accrued rebates, returns and promotions12,095 11,513 
Accrued compensation and employee related obligations3,586 3,484 
Accrued taxes on income (Note 8)1,112 1,392 
Total current liabilities45,226 42,493 
Long-term debt (Note 7)29,985 32,635 
Deferred taxes on income (Note 8)7,487 7,214 
Employee related obligations (Notes 9 and 10)8,898 10,771 
Long-term taxes payable (Note 1)5,713 6,559 
Other liabilities10,686 11,944 
Total liabilities107,995 111,616 
Commitments and Contingencies (Note 19)00
Shareholders’ equity  
Preferred stock — without par value (authorized and unissued 2,000,000 shares)— — 
Common stock — par value $1.00 per share (Note 12) (authorized 4,320,000,000 shares; issued 3,119,843,000 shares)3,120 3,120 
Accumulated other comprehensive income (loss) (Note 13)(13,058)(15,242)
Retained earnings123,060 113,890 
 113,122 101,768 
Less: common stock held in treasury, at cost (Note 12) (490,878,000 shares and 487,331,000 shares)39,099 38,490 
Total shareholders’ equity74,023 63,278 
Total liabilities and shareholders’ equity$182,018 174,894 
20232022
Assets
Current assets  
Cash and cash equivalents (Notes 1 and 2)$21,85912,889
Marketable securities (Notes 1 and 2)1,0689,392
Accounts receivable trade, less allowances $166 (2022, $169)14,87314,039
Inventories (Notes 1 and 3)11,18110,268
Prepaid expenses and other receivables4,5142,876
Current assets of discontinued operations (Note 21)5,830
Total current assets53,49555,294
Property, plant and equipment, net (Notes 1 and 4)19,89817,982
Intangible assets, net (Notes 1 and 5)34,17538,489
Goodwill (Notes 1 and 5)36,55836,047
Deferred taxes on income (Note 8)9,2798,947
Other assets14,1539,212
Noncurrent assets of discontinued operations (Note 21)21,407
Total assets$167,558187,378
Liabilities and Shareholders’ Equity  
Current liabilities  
Loans and notes payable (Note 7)$3,45112,756
Accounts payable9,6329,889
Accrued liabilities10,21210,719
Accrued rebates, returns and promotions16,00113,579
Accrued compensation and employee related obligations3,9933,049
Accrued taxes on income (Note 8)2,9932,220
Current liabilities of discontinued operations (Note 21)3,590
Total current liabilities46,28255,802
Long-term debt (Note 7)25,88126,886
Deferred taxes on income (Note 8)3,1933,991
Employee related obligations (Notes 9 and 10)7,1496,542
Long-term taxes payable (Note 1)2,8814,306
Other liabilities13,39810,146
Noncurrent liabilities of discontinued operations (Note 21)2,901
Total liabilities98,784110,574
Commitments and Contingencies (Note 19)
Shareholders’ equity  
Preferred stock — without par value (authorized and unissued 2,000,000 shares)
Common stock — par value $1.00 per share (Note 12) (authorized 4,320,000,000 shares; issued 3,119,843,000 shares)3,1203,120
Accumulated other comprehensive income (loss) (Note 13)(12,527)(12,967)
Retained earnings and Additional-paid-in-capital153,843128,345
Less: common stock held in treasury, at cost (Note 12) (712,765,000 shares and 506,246,000 shares)75,66241,694
Total shareholders’ equity68,77476,804
Total liabilities and shareholders’ equity$167,558187,378
See Notes to Consolidated Financial Statements
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JOHNSONJohnson & JOHNSON AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF EARNINGS
Johnson and subsidiaries consolidated statements of earnings
(Dollars and Shares in Millions Except Per Share Amounts) (Note 1)
202120202019
Sales to customers$93,775 82,584 82,059 
Cost of products sold29,855 28,427 27,556 
Gross profit63,920 54,157 54,503 
Selling, marketing and administrative expenses24,659 22,084 22,178 
Research and development expense14,714 12,159 11,355 
In-process research and development (Note 5)900 181 890 
Interest income(53)(111)(357)
Interest expense, net of portion capitalized (Note 4)183 201 318 
Other (income) expense, net489 2,899 2,525 
Restructuring (Note 20)252 247 266 
Earnings before provision for taxes on income22,776 16,497 17,328 
Provision for taxes on income (Note 8)1,898 1,783 2,209 
Net earnings$20,878 14,714 15,119 
Net earnings per share (Notes 1 and 15)
    Basic$7.93 5.59 5.72 
    Diluted$7.81 5.51 5.63 
Average shares outstanding (Notes 1 and 15)
   Basic2,632.1 2,632.8 2,645.1 
   Diluted2,674.0 2,670.7 2,684.3 

See Notes to Consolidated Financial Statements


42


JOHNSON & JOHNSON AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(Dollars in Millions) (Note 1)
202120202019
Net earnings$20,878 14,714 15,119 
Other comprehensive income (loss), net of tax
      Foreign currency translation(1,079)(233)164 
      Securities:
          Unrealized holding gain (loss) arising during period(4)— 
          Reclassifications to earnings— — — 
          Net change(4)— 
      Employee benefit plans:
          Prior service credit (cost), net of amortization(169)1,298 (18)
          Gain (loss), net of amortization4,318 (1,135)(714)
          Effect of exchange rates106 (229)(1)
          Net change4,255 (66)(733)
      Derivatives & hedges:
          Unrealized gain (loss) arising during period(199)1,000 (107)
          Reclassifications to earnings(789)(53)
          Net change(988)947 (100)
Other comprehensive income (loss)2,184 649 (669)
Comprehensive income$23,062 15,363 14,450 
The tax effects in other comprehensive income for the fiscal years 2021, 2020 and 2019 respectively: Foreign Currency Translation; $346 million, $536 million and $19 million; Securities: $1 million in 2021, Employee Benefit Plans: $1,198 million, $21 million and $222 million, Derivatives & Hedges: $263 million, $252 million and $27 million.
See Notes to Consolidated Financial Statements

43




JOHNSON & JOHNSON AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF EQUITY
(Dollars in Millions) (Note 1)
TotalRetained
Earnings
Accumulated
Other
Comprehensive
Income (Loss)
Common Stock
Issued Amount
Treasury
Stock
Amount
Balance, December 30, 2018$59,752 106,216 (15,222)3,120 (34,362)
Net earnings15,119 15,119    
Cash dividends paid ($3.75 per share)(9,917)(9,917)   
Employee compensation and stock option plans1,933 (758)  2,691 
Repurchase of common stock(6,746)  (6,746)
Other(1)(1)
Other comprehensive income (loss), net of tax(669)(669)  
Balance, December 29, 201959,471 110,659 (15,891)3,120 (38,417)
Net earnings14,714 14,714    
Cash dividends paid ($3.98 per share)(10,481)(10,481)   
Employee compensation and stock option plans2,217 (931)  3,148 
Repurchase of common stock(3,221)  (3,221)
Other(71)(71)
Other comprehensive income (loss), net of tax649  649   
Balance, January 3, 202163,278 113,890 (15,242)3,120 (38,490)
Net earnings20,878 20,878    
Cash dividends paid ($4.19 per share)(11,032)(11,032)   
Employee compensation and stock option plans2,171 (676)  2,847 
Repurchase of common stock(3,456)  (3,456)
Other comprehensive income (loss), net of tax2,184  2,184   
Balance, January 2, 2022$74,023 123,060 (13,058)3,120 (39,099)

See Notes to Consolidated Financial Statements

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JOHNSON & JOHNSON AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Dollars in Millions) (Note 1)
202120202019
Cash flows from operating activities  
Net earnings$20,878 14,714 15,119 
Adjustments to reconcile net earnings to cash flows from operating activities:  
Depreciation and amortization of property and intangibles7,390 7,231 7,009 
Stock based compensation1,135 1,005 977 
Asset write-downs989 233 1,096 
Contingent consideration reversal— (1,148)— 
Net gain on sale of assets/businesses(617)(111)(2,154)
Deferred tax provision(2,079)(1,141)(2,476)
Credit losses and accounts receivable allowances(48)63 (20)
Changes in assets and liabilities, net of effects from acquisitions and divestitures:  
(Increase)/Decrease in accounts receivable(2,402)774 (289)
Increase in inventories(1,248)(265)(277)
Increase in accounts payable and accrued liabilities2,437 5,141 4,060 
Increase in other current and non-current assets(1,964)(3,704)(1,054)
(Decrease)/Increase in other current and non-current liabilities(1,061)744 1,425 
Net cash flows from operating activities23,410 23,536 23,416 
Cash flows from investing activities  
Additions to property, plant and equipment(3,652)(3,347)(3,498)
Proceeds from the disposal of assets/businesses, net711 305 3,265 
Acquisitions, net of cash acquired (Note 18)(60)(7,323)(5,810)
Purchases of investments(30,394)(21,089)(3,920)
Sales of investments25,006 12,137 3,387 
Credit support agreements activity, net214 (987)338 
Other (primarily licenses and milestones)(508)(521)44 
Net cash used by investing activities(8,683)(20,825)(6,194)
Cash flows from financing activities 
Dividends to shareholders(11,032)(10,481)(9,917)
Repurchase of common stock(3,456)(3,221)(6,746)
Proceeds from short-term debt1,997 3,391 39 
Repayment of short-term debt(1,190)(2,663)(100)
Proceeds from long-term debt, net of issuance costs7,431 
Repayment of long-term debt(1,802)(1,064)(2,823)
Proceeds from the exercise of stock options/employee withholding tax on stock awards, net1,036 1,114 954 
Credit support agreements activity, net281 (333)100 
Other114 (294)475 
Net cash used by financing activities(14,047)(6,120)(18,015)
Effect of exchange rate changes on cash and cash equivalents(178)89 (9)
Increase/(Decrease) in cash and cash equivalents502 (3,320)(802)
Cash and cash equivalents, beginning of year (Note 1)13,985 17,305 18,107 
Cash and cash equivalents, end of year (Note 1)$14,487 13,985 17,305 
Supplemental cash flow data   
Cash paid during the year for:   
Interest$990 904 995 
Interest, net of amount capitalized941 841 925 
Income taxes4,768 4,619 4,191 
45


Supplemental schedule of non-cash investing and financing activities   
Treasury stock issued for employee compensation and stock option plans, net of cash proceeds/ employee withholding tax on stock awards$1,811 1,937 1,736 
Conversion of debt— 27 
Acquisitions   
Fair value of assets acquired$61 7,755 7,228 
Fair value of liabilities assumed and noncontrolling interests(1)(432)(1,418)
Net cash paid for acquisitions (Note 18)$60 7,323 5,810 
202320222021
Sales to customers$85,15979,99078,740
Cost of products sold26,55324,59623,402
Gross profit58,60655,39455,338
Selling, marketing and administrative expenses21,51220,24620,118
Research and development expense15,08514,13514,277
In-process research and development impairments313783900
Interest income(1,261)(490)(53)
Interest expense, net of portion capitalized (Note 4)772276183
Other (income) expense, net6,634810526
Restructuring (Note 20)489275209
Earnings before provision for taxes on income15,06219,35919,178
Provision for taxes on income (Note 8)1,7362,9891,377
Net earnings from continuing operations13,32616,37017,801
Net earnings from discontinued operations, net of tax (Note 21)21,8271,5713,077
Net earnings$35,15317,94120,878
Net earnings per share (Notes 1 and 15)
Continuing operations - basic$5.266.236.76
Discontinued operations - basic$8.620.601.17
Total net earnings per share - basic$13.886.837.93
Continuing operations - diluted$5.206.146.66
Discontinued operations - diluted$8.520.591.15
Total net earnings per share - diluted$13.726.737.81
Average shares outstanding (Notes 1 and 15)
Basic2,533.52,625.22,632.1
Diluted2,560.42,663.92,674.0
See Notes to Consolidated Financial Statements
2023 Annual Report4645


Johnson & Johnson and subsidiaries consolidated statements of comprehensive income
(Dollars in Millions) (Note 1)
202320222021
Net earnings$35,15317,94120,878
Other comprehensive income (loss), net of tax
Foreign currency translation(3,221)(1,796)(1,079)
Securities:
Unrealized holding gain (loss) arising during period26(24)(4)
Reclassifications to earnings
Net change26(24)(4)
Employee benefit plans:
Prior service credit (cost), net of amortization(149)(160)(169)
Gain (loss), net of amortization(1,183)1,8544,318
Consumer settlement/ curtailment23
Effect of exchange rates(90)111106
Net change(1,399)1,8054,255
Derivatives & hedges:
Unrealized gain (loss) arising during period422454(199)
Reclassifications to earnings(569)(348)(789)
Net change(147)106(988)
Other comprehensive income (loss)(4,741)912,184
Comprehensive income$30,41218,03223,062
The tax effects in other comprehensive income for the fiscal years 2023, 2022 and 2021 respectively: Foreign Currency Translation; $797 million, $460 million and $346 million; Employee Benefit Plans: $289 million, $461 million and $1,198 million, Derivatives & Hedges: $39 million, $30 million and $263 million.
See Notes to Consolidated Financial Statements
Amounts presented have not been recast to exclude discontinued operations
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTSJohnson & Johnson and subsidiaries consolidated statements of equity
(Dollars in Millions) (Note 1)
TotalRetained
Earnings and Additional paid-in capital
Accumulated
Other
Comprehensive
Income (Loss)
Common Stock
Issued
Amount
Treasury
Stock
Amount
Balance, January 3, 2021$63,278113,890(15,242)3,120(38,490)
Net earnings20,87820,878   
Cash dividends paid ($4.19 per share)(11,032)(11,032)   
Employee compensation and stock option plans2,171(676)  2,847
Repurchase of common stock(3,456)  (3,456)
Other comprehensive income (loss), net of tax2,1842,184  
Balance, January 2, 202274,023123,060(13,058)3,120(39,099)
Net earnings17,94117,941   
Cash dividends paid ($4.45 per share)(11,682)(11,682)   
Employee compensation and stock option plans2,466(974)  3,440
Repurchase of common stock(6,035)  (6,035)
Other comprehensive income (loss), net of tax91 91  
Balance, January 1, 202376,804128,345(12,967)3,120(41,694)
Net earnings35,15335,153   
Cash dividends paid ($4.70 per share)(11,770)(11,770)   
Employee compensation and stock option plans2,193(336)  2,529
Repurchase of common stock(5,054)  (5,054)
Other(25)(25)
Kenvue Separation /IPO (Note 21)(23,786)2,4515,181(31,418)
Other comprehensive income (loss), net of tax(4,741) (4,741)  
Balance, December 31, 2023$68,774153,843(12,527)3,120(75,662)
See Notes to Consolidated Financial Statements
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Johnson & Johnson and subsidiaries consolidated statements of cash flows
(Dollars in Millions) (Note 1)
202320222021
Cash flows from operating activities  
Net earnings$35,15317,94120,878
Adjustments to reconcile net earnings to cash flows from operating activities:  
Depreciation and amortization of property and intangibles7,4866,9707,390
Stock based compensation1,1621,1381,135
Asset write-downs1,2951,216989
      Charge for purchase of in-process research and development assets483
      Gain on Kenvue separation(20,984)
Net gain on sale of assets/businesses(117)(380)(617)
Deferred tax provision(4,194)(1,663)(2,079)
Credit losses and accounts receivable allowances(17)(48)
Changes in assets and liabilities, net of effects from acquisitions and divestitures:  
Increase in accounts receivable(624)(1,290)(2,402)
Increase in inventories(1,323)(2,527)(1,248)
Increase in accounts payable and accrued liabilities2,3461,0982,437
(Increase)/Decrease in other current and non-current assets(3,480)687(1,964)
Increase/(Decrease) in other current and non-current liabilities5,588(1,979)(1,061)
Net cash flows from operating activities22,79121,19423,410
Cash flows from investing activities  
Additions to property, plant and equipment(4,543)(4,009)(3,652)
Proceeds from the disposal of assets/businesses, net358543711
Acquisitions, net of cash acquired (Note 18)(17,652)(60)
Purchases of in-process research and development assets (Note 18)(470)
Purchases of investments(10,906)(32,384)(30,394)
Sales of investments19,39041,60925,006
Credit support agreements activity, net(2,963)(249)214
Other (including capitalized licenses and milestones)12(229)(508)
Net cash from/(used) by investing activities878(12,371)(8,683)
Cash flows from financing activities 
Dividends to shareholders(11,770)(11,682)(11,032)
Repurchase of common stock(5,054)(6,035)(3,456)
Proceeds from short-term debt13,74316,1341,997
Repayment of short-term debt(22,973)(6,550)(1,190)
Proceeds from long-term debt, net of issuance costs25
Repayment of long-term debt(1,551)(2,134)(1,802)
Proceeds from the exercise of stock options/employee withholding tax on stock awards, net1,0941,3291,036
Credit support agreements activity, net(219)(28)281
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202320222021
Proceeds of short and long-term debt, net of issuance cost, related to the debt that transferred to Kenvue at separation8,047
Proceeds from Kenvue initial public offering4,241
Cash transferred to Kenvue at separation(1,114)
Other(269)93114
Net cash used by financing activities(15,825)(8,871)(14,047)
Effect of exchange rate changes on cash and cash equivalents(112)(312)(178)
Increase/(Decrease) in cash and cash equivalents7,732(360)502
     Cash and cash equivalents from continuing operations, beginning of period12,88913,30912,697
     Cash and cash equivalents from discontinued operations, beginning of period1,2381,1781,288
Cash and cash equivalents, beginning of year (Note 1)14,12714,48713,985
     Cash and cash equivalents from continuing operations, end of period21,85912,88913,309
     Cash and cash equivalents from discontinued operations, end of period1,2381,178
Cash and cash equivalents, end of year (Note 1)$21,85914,12714,487
Supplemental cash flow data   
Cash paid during the year for:   
Interest$1,836982990
Interest, net of amount capitalized1,766933941
Income taxes, inclusive of discontinued operations8,5745,2234,768
Supplemental schedule of non-cash investing and financing activities   
Treasury stock issued for employee compensation and stock option plans, net of cash proceeds/ employee withholding tax on stock awards$1,4352,1141,811
Acquisitions   
Fair value of assets acquired$—18,71061
Fair value of liabilities assumed(1,058)(1)
Net cash paid for acquisitions (Note 18)$—17,65260
See Notes to Consolidated Financial Statements
Amounts presented have not been recast to exclude discontinued operations.

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Notes to Consolidated Financial Statements
1.Summary of Significant Accounting Policiessignificant accounting policies
Principles of Consolidationconsolidation
The consolidated financial statements include the accounts of Johnson & Johnson and its subsidiaries (the Company). Intercompany accounts and transactions are eliminated. Columns and rows within tables may not add due to rounding. Percentages have been calculated using actual, non-rounded figures.
Description of the Companycompany and Business Segmentsbusiness segments
The Company has approximately 141,700131,900 employees worldwide engaged in the research and development, manufacture and sale of a broad range of products in the healthcare field. The Company conducts business in virtually all countries of the world and its primary focus is on products related to human health and well-being.
Kenvue IPO/separation and discontinued operations
On May 8, 2023, Kenvue, completed an initial public offering (the IPO) resulting in the issuance of 198,734,444 shares of its common stock, par value $0.01 per share (the “Kenvue Common Stock”), at an initial public offering of $22.00 per share for net proceeds of $4.2 billion. The excess of the net proceeds from the IPO over the net book value of the Johnson & Johnson divested interest was $2.5 billion and was recorded to additional paid-in capital. As of the closing of the IPO, Johnson & Johnson owned approximately 89.6% of the total outstanding shares of Kenvue Common Stock and at July 2, 2023, the non-controlling interest of $1.3 billion associated with Kenvue was reflected in equity attributable to non-controlling interests in the consolidated balance sheet in the fiscal second quarter of 2023.
On August 23, 2023, Johnson & Johnson completed the disposition of an additional 80.1% ownership of the shares of Kenvue through an exchange offer. Following the exchange offer, the Company owns 9.5% of the shares of Kenvue which are accounted for as an equity investment carried at fair value within continuing operations. The historical results of the Consumer Health business (which previously represented the Consumer Health business segment) are reflected as discontinued operations in the Company’s Consolidated Financial Statements through the date of the exchange offer (see Note 21 for additional details). Unless otherwise indicated, the information in the notes to the Consolidated Financial Statements refer only to Johnson & Johnson’s continuing operations.
Business segments
Following the completion of the exchange offer, the Company is organized into 3two business segments: Consumer Health, PharmaceuticalInnovative Medicine and Medical Devices.MedTech. The Consumer Health segment includes a broad range of products used in the Baby Care, Oral Care, Skin Health/Beauty, Over-the-Counter pharmaceutical, Women’s Health and Wound Care markets. These products are marketed to the general public and sold online (eCommerce) and to retail outlets and distributors throughout the world. The PharmaceuticalInnovative Medicine segment is focused on sixthe following therapeutic areas, including Immunology, Infectious diseases, Neuroscience, Oncology, Pulmonary Hypertension, and Cardiovascular and Metabolic diseases. Products in this segment are distributed directly to retailers, wholesalers, distributors, hospitals and healthcare professionals for prescription use. The Medical DevicesMedTech segment includes a broad rangeportfolio of products used in the Orthopaedic, Surgery, Interventional Solutions (cardiovascular and neurovascular) and Vision fields. These products are distributed to wholesalers, hospitals and retailers, and used principally in the professional fields by physicians, nurses, hospitals, eye care professionals and clinics.
In November 2021,New accounting standards
Recently adopted accounting standards
ASU 2022-04: Liabilities-Supplier Finance Programs (Topic 405-50) – Disclosure of Supplier Finance Program Obligations
The Company adopted the standard as of the beginning of fiscal year 2023, which requires that a buyer in a supplier finance program disclose additional information about the program for financial statement users.
The Company has agreements for supplier finance programs with third-party financial institutions. These programs provide participating suppliers the ability to finance payment obligations from the Company announced its intention to separate the Company’s Consumer Health business, with the intention to create a new, publicly traded company.third-party financial institutions. The Company is targeting completionnot a party to the arrangements between the suppliers and the third-party financial institutions. The Company’s obligations to its suppliers, including amounts due, and scheduled payment dates (which have general payment terms of 90 days), are not affected by a participating supplier’s decision to participate in the planned separation in 18 to 24 months after initial announcement.program.
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New Accounting Standards
Recently Adopted Accounting Standards

ThereAs of both December 31, 2023, and January 1, 2023, $0.7 billion were no new material accounting standards adopted in fiscal 2021.
valid obligations under the program. The obligations are presented as
Accounts payable
on the Consolidated Balance Sheets.
Recently Issued Accounting Standards
Not Adopted as of January 2, 2022
The Company assesses the adoption impacts of recently issued accounting standards by
Not adopted as of December 31, 2023
ASU 2023-07: Segment Reporting (Topic 280) – Improvements to Reportable Segment Disclosures
This update requires expanded annual and interim disclosures for significant segment expenses that are regularly provided to the Financial Accounting Standards Boardchief operating decision maker and included within each reported measure of segment profit or loss. This update will be effective for fiscal years beginning after December 15, 2023, and is to be applied retrospectively to all periods presented in the financial statements. Early adoption is permitted. As this accounting standard only impacts disclosures, it will not have a material impact on the Company's financial statements as well as material updates to previous assessments, if any, from the Company’s Annual Report on Form 10-K for the fiscal year ended January 3, 2021. There were no new material accounting standards issued in fiscal 2021 that impacted the Company.Consolidated Financial Statements.

ASU 2021-01: Reference Rate Reform2023-09: Income Taxes (Topic 740) - Improvements to Income Tax Disclosures
In mid- 2017,This update standardizes categories for the Financial Conduct Authority (FCA) announced thateffective tax rate reconciliation, requires disaggregation of income taxes and additional income tax-related disclosures. This update is required to be effective for the Company for fiscal periods beginning after December 15, 2024. As this accounting standard only impacts disclosures, it will no longer require banks to submit rates fornot have a material impact on the London Interbank Offered Rate (LIBOR) after 2021 hence market participants should work to transition to alternative reference rates (Reference Rate Reform) and should not rely on LIBOR being available after the end of 2021. Reference rate reform is the term used to refer to the efforts that have been undertaken by regulators and other market participants to introduce new reference rates that are based on a larger and more liquid population of observable transactions. The Company evaluated the implications of reference rate reform and applicable financial reporting guidance in ASU 2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform onCompany’s Consolidated Financial Reporting on its key financial and commercial contracts that referenced LIBOR including any hedging relationships. Most contracts reviewed will mature prior to the termination of LIBOR or will be modified to apply a new reference rate (primarily the Secured Overnight Financing Rate “SOFR” where applicable). The company also applied available practical expedients under ASC 848 to in scope financial and commercial contracts that previously referenced LIBOR when applicable. As a result, the Company's implementation of any reference rate reform provisions to commercial and financial contracts did not result in any material change for the Company. Statements.
Cash Equivalentsequivalents
The Company classifies all highly liquid investments with stated maturities of three months or less from date of purchase as cash equivalents and all highly liquid investments with stated maturities of greater than three months from the date of purchase as current marketable securities. The Company has a policy of making investments only with commercial institutions that have
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at least an investment grade credit rating. The Company invests its cash primarily in government securities and obligations, corporate debt securities, money market funds and reverse repurchase agreements (RRAs).
RRAs are collateralized by deposits in the form of Government Securities and Obligations for an amount not less than 102% of their value. The Company does not record an asset or liability as the Company is not permitted to sell or repledge the associated collateral. The Company has a policy that the collateral has at least an A (or equivalent) credit rating. The Company utilizes a third party custodian to manage the exchange of funds and ensure that collateral received is maintained at 102% of the value of the RRAs on a daily basis. RRAs with stated maturities of greater than three months from the date of purchase are classified as marketable securities.
Investments
Investments classified as held to maturity investments are reported at amortized cost and realized gains or losses are reported in earnings. Investments classified as available-for-sale debt securities are carried at estimated fair value with unrealized gains and losses recorded as a component of accumulated other comprehensive income. Available-for-sale securities available for current operations are classified as current assetsassets; otherwise, they are classified as long term. Management determines the appropriate classification of its investment in debt and equity securities at the time of purchase and re-evaluates such determination at each balance sheet date. The Company reviews its investments for impairment and adjusts these investments to fair value through earnings, as required. 
Property, Plantplant and Equipmentequipment and Depreciationdepreciation
Property, plant and equipment are stated at cost. The Company utilizes the straight-line method of depreciation over the estimated useful lives of the assets:
Building and building equipment20 - 30 years
Land and leasehold improvements10 - 20 years
Machinery and equipment2 - 13 years

The Company capitalizes certain computer software and development costs, included in machinery and equipment, when incurred in connection with developing or obtaining computer software for internal use. Capitalized software costs are amortized over the estimated useful lives of the software, which generally range from 3 to 8 years.
The Company reviews long-lived assets to assess recoverability using undiscounted cash flows. When certain events or changes in operating or economic conditions occur, an impairment assessment may be performed on the recoverability of the
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carrying value of these assets. If the asset is determined to be impaired, the loss is measured based on the difference between the asset’s fair value and its carrying value. If quoted market prices are not available, the Company will estimate fair value using a discounted value of estimated future cash flows.
Revenue Recognitionrecognition
The Company recognizes revenue from product sales when obligations under the terms of a contract with the customer are satisfied; generally, this occurs with the transfer of control of the goods to customers. The Company's global payment terms are typically between 30 to 90 days. Provisions for certain rebates, sales incentives, trade promotions, coupons, product returns, discounts to customers and governmental clawback provisions are accounted for as variable consideration and recorded as a reduction in sales. The liability is recognized within Accrued Rebates, Returns,rebates, returns, and Promotionspromotions on the consolidated balance sheet.
Product discounts granted are based on the terms of arrangements with direct, indirect and other market participants, as well as market conditions, including consideration of competitor pricing. Rebates are estimated based on contractual terms, historical experience, patient outcomes, trend analysis and projected market conditions in the various markets served. A significant portion of the liability related to rebates is from the sale of the Company's pharmaceutical products within the U.S., primarily thethe Managed Care, Medicare and Medicaid programs, which amounted to $7.7$11.5 billion and $7.2$9.6 billion as of January 2, 2022December 31, 2023 and January 3, 2021,1, 2023, respectively. The Company evaluates market conditions for products or groups of products primarily through the analysis of wholesaler and other third-party sell-through and market research data, as well as internally generated information.
Sales returns are estimated and recorded based on historical sales and returns information. Products that exhibit unusual sales or return patterns due to dating, competition or other marketing matters are specifically investigated and analyzed as part of the accounting for sales return accruals.
Sales returns allowances represent a reserve for products that may be returned due to expiration, destruction in the field, or in specific areas, product recall. The sales returns reserve is based on historical return trends by product and by market as a percent to gross sales. In accordance with the Company’s accounting policies, the Company generally issues credit to customers for returned goods. The Company’s sales returns reserves are accounted for in accordance with the U.S. GAAP guidance for revenue recognition when right of return exists. Sales returns reserves are recorded at full sales value. Sales returns in the Consumer Health and PharmaceuticalInnovative Medicine segments are almost exclusively not resalable. Sales returns for certain franchises in the
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Medical Devices MedTech segment are typically resalable but are not material. The Company infrequently exchanges products from inventory for returned products. The sales returns reserve for the total Company has been approximatelyless than 1.0% of annual net trade sales during each of the fiscal years 2021, 20202023, 2022 and 2019.2021.
Promotional programs, such as product listing allowances and cooperative advertising arrangements, are recorded in the same period as related sales. Continuing promotional programssales and include coupons and volume-based sales incentive programs. The redemption cost of consumer coupons is based on historical redemption experience by product and value. Volume-based incentive programs are based on the estimated sales volumes for the incentive period and are recorded as products are sold. These arrangements are evaluated to determine the appropriate amounts to be deferred or recorded as a reduction of revenue. The Company also earns profit-share payments through collaborative arrangements forof certain products, which are included in sales to customers. For all years presented, profit-shareProfit-share payments were less than 2.0% of the total revenues in fiscal year 2023 and less than 3.0% of the total revenues in the fiscal years 2022 and 2021 and are included in sales to customers.
See Note 17 to the Consolidated Financial Statements for further disaggregation of revenue.
Shipping and Handlinghandling
Shipping and handling costs incurred were $1.1$0.9 billion, $1.0$0.8 billion and $1.0$0.8 billion in fiscal years 2021, 20202023, 2022 and 2019,2021, respectively, and are included in selling, marketing and administrative expense. The amount of revenue received for shipping and handling is less than 0.5%1.0% of sales to customers for all periods presented.
Inventories
Inventories are stated at the lower of cost or net realizable value determined by the first-in, first-out method.
Intangible Assetsassets and Goodwillgoodwill
The authoritative literature on U.S. GAAP requires that goodwill and intangible assets with indefinite lives be assessed annually for impairment. The Company completed its annual impairment test for 20212023 in the fiscal fourth quarter. Future impairment
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tests will be performed annually in the fiscal fourth quarter, or sooner if warranted. Purchased in-process research and development is accounted for as an indefinite lived intangible asset until the underlying project is completed, at which point the intangible asset will be accounted for as a definite lived intangible asset, or abandoned, at which pointasset. If warranted the intangible asset willpurchased in-process research and development could be written off or partially impaired.impaired depending on the underlying program.
Intangible assets that have finite useful lives continue to be amortized over their useful lives, and are reviewed for impairment when warranted by economic conditions. See Note 5 for further details on Intangible Assets and Goodwill.
Financial Instrumentsinstruments
As required by U.S. GAAP, all derivative instruments are recorded on the balance sheet at fair value. Fair value is the exit
price that would be received to sell an asset or paid to transfer a liability. Fair value is a market-based measurement determined using assumptions that market participants would use in pricing an asset or liability. The authoritative literature establishes a three-level hierarchy to prioritize the inputs used in measuring fair value, with Level 1 having the highest priority and Level 3 having the lowest. Changes in the fair value of derivatives are recorded each period in current earnings or other comprehensive income, depending on whether the derivative is designated as part of a hedge transaction, and if so, the type of hedge transaction.
The Company documents all relationships between hedged items and derivatives. The overall risk management strategy includes reasons for undertaking hedge transactions and entering into derivatives. The objectives of this strategy are: (1) minimize foreign currency exposure’s impact on the Company’s financial performance; (2) protect the Company’s cash flow from adverse movements in foreign exchange rates; (3) ensure the appropriateness of financial instruments; and (4) manage the enterprise risk associated with financial institutions. See Note 6 for additional information on Financial Instruments.

Leases
The Company determines whether an arrangement is a lease at contract inception by establishing if the contract conveys the right to control the use of identified property, plant, or equipment for a period of time in exchange for consideration. Right of Use (ROU) Assets and Lease Liabilities for operating leases are included in Other assets, Accrued liabilities, and Other liabilities on the consolidated balance sheet. The ROU Assets represent the right to use an underlying asset for the lease term and lease liabilities represent an obligation to make lease payments arising from the lease. Commitments under finance leases are not significant, and are included in Property, plant and equipment, Loans and notes payable, and Long-term debt on the consolidated balance sheet.
ROU Assets and Lease Liabilities are recognized at the lease commencement date based on the present value of all minimum lease payments over the lease term. The Company uses its incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments, when the implicit rate is not readily determinable. Lease terms may include options to extend or terminate the lease. These options are included in the lease term when it is reasonably certain that the Company will exercise that option. Operating lease expense is recognized on a straight-line basis over the lease term. The Company has elected the following policy elections on adoption: use of portfolio approach
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on leases of assets under master service agreements, exclusion of short term leases on the balance sheet, and not separating lease and non-lease components.
The Company primarily has operating lease for space, vehicles, manufacturing equipment and data processing equipment. The ROU asset pertaining to operating leases from continuing operation was $0.9 billion and $1.0 billion in 2021both fiscal years 2023 and 2020, respectively.2022. The lease liability from continuing operations was $1.0 billion and $1.1 billion in 2021and 2020, respectively.both fiscal years 2023 and 2022. The operating lease costs from continuing operations were $0.3 billion, $0.3 billion and $0.3$0.2 billion in 2021, 2020fiscal years 2023, 2022 and 2019, respectively.2021. Cash paid for amounts included in the measurement of lease liabilities from continuing operations were $0.3 billion, $0.3 billion and $0.3$0.2 billion in 2021, 2020fiscal years 2023, 2022 and 2019, respectively.2021.
Product Liabilityliability
Accruals for product liability claims are recorded, on an undiscounted basis, when it is probable that a liability has been incurred and the amount of the liability can be reasonably estimated based on existing information and actuarially determined estimates where applicable. The accruals are adjusted periodically as additional information becomes available. The Company accrues an estimate of the legal defense costs needed to defend each matter when those costs are probable and can be reasonably estimated. To the extent adverse verdicts have been rendered against the Company, the Company does not record an accrual until a loss is determined to be probable and can be reasonably estimated.
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The Company has self insurance through a wholly-owned captive insurance company. In addition to accruals in the self insurance program, claims that exceed the insurance coverage are accrued when losses are probable and amounts can be reasonably estimated.
Research and Developmentdevelopment
Research and development expenses are expensed as incurred in accordance with ASC 730, Research and Development. Upfront and milestone payments made to third parties in connection with research and development collaborations are expensed as incurred up to the point of regulatory approval. Payments made to third parties subsequent to regulatory approval are capitalized and amortized over the remaining useful life of the related product. Amounts capitalized for such payments are included in other intangibles, net of accumulated amortization.
The Company enters into collaborative arrangements, typically with other pharmaceutical or biotechnology companies, to develop and commercialize drug candidates or intellectual property. These arrangements typically involve two (or more) parties who are active participants in the collaboration and are exposed to significant risks and rewards dependent on the commercial success of the activities. These collaborations usually involve various activities by one or more parties, including research and development, marketing and selling and distribution. Often, these collaborations require upfront, milestone and royalty or profit share payments, contingent upon the occurrence of certain future events linked to the success of the asset in development. Amounts due from collaborative partners related to development activities are generally reflected as a reduction of research and development expense because the performance of contract development services is not central to the Company’s operations. In general, the income statement presentation for these collaborations is as follows:
Nature/Type of CollaborationStatement of Earnings Presentation
Third-party sale of product & profit share payments receivedSales to customers
Royalties/milestones paid to collaborative partner (post-regulatory approval)*Cost of products sold
Royalties received from collaborative partnerOther income (expense), net
Upfront payments & milestones paid to collaborative partner (pre-regulatory approval)Research and development expense
Research and development payments to collaborative partnerResearch and development expense
Research and development payments received from collaborative partner or government entityReduction of Research and development expense
**    Milestones are capitalized as intangible assets and amortized to cost of products sold over the useful life.
For all years presented, there was no individual project that represented greater than 5% of the total annual consolidated research and development expense.
The Company has a number of products and compounds developed in collaboration with strategic partners including XARELTO,®, co-developed with Bayer HealthCare AG and IMBRUVICA,®, developed in collaboration and co-marketed with Pharmacyclics LLC, an AbbVie company.
Separately, the Company has a number of licensing arrangements for products and compounds including DARZALEX,®, licensed from Genmab A/S.
Advertising
Costs associated with advertising are expensed in the year incurred and are included in selling, marketing and administrative expenses. Advertising expenses worldwide, which comprised television, radio, print media and Internet advertising, were $2.7$0.5 billion, $2.1$0.7 billion and $2.2$1.2 billion in fiscal years 2021, 20202023, 2022 and 2019,2021, respectively.
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Income Taxestaxes
Income taxes are recorded based on amounts refundable or payable for the current year and include the results of any difference between U.S. GAAP accounting and tax reporting, recorded as deferred tax assets or liabilities. The Company
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estimates deferred tax assets and liabilities based on enacted tax regulations and rates. Future changes in tax laws and rates may affect recorded deferred tax assets and liabilities in the future.
The Company has unrecognized tax benefits for uncertain tax positions. The Company follows U.S. GAAP which prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Management believes that changes in these estimates would not have a material effect on the Company's results of operations, cash flows or financial position.
In 2017, the United States enacted into law new U.S. tax legislation, the U.S. Tax Cuts and Jobs Act (TCJA). This law included provisions for a comprehensive overhaul of the corporate income tax code, including a reduction of the statutory corporate tax rate from 35% to 21%, effective on January 1, 2018. The TCJA included a provision for a tax on all previously undistributed earnings of U.S. companies located in foreign jurisdictions. Undistributed earnings in the form of cash and cash equivalents were taxed at a rate of 15.5% and all other earnings were taxed at a rate of 8.0%. This tax is payable over 8 years and will not accrue interest. These payments began in 2018 and will continue through 2025. The remaining balance at the end of the 20212023 was approximately $6.9$4.5 billion, of which $6.1$2.5 billion is classified as noncurrent and reflected as “Long-term taxes payable” on the Company’s balance sheet. The balance of this account is related to receivables from tax authorities not expected to be received in the next 12 months.
The TCJA also includes provisions for a tax on global intangible low-taxed income (GILTI). GILTI is described as the excess of a U.S. shareholder’s total net foreign income over a deemed return on tangible assets, as provided by the TCJA. In January 2018, the FASB issued guidance that allows companies to elect as an accounting policy whether to record the tax effects of GILTI in the period the tax liability is generated (i.e., “period cost”) or provide for deferred tax assets and liabilities related to basis differences that exist and are expected to effect the amount of GILTI inclusion in future years upon reversal (i.e., “deferred method”). The Company has elected to account for GILTI under the deferred method. The deferred tax amounts recorded are based on the evaluation of temporary differences that are expected to reverse as GILTI is incurred in future periods.
The Company has recorded deferred tax liabilities on all undistributed earnings prior to December 31, 2017 from its international subsidiaries. The Company has not provided deferred taxes on the undistributed earnings subsequent to January 1, 2018 from certain international subsidiaries where the earnings are considered to be indefinitely reinvested. The Company intends to continue to reinvest these earnings in those international operations. If the Company decides at a later date to repatriate these earnings to the U.S., the Company would be required to provide for the net tax effects on these amounts. The Company estimates that the tax effect of this repatriation would be approximately $0.7$0.5 billion under currently enacted tax laws and regulations and at current currency exchange rates. This amount does not include the possible benefit of U.S. foreign tax credits, which may substantially offset this cost.
See Note 8 to the Consolidated Financial Statementsfor further information regarding income taxes.
Net Earnings Per Shareearnings per share
Basic earnings per share is computed by dividing net earnings available to common shareholders by the weighted average number of common shares outstanding for the period. Diluted earnings per share reflects the potential dilution that could occur if securities were exercised or converted into common stock using the treasury stock method.
Use of Estimatesestimates
The preparation of consolidated financial statements in conformity with accounting principles generally accepted in the U.S. requires management to make estimates and assumptions that affect the amounts reported. Estimates are used when accounting for sales discounts, rebates, allowances and incentives, product liabilities, income taxes, withholding taxes, depreciation, amortization, employee benefits, contingencies and intangible asset and liability valuations. Actual results may or may not differ from those estimates.
The Company follows the provisions of U.S. GAAP when recording litigation related contingencies. A liability is recorded when a loss is probable and can be reasonably estimated. The best estimate of a loss within a range is accrued; however, if no estimate in the range is better than any other, the minimum amount is accrued.
The extent to which COVID-19 impacts the Company’s business and financial results will depend on numerous evolving factors including, but not limited to: the magnitude and duration of COVID-19, the extent to which it will impact worldwide macroeconomic conditions including interest rates, employment rates and health insurance coverage, the speed of the anticipated recovery, and governmental and business reactions to the pandemic. The Company assessed certain accounting matters that generally require consideration of forecasted financial information in context with the information reasonably available to the Company and the unknown future impacts of COVID-19 as of January 2, 2022 and through theAnnual closing date of this report. The accounting matters assessed included, but were not limited to, the Company’s allowance for doubtful accounts and credit losses, inventory and related reserves, accrued rebates and associated reserves, and the carrying value of the goodwill and other long-lived assets along with the Company’s on-going vaccine development and distribution efforts. While there was not a material impact to the Company’s consolidated financial statements as of and for the fiscal year ended January 2, 2022, the Company’s future assessment of the magnitude and duration of COVID-19, as well as other factors, could result in material impacts to the Company’s consolidated financial statements in future reporting periods.
51


Annual Closing Date
The Company follows the concept of a fiscal year, which ends on the Sunday nearest to the end of the month of December. Normally each fiscal year consists of 52 weeks, but every five or six years the fiscal year consists of 53 weeks, and therefore includes additional shipping days, as was the case in fiscal year 2020, and will be the case again in fiscal year 2026.
Reclassification
Certain prior period amounts have been reclassified to conform to current year presentation.

2023 Annual Report5255



2.Cash, Cash Equivalentscash equivalents and Current Marketable Securitiescurrent marketable securities
At the end of the fiscal year 20212023 and 2020,2022, cash, cash equivalents and current marketable securities were comprised of:comprised:
(Dollars in Millions)(Dollars in Millions)2021
Carrying AmountUnrecognized LossEstimated Fair ValueCash & Cash EquivalentsCurrent Marketable Securities
(Dollars in Millions)
(Dollars in Millions)2023
(Dollars in Millions)Carrying
Amount
Unrecognized
 Loss
Estimated
 Fair Value
Cash & Cash
Equivalents
Current
Marketable
Securities
Cash$2,936 — 2,936 2,936 — Cash$3,3403,340
Non-U.S. Sovereign Securities(1)
Non-U.S. Sovereign Securities(1)
1,006 — 1,006 90 916 
Non-U.S. Sovereign Securities(1)
Non-U.S. Sovereign Securities(1)
522522174348
U.S. Reverse repurchase agreementsU.S. Reverse repurchase agreements1,659 — 1,659 1,659 — U.S. Reverse repurchase agreements4,3774,377
Corporate debt securities(1)
Corporate debt securities(1)
Corporate debt securities(1)
Corporate debt securities(1)
3,479 (1)3,478 200 3,279 338338189149
Money market fundsMoney market funds1,901 — 1,901 1,901 — Money market funds4,8144,814
Time deposits(1)
Time deposits(1)
900 — 900 900 — 
Time deposits(1)
662662
Subtotal Subtotal$11,881 (1)11,880 7,686 4,195 Subtotal$14,05314,05313,556497
U.S. Gov't SecuritiesU.S. Gov't Securities$19,485 (4)19,481 6,785 12,696 
U.S. Gov't Securities
U.S. Gov't Securities$8,5628,5628,259303
U.S. Gov't AgenciesU.S. Gov't Agencies71(1)7070
Other Sovereign SecuritiesOther Sovereign Securities — Other Sovereign Securities5514
Corporate debt securities245  245 15 230 
Corporate and other debt securitiesCorporate and other debt securities23723743194
Subtotal available for sale(2)
Subtotal available for sale(2)
Subtotal available for sale(2)
Subtotal available for sale(2)
$19,731 (4)19,727 6,801 12,926 $8,875(1)8,8748,303571
Total cash, cash equivalents and current marketable securitiesTotal cash, cash equivalents and current marketable securities$14,487 17,121 
Total cash, cash equivalents and current marketable securities
Total cash, cash equivalents and current marketable securities$21,8591,068


(Dollars in Millions)2020
Carrying AmountUnrecognized GainEstimated Fair ValueCash & Cash EquivalentsCurrent Marketable Securities
Cash$2,863 — 2,863 2,863 — 
Non-U.S. Sovereign Securities(1)
690 — 690 — 690 
U.S. Reverse repurchase agreements1,937 — 1,937 1,937 — 
Corporate debt securities(1)
2,674 — 2,674 1,451 1,223 
Money market funds2,102 — 2,102 2,102 — 
Time deposits(1)
877 — 877 877 — 
    Subtotal$11,143 — 11,143 9,230 1,913 
Gov't Securities$13,777 13,778 4,731 9,047 
Other Sovereign Securities14 — 14 — 14 
Corporate debt securities250 — 250 24 226 
   Subtotal available for sale(2)
$14,041 14,042 4,755 9,287 
Total cash, cash equivalents and current marketable securities$13,985 11,200 

(Dollars in Millions)2022
Carrying AmountUnrecognized LossEstimated Fair ValueCash & Cash EquivalentsCurrent Marketable Securities
Cash$3,6913,6913,691
U.S. Reverse repurchase agreements1,4191,4191,419
Corporate debt securities(1)
873(1)872873
Money market funds5,3685,3685,368
Time deposits(1)
443443443
Subtotal11,794(1)11,79310,921873
U.S. Gov't Securities$9,959(28)9,9311,9228,009
U.S. Gov't Agencies210(5)205205
Corporate and other debt securities352(1)35146305
Subtotal available for sale(2)
$10,521(34)10,4871,9688,519
Total cash, cash equivalents and current marketable securities$12,8899,392
(1)Held to maturity investments are reported at amortized cost and realized gains or losses are reported in earnings.
(2)Available for sale debt securities are reported at fair value with unrealized gains and losses reported net of taxes in other comprehensive income.


53


Fair value of government securities and obligations and corporate debt securities were estimated using quoted broker prices and significant other observable inputs.
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The contractual maturities of the available for sale debt securities at January 2, 2022December 31, 2023 are as follows:
(Dollars in Millions)Cost BasisFair Value
Due within one year$19,709 19,705 
Due after one year through five years22 22 
Due after five years through ten years— — 
Total debt securities$19,731 19,727 
(Dollars in Millions)Cost BasisFair Value
Due within one year$8,8658,864
Due after one year through five years1010
Due after five years through ten years
Total debt securities$8,8758,874
The Company invests its excess cash in both deposits with major banks throughout the world and other high-quality money market instruments. The Company has a policy of making investments only with commercial institutions that have at least an investment grade credit rating.

3. Inventories
3.Inventories
At the end of fiscal years 20212023 and 2020,2022, inventories were comprised of:
(Dollars in Millions)20212020
Raw materials and supplies$1,592 1,410 
Goods in process2,287 2,040 
Finished goods6,508 5,894 
Total inventories$10,387 9,344 
comprised:
(Dollars in Millions)20232022
Raw materials and supplies$2,3551,719
Goods in process1,9521,577
Finished goods6,8746,972
Total inventories$11,18110,268

4. Property, plant and equipment

4.Property, Plant and Equipment
At the end of fiscal years 20212023 and 2020,2022, property, plant and equipment at cost and accumulated depreciation were:
(Dollars in Millions)20212020
Land and land improvements$884 882 
Buildings and building equipment12,882 12,502 
Machinery and equipment29,774 29,104 
Construction in progress4,139 4,316 
Total property, plant and equipment, gross$47,679 46,804 
Less accumulated depreciation28,717 28,038 
Total property, plant and equipment, net(1)
$18,962 18,766 

(Dollars in Millions)20232022
Land and land improvements$795784
Buildings and building equipment12,37511,470
Machinery and equipment28,97926,603
Construction in progress5,6274,677
Total property, plant and equipment, gross$47,77643,534
Less accumulated depreciation27,87825,552
Total property, plant and equipment, net$19,89817,982
The Company capitalizes interest expense as part of the cost of construction of facilities and equipment. Interest expense capitalized in fiscal years 2023, 2022 and 2021 2020 and 2019 was $70 million, $49 million $63 million and $70$49 million, respectively.
Depreciation expense, including the amortization of capitalized interest in fiscal years 2023, 2022 and 2021 2020 and 2019 was $2.7 billion, $2.6 billion, $2.4 billion and $2.5$2.4 billion, respectively.
Upon retirement or other disposal of property, plant and equipment, the costs and related amounts of accumulated depreciation or amortization are eliminated from the asset and accumulated depreciation accounts, respectively. The difference, if any, between the net asset value and the proceeds are recorded in earnings.


2023 Annual Report5457



5. Intangible assets and goodwill
5.Intangible Assets and Goodwill
At the end of fiscal years 20212023 and 2020,2022, the gross and net amounts of intangible assets were:
(Dollars in Millions)20212020
Intangible assets with definite lives:  
Patents and trademarks — gross$38,572 39,990 
Less accumulated amortization(20,088)(17,618)
Patents and trademarks — net$18,484 22,372 
Customer relationships and other intangibles — gross$23,011 22,898 
Less accumulated amortization(11,925)(10,912)
Customer relationships and other intangibles — net(1)
$11,086 11,986 
Intangible assets with indefinite lives:  
Trademarks$6,985 7,195 
Purchased in-process research and development(2)
9,837 11,849 
Total intangible assets with indefinite lives$16,822 19,044 
Total intangible assets — net$46,392 53,402 
(Dollars in Millions)20232022
Intangible assets with definite lives:  
Patents and trademarks — gross$40,41739,388
Less accumulated amortization(24,808)(20,616)
Patents and trademarks — net$15,60918,772
Customer relationships and other intangibles — gross$20,32219,764
Less accumulated amortization(12,685)(11,363)
Customer relationships and other intangibles — net(1)
$7,6378,401
Intangible assets with indefinite lives:  
Trademarks$1,7141,630
Purchased in-process research and development9,2159,686
Total intangible assets with indefinite lives$10,92911,316
Total intangible assets — net$34,17538,489
(1)The majority is comprised of customer relationships
(2)In fiscal 2021, the Company recorded a partial IPR&D impairment charge of $0.9 billion primarily related to expected development delays in the general surgery digital robotics platform (Ottava) acquired with the Auris Health acquisition in 2019. The impairment charge was calculated based on revisions to the discounted cash flow valuation model reflecting a delay of first in human procedures of approximately two years from the initial acquisition model assumption of the second half of 2022. The remaining reduction was driven by assets that reached commercialization and are now classified as having definite lives.


Goodwill as of January 2, 2022December 31, 2023 and January 3, 2021,1, 2023, as allocated by segment of business, was as follows:
(Dollars in Millions)Consumer HealthPharmaceuticalMedical DevicesTotal
Goodwill at December 29, 2019$9,736 9,169 14,734 33,639 
Goodwill, related to acquisitions— 1,222 238 1,460 
Currency translation/other600 618 76 1,294 
Goodwill at January 3, 2021$10,336 11,009 15,048 36,393 
Goodwill, related to acquisitions— — — — 
Goodwill, related to divestitures(9)— — (9)
Currency translation/other(517)(429)(192)(1,138)
Goodwill at January 2, 2022$9,810 10,580 14,856 35,246 

(Dollars in Millions)Innovative
Medicine
MedTechTotal
Goodwill at January 2, 2022$10,58014,85625,436
Goodwill, related to acquisitions11,05611,056
Goodwill, related to divestitures
Currency translation/other(396)(49)(445)
Goodwill at January 1, 202310,18425,86336,047
Goodwill, related to acquisitions
Goodwill, related to divestitures
Currency translation/other223288*511
Goodwill at December 31, 2023$10,40726,15136,558

*Includes purchase price allocation adjustments for Abiomed
The weighted average amortization period for patents and trademarks is 12approximately 11 years. The weighted average amortization period for customer relationships and other intangible assets is 21approximately 19 years. The amortization expense of amortizable assets included in Cost of products sold was $4.7$4.5 billion, $4.7$3.9 billion and $4.5$4.2 billion before tax, for the fiscal years ended December 31, 2023, January 1, 2023 and January 2, 2022, January 3, 2021 and December 29, 2019, respectively. Intangible asset write-downs are included in Other (income) expense, net.

The estimated amortization expense related to intangible assets for approved products, before tax, for the five succeeding years is approximately:
(Dollars in Millions)
20222023202420252026
$4,6004,6004,4003,6003,000

(Dollars in Millions)
20242025202620272028
$4,3003,5002,9002,3001,600
See Note 18 to the Consolidated Financial Statements for additional details related to acquisitions and divestitures.



6.Fair Value Measurements
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6. Fair value measurements
The Company uses forward foreign exchange contracts to manage its exposure to the variability of cash flows, primarily related to the foreign exchange rate changes of future intercompany products and third-party purchases of materials denominated in a foreign currency. The Company uses cross currency interest rate swaps to manage currency risk primarily related to borrowings. Both types of derivatives are designated as cash flow hedges.
Additionally, the Company primarily uses interest rate swaps as an instrument to manage interest rate risk related to fixed rate borrowings. These derivatives are designated as fair value hedges. The Company uses cross currency interest rate swaps and forward foreign exchange contracts designated as net investment hedges. Additionally, the Company uses forward foreign exchange contracts to offset its exposure to certain foreign currency assets and liabilities. These forward foreign exchange contracts are not designated as hedges and therefore, changes in the fair values of these derivatives are recognized in earnings, thereby offsetting the current earnings effect of the related foreign currency assets and liabilities.
The Company does not enter into derivative financial instruments for trading or speculative purposes, or that contain credit risk related contingent features. The Company maintains credit support agreements (CSA) with certain derivative counterparties establishing collateral thresholds based on respective credit ratings and netting agreements. As of December 31, 2023 and January 2, 2022,1, 2023, the total amount of cash collateral paid by the Company under the CSA amounted to $570 million$4.0 billion and $0.8 billion net respectively, related to net investment and cash flow hedges. On an ongoing basis, the Company monitors counter-party credit ratings. The Company considers credit non-performance risk to be low, because the Company primarily enters into agreements with commercial institutions that have at least an investment grade credit rating. Refer to the table on significant financial assets and liabilities measured at fair value contained in this footnote for receivables and payables with these commercial institutions. As of January 2, 2022,December 31, 2023, the Company had notional amounts outstanding for forward foreign exchange contracts, cross currency interest rate swaps and interest rate swaps of $45.8$42.9 billion, $37.4$39.7 billion and $10.0 billion, respectively. As of January 3, 2021,1, 2023, the Company had notional amounts outstanding for forward foreign exchange contracts, and cross currency interest rate swaps and interest rate swaps of $37.8$41.5 billion, $36.2 billion and $30.6$10.0 billion, respectively.
All derivative instruments are recorded on the balance sheet at fair value. Changes in the fair value of derivatives are recorded each period in current earnings or other comprehensive income, depending on whether the derivative is designated as part of a hedge transaction, and if so, the type of hedge transaction.
The designation as a cash flow hedge is made at the entrance date of the derivative contract. At inception, all derivatives are expected to be highly effective. Foreign exchange contracts designated as cash flow hedges are accounted for under the forward method and all gains/losses associated with these contracts will be recognized in the income statement when the hedged item impacts earnings. Changes in the fair value of these derivatives are recorded in accumulated other comprehensive income until the underlying transaction affects earnings, and are then reclassified to earnings in the same account as the hedged transaction.
Gains and losses associated with interest rate swaps and changes in fair value of hedged debt attributable to changes in interest rates are recorded to interest expense in the period in which they occur. Gains and losses on net investment hedgehedges are accounted through the currency translation account within accumulated other comprehensive income. The portion excluded from effectiveness testing is recorded through interest (income) expense using the spot method. On an ongoing basis, the Company assesses whether each derivative continues to be highly effective in offsetting changes of hedged items. If and when a derivative is no longer expected to be highly effective, hedge accounting is discontinued.
The Company designated its Euro denominated notes issued in May 2016 with due dates ranging from 2022 to 2035 as a net investment hedge of the Company's investments in certain of its international subsidiaries that use the Euro as their functional currency in order to reduce the volatility caused by changes in exchange rates.
As of January 2, 2022,December 31, 2023, the balance of deferred net loss on derivatives included in accumulated other comprehensive income was $336$377 million after-tax. For additional information, see the Consolidated Statements of Comprehensive Income and Note 13. The Company expects that substantially all of the amounts related to forward foreign exchange contracts will be reclassified into earnings over the next 12 months as a result of transactions that are expected to occur over that period. The maximum length of time over which the Company is hedging transaction exposure is 18 months, excluding interest rate contracts and net investment hedges. The amount ultimately realized in earnings may differ as foreign exchange rates change. Realized gains and losses are ultimately determined by actual exchange rates at maturity of the derivative.


2023 Annual Report5659


The following table is a summary of the activity related to derivatives and hedges for the fiscal years ended January 2, 2022December 31, 2023 and January 3, 2021,1, 2023, net of tax:
January 2, 2022January 3, 2021
(Dollars in Millions)SalesCost of Products SoldR&D ExpenseInterest (Income) ExpenseOther (Income) ExpenseSalesCost of Products SoldR&D ExpenseInterest (Income) ExpenseOther (Income) Expense
The effects of fair value, net investment and cash flow hedging:
Gain (Loss) on fair value hedging relationship:
Interest rate swaps contracts:
 Hedged items$— — — (109)— — — — — — 
 Derivatives designated as hedging instruments— — — 109 — — — — — — 
Gain (Loss) on net investment hedging relationship:
Cross currency interest rate swaps contracts:
   Amount of gain or (loss) recognized in income on derivative amount excluded from effectiveness testing$— — — 174 — — — — 153 — 
   Amount of gain or (loss) recognized in AOCI— — — 174 — — — — 153 — 
Gain (Loss) on cash flow hedging relationship:
Forward foreign exchange contracts:
   Amount of gain or (loss) reclassified from AOCI into income17 119 30 — 47 12 (329)(137)— (16)
   Amount of gain or (loss) recognized in AOCI(94)(557)123 — 146 44 298 (91)— (52)
Cross currency interest rate swaps contracts:
   Amount of gain or (loss) reclassified from AOCI into income— — — 402 — — — — 370 — 
   Amount of gain or (loss) recognized in AOCI$— — — — — — — 748 — 


December 31, 2023January 1, 2023
(Dollars in Millions)SalesCost of Products SoldR&D ExpenseInterest (Income) ExpenseOther (Income) ExpenseSalesCost of Products SoldR&D ExpenseInterest (Income) ExpenseOther (Income) Expense
The effects of fair value, net investment and cash flow hedging:
Gain (Loss) on fair value hedging relationship:
Interest rate swaps contracts:
Hedged items$—(930)(1,098)
Derivatives designated as hedging instruments9301,098
Gain (Loss) on net investment hedging relationship:
Cross currency interest rate swaps contracts:
Amount of gain or (loss) recognized in income on derivative amount excluded from effectiveness testing$—130140
Amount of gain or (loss) recognized in AOCI130140
Gain (Loss) on cash flow hedging relationship:
Forward foreign exchange contracts:
Amount of gain or (loss) reclassified from AOCI into income7186(37)8(72)(271)149(23)
Amount of gain or (loss) recognized in AOCI10447(18)9531961(113)
Cross currency interest rate swaps contracts:
Amount of gain or (loss) reclassified from AOCI into income275425
Amount of gain or (loss) recognized in AOCI$—(156)42
As of January 2, 2022December 31, 2023 and January 3, 2021,1, 2023, the following amounts were recorded on the consolidated balance sheet related to cumulative basis adjustment for fair value hedges

Line item in the Consolidated Balance Sheet in which the hedged item is includedCarrying Amount of the Hedged LiabilityCumulative Amount of Fair Value Hedging Adjustment Included in the Carrying Amount of the Hedged Liability
(Dollars in Millions)January 2, 2022January 3, 2021January 2, 2022January 3, 2021
Long-term Debt$9,793 $— $(142)$— 
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Line item in the Consolidated Balance Sheet in which the hedged item is includedCarrying Amount of the Hedged LiabilityCumulative Amount of Fair Value Hedging Adjustment Included in the Carrying Amount of the Hedged Liability
(Dollars in Millions)December 31, 2023January 1, 2023December 31, 2023January 1, 2023
Long-term Debt$8,862$8,665$(1,216)$(1,435)
The following table is the effect of derivatives not designated as hedging instrument for the fiscal years ended January 2, 2022December 31, 2023 and January 3, 2021:
(Dollars in Millions)Location of Gain /(Loss) Recognized in Income on DerivativeGain/(Loss)
Recognized In
Income on Derivative
Derivatives Not Designated as Hedging InstrumentsJanuary 2, 2022January 3, 2021
Foreign Exchange ContractsOther (income) expense$(70)24 
1, 2023:

(Dollars in Millions)Location of Gain /(Loss) Recognized in Income on DerivativeGain/(Loss)
Recognized In
Income on Derivative
Derivatives Not Designated as Hedging InstrumentsDecember 31, 2023January 1, 2023
Foreign Exchange ContractsOther (income) expense$(60)94

The following table is the effect of net investment hedges for the fiscal years ended January 2, 2022December 31, 2023 and January 3, 2021:
Gain/(Loss)
Recognized In
Accumulated OCI
Location of Gain or (Loss) Reclassified from Accumulated Other Comprehensive Income Into IncomeGain/(Loss) Reclassified From
Accumulated OCI
Into Income
(Dollars in Millions)January 2, 2022January 3, 2021January 2, 2022January 3, 2021
Debt$387 (473)Interest (income) expense
— — 
Cross Currency interest rate swaps$548 65 Interest (income) expense— — 
1, 2023:
Gain/(Loss)
Recognized In
Accumulated OCI
Location of Gain or (Loss) Reclassified from Accumulated Other Comprehensive Income Into IncomeGain/(Loss) Reclassified From
Accumulated OCI
Into Income
(Dollars in Millions)December 31, 2023January 1, 2023December 31, 2023January 1, 2023
Debt$(131)197Interest (income) expense
Cross Currency interest rate swaps$642766Interest (income) expense
The Company holds equity investments with readily determinable fair values and equity investments without readily determinable fair values. The Company measures equity investments that do not have readily determinable fair values at cost minus impairment, if any, plus or minus changes resulting from observable price changes in orderly transactions for the identical or a similar investment of the same issuer.
The following table is a summary of the activity related to equity investments for the fiscal years ended January 2, 2022December 31, 2023 and January 3, 2021:
January 3, 2021January 2, 2022
(Dollars in Millions)Carrying Value
Changes in Fair Value Reflected in Net Income (1)
Sales/ Purchases/Other(2)
Carrying ValueNon Current Other Assets
Equity Investments with readily determinable value$1,481 198 205 1,884 1,884 
Equity Investments without readily determinable value$738 394 (632)500 500 
1, 2023:
January 1, 2023December 31, 2023
(Dollars in Millions)Carrying Value
Changes in Fair Value Reflected in Net Income(1)
Sales/ Purchases/Other(2)
Carrying ValueNon Current Other Assets
Equity Investments with readily determinable value *$576(368)4,2654,4734,473
Equity Investments without readily determinable value$613182696696

December 29, 2019January 3, 2021
(Dollars in Millions)Carrying Value
Changes in Fair Value Reflected in Net Income (1)
Sales/ Purchases/Other(2)
Carrying ValueNon Current Other Assets
Equity Investments with readily determinable value$1,148 527 (194)1,481 1,481 
Equity Investments without readily determinable value$712 (55)81 738 738 
2023 Annual Report61


January 2, 2022January 1, 2023
(Dollars in Millions)Carrying Value
Changes in Fair Value Reflected in Net Income(1)
Sales/ Purchases/Other(2)
Carrying ValueNon Current Other Assets
Equity Investments with readily determinable value$1,884(538)(770)576576
Equity Investments without readily determinable value$41393107613613
(1)Recorded in Other Income/Expense
(2)Other includes impact of currency



58


* Includes the 9.5% remaining stake in Kenvue and the $0.4 billion unfavorable change in fair value of the investment between separation date and the end of the fiscal year.
For the fiscal years ended January 2, 2022December 31, 2023 and January 3, 20211, 2023 for equity investments without readily determinable market values, $28$1 million and $76$51 million, respectively, of the changes in fair value reflected in net income were the result of impairments. There were offsetting impacts of $422$27 million and $21$142 million, respectively, of changes in the fair value reflected in net income due to changes in observable prices and gains on the disposal of investments. The impact in fiscal 2021 was driven by the gain on disposal of the Grail investment.

Fair value is the exit price that would be received to sell an asset or paid to transfer a liability. Fair value is a market-based measurement determined using assumptions that market participants would use in pricing an asset or liability. In accordance with ASC 820, a three-level hierarchy to prioritize the inputs used in measuring fair value. The levels within the hierarchy are described below with Level 1 having the highest priority and Level 3 having the lowest.

The fair value of a derivative financial instrument (i.e., forward foreign exchange contracts, interest rate contracts) is the aggregation by currency of all future cash flows discounted to its present value at the prevailing market interest rates and subsequently converted to the U.S. Dollar at the current spot foreign exchange rate. The Company does not believe that fair values of these derivative instruments materially differ from the amounts that could be realized upon settlement or maturity, or that the changes in fair value will have a material effect on the Company’s results of operations, cash flows or financial position. The Company also holds equity investments which are classified as Level 1 and debt securities which are classified as Level 2. The Company holds acquisition related contingent liabilities based upon certain regulatory and commercial events, which are classified as Level 3, whose values are determined using discounted cash flow methodologies or similar techniques for which the determination of fair value requires significant judgment or estimations.

The following three levels of inputs are used to measure fair value:
Level 1 — Quoted prices in active markets for identical assets and liabilities.
Level 2 — Significant other observable inputs.
Level 3 — Significant unobservable inputs.
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The Company’s significant financial assets and liabilities measured at fair value as of the fiscal year ended January 2, 2022December 31, 2023 and January 3, 20211, 2023 were as follows:
20232022
(Dollars in Millions)Level 1Level 2Level 3Total
Total(1)
Derivatives designated as hedging instruments:     
Assets:     
Forward foreign exchange contracts$—539539629
Interest rate contracts (2)
9889881,534
Total$—1,5271,5272,163
Liabilities:     
Forward foreign exchange contracts624624511
Interest rate contracts (2)
5,3385,3382,778
Total$—5,9625,9623,289
Derivatives not designated as hedging instruments:     
Assets:     
Forward foreign exchange contracts$—646438
Liabilities:     
Forward foreign exchange contracts757568
Available For Sale Other Investments:
Equity investments(3)
4,4734,473576
Debt securities(4)
8,8748,87410,487
Other Liabilities
Contingent Consideration(5)
$1,0921,0921,120
Gross to Net Derivative Reconciliation20232022
(Dollars in Millions)
Total Gross Assets$1,5912,201
Credit Support Agreements (CSA)(1,575)(2,176)
Total Net Asset1625
Total Gross Liabilities6,0373,357
Credit Support Agreements (CSA)(5,604)(3,023)
Total Net Liabilities$433334

20212020
(Dollars in Millions)Level 1Level 2Level 3Total
Total (1)
Derivatives designated as hedging instruments:     
Assets:     
Forward foreign exchange contracts$— 540 — 540 849 
Interest rate contracts (2)
— 796 — 796 240 
Total$— 1,336 — 1,336 1,089 
Liabilities:     
Forward foreign exchange contracts— 881 — 881 702 
Interest rate contracts (2)
— 979 — 979 1,569 
Total$— 1,860 — 1,860 2,271 
Derivatives not designated as hedging instruments:     
Assets:     
Forward foreign exchange contracts$— 24 — 24 49 
Liabilities:     
Forward foreign exchange contracts— 28 — 28 38 
Available For Sale Other Investments:
Equity investments(3)
1,884 — — 1,884 1,481 
Debt securities(4)
— 19,727 — 19,727 14,042 
Other Liabilities
Contingent Consideration(5)
$533 533 633 
2023 Annual Report5963



Gross to Net Derivative Reconciliation20212020
(Dollars in Millions)
Total Gross Assets$1,360 1,138 
Credit Support Agreement (CSA)(1,285)(1,107)
Total Net Asset75 31 
Total Gross Liabilities1,888 2,309 
Credit Support Agreement (CSA)(1,855)(2,172)
Total Net Liabilities$33 137 

Summarized information about changes in liabilities for contingent consideration is as follows:
202120202019
(Dollars in Millions)
Beginning Balance$633 1,715 397 
Changes in estimated fair value (6)
(52)(1,089)151 
Additions— 106 1,246 
Payments(48)(99)(79)
Ending Balance$533 633 1,715 

202320222021
(Dollars in Millions)
Beginning Balance$1,120533633
Changes in estimated fair value29(194)(52)
Additions (6)
792
Payments/Other(57)(11)(48)
Ending Balance (5)
$1,0921,120533
(1)20202022 assets and liabilities are all classified as Level 2 with the exception of equity investments of $1,481$576 million, which are classified as Level 1 and contingent consideration of $633$1,120 million, classified as Level 3.
(2)Includes cross currency interest rate swaps and interest rate swaps.
(3)Classified as non-current other assets.
(4)Classified as cash equivalents and current marketable securities.
(5)Includes $520$1,092 million, $594$1,116 million and $1,631$520 million, classified as non-current other liabilities as of December 31, 2023, January 1, 2023 and January 2, 2022, January 3, 2021 and December 29, 2019, respectively. Includes $13 million, $39$4 million and $84$13 million classified as current liabilities as of January 1, 2023 and January 2, 2022, January 3, 2021 and December 29, 2019, respectively.
(6)Ongoing fair value adjustment amounts are recorded primarily in Research and Development expense. TheIn fiscal year 2022, the Company recorded a$704 million of contingent consideration reversal of $1,148 million in 2020 related to the timing of certain developmental milestones associated with the Auris Health acquisition. The reversal of the contingent consideration was recorded in Other income and expense.

Abiomed.
See Notes 2 and 7 for financial assets and liabilities held at carrying amount on the Consolidated Balance Sheet.

6460
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7.Borrowings
The components of long-term debt are as follows:
(Dollars in Millions)2021 Effective Rate % 2020 Effective Rate %
3.55% Notes due 2021$— — %$450 3.67 %
2.45% Notes due 2021— — 350 2.48 
1.65% Notes due 2021— — 999 1.65 
0.250% Notes due 2022 (1B Euro 1.1311)(2)/(1B Euro 1.2281)(3)

1,131 (2)0.26 1,227 (3)0.26 
2.25% Notes due 20221,000 2.31 999 2.31 
6.73% Debentures due 2023250  6.73  250  6.73 
3.375% Notes due 2023802 3.18 803 3.17 
2.05% Notes due 2023499 2.09 499 2.09 
0.650% Notes due 2024
(750MM Euro 1.1311)(2)/(750MM Euro 1.2281)(3)
847 (2)0.68 919 (3)0.68 
5.50% Notes due 2024
(500MM 1.3485 GBP )(2)/(500MM GBP 1.3654)(3)
672 (2)6.75  679 (3)6.75 
2.625% Notes due 2025749 2.63 748 2.63 
0.55% Notes due 2025983 0.57 996 0.57 
2.45% Notes due 20261,995 2.47 1,994 2.47 
2.95% Notes due 2027978 2.96 997 2.96 
0.95% Notes due 20271,478 0.96 1,494 0.96 
1.150% Notes due 2028 (750MM Euro 1.1311)(2)/(750MM Euro 1.2281)(3)
843 (2)1.21 915 (3)1.21 
2.90% Notes due 20281,495 2.91 1,495 2.91 
6.95% Notes due 2029298  7.14  297  7.14 
1.30% Notes due 20301,723 1.30 1,743 1.30 
4.95% Debentures due 2033498  4.95  498  4.95 
4.375% Notes due 2033854 4.24 855 4.24 
1.650% Notes due 2035 (1.5B Euro 1.1311)(2)/(1.5B Euro 1.2281)(3)
1,683 (2)1.68 1,827 (3)1.68 
3.55% Notes due 2036974 3.59 989 3.59 
5.95% Notes due 2037993  5.99  992  5.99 
3.625% Notes due 20371,475 3.64 1,488 3.64 
5.85% Debentures due 2038696  5.85  696  5.85 
3.400% Notes due 2038992 3.42 991 3.42 
4.50% Debentures due 2040540  4.63  539  4.63 
2.10% Notes due 2040974 2.14 986 2.14 
4.85% Notes due 2041297 4.89 297 4.89 
4.50% Notes due 2043496 4.52 496 4.52 
3.70% Notes due 20461,975 3.74 1,974 3.74 
3.75% Notes due 2047971 3.76 991 3.76 
3.500% Notes due 2048743 3.52 742 3.52 
2.250% Notes due 2050983 2.29 984 2.29 
2.450% Notes due 20601,222 2.49 1,228 2.49 
Other —   — 
Subtotal32,116 (4)2.89 %(1)34,434 (4)2.85 %(1)
Less current portion2,131    1,799   
Total long-term debt$29,985    $32,635   
61



(Dollars in Millions)2023 Effective
Rate
%
 2022 Effective
Rate
%
6.73% Debentures due 2023$— — % $250 6.73 %
3.375% Notes due 2023— 8013.17 
2.05% Notes due 2023— 5002.09 
0.650% Notes due 2024
(750MM Euro 1.1090)(2)/(750MM Euro 1.0651)(3)
831(2)0.68 792(3)0.68 
5.50% Notes due 2024
(500MM 1.2756 GBP )(2)/(500MM GBP 1.2037)(3)
637(2)6.75  600(3)6.75 
2.625% Notes due 20257502.63 7492.63 
0.55% Notes due 20259500.57 9180.57 
2.46% Notes due 20261,9972.47 1,9962.47 
2.95% Notes due 20279002.96 8772.96 
0.95% Notes due 20271,4190.96 1,3940.96 
1.150% Notes due 2028
(750MM Euro 1.1090)
(2)/(750MM Euro 1.0651)(3)
828(2)1.21 794(3)1.21 
2.90% Notes due 20281,4972.91 1,4962.91 
6.95% Notes due 2029298 7.14  298 7.14 
1.30% Notes due 20301,6301.30 1,6071.30 
4.95% Debentures due 2033499 4.95  498 4.95 
4.375% Notes due 20338544.24 8544.24 
1.650% Notes due 2035
(1.5B Euro 1.1090)
(2)/(1.5B Euro 1.0651)(3)
1,652(2)1.68 1,591(3)1.68 
3.587% Notes due 20368643.59 8423.59 
5.95% Notes due 2037994 5.99  993 5.99 
3.625% Notes due 20371,3573.64 1,3363.64 
5.85% Debentures due 2038697 5.85  697 5.85 
3.400% Notes due 20389933.42 9923.42 
4.50% Debentures due 2040541 4.63  540 4.63 
2.10% Notes due 20408492.14 8282.14 
4.85% Notes due 20412974.89 2974.89 
4.50% Notes due 20434964.52 4964.52 
3.73% Notes due 20461,9773.74 1,9763.74 
3.75% Notes due 20478323.76 8123.76 
3.500% Notes due 20487433.52 7433.52 
2.250% Notes due 20508262.29 8082.29 
2.450% Notes due 20601,0732.49 1,0552.49 
Other69 —  7 — 
Subtotal27,350(4)2.98 %(1)28,437(4)3.04 %(1)
Less current portion1,469   1,551  
Total long-term debt$25,881   $26,886  
(1)Weighted average effective rate.
2023 Annual Report65


(2)Translation rate at January 2, 2022.December 31, 2023.
(3)Translation rate at January 3, 2021.1, 2023.
(4)The excess of the faircarrying value over the carryingfair value of debt was $3.2$1.0 billion and $1.6 billion at the end of fiscal year 20212023 and $5.4 billion at the end of fiscal year 2020.

2022, respectively.
Fair value of the long-term debt was estimated using market prices, which were corroborated by quoted broker prices and significant other observable inputs.
The Company has access to substantial sources of funds at numerous banks worldwide. In September 2021,2023, the Company secured a new 364-day Credit Facility. Total credit available to the Company approximatesFacility of $10 billion, which expires on September 8, 2022.5, 2024. The Company early terminated the additional 364-day revolving Credit Facility of $10 billion, which had an expiration of November 21, 2023. Interest charged on borrowings under the credit line agreement is based on either the Term SOFR Reference Rate or other applicable market rates as allowed under the terms of the agreement, plus applicable margins. Commitment fees under the agreements are not material.
Throughout fiscal years 20212023 and 2020,2022, the Company continued to have access to liquidity through the commercial paper market. Short-term borrowings and the current portion of long-term debt amounted to approximately $3.8$3.5 billion and $2.6$12.8 billion at the end of fiscal years 20212023 and 2020,2022, respectively. The current portion of the long term debt was $2.1$1.5 billion and $1.8$1.6 billion in 20212023 and 2020,2022, respectively, and the remainder is commercial paper and local borrowing by international subsidiaries.
The current debt balance as of January 2, 2022December 31, 2023 includes $1.6$2.0 billion of commercial paper which has a weighted average interest rate of 0.11%5.37% and a weighted average maturity of approximately threetwo months.

The current debt balance as of January 1, 2023 includes $11.2 billion of commercial paper which has a weighted average interest rate of 4.23% and a weighted average maturity of approximately two months.
Aggregate maturities of long-term debt obligations commencing in 20222024 are:
(Dollars in Millions)
20222023202420252026After 2026
$2,1311,5511,5181,7321,99523,189


(Dollars in Millions)
20242025202620272028After 2028
$1,4691,7001,9972,3202,32517,539
8.Income Taxestaxes
The provision for taxes on income consists of:
(Dollars in Millions)202120202019
Currently payable:
U.S. taxes$1,525 1,026 1,941 
International taxes2,452 1,898 2,744 
Total currently payable3,977 2,924 4,685 
Deferred:
U.S. taxes583 (76)(814)
International taxes(2,662)(1,065)(1,662)
Total deferred(2,079)(1,141)(2,476)
Provision for taxes on income$1,898 1,783 2,209 


(Dollars in Millions)202320222021
Currently payable:
U.S. taxes$2,7052,2741,338
International taxes3,0902,2952,069
Total currently payable5,7954,5693,407
Deferred:
U.S. taxes(3,440)(1,990)565
International taxes(619)410(2,595)
Total deferred(4,059)(1,580)(2,030)
Provision for taxes on income$1,7362,9891,377
6662
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A comparison of income tax expense at the U.S. statutory rate of 21% in fiscal years 2021, 20202023, 2022 and 2019,2021, to the Company’s effective tax rate is as follows:
(Dollars in Millions)202120202019
U.S. $6,110 4,312 3,543 
International16,666 12,185 13,785 
Earnings before taxes on income:$22,776 16,497 17,328 
Tax rates:
U.S. statutory rate21.0 %21.0 21.0 
International operations (1)
(16.4)(9.9)(5.9)
U.S. taxes on international income (2)
6.7 2.7 1.8 
Tax benefits from loss on capital assets(1.3)(1.2)(0.3)
Tax benefits on share-based compensation(1.0)(1.5)(0.5)
TCJA and related impacts(0.5)0.7 (3.9)(3)
All other(0.2)(1.0)0.5 
Effective Rate8.3 %10.8 12.7 
(Dollars in Millions)202320222021
U.S. $(2,033)4,6064,275
International17,09514,75314,903
Earnings before taxes on income:$15,06219,35919,178
Tax rates:
U.S. statutory rate21.0 %21.0 21.0 
International operations(1)
(8.1)(5.0)(19.1)
U.S. Tax Settlements(3.0)— — 
U.S. taxes on international income(2)
(0.3)(1.1)8.9 
Tax benefits from loss on capital assets— — (1.6)
Tax benefits on share-based compensation(0.8)(1.4)(1.2)
All other2.7 1.9 (0.8)
Effective Rate11.5 %15.4 7.2 

(1)
(1) For all periods presented the Company has subsidiaries operating in Puerto Rico under various tax incentives. International operations reflectsreflect the impacts of operations in jurisdictions with statutory tax rates different than the U.S., particularly Ireland, Switzerland, Belgium and Puerto Rico, which is a favorable impact on the effective tax rate as compared with the U.S. statutory rate. The 2021 amounts include the reorganization of international subsidiaries; the 2020 and 2019 amounts include the impact of the new tax legislation enactment in Switzerland, both of which are further described below.
(2)Includes the impact of the GILTI tax, the Foreign-Derived Intangible Income deduction and other foreign income that is taxable under the U.S. tax code. The 2023 and 2022 amount includes the impact of certain provisions of the 2017 TCJA that became effective in fiscal 2022. The 2023 amount includes the impact of certain foreign subsidiaries deferred tax remeasurements for legislative elections and the 2021 amounts include the reorganization of international subsidiaries;subsidiaries further described below.
The fiscal year 2023 effective tax rate decreased 3.9% as compared to the 2020 and 2019 amounts includefiscal year 2022 effective tax rate as the Company recorded certain non-recurring favorable tax items in fiscal year 2023 when compared to the prior fiscal year.
In the fiscal fourth quarter of 2023, the Company settled the U.S. Internal Revenue Service audit for tax years 2013 through 2016 which resulted in a favorable impact to the rate of 3.0%. This settlement was partially offset by the Company recording a $0.4 billion decrease in expected U.S. foreign tax credits, an unfavorable effective rate impact of 2.6%, which has been reflected as a current tax expense in U.S. taxes on international income on the newCompany’s effective tax legislation enactmentrate reconciliation.
In the fiscal year 2023, the Company had certain non-recurring impacts as a result of legislative tax elections made in Switzerland, both ofcertain international subsidiaries which is further described below.
(3) Representsresulted in a change in the Company’s tax basis in certain assets resulting in deferred tax re-measurements. The net impact of adjustmentsthese non-recurring items is a net benefit of 3.4% to balances originally recorded as partthe Company’s annual effective tax rate, comprised of the following items:
approximately $0.3 billion of tax benefit on local deferred tax assets to record the remeasurement of the increased tax basis, this benefit has been reflected as International operations on the Company’s effective tax rate reconciliation. This benefit was offset by approximately $0.1 billion of U.S. deferred tax expense on the GILTI deferred tax liability resulting from the remeasurement of these deferred tax assets. This has been reflected in the “U.S. tax on international income” on the Company’s effective tax rate reconciliation.
approximately $0.3 billion of U.S. deferred tax benefit on the GILTI deferred tax as a result of an international subsidiary making an election to change the treatment of a local deferred tax asset to a refundable tax credit. This has been reflected in the U.S. taxes on international income on the Company’s effective tax rate reconciliation.
The Company’s 2023 and 2022 tax rates benefited from certain provisions of the Tax Cuts and Jobs Act of 2017 TCJA provisionalthat became effective in fiscal 2022.The Company also had lower income in higher tax charge. Furtherjurisdictions vs. fiscal year 2022, primarily in the U.S. where the Company recorded an approximately $7.0 billion charge related to talc matters in the United States at an effective tax rate of 21.1% (for further information provided below.see Note 19 to the Consolidated Financial Statements).

The fiscal year 20212022 effective tax rate decreased by 2.5%increased 8.2% as compared to the fiscal year 20202021 effective tax rate as the Company recorded certain non-recurring favorable tax items in fiscal year 2021 which was primarily driven byresulted in an unfavorable impact to the following items. Company’s fiscal 2022 effective tax rate when compared to the prior fiscal year. These items are described below. The Company’s 2022 tax rate also benefited from the impairment of bermekimab for AD IPR&D and changes in the fair value of securities in the Company’s investment portfolio, both recorded at the U.S. statutory rate.
2023 Annual Report67


In the fiscal year 2021, the Company reorganized the ownership structure of certain wholly-owned international subsidiaries. As part of this reorganization, the Company increased the tax basis of certain assets to fair value in accordance with applicable local regulations. The net impact of this restructuring was approximately $0.6 billion net benefit or 2.7%3.2% benefit to the Company’s annual effective tax rate, comprised of the following items:

approximately $2.3 billion of local deferred tax assets to record the remeasurement of the tax basis of these assets to fair value, this benefit has been reflected as “International Operations”International operations on the Company’s effective tax rate reconciliation.
approximately $1.7 billion of U.S. deferred tax expense relating to the GILTI deferred tax liability resulting from the remeasurement of these deferred tax assets. This expense has been reflected as “U.S. taxU.S. taxes on international income”income on the Company’s effective tax rate reconciliation.

Also, in the fiscal fourth quarter of 2021, the Company recognized a loss on certain U.S. affiliates related to the previously impaired book value of certain intangibles, which reduced the 2021 effective tax rate by approximately 1.3%1.6% which is reflected as a “TaxTax benefits from loss on capital assets”assets on the effective tax rate reconciliation. Additionally other fiscal 2021 impacts to the rate were primarily driven by litigation and acquisition related items as follows:

the Company accrued additional legal expenses, of approximately $1.6 billion for talc at an effective tax rate of 23.5% and $0.8 billion for Risperdal Gynecomastia settlements at an effective tax rate of 16.4% (See Note 19 to the Consolidated Financial Statements for more details).
the Company recorded a partial IPR&D charge of $0.9 billion for the Ottava intangible asset (acquired with the Auris Health acquisition in 2019) at an effective rate of 22.4% (See Notes 5 and 18 to the Consolidated Financial Statements for more details).

The fiscal year 2020 tax rate decreased by 1.9% compared to the fiscal year 2019 tax rate. which was primarily driven by the following items. In fiscal year 2019, Switzerland enacted the Federal Act on Tax Reform and AHV Financing (TRAF) which became effective on January 1, 2020. The Federal transitional provisions of TRAF allow companies, under certain conditions, to adjust the tax basis in certain assets to fair value (i.e., “step-up”) to be depreciated and amortized resulting in an incremental Swiss tax deduction over the transitional period.

TRAF also provides for parameters which enable the Swiss cantons to establish localized tax rates and regulations for companies. The new cantonal tax parameters include favorable tax benefits for patents and additional research and development
63


tax deductions. The cantonal transitional provisions of TRAF allowed companies to elect either 1) tax basis step-up similar to the Federal transition benefit or 2) alternative statutory tax rate for a period not to exceed 5 years. The Company currently has operations located in various Swiss cantons. During the fiscal year 2019, as described in further detail below, the Company recorded the impacts of the TRAF that were enacted in that period.

During the fiscal year 2020, the final canton where the Company maintains significant operations enacted TRAF legislation. Additionally, the Company received rulings from the Swiss Federal and cantonal tax authorities in the remaining jurisdictions where it has significant operations. These rulings resulted in the Company revising its estimate on the tax basis adjustment (i.e., “step-up”) for its assets and as a result, the Company recorded additional deferred tax benefits in 2020. The Company recognized a net benefit in the fiscal year 2020 for Swiss Tax Reform of approximately $0.4 billion or 2.6% benefit to the Company’s annual effective tax rate, comprised of the following items:

approximately $0.3 billion tax benefit relating to the remeasurement of Swiss deferred tax assets and liabilities for the change in the Federal and cantonal tax rates, where enactment occurred in the fiscal year 2020; this benefit has been reflected as “International Operations” on the Company’s effective tax rate reconciliation.
a $450 million deferred tax asset related to the estimated value of a Federal tax basis step-up of the Company’s Swiss subsidiaries’ assets as described above; this benefit has been reflected as “International Operations” on the Company’s effective tax rate reconciliation.
approximately $0.3 billion of U.S. deferred tax expense relating to the GILTI deferred tax liability resulting from the remeasurement of the Swiss deferred tax assets and liabilities in the fiscal year 2020. This benefit has been reflected as “U.S. tax on international income” on the Company’s effective tax rate reconciliation.

The Company does not expect to receive future rulings regarding the transitional provisions of TRAF.

Also, in the fiscal year 2020, the Company recognized a capital loss on certain U.S. affiliates related to the previously impaired book value of certain intangibles, which reduced the 2020 tax rate by approximately 1.2% which is reflected as a “Tax benefits from loss on capital assets” on the effective tax rate reconciliation. In addition, in the fiscal year 2020, the Company had lower income in higher tax jurisdictions, primarily driven by:

the impact of the accrual of litigation costs related to talc for $4.0 billion which reduced the U.S. earnings before taxes at an effective tax rate of 23.5%;
the accrual of additional legal costs, including an additional $1.0 billion associated with a revised agreement in principle to settle opioid litigation at an effective tax rate of 21.4%

The Company also reduced the contingent consideration liability related to the Auris Health acquisition (see Note 18) and reversed of some of its unrecognized tax benefits due to the completion of several years of tax examinations in certain jurisdictions during the fiscal year 2020.

In fiscal year 2019, the Company reorganized the ownership structure of certain wholly-owned international subsidiaries in the fiscal fourth quarter of 2019, which resulted in a reduction of certain withholding and local taxes that it had previously recognized as part of the provisional Tax Cuts and Jobs Act (TCJA) tax charge in the fiscal year 2017 and finalized in the fiscal year 2018. Following the completion of this restructuring and approval by the applicable local authorities, the Company reversed a deferred tax liability of $0.6 billion and a related deferred tax asset of $0.2 billion for U.S. foreign tax credits, for a net deferred tax benefit of $0.4 billion decreasing the annual effective tax rate by 2.2%. This benefit has been reflected as “TCJA and related impacts” on the Company’s effective tax rate reconciliation. The following items also impacted the fiscal year 2019 effective tax rate:
The impact of the agreement in principle to settle opioid litigation for $4 billion (see Note 19 to the Consolidated Financial Statements) which reduced the U.S. earnings before taxes at an effective tax rate of 23.5% and decreased the Company’s annual effective tax rate by approximately 2.1%.
In December of fiscal year 2019, the U.S. Treasury issued final foreign tax credit regulations, which resulted in the Company revising the amount of foreign tax credits that were initially recorded in the fiscal year 2017 as part of the provisional TCJA tax charge. As a result, the Company recorded an increased deferred tax asset related to these foreign tax credits of approximately $0.3 billion or 1.7% to the annual effective tax rate. This benefit has been reflected as “TCJA and related impacts” on the Company’s effective tax rate reconciliation.
The Company reassessed its uncertain tax positions related to the current IRS audit and increased its unrecognized tax benefit by $0.3 billion liability which increased the annual effective tax rate by approximately 1.5% (see section on Unrecognized Tax Benefits for additional information). As these positions were related to uncertain tax regarding international transfer pricing, this expense has been classified as “International Operations” on the Company’s effective tax rate reconciliation.

64


As described above for the Swiss tax legislation, in the fiscal year 2019, the Company recorded a net tax expense of $0.1 billion which increased the effective tax rate for the fiscal year 2019 by approximately 0.6%. This net tax expense related to federal and certain cantonal enactments in the fiscal year 2019 consisting of the following provisions:

approximately $0.6 billion tax expense relating to the remeasurement of Swiss deferred tax assets and liabilities for the change in the Federal and cantonal tax rates, where enactment occurred by December 29, 2019; this expense has been reflected as “International Operations” on the Company’s effective tax rate reconciliation.
a $0.9 billion deferred tax asset related to the estimated value of a Federal tax basis step-up of the Company’s Swiss subsidiaries’ assets; this benefit has been reflected as “International Operations” on the Company’s effective tax rate reconciliation.
approximately $450 million of U.S. deferred tax expense relating to the GILTI deferred tax liability resulting from the remeasurement of the Swiss deferred tax assets and liabilities and the new deferred tax asset for the Federal step-up. This benefit has been reflected as “U.S. tax on international income” on the Company’s effective tax rate reconciliation.

Temporary differences and carryforwards at the end of fiscal years 20212023 and 20202022 were as follows:
2021 Deferred Tax
2020 Deferred Tax(1)
(Dollars in Millions)AssetLiabilityAssetLiability
Employee related obligations$1,244 2,434 
Stock based compensation679 627 
Depreciation of property, plant and equipment(876)(823)
Goodwill and intangibles(2,659)(2)(5,023)
R&D capitalized for tax1,664 1,517 
Reserves & liabilities2,882 3,466 
Income reported for tax purposes2,566 1,777 
Net realizable operating loss carryforward1,073 990 
Undistributed foreign earnings1,015 (1,461)812 (1,435)
Global intangible low-taxed income(4,853)(3,606)
Miscellaneous international1,006 (39)854 (211)
Miscellaneous U.S. 495 (59)
Total deferred income taxes$12,624 (9,888)12,477 (11,157)
2023 Deferred Tax2022 Deferred Tax
(Dollars in Millions)AssetLiabilityAssetLiability
Employee related obligations$586685
Stock based compensation686632
Depreciation of property, plant and equipment(902)(845)
Goodwill and intangibles(1,252)(1,737)
R&D capitalized for tax3,5952,611
Reserves & liabilities3,8162,733
Income reported for tax purposes(1)
3592,026
Net realizable operating loss carryforwards(2)
9961,319
Undistributed foreign earnings1,801(1,695)1,517(1,604)
Global intangible low-taxed income(2,731)(3,628)
Miscellaneous international831861(66)
Miscellaneous U.S. (4)452
Total deferred income taxes$12,670(6,584)12,836(7,880)
((1)1)Certain prior year amounts have been reclassified to conform to current yearIn fiscal 2023, the Company changed the presentation of income taxes accrued on intercompany profits on inventory still owned by the Company as part of “Prepaid expenses and other” on the Consolidated Balance Sheet.
(2)Amount is inclusiveNet of valuation allowances of $1.1 billion and $0.8 billion in 2023 and 2022. The change in the $2.3valuation allowance from 2022 to 2023 was driven by approximately $0.1 billion deferred tax asset established as part offrom acquisition related activity and the reorganized ownership structure of certain wholly-owned international subsidiaries, as previously described.

remainder was due to normal operations during the fiscal year.
The Company has wholly-owned international subsidiaries that have cumulative net losses. The Company believes that it is more likely than not that these subsidiaries will generate future taxable income sufficient to utilize these deferred tax assets. However, in certain jurisdictions, valuation allowances have been recorded against deferred tax assets for loss carryforwards that are not more likely than not to be realized. Such valuation allowances are not material.
The following table summarizes the activity related to unrecognized tax benefits:
(Dollars in Millions)202120202019
Beginning of year$3,373 3,853 3,326 
Increases related to current year tax positions242 265 249 
Increases related to prior period tax positions23 668 408 
Decreases related to prior period tax positions(128)(551)(105)
Settlements(187)(839)(9)
Lapse of statute of limitations(23)(16)
End of year$3,323 3,373 3,853 


benefits for continuing operations:
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The
(Dollars in Millions)202320222021
Beginning of year$3,7163,2103,260
Increases related to current year tax positions239523242
Increases related to prior period tax positions24414323
Decreases related to prior period tax positions(781)(148)(128)
Settlements(880)(1)(187)
Lapse of statute of limitations(53)(11)
End of year$2,4853,7163,210
As of December 31, 2023 the Company had approximately $2.5 billion of unrecognized tax benefits of $3.3 billion at January 2, 2022, if recognized, would affect the Company’s annual effective tax rate.benefits. The Company conducts business and files tax returns in numerous countries and currently has tax audits in progress with a number of tax authorities. With respect to the United States the IRSInternal Revenue Service has completed its audit for theall tax years through 2012 and is currently auditing tax years 2013 through 2016. In the fiscal year 2020, the Company made its final payments for approximately$0.7 billion to the U.S. Treasury related to the final settlement of 2010-2012 tax audit liability.

In other major jurisdictions where the Company conducts business, the years that remain open to tax auditaudits go back to the year 2008. The Company believes it is possible that some tax audits may be completed over the next twelve months by taxing authorities in some jurisdictions, outside ofincluding in the United States. However, the Company is not able to provide a reasonably reliable estimate of the timing of any other future tax payments relating toor change in uncertain tax positions.

positions, if any.
The Company classifies liabilities for unrecognized tax benefits and related interest and penalties as long-term liabilities, except as previously noted on amounts related to the current United States IRS audit.liabilities. Interest expense and penalties related to unrecognized tax benefits are classified as income tax expense. The Company recognized after tax interest expense of $44$99 million, $32$136 million and $50$42 million in fiscal years 2021, 20202023, 2022 and 2019,2021, respectively. The total amount of accrued interest was $512$264 million and $468$637 million in fiscal years 20212023 and 2020,2022, respectively.


9.Employee Related Obligationsrelated obligations
At the end of fiscal 20212023 and fiscal 2020,2022, employee related obligations recorded on the Consolidated Balance Sheets were:
(Dollars in Millions)20212020
Pension benefits$4,088 5,761 
Postretirement benefits2,069 2,229 
Postemployment benefits3,117 3,078 
Deferred compensation181 250 
Total employee obligations9,455 11,318 
Less current benefits payable557 547 
Employee related obligations — non-current$8,898 10,771 
(Dollars in Millions)20232022
Pension benefits$3,1292,475
Postretirement benefits1,9631,728
Postemployment benefits2,5272,832
Deferred compensation68100
Total employee obligations7,6877,135
Less current benefits payable538593
Employee related obligations — non-current$7,1496,542
Prepaid employee related obligations of $4,436$4,992 million and $656$4,581 million for 20212023 and 2020,2022, respectively, are included in Other assets on the Consolidated Balance Sheets.

2023 Annual Report6669



10.Pensions and Other Benefit Plans

other benefit plans
The Company sponsors various retirement and pension plans, including defined benefit, defined contribution and termination indemnity plans, which cover most employees worldwide. The Company also provides post-retirement benefits, primarily healthcare, to all eligible U.S. retired employees and their dependents.

Many international employees are covered by government-sponsored programs and the cost to the Company is not significant.

In the U.S, non-union pension benefits for employees hired before January 1, 2015 are primarily based on the employee’s compensation during the last five years before retirement and the number of years of service (the Final Average Pay formula). U.S. pension benefits for employees hired after 2014, are calculated using a different formula based on employee compensation over total years of service (the Retirement Value formula).

In January 2021, the Company announced that, effective on January 1, 2026, all eligible U.S. non-union employees,
regardless of hire date, will earn benefits under the Retirement Value formula. This amendment does not affect the benefits
accrued under the Final Average Pay formula for service before January 1, 2026. The impact of this change decreases the
Projected Benefit Obligation as of January 3, 2021 by approximately $1.8 billion and is included in the “Amendments” line in the Change in Benefit Obligation.

International subsidiaries have plans under which funds are deposited with trustees, annuities are purchased under group contracts, or reserves are provided.

The Company does not fund retiree healthcare benefits in advance and has the right to modify these plans in the future.

In 20212023 and 20202022 the Company used December 31, 20212023 and December 31, 2020,2022, respectively, as the measurement date for all U.S. and international retirement and other benefit plans.


Net periodic benefit costs for the Company’s defined benefit retirement plans and other benefit plans for 2021, 20202023, 2022 and 20192021 include the following components:
 Retirement PlansOther Benefit Plans
(Dollars in Millions)202120202019202120202019
Service cost$1,421 1,380 1,163 309 287 274 
Interest cost770 955 1,096 81 133 185 
Expected return on plan assets(2,645)(2,461)(2,322)(7)(7)(6)
Amortization of prior service cost(181)(31)(31)(31)
Recognized actuarial losses (gains)1,257 891 579 151 142 129 
Curtailments and settlements23 73 — — — 
Net periodic benefit cost$623 790 593 503 524 551 

Retirement PlansOther Benefit Plans
(Dollars in Millions)202320222021202320222021
Service cost$8931,3191,412264320309
Interest cost1,43790876821410480
Expected return on plan assets(2,716)(2,756)(2,644)(7)(8)(7)
Amortization of prior service cost(184)(184)(181)(2)(5)(31)
Recognized actuarial losses (gains)(199)6501,25123122151
Curtailments and settlements9311(5)
Net periodic benefit cost (credit)$(676)(62)607487533502
The service cost component of net periodic benefit cost is presented in the same line items on the Consolidated Statement of Earnings where other employee compensation costs are reported, including Cost of products sold, Research and development expense, and Selling, marketing and administrative expenses.expenses, and Net earnings from discontinued operations, net of taxes if related to the separation of Kenvue. All other components of net periodic benefit cost are presented as part of Other (income) expense, net on the Consolidated Statement of Earnings.

Earnings, with the exception of certain amounts for curtailments and settlements, which are reported in Net earnings from discontinued operations, net of taxes if related to the separation of Kenvue (as noted above).
Unrecognized gains and losses for the U.S. pension plans are amortized over the average remaining future service for each plan. For plans with no active employees, they are amortized over the average life expectancy. The amortization of gains and losses for the other U.S. benefit plans is determined by using a 10% corridor of the greater of the market value of assets or the accumulated postretirement benefit obligation. Total unamortized gains and losses in excess of the corridor are amortized over the average remaining future service.

Prior service costs/benefits for the U.S. pension plans are amortized over the average remaining future service of plan participants at the time of the plan amendment. Prior service cost/benefit for the other U.S. benefit plans is amortized over the average remaining service to full eligibility age of plan participants at the time of the plan amendment.

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The following table represents the weighted-average actuarial assumptions:
 Retirement PlansOther Benefit Plans
Worldwide Benefit Plans202120202019202120202019
Net Periodic Benefit Cost
Service cost discount rate2.14 %2.82 3.63 2.09 3.04 4.45 
Interest cost discount rate2.34 %3.13 4.13 2.33 3.08 4.25 
Rate of increase in compensation levels4.01 %4.00 3.99 4.25 4.25 4.29 
Expected long-term rate of return on plan assets7.71 %8.12 8.31 
Benefit Obligation
Discount rate2.49 %2.14 2.91 2.68 2.23 3.39 
Rate of increase in compensation levels4.01 %4.00 4.01 4.21 4.27 4.29 

Retirement PlansOther Benefit Plans
Worldwide Benefit Plans202320222021202320222021
Net Periodic Benefit Cost
Service cost discount rate4.85 %2.46 2.14 5.40 2.59 2.09 
Interest cost discount rate5.25 %2.80 2.34 5.43 2.64 2.33 
Rate of increase in compensation levels3.71 %4.02 4.01 4.22 4.21 4.25 
Expected long-term rate of return on plan assets7.21 %7.25 7.71 
Benefit Obligation
Discount rate4.58 %5.01 2.49 5.11 5.42 2.68 
Rate of increase in compensation levels3.69 %4.00 4.01 4.22 4.21 4.21 
The Company’s discount rates are determined by considering current yield curves representing high quality, long-term fixed income instruments. The resulting discount rates are consistent with the duration of plan liabilities. The Company's methodology in determining service and interest cost uses duration specific spot rates along that yield curve to the plans' liability cash flows.

The expected rates of return on plan asset assumptions represent the Company's assessment of long-term returns on diversified investment portfolios globally. The assessment is determined using projections from external financial sources, long-term historical averages, actual returns by asset class and the various asset class allocations by market.

The following table displays the assumed healthcare cost trend rates, for all individuals:
Healthcare Plans20232022
Healthcare cost trend rate assumed for next year13.90 %*5.96 %
Rate to which the cost trend rate is assumed to decline (ultimate trend)4.00 %3.99 %
Year the rate reaches the ultimate trend rate2048 2047 
*excludes ongoing negotiations regarding healthcare cost with service providers
Healthcare Plans20212020
Healthcare cost trend rate assumed for next year5.33 %5.68 %
Rate to which the cost trend rate is assumed to decline (ultimate trend)3.73 %4.49 %
Year the rate reaches the ultimate trend rate2046 2040 

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The following table sets forth information related to the benefit obligation and the fair value of plan assets at fiscal year-end 20212023 and 20202022 for the Company’s defined benefit retirement plans and other post-retirement plans:
 Retirement PlansOther Benefit Plans
(Dollars in Millions)2021202020212020
Change in Benefit Obligation
Projected benefit obligation — beginning of year$43,300 37,188 5,028 5,076 
Service cost1,421 1,380 309 287 
Interest cost770 955 81 133 
Plan participant contributions67 61 — — 
Amendments(1)
(1,780)— — 
Actuarial (gains) losses(2)
(2,132)5,716 (188)(75)
Divestitures & acquisitions(2)(88)— — 
Curtailments, settlements & restructuring(7)(24)— — 
Benefits paid from plan(1,157)(1,111)(348)(396)
Effect of exchange rates(683)1,003 (4)
Projected benefit obligation — end of year$41,582 43,300 4,878 5,028 
Change in Plan Assets
Plan assets at fair value — beginning of year$38,195 32,201 90 115 
Actual return on plan assets4,439 5,524 17 14 
Company contributions969 870 343 357 
Plan participant contributions67 61 — — 
Settlements(7)(13)— — 
Divestitures & acquisitions(2)(84)— — 
Benefits paid from plan assets(1,157)(1,111)(348)(396)
Effect of exchange rates(574)747 — — 
Plan assets at fair value — end of year$41,930 38,195 102 90 
Funded status — end of year$348 (5,105)(4,776)(4,938)
Amounts Recognized in the Company’s Balance Sheet consist of the following:
Non-current assets$4,436 656 — — 
Current liabilities(115)(125)(438)(418)
Non-current liabilities(3,973)(5,636)(4,338)(4,520)
Total recognized in the consolidated balance sheet — end of year$348 (5,105)(4,776)(4,938)
Amounts Recognized in Accumulated Other Comprehensive Income consist of the following:
Net actuarial loss$5,539 10,860 1,113 1,463 
Prior service cost (credit)(1)
(1,610)(1,797)(13)(44)
Unrecognized net transition obligation— — — — 
Total before tax effects$3,929 9,063 1,100 1,419 
Accumulated Benefit Obligations — end of year$39,049 40,356 
(1)In January 2021, the Company announced that, effective on January 1, 2026, all eligible U.S. non-union employees, regardless of hire date, will earn benefits under the Retirement Value formula. This amendment does not affect the benefits accrued under the Final Average Pay formula for service before January 1, 2026.
(2)The actuarial gain for retirement plans in 2021 was primarily related to increases in discount rates; the actuarial losses for retirement plans in 2020 were primarily related to decreases in discount rates.
Retirement PlansOther Benefit Plans
(Dollars in Millions)2023202220232022
Change in Benefit Obligation
Projected benefit obligation — beginning of year$29,39041,2724,1924,874
Service cost8931,319264320
Interest cost1,437908214104
Plan participant contributions7367
Amendments(6)7
Actuarial (gains) losses(1)
2,068(12,159)469(704)
Divestitures & acquisitions(2)
(352)1
Curtailments, settlements & restructuring(238)(7)(332)
Benefits paid from plan(3)
(2,122)(1,220)(702)(393)
Effect of exchange rates601(797)2(9)
Projected benefit obligation — end of year$31,74429,3904,1084,192
2023 Annual Report6971


Change in Plan Assets
Plan assets at fair value — beginning of year
Plan assets at fair value — beginning of year
Plan assets at fair value — beginning of year$31,49641,90978102
Actual return (loss) on plan assetsActual return (loss) on plan assets3,951(8,663)16(17)
Company contributionsCompany contributions268261694386
Plan participant contributionsPlan participant contributions7367
SettlementsSettlements(176)(5)
Divestitures & acquisitions(2)
Divestitures & acquisitions(2)
(509)
Benefits paid from plan assets(3)
Benefits paid from plan assets(3)
(2,122)(1,220)(702)(393)
Effect of exchange ratesEffect of exchange rates626(853)
Plan assets at fair value — end of yearPlan assets at fair value — end of year$33,60731,4968678
Funded status — end of yearFunded status — end of year$1,8632,106(4,022)(4,114)
Amounts Recognized in the Company’s Balance Sheet consist of the following:
Non-current assets
Non-current assets
Non-current assets$4,9924,581
Current liabilitiesCurrent liabilities(119)(127)(416)(461)
Non-current liabilitiesNon-current liabilities(3,010)(2,348)(3,606)(3,653)
Total recognized in the consolidated balance sheet — end of yearTotal recognized in the consolidated balance sheet — end of year$1,8632,106(4,022)(4,114)
Amounts Recognized in Accumulated Other Comprehensive Income consist of the following:
Net actuarial loss
Net actuarial loss
Net actuarial loss$4,9623,948354239
Prior service cost (credit)Prior service cost (credit)(1,236)(1,417)(6)(7)
Unrecognized net transition obligationUnrecognized net transition obligation
Total before tax effectsTotal before tax effects$3,7262,531348232
Retirement PlansOther Benefit Plans
Accumulated Benefit Obligations — end of year
Accumulated Benefit Obligations — end of year
Accumulated Benefit Obligations — end of year
(1)The actuarial (gains)/losses for retirement plans in 2023 and 2022 were primarily driven by changes in the discount rates.
(2)Primarily driven by the Kenvue separation.
(3)Includes approximately $800 million transferred to a group annuity contract issued by a third-party insurer for the U.S. Salaried Pension Plan.
(1)The actuarial (gains)/losses for retirement plans in 2023 and 2022 were primarily driven by changes in the discount rates.
(2)Primarily driven by the Kenvue separation.
(3)Includes approximately $800 million transferred to a group annuity contract issued by a third-party insurer for the U.S. Salaried Pension Plan.
(1)The actuarial (gains)/losses for retirement plans in 2023 and 2022 were primarily driven by changes in the discount rates.
(2)Primarily driven by the Kenvue separation.
(3)Includes approximately $800 million transferred to a group annuity contract issued by a third-party insurer for the U.S. Salaried Pension Plan.
Retirement PlansRetirement PlansOther Benefit Plans
(Dollars in Millions)(Dollars in Millions)2021202020212020(Dollars in Millions)2023202220232022
Amounts Recognized in Net Periodic Benefit Cost and Other Comprehensive IncomeAmounts Recognized in Net Periodic Benefit Cost and Other Comprehensive Income
Net periodic benefit cost$623 790 503 524 
Net periodic benefit cost (credit)
Net periodic benefit cost (credit)
Net periodic benefit cost (credit)$(676)(62)487533
Net actuarial (gain) lossNet actuarial (gain) loss(3,927)2,616 (199)(81)Net actuarial (gain) loss711(793)136(751)
Amortization of net actuarial lossAmortization of net actuarial loss(1,257)(891)(151)(142)Amortization of net actuarial loss199(655)(22)(121)
Prior service cost (credit)Prior service cost (credit)(1,780)— — Prior service cost (credit)(2)7
Amortization of prior service (cost) creditAmortization of prior service (cost) credit181 (2)31 31 Amortization of prior service (cost) credit18518325
Effect of exchange ratesEffect of exchange rates(136)293 — Effect of exchange rates103(140)(1)
Total loss/(income) recognized in other comprehensive income, before taxTotal loss/(income) recognized in other comprehensive income, before tax$(5,134)236 (319)(191)Total loss/(income) recognized in other comprehensive income, before tax$1,195(1,398)116(868)
Total recognized in net periodic benefit cost and other comprehensive incomeTotal recognized in net periodic benefit cost and other comprehensive income$(4,511)1,026 184 333 Total recognized in net periodic benefit cost and other comprehensive income$519(1,460)603(335)

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The Company plans to continue to fund its U.S. Qualified Plans to comply with the Pension Protection Act of 2006. International Plans are funded in accordance with local regulations. Additional discretionary contributions are made when deemed appropriate to meet the long-term obligations of the plans. For certain plans, funding is not a common practice, as funding provides no economic benefit. Consequently, the Company has several pension plans that are not funded.

In 2021,2023, the Company contributed $102$135 million and $867$133 million to its U.S. and international pension plans, respectively.
The following table displays the funded status of the Company's U.S. Qualified & Non-Qualified pension plans and international funded and unfunded pension plans at December 31, 20212023 and December 31, 2020,2022, respectively:
U.S. PlansInternational Plans
Qualified PlansNon-Qualified PlansFunded PlansUnfunded Plans
U.S. PlansU.S. PlansInternational Plans
Qualified PlansQualified PlansNon-Qualified PlansFunded PlansUnfunded Plans
(Dollars in Millions)(Dollars in Millions)20212020202120202021202020212020(Dollars in Millions)20232022202320222023202220232022
Plan AssetsPlan Assets$27,944 25,554 — — 13,986 12,641 — — Plan Assets$22,29820,93711,30910,559
Projected Benefit ObligationProjected Benefit Obligation25,041 25,466 2,703 2,748 13,428 14,541 410 545 Projected Benefit Obligation19,15218,3942,0371,93710,4318,98212477
Accumulated Benefit ObligationAccumulated Benefit Obligation23,985 24,158 2,479 2,495 12,212 13,210 373 493 Accumulated Benefit Obligation18,55717,6961,9821,8729,4988,16610263
Over (Under) Funded StatusOver (Under) Funded Status
Projected Benefit ObligationProjected Benefit Obligation$2,903 88 (2,703)(2,748)558 (1,900)(410)(545)
Projected Benefit Obligation
Projected Benefit Obligation$3,1462,543(2,037)(1,937)8781,577(124)(77)
Accumulated Benefit ObligationAccumulated Benefit Obligation3,959 1,396 (2,479)(2,495)1,774 (569)(373)(493)Accumulated Benefit Obligation3,7413,241(1,982)(1,872)1,8112,393(102)(63)
Plans with accumulated benefit obligations in excess of plan assets have an accumulated benefit obligation, projected benefit obligation and plan assets of $3.9$5.8 billion, $4.2$6.1 billion and $3.1 billion, respectively, at the end of 2023, and $2.7 billion, $2.7 billion and $0.3 billion, respectively, at the end of 2021, and $8.8 billion, $9.8 billion and $4.4 billion, respectively, at the end of 2020.2022.

The following table displays the projected future benefit payments from the Company’s retirement and other benefit plans:
(Dollars in Millions)202220232024202520262027-2031
Projected future benefit payments
Retirement plans$1,317 1,386 1,421 1,496 1,572 9,279 
Other benefit plans $447 459 472 485 434 2,379 

(Dollars in Millions)202420252026202720282029-2033
Projected future benefit payments
Retirement plans$1,4811,4731,5491,6471,74510,133
Other benefit plans $4274383964114282,360
The following table displays the projected future minimum contributions to the unfunded retirement plans. These amounts do not include any discretionary contributions that the Company may elect to make in the future.
(Dollars in Millions)202220232024202520262027-2031
Projected future contributions$114 119 126 133 139 794 


(Dollars in Millions)202420252026202720282029-2033
Projected future contributions$122126133139145787
Each pension plan is overseen by a local committee or board that is responsible for the overall administration and investment of the pension plans. In determining investment policies, strategies and goals, each committee or board considers factors
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including, local pension rules and regulations; local tax regulations; availability of investment vehicles (separate accounts, commingled accounts, insurance funds, etc.); funded status of the plans; ratio of actives to retirees; duration of liabilities; and other relevant factors including: diversification, liquidity of local markets and liquidity of base currency. A majority of the Company’s pension funds are open to new entrants and are expected to be on-going plans. Permitted investments are primarily liquid and/or listed, with little reliance on illiquid and non-traditional investments such as hedge funds.

The Company’s retirement plan asset allocation at the end of 20212023 and 20202022 and target allocations for 20222024 are as follows:
2023 Annual Report73


Percent of
Plan Assets
Target
Allocation
 202120202022
Worldwide Retirement Plans
Equity securities65 %66 %61 %
Debt securities35 34 39 
Total plan assets100 %100 %100 %
Percent of
Plan Assets
Target
Allocation
202320222024
Worldwide Retirement Plans
Equity securities58 %62 %58 %
Debt securities42 38 42 
Total plan assets100 %100 %100 %
Determination of Fair Valuefair value of Plan Assetsplan assets
The Plan has an established and well-documented process for determining fair values. Fair value is based upon quoted market prices, where available. If listed prices or quotes are not available, fair value is based upon models that primarily use, as inputs, market-based or independently sourced market parameters, including yield curves, interest rates, volatilities, equity or debt prices, foreign exchange rates and credit curves.
While the Plan believes its valuation methods are appropriate and consistent with other market participants, the use of different methodologies or assumptions to determine the fair value of certain financial instruments could result in a different estimate of fair value at the reporting date.
Valuation Hierarchyhierarchy
The authoritative literature establishes a three-level hierarchy to prioritize the inputs used in measuring fair value. The levels within the hierarchy are described in the table below with Level 1 having the highest priority and Level 3 having the lowest.
The Net Asset Value (NAV) is based on the value of the underlying assets owned by the fund, minus its liabilities, and then divided by the number of shares outstanding.
A financial instrument’s categorization within the valuation hierarchy is based upon the lowest level of input that is significant to the fair value measurement.
Following is a description of the valuation methodologies used for the investments measured at fair value.
Short-term investment funds — Cash and quoted short-term instruments are valued at the closing price or the amount held on deposit by the custodian bank. Other investments are through investment vehicles valued using the NAV provided by the administrator of the fund. The NAV is a quoted price in a market that is not active and classified as Level 2.
Government and agency securities — A limited number of these investments are valued at the closing price reported on the major market on which the individual securities are traded. Where quoted prices are available in an active market, the investments are classified within Level 1 of the valuation hierarchy. If quoted market prices are not available for the specific security, then fair values are estimated by using pricing models, quoted prices of securities with similar characteristics or discounted cash flows. When quoted market prices for a security are not available in an active market, they are classified as Level 2.
Debt instruments — A limited number of these investments are valued at the closing price reported on the major market on which the individual securities are traded. Where quoted prices are available in an active market, the investments are classified as Level 1. If quoted market prices are not available for the specific security, then fair values are estimated by using pricing models, quoted prices of securities with similar characteristics or discounted cash flows and are classified as Level 2. Level 3 debt instruments are priced based on unobservable inputs.
Equity securities — Equity securities are valued at the closing price reported on the major market on which the individual securities are traded. Substantially all equity securities are classified within Level 1 of the valuation hierarchy.
Commingled funds — These investment vehicles are valued using the NAV provided by the fund administrator. Assets in the Level 2 category have a quoted market price.
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Other assets — Other assets are represented primarily by limited partnerships. These investment vehicles are valued using the NAV provided by the fund administrator. Other assets that are exchange listed and actively traded are classified as Level 1, while inactively traded assets are classified as Level 2.
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The following table sets forth the Retirement Plans' investments measured at fair value as of December 31, 20212023 and December 31, 2020:
Quoted Prices
in Active
Markets for
Identical Assets
Significant
Other
Observable
Inputs
Significant
Unobservable
Inputs(1)
Investments Measured at Net Asset Value
 (Level 1)(Level 2)(Level 3)Total Assets
(Dollars in Millions)2021202020212020202120202021202020212020
Short-term investment funds$102 127 1,033 763 — — — — 1,135 890 
Government and agency securities— — 7,016 5,023 — — — — 7,016 5,023 
Debt instruments— — 3,505 3,931 — — — — 3,505 3,931 
Equity securities14,107 14,375 — — — — 14,109 14,377 
Commingled funds— — 5,496 4,690 105 160 8,708 8,236 14,309 13,086 
Other assets— — 34 11 15 21 1,807 856 1,856 888 
Investments at fair value$14,209 14,502 17,086 14,420 120 181 10,515 9,092 41,930 38,195 
2022:

Quoted Prices
in Active
Markets for
Identical Assets
Significant
Other
Observable
Inputs
Significant
Unobservable
Inputs(1)
Investments Measured at Net Asset Value
(Level 1)(Level 2)(Level 3)Total Assets
(Dollars in Millions)2023202220232022202320222023202220232022
Short-term investment funds$12268291384139
Government and agency securities5,9855,8635,9855,863
Debt instruments3,8993,6813,8993,681
Equity securities7,7648,84627,7648,848
Commingled funds4,9674,36243566,6726,09611,68210,514
Other assets493392123,2952,5063,4362,551
Investments at fair value$7,7768,87215,72913,954135689,9678,60233,60731,496
(1) The activity for the Level 3 assets is not significant for all years presented.

The Company's Other Benefit Plans are unfunded except for U.S. commingled funds (Level 2) of $102$86 million and $90$78 million at December 31, 20212023 and December 31, 2020,2022, respectively.
The fair value of Johnson & Johnson Common Stock directly held in plan assets was $385$14 million (0.9%(0.0% of total plan assets) at December 31, 20212023 and $946$21 million (2.5%(0.1% of total plan assets) at December 31, 2020.

2022.
11.Savings Planplan
The Company has voluntary 401(k) savings plans designed to enhance the existing retirement programs covering eligible employees. The Company matches a percentage of each employee’s contributions consistent with the provisions of the plan for which he/shethe employee is eligible. Total Company matching contributions to the plans were $256$263 million, $243$257 million and $235$239 million in fiscal years 2021, 20202023, 2022 and 2019,2021, respectively.

2023 Annual Report7275


12.Capital and Treasury Stocktreasury stock
Changes in treasury stock were:
Treasury Stock
(Amounts in Millions Except Treasury Stock Shares in Thousands)SharesAmount
Balance at December 30, 2018457,519 $34,362 
Employee compensation and stock option plans(20,053)(2,691)
Repurchase of common stock49,870 6,746 
Balance at December 29, 2019487,336 38,417 
Employee compensation and stock option plans(21,765)(3,148)
Repurchase of common stock21,760 3,221 
Balance at January 3, 2021487,331 38,490 
Employee compensation and stock option plans(17,399)(2,847)
Repurchase of common stock20,946 3,456 
Balance at January 2, 2022490,878 $39,099 

Treasury Stock
(Amounts in Millions Except Treasury Stock Shares in Thousands)SharesAmount
Balance at January 3, 2021487,331$38,490
Employee compensation and stock option plans(17,399)(2,847)
Repurchase of common stock20,9463,456
Balance at January 2, 2022490,87839,099
Employee compensation and stock option plans(20,007)(3,440)
Repurchase of common stock35,3756,035
Balance at January 1, 2023506,24641,694
Employee compensation and stock option plans(15,521)(2,529)
Repurchase of common stock31,0855,079
Kenvue share exchange (Note 21)190,95531,418
Balance at December 31, 2023712,765$75,662
Aggregate shares of common stock issued were approximately 3,119,843,000 shares at the end of fiscal years 2021, 20202023, 2022 and 2019.

2021.
Cash dividends paid were $4.70 per share in fiscal year 2023, compared with dividends of $4.45 per share in fiscal year 2022, and $4.19 per share in fiscal year 2021, compared with dividends of $3.98 per share in fiscal year 2020, and $3.75 per share in fiscal year 2019.2021.
On January 4, 2022,2, 2024, the Board of Directors declared a regular cash dividend of $1.06$1.19 per share, payable on March 8, 20225, 2024 to shareholders of record as of February 22, 2022.20, 2024.
On December 17, 2018,September 14, 2022, the Company announced that its Board of Directors approved a share repurchase program, authorizing the Company to purchase up to $5.0 billion of the Company's shares of common stock. This shareThe repurchase program was completed asduring the fiscal first quarter of September 29, 2019.2023.

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13.Accumulated Other Comprehensive Income (Loss)other comprehensive income (loss)
Components of other comprehensive income (loss) consist of the following:
(Dollars in Millions)Foreign
Currency Translation
Gain/(Loss) On SecuritiesEmployee Benefit PlansGain/
(Loss) On
Derivatives & Hedges
Total
Accumulated
Other
Comprehensive Income (Loss)
December 30, 2018$(8,869)— (6,158)(195)(15,222)
Net 2019 changes164 — (733)(100)(669)
December 29, 2019(8,705)— (6,891)(295)(15,891)
Net 2020 changes(233)(66)947 649 
January 3, 2021(8,938)(6,957)652 (15,242)
Net 2021 changes(1,079)(4)4,255 (988)2,184 
January 2, 2022$(10,017)(3)(2,702)(336)(13,058)


(Dollars in Millions)Foreign
Currency
Translation
Gain/
(Loss) On
Securities
Employee
Benefit Plans
Gain/
(Loss) On
Derivatives
& Hedges
Total
Accumulated
Other
Comprehensive
Income (Loss)
January 3, 2021$(8,938)1(6,957)652(15,242)
Net 2021 changes(1,079)(4)4,255(988)2,184
January 2, 2022(10,017)(3)(2,702)(336)(13,058)
Net 2022 changes(1,796)(24)1,80510691
January 1, 2023(11,813)(27)(897)(230)(12,967)
Net 2023 changes(3,221)26(1,399)(147)(4,741)
Kenvue Separation/IPO4,885296*5,181
December 31, 2023$(10,149)(1)(2,000)(377)(12,527)
Amounts in accumulated other comprehensive income are presented net of the related tax impact. Foreign currency translation is not adjusted for income taxes where it relates to permanent investments in international subsidiaries. For additional details on comprehensive income see the Consolidated Statements of Comprehensive Income.

Details on reclassifications out of Accumulated Other Comprehensive Income:
Gain/(Loss) On Securities - reclassifications released to Other (income) expense, net.
Employee Benefit Plans - reclassifications are included in net periodic benefit cost. See Note 10 for additional details.
Gain/(Loss) On Derivatives & Hedges - reclassifications to earnings are recorded in the same account as the hedged transaction. See Note 6 for additional details.


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* Includes impact of curtailments and settlements in connection with separation from Kenvue.


14.International Currency Translationcurrency translation
For translation of its subsidiaries operating in non-U.S. Dollar currencies, the Company has determined that the local currencies of its international subsidiaries are the functional currencies except those in highly inflationary economies, which are defined as those which have had compound cumulative rates of inflation of 100% or more during the past three years, or where a substantial portion of its cash flows are not in the local currency. For the majority of the Company's subsidiaries the local currency is the functional currency.
In consolidating international subsidiaries, balance sheet currency effects are recorded as a component of accumulated other comprehensive income. The other current and non-current assets line within the Statement of Cash flows includes the impact of foreign currency translation. This equity account includes the results of translating certain balance sheet assets and liabilities at current exchange rates and some accounts at historical rates, except for those located in highly inflationary economies (Argentina and Venezuela). Beginning in the fiscal second quarter of 2022, the Company also accounted for operations in Turkey as highly inflationary. The translation of balance sheet accounts for highly inflationary economies are reflected in the operating results.
A rollforward of the changes during fiscal years 2021, 20202023, 2022 and 20192021 for foreign currency translation adjustments is included in Note 13.
Net currency transaction gains and losses included in Other (income) expense were losses of $236$366 million, $209$286 million and $267$216 million in fiscal years 2023, 2022 and 2021, 2020 and 2019, respectively.
2023 Annual Report77


15.Earnings Per Shareper share
The following is a reconciliation of basic net earnings per share to diluted net earnings per share for the fiscal years ended December 31, 2023, January 1, 2023 and January 2, 2022, January 3, 2021 and December 29, 2019:
(In Millions Except Per Share Amounts)202120202019
Basic net earnings per share$7.93 5.59 5.72 
Average shares outstanding — basic2,632.1 2,632.8 2,645.1 
Potential shares exercisable under stock option plans138.0 118.3 136.3 
Less: shares repurchased under treasury stock method(96.1)(80.4)(97.8)
Convertible debt shares— — 0.7 
Adjusted average shares outstanding — diluted2,674.0 2,670.7 2,684.3 
Diluted net earnings per share$7.81 5.51 5.63 
2022:

(In Millions Except Per Share Amounts)202320222021
Basic net earnings per share from continuing operations$5.266.236.76
Basic net earnings per share from discontinued operations8.620.601.17
Total net earnings per share - basic13.886.837.93
Average shares outstanding — basic2,533.52,625.22,632.1
Potential shares exercisable under stock option plans94.1140.1138.0
Less: shares repurchased under treasury stock method(67.2)(101.4)(96.1)
Adjusted average shares outstanding — diluted2,560.42,663.92,674.0
Diluted net earnings per share from continuing operations5.206.146.66
Diluted net earnings per share from discontinuing operations8.520.591.15
Total net earnings per share - diluted$13.726.737.81
The diluted net earnings per share calculation for fiscal year 2023 excluded 43 million shares related to stock options, as the exercise price of these options was greater than the average market value of the Company's stock.
The diluted net earnings per share calculation for the fiscal years 2022 and 2021 included all shares related to stock options, as the exercise price of these options was less than the average market value of the Company's stock. As of January 2, 2022, the Company did not have convertible debt.

The diluted net earnings per share calculation for fiscal year 2020 excluded 18 million shares related to stock options, as the exercise price of these options was greater than the average market value of the Company's stock. As of January 3, 2021, the Company did not have convertible debt.

The diluted net earnings per share calculation for fiscal year 2019 excluded an insignificant number of shares related to stock options, as the exercise price of these options was greater than the average market value of the Company’s stock. The diluted net earnings per share calculation for fiscal year 2019 included the dilutive effect of convertible debt that was offset by the related reduction in interest expense of $1 million after-tax.


16.Common Stock, Stock Option Plansstock, stock option plans and Stock Compensation Agreementsstock compensation agreements
At January 2, 2022,December 31, 2023, the Company had 2one stock-based compensation plans.plan. The shares outstanding are for contracts under the Company's 20052012 Long-Term Incentive Plan and the 20122022 Long-Term Incentive Plan. The 20052012 Long-Term Incentive Plan expired on April 26, 2012.2022. All awards (stock options, and restricted shares units and performance share units) granted subsequent to that date were under the 20122022 Long-Term Incentive Plan. Under the 20122022 Long-Term Incentive Plan, the Company may issue up to 650150 million shares of common stock, plus anyof which up to 110 million shares canceled, expired, forfeited,of common stock may be issued subject to stock options or notstock appreciation rights and up to 40 million shares of common stock may be issued fromsubject to full value awards. Awards will generally be counted on a 1-for-1 basis against the 2005 Long-Term Incentive Plan subsequent to April 26, 2012.share reserve, provided that if more than 40 million full value awards are granted, each full value award in excess of 40 million will be counted on a 5-for-1 basis against the share reserve. Shares available for future grants under the 20122022 Long-Term Incentive Plan were 240130 million at the end of fiscal year 2021.2023.
The compensation cost that has been charged against income for these plans was $1,135$1,087 million, $1,005$1,028 million and $977$1,038 million for fiscal years 2021, 20202023, 2022 and 2019,2021, respectively. The total income tax benefit recognized in the income statement for share-based compensation costs was $218$221 million, $210$177 million and $227$199 million for fiscal years 2021, 20202023, 2022 and 2019,2021, respectively. The Company also recognized additional income tax benefits of $223$126 million, $248$267 million and $209$213 million for fiscal years 2021, 20202023, 2022 and 2019,2021, respectively, for which options were exercised or restricted shares were vested. The total unrecognized compensation cost was $862$907 million, $804$866 million and $823$775 million for fiscal years 2023, 2022 and 2021, 2020 and 2019,
74


respectively. The weighted average period for this cost to be recognized was 1.781.80 years, 1.761.80 years and 1.711.78 years for fiscal years 2021, 2020,2023, 2022, and 2019,2021, respectively. Share-based compensation costs capitalized as part of inventory were insignificant in all periods.
The Company settles employee benefit equity issuances with treasury shares. Treasury shares are replenished through market purchases throughout the year for the number of shares used to settle employee benefit equity issuances.


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Stock Optionsoptions
Stock options expire 10 years from the date of grant and vest over service periods that range from 6 months to 4 years. All options are
Options granted under the 2012 Long-Term Incentive Plan were
granted at the average of the high and low prices of the Company’s Common Stock on the New York Stock Exchange on the date of grant. Options granted under the 2022 Long-Term incentive Plan were granted at the closing price of the Company’s Common Stock on the New York Stock Exchange on the date of gran
t.
The fair value of each option award was estimated on the date of grant using the Black-Scholes option valuation model that uses the assumptions noted in the following table. For 2021, 20202023, 2022, and 20192021 grants, expected volatility represents a blended rate of 10-year weekly historical overall volatility rate, and a 5-week average implied volatility rate based on at-the-money traded Johnson & Johnson options with a life of 2 years. For all grants, historical data is used to determine the expected life of the option. The risk-free rate was based on the U.S. Treasury yield curve in effect at the time of grant.

The average fair value of options granted was $20.86, $16.42$27.85, $23.23 and $17.80,$20.86, in fiscal years 2021, 20202023, 2022 and 2019,2021, respectively. The fair value was estimated based on the weighted average assumptions of:
202120202019
Risk-free rate0.83 %1.47 %2.56 %
Expected volatility18.59 %15.33 %16.27 %
Expected life (in years)7.07.07.0
Expected dividend yield2.50 %2.60 %2.80 %

202320222021
Risk-free rate3.74 %1.98 %0.83 %
Expected volatility17.69 %18.00 %18.59 %
Expected life (in years)7.07.07.0
Expected dividend yield2.90 %2.70 %2.50 %
A summary of option activity under the Plan as of January 2, 2022, January 3, 2021 and December 29, 2019, and changes during the years ending on those dates31, 2023, is presented below:
(Shares in Thousands)Outstanding SharesWeighted
Average Exercise Price
Aggregate
Intrinsic
Value
(Dollars in Millions)
Shares at December 30, 2018109,652 $98.29 $3,214 
Options granted19,745 131.94 
Options exercised(14,785)82.43 
Options canceled/forfeited(2,975)125.11 
Shares at December 29, 2019111,637 105.63 4,478 
Options granted20,723 151.41 
Options exercised(16,275)86.05 
Options canceled/forfeited(1,835)137.62 
Shares at January 3, 2021114,250 116.22 4,703 
Options granted18,525 164.62 
Options exercised(13,248)97.48 
Options canceled/forfeited(2,166)149.75 
Shares at January 2, 2022117,361 $125.36 $5,364 

(Shares in Thousands)Outstanding
Shares
Weighted
Average Exercise
Price
Aggregate
Intrinsic
Value
(Dollars in Millions)
Shares at January 1, 2023118,672$134.95$4,949
Options granted16,320162.75
Options exercised(12,386)109.48
Options canceled/forfeited*(10,368)155.62
Shares at December 31, 2023112,238$139.88$2,239
The total intrinsic value of options exercised was $919$729 million, $1,021$1,228 million and $807$919 million in fiscal years 2021, 20202023, 2022 and 2019,2021, respectively.


*includes 7,689 shares of options cancelled as a result of the conversion of Johnson & Johnson stock options held by Kenvue employees into Kenvue stock options
2023 Annual Report7579



The following table summarizes stock options outstanding and exercisable at January 2, 2022:
(Shares in Thousands)OutstandingExercisable
Exercise Price RangeOptions
Average Life(1)
Weighted Average Exercise PriceOptionsWeighted Average Exercise Price
$65.08-$90.4416,007 1.6$81.9216,007 $81.92
$100.06-$101.8722,647 3.6$101.0722,647 $101.07
$115.67-$129.5124,543 5.6$122.5923,972 $122.43
$131.94-$151.4136,304 7.6$142.23100 $140.72
$151.42-$164.6217,860 9.1$164.6216 $164.62
 117,361 5.8$125.3662,742 $104.42
December 31, 2023:
(Shares in Thousands)OutstandingExercisable
Exercise Price RangeOptions
Average Life(1)
Weighted
Average
Exercise Price
OptionsWeighted
Average
Exercise Price
$90.44 - $101.8720,7741.4$99.2120,774$99.21
$115.67 - $129.5119,3683.6122.4919,368122.49
$131.94 - $151.4127,3915.6142.8426,676142.61
$162.70 - $162.7513,9289.1162.756162.75
$164.62 - $165.8930,7777.6165.29174165.12
 112,2385.5$139.8866,998$123.39
(1) Average contractual life remaining in years.
Stock options outstanding at January 3, 20211, 2023 and December 29, 2019January 2, 2022 were 114,250118,672 and an average life of 6.05.8 years and 111,637117,361 and an average life of 6.05.8 years, respectively. Stock options exercisable at January 3, 20211, 2023 and December 29, 2019January 2, 2022 were 61,28963,661 at an average price of $96.97$113.06 and 60,76162,742 at an average price of $88.88,$104.42, respectively.
Restricted Share Unitsshare units and Performance Share Unitsperformance share units
The Company grants restricted share units which vest over service periods that range from 6 months to 3 years. The Company also grants performance share units, which are paid in shares of Johnson & Johnson Common Stock after the end of a three-yearthree-year performance period. Whether any performance share units vest, and the amount that does vest, is tied to the completion of service periods that range from 6 months to 3 years and the achievement, over a three-year period, of three equally-weighted goals that directly align with or help drive long-term total shareholder return: operational sales, adjusted operational earnings per share, and relative total shareholder return. Beginning in fiscal 2020, performancePerformance shares were granted with two equally-weighted goals that directly align with or help drive long-term total shareholder return: adjusted operational earnings per share and relative total shareholder return. The number of shares actually earned at the end of the three-year period will vary, based only on actual performance, from 0% to 200% of the target number of performance share units granted.

granted.
A summary of the restricted share units and performance share units activity under the Plans as of January 2, 2022December 31, 2023 is presented below:
(Shares in Thousands)(Shares in Thousands)Outstanding Restricted Share UnitsOutstanding Performance Share Units(Shares in Thousands)Outstanding
Restricted Share Units
Outstanding
Performance Share Units
Shares at January 3, 202114,998 2,236 
Shares at January 1, 2023
Shares at January 1, 2023
Shares at January 1, 202313,6162,357
GrantedGranted4,981 741 Granted5,910828
IssuedIssued(5,101)(610)Issued(4,329)(785)
Canceled/forfeited/adjusted(756)(55)
Shares at January 2, 202214,122 2,312 
Canceled/forfeited/adjusted*Canceled/forfeited/adjusted*(2,259)(363)
Shares at December 31, 2023Shares at December 31, 202312,9382,037
*includes 1,421 shares of restricted share units and 264 shares of performance share units cancelled as a result of the conversion of Johnson & Johnson restricted share units and performance share units held by Kenvue employees into Kenvue restricted share units
The average fair value of the restricted share units granted was $152.62, $139.58$152.63, $153.67 and $121.31$152.62 in fiscal years 2021, 20202023, 2022 and 2019,2021, respectively, using the fair market value at the date of grant. The fair value of restricted share units was discounted for dividends, which are not paid on the restricted share units during the vesting period. The fair value of restricted share units issued was $605 million, $591 million and $611 million $650 millionin 2023, 2022 and $586 million in 2021, 2020 and 2019, respectively.
The weighted average fair value of the performance share units granted was $179.35, $160.54$145.17, $170.46 and $124.67$179.35 in fiscal years 2021, 20202023, 2022 and 2019,2021, calculated using the weighted average fair market value for each of the component goals at the date of grant.
The fair values for the sales and earnings per share goals of each performance share unit were estimated on the date of grant using the fair market value of the shares at the time of the award discounted for dividends, which are not paid on the performance share units during the vesting period. The fair value for the relative total shareholder return goal of each performance share unit was estimated on the date of grant using the Monte Carlo valuation model. The fair value of performance share units issued was $83$140 million, $91$94 million and $119$83 million in fiscal years 2021, 20202023, 2022 and 2019,2021, respectively.

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17.Segments of Business*business and Geographic Areasgeographic areas
 Sales to Customers% Change
(Dollars in Millions)202120202019’21 vs. ’20’20 vs. ’19
Consumer Health   
OTC
     U.S.$2,594 2,460 2,010 5.4 %22.4 
     International2,634 2,364 2,434 11.4 (2.9)
     Worldwide5,227 4,824 4,444 8.4 8.5 
Skin Health/Beauty
     U.S.2,400 2,350 2,392 2.1 (1.7)
     International2,141 2,100 2,201 1.9 (4.6)
     Worldwide4,541 4,450 4,593 2.0 (3.1)
Oral Care
     U.S.637 683 621 (6.7)9.9 
     International1,008 958 906 5.1 5.7 
     Worldwide1,645 1,641 1,528 0.2 7.4 
Baby Care
     U.S.378 376 362 0.5 3.7 
     International1,188 1,141 1,313 4.1 (13.1)
     Worldwide1,566 1,517 1,675 3.2 (9.4)
Women's Health
     U.S.13 13 12 (1.6)8.2 
     International905 888 974 1.8 (8.8)
     Worldwide917 901 986 1.8 (8.6)
Wound Care/Other
     U.S.495 480 441 3.1 8.9 
     International243 240 230 1.7 4.1 
     Worldwide739 720 671 2.6 7.2 
TOTAL CONSUMER HEALTH
     U.S.6,516 6,362 5,839 2.4 9.0 
     International8,119 7,691 8,059 5.6 (4.6)
     Worldwide14,635 14,053 13,898 4.1 1.1 


Following the separation of the Consumer Health business in the fiscal third quarter of 2023, the Company is now organized into two business segments: Innovative Medicine (formerly referred to as Pharmaceutical) and MedTech. The segment results have been recast for all periods to reflect the continuing operations of the Company.
 Sales to Customers% Change
(Dollars in Millions)202320222021’23 vs. ’22’22 vs. ’21
INNOVATIVE MEDICINE(1)
Immunology
     U.S.$11,53911,03610,8434.6 %1.8 
     International6,5135,8995,90710.4 (0.1)
     Worldwide18,05216,93516,7506.6 1.1 
     REMICADE
     U.S.1,1431,4172,019(19.3)(29.8)
     U.S. Exports147204236(28.0)(13.6)
     International549722935(23.9)(22.8)
     Worldwide1,8392,3433,190(21.5)(26.6)
     SIMPONI / SIMPONI ARIA
     U.S.1,1241,1661,127(3.6)3.5 
     International1,0731,0171,1485.4 (11.4)
     Worldwide2,1972,1842,2760.6 (4.0)
     STELARA
     U.S.6,9666,3885,9389.0 7.6 
     International3,8923,3353,19616.7 4.4 
     Worldwide10,8589,7239,13411.7 6.5 
     TREMFYA
     U.S.2,1471,8441,50316.5 22.7 
     International99982462421.2 32.0 
     Worldwide3,1472,6682,12717.9 25.4 
     OTHER IMMUNOLOGY
     U.S.111721(33.8)(18.4)
     International003— *
     Worldwide111724(33.8)(28.2)
Infectious Diseases
     U.S.1,5001,6802,249(10.7)(25.3)
     International2,9183,7693,576(22.6)5.4 
     Worldwide4,4185,4495,825(18.9)(6.5)
     COVID-19 VACCINE
U.S.0120634*(81.1)
International1,1172,0591,751(45.8)17.6 
Worldwide1,1172,1792,385(48.8)(8.6)
2023 Annual Report7781


PHARMACEUTICAL
Immunology
Sales to Customers% Change
(Dollars in Millions)(Dollars in Millions)202320222021’23 vs. ’22’22 vs. ’21
EDURANT / rilpivirine
U.S.
U.S.
U.S. U.S.10,843 10,175 9,641 6.6 5.5 
International International5,907 4,880 4,309 21.0 13.2 
Worldwide Worldwide16,750 15,055 13,950 11.3 7.9 
REMICADE®
PREZISTA / PREZCOBIX / REZOLSTA / SYMTUZA
U.S. U.S.2,019 2,508 3,079 (19.5)(18.5)
U.S. Exports236 346 294 (31.9)18.0 
International935 893 1,007 4.8 (11.4)
Worldwide3,190 3,747 4,380 (14.9)(14.4)
SIMPONI / SIMPONI ARIA®
U.S. U.S.1,127 1,155 1,159 (2.4)(0.3)
International1,148 1,088 1,029 5.5 5.8 
Worldwide2,276 2,243 2,188 1.4 2.6 
STELARA®
U.S.5,938 5,240 4,346 13.3 20.6 
International3,196 2,467 2,015 29.6 22.4 
Worldwide9,134 7,707 6,361 18.5 21.1 
TREMFYA®
U.S.1,503 926 764 62.3 21.3 
International624 421 248 48.2 69.9 
Worldwide2,127 1,347 1,012 57.9 33.2 
OTHER IMMUNOLOGY
U.S.21 — — **— 
International11 10 (73.3)6.4 
Worldwide24 11 10 **6.4 
Infectious Diseases
U.S.2,249 1,735 1,597 29.7 8.6 
International3,612 1,839 1,815 96.3 1.3 
Worldwide5,861 3,574 3,413 64.0 4.7 
COVID-19 VACCINE
U.S.634 — — ****
International1,751 — — ****
Worldwide2,385 — — ****
EDURANT® / rilpivirine
U.S.41 44 50 (7.6)(11.2)
International953 920 812 3.6 13.3 
Worldwide994 964 861 3.1 11.9 
PREZISTA® / PREZCOBIX® / REZOLSTA® / SYMTUZA®
U.S. U.S.1,508 1,587 1,422 (4.9)11.6 
International International575 597 689 (3.6)(13.4)
Worldwide Worldwide2,083 2,184 2,110 (4.6)3.5 
OTHER INFECTIOUS DISEASES
OTHER INFECTIOUS DISEASES
U.S. U.S.66 104 126 (36.0)(17.6)
U.S.
U.S.
International International333 323 315 3.0 2.6 
Worldwide Worldwide399 427 441 (6.5)(3.2)
Neuroscience
Neuroscience
Neuroscience
U.S.
U.S.
U.S.
International
Worldwide
CONCERTA / methylphenidate
U.S.
U.S.
U.S.
International
Worldwide
INVEGA SUSTENNA / XEPLION / INVEGA TRINZA / TREVICTA
U.S.
U.S.
U.S.
International
Worldwide
SPRAVATO
U.S.
U.S.
U.S.
International
Worldwide
OTHER NEUROSCIENCE(2)
U.S.
U.S.
U.S.
International
Worldwide
Oncology
Oncology
Oncology
U.S.
U.S.
U.S.
International
Worldwide
8278
Jhonson&Jhonson.jpg


Sales to Customers% Change
Neuroscience
(Dollars in Millions)(Dollars in Millions)202320222021’23 vs. ’22’22 vs. ’21
CARVYKTI
CARVYKTI
CARVYKTI
U.S.
U.S.
U.S. U.S.3,347 3,091 2,919 8.3 5.9 469133**
International International3,664 3,457 3,409 6.0 1.4  International30**
Worldwide Worldwide7,011 6,548 6,328 7.1 3.5  Worldwide500133**
CONCERTA® / methylphenidate
DARZALEX
U.S.
U.S.
U.S. U.S.172 183 233 (5.8)(21.4)
International International495 439 463 12.8 (5.1)
Worldwide Worldwide667 622 696 7.3 (10.6)
INVEGA SUSTENNA® / XEPLION® / INVEGA TRINZA® / TREVICTA®
ERLEADA
U.S.
U.S.
U.S. U.S.2,550 2,314 2,107 10.2 9.8 
International International1,472 1,339 1,224 10.0 9.4  International1,32291347844.8 **
Worldwide Worldwide4,022 3,653 3,330 10.1 9.7 
RISPERDAL CONSTA®
IMBRUVICA
U.S. U.S.287 296 314 (2.9)(5.9)
International305 346 374 (11.8)(7.5)
Worldwide592 642 688 (7.7)(6.8)
OTHER NEUROSCIENCE
U.S. U.S.338 298 266 13.3 12.4 
International1,391 1,334 1,349 4.3 (1.1)
Worldwide1,729 1,632 1,614 6.0 1.1 
Oncology
U.S.5,958 5,092 4,299 17.0 18.5 
International8,590 7,275 6,393 18.1 13.8 
Worldwide14,548 12,367 10,692 17.6 15.7 
DARZALEX®
U.S.3,169 2,232 1,567 42.0 42.4 
International2,854 1,958 1,430 45.8 36.9 
Worldwide6,023 4,190 2,998 43.8 39.8 
ERLEADA®
U.S.813 583 297 39.3 96.1
International478 176 35  * ** *
Worldwide1,291 760 332 70.0 * *
IMBRUVICA®
U.S. U.S.1,747 1,821 1,555 (4.0)17.1 
International International2,622 2,307 1,856 13.6 24.3 
Worldwide Worldwide4,369 4,128 3,411 5.8 21.0 
ZYTIGA® /abiraterone acetate
ZYTIGA /abiraterone acetate
ZYTIGA /abiraterone acetate
ZYTIGA /abiraterone acetate
U.S.
U.S.
U.S. U.S.119 373 810 (68.1)(54.0)
International International2,178 2,097 1,985 3.9 5.6 
Worldwide Worldwide2,297 2,470 2,795 (7.0)(11.6)
OTHER ONCOLOGY
OTHER ONCOLOGY
U.S. U.S.110 83 70 31.7 18.6 
U.S.
U.S.
International International458 738 1,087 (37.9)(32.1)
Worldwide Worldwide568 821 1,158 (30.8)(29.1)
Pulmonary Hypertension
Pulmonary Hypertension
Pulmonary Hypertension
U.S.
U.S.
U.S.
International
Worldwide
OPSUMIT
U.S.
U.S.
U.S.
International
Worldwide
UPTRAVI
U.S.
U.S.
U.S.
International
Worldwide
OTHER PULMONARY HYPERTENSION
U.S.
U.S.
U.S.
International
Worldwide
2023 Annual Report7983


Pulmonary Hypertension
Sales to Customers% Change
(Dollars in Millions)(Dollars in Millions)202320222021’23 vs. ’22’22 vs. ’21
Cardiovascular / Metabolism / Other
U.S.
U.S.
U.S. U.S.2,365 2,133 1,684 10.9 26.6 
International International1,085 1,015 939 6.9 8.2 
Worldwide Worldwide3,450 3,148 2,623 9.6 20.0 
OPSUMIT®
XARELTO
U.S. U.S.1,147 1,008 766 13.7 31.7 
International672 631 562 6.6 12.3 
Worldwide1,819 1,639 1,327 11.0 23.5 
UPTRAVI®
U.S. U.S.1,056 955 714 10.5 33.8 
International181 138 105 31.1 30.9 
Worldwide1,237 1,093 819 13.1 33.5 
OTHER
U.S.163 169 205 (3.7)(17.6)
International232 247 272 (5.9)(9.2)
Worldwide395 416 476 (5.0)(12.8)
Cardiovascular / Metabolism / Other
U.S.3,192 3,509 3,734 (9.0)(6.0)
International1,268 1,369 1,458 (7.4)(6.1)
Worldwide4,460 4,878 5,192 (8.6)(6.0)
XARELTO®
U.S.2,438 2,345 2,313 4.0 1.4 
International— — — — — 
Worldwide2,438 2,345 2,313 4.0 1.4 
INVOKANA® / INVOKAMET®
U.S.308 564 536 (45.4)5.2 
International254 231 199 9.9 16.3 
Worldwide563 795 735 (29.3)8.2 
PROCRIT® / EPREX®
U.S.223 277 505 (19.7)(45.1)
International256 274 285 (6.8)(3.8)
Worldwide479 552 790 (13.3)(30.2)
OTHER
U.S.223 323 380 (31.0)(15.1)
International758 864 974 (12.2)(11.3)
Worldwide981 1,186 1,353 (17.3)(12.4)
TOTAL PHARMACEUTICAL
U.S. U.S.27,954 25,735 23,874 8.6 7.8 
International International24,126 19,837 18,324 21.6 8.3 
Worldwide Worldwide52,080 45,572 42,198 14.3 8.0 
OTHER(3)
OTHER(3)
OTHER(3)
U.S.
U.S.
U.S.
International
Worldwide
TOTAL INNOVATIVE MEDICINE
TOTAL INNOVATIVE MEDICINE
TOTAL INNOVATIVE MEDICINE
U.S.
U.S.
U.S.
International
Worldwide
MEDTECH
MEDTECH
MEDTECH
Interventional Solutions
Interventional Solutions
Interventional Solutions
U.S.
U.S.
U.S.
International
Worldwide
ELECTROPHYSIOLOGY
U.S.
U.S.
U.S.
International
Worldwide
ABIOMED(4)
U.S.
U.S.
U.S.1,06631**
International International240**
Worldwide Worldwide1,30631**
OTHER INTERVENTIONAL SOLUTIONS
U.S.
U.S.
U.S.
International
Worldwide
Orthopaedics
U.S.
U.S.
U.S.
International
Worldwide
HIPS
U.S.
U.S.
U.S.
International
Worldwide
8480
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MEDICAL DEVICES
Sales to Customers% Change
Interventional Solutions
(Dollars in Millions)(Dollars in Millions)202320222021’23 vs. ’22’22 vs. ’21
KNEES
U.S. U.S.1,836 1,452 1,443 26.4 0.6 
International2,135 1,594 1,554 34.0 2.6 
Worldwide3,971 3,046 2,997 30.4 1.6 
Orthopaedics
U.S. U.S.5,126 4,779 5,319 7.3 (10.2)
International3,462 2,984 3,520 16.0 (15.2)
Worldwide8,588 7,763 8,839 10.6 (12.2)
HIPS
U.S.883 793 863 11.4 (8.2)
International602 487 575 23.6 (15.3)
Worldwide1,485 1,280 1,438 16.0 (11.0)
KNEES
U.S. U.S.787 743 889 5.9 (16.4)
International International538 427 591 26.1 (27.8)
Worldwide Worldwide1,325 1,170 1,480 13.3 (21.0)
TRAUMA
TRAUMA
U.S. U.S.1,819 1,648 1,652 10.4 (0.2)
U.S.
U.S.
International International1,066 966 1,068 10.4 (9.6)
Worldwide Worldwide2,885 2,614 2,720 10.4 (3.9)
SPINE, SPORTS & OTHER
SPINE, SPORTS & OTHER
U.S.
U.S.
U.S. U.S.1,637 1,595 1,915 2.6 (16.7)
International International1,256 1,104 1,286 13.8 (14.1)
Worldwide Worldwide2,893 2,699 3,201 7.2 (15.7)
SurgerySurgery
U.S. U.S.3,867 3,249 3,828 19.0 (15.1)
U.S.
U.S.
International International5,945 4,983 5,673 19.3 (12.2)
Worldwide Worldwide9,812 8,232 9,501 19.2 (13.4)
ADVANCED
ADVANCED
U.S.
U.S.
U.S. U.S.1,761 1,535 1,637 14.9 (6.2)
International International2,861 2,304 2,458 24.1 (6.2)
Worldwide Worldwide4,622 3,839 4,095 20.4 (6.2)
GENERAL
GENERAL
U.S. U.S.2,105 1,714 2,192 22.7 (21.8)
U.S.
U.S.
International International3,085 2,679 3,215 15.2 (16.7)
Worldwide Worldwide5,190 4,392 5,406 18.1 (18.8)
VisionVision
U.S.
U.S.
U.S. U.S.1,857 1,557 1,794 19.3 (13.2)
International International2,831 2,362 2,830 19.8 (16.5)
Worldwide Worldwide4,688 3,919 4,624 19.6 (15.2)
CONTACT LENSES / OTHER
CONTACT LENSES / OTHER
U.S. U.S.1,398 1,213 1,304 15.2 (7.0)
U.S.
U.S.
International
Worldwide
SURGICAL
U.S.
U.S.
U.S.
International
Worldwide
TOTAL MEDTECH
U.S.
U.S.
U.S.
International International2,043 1,781 2,088 14.7 (14.7)
Worldwide Worldwide3,440 2,994 3,392 14.9 (11.7)
2023 Annual Report8185


SURGICAL
Sales to Customers% Change
(Dollars in Millions)(Dollars in Millions)202320222021’23 vs. ’22’22 vs. ’21
WORLDWIDE
U.S.
U.S.
U.S. U.S.459 344 490 33.5 (29.7)
International International788 581 742 35.7 (21.7)
Worldwide Worldwide1,248 925 1,232 34.9 (24.9)
TOTAL MEDICAL DEVICES   
U.S.12,686 11,036 12,384 14.9 (10.9)
International14,374 11,923 13,579 20.6 (12.2)
Worldwide27,060 22,959 25,963 17.9 (11.6)
WORLDWIDE   
U.S.47,156 43,133 42,097 9.3 2.5 
International46,619 39,451 39,962 18.2 (1.3)
Worldwide$93,775 82,584 82,059 13.6 %0.6 
*Certain prior year amounts have been reclassified to conform to current year presentation
**Percentage greater than 100% or not meaningful

(1)
Previously referred to as Pharmaceutical
 Income (Loss) Before TaxIdentifiable Assets
(Dollars in Millions)
2021 (3)
2020 (4)
2019 (5)
20212020
Consumer Health$1,294 (1,064)2,061 $25,081 27,355 
Pharmaceutical18,181 15,462 8,816 64,376 66,158 
Medical Devices4,373 3,044 7,286 53,372 49,578 
Total23,848 17,442 18,163 142,829 143,091 
Less: Expense not allocated to segments (1)
1,072 945 835 
General corporate (2)
39,189 31,803 
Worldwide total$22,776 16,497 17,328 $182,018 174,894 
(2)Inclusive of RISPERDAL CONSTA which was previously disclosed separately
(3) Inclusive of INVOKANA which was previously disclosed separately
(4) Acquired on December 22, 2022

Additions to Property,
Plant & Equipment
Depreciation and
Amortization
(Dollars in Millions)202120202019202120202019
Consumer Health$331 248 328 $759 785 765 
Pharmaceutical1,198 863 950 4,029 4,006 3,910 
Medical Devices1,933 1,980 1,912 2,286 2,140 2,014 
Segments total3,462 3,091 3,190 7,074 6,931 6,689 
General corporate190 256 308 316 300 320 
Worldwide total$3,652 3,347 3,498 $7,390 7,231 7,009 
 Income Before TaxIdentifiable Assets
(Dollars in Millions)
2023 (3)
2022 (4)
2021 (5)
20232022
Innovative Medicine$18,24615,64717,750$58,32458,436
MedTech4,6694,4474,20874,71070,956
Total22,91520,09421,958133,034129,392
Less: Expense not allocated to segments (1)
7,8537352,780
Discontinued operations27,237
General corporate (2)
34,52430,749
Worldwide total$15,06219,35919,178$167,558187,378
 Sales to Customers
Long-Lived Assets (6)
(Dollars in Millions)20212020201920212020
United States$47,156 43,133 42,097 $48,586 49,951 
Europe23,594 18,980 18,466 43,257 49,363 
Western Hemisphere excluding U.S. 5,750 5,335 5,941 2,708 2,734 
Asia-Pacific, Africa17,275 15,136 15,555 5,035 5,484 
Segments total93,775 82,584 82,059 99,586 107,532 
General corporate1,014 1,029 
Other non long-lived assets81,418 66,333 
Worldwide total$93,775 82,584 82,059 $182,018 174,894 

Additions to Property,
Plant & Equipment
Depreciation and
Amortization
(Dollars in Millions)202320222021202320222021
Innovative Medicine$1,6531,3741,198$3,8473,6874,029
MedTech2,3722,1201,9332,9432,3022,286
Segments total4,0253,4943,1316,7905,9896,315
Discontinued operations162303314383641739
General corporate356212207313340336
Worldwide total$4,5434,0093,652$7,4866,9707,390
 Sales to Customers
Long-Lived Assets (6)
(Dollars in Millions)20232022202120232022
United States$46,44441,98140,640$54,83258,750
Europe20,41020,66420,59531,61629,878
Western Hemisphere excluding U.S. 4,5494,1083,9271,4911,289
Asia-Pacific, Africa13,75613,23713,5781,5001,520
Segments total85,15979,99078,74089,43991,437
Discontinued operations27,237
General corporate1,1921,081
Other non long-lived assets76,92767,623
Worldwide total$85,15979,99078,740$167,558187,378
86
Jhonson&Jhonson.jpg


See Note 1 for a description of the segments in which the Company operates.
82


Export sales are not significant. In fiscal year 2021,2023, the Company utilized three wholesalers distributing products for all 3both segments that represented approximately 14.0%18.2%, 11.0%15.1% and 11.0%14.2% of the total consolidated revenues. In fiscal year 2020,2022, the Company had three wholesalers distributing products for both segments that represented approximately 18.9%, 15.0% and 13.8% of the total consolidated revenues. In fiscal year 2021, the Company had three wholesalers distributing products for all 3three segments that represented approximately 16.0%16.6%, 12.0% and 12.0% of the total consolidated revenues. In fiscal year 2019, the Company had three wholesalers distributing products for all 3 segments that represented approximately 15.0%, 12.0%12.6%, and 11.0%12.6% of the total consolidated revenues.
(1)Amounts not allocated to segments include interest (income)/expense and general corporate (income)/expense. Fiscal 2023 includes an approximately $7 billion charge related to talc matters (See Note 19, Legal proceedings, for additional details) and $0.4 billion related to the unfavorable change in the fair value of the retained stake in Kenvue.
(2)General corporate includes cash, cash equivalents and marketable securities.
(3)Consumer HealthInnovative Medicine includes:
Litigation expenseOne-time COVID-19 Vaccine manufacturing exit related costs of $1.6 billion, primarily talc related reserves
A restructuring related charge of $0.1 billion
Pharmaceutical includes:
Litigation expense of $0.6 billion, primarily related to Risperdal
Divestiture gains of $0.6 billion
Gains on securities of $0.5$0.7 billion
A restructuring related charge of $0.1 billion
Medical Devices includes:
A restructuring related charge of $0.3 billion
An in-process research and development expense of $0.9 billion
A Medical Device Regulation charge of $0.2 billion
Litigation expense of $0.1 billion

(4)    Consumer Health includes:
Litigation expense of $3.9 billion, primarily talc related reserves and certain settlements.
Pharmaceutical includes:
Litigation expense of $0.8 billion, primarily related to the agreement in principle to settle opioid litigation
An unrealized gain on securities of $0.5 billion
A restructuringUnfavorable changes in the fair value of securities of $0.4 billion
Favorable litigation related chargeitems of $0.1 billion
Medical DevicesLoss on divestiture $0.2 billion.
An intangible asset impairment charge of approximately $0.2 billion related to market dynamics associated with a non-strategic asset (M710) acquired as part of the acquisition of Momenta Pharmaceuticals in 2020.
MedTech includes:
A contingent consideration reversalAcquired in process research and development asset of $1.1$0.4 billion related to the timing of certain developmental milestones associated with the Auris Health acquisition.
Litigation expense of $0.3 billionLaminar acquisition in 2023
A restructuring related charge of $0.3 billion
An in-process researchAcquisition and development expenseintegration related costs of $0.2 billion primarily related to the acquisition of Abiomed
A Medical Device Regulation charge of $0.3 billion
Income from litigation settlements of $0.1 billion
(5)     (4)Consumer HealthInnovative Medicine includes:
A gainOne-time COVID-19 Vaccine manufacturing exit related costs of $0.3$1.5 billion
An intangible asset impairment charge of approximately $0.8 billion related to an in-process research and development asset, bermekimab (JnJ-77474462), an investigational drug for the Company's previously held equity investmenttreatment of Atopic Dermatitis (AD) and Hidradenitis Suppurativa (HS) acquired with the acquisition of XBiotech, Inc. in DR. CI:LABOthe fiscal year 2020. Additional information regarding efficacy of the AD and HS indications became available which led the Company to the decision to terminate the development of bermekimab for AD and HS
Litigation expense of $0.4$0.1 billion
Unfavorable changes in the fair value of securities of $0.7 billion
A restructuring related charge of $0.1 billion
PharmaceuticalMedTech includes:
Litigation expense of $4.3$0.6 billion primarily for pelvic mesh related costs
A restructuring related charge of which $4.0$0.3 billion is
Acquisition and integration related costs of $0.3 billion primarily related to the agreementacquisition of Abiomed
A Medical Device Regulation charge of $0.3 billion
(5)Innovative Medicine includes:
Litigation expense of $0.6 billion, primarily related to Risperdal Gynecomastia
Divestiture gains of $0.6 billion
Gains of $0.5 billion related to the change in principle to settle opioid litigationthe fair value of securities
A restructuring related charge of $0.1 billion
MedTech includes:
An in-process research and development expense of $0.9 billion related to the Alios asset
A research and development expense of $0.3 billion for an upfront payment related to argenx
An unrealized gain on securities of $0.6 billion
83


Actelion acquisition and integration related costs of $0.2 billion
A restructuring charge of $0.1 billion
Medical Devices includes:
A gain of $2.0 billion from the divestiture of the ASP businessOttava
A restructuring related charge of $0.4$0.3 billion
A Medical Device Regulation charge of $0.2 billion
2023 Annual Report87


Litigation expense of $0.4 billion
Auris Health acquisition and integration related costs of $0.1 billion
(6)Long-lived assets include property, plant and equipment, net for fiscal years 2021,2023, and 20202022 of $18,962$19,898 and $18,766,$17,982, respectively, and intangible assets and goodwill, net for fiscal years 20212023 and 20202022 of $81,638$70,733 and $89,795,$74,536, respectively.

18.Acquisitions and Divestituresdivestitures
In the fiscal first quarter of 2024, the Company announced it has entered into a definitive agreement to acquire Ambrx Biopharma, Inc., or Ambrx (Nasdaq: AMAM), a clinical-stage biopharmaceutical company with a proprietary synthetic biology technology platform to design and develop next-generation antibody drug conjugates (ADCs), in an all-cash merger transaction for a total equity value of approximately $2.0 billion, or $1.9 billion net of estimated cash acquired. The Company will acquire all of the outstanding shares of Ambrx’s common stock for $28.00 per share through a merger of Ambrx with a subsidiary of the Company. The closing of the transaction is expected to occur in the first half of 2024, subject to receipt of Ambrx shareholder approval, as well as clearance under the Hart-Scott-Rodino Antitrust Improvements Act and other customary closing conditions. The Company expects that the transaction will be accounted for as a business combination and the results of operations will be included in the Innovative Medicine segment as of the acquisition date.
During the fiscal year 2021,2023, the Company did not make any material acquisitions.acquisitions that qualified as a business combination.
During the fiscal year 2023, there were asset acquisitions of in-process research and development of approximately $0.5 billion in cash, primarily consisting of the acquisition of Laminar Inc. for $0.4 billion which was closed on November 30, 2023. Laminar Inc. is a privately-held medical device company focused on eliminating the left atrial appendage (LAA) in patients with non-valvular atrial fibrillation (AFib).
During the fiscal year 2020,2022, certain businesses were acquired for $7.3$17.7 billion in cash and $0.4$1.1 billion of liabilities assumed. These acquisitions were accounted for using the acquisition method and, accordingly, results of operations have been included in the financial statements from their respective dates of acquisition.
The excess of purchase price over the estimated fair value of tangible assets acquired amounted to $7.5$17.3 billion and has been assigned to identifiable intangible assets, with any residual recorded to goodwill.
The fiscal year 20202022 acquisitions primarily included: all rights to the investigational compound bermekimab, which has multiple dermatological indications, along with certain employees from XBiotechincluded Abiomed, Inc. (XBiotech), Momenta Pharmaceuticals, Inc. (Momenta), a company that discovers and develops novel therapies for immune-mediated diseases and the outstanding shares in Verb Surgical Inc., a company with significant robotics and data science capabilities.(Abiomed). The remaining acquisitions were not material.
During the fiscal first quarter of 2020,On December 22, 2022, the Company completed the acquisition of all rights to the investigational compound bermekimab, which has multiple dermatological indications, alongAbiomed, a leading, first-to-market provider of cardiovascular medical technology with certain employees from XBiotech Inc., for a purchase price of $0.8 billion. The fair value of the acquisition was allocated primarily to non-amortizable intangible assets, primarily IPR&D, for $0.8 billion applying a probability of success factor that ranged from 20% to 60% to reflect inherent development, regulatory and commercial riskfirst-in-kind portfolio for the different indications.treatment of coronary artery disease and heart failure which also has an extensive innovation pipeline of life-saving technologies. The discount rate applied was approximately 16%. XBiotech may be eligible to receive additional payments upontransaction broadens the receiptCompany’s position as a growing cardiovascular innovator, advancing the standard of certain commercialization authorizations.care in heart failure and recovery, one of healthcare’s largest areas of unmet need. The transaction was accounted for as a business combination and the results of operations were included in the Pharmaceutical segment. On January 28, 2022, subsequentMedTech segment as of the date of the acquisition. The acquisition was completed through a tender offer for all outstanding shares. The consideration paid in the acquisition consisted of an upfront payment of $380.00 per share in cash, amounting to $17.1 billion, net of cash acquired, as well as a non-tradeable contingent value right (“CVR”) entitling the holder to receive up to $35.00 per share in cash (which with respect to the fiscal year 2021, additional information regarding efficacy became available which ledCVRs total approximately $1.6 billion in the Company toaggregate) if certain commercial and clinical milestones are achieved. The corresponding enterprise value (without taking into account the decision to terminate the development of bermekimab for Atopic Dermatitis (AD). The Company recorded an intangible asset impairment chargeCVRs) of approximately $0.6$16.5 billion related to an in-process researchincludes cash, cash equivalents and development asset, bermekimab (JnJ-77474462), an investigational drugmarketable securities acquired.
The milestones of the CVR consist of:
a.$17.50 per share, payable if net sales for the treatmentAbiomed products exceeds $3.7 billion during Johnson & Johnson’s fiscal second quarter of AD and Hidradenitis Suppurativa (HS). The impairment charge is related to the AD indication and is a nonrecognized subsequent event and will be reflected in the first quarter 2022 financial statements. The Company acquired all rights to bermekimab from XBiotech, Inc. in fiscal year 2020.
Additionally, in the2027 through fiscal first quarter of 2020,2028, or if this threshold is not met during this period and is subsequently met during any rolling four quarter period up to the end of Johnson & Johnson’s fiscal first quarter of 2029, $8.75 per share;
b.$7.50 per share payable upon FDA premarket application approval of the use of Impella® products in ST-elevated myocardial infarction (STEMI) patients without cardiogenic shock by January 1, 2028; and
c.$10.00 per share payable upon the first publication of a Class I recommendation for the use of Impella® products in high risk PCI or STEMI with or without cardiogenic shock within four years from their respective clinical endpoint publication dates, but in all cases no later than December 31, 2029.
During the fiscal fourth quarter of 2023, the Company completedfinalized the acquisition of all outstanding shares in Verb Surgical Inc., a companypurchase price allocation. In the fiscal 2023, there were purchase price allocation adjustments netting to approximately $0.2 billion with significant robotics and data science capabilities, including those shares previously held by Verily. The transaction was accounted for as a business combination and included in the Medical Devices segment.an offsetting increase to goodwill. The fair value of the acquisition was allocated to assets acquired of $20.1 billion (net of $0.3 billion cash acquired), primarily to non-amortizablegoodwill for $11.1 billion, amortizable intangible assets primarilyfor $6.6 billion, IPR&D for $0.4$1.1 billion, goodwill for $0.2marketable securities of $0.6 billion other assets of $0.2 billion and
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liabilities assumed of $0.3 billion. The$3.0 billion, which includes the fair value of the Company's previously held equity investment in Verb Surgical Inc. was $0.4 billion.
On October 1, 2020, the Company completed the acquisition of Momentacontingent consideration mentioned above for a purchase price of approximately $6.1 billion, net of cash acquired. The fair value of the acquisition was allocated primarily to non-amortizable intangible assets (IPR&D) of $6.0 billion, goodwill of $1.2 billion, other assets of $0.5$0.7 billion and liabilitiesdeferred taxes of $1.6$2.0 billion. The assets acquired are intended to address substantial unmet medical need in maternal-fetal disorders, neuro-inflammatory disorders, rheumatology, dermatology and autoimmune hematology. Depending on the asset, probability of success factors ranging from 20% to 77% were used in the fair value calculation to reflect inherent development and regulatory risk of the IPR&D. The discount rate applied was approximately 13%. The goodwill is primarily attributable to synergies expected to arise from the business acquisitioncommercial acceleration and expansion of the portfolio and is not expected to be deductible for tax purposes. The transactioncontingent consideration was accounted for as a business combination and included in the Pharmaceutical segment.
During fiscal year 2019 certain businesses were acquired for $5.8 billion in cash and $1.4 billion of liabilities assumed. These acquisitions were accounted for using the acquisition method and, accordingly, results of operations have been included in the financial statements from their respective dates of acquisition.
The excess of purchase price over the estimated fair value of tangible assets acquired amounted to $6.8 billion and has been assigned to identifiable intangible assets, with any residual recorded to goodwill.
The fiscal year 2019 acquisitions primarily included DR. CI:LABO, a Japanese company focused on the marketing, development and distribution of a broad range of dermocosmetic, cosmetic and skincare products and Auris Health, Inc. a
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privately held developer of robotic technologies, initially focused in lung cancer, with an U.S. FDA-cleared platform currently used in bronchoscopic diagnostic and therapeutic procedures.
On January 17, 2019, the Company acquired DR. CI:LABO, a Japanese company focused on the marketing, development and distribution of a broad range of dermocosmetic, cosmetic and skincare products for a total purchase price of approximately ¥230 billion, which equates to approximately $2.1 billion, using the exchange rate of 109.06 Japanese Yen to each U.S. Dollar on January 16, 2019. Additionally, in the fiscal first quarter of 2019, the Company recognized a pre-tax gain recorded in Other (income) expense, net, of approximately $0.3 billion relatedLiabilities and adjusted to the Company's previously held equity investment in DR. CI:LABO.
The Company treated this transaction as a business combination and included it in the Consumer Health segment. Duringfair value through the fiscal first quarter of 2020,year end 2023 on the Company finalized the purchase price allocation. The final fair value of the acquisition was allocated primarily to amortizable intangible assets for $1.5 billion, goodwill for $1.2 billion and liabilities of $0.4 billion. Consolidated Balance Sheet.
The amortizable intangible assets were primarily comprised of brand/trademarks and customer relationshipsalready in-market products of the Impella® platform with aan average weighted average life of 15.314 years. The goodwill is primarily attributable to synergies expected to arise from the business acquisition and is not expected to be deductibleIPR&D assets were valued for tax purposes.
On April 1, 2019 the Company completed the acquisition of Auris Health, Inc.technology programs for approximately $3.4 billion, net of cash acquired. Additional contingent payments of up to $2.35 billion, in the aggregate, may be payable upon reaching certain predetermined milestones. Auris Health was a privately held developer of robotic technologies, initially focused in lung cancer, with a U.S. FDA-cleared platform currently used in bronchoscopic diagnostic and therapeutic procedures.unapproved products. The Company treated this transaction as a business combination and included it in the Medical Devices segment. The fair value of the acquisitionIPR&D was allocated primarily to amortizable and non-amortizable intangible assets, primarily IPR&D for $3.0 billion, goodwill for $2.0 billion, marketable securities of $0.2 billion and liabilities assumed of $1.8 billion, which includes the fair value of the contingent payments mentioned above. The goodwill is primarily attributable to synergies expected to arise from the business acquisition and is not expected to be deductible for tax purposes. During the fiscal second quarter of 2020, the Company finalized the purchase price allocation. During fiscal 2020, the Company recorded Other income of approximately $1.1 billioncalculated using probability-adjusted cash flow projections discounted for the reversal of all of the contingent consideration related to the timing of certain developmental and commercial milestones, which are not expected to be met based on the Company’s current timelines. During the fiscal third quarter of 2020, the Company recorded a partial IPR&D impairment charge of $0.1 billion related to timing and progression of the digital surgery platforms. In the fiscal third quarter of 2021, the Company recorded a partial IPR&D charge of $0.9 billion primarily related to expected development delaysrisk inherent in the general surgery digital robotics platform (Ottava). Asuch projects. The probability of success factor rangingranged from 18%52% to 66% across Ottava sub-platforms, was used in the fair value calculation to reflect inherent regulatory and commercial risk of the contingent payments and IPR&D.70%. The discount rate applied was 9.5%.
In 2023, the Company recorded acquisition related costs before tax of approximately 9.5%.$0.2 billion, which was primarily recorded in Other (income)/expense. In 2022, the Company recorded acquisition related costs before tax of approximately $0.3 billion, which was recorded in Other (income)/expense.
During fiscal year 2021, the Company did not make any material acquisitions that qualified as a business combination.
In accordance with U.S. GAAP standards related to business combinations, and goodwill and other intangible assets, supplemental pro forma information for fiscal years 2021, 20202023, 2022 and 20192021 is not provided, as the impact of the aforementioned acquisitions did not have a material effect on the Company’s results of operations, cash flowsoperations.
Divestitures
During the fiscal year 2023, the Company executed divestitures resulting in approximately $0.2 billion in proceeds resulting in gains or financial position.losses that were not material. At fiscal year end 2023, the Company held assets, primarily intangibles, on its Consolidated Balance Sheet that it expects to divest of approximately $0.3 billion primarily related to Acclarent and Ponvory.

DivestituresDuring fiscal year 2022, the Company did not make any material divestitures.
During fiscal year 2021, in separate transactions, the Company divested two brands outside the U.S. within the PharmaceuticalInnovative Medicine segment. The Company recognized a pre-tax gain recorded in Other (income) expense, net, of approximately $0.6 billion.
During fiscal year 2020, the Company sold 11.8 million shares of Idorsia LTD (Idorsia), or its 8.3% ownership in the company at that time. The transaction resulted in gross proceeds of approximately CHF 337 million ($357 million) based on a sales price of CHF 28.55/share and resulted in an immaterial net loss. At the end of fiscal 2020, the Company had rights to approximately 38.7 million shares through a convertible loan with a principal amount of CHF 445 million (due June 2027). During fiscal year 2021, the Company converted CHF 110 million ($120 million) of this loan into approximately 9.6 million shares of Idorsia which were reflected at fair value as of January 2, 2022. During the fiscal third quarter of 2021, the Company's undrawn credit facility with Idorsia was terminated.
During fiscal year 2019, the Company divested its ASP business to Fortive Corporation for an aggregate value of approximately $2.8 billion, consisting of $2.7 billion of cash proceeds and $0.1 billion of retained net receivables. The Company recognized a pre-tax gain recorded in Other ( income) expense, net, of approximately $2.0 billion.

19.Legal Proceedings

proceedings
Johnson & Johnson and certain of its subsidiaries are involved in various lawsuits and claims regarding product liability; intellectual property; commercial; indemnification and other matters; governmental investigations; and other legal proceedings that arise from time to time in the ordinary course of their business. Due to the ongoing impacts of the COVID-19 pandemic, certain trials have been rescheduled or delayed. The Company continues to monitor its legal proceedings as the situation evolves and in person trials resume.

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The Company records accruals for loss contingencies associated with these legal matters when it is probable that a liability
will be incurred, and the amount of the loss can be reasonably estimated. As of January 2, 2022,December 31, 2023, the Company has determined that the liabilities associated with certain litigation matters are probable and can be reasonably estimated. The Company has accrued for these matters and will continue to monitor each related legal issue and adjust accruals as might be warranted based on new information and further developments in accordance with ASC 450-20-25.450-20-25, Contingencies. For these and other litigation and regulatory matters discussed below for which a loss is probable or reasonably possible, the Company is unable to estimate the possible loss or range of loss beyond the amounts accrued. Amounts accrued for legal contingencies often result from a complex series of judgments about future events and uncertainties that rely heavily on estimates and assumptions including timing of related payments. The ability to make such estimates and judgments can be affected by various factors including, among other things, whether damages sought in the proceedings are unsubstantiated or indeterminate; scientific and legal discovery has not commenced or is not complete; proceedings are in early stages; matters present legal uncertainties; there are significant facts in dispute; procedural or jurisdictional issues; the uncertainty and unpredictability of the number of potential claims; ability to achieve comprehensive multi-party settlements; complexity of related cross-claims and counterclaims; and/or there are numerous parties involved. To the extent adverse awards, judgments or verdicts have been rendered against the Company, the Company does not record an accrual until a loss is determined to be probable and can be reasonably estimated.

In the Company’s opinion, based on its examination of these matters, its experience to date and discussions with counsel, the ultimate outcome of legal proceedings, net of liabilities accrued in the Company’s balance sheet, is not expected to have a material adverse effect on the Company’s financial position. However, the resolution of, or increase in accruals for, one or more of these matters in any reporting period may have a material adverse effect on the Company’s results of operations and cash flows for that period.

PRODUCT LIABILITY

Johnson & Johnson and certain of its subsidiaries are involved in numerous product liability claims and lawsuits involving multiple products. Claimants in these cases seek substantial compensatory and, where available, punitive damages. While the Company believes it has substantial defenses, it is not feasible to predict the ultimate outcome of litigation. From time to time, even if it has substantial defenses, the Company considers isolated settlements based on a variety of circumstances. The Company has established accruals for product liability claims and lawsuits in compliance with ASC 450-20 based on currently available information, which in some cases may be limited. The Company accrues an estimate of the legal defense costs needed to defend each matter when those costs are probable and can be reasonably estimated. For certain of these matters, the Company has accrued additional amounts such as estimated costs associated with settlements, damages and other losses. Product liability accruals can represent projected product liability for thousands of claims around the world, each in different litigation environments and with different fact patterns. Changes to the accruals may be required in the future as additional information becomes available.

The most significant of these cases include: the DePuy ASR™ XL Acetabular System and DePuy ASR™ Hip Resurfacing System; the PINNACLE® Acetabular Cup System; pelvic meshes; RISPERDAL®; XARELTO®; body powders containing talc, primarily JOHNSON'S® Baby Powder; INVOKANA®; and ETHICON PHYSIOMESH® Flexible Composite Mesh. As of January 2, 2022, in the United States there were approximately 250 plaintiffs with direct claims in pending lawsuits regarding injuries allegedly due to the DePuy ASR™ XL Acetabular System and DePuy ASR™ Hip Resurfacing System; 5,300 with respect to the PINNACLE® Acetabular Cup System; 10,100 with respect to pelvic meshes; 8,800 with respect to RISPERDAL®; 5,500 with respect to XARELTO®; 40,400 with respect to body powders containing talc; 100 with respect to INVOKANA®;and 4,700 with respect to ETHICON PHYSIOMESH® Flexible Composite Mesh. The number of pending lawsuits is expected to fluctuate as certain lawsuits are settled or dismissed and additional lawsuits are filed.

In August 2010, DePuy Orthopaedics, Inc. (DePuy) announced a worldwide voluntary recall of its ASR XL Acetabular System and DePuy ASR Hip Resurfacing System (ASR Hip) used in hip replacement surgery. Claims for personal injury have been made against DePuy and Johnson & Johnson. Cases filed in federal courts in the United States have been organized as a multi-district litigation in the United States District Court for the Northern District of Ohio. Litigation has also been filed in countries outside of the United States, primarily in the United Kingdom, Canada, Australia, Ireland, Germany, India and Italy. In November 2013, DePuy reached an agreement with a Court-appointed committee of lawyers representing ASR Hip plaintiffs to establish a program to settle claims with eligible ASR Hip patients in the United States who had surgery to replace their ASR Hips, known as revision surgery, as of August 2013. DePuy reached additional agreements in February 2015 and March 2017, which further extended the settlement program to include ASR Hip patients who had revision surgeries after August 2013 and prior to February 15, 2017. This settlement program has resolved more than 10,000 claims, thereby bringing to resolution significant ASR Hip litigation activity in the United States. However, lawsuits in the United States remain, and the settlement program does not address litigation outside of the United States. In Australia, a class action settlement was reached that resolved the claims of the majority of ASR Hip patients in that country. In Canada, the Company has reached agreements to settle the class actions filed in that country. The Company continues to receive information with respect to potential additional
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costs associated with this recall on a worldwide basis. The Company has established accruals for the costs associated with the United States settlement program and ASR Hip-related product liability litigation.Matters concerning talc

Claims for personal injury have also been made against DePuy Orthopaedics, Inc. and Johnson & Johnson (collectively, DePuy) relating to the PINNACLE® Acetabular Cup System used in hip replacement surgery. Product liability lawsuits continue to be filed, and the Company continues to receive information with respect to potential costs and the anticipated number of cases. Cases filed in federal courts in the United States have been organized as a multi-district litigation in the United States District Court for the Northern District of Texas. Litigation also has been filed in some state courts and in countries outside of the United States. Several adverse verdicts have been rendered against DePuy, one of which was reversed on appeal and remanded for retrial. During the first quarter of 2019, DePuy established a United States settlement program to resolve these cases. As part of the settlement program, adverse verdicts have been settled. The Company has established an accrual for product liability litigation associated with the PINNACLE® Acetabular Cup System and the related settlement program.

Claims for personal injury have been made against Ethicon, Inc. (Ethicon) and Johnson & Johnson arising out of Ethicon’s pelvic mesh devices used to treat stress urinary incontinence and pelvic organ prolapse. The Company continues to receive information with respect to potential costs and additional cases. Cases filed in federal courts in the United States had been organized as a multi-district litigation (MDL) in the United States District Court for the Southern District of West Virginia. In March 2021, the MDL Court entered an order closing the MDL. The MDL Court has remanded cases for trial to the jurisdictions where the case was originally filed and additional pelvic mesh lawsuits have been filed, and remain, outside of the MDL. The Company has settled or otherwise resolved the majority of the United States cases and the estimated costs associated with these settlements and the remaining cases are reflected in the Company’s accruals. In addition, class actions and individual personal injury cases or claims seeking damages for alleged injury resulting from Ethicon’s pelvic mesh devices have been commenced in various countries outside of the United States, including claims and cases in the United Kingdom, the Netherlands and class actions in Israel, Australia and Canada. In November 2019, the Federal Court of Australia issued a judgment regarding its findings with respect to liability in relation to the three Lead Applicants and generally in relation to the design, manufacture, pre and post-market assessments and testing, and supply and promotion of the devices in Australia used to treat stress urinary incontinence and pelvic organ prolapse. In March 2020, the Court issued a decision and entered damages awards to the three Lead Applicants. The Company appealed the decision to the intermediate appellate court, the Full Court. The appeal was heard in February 2021 and, in March 2021, the Full Court entered a judgment dismissing the appeal. An application for special leave to the High Court of Australia was filed in April 2021, and the High Court heard oral argument on the application in November 2021. Special leave was refused. While this brings an end to the appellate process, there will now be an individual case assessment process for the remaining group member claims. The parties currently are in discussions with the Court to determine the form and mechanism of that individual case assessment process. The next hearing is scheduled for late February 2022. The class actions in Canada were discontinued in 2020 as a result of a settlement of a group of cases and an agreement to resolve the Israeli class action was reached in May 2021. The parties in the Israeli class action are currently negotiating the wording and some of the terms thereof and once finalized, the settlement will be subject to court approval. The parties are due to update the court on the status of the finalization of the settlement negotiations by the end of February 2022. The Company has established accruals with respect to product liability litigation associated with Ethicon’s pelvic mesh products.

Following a June 2016 worldwide market withdrawal of ETHICON PHYSIOMESH® Flexible Composite Mesh (Physiomesh), claims for personal injury have been made against Ethicon, Inc. (Ethicon) and Johnson & Johnson alleging personal injury arising out of the use of this hernia mesh device. Cases filed in federal courts in the United States have been organized as a multi-district litigation (MDL) in the United States District Court for the Northern District of Georgia. A multi-county litigation (MCL) also has been formed in New Jersey state court and assigned to Atlantic County for cases pending in New Jersey. In addition to the matters in the MDL and MCL, there are additional lawsuits pending in the United States District Court for the Southern District of Ohio, which are part of the MDL for polypropylene mesh devices manufactured by C.R. Bard, Inc., one multi-plaintiff lawsuit pending in Oklahoma state court and lawsuits pending outside the United States. In May 2021, Ethicon and lead counsel for the plaintiffs entered into a term sheet to resolve approximately 3,600 Physiomesh cases (covering approximately 4,300 plaintiffs) pending in the MDL and MCL at that time. A master settlement agreement (MSA) was entered into in September 2021 and includes 3,729 cases in the MDL and MCL. All deadlines and trial settings in those proceedings are currently stayed pending the completion of the settlement agreement. The deadline for issuance of Individual Allocation amounts by the Special Master is March 2022. The costs associated with this proposed settlement are reflected in the Company’s accruals. Post-Settlement cases in the Physiomesh MDL and MCL are subject to docket control orders requiring early expert reports and discovery requirements. As of February 2022, there are approximately 90 active cases subject to these orders which are being reviewed and evaluated.

Claims have also been filed against Ethicon and Johnson & Johnson alleging personal injuries arising from the PROCEED® Mesh and PROCEED® Ventral Patch hernia mesh products. In March 2019, the New Jersey Supreme Court entered an order consolidating these cases pending in New Jersey as an MCL in Atlantic County Superior Court. Additional cases have been filed in various federal and state courts in the United States, and in jurisdictions outside the United States. Discovery is underway in the MCL proceedings.
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Ethicon and Johnson & Johnson also have been subject to claims for personal injuries arising from the PROLENE™ Polypropylene Hernia System. In January 2020, the New Jersey Supreme Court created an MCL in Atlantic County Superior Court to handle such cases. Cases involving this product have also been filed in other federal and state courts in the United States.

The Company has established accruals with respect to product liability litigation associated with ETHICON PHYSIOMESH® Flexible Composite Mesh, PROCEED® Mesh and PROCEED® Ventral Patch, and PROLENE™ Polypropylene Hernia System products.

Claims for personal injury have been made against Janssen Pharmaceuticals, Inc. and Johnson & Johnson arising out of the use of RISPERDAL®, and related compounds, indicated for the treatment of schizophrenia, acute manic or mixed episodes associated with bipolar I disorder and irritability associated with autism. Lawsuits primarily have been filed in state courts in Pennsylvania, California, and Missouri. Other actions are pending in various courts in the United States and Canada. Product liability lawsuits continue to be filed, and the Company continues to receive information with respect to potential costs and the anticipated number of cases. The Company has successfully defended a number of these cases but there have been verdicts against the Company, including a verdict in October 2019 of $8.0 billion of punitive damages related to one plaintiff, which the trial judge reduced to $6.8 million in January 2020. In September 2021, the Company entered into a settlement in principle with the counsel representing plaintiffs in this matter and in substantially all of the outstanding cases in the United States. The costs associated with this and other settlements are reflected in the Company’s accruals.

Claims for personal injury arising out of the use of XARELTO®, an oral anticoagulant, have been made against Janssen Pharmaceuticals, Inc. (JPI); Johnson & Johnson; and JPI’s collaboration partner for XARELTO®, Bayer Healthcare AG, and certain of its affiliates. Cases filed in federal courts in the United States have been organized as a multi-district litigation in the United States District Court for the Eastern District of Louisiana. In addition, cases have been filed in state courts across the United States. Many of these cases were consolidated into a state mass tort litigation in Philadelphia, Pennsylvania and in a coordinated proceeding in Los Angeles, California. Class action lawsuits also have been filed in Canada. In March 2019, JPI and Johnson & Johnson announced an agreement in principle to settle the XARELTO® cases in the United States; the settlement agreement was executed in May 2019, the settlement became final in December 2019, and the settlement was funded in January 2020. This resolved the majority of cases pending in the United States. The Company has established accruals for its costs associated with the United States settlement program and XARELTO® related product liability litigation.

A significant number of personal injury claims alleging that talc causes cancer were madehave been asserted against Johnson & Johnson Consumer Inc., its successor LTL Management LLC (now known as LLT Management LLC) and Johnson & Johnsonthe Company arising out of the use of body powders containing talc, primarily JOHNSON’S® Baby Powder. The number of these personal injury lawsuits, filed in state and federal courts in the United States as well as outside of the United States, continued to increase through fiscal year 2021.

In talc cases that previously have gone to trial, the Company has obtained a number of defense verdicts, but there also have been verdicts against the Company, many of which have been reversed on appeal. In June 2020, the Missouri Court of Appeals reversed in part and affirmed in part a July 2018 verdict of $4.7 billion in Ingham v. Johnson & Johnson, et al., No. ED 207476 (Mo. App.), reducing the overall award to $2.1 billion. An application for transfer of the case to the Missouri Supreme Court was subsequently denied and in June 2021, a petition for certiorari, seeking a review of the Ingham decision by the United States Supreme Court, was denied. In June 2021, the Company paid the award, which, including interest, totaled approximately $2.5 billion. The facts and circumstances, including the terms of the award, were unique to the Ingham decision and not representative of other claims brought against the Company. The Company continues to believe that it has strong legal grounds to contest the other talc verdicts that it has appealed. Notwithstanding the Company’s confidence in the safety of its talc products, in certain circumstances the Company has settled cases.

In October 2021, Johnson & Johnson Consumer Inc. (Old JJCI) implemented a corporate restructuring (the 2021 Corporate Restructuring). As a result of that restructuring, Old JJCI ceased to exist and three new entities were created: (a) LTL Management LLC, a North Carolina limited liability company (LTL or Debtor); (b) Royalty A&M LLC, a North Carolina limited liability company and a direct subsidiary of LTL (RAM); and (c) the Debtor’s direct parent, Johnson & Johnson Consumer Inc., a New Jersey company (New JJCI). The Debtor received certain of Old JJCI’s assets and became solely responsible for the talc-related liabilities of Old JJCI, including all liabilities related in any way to injury or damage, or alleged injury or damage, sustained or incurred in the purchase or use of, or exposure to, talc, including talc contained in any product, or to the risk of, or responsibility for, any such damage or injury, except for any liabilities for which the exclusive remedy is provided under a workers’ compensation statute or act (the Talc-Related Liabilities).

In October 2021, notwithstanding the Company’s confidence in the safety of its talc products, the Debtor filed a voluntary petition with the United States Bankruptcy Court for the Western District of North Carolina, Charlotte Division, seeking relief under chapter 11 of the Bankruptcy Code (the LTL Bankruptcy Case). As a result of the LTL Bankruptcy Case, the Court entered a temporary restraining order staying allAll litigation against LTL and Old JJCI. On November 15, 2021, the North
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Carolina Bankruptcy Court confirmed the scope of the stay, issuing a Preliminary Injunction (PI) prohibiting and enjoining the commencement and prosecution of talc-related claims against LTL, Old JJCI, New JJCI, Johnson & Johnson,the Company, other of their corporate affiliates, identified retailers, insurance companies, and certain other parties.parties (the Protected Parties) was stayed, although LTL did agree to lift the stay on a small number of appeals where appeal bonds had been filed. The LTL Bankruptcy Case was transferred to the United States Bankruptcy Court for the District of New Jersey. Claimants filed motions to dismiss the LTL Bankruptcy Case and, following a multiple day hearing, the New Jersey Bankruptcy Court denied those motions in November 2021,March 2022.
The claimants subsequently filed notices of appeal as to the denial of the motions to dismiss the LTL Bankruptcy Case and the extension of the stay to the Protected Parties. On January 30, 2023, the Third Circuit reversed the Bankruptcy Court’s ruling and remanded to the Bankruptcy Court to dismiss the LTL bankruptcy.
LTL filed a petition for rehearing of the Third Circuit’s decision, which was denied in March 2023. LTL subsequently filed a motion in the Third Circuit to stay the mandate directing the New Jersey Bankruptcy Court to dismiss the LTL bankruptcy pending filing and disposition of a petition for writ of certiorari to the United States Supreme Court. The Third Circuit denied the motion to stay the mandate and issued the mandate.
In April 2023, the New Jersey Bankruptcy Court dismissed the LTL Bankruptcy Case, effectively lifting the stay as to all parties and returning the talc litigation to the tort system. LTL re-filed in the United States Bankruptcy Court for the District of New Jersey seeking relief under chapter 11 of the Bankruptcy Code (the LTL 2 Bankruptcy Case). As a result of the new filing, all talc claims against LTL were again automatically stayed pursuant to section 362 of the Bankruptcy Code. Additionally, the New Jersey Bankruptcy Court issued a temporary restraining order staying all litigation as to LTL, Old JJCI, New JJCI, the Company, identified retailers, and certain other parties (the New Protected Parties).
Also in April 2023, the New Jersey Bankruptcy Court issued a decision that granted limited injunctive relief to the Company and the New Protected Parties (the LTL 2 Preliminary Injunction). The LTL 2 Preliminary Injunction remained in force until late August 2023, following the Bankruptcy Court’s extension of the initial LTL 2 Preliminary Injunction in June 2023. Under the LTL 2 Preliminary Injunction, except for in those cases filed in the federal court subsequently extendedovarian cancer multi-district litigation, discovery in all personal injury and wrongful death matters was permitted to proceed.
Furthermore, in April 2023, the PI through the end of February 2022. Claimants haveTalc Claimants' Committee filed a motion to dismiss the LTL 2 Bankruptcy Case. The court commenced a hearingfollowed by similar motions from other claimants. Hearings on February 14, 2022 regarding the motionmotions to dismiss occurred in June 2023. On July 28, 2023, the court dismissed the LTL 2 Bankruptcy case and, on whether the PI should be extended. Whilesame day, the PI effectively stays allCompany stated its intent to appeal the decision and to continue its efforts to obtain a resolution of the Company’s talc-related personal injury litigation,talc claims. In September 2023, the Bankruptcy Court entered an order granting LTL has agreedleave to liftseek a direct appeal to the automatic stay onThird Circuit Court of Appeals. In October 2023, the Third Circuit granted LTL’s petition for a small number of appeals where appeal bonds have been filed.direct appeal. Briefing is ongoing.
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Following the dismissal of LTL 2, new lawsuits were filed and cases across the country that had been stayed were reactivated. The majority of the cases are pending in federal court, organized in a multi-district litigation (MDL) in the United States District Court for the District of New Jersey. In the MDL, case-specific discovery is proceeding with an expectation that a trial will occur in early 2025. Separately, discovery and pre-trial activity is underway in various individually filed and set cases around the country, with most activity for such cases centralized in New Jersey and California.
In the original bankruptcy case, the Company has agreed to provide funding to LTL for the payment of amounts the New Jersey Bankruptcy Court determines are owed by LTL throughand the establishment of a $2 billion trust in furtherance of this purpose. The Company has established a reserve for approximately $2 billion in connection with the aforementioned trust. SubsequentDuring the bankruptcy proceedings LTL had been de-consolidated by the Company. In the LTL 2 Bankruptcy Case, the Company had agreed to contribute an additional amount which, when added to the fiscal third quarterprior $2 billion, would be a total reserve of 2021,approximately $9 billion payable over 25 years (nominal value approximately $12 billion discounted at a rate of 4.41%), to resolve all the Company de-consolidated LTL,current and future talc claims. The approximate $9 billion reserve encompasses actual and contemplated settlements, of which approximately one-third is a related party,recorded as a resultcurrent liability. The recorded amount remains the Company’s best estimate of probable loss after the bankruptcy filing. The impact of the de-consolidation is not material to the Company. dismissal.
The parties have not yet been able to reachreached a resolution of all talc matters related to talc, and while certain amounts under various scenarios have recently been referred to in testimony as part of the LTL bankruptcy proceedings, the Company is unable to estimate the possible loss or range of loss beyond the amount accrued.

A class action advancing claims relating to industrial talc was filed against the Company and others in New Jersey state court in May 2022 (the Edley Class Action). The Edley Class Action asserts, among other things, that the Company fraudulently defended past asbestos personal injury lawsuits arising from exposure to industrial talc mined, milled, and manufactured before January 6, 1989 by the Company’s then wholly owned subsidiary, Windsor Minerals, Inc., which is currently a debtor in the Imerys Bankruptcy described hereafter. The Company removed the Edley Class Action to federal court in the District of New Jersey. In October 2022, the Company filed motions to dismiss and to deny certification of a class to pursue the Edley Class Action in the New Jersey District Court. Argument on the motions was heard in November 2023. Thereafter, the Company resolved this matter.
In February 2019, the Company’s talc supplier, Imerys Talc America, Inc. and two of its affiliates, Imerys Talc Vermont, Inc. and Imerys Talc Canada, Inc. (collectively, Imerys) filed a voluntary petition for relief under chapter 11 of the United States Code (the Bankruptcy Code) in the United States Bankruptcy Court for the District of Delaware (Imerys Bankruptcy). The Imerys Bankruptcy relates to Imerys’s potential liability for personal injury from exposure to talcum powder sold by Imerys (Talc Claims).Imerys. In its bankruptcy, Imerys alleges it has claims against the Company for indemnification and rights to joint insurance proceeds. In May 2020,its bankruptcy, Imerys proposed a chapter 11 plan (the Imerys Plan) that contemplated all talc-related claims against it being channeled to a trust along with its parent Imerys S.A.,alleged indemnification rights against the Tort Claimants’ Committee (TCC),Company. Following confirmation and the Future Claimants’ Representative (FCR) (collectively, the Plan Proponents) filed their Plan of Reorganization (the Plan) and the Disclosure Statement related thereto. The Plan Proponents have since filed numerous amendments to the Plan and Disclosure Statement. A hearing on the Plan Proponent’s Disclosure Statement was held in January 2021, and the Court entered an order approving the Disclosure Statement, allowing Imerys to proceed with soliciting votes on the Plan. In March 2021, the Company voted to reject the Plan and opted outconsummation of the consensual releases inplan, the Plan. In April 2021,trust would pay talc claims pursuant to proposed trust distribution procedures (the TDP) and then seek indemnification from the Plan Proponents announced the Plan had received the requisite number of accepting votes to confirm the Plan. The Company challenged certain improprieties with respect to portions of the vote and sought to disqualify those votes. In October 2021, the Bankruptcy Court issued a ruling deeming thousands of votes as withdrawn as improperly voted. In October 2021, Imerys cancelled the confirmation hearing on the Plan. Imerys, the TCC, the FCR, and certain of Imerys’s insurers (the Mediation Parties) have since agreed to engage in mediation.

Company.
In JulyFebruary 2021, Imerys commenced an adversary proceeding against the Company in the Imerys Bankruptcy (the Imerys adversary proceeding). The Imerys adversary proceeding sought, among other things, certain declarations with respect to the indemnification obligations allegedly owed by the Company to Imerys. The TCC and FCR simultaneously filed a motion for temporary restraining order and preliminary injunction seeking to enjoin the Company from undergoing a corporate restructuring that would separate the Company’s talc liabilities from its other assets. The Bankruptcy Court denied the motion. The Company thereafter filed a motion to dismiss the adversary proceeding. The Bankruptcy Court has not yet decided the motion to dismiss. In October 2021, the Company filed a Notice of Bankruptcy Filing and Stay of Proceedings clarifying that the automatic stay arising upon the filing of the LTL Bankruptcy Case should apply to the Imerys adversary proceeding.

In June 2020, Cyprus Mines Corporation and its parent (together, Cyprus)(Cyprus), which had owned certain Imerys talc mines, filed an adversary proceeding against the Company and Imerys in the Imerys Bankruptcy seeking a declaration of indemnity rights under certain contractual agreements (the Cyprus adversary proceeding). The Company denies such indemnification is owed, and filed a motion to dismiss the adversary complaint. In February 2021, Cyprus filed a voluntary petition for relief under chapter 11 of the Bankruptcy Code and filed its Disclosure Statement and Plan.Plan (the Cyprus Plan). The Cyprus Plan contemplates a settlement with Imerys and talc claimants where Cyprus would make a monetary contribution to a trust established under the Imerys Plan in exchange for an injunction against Talc Claimstalc claims asserted against it. Cyprus hasit and certain affiliated parties.
The Imerys Plan proceeded to solicitation in early 2021. However, the Imerys Plan did not yet sought approvalreceive the requisite number of votes to be confirmed after the Bankruptcy Court ruled certain votes cast in favor of the Imerys Plan should be disregarded. Imerys subsequently canceled its Disclosure Statementconfirmation hearing.
Imerys, the Imerys Tort Claimants’ Committee, and Plan. Cyprus,the Imerys Future Claimants’ Representative, along with the TCC and FCR appointed inCyprus, the Cyprus chapter 11 case, have agreed to participate inTort Claimants’ Committee, and the mediation withCyprus Future Claimants’ Representative (collectively the Mediation Parties.Parties) have been engaged in mediation since shortly after the confirmation hearing was canceled in October 2021. In October 2021,September 2023, the Company filed a Notice of Bankruptcy Filing and Stay of Proceedings clarifying that the automatic stay arising upon the filing of the LTL Bankruptcy Case should apply to the Cyprus adversary proceeding.

In February 2021, several of the Company’s insurers involved in coverage litigation in New Jersey State Court (the Coverage Action) filed a motion in the Imerys Bankruptcy Court proceeding seeking a determination that the automatic stay does not apply to the Coverage Action and, in the alternative, seeking relief from the automatic stay to allow them to continue to litigate their claims in the Coverage Action. In March 2021, the Company filed a limited response and reservation of rights with respect to the motion. The Court entered an agreed order modifyingextending the stay to allow the litigation in the Coverage Action to continue. In October 2021, LTL filed a Notice of Bankruptcy Filing and Stay of Proceedings clarifying that the automatic stay arising upon the filingterm of the LTLmediation among the Mediation Parties through the end of December 2023. The Bankruptcy Case should applyCourt also authorized Imerys and Cyprus to proceed with mediation with certain of their insurers through the Coverage Action.end of December 2023.

In September 2023, Imerys and Cyprus filed amended plans of reorganization. The amended plans contemplate a similar construct as the prior Imerys and Cyprus Plans, including all talc claims against Imerys and Cyprus (and certain other protected parties) being channeled to a trust along with Imerys’s and Cyprus’s alleged indemnification rights against the Company. In January 2024, Imerys and Cyprus filed revised TDP. In February 2024, Imerys and Cyprus filed certain motions related to their Disclosure Statement.
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In February 2018, a securities class action lawsuit was filed against Johnson & Johnson and certain named officers in the United States District Court for the District of New Jersey, alleging that Johnson & Johnson violated the federal securities laws by failing to disclose alleged asbestos contamination in body powders containing talc, primarily JOHNSON’S® Baby Powder, and that purchasers of Johnson & Johnson’s shares suffered losses as a result. Plaintiff is seeking damages. In April 2019, the Company moved to dismiss the complaint and briefing on the motion was complete as of August 2019. In December 2019, the Court denied, in part, the motion to dismiss. In March 2020, the Company answered the complaint. In April 2021, briefing on Plaintiffs’ motion for class certification was completed. In July 2021, the Company filed a notice of supplemental authority in opposition to Plaintiff’s motion for class certification, and Plaintiff filed a response. In December 2021, the Company filed a motion to supplement the class certification record, and in January 2022, Plaintiff responded. Discovery is ongoing.

In June 2019, a shareholder filed a complaint initiating a summary proceeding in New Jersey state court for a books and records inspection. In August 2019, Johnson & Johnson responded to the books and records complaint and filed a cross motion to dismiss. In September 2019, Plaintiff replied and the Court heard oral argument. In February 2022, the Court granted Johnson & Johnson's cross motion to dismiss. In October 2019, December 2019, and January 2020, four shareholders filed four separate derivative lawsuits against Johnson & Johnson as the nominal defendant and its current directors and certain officers as defendants in the United States District Court for the District of New Jersey, alleging a breach of fiduciary duties related to the alleged asbestos contamination in body powders containing talc, primarily JOHNSON’S® Baby Powder, and that Johnson & Johnson has suffered damages as a result of those alleged breaches. In February 2020, the four cases were consolidated into a single action under the caption In re Johnson & Johnson Talc Stockholder Derivative Litigation. In July 2020, a report was delivered to the Company’s Board of Directors by independent counsel retained by the Board to investigate the allegations in the derivative lawsuits and in a series of shareholder letters that the Board received raising similar issues and demanding that suit be brought against certain Directors. Four of the shareholders who sent demands are plaintiffs in the In re Johnson & Johnson Talc Stockholder Derivative Litigation. The independent counsel recommended that the Company reject the shareholder demands and take the steps that are necessary or appropriate to secure dismissal of the derivative lawsuits. The Board unanimously adopted the recommendations of the independent counsel’s report. In October 2020, the shareholders filed a consolidated complaint, and in January 2021, Johnson & Johnson moved to dismiss the consolidated complaint. In March 2021, Plaintiffs filed a motion for discovery. The Court temporarily terminated Johnson & Johnson’s motion to dismiss pending a decision on Plaintiff’s motion for discovery. In November 2021, at the Court’s request, the parties submitted supplemental briefing on Plaintiff’s motion for discovery.

In January 2019, two ERISA class action lawsuits were filed by participants in the Johnson & Johnson Savings Plan against Johnson & Johnson, its Pension and Benefits Committee, and certain named officers in the United States District Court for the District of New Jersey, alleging that the defendants breached their fiduciary dutiesCompany violated the federal securities laws by offering Johnson & Johnson stock as a Johnson & Johnson Savings Plan investment option when it was imprudent to do so because of failuresfailing to disclose alleged asbestos contamination in body powders containing talc, primarily JOHNSON’S® Baby Powder. Plaintiffs are seeking damagesPowder, and injunctive relief.that purchasers of the Company’s shares suffered losses as a result. In SeptemberApril 2019, Defendants filed athe Company moved to dismiss the complaint. In
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December 2019, the Court denied, in part, the motion to dismiss. In April 2020,2021, briefing on Plaintiff’s motion for class certification was completed. The case was stayed in May 2022 pursuant to the LTL Bankruptcy Case and was reopened in May 2023. In December 2023, the Court granted Defendants’Plaintiff’s motion but granted leave to amend.for class certification. In June 2020, Plaintiffs filed an amended complaint, and in July 2020,January 2024, Defendants moved to dismiss the amended complaint. As of October 2020, briefing on Defendants’ motion was complete. In February 2021, the Court granted Defendants’ motion, and granted Plaintiffs leave to amend. In April 2021, Plaintiffs informed the Court that they did not intend to file an amended complaint, and the Court dismissed the case with prejudice. In May 2021, Plaintiffs filed a notice of appealpetition with the Third Circuit. In July 2021, Plaintiffs filed their opening brief inCircuit under Federal Rule of Civil Procedure 23(f) for permission to appeal the Third Circuit and in September 2021, Defendants filed their response brief, and in October 2021, Plaintiffs filed their reply brief. In January 2022, the Third Circuit heard oral argument.Court’s order granting class certification. Fact discovery is proceeding.
A lawsuit was brought against the Company in the Superior Court of California for the County of San Diego alleging violations of California’s Consumer Legal Remedies Act (CLRA) relating to JOHNSON’S® Baby Powder. In that lawsuit, the plaintiffs allege that Johnson & Johnsonthe Company violated the CLRA by failing to provide required Proposition 65 warnings. In July 2019, the Company filed a notice of removal to the United States District Court for the Southern District of California and plaintiffs filed a second amended complaint shortly thereafter. In October 2019, the Company moved to dismiss the second amended complaint for failure to state a claim upon which relief may be granted. In response to those motions, plaintiffs filed a third amended complaint. In December 2019, the Company moved to dismiss the third amended complaint for failure to state a claim upon which relief may be granted. In April 2020, the Court granted the motion to dismiss but granted leave to amend. In May 2020, plaintiffs filed a Fourth Amended Complaint but indicated that they would be filing a motion for leave to file a fifth amended complaint. Plaintiffs filed a Fifth Amended Complaint in August 2020. The Company moved to dismiss the Fifth Amended Complaint for failure to state a claim upon which relief may be granted. In January 2021, the Court issued an Order and opinion ruling in the Company’s favor and granting the motion to dismiss with prejudice. In February 2021, Plaintiffs filed a Notice of Appeal with the Ninth Circuit. Plaintiffs filed their opening brief in July 2021. The company filed its responsive brief in October 2021. In October 2021,After the Notice of Suggestion of Bankruptcy was filed with the Ninth Circuit. A bankruptcyCircuit, a stay was imposed, in December 2021, and the Court held the reply deadline in abeyance. In September 2023, the stay lifted. With briefing complete, the Court is expected to either schedule oral argument or issue its decision at any time.
In June 2014, the Mississippi Attorney General filed a complaint in Chancery Court of The First Judicial District of Hinds County, Mississippi against the Company and Johnson & Johnson Consumer Companies, Inc. (now known as Johnson & Johnson Consumer Inc.) (collectively, JJCI). The complaint alleges that JJCI violated the Mississippi Consumer Protection Act by failing to disclose alleged health risks associated with female consumers’ use of talc contained in JOHNSON’S Baby Powder and JOHNSON’S Shower to Shower (a product divested in 2012) and seeks injunctive and monetary relief. In February 2022, the trial court set the case for trial to begin in February 2023. However, in October 2022, the LTL bankruptcy court issued an order staying the case. In March 2023, the Third Circuit issued the mandate to dismiss the LTL Bankruptcy Case and in April 2023, the New Jersey Bankruptcy Court dismissed the LTL Bankruptcy Case, effectively lifting the stay as to this matter. The State requested a new trial setting. Later in April 2023, the trial court set a new trial date for April 2024. The Company filed summary judgment and Daubert motions. The State filed a limited Daubert motion. The parties agreed to the Court's request for mediation. A pretrial conference is set for February 2024 and trial is scheduled for April 2024. However, the Company is actively engaged in resolution discussions concerning this matter.
In January 2020, the State of New Mexico filed a consumer protection case alleging that the Company deceptively marketed and sold its talcum powder products by making misrepresentations about the safety of the products and the presence of carcinogens, including asbestos. In March 2022, the New Mexico court denied the Company’s motion to compel the State of New Mexico to engage in discovery of state agencies and denied the Company’s request for interlocutory appeal of that decision. The Company then filed a Petition for Writ of Superintending Control and a Request for a Stay to the New Mexico Supreme Court on the issue of the State of New Mexico’s discovery obligations. In April 2022, in view of the efforts to resolve talc-related claims in the LTL Bankruptcy Case, the Company and the State agreed to a 60-day stay of all matters except for the pending writ before the New Mexico Supreme Court, which expired in June 2022. Thereafter, the Company moved to enjoin prosecution of the case in the LTL Bankruptcy Case. In October 2022, the bankruptcy court issued an order staying the case. In December 2022, the State filed an appeal to the Third Circuit concerning the stay order. Separately, in September 2022, the New Mexico Supreme Court granted the Company's request for a stay pending further briefing on the scope of the State of New Mexico’s discovery obligations. In March 2023, the Third Circuit issued the mandate to dismiss the LTL Bankruptcy Case and in April 2023, the New Jersey Bankruptcy Court dismissed the LTL Bankruptcy Case, effectively lifting the stay as to this matter. While the State notified the New Mexico Supreme Court of the lifted stay of litigation in April 2023, the Court has not taken any action since being notified of the lifting of the stay and it remains in effect.
Forty-two states and the District of Columbia (including Mississippi and New Mexico) have commenced a joint investigation into the Company’s marketing of its talcum powder products. At this time, the multi-state group has not asserted any claims against the Company. Five states have issued Civil Investigative Demands seeking documents and other information. The Company has produced documents to Arizona, North Carolina, Texas, and Washington and entered into confidentiality agreements. The Company has not received any follow up requests from those states. In March 2022, each of the forty-two states agreed to mediation of their claims in the LTL Bankruptcy Case. In July 2022, New Mexico and Mississippi indicated they would no longer voluntarily submit to further mediation in the LTL Bankruptcy and would proceed with their respective cases in state court. In March 2023, the mediation was terminated. In January 2024, the Company reached an agreement in principle with the multi-state group of state Attorneys General, subject to ongoing negotiation of non-monetary terms. The unique procedural history and status of the New Mexico and Mississippi matters specifically have been discussed above.
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In addition, the Company has received inquiries, subpoenas, and requests to produce documents regarding talc matters includingand the LTL Bankruptcy Case from Senator Murray, a member of the Senate Committee on Health, Education, Labor and Pensions, the Department of Justice, the Subcommittee on Economic and Consumer Policy of the House Committee on Oversight and Reform, the Senate
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Committee on the Judiciary, the House Committee on Oversight and Reform, and individual Members of Congress.various governmental authorities. The Company has produced documents and responded to inquiries, and will continue to cooperate with government inquiries.
Matters concerning opioids
Beginning in 2014 and continuing to the present, the Company and Janssen Pharmaceuticals, Inc. (JPI), along with other pharmaceutical companies, have been named in close to 3,500 lawsuits related to the marketing of opioids, including DURAGESIC, NUCYNTA and NUCYNTA ER. The majority of the cases have been filed by state and local governments. Similar lawsuits have also been filed by private plaintiffs and organizations, including but not limited to the following: individual plaintiffs on behalf of children born with Neonatal Abstinence Syndrome (NAS); hospitals; and health insurers/payors.
To date, the Company and JPI have litigated two of the cases to judgment and have prevailed in both, either at trial or on appeal.
In October 2019, the Company announced a proposed agreement in principle with a negotiating committee of state Attorneys General to settle all remaining government opioid litigation claims nationwide. Under the final national settlement agreement, which was announced in July 2021, the Company agreed to pay up to $5.0 billion to resolve all opioid lawsuits and future opioid claims by states, cities, counties, local school districts and other special districts, and tribal governments, contingent on sufficient participation by eligible government entities, and with credits back for entities that declined or were ineligible to participate. In July 2021, the Company announced that the terms of the agreement to settle the state and subdivision claims had been finalized and approximately 60% of the all-in settlement was paid by the end of fiscal 2023. The expected payment schedule provides that approximately $0.7 billion of payments are to be paid by the end of fiscal 2024. The agreement is not an admission of liability or wrongdoing, and it provides for the release of all opioid-related claims against the Company, JPI, and their affiliates (including the Company’s former subsidiaries Tasmanian Alkaloids Pty, Ltd. and Noramco, Inc.). As of January 2024, the Company and JPI have settled or otherwise resolved the opioid claims advanced by all government entity claimants except the City of Baltimore, a number of school districts and other claimants.
The Company and JPI continue to defend the cases brought by the remaining government entity litigants as well as the cases brought by private litigants, including NAS claimants, hospitals, and health insurers/payors. Counting the private litigant cases, there are approximately 35 remaining opioid cases against the Company and JPI in various state courts, 430 remaining cases in the Ohio MDL, and 4 additional cases in other federal courts. Some of these cases have been dismissed and are being appealed by the plaintiffs and certain others are scheduled for trial in 2024 or 2025.
In addition, the Province of British Columbia filed suit against the Company and its Canadian affiliate Janssen Inc., and many other industry members, in Canada, and is seeking to have that action certified as an opt in class action on behalf of other provincial/territorial and the federal governments in Canada. Additional proposed class actions have been filed in Canada against the Company and Janssen Inc., and many other industry members, by and on behalf of people who used opioids (for personal injuries), municipalities and First Nations bands. These actions allege a variety of claims related to opioid marketing practices, including false advertising, unfair competition, public nuisance, consumer fraud violations, deceptive acts and practices, false claims and unjust enrichment. An adverse judgment in any of these lawsuits could result in the imposition of large monetary penalties and significant damages including, punitive damages, cost of abatement, substantial fines, equitable remedies and other sanctions.
From June 2017 through December 2019, the Company’s Board of Directors received a series of shareholder demand letters alleging breaches of fiduciary duties related to the marketing of opioids. The Board retained independent counsel to investigate the allegations in the demands, and in April 2020, independent counsel delivered a report to the Board recommending that the Company reject the shareholder demands and take the steps that are necessary or appropriate to secure dismissal of related derivative litigation. The Board unanimously adopted the recommendations of the independent counsel’s report.
In November 2019, one of the shareholders who sent a demand filed a derivative complaint against the Company as the nominal defendant and certain current and former directors and officers as defendants in the Superior Court of New Jersey. The complaint alleges breaches of fiduciary duties related to the marketing of opioids, and that the Company has suffered damages as a result of those alleged breaches. A series of additional derivative complaints making similar allegations against the same and similar defendants were filed in New Jersey state and federal courts in 2019 and 2020. By 2022, all but two state court cases had been voluntarily dismissed. In February 2022, the state court granted the Company’s motion to dismiss one of the two cases, and the shareholder that brought the second case filed a notice of dismissal. The shareholder whose complaint was dismissed filed a motion for reconsideration. In May 2022, the state court held oral argument on the motion for reconsideration and subsequently denied the motion. The shareholder has appealed the state court’s dismissal order.
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Product liability
The Company and certain of its subsidiaries are involved in numerous product liability claims and lawsuits involving multiple products. Claimants in these cases seek substantial compensatory and, where available, punitive damages. While the Company believes it has substantial defenses, it is not feasible to predict the ultimate outcome of litigation. From time to time, even if it has substantial defenses, the Company considers isolated settlements based on a variety of circumstances. The Company has accrued for these matters and will continue to monitor each related legal issue and adjust accruals as might be warranted based on new information and further developments in accordance with ASC 450-20-25, Contingencies. The Company accrues an estimate of the legal defense costs needed to defend each matter when those costs are probable and can be reasonably estimated. For certain of these matters, the Company has accrued additional amounts such as estimated costs associated with settlements, damages and other losses. Product liability accruals can represent projected product liability for thousands of claims around the world, each in different litigation environments and with different fact patterns. Changes to the accruals may be required in the future as additional information becomes available.
The table below contains the most significant of these cases and provides the approximate number of plaintiffs in the United States with direct claims in pending lawsuits regarding injuries allegedly due to the relevant product or product category as of December 31, 2023:
Product or product categoryNumber of plaintiffs
Body powders containing talc, primarily JOHNSON’S Baby Powder59,140 
DePuy ASR XL Acetabular System and DePuy ASR Hip Resurfacing System160 
PINNACLE Acetabular Cup System920 
Pelvic meshes6,720 
ETHICON PHYSIOMESH Flexible Composite Mesh370 
RISPERDAL200 
ELMIRON2,150 
The number of pending lawsuits is expected to fluctuate as certain lawsuits are settled or dismissed and additional lawsuits are filed. There may be additional claims that have not yet been filed.
MedTech
DePuy ASR XL Acetabular System and ASR Hip Resurfacing System
In August 2010, DePuy Orthopaedics, Inc. (DePuy) announced a worldwide voluntary recall of its ASR XL Acetabular System and DePuy ASR Hip Resurfacing System (ASR Hip) used in hip replacement surgery. Claims for personal injury have been made against a number of Johnson & Johnson companies, including Janssen Pharmaceuticals, Inc.DePuy and Johnson & Johnson, arising out of the use of INVOKANA®, a prescription medication indicated to improve glycemic control in adults with Type 2 diabetes. In December 2016, lawsuitsCompany. Cases filed in federal courts in the United States werehave been organized as a multi-district litigation in the United States District Court for the Northern District of Ohio. Litigation has also been filed in countries outside of the United States, primarily in the United Kingdom, Canada, Australia, Ireland, Germany, India and Italy. In November 2013, DePuy reached an agreement with a Court-appointed committee of lawyers representing ASR Hip plaintiffs to establish a program to settle claims with eligible ASR Hip patients in the United States who had surgery to replace their ASR Hips, known as revision surgery, as of August 2013. DePuy reached additional agreements in February 2015 and March 2017, which further extended the settlement program to include ASR Hip patients who had revision surgeries after August 2013 and prior to February 15, 2017. This settlement program has resolved more than 10,000 claims, thereby bringing to resolution significant ASR Hip litigation activity in the United States. However, lawsuits in the United States remain, and the settlement program does not address litigation outside of the United States. In Australia, a class action settlement was reached that resolved the claims of the majority of ASR Hip patients in that country. In Canada, the Company has reached agreements to settle the class actions filed in that country. The Company continues to receive information with respect to potential additional costs associated with this recall on a worldwide basis. The Company has established accruals for the costs associated with the United States settlement program and ASR Hip-related product liability litigation.
DePuy PINNACLE Acetabular Cup System
Claims for personal injury have also been made against DePuy Orthopaedics, Inc. and the Company (collectively, DePuy) relating to the PINNACLE Acetabular Cup System used in hip replacement surgery. Product liability lawsuits continue to be filed, and the Company continues to receive information with respect to potential costs and the anticipated number of cases. Most cases filed in federal courts in the United States have been organized as a multi-district litigation in the United States
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District Court for the Northern District of Texas (Texas MDL). Beginning on June 1, 2022, the Judicial Panel on Multidistrict Litigation ceased transfer of new cases into the Texas MDL, and there are now cases pending in federal court outside the Texas MDL. Litigation also has been filed in state courts and in countries outside of the United States. During the first quarter of 2019, DePuy established a United States settlement program to resolve these cases. As part of the settlement program, adverse verdicts have been settled. The Company has established an accrual for product liability litigation associated with the PINNACLE Acetabular Cup System and the related settlement program.
Ethicon Pelvic Mesh
Claims for personal injury have been made against Ethicon, Inc. (Ethicon) and the Company arising out of Ethicon’s pelvic mesh devices used to treat stress urinary incontinence and pelvic organ prolapse. The Company continues to receive information with respect to potential costs and additional cases. Cases filed in federal courts in the United States had been organized as a multi-district litigation (MDL) in the United States District Court for the Southern District of West Virginia. In March 2021, the MDL Court entered an order closing the MDL. The MDL Court has remanded cases for trial to the jurisdictions where the case was originally filed and additional pelvic mesh lawsuits have been filed, and remain, outside of the MDL. The Company has settled or otherwise resolved the majority of the United States cases and the estimated costs associated with these settlements and the remaining cases are reflected in the Company’s accruals. In addition, class actions and individual personal injury cases or claims seeking damages for alleged injury resulting from Ethicon’s pelvic mesh devices have been commenced in various countries outside of the United States, including claims and cases in the United Kingdom, the Netherlands, Belgium, France, Ireland, Italy, Spain and Slovenia and class actions in Israel, Australia, Canada and South Africa. In November 2019, the Federal Court of Australia issued a judgment regarding its findings with respect to liability in relation to the three Lead Applicants and generally in relation to the design, manufacture, pre and post-market assessments and testing, and supply and promotion of the devices in Australia used to treat stress urinary incontinence and pelvic organ prolapse. In September 2022, after exhausting its appeals, the Company reached an in-principle agreement to resolve the two pelvic mesh class actions in Australia and in March 2023 the Federal Court approved the settlement. The class actions in Canada were discontinued in 2020 as a result of a settlement of a group of cases and an agreement to resolve the Israeli class action was reached in May 2021. The parties in the Israeli class action are currently finalizing the terms of the settlement. A motion to approve the settlement was filed with the Court. The Company has established accruals with respect to product liability litigation associated with Ethicon’s pelvic mesh products.
Ethicon Physiomesh
Following a June 2016 worldwide market withdrawal of Ethicon Physiomesh Flexible Composite Mesh (Physiomesh), claims for personal injury have been made against Ethicon, Inc. (Ethicon) and the Company alleging personal injury arising out of the use of this hernia mesh device. Cases filed in federal courts in the United States have been organized as a multi-district litigation (MDL) in the United States District Court for the Northern District of Georgia. A multi-county litigation (MCL) also has been formed in New Jersey state court and assigned to Atlantic County for cases pending in New Jersey. In addition to the matters in the MDL and MCL, there are additional lawsuits pending in the United States District Court for the Southern District of Ohio, which are part of the MDL for polypropylene mesh devices manufactured by C.R. Bard, Inc., and lawsuits pending in two New Jersey MCLs formed for Proceed/Proceed Ventral Patch and Prolene Hernia systems, and lawsuits pending outside the United States. In May 2021, Ethicon and lead counsel for the plaintiffs entered into a term sheet to resolve approximately 3,600 Physiomesh cases (covering approximately 4,300 plaintiffs) pending in the MDL and MCL at that time. A master settlement agreement (MSA) was entered into in September 2021 and includes 3,729 cases in the MDL and MCL. All deadlines and trial settings in those proceedings are currently stayed pending the completion of the settlement agreement. Of the cases subject to the MSA, 3,390 have been dismissed with prejudice. Ethicon has received releases from 3,584 plaintiffs, and releases continue to be submitted as part of the settlement process. Post-settlement cases in the Physiomesh MDL and MCL are subject to docket control orders requiring early expert reports and discovery requirements. In May 2023, Ethicon entered an additional settlement to resolve the claims of 292 Physiomesh claimants. That settlement is proceeding, and releases are being returned. As of December 31, 2023, there were 5 Physiomesh cases in the MDL and 3 in the New Jersey MCL which are not included in either settlement and which remain subject to the docket control orders.
Claims have also been filed against Ethicon and the Company alleging personal injuries arising from the PROCEED Mesh and PROCEED Ventral Patch hernia mesh products. In March 2019, the New Jersey Supreme Court entered an order consolidating these cases pending in New Jersey as an MCL in Atlantic County Superior Court. Additional cases have been filed in various federal and state courts in the United States, and in jurisdictions outside the United States.
Ethicon and the Company also have been subject to claims for personal injuries arising from the PROLENE Polypropylene Hernia System. In January 2020, the New Jersey Supreme Court created an MCL in Atlantic County Superior Court to handle such cases. Cases involving this product have also been filed in other federal and state courts. Class action lawsuitscourts in the United States.
In October 2022, an agreement in principle, subject to various conditions, was reached to settle the majority of the pending cases involving Proceed, Proceed Ventral Patch, Prolene Hernia System and related multi-layered mesh products, as well as a number of unfiled claims. All litigation activities in the two New Jersey MCLs are stayed pending effectuation of the proposed settlement. Future cases that are filed in the New Jersey MCLs will be subject to docket control orders requiring early expert reports and discovery requirements.
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The Company has established accruals with respect to product liability litigation associated with Ethicon Physiomesh Flexible Composite Mesh, PROCEED Mesh and PROCEED Ventral Patch, and PROLENE Polypropylene Hernia System products.
Innovative Medicine
RISPERDAL
Claims for personal injury have been made against Janssen Pharmaceuticals, Inc. and the Company arising out of the use of RISPERDAL, and related compounds, indicated for the treatment of schizophrenia, acute manic or mixed episodes associated with bipolar I disorder and irritability associated with autism. Lawsuits primarily have been filed in state courts in Pennsylvania, California, and Missouri. Other actions are pending in various courts in the United States and Canada. Product liability lawsuits continue to be filed, and the Company continues to receive information with respect to potential costs and the anticipated number of cases. The Company has settled or otherwise resolved manysuccessfully defended a number of these cases but there have been verdicts against the Company, including a verdict in October 2019 of $8.0 billion of punitive damages related to one plaintiff, which the trial judge reduced to $6.8 million in January 2020. In September 2021, the Company entered into a settlement in principle with the counsel representing plaintiffs in this matter and in substantially all of the outstanding cases and claims in the United States and theStates. The costs associated with thesethis and other settlements are reflected in the Company’s accruals.

ELMIRON
Claims for personal injury have been made against a number of Johnson & Johnson companies, including Janssen Pharmaceuticals, Inc. and Johnson & Johnson,the Company, arising out of the use of ELMIRON,®, a prescription medication indicated for the relief of bladder pain or discomfort associated with interstitial cystitis. These lawsuits, which allege that ELMIRON® contributes to the development of permanent retinal injury and vision loss, have been filed in both state and federal courts across the United States. In December 2020, lawsuits filed in federal courts in the United States, including putative class action cases seeking medical monitoring, were organized as a multi-district litigation in the United States District Court for the District of New Jersey. Cases alsoAll cases in the multi-district litigation are in active discussions regarding resolution, and as a result, all activity is stayed. In addition, cases have been filed in various state courts.courts of New Jersey, which have been coordinated in a multi-county litigation in Bergen County, as well as the Court of Common Pleas in Philadelphia, which have been coordinated and granted mass tort designation. No activity has taken place in the New Jersey state court litigation; however, three bellwether trials have been set in Philadelphia for March, April and May 2024. In addition, three class action lawsuits have been filed in Canada. Product liability lawsuits continue to be filed, and the Company continues to receive information with respect to potential costs and the anticipated number of cases. The Company has established accruals for defense and indemnity costs associated with ELMIRON® related product liability litigation.
Intellectual property

INTELLECTUAL PROPERTY
Certain subsidiaries of Johnson & Johnsonthe Company are subject, from time to time, to legal proceedings and claims related to patent, trademark and other intellectual property matters arising out of their businesses. Many of these matters involve challenges to the coverage and/or validity of the patents on various products and allegations that certain of the Company’s products infringe the patents of third parties. Although these subsidiaries believe that they have substantial defenses to these challenges and allegations with respect to all significant patents, there can be no assurance as to the outcome of these matters. A loss in any of these cases could adversely affect the ability of these subsidiaries to sell their products, result in loss of sales due to loss of market exclusivity, require the payment of past damages and future royalties, and may result in a non-cashnon-cash impairment charge for any associated intangible asset. Significant matters are described below.

Medical Devices
In December 2016, Dr. Ford Albritton sued Acclarent, Inc. (Acclarent) in United States District Court for the Northern DistrictInnovative Medicine - litigation against filers of Texas alleging that Acclarent’s RELIEVA® Spin and RELIEVEA SpinPlus® products infringe U.S. Patent No. 9,011,412. Dr. Albritton also alleges breach of contract, fraud and that he is the true owner of Acclarent’s U.S. Patent No. 8,414,473. Trial began in October 2021, and shortly thereafter, the parties reached an agreement to settle the case. Plaintiff’s motion to dismiss with prejudice was filed in October 2021. The case was dismissed with prejudice in November 2021.

In August 2018, Intuitive Surgical, Inc. and Intuitive Surgical Operations, Inc. (collectively, Intuitive) filed a patent infringement suit against Auris Health, Inc. (Auris) in United States District Court for the District of Delaware. In the suit, Intuitive alleges willful infringement of U.S. Patent Nos. 6,246,200 (’200); 6,491,701 (’701); 6,522,906 (’906); 6,800,056 (’056); 8,142,447 (’447); 8,620,473 (’473); 8,801,601 (’601); and 9,452,276 (’276) based on Auris’ Monarch™ Platform. Auris filed IPR Petitions with the U.S. Patent and Trademark Office (USPTO) regarding the ’200, ’056, ’601 ’701, ’447, ’276 and ’906 patents. Intuitive subsequently dropped the ’200, ’473 and ’701 patents from the suit. In December 2019, the USPTO instituted review of the ’601 patent and denied review of the ’056 patent. In February and March 2020, the USPTO instituted review of the ’200, ’447, ’701 and ’906 patents and denied review of the ’276 patent. In December 2020, the USPTO declared all of the challenged claims in the ’601 patent to be invalid. Intuitive has appealed that decision. In March 2021, the USPTO ruled that the challenged claims of the ’447 and ’906 patents are not invalid. Auris has appealed that decision. Auris filed a request for reexamination of the ’276 patent in November 2021, and in January 2022, the USPTO granted the reexamination request. Trial is scheduled to begin in January 2023.

In August 2019, RSB Spine LLC (RSB Spine) filed a patent infringement suit against DePuy Synthes, Inc. in the United States District Court for the District of Delaware. In October 2019, RSB Spine amended the complaint to change the named defendants to DePuy Synthes Sales, Inc. and DePuy Synthes Products, Inc. In the suit, RSB Spine alleges willful infringement of United States Patent Nos. 6,984,234 and 9,713,537 by one or more of the following products: ZERO-P-VA™ Spacer, ZERO-P® Spacer, ZERO-P NATURAL™ Plate, SYNFIX® LR Spacer and SYNFIX® Evolution System. RSB Spine seeks
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monetary damages and injunctive relief. In November 2019, the suit was consolidated for pre-trial purposes with other patent infringement suits brought by RSB Spine in the United States District Court for the District of Delaware against Life Spine, Inc., Medacta USA, Inc., and Precision Spine, Inc. A stay that had been entered pending Inter Partes Review at the U.S. Patent & Trademark Office has been lifted, and trial is scheduled to begin in December 2022.

In March 2020, Osteoplastics, LLC filed a patent infringement suit against DePuy Synthes, Inc., DePuy Synthes Products, Inc., Medical Device Business Services, Inc., and Synthes, Inc. (collectively, DePuy Synthes) in the United States District Court for the District of Delaware. In the suit, Osteoplastics alleges willful infringement of U.S. Patent Nos. 8,781,557; 9,929,920; 9,330,206; 9,626,756; 9,672,617; 9,672,302; and 9,275,191 based on the PROPLAN CMF® Virtual Surgical Planning Services and the TruMatch® CMF Personalize Solutions. In April 2020, Osteoplastics filed an amended complaint to substitute U.S. Patent No. 9,292,920 for U.S. Patent No. 9,929,920. Osteoplastics seeks monetary damages and injunctive relief. In June 2020, DePuy Synthes filed a motion to dismiss the complaint. In October 2020, the Court dismissed Medical Device Business Services, Inc. from the case but otherwise denied the motion. In June 2021, Osteoplastics admitted that the PROPLAN CMF® Virtual Surgical Planning Services do not infringe any asserted patents. Trial was scheduled for October 2022. In October 2021, the case was settled and dismissed.

In October 2020, Rasmussen Instruments, LLC (Rasmussen) filed a patent infringement suit against DePuy Synthes Products, Inc., DePuy Synthes Sales, Inc. and Medical Device Business Services, Inc. (collectively, DePuy) in the United States District Court for the District of Massachusetts. Rasmussen alleges that DePuy willfully infringes U.S. Patent Nos. 9,492,180 and 10,517,583 (’583) by making and selling the Attune® Balanced Sizer. In April 2021, Rasmussen sought permission to amend its infringement contentions to allege that DePuy also willfully infringes the ’583 patent by making and selling the Attune® Balancing Blocks. Rasmussen seeks treble damages for willful infringement. Trial is scheduled for February 2022.

Pharmaceutical
Litigation Against Filers of Abbreviated New Drug Applicationsabbreviated new drug applications (ANDAs)

The following summarizes lawsuits the Company’s subsidiaries have brought lawsuits against generic companies that have filed ANDAs with the U.S. FDA or undertaken(or similar regulatory processeslawsuits outside of the United States,States) seeking to market generic formsversions of products sold by various subsidiaries of Johnson & Johnsonthe Company prior to expiration of the applicable patents covering those products. These ANDAslawsuits typically include allegations of non-infringement andand/or invalidity of patents listed in FDA’s publication “Approved Drug Products with Therapeutic Equivalence Evaluations” (commonly known as the applicable patents.Orange Book). In each of these lawsuits, the Company’s subsidiaries are seeking an order enjoining the defendant from marketing a generic version of a product before the expiration of the relevant patents (Orange Book Listed Patents). In the event the Company’s subsidiaries are not successful in an action, or theany automatic statutory stay of the ANDAs expires before the United States District Courtcourt rulings are obtained, the generic companies involved would have the ability, upon regulatory approval, of the U.S. FDA, to introduce generic versions of their products to the market, resulting in the potential for substantial market share and revenue losses for the applicable products, and which may result in a non-cash impairment charge in any associated intangible asset. In addition, from time to time, the Company’s subsidiaries may settle these types of actions
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and such settlements can involve the introduction of generic versions of the products at issue to the market prior to the expiration of the relevant patents.
The Inter Partes Review (IPR) process with the USPTO,United States Patent and Trademark Office (USPTO), created under the 2011 America Invents Act, is also being used at times by generic companies in conjunction with ANDAs and lawsuits to challenge the applicable patents.

XARELTO
ZYTIGA®

Beginning in January 2019,March 2021, Janssen Pharmaceuticals, Inc.; Bayer Pharma AG; Bayer AG; and Janssen Oncology, Inc. (collectively, Janssen) initiated Statements of Claim under Section 6 of the Patented Medicines (Notice of Compliance) RegulationsBayer Intellectual Property GmbH filed patent infringement lawsuits in CanadaUnited States district courts against Apotex Inc. (Apotex), Pharmascience Inc. (Pharmascience) and Dr. Reddy’s Laboratories Ltd. and Dr. Reddy’s Laboratories, Inc. (collectively, DRL) in response to those parties’ filing of Abbreviated New Drug Submissions (ANDS)generic manufacturers who have filed ANDAs seeking approval to market generic versions of ZYTIGA®XARELTO before the expiration of the Canadiancertain Orange Book Listed Patents. The following entities are named defendants: Dr. Reddy’s Laboratories, Inc.; Dr. Reddy’s Laboratories, Ltd.; Lupin Limited; Lupin Pharmaceuticals, Inc.; Taro Pharmaceutical Industries Ltd.; Taro Pharmaceuticals U.S.A., Inc.; Teva Pharmaceuticals USA, Inc.; Mylan Pharmaceuticals Inc.; Mylan Inc.; Mankind Pharma Limited; Apotex Inc.; Apotex Corp.; Auson Pharmaceuticals Inc.; Macleods Pharmaceuticals Ltd; Macleods Pharma USA, Inc.; Indoco Remedies Limited; FPP Holding Company LLC; Umedica Laboratories Pvt. Ltd.; Aurobindo Pharma Limited; Aurobindo Pharma USA, Inc.; Cipla Ltd.; Cipla USA Inc.; and InvaGen Pharmaceuticals, Inc. The following U.S. patents are included in one or more cases: 9,539,218 and 10,828,310.
U.S. Patent No. 2,661,422 (’422). The trial10,828,310 was also under consideration by the USPTO in these actions concluded in November 2020, andan IPR proceeding. In July 2023, the CourtUSPTO issued a final written decision holdingfinding the ’422claims of the patent invalid in January 2021.invalid. In February 2021, Janssen appealed the decision.

XARELTO®

In March 2021, Janssen Pharmaceuticals, Inc. (JPI) andSeptember 2023, Bayer Pharma AG filed an appeal to the U.S. Court of Appeals for the Federal Circuit.
OPSUMIT
Beginning in January 2023 Actelion Pharmaceuticals Ltd and Bayer AG (collectively, Bayer)Actelion Pharmaceuticals US, Inc. filed a patent infringement lawsuitlawsuits in the United States District Court for the District of Delawaredistrict courts against Lupin Limited and Lupin Pharmaceuticals, Inc. whichgeneric manufacturers who have filed an ANDAANDAs seeking approval to market a generic versionversions of XARELTO®OPSUMIT before expiration of certain Orange Book Listed Patents. The following entities are named defendants: Sun Pharmaceutical Industries Limited; Sun Pharmaceutical Industries, Inc.; MSN Laboratories Private Limited; MSN Pharmaceuticals Inc.; and Mylan Pharmaceuticals Inc. The following U.S. Patent No. 10,828,310 (’310).patents are included in one or more cases: 7,094,781; and 10,946,015. In November 2023, the Company entered into a confidential settlement agreement with MSN Laboratories Private Limited and MSN Pharmaceuticals Inc. In December 2023, the Company entered into a confidential settlement agreement with Sun Pharmaceutical Industries Limited and Sun Pharmaceuticals Industries, Inc.

INVEGA SUSTENNA
In May 2021, JPIBeginning in January 2018, Janssen Pharmaceutica NV and BayerJanssen Pharmaceuticals, Inc. filed a patent infringement lawsuitlawsuits in the United States District Court for the District of Delawaredistrict courts against Dr. Reddy’s Laboratories, Inc. and Dr. Reddy’s Laboratories, Ltd. whichgeneric manufacturers who have filed an ANDAANDAs seeking approval to market a generic versionversions of XARELTO®INVEGA SUSTENNA before expiration of the ’310 patent.

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In July 2021, JPI and Bayer filed a patent infringement lawsuit in the United States District Court for the District of Delaware against Taro Pharmaceutical Industries Ltd. and Taro Pharmaceuticals U.S.A., Inc. (collectively, Taro) which filed an ANDA seeking approval to market a generic version of XARELTO® before expiration of the ’310 patent.

In July 2021, JPI and Bayer filed a patent infringement lawsuit in the United States District Court for the District of Delaware againstOrange Book Listed Patent. The following entities are named defendants: Teva Pharmaceuticals USA, Inc.; Mylan Laboratories Limited; Pharmascience Inc.; Mallinckrodt PLC; Specgx LLC; Tolmar, Inc.; and Teva Pharmaceutical Industries Ltd. which filed an ANDA seeking approval to market a generic version of XARELTO® before expiration of the ’310 patent. In August 2021, the court entered a joint stipulation dismissing Teva Pharmaceutical Industries Ltd.Accord Healthcare, Inc. The following U.S. patent is included in one or more cases: 9,439,906.

In October 2021, the court consolidated the Delaware lawsuits for all purposes, including trial. Trial for the consolidated Delaware lawsuits is scheduled to beginBeginning in May 2023.

In July 2021, JPI and Bayer filed a patent infringement lawsuit in the United States District Court for the Northern District of West Virginia against Mylan PharmaceuticalsFebruary 2018, Janssen Inc. and Mylan Inc. which filed an ANDA seeking approval to market a generic version of XARELTO® before expiration of the ’310 patent. In August 2021, JPI and Bayer filed a motion before the United States Judicial Panel on Multidistrict Litigation (the MDL panel) to transfer this lawsuit to the United States District Court for the District of Delaware for coordinated and consolidated pretrial proceedings. In December 2021, the MDL panel granted the motion. No trial date has been set in this lawsuit.

In each of these lawsuits, JPI and Bayer are seeking an order enjoining defendants from marketing their generic version of XARELTO® before the expiration of the ’310 patent.

INVOKANA®/INVOKAMET®/INVOKAMET XR®

In October 2019, Janssen Pharmaceuticals, Inc., Janssen Research & Development, LLC, Cilag GmbH International and Janssen Pharmaceutica NV (collectively, Janssen) and Mitsubishi Tanabe Pharma Corporation (MTPC) initiated a patent infringement lawsuit in the United States District Court for the District of New Jersey against Dr. Reddy’s Laboratories, Inc. and Dr. Reddy’s Laboratories Ltd (DRL), who filed an ANDA seeking approval to market a generic version of INVOKAMET® before expiration of MTPC’s United States Patent No. 7,943,788 (’788) relating to INVOKAMET®. In January 2021, Janssen and MTPC filed a patent infringement lawsuit in the United States District Court for the District of New Jersey against Macleods Pharmaceuticals, Ltd. and Macleods Pharma USA, Inc. (Macleods), which filed an ANDA seeking approval to market a generic version of INVOKAMET XR® before expiration of MTPC’s United States Patent Nos. 7,943,582 (’582) and/or 8,513,202 (’202) relating to INVOKAMET XR®.

In each of these U.S. lawsuits, Janssen and MTPC are seeking an order enjoining the defendant from marketing their generic versions of INVOKAMET® and/or, INVOKAMET XR® before the expiration of the relevant patents.

In October 2020, Janssen Inc., Janssen Pharmaceutica NV and MTPC initiated a Statement of Claim under Section 6 of the Patented Medicines (Notice of Compliance) Regulations against Sandoz Canada Inc. (Sandoz) in Canada in response to Sandoz’s filing of an ANDSgeneric manufacturers who have filed ANDSs seeking approval to market a generic versionversions of INVOKANA®INVEGA SUSTENNA before the expiration of the Canadian Patent Nos. 2,799,204, 2,534,024listed patent. The following entities are named defendants: Pharmascience Inc. and 2,671,357. Janssen Inc., Janssen Pharmaceutica NV and MTPC are seeking an order enjoining Sandoz from marketing its generic version of INVOKANA® before the expiration of the relevant patents. The trial is scheduled to begin in August 2022.

OPSUMIT®

In May 2020, Janssen Inc. (Janssen) and Actelion Pharmaceuticals Ltd (Actelion) initiated a Statement of Claim under Section 6 of the Patented Medicines (Notice of Compliance) Regulations against Sandoz Canada Inc. (Sandoz) in Canada in response to Sandoz’s filing of an ANDS seeking approval to market a generic version of OPSUMIT® 10 mg,before the expiration of Canadian Patent No. 2,659,770 (’770). Trial is ongoing.

In May 2020, Janssen and Actelion initiated a Statement of Claim under Section 6 of the Patented Medicines (Notice of Compliance) Regulations against Apotex Inc. (Apotex)The following Canadian patent is included in Canada in response to Apotex’s filing of an ANDS seeking approval to market a generic version of OPSUMIT® 10 mg,before the expiration of the ’770 patent. Trial is scheduled to begin in February 2022.one or more cases: 2,655,335.

In July 2020, Janssen and Actelion initiated a Statement of Claim under Section 6 of the Patented Medicines (Notice of Compliance) Regulations against JAMP Pharma Corporation (JAMP) in Canada in response to JAMP’s filing of an ANDS seeking approval to market a generic version of OPSUMIT® 10 mg before the expiration of the ’770 patent and Canadian Patent No. 2,621,273 (’273). Trial is scheduled to begin in April 2022.

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In each of these Canadian actions, Janssen and Actelion are seeking an order enjoining the defendants from marketing their generic versions of OPSUMIT® before the expiration of the relevant patents.

INVEGA SUSTENNA®

In January 2018, Janssen Pharmaceutica NV and Janssen Pharmaceuticals, Inc. (collectively, Janssen) initiated a patent infringement lawsuit in the United States District Court for the District of New Jersey against Teva Pharmaceuticals USA, Inc. (Teva), which filed an ANDA seeking approval to market a generic version of INVEGA SUSTENNA® before the expiration of United States Patent No. 9,439,906 (’906). Trial concluded in October 2020. In October 2021, the court issued a decision in Janssen’s favor. Teva has appealed the decision.

In August 2019, Janssen initiated a patent infringement lawsuit in the United States District Court for the District of New Jersey against Mylan Laboratories Limited (Mylan), which filed an ANDA seeking approval to market a generic version of INVEGA SUSTENNA® before the expiration of the ’906 patent. Pursuant to an agreement by the parties, judgment in favor of Janssen was entered in December 2021. Mylan has filed an appeal.

In December 2019, Janssen initiated a patent infringement lawsuit in the United States District Courts for the Districts of New Jersey and Delaware against Pharmascience Inc., Mallinckrodt PLC and Specgx LLC (collectively, Pharmascience), which filed an ANDA seeking approval to market a generic version of INVEGA SUSTENNA® before the expiration of the ’906 patent.

In November 2021, Janssen initiated a patent infringement lawsuit in the United States District Court for the District of Delaware against Tolmar, Inc., Tolmar Therapeutics, Inc., Tolmar Pharmaceuticals, Inc. and Tolmar Holding, Inc. (collectively, Tolmar), which filed an ANDA seeking approval to market a generic version of INVEGA SUSTENNA® before the expiration of the ’906 patent.

In each of these U.S. lawsuits, Janssen is seeking an order enjoining the defendant from marketing a generic version of INVEGA SUSTENNA® before the expiration of the relevant patents.

In February 2018, Janssen Inc. and Janssen Pharmaceutica NV (collectively, Janssen Canada) initiated a Statement of Claim under Section 6 of the Patented Medicines (Notice of Compliance) Regulations against Teva Canada Limited (Teva Canada) in response to Teva’s filing of an ANDS seeking approval to market a generic version of INVEGA SUSTENNA® before the expiration of Canadian Patent Nos. 2,309,629 (’629) and 2,655,335 (’335). Janssen subsequently discontinued the portion of the lawsuit relating to the ’629 patent. In May 2020, the Canadian Federal Court issued a Public Judgment and Reasons declaring that Teva Canada’s generic version of INVEGA SUSTENNA®, if approved, would infringe certain claims of the ’335 patent and that the claims of the ’335 patent are not invalid for obviousness. Teva Canada appealed.

In November 2020, Janssen Canada initiated a Statement of Claim under Section 6 of the Patented Medicines (Notice of Compliance) Regulations against Pharmascience Inc. in response to Pharmascience Inc.’s filing of an ANDS seeking approval to market a generic version of INVEGA SUSTENNA® before the expiration of the ’335 patent. A summary trial on the issue of infringement took place in November 2021. In January 2022, the Court issued a decision in favor of Janssen on the issue of infringement. A trial on the issue of validity is scheduled to begin in July 2022.

In January 2021, Janssen Canada initiated a Statement of Claim under Section 6 of the Patented Medicines (Notice of Compliance) Regulations against Apotex Inc. (Apotex) in response to Apotex’s filing of an ANDS seeking approval to market a generic version of INVEGA SUSTENNA® before the expiration of the ’335 patent. A summary trial on the issue of infringement took place in December 2021. In January 2022, the Court issued a decision in favor of Janssen on the issue of infringement. Apotex has not contested validity.

In each of these Canadian lawsuits, Janssen Canada is seeking an order enjoining the defendant from marketing a generic version of INVEGA SUSTENNA® before the expiration of the relevant patents.

INVEGA TRINZA®

InBeginning in September 2020, Janssen Pharmaceuticals, Inc., Janssen Pharmaceutica NV, and Janssen Research & Development, LLC (collectively, Janssen) initiated afiled patent infringement lawsuitlawsuits in the United States District Court for the District of New Jerseydistrict courts against Mylan Laboratories Limited, Mylan Pharmaceuticals Inc., and Mylan Institutional LLC (collectively, Mylan). Mylangeneric manufacturers who have filed an ANDAANDAs seeking approval to market generic versions of INVEGA TRINZA® (546 mg) before expiration of the Orange Book Listed Patent. The following entities are named defendants: Mylan Laboratories Limited; Mylan Pharmaceuticals Inc.; and Mylan Institutional LLC. The following U.S. patent is included in one or more cases: 10,143,693. In May 2023, the District Court issued a decision finding that Mylan’s proposed generic product infringes the asserted patent and that the patent is not invalid. Mylan has appealed the verdict.
SYMTUZA
Beginning in November 2021, Janssen Products, L.P., Janssen Sciences Ireland Unlimited Company, Gilead Sciences, Inc. and Gilead Sciences Ireland UC filed patent infringement lawsuits in United States Patent No. 10,143,693 (’693) relating to INVEGA TRINZA® (546 mg). Janssen is seeking an order enjoining Mylan from marketing adistrict courts against generic version of INVEGA TRINZA® before the expiration of the ’693 patent. Trial is scheduled to begin in October 2022.

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In August 2021, Janssen initiated a patent infringement lawsuit in the United States District Court for the District of New Jersey against Mylan. Mylanmanufacturers who have filed an ANDAANDAs seeking approval to market generic versions of INVEGA TRINZA® (819 mg)SYMTUZA before expiration of the ’693 patent.certain Orange Book Listed Patents. The following entities are named defendants: Lupin Limited; Lupin Pharmaceuticals, Inc.; MSN Laboratories
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Private Ltd.; MSN Life Sciences Private Ltd.; MSN Pharmaceuticals Inc.; Apotex Inc.; and Apotex Corp. The following U.S. patents are included in one or more cases: 10,039,718 and 10,786,518.
ERLEADA
Beginning in May 2022, Aragon Pharmaceuticals, Inc., Janssen is seeking an order enjoining Mylan from marketing a generic version of INVEGA TRINZA® (819 mg) before the expirationBiotech, Inc. (collectively, Janssen), Sloan Kettering Institute for Cancer Research (SKI) and The Regents of the ’693 patent.

In October 2021, Janssen initiated aUniversity of California filed patent infringement lawsuitlawsuits in the United States District Court for the District of New Jerseydistrict courts against Mylan. Mylangeneric manufacturers who have filed an ANDAANDAs seeking approval to market generic versions of INVEGA TRINZA® (273 mg and 410 mg)ERLEADA before expiration of the ’693 patent.certain Orange Book Listed Patents. The following entities are named defendants: Lupin Limited; Lupin Pharmaceuticals, Inc.; Zydus Worldwide DMCC; Zydus Pharmaceuticals (USA), Inc.; Zydus Lifesciences Limited; Sandoz Inc.; Eugia Pharma Specialities Limited; Aurobindo Pharma USA, Inc.; Auromedics Pharma LLC; Hetero Labs Limited Unit V; and Hetero USA, Inc. The following U.S. patents are included in one or more cases: 9,481,663; 9,884,054; 10,052,314 (which reissued as RE49,353); 10,702,508; 10,849,888; 8,445,507; 8,802,689; 9,388,159; 9,987,261; and RE49,353. In December 2023, Janssen is seeking an order enjoining Mylan from marketing a generic version of INVEGA TRINZA® (273 mg and 410 mg) before the expiration of the ’693 patent.SKI voluntarily dismissed their case against Lupin Limited and Lupin Pharmaceuticals, Inc.

UPTRAVI
In JanuaryBeginning in November 2022, the court consolidated the three cases into the caseActelion Pharmaceuticals US Inc., Actelion Pharmaceuticals Ltd and Nippon Shinyaku Co., Ltd. filed in September 2020.

IMBRUVICA®

In March 2019, Pharmacyclics LLC (Pharmacyclics) and Janssen Biotech, Inc. (JBI) filed a patent infringement lawsuitlawsuits in the United States District Court for the District of Delawaredistrict courts against Alvogen Pine Brook LLC and Natco Pharma Ltd. (collectively, Alvogen), whichgeneric manufacturers who have filed an ANDAANDAs seeking approval to market generic versions of IMBRUVICA® tablets, assertingUPTRAVI intravenous before expiration of certain Orange Book Listed Patents. The following entities are named defendants: Alembic Pharmaceuticals Limited, Alembic Pharmaceuticals Inc.; Lupin Ltd.; Lupin Pharmaceuticals, Inc.; Cipla Limited; Cipla USA Inc.; MSN Laboratories Private Ltd.; and MSN Pharmaceuticals Inc. The following U.S. patents are included in one or more cases: 8,791,122 and 9,284,280. In November 2023, the Company entered into a confidential settlement agreement with Alembic Pharmaceuticals Limited and Alembic Pharmaceuticals Inc.
SPRAVATO
Beginning in May 2023, Janssen Pharmaceuticals, Inc. and Janssen Pharmaceutica NV filed patent infringement oflawsuits in United States Patent Nos. 7,514,444; 8,003,309; 8,476,284; 8,497,277; 8,697,711; 8,753,403; 8,754,090; 8,754,091; 8,952,015; 8,957,079; 9,181,257; 9,296,753; 9,655,857; 9,725,455; 10,010,507; 10,106,548; and 10,125,140. In June 2019, Pharmacyclics and JBI amended their complaintdistrict courts against Alvogen to further allege infringement of United States Patent No. 10,213,386. Pharmacyclics and JBI are seeking an order enjoining the defendants from marketing generic versions of IMBRUVICA® before the expiration of the relevant patents.

Trial against Alvogen took place in October 2020. In August 2021, the District Court issued a decision in favor of Pharmacyclics and Janssen finding the asserted claims against Alvogen to be infringed and not invalid. Alvogen has appealed that decision.

In September 2021, Pharmacyclics and Janssen Inc. (Janssen Canada) initiated Statements of Claim under Section 6 of the Patented Medicines (Notice of Compliance) Regulations against Natco Pharma (Canada) Inc. (Natco) in response to Natco’s filing of two ANDSsmanufacturers who have filed ANDAs seeking approval to market generic versions of IMBRUVICA® capsulesSPRAVATO before the expiration of Canadiancertain Orange Book Listed Patents. The following entities are named defendants: Sandoz Inc.; Hikma Pharmaceuticals Inc. USA; Hikma Pharmaceuticals PLC; and Alkem Laboratories Ltd. The following U.S. patents are included in one or more cases: 10,869,844; 11,173,134; 11,311,500; and 11,446,260.
STELARA
In November 2023, Biocon Biologics Inc. filed a Petition for Inter Partes Review with the USPTO seeking review of U.S. Patent Nos. 2,663,116; 2,928,721; 2,800,913; 3,007,787; 3,007,788; 2,875,986; and 3,022,256. The trial is scheduledNo. 10,961,307 related to beginmethods of treating ulcerative colitis with ustekinumab.
MedTech
In March 2016, Abiomed, Inc. (Abiomed) filed a declaratory judgment action against Maquet Cardiovascular LLC (Maquet) in July 2023. Pharmacyclics and Janssen are seeking an order enjoining Natco from marketing its generic versions of IMBRUVICA® before the expiration of the relevant patents.

UPTRAVI®

In April 2020, Actelion Pharmaceuticals Ltd (Actelion) and Nippon Shinyaku Co., Ltd. (Nippon Shinyaku) initiated a patent infringement lawsuit in the United StatesU.S. District Court for the District of New Jersey against Zydus Pharmaceuticals (USA), Inc. and Zydus Worldwide DMCC (collectively, Zydus), who filed an ANDAMassachusetts seeking approval to market a generic version of UPTRAVI® before expiration of Nippon Shinyaku’s United Statesdeclaration that the Impella does not infringe certain Maquet patents, currently U.S. Patent Nos. 7,205,302 (’302)7,022,100 (’100); relating to UPTRAVI®. Actelion is8,888,728; 9,327,068; 9,545,468; 9,561,314; and 9,597,437. Maquet counterclaimed for infringement of each of those patents. After claim construction, Maquet alleged infringement of only the exclusive licensee’100 patent. In September 2021, the court granted Abiomed’s motion for summary judgment of non-infringement of the ’302 patent. In January 2022, Actelion, Nippon Shinyaku’100 patent, and Zydusin September 2023, the district court entered into a confidential settlement agreement and the lawsuit was dismissed.final judgment in favor of Abiomed on all patents-in-suit. Maquet appealed.
GOVERNMENT PROCEEDINGSGovernment proceedings
Like other companies in the pharmaceutical consumer health and medical devicestechnologies industries, Johnson & Johnsonthe Company and certain of its subsidiaries are subject to extensive regulation by national, state and local government agencies in the United States and other countries in which they operate. Such regulation has been the basis of government investigations and litigations. The most significant litigation brought by, and investigations conducted by, government agencies are listed below. It is possible that criminal charges and substantial fines and/or civil penalties or damages could result from government investigations or litigation.

Average Wholesale Price (AWP) Litigation
Johnson & Johnson and several of its pharmaceutical subsidiaries (the J&J AWP Defendants), along with numerous other pharmaceutical companies, were named as defendants in a series of lawsuits in state and federal courts involving allegations that the pricing and marketing of certain pharmaceutical products amounted to fraudulent and otherwise actionable conduct because, among other things, the companies allegedly reported an inflated Average Wholesale Price (AWP) for the drugs at issue. Payors alleged that they used those AWPs in calculating provider reimbursement levels. The plaintiffs in these cases included three classes of private persons or entities that paid for any portion of the purchase of the drugs at issue based on
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AWP, and state government entities that made Medicaid payments for the drugs at issue based on AWP. Many of these cases, both federal actions and state actions removed to federal court, were consolidated for pre-trial purposes in a multi-district litigation in the United States District Court for the District of Massachusetts, where all claims against the J&J AWP Defendants were ultimately dismissed. The J&J AWP Defendants also prevailed in a case brought by the Commonwealth of Pennsylvania. Other AWP cases have been resolved through court order or settlement. The case brought by Illinois was settled after trial. In New Jersey, a putative class action based upon AWP allegations is pending against Centocor, Inc. and Ortho Biotech Inc. (both now Janssen Biotech, Inc.), Johnson & Johnson and ALZA Corporation. All other cases have been resolved.

Opioid Litigation
Beginning in 2014 and continuing to the present, Johnson & Johnson and Janssen Pharmaceuticals, Inc. (JPI), along with other pharmaceutical companies, have been named in approximately 3,400 lawsuits related to the marketing of opioids, including DURAGESIC®, NUCYNTA® and NUCYNTA® ER. The suits also raise allegations related to previously owned active pharmaceutical ingredient supplier subsidiaries, Tasmanian Alkaloids Pty, Ltd. and Noramco, Inc. (both subsidiaries were divested in 2016). The majority of the cases have been filed by state and local governments. Similar lawsuits have also been filed by private plaintiffs and organizations, including but not limited to the following: individual plaintiffs on behalf of children suffering from Neonatal Abstinence Syndrome; hospitals; and health insurers/payors. To date, complaints against pharmaceutical manufacturers, including Johnson & Johnson and JPI, have been filed by the state Attorneys General in Arkansas, Florida, Idaho, Illinois, Kentucky, Louisiana, Mississippi, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, Ohio, Oklahoma, South Dakota, Texas, Washington and West Virginia. Complaints against the manufacturers also have been filed in state or federal court by city, county and local government agencies in the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming. The Government of Puerto Rico filed suit in Superior Court of San Juan. There are over 380 cases pending in various state courts. There are close to 3,000 federal cases coordinated in a federal Multi-District Litigation (MDL) pending in the U.S. District Court for the Northern District of Ohio. In addition, the Province of British Columbia filed suit against Johnson & Johnson and its Canadian affiliate Janssen Inc., and many other industry members, in Canada, and is seeking to have that action certified as an opt in class action on behalf of other provincial/territorial and the federal governments in Canada. Additional proposed class actions have been filed in Canada against Johnson & Johnson and Janssen Inc., and many other industry members, by and on behalf of people who used opioids (for personal injuries), municipalities and First Nations bands. In October 2019, an antitrust complaint was filed by private plaintiffs in federal court in Tennessee and is pending transfer to the MDL. These actions allege a variety of claims related to opioid marketing practices, including false advertising, unfair competition, public nuisance, consumer fraud violations, deceptive acts and practices, false claims and unjust enrichment. The suits generally seek penalties and/or injunctive and monetary relief and, in some of the suits, the plaintiffs are seeking joint and several liability among the defendants. An adverse judgment in any of these lawsuits could result in the imposition of large monetary penalties and significant damages including, punitive damages, cost of abatement, substantial fines, equitable remedies and other sanctions.

In 2019, the trial in the matter filed by the Oklahoma Attorney General resulted in a judgment against Johnson & Johnson and JPI in the amount of $465 million. Johnson & Johnson and JPI appealed the judgment, and in November 2021, the Oklahoma Supreme Court reversed the trial court’s judgment. In October 2019 Johnson & Johnson and JPI announced a settlement of the first case set for trial in the MDL with two counties in Ohio. In April 2021, three California counties and the City of Oakland commenced a trial in California state court against Johnson & Johnson and JPI, and other affiliates, as well as three other pharmaceutical manufacturers. The trial concluded in October 2021, and in December 2021, the Court entered a final trial judgment in favor of Defendants on all claims. In February 2022, Plaintiffs' motion to set aside and vacate the judgment was denied.

In August 2019, Johnson & Johnson received a grand jury subpoena from the United States Attorney’s Office for the Eastern District of New York for documents related to the Company’s anti-diversion policies and procedures and distribution of its opioid medications, in what the Company understands to be part of a broader investigation into manufacturers’ and distributors’ monitoring programs and reporting under the Controlled Substances Act. In September 2019, Johnson & Johnson received subpoenas from the New York State Department of Financial Services (NYDFS) as part of an industry-wide inquiry into the effect of opioid prescriptions on New York health insurance premiums. In September 2020, the Company learned that NYDFS filed a statement of charges related to this investigation.

In June 2021, the Company and JPI announced a settlement agreement with the State of New York and its participating subdivisions, including Nassau County and Suffolk County, resolving their opioid-related claims against the Company on terms consistent with the Company’s previously announced agreement in principle to contribute up to $5 billion to all-in settlement of opioid-related claims by states, cities, counties, and tribal governments. The settlement provides New York and its participating subdivisions with up to $263 million to address opioid-related issues, reimburses attorney fees and costs, and removes the
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Company and Janssen from a multi-defendant trial of opioid-related claims that commenced in Suffolk County in June 2021. In exchange, the Company and JPI receive releases from the claims asserted by New York and the participating parties, including NYDFS.
In October 2021, the Company and JPI announced a settlement agreement with the State of Texas and its participating subdivisions, including Dallas County, Bexar County, and Tarrant County, resolving their opioid-related claims against the Company on terms consistent with the Company’s previously announced agreement to contribute up to $5 billion to all-in settlement of opioid-related claims by states, cities, counties, and tribal governments. The settlement provides Texas and its participating subdivisions with up to $297 million to address opioid-related issues and reimburse attorney fees and costs, and removes the Company and Janssen from multi-defendant bellwether trials of opioid-related claims scheduled to commence in Texas state courts in early 2022. In exchange, the Company and JPI will receive releases from the claims asserted by Texas and the participating subdivisions.

Johnson & Johnson, JPI and other pharmaceutical companies have also received subpoenas or requests for information related to opioids marketing practices from the following state Attorneys General: Alaska, Indiana, Montana, New Hampshire, South Carolina, Tennessee, Texas and Washington. In September 2017, Johnson & Johnson and JPI were contacted by the Texas and Colorado Attorney General’s Offices on behalf of approximately 38 states regarding a multi-state Attorney General investigation. In October 2019, the Company announced a proposed agreement in principle that would include the Company paying $4 billion as settlement of these matters. In October 2020, the Company agreed to contribute up to an additional $1 billion to an all-in settlement amount that would resolve opioid lawsuits filed and future claims by states, cities, counties and tribal governments, for a total of $5 billion which has been accrued, subject to various conditions and an agreement being finalized. This agreement in principle is not an admission of liability or wrong-doing. In July 2021, the Company announced that the terms of the agreement to settle the state and subdivision claims have been finalized and up to one-third of the all-in settlement is expected to be paid within the next 12 months, depending upon the level of participation by the states and their subdivisions. The terms provide a period of time for states to elect to participate in the agreement and, thereafter, a period for the subdivisions of the participating states to opt-in. As of January 2022, 45 states, five territories, and the District of Columbia had elected to participate in the settlement. The subdivision opt-in period expired in January 2022. The Company retains the right to opt-out of the agreement until late February 2022 if, in its sole discretion, there is insufficient participation. Based on expected participation, the Company has committed in advance to proceed with the settlement in five of the participating states (New York, Texas, Florida, Nevada, and New Mexico) and with tribal governments, whose cases were scheduled for trial in 2021, 2022, or 2023.

From June 2017 through December 2019, the Company’s Board of Directors received a series of shareholder demand letters alleging breaches of fiduciary duties related to the marketing of opioids. The Board retained independent counsel to investigate the allegations in the demands, and in April 2020, independent counsel delivered a report to the Board recommending that the Company reject the shareholder demands and take the steps that are necessary or appropriate to secure dismissal of related derivative litigation. The Board unanimously adopted the recommendations of the independent counsel’s report.

In November 2019, one of the shareholders who sent a demand filed a derivative complaint against Johnson & Johnson as the nominal defendant and certain current and former directors and officers as defendants in the Superior Court of New Jersey. The complaint alleges breaches of fiduciary duties related to the marketing of opioids, and that Johnson & Johnson has suffered damages as a result of those alleged breaches. In May 2020, the shareholder filed an amended complaint challenging the Board’s rejection of his demand. In August 2020, Johnson & Johnson moved to dismiss the amended complaint. In February 2021, the Court held oral argument on Johnson & Johnson’s motion. In February 2022, the Court granted Johnson & Johnson’s motion to dismiss the amended complaint. In August 2020, another shareholder who sent a demand filed a separate derivative complaint in the same court making similar allegations. In October 2020, the Court granted defendants’ request to reassign the second-filed case to the division where the first-filed case is pending.

In December 2019, two additional shareholders who sent demands filed two separate derivative complaints making similar allegations against Johnson & Johnson as the nominal defendant and certain current and former directors and officers as defendants in the United States District for the District of New Jersey. In April 2020, the two federal cases were consolidated into a single action captioned In re Johnson & Johnson Opioid Stockholder Derivative Litigation. In July 2020, the shareholders filed a consolidated complaint. In September 2020, Johnson & Johnson moved to dismiss the consolidated complaint, and in December 2020, the shareholders opposed Johnson & Johnson’s motion. Johnson & Johnson filed its reply in February 2021. In July 2020, an additional shareholder who sent a demand filed a derivative complaint in the same federal court making similar allegations against the same defendants named in the consolidated action. In January 2021, pursuant to an order in the consolidated action, the third case was consolidated into the consolidated action. In February 2021, the Court granted the shareholders motion to voluntarily dismiss the consolidated action without prejudice, and the shareholders’ counsel then filed a notice of association in the first-filed derivative action pending in the Superior Court of New Jersey.



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Other
In August 2012, DePuy Orthopaedics, Inc., DePuy, Inc. (now known as DePuy Synthes, Inc.), and Johnson & Johnson Services, Inc. (collectively DePuy) received an informal request from the United States Attorney’s Office for the District of Massachusetts and the Civil Division of the United States Department of Justice (the United States) for the production of materials relating to the DePuy ASR™ XL Hip device. In July 2014, the United States notified the United States District Court for the District of Massachusetts that it had declined to intervene in a qui tam case filed pursuant to the False Claims Act against the companies concerning the hip devices. In February 2016, the District Court granted the companies’ motion to dismiss with prejudice, unsealed the qui tam complaint, and denied the qui tam relators’ request for leave to file a further amended complaint. The qui tam relators appealed the case to the United States Court of Appeals for the First Circuit. In July 2017, the First Circuit affirmed the District Court’s dismissal in part, reversed in part, and affirmed the decision to deny the relators’ request to file a third amended complaint. In March 2021, DePuy filed its motion to strike and dismiss the relators’ second amended complaint; the District Court denied DePuy’s motion to strike and dismiss in July 2021. DePuy filed a motion for reconsideration of the District Court’s July 2021 ruling. In November 2021, the District Court granted DePuy’s motion for reconsideration and dismissed the case with prejudice. The District Court’s order was unsealed in December 2021. The Relators filed several post-dismissal motions, including a January 2022 omnibus motion for reconsideration. Following the District Court’s order dismissing the case with prejudice, DePuy filed a December 2021 motion seeking the recovery of attorneys’ fees.

In October 2012, Johnson & Johnson was contacted by the California Attorney General’s office regarding a multi-state Attorney General investigation of the marketing of surgical mesh products for hernia and urogynecological purposes by Johnson & Johnson’s subsidiary, Ethicon, Inc. (Ethicon). In May 2016, California and Washington filed civil complaints against Johnson & Johnson, Ethicon and Ethicon US, LLC alleging violations of their consumer protection statutes. Similar complaints were filed against the companies by the following states: Kentucky, Mississippi, West Virginia and Oregon. In April 2019, Johnson & Johnson and Ethicon settled the Washington case. The California case started trial in July 2019 and concluded in September 2019. In October 2019, Johnson & Johnson and Ethicon settled the multi-state investigation with 41 other states and the District of Columbia. In January 2020, the Court in California issued a statement of decision, finding in favor of the State of California, and awarded civil penalties in the amount of $344 million. In April 2020, the Court in California denied the Company’s motion for a new trial. In August 2020, the Court entered judgment with respect to the penalties of $344 million, but denied the Attorney General’s request for injunctive relief. The Company is appealing the penalty judgment. In April 2020, the Company settled the West Virginia case. In October 2020, the Company settled with the Attorney General of Oregon. Trial in the Kentucky matter is scheduled for May 2023.

In June 2014, the Mississippi Attorney General filed a complaint in Chancery Court of The First Judicial District of Hinds County, Mississippi against Johnson & Johnson and Johnson & Johnson Consumer Companies, Inc. (now known as Johnson & Johnson Consumer Inc.) (collectively, JJCI). The complaint alleges that JJCI violated the Mississippi Consumer Protection Act by failing to disclose alleged health risks associated with female consumers’ use of talc contained in JOHNSON’S® Baby Powder and JOHNSON’S® Shower to Shower (a product divested in 2012) and seeks injunctive and monetary relief. Johnson & Johnson and JJCI moved for summary judgment on the grounds that the State’s claim was barred by preemption, which the trial court denied. The Mississippi Supreme Court granted Johnson & Johnson and JJCI’s request to file an interlocutory appeal of the denial of the motion for summary judgment in late 2019. Briefing and oral argument were completed. Thereafter, the Court rejected the interlocutory appeal in April 2021 and remanded the matter to the trial court. Thereafter, the State moved for a trial setting. JJCI objected to any trial setting due to the LTL Bankruptcy and that any decision on whether the stay applied should be deferred to the LTL Bankruptcy court. The State opposed any stay and argued that the trial court should decide issues concerning the stay. The motion for trial setting and JJCI’s objections were heard in November 2021 and in January 2022, the Court granted plaintiff’s motion for trial setting and directed the parties to consult with the Court administrator to secure a trial date. That process is underway. In August 2021, JJCI filed a Petition for Writ of Certiorari in the United States Supreme Court as to the Mississippi Supreme Court’s ruling of April 2021, the State responded to the Petition for Writ of Certiorari in November 2021, the JJCI filed a reply in November 2021, and the United States Supreme Court denied the Petition for Writ of Certiorari in December 2021.

In January 2020, the State of New Mexico filed a consumer protection case alleging that the Company deceptively marketed and sold its talcum powder products by making misrepresentations about the safety of the products and the presence of carcinogens, including asbestos. The State of New Mexico filed an Amended Complaint in March 2020. The Company moved to dismiss certain of the claims in the Amended Complaint, which was granted. The Company then filed a motion for partial judgment on the pleadings in December 2020, which was denied. The Company made its first document production in February 2021 and discovery is currently scheduled to close on April 25, 2022.

Forty-two states and the District of Columbia have commenced a joint investigation into the Company’s marketing of its talcum powder products. At this time, the multi-state group has not asserted any claims against the Company. Five states have issued Civil Investigative Demands seeking documents and other information. The Company has produced documents to Arizona,
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North Carolina, Texas, and Washington and entered into confidentiality agreements. The Company has not received any follow up requests from those states.

In March 2016, Janssen Pharmaceuticals, Inc. (JPI) received a Civil Investigative Demand from the United States Attorney’s Office for the Southern District of New York related to JPI’s contractual relationships with pharmacy benefit managers over the period from January 1, 2006 to the present with regard to certain of JPI’s pharmaceutical products. The demand was issued in connection with an investigation under the False Claims Act. The Company has provided documents in response to the demand.

In July 2016, Johnson & Johnson and Janssen Products LP were served with a qui tam complaint pursuant to the False Claims Act filed in the United States District Court for the District of New Jersey alleging the off-label promotion of two HIV products, PREZISTA® and INTELENCE®, and anti-kickback violations in connection with the promotion of these products. The complaint was filed under seal in December 2012. The federal and state governments have declined to intervene, and the lawsuit is being prosecuted by the relators. The Court denied summary judgment on all claims in December 2021. Daubert motions were granted in part and denied in part in January 2022, and the case is proceeding to trial.

In March 2017, Janssen Biotech, Inc. (JBI) received a Civil Investigative Demand from the United States Department of Justice regarding a False Claims Act investigation concerning management and advisory services provided to rheumatology and gastroenterology practices that purchased REMICADE® or SIMPONI ARIA®. In August 2019, the United States Department of Justice notified JBI that it was closing the investigation. Subsequently, the United States District Court for the District of Massachusetts unsealed a qui tam False Claims Act complaint, which was served on the Company. The Department of Justice had declined to intervene in the qui tam lawsuit in August 2019. The Company filed a motion to dismiss, which was granted in part and denied in part. Discovery is underway.

In April and September 2017, Johnson & Johnson received subpoenas from the United States Attorney for the District of Massachusetts seeking documents broadly relating to pharmaceutical copayment support programs for DARZALEX®, OLYSIO®, REMICADE®, SIMPONI®, STELARA® and ZYTIGA®. The subpoenas also seek documents relating to Average Manufacturer Price and Best Price reporting to the Center for Medicare and Medicaid Services related to those products, as well as rebate payments to state Medicaid agencies. The Company has provided documents in response to the subpoenas.

In June 2017, Johnson & Johnson received a subpoena from the United States Attorney’s Office for the District of Massachusetts seeking information regarding practices pertaining to the sterilization of DePuy Synthes, Inc.(DePuy) spinal implants at three hospitals in Boston as well as interactions of employees of Company subsidiaries with physicians at these hospitals. Johnson & Johnson and DePuy have produced documents in response to the subpoena and are fully cooperating with the government’s investigation.

MedTech
In July 2018, the Public Prosecution Service in Rio de Janeiro and representatives from the Brazilian antitrust authority CADE inspected the offices of more than 30 companies including Johnson & Johnson do Brasil Indústria e Comércio de Produtos para Saúde Ltda. The authorities appear to be investigating allegations of possible anti-competitive behavior and possible improper payments in the medical device industry. The Company continues to respond to inquiries regarding the Foreign
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Jhonson&Jhonson.jpg


Corrupt Practices Act from the United States Department of Justice and the United States Securities and Exchange Commission.

In July 2023, the U.S. Department of Justice (“DOJ”) issued Civil Investigative Demands to the Company, Johnson & Johnson Surgical Vision, Inc., and Johnson & Johnson Vision Care, Inc. (collectively, “J&J Vision”) in connection with a civil investigation under the False Claims Act relating to free or discounted intraocular lenses and equipment used in eye surgery, such as phacoemulsification and laser systems. J&J Vision has begun producing documents and information responsive to the Civil Investigative Demands. J&J Vision is in ongoing discussions with the DOJ regarding its inquiry.
Innovative Medicine
In July 2016, the Company and Janssen Products, LP were served with a qui tam complaint pursuant to the False Claims Act filed in the United States District Court for the District of New Jersey alleging the off-label promotion of two HIV products, PREZISTA and INTELENCE, and anti-kickback violations in connection with the promotion of these products. The complaint was filed under seal in December 2012. The federal and state governments have declined to intervene, and the lawsuit is being prosecuted by the relators. The Court denied summary judgment on all claims in December 2021. Daubert motions were granted in part and denied in part in January 2022, and the case is proceeding to trial. Trial is scheduled for May 2024.
In March 2017, Janssen Biotech, Inc. (JBI) received a Civil Investigative Demand from the United States Department of Justice regarding a False Claims Act investigation concerning management and advisory services provided to rheumatology and gastroenterology practices that purchased REMICADE or SIMPONI ARIA. In August 2019, the United States Department of Justice notified JBI that it was closing the investigation. Subsequently, the United States District Court for the District of Massachusetts unsealed a qui tam False Claims Act complaint, which was served on the Company. The Department of Justice had declined to intervene in the qui tam lawsuit in August 2019. The Company filed a motion to dismiss, which was granted in part and denied in part. Discovery is underway.
From time to time, the Company has received requests from a variety of United States Congressional Committees to produce information relevant to ongoing congressional inquiries. It is the policy of Johnson & Johnson to cooperate with these inquiries by producing the requested information.
GENERAL LITIGATIONGeneral litigation
In MarchThe Company or its subsidiaries are also parties to various proceedings brought under the Comprehensive Environmental Response, Compensation, and April 2015, over 30 putative class action complaints were filed by contact lens patientsLiability Act, commonly known as Superfund, and comparable state, local or foreign laws in a number of courts aroundwhich the United States against Johnson & Johnson Vision Care, Inc. (JJVCI) and other contact lens manufacturers, distributors, and retailers, alleging vertical and horizontal conspiraciesprimary relief sought is the Company’s agreement to fiximplement remediation activities at designated hazardous waste sites or to reimburse the retail prices of contact lenses. The complaints allege that the manufacturers reached agreements with each other and certain distributors and retailers concerning the prices at which some contact lenses could be sold to consumers. The plaintiffs are seeking damages and injunctive relief. All of the class action cases were transferred to the United States District Courtgovernment or third parties for the Middle District of Floridacosts they have incurred in June 2015. The plaintiffs filed a consolidated class action complaint in November 2015. Discovery and pre-trial motion practice are complete. Trial is scheduled to begin in March 2022.

Beginning in September 2017, multiple purported class actions were filed on behalf of indirect purchasers of REMICADE® against Johnson & Johnson and Janssen Biotech, Inc. (collectively, Janssen) alleging that Janssen has violated federal antitrust laws through its contracting strategies for REMICADE®. The cases were consolidated for pre-trial purposesperforming remediation as In re
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REMICADE® Antitrust Litigation in United States District Court for the Eastern District of Pennsylvania. The consolidated complaint seeks damages and injunctive relief. Discovery is ongoing.

In June 2018, Walgreen Co. and Kroger Co., filed an antitrust complaint against Johnson & Johnson and Janssen Biotech, Inc. (collectively, Janssen) in the United States District Court for the Eastern District of Pennsylvania. The complaint alleges that Janssen has violated federal antitrust laws through its contracting strategies for REMICADE®. The complaint seeks damages and injunctive relief. In March 2019, summary judgment was granted in favor of Janssen. In February 2020, the United States Court of Appeals for the Third Circuit reversed the District Court’s decision. This matter was settled in January 2022.

In June 2019, the United States Federal Trade Commission (FTC) issued a Civil Investigative Demand to Johnson & Johnson in connection with its investigation of whether Janssen’s REMICADE® contracting practices violate federal antitrust laws. The Company has produced documents and information responsive to the Civil Investigative Demand.

such sites.
In October 2017, certain United States service members and their families brought a complaint against a number of pharmaceutical and medical devices companies, including Johnson & Johnson and certain of its subsidiaries in United States District Court for the District of Columbia, alleging that the defendants violated the United States Anti-Terrorism Act. The complaint alleges that the defendants provided funding for terrorist organizations through their sales practices pursuant to pharmaceutical and medical device contracts with the Iraqi Ministry of Health. In July 2020, the District Court dismissed the complaint. In January 2022, the United States Court of Appeals for the District of Columbia Circuit reversed the District Court’s decision.

In October 2018, two separate putative class actions were filed against Actelion Pharmaceutical Ltd., Actelion Pharmaceuticals U.S., Inc., and Actelion Clinical Research, Inc. (collectively Actelion) in United States District Court for the District of Maryland and United States District Court for the District of Columbia. The complaints allege that Actelion violated state and federal antitrust and unfair competition laws by allegedly refusing to supply generic pharmaceutical manufacturers with samples of TRACLEER®. TRACLEER® is subject to a Risk Evaluation and Mitigation Strategy required by the Food and Drug Administration, which imposes restrictions on distribution of the product. In January 2019, the plaintiffs dismissed the District of Columbia case andJune 2023, defendants filed a consolidated complaint inpetition for a writ of certiorari to the United States District Court forSupreme Court.
In February 2024, a putative class action was filed against the DistrictCompany, the Pension & Benefits Committee of Maryland. In October 2019, the Court granted Actelion’s motion to dismiss the amended complaint. In April 2021, the United States Court of Appeals for the Fourth Circuit reversed and remanded. Discovery is ongoing.

In December 2018, Janssen Biotech, Inc., Janssen Oncology, Inc, Janssen Research & Development, LLC, and Johnson & Johnson, (collectively, Janssen) were served with a qui tam complaint filed on behalf of the United States, 28 states, and the District of Columbia. The complaint, which was filedcertain named officers and employees, in December 2017 in United States District Court for the Northern District of California, alleges that Janssen violated the federal False Claims Act and state law when providing pricing information for ZYTIGA® to the government in connection with direct government sales and government-funded drug reimbursement programs. At this time, the federal and state governments have declined to intervene. The case has been transferred to United States District Court for the District of New Jersey. Janssen’s motion to dismiss was denied in December 2021.

In May 2019, a class action antitrust complaint was filed against Janssen R&D Ireland (Janssen) and Johnson & Johnson in the United States District Court for the Northern District of California. The complaint alleges that Janssen violated federal and state antitrust and consumer protection lawsdefendants breached fiduciary duties under the Employee Retirement Income Security Act (ERISA) by agreeing to exclusivity provisions in its agreements with Gilead concerningallegedly mismanaging the development and marketing of combination antiretroviral therapies (cART) to treat HIV.Company’s prescription-drug benefits program. The complaint also alleges that Gilead entered into similar agreements with Bristol-Myers Squibb and Japan Tobacco. In March 2020, the Court granted in part and denied in part defendants’ motions to dismiss. Plaintiffs filed an amended complaint in April 2020. Defendants moved to dismiss the amended complaint. In July 2020, the Court granted in part and denied in part the renewed motion to dismiss. In December 2021, several insurance companiesseeks damages and other payers filed individual “Opt-Out” complaints containing allegations similar to the original complaint. Discovery is ongoing.relief.

In October 2019, Innovative Health, LLC filed a complaint against Biosense Webster, Inc. (BWI) in the United States District Court for the Middle District of California. The complaint alleges that certain of BWI’s business practices and contractual terms violate the antitrust laws of the United States and the State of California by restricting competition in the sale of High Density Mapping Catheters and Ultrasound Catheters. In January 2020, BWI filed a motion to dismiss the complaint. In August 2020, the Court granted in part and denied in part BWI’s motion to dismiss. In December 2021, BWI filed a motion for summary judgment. The trial is set for April 2022.

In November 2019, Johnson & Johnson received a demand for indemnification from Pfizer Inc., pursuant to the 2006 Stock and Asset Purchase Agreement between the Company and Pfizer. Also in November 2019, Johnson & Johnson Inc. received a demand for indemnification from Sanofi Consumer Health, Inc., pursuant to the 2016 Asset Purchase Agreement between Johnson & Johnson Inc. and Sanofi. In January 2020, Johnson & Johnson received a demand for indemnification from
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Boehringer Ingelheim Pharmaceuticals, Inc., pursuant to the 2006 Asset Purchase Agreement among the Company, Pfizer, and Boehringer Ingelheim. The notices seek indemnification for legal claims related to over-the-counter ZANTAC® (ranitidine) products. Plaintiffs in the underlying actions allege that ZANTAC® and other over-the-counter ranitidine medications contain unsafe levels of NDMA (N-nitrosodimethylamine) and can cause and/or have caused various cancers in patients using the products, and seek injunctive and monetary relief.

MedTech
In October 2020, Fortis Advisors LLC (Fortis), in its capacity as representative of the former stockholders of Auris Health Inc. (Auris), filed a complaint against Johnson & Johnson,the Company, Ethicon Inc., and certain named officers and employees (collectively, Ethicon) in the Court of Chancery of the State of Delaware. The complaint alleges breach of contract, fraud, and other causes of action against Ethicon in connection with Ethicon’s acquisition of Auris in 2019. The complaint seeks damages and other relief. In December 2021, the Court granted in part and denied in part defendants’ motion to dismiss certain causes of action. All claims against the individual defendants were dismissed. The trial was held in January 2024 and the decision is pending.
2023 Annual Report99


BeginningInnovative Medicine
In June 2019, the United States Federal Trade Commission (FTC) issued a Civil Investigative Demand to the Company and Janssen Biotech, Inc. (collectively, Janssen) in May 2021, multiple connection with its investigation of whether Janssen’s REMICADE contracting practices violate federal antitrust laws. The Company has produced documents and information responsive to the Civil Investigative Demand. Janssen is in ongoing discussions with the FTC staff regarding its inquiry.
In February 2022, the United States Federal Trade Commission (FTC) issued Civil Investigative Demands to Johnson & Johnson and Janssen Biotech, Inc. (collectively, Janssen) in connection with its investigation of whether advertising practices for REMICADE violate federal law. Janssen has produced documents and information responsive to the Civil Investigative Demands. Janssen is in ongoing discussions with the FTC staff regarding the inquiry.
In June 2022, Genmab A/S filed a Notice for Arbitration with International Institute for Conflict Prevention and Resolution (CPR) against Janssen Biotech, Inc. seeking milestones and an extended royalty term for Darzalex FASPRO. In April 2023, the Arbitration Panel ruled in Janssen's favor and dismissed Genmab’s claims. In January 2024, Genmab’s appeal of this dismissal was denied.
In October 2018, two separate putative class actions were filed in stateagainst Actelion Pharmaceutical Ltd., Actelion Pharmaceuticals U.S., Inc., and federal courts (California, Florida, New York, and New Jersey) against various Johnson & Johnson entities alleging violations of state consumer fraud statutes based on nondisclosure of alleged benzene contamination of certain Neutrogena and Aveeno sunscreen products and the affirmative promotion of those products as “safe”; and,Actelion Clinical Research, Inc. (collectively Actelion) in at least one case, alleging astrict liability manufacturing defect and failure to warn claims, asserting that the named plaintiffs suffered unspecified injuries as a result of alleged exposure to benzene. The Judicial Panel on Multi-District Litigation has consolidated all pending actions, except one product liability case and one case pending in New Jersey state court, in the United States District Court for the Southern District of Florida, Fort Lauderdale Division. In October 2021, the Company reached an agreement in principleMaryland and United States District Court for the settlementDistrict of Columbia. The complaints allege that Actelion violated state and federal antitrust and unfair competition laws by allegedly refusing to supply generic pharmaceutical manufacturers with samples of TRACLEER. TRACLEER is subject to a nationwide class, encompassingRisk Evaluation and Mitigation Strategy required by the claimsU.S. Food and Drug Administration, which imposes restrictions on distribution of the consolidated actions, subject to approval byproduct. In January 2019, the Florida federal Court. In December 2021, plaintiffs indismissed the consolidated actionsDistrict of Columbia case and filed a motion for preliminary approval of a nationwide class settlement.

Johnson & Johnson (subsequently substituted by Johnson & Johnson Consumer Inc. (JJCI)) along with more than 120 other companies, is a defendant in a cost recovery and contribution action brought by Occidental Chemical Corporation in June 2018consolidated complaint in the United States District Court for the District of New Jersey, related toMaryland.
In December 2023, a putative class action lawsuit was filed against the clean-upCompany and Janssen Biotech Inc. (collectively “Janssen”) in the United States District Court for the Eastern District of a sectionVirginia. The complaint alleges that Janssen violated federal and state antitrust laws and other state laws by delaying biosimilar competition with STELARA through the Janssen's enforcement of the Lower Passaic River in New Jersey.patent rights covering STELARA. The complaint seeks damages and other relief.

In June 2022, Janssen Pharmaceuticals, Inc. filed a Demand for Arbitration against Emergent Biosol
Johnson & Johnson orutions Inc. et al. (EBSI) with the American Arbitration Association, alleging that EBSI breached the parties’ Manufacturing Services Agreement for the Company’s COVID-19 vaccine. In July 2022, Emergent filed its subsidiaries are also parties to a number of proceedings brought under the Comprehensive Environmental Response, Compensation,answering statement and Liability Act, commonly known as Superfund, and comparable state, local or foreign laws in which the primary relief soughtcounterclaims. The hearing is the cost of past and/or future remediation.

scheduled for July 2024.

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20. Restructuring
In fiscal 2023, the Company commenced restructuring actions within its Innovative Medicine and MedTech segments. The amounts and details of the current year programs are included below.
In fiscal 2023, the Company completed a prioritization of its research and development (R&D) investment within its Innovative Medicine segment to focus on the most promising medicines with the greatest benefit to patients. This resulted in the exit of certain programs within certain therapeutic areas. The R&D program exits are primarily in infectious diseases and vaccines including the discontinuation of its respiratory syncytial virus (RSV) adult vaccine program, hepatitis and HIV development. Pre-tax Restructuring expenses of $479 million in the fiscal year 2023, included the termination of partnered and non-partnered development program costs and asset impairments. The estimated costs of these total activities is between $500 million - $600 million and is expected to be completed by the end of fiscal year 2024.
In fiscal 2023, the Company initiated a restructuring program of its Orthopaedics franchise within the MedTech segment to streamline operations by exiting certain markets, product lines and distribution network arrangements. The pre-tax restructuring expense of $319 million in the fiscal year 2023 primarily included inventory and instrument charges related to market and product exits. The estimated costs of the total program are between $700 million - $800 million and is expected to be completed by the end of fiscal year 2025.
The following table summarizes the restructuring expenses for the fiscal year 2023:
(Pre-tax Dollars in Millions)2023
Innovative Medicine Segment(1)
$479
MedTech Segment(2)
319
Total Programs$798
(1)Included $449 million in Restructuring and $30 million in Cost of products sold on the Consolidated Statement of Earnings
(2)Included $40 million in Restructuring and $279 million in Cost of products sold on the Consolidated Statement of Earnings
Restructuring reserves as of December 31, 2023 and January 1, 2023 were insignificant.

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21. Kenvue separation and discontinued operations
On May 8, 2023, Kenvue, completed an initial public offering (the IPO) resulting in the issuance of 198,734,444 shares of its common stock, par value $0.01 per share (the “Kenvue Common Stock”), at an initial public offering of $22.00 per share for net proceeds of $4.2 billion. The excess of the net proceeds from the IPO over the net book value of the Johnson & Johnson divested interest was $2.5 billion and was recorded to additional paid-in capital. As of the closing of the IPO, Johnson & Johnson owned approximately 89.6% of the total outstanding shares of Kenvue Common Stock and at July 2, 2023, the non-controlling interest of $1.3 billion associated with Kenvue was reflected in equity attributable to non-controlling interests in the consolidated balance sheet in the fiscal second quarter of 2018,2023.
On August 23, 2023, Johnson & Johnson completed the disposition of an additional 80.1% ownership of Kenvue Common Stock through an exchange offer, which resulted in Johnson & Johnson acquiring 190,955,436 shares of the Company’s common stock in exchange for 1,533,830,450 shares of Kenvue Common Stock. The $31.4 billion of Johnson & Johnson common stock received in the exchange offer is recorded in Treasury stock. Following the exchange offer, the Company announced plansowns 9.5% of the total outstanding shares of Kenvue Common Stock that was recorded in other assets within continuing operations at the fair market value of $4.3 billion as of August 23, 2023. Subsequent changes are reflected in other income/expense and amounted to implement$0.4 billion expense through December 31, 2023.
Johnson & Johnson divested net assets of $11.6 billion as of August 23, 2023, and the accumulated other comprehensive loss attributable to the Consumer Health business at that date was $4.3 billion. Additionally, at the date of the exchange offer, Johnson & Johnson decreased the non-controlling interest by $1.2 billion to record the deconsolidation of Kenvue. This resulted in a seriesnon-cash gain on the exchange offer of actions across its Global Supply Chain$21.0 billion that are intended to focus resources and increase investmentswas recorded in Net earnings from discontinued operations, net of taxes in the critical capabilities, technologiesconsolidated statements of earnings for the fiscal third quarter of 2023. This one-time gain includes a gain of $2.8 billion on the Kenvue Common Stock retained by Johnson & Johnson. The gain on the exchange offer qualifies as a tax-free transaction for U.S. federal income tax purposes.
Also in connection with the separation, Johnson & Johnson and solutions necessaryKenvue entered into a separation agreement and also entered into various other agreements that provide for certain transactions to effect the transfer of the assets and liabilities of the Consumer Health business to Kenvue and to govern various interim and ongoing relationships between Kenvue and Johnson & Johnson following the completion of the Kenvue IPO, including transition services agreements (TSAs), transition manufacturing agreements (TMAs), trademark agreements, intellectual property agreements, an employee matters agreement, and a tax matters agreement. Under the TSAs, Johnson & Johnson will provide Kenvue various services and, similarly, Kenvue will provide Johnson & Johnson various services. The provision of services under the TSAs generally will terminate within 24 months following the Kenvue IPO. Additionally, Johnson & Johnson and Kenvue entered into TMAs pursuant to which Johnson & Johnson will manufacture and supply its product portfolio, enhance agilityto Kenvue certain products and, drive growth.similarly, Kenvue will manufacture and supply to Johnson & Johnson certain products. The Global Supply Chain actions include expandingterms of the useTMAs range in initial duration from 3 months to 5 years.
Amounts related to the TSAs and TMAs included in the consolidated statements of strategic collaborations and bolstering initiatives to reduce complexity, improve cost-competitiveness, enhance capabilities and optimizeearnings were immaterial for the Supply Chain network. In fiscal year 2023. Additionally, the amounts due to and from Kenvue for the above agreements was not material as of December 31, 2023.
The results of the Consumer Health business (previously reported as a separate business segment), as well as the associated gain, have been reflected as discontinued operations in the Company’s consolidated statements of earnings as Net earnings from discontinued operations, net of taxes. Prior periods have been recast to reflect this presentation. As a result of the separation of Kenvue, Johnson & Johnson incurred separation costs of $986 million, $1,089 million and $67 million in the fiscal years 2023, 2022 and 2021, respectively, which are also included in Net earnings from discontinued operations, net of taxes. These costs were primarily related to external advisory, legal, accounting, contractor and other incremental costs directly related to separation activities. In the fiscal 2022, as part of the planned separation of the Company’s Consumer Health business, the Company recognized approximately $0.5 billion in net incremental tax costs. As of January 1, 2023, the assets and liabilities associated with the Consumer Health business were classified as assets and liabilities of discontinued operations in the consolidated balance sheets.
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Details of Net Earnings from Discontinued Operations, net of taxes are as follows:
(Dollars in Millions)
 2023(1)
20222021
Sales to customers$10,03614,95315,035
Cost of products sold4,3696,4946,452
Gross profit5,6678,4598,583
Selling, marketing and administrative expenses3,0854,5194,542
Research and development expense258468437
Interest Income(117)
Interest expense, net of portion capitalized199
Other (income) expense, net1,0921,060(37)
(Gain) on separation of Kenvue(20,984)
Restructuring4643
Earnings from Discontinued Operations Before Provision for Taxes on Income22,1342,3663,598
Provision for taxes on income307795521
Net earnings from Discontinued Operations$21,8271,5713,077
(1)The Company ceased consolidating the results of the Consumer Health business on August 23, 2023, the date of the exchange offer, but continued to reflect any separation costs incurred as part of discontinued operations through the end of the fiscal fourth quarter.
The following table presents depreciation, amortization and capital expenditures of the discontinued operations related to Kenvue:
(Dollars in Millions)
 2023(1)
20222021
Depreciation and Amortization$383641739
Capital expenditures$162303314

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Details of assets and liabilities of discontinued operations were as follows:
January 1, 2023
Assets
Cash and cash equivalents$1,238
Accounts receivable trade, less allowances for doubtful accounts2,121
Inventories2,215
Prepaid expenses and other receivables256
Total current assets of discontinued operations5,830
Property, plant and equipment, net1,821
Intangible assets, net9,836
Goodwill9,184
Deferred taxes on income176
Other assets390
Total noncurrent assets of discontinued operations$21,407
Liabilities
Loans and notes payable$15
Accounts payable1,814
Accrued liabilities including accrued taxes on income644
Accrued rebates, returns and promotions838
Accrued compensation and employee related obligations279
Total current liabilities of discontinued operations3,590
Long-term debt2
Deferred taxes on income2,383
Employee related obligations225
Other liabilities291
Total noncurrent liabilities of discontinued operations$2,901
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22. Selected quarterly financial data (unaudited)
Selected unaudited quarterly financial data has been recast for discontinued operations for the years 2023 and 2022 and is summarized below:
 20232022
(Dollars in Millions Except Per Share Data)
First Quarter(1)
Second Quarter
Third Quarter(2)
Fourth Quarter(3)
First Quarter(4)
Second QuarterThird Quarter
Fourth Quarter(5)
Segment sales to customers        
Innovative Medicine$13,41313,73113,89313,72212,86913,31713,21413,163
MedTech 7,4817,7887,4587,6736,9716,8986,7826,776
Total sales20,89421,51921,35121,39519,84020,21519,99619,939
Gross profit14,20715,05714,74514,59713,82213,89313,82413,855
Earnings (Loss) before provision for taxes on income(1,287)6,3065,2174,8265,2035,1445,1723,840
Net earnings (loss) from continuing operations(491)5,3764,3094,1324,5714,2624,3103,227
Net earnings (loss) from discontinued operations, net of tax423(232)21,719(83)578552148293
Net earnings (loss)(68)5,14426,0284,0495,1494,8144,4583,520
Basic net earnings(loss) per share:
Basic net earnings (loss) per share from continuing operations(0.19)2.071.711.711.741.621.641.24
Basic net earnings (loss) per share from discontinued operations0.16(0.09)8.61(0.03)0.220.210.060.11
Basic net earnings (loss) per share(0.03)1.9810.321.681.961.831.701.35
Diluted net earnings (loss) per share:
Diluted net earnings (loss) per share from continuing operations(0.19)2.051.691.701.711.601.621.22
Diluted net earnings (loss) per share from discontinued operations0.16(0.09)8.52(0.03)0.220.200.060.11
Diluted net earnings (loss) per share(0.03)1.9610.211.671.931.801.681.33
(1)The fiscal first quarter of 2023 includes a $6.9 billion charge related to talc matters.
(2)The fiscal third quarter of 2023 includes; a non-cash gain on the exchange offer of $21.0 billion that was recorded in Net earnings from discontinued operations, net of taxes; $0.6 billion related to the unfavorable change in the fair value of the retained stake in Kenvue and $0.4 billion related to the partial impairment of Idorsia convertible debt and the change in the fair value of the Idorsia equity securities held.
(3)The fourth quarter of 2023 includes favorable changes in the fair value of securities of $0.4 billion
(4)In the fiscal first quarter of 2022, the Company recorded a pre-taxan intangible asset impairment charge of $0.5 billion, which is included on the following lines of the Consolidated Statement of Earnings, $0.3 billion in restructuring, $0.1 billion in other (income) expense and $0.1 billion in cost of products sold. Total project costs of approximately $1.8 billion have been recorded since the restructuring was announced. See the following table for additional details on the restructuring program.
In total, the Company expects the Global Supply Chain actions to generate approximately $0.6 billion related to $0.8 billion in annual pre-tax cost savings that will be substantially delivered by the end of 2022. The program is set to be completed at the end of 2022.an in-process research and development asset, bermekimab (JnJ-77474462).
(5)The Company expects to record pre-tax restructuring chargesfiscal fourth quarter of approximately $2.1 billion to $2.3 billion, over the 4 to 5 year period of this activity. These costs are associated with network optimizations,2022 includes one-time COVID-19 Vaccine related exit costs and accelerated depreciation and amortization.   

The following table summarizes the severance charges and the associated spending under these initiatives through the fiscal year ended 2021:
(Dollars in Millions)SeveranceAsset Write-offs/Sales
Other(2)
Total
Reserve balance, December 29, 2019$164 — 16 180 
2020 activity(29)— (7)(36)
Reserve balance, January 3, 2021135 — 144 
Current year activity:
   Charges— 53 420 473 
   Cash settlements(23)0(404)(427)
   Settled non cash— (53)0(53)
Reserve balance, January 2, 2022(1)
$112 — 25 137 
(1) Cash outlays for severance are expected to be substantially paid out over the next year in accordance with the Company's plans and local laws.
(2) Other includes project expense such as salaries for employees supporting these initiatives and consulting expenses.

The Company continuously reevaluates its severance reserves related to restructuring and the timing of payments due to the planned release of associates regarding several longer-term projects. The Company believes that the existing severance reserves are sufficient to cover the Global Supply Chain plans given the period over which the actions will take place. The Company will continue to assess and make adjustments as necessary if additional amounts become probable and estimable.$0.8 billion.
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Report of Independent Registered Public Accounting Firm

independent registered public accounting firm
To the Board of Directors and Shareholders of Johnson & Johnson

Opinions on the Financial Statementsfinancial statements and Internal Controlinternal control over Financial Reportingfinancial reporting
We have audited the accompanying consolidated balance sheets of Johnson & Johnson and its subsidiaries (the “Company”) as of January 2, 2022December 31, 2023 and January 3, 2021,1, 2023, and the related consolidated statements of earnings, of comprehensive income, of equity and of cash flows for each of the three fiscal years in the period ended January 2, 2022,December 31, 2023, including the related notes (collectively referred to as the “consolidated financial statements”). We also have audited the Company's internal control over financial reporting as of January 2, 2022,December 31, 2023, based on criteria established in Internal Control - Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of the Company as of January 2, 2022December 31, 2023 and January 3, 2021,1, 2023, and the results of its operations and its cash flows for each of the three fiscal years in the period ended January 2, 2022December 31, 2023 in conformity with accounting principles generally accepted in the United States of America. Also in our opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of January 2, 2022,December 31, 2023, based on criteria established in Internal Control - Integrated Framework (2013) issued by the COSO.

Basis for Opinionsopinions
The Company's management is responsible for these consolidated financial statements, for maintaining effective internal control over financial reporting, and for its assessment of the effectiveness of internal control over financial reporting, included in the accompanying Management’s Report on Internal Control Over Financial Reporting. Our responsibility is to express opinions on the Company’s consolidated financial statements and on the Company's internal control over financial reporting based on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (PCAOB) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audits to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement, whether due to error or fraud, and whether effective internal control over financial reporting was maintained in all material respects.

Our audits of the consolidated financial statements included performing procedures to assess the risks of material misstatement of the consolidated financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the consolidated financial statements. Our audit of internal control over financial reporting included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, and testing and evaluating the design and operating effectiveness of internal control based on the assessed risk. Our audits also included performing such other procedures as we considered necessary in the circumstances. We believe that our audits provide a reasonable basis for our opinions.

Definition and Limitationslimitations of Internal Controlinternal control over Financial Reportingfinancial reporting
A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (i) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (ii) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (iii) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

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Critical Audit Mattersaudit matters
The critical audit matters communicated below are matters arising from the current period audit of the consolidated financial statements that were communicated or required to be communicated to the audit committee and that (i) relate to accounts or
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disclosures that are material to the consolidated financial statements and (ii) involved our especially challenging, subjective, or complex judgments. The communication of critical audit matters does not alter in any way our opinion on the consolidated financial statements, taken as a whole, and we are not, by communicating the critical audit matters below, providing separate opinions on the critical audit matters or on the accounts or disclosures to which they relate.

U.S. Pharmaceutical Rebate Reservespharmaceutical rebate reservesManaged Care, Medicaremanaged care, medicare and Medicaidmedicaid
As described in Note 1 to the consolidated financial statements, the Company recognizes revenue from product sales when obligations under the terms of a contract with the customer are satisfied. Rebates and discounts provided to customers are accounted for as variable consideration and recorded as a reduction in sales. The liability for such rebates and discounts is recognized within Accrued Rebates, Returns, and Promotions on the consolidated balance sheet. A significant portion of the liability related to rebates is from the sale of pharmaceutical goods within the U.S., primarily the Managed Care, Medicare and Medicaid programs, which amounted to $7.7$11.5 billion as of January 2, 2022.December 31, 2023. For significant rebate programs, which include the U.S. Managed Care, Medicare and Medicaid rebate programs, rebates and discounts estimated by management are based on contractual terms, historical experience, patient outcomes, trend analysis, and projected market conditions in the U.S. pharmaceutical market.

The principal considerations for our determination that performing procedures relating to U.S. pharmaceutical rebate reserves - Managed Care, Medicare and Medicaid is a critical audit matter are the significant judgment by management due to the significant measurement uncertainty involved in developing these reserves and the high degree of auditor judgment, subjectivity and audit effort in performing procedures and evaluating the assumptions related to contractual terms, historical experience, patient outcomes, trend analysis, and projected market conditions in the U.S. pharmaceutical market.

Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming our overall opinion on the consolidated financial statements. These procedures included testing the effectiveness of controls relating to U.S. pharmaceutical rebate reserves - Managed Care, Medicare and Medicaid, including controls over the assumptions used to estimate these rebates. These procedures also included, among others, (i) developing an independent estimate of the rebates by utilizing third party information on price and market conditions in the U.S. pharmaceutical market, the terms of the specific rebate programs, and the historical experience and trend analysis of actual rebate claims paid; (ii) testing rebate claims processed by the Company, including evaluating those claims for consistency with the contractual and mandated terms of the Company’s rebate arrangements; and (iii) comparing the independent estimates to management’s estimates.

Litigation ContingenciescontingenciesTalctalc
As described in Notes 1 and 19 to the consolidated financial statements, the Company records accruals for loss contingencies associated with legal matters, including talc, when it is probable that a liability will be incurred and the amount of the loss can be reasonably estimated. To the extent adverse awards, judgments, or verdicts have been rendered against the Company, management does not record an accrual until a loss is determined to be probable and can be reasonably estimated. For these matters, management is unable to estimate the possible loss or range of loss beyond the amounts accrued. Amounts accrued for legal contingencies often result from a complex series of judgments about future events and uncertainties that rely heavily on estimates and assumptions including timing of related payments. The ability to make such estimates and judgments can be affected by various factors, including, among other things, whether damages sought in the proceedings are unsubstantiated or indeterminate; scientific and legal discovery has not commenced or is not complete; proceedings are in early stages; matters present legal uncertainties; there are significant facts in dispute; procedural or jurisdictional issues; the uncertainty and unpredictability of the number of potential claims; ability to achieve comprehensive multi-party settlements; complexity of related cross-claims and counterclaims; and/or there are numerous parties involved. Management continues to believe that the Company has strong legal grounds to contest the talc verdicts it has appealed. Notwithstanding management’s confidence in the safety of the Company’s talc products, in certain circumstances the Company has settled cases. In October 2021, Johnson & Johnson Consumer Inc. (Old JJCI), a wholly-owned subsidiary of Johnson & Johnson, implemented a corporate restructuring and created a subsidiary, LTL Management LLC (LTL), which became solely responsible for the talc-related liabilities, and another subsidiary, New JJCI, which became responsible for the remaining business of Old JJCI. LTL filed a voluntary petition, seeking relief under chapter 11 of the Bankruptcy Code. As a result of the LTL bankruptcy case, the Court entered a temporary restraining order staying all litigation against LTL and Old JJCI. On November 15, 2021, the North Carolina Bankruptcy Court confirmed the scope of the stay, issuing a Preliminary Injunction (PI) prohibiting and enjoining the commencement and prosecution of talc-related claims against LTL, Old JJCI, New JJCI, Johnson & Johnson, other of their corporate affiliates, identified retailers, insurance companies, and certain other parties. Claimants have filed a motion to dismiss the LTL bankruptcy case. The court commenced a hearing on February 14, 2022 regarding the motion to dismiss and on whether the PI should be extended. The Company has agreed to provide funding to LTL forrecognized a total provision of approximately $9 billion, of which approximately one-third is recorded as a current liability and which encompasses actual and contemplated settlements. The recorded amount remains the paymentCompany's best estimate of amountsprobable loss after the Bankruptcy Court determines are owed by LTL through the establishment of a $2 billion trust in furtherance of this purpose. The Company has established a reserve for approximately $2 billion in connection with the aforementioned trust.dismissal. The parties have not yet been able to reachreached a full resolution of all talc matters related to talc, and while certain amounts under various scenarios have recently been referred to in testimony as part of the LTL bankruptcy proceedings, the Company is unable to estimate the possible loss or range of loss beyond the remaining amount accrued.

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The principal considerations for our determination that performing procedures relating to the talc litigation is a critical audit matter are the significant judgment by management when assessing the likelihood of a loss being incurred, and when determining whether a reasonable estimate of the loss or range of loss for the future and existing talc claims can be made, and when determining the timing of any settlement payments, which in turn led to a high degree of auditor judgment, subjectivity and effort in performing procedures and evaluating management’s assessment of the loss contingencies associated with this litigation.
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Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming our overall opinion on the consolidated financial statements. These procedures included testing the effectiveness of controls relating to management’s evaluation of the talc litigation, including controls over determining whether a loss is probable and whether the amount of loss can be reasonably estimated, as well as financial statement disclosures. These procedures also included, among others, (i) gaining an understanding of the Company’s process around the accounting and reporting for the talc litigation; (ii) obtaining and evaluating certain executed settlement agreements related to the talc litigation (iii) discussing the status of significant known actual and potential litigation and the ongoing LTL bankruptcy proceedingssettlements activity with the Company’s in-house legal counsel, as well as external counsel when deemed necessary; (iii)(iv) obtaining and evaluating the letters of audit inquiry with internal and external legal counsel for significant litigation; (iv)(v) evaluating the reasonableness of management’s assessment regarding whether an unfavorable outcome is reasonably possible or probable and reasonably estimable; and (v)(vi) evaluating the sufficiency of the Company’s litigation contingencies disclosures.

Litigation – Opioids
As described in Notes 1 and 19 to the consolidated financial statements, the Company records accruals for loss contingencies associated with legal matters, including opioids, when it is probable that a liability will be incurred and the amount of the loss can be reasonably estimated. To the extent adverse awards, judgments, or verdicts have been rendered against the Company, management does not record an accrual until a loss is determined to be probable and can be reasonably estimated. For these matters, management is unable to estimate the possible loss or range of loss beyond the amounts accrued. Amounts accrued for legal contingencies often result from a complex series of judgments about future events and uncertainties that rely heavily on estimates and assumptions including timing of related payments. The ability to make such estimates and judgments can be affected by various factors, including, among other things, whether damages sought in the proceedings are unsubstantiated or indeterminate; matters present legal uncertainties; there are significant facts in dispute; procedural or jurisdictional issues; the uncertainty and unpredictability of the number of potential claims; ability to achieve comprehensive multi-party settlements; complexity of related cross-claims and counterclaims; and/or there are numerous parties involved. The Company has been named in numerous lawsuits brought by certain state and local governments, including tribal governments, related to opioids matters. In October 2019, the Company announced a proposed agreement in principle that would include the Company paying $4 billion as settlement of the matters. In October 2020, the Company agreed to contribute up to an additional $1 billion to an all-in settlement amount that would resolve opioid lawsuits filed and future claims by states, cities, counties and tribal governments, for a total of $5 billion. In July 2021, the Company announced that the terms of the agreement to settle the state and subdivision claims have been finalized, depending upon the level of participation by the various parties. The terms provide a period of time for states to elect to participate in the agreement and, thereafter, a period for the subdivisions of the participating states to opt-in. The subdivision opt-in period expired in January 2022. The Company retains the right to opt-out of the agreement until late February 2022 if, in its sole discretion, there is insufficient participation.

The principal considerations for our determination that performing procedures relating to the opioids litigation is a critical audit matter are the significant judgment by management when determining whether a reasonable estimate of the range of loss for the agreement to settle the opioids litigation can be made, which in turn led to a high degree of auditor judgment, subjectivity and effort in performing procedures and evaluating management’s assessment of the loss contingencies associated with this litigation.

Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming our overall opinion on the consolidated financial statements. These procedures included testing the effectiveness of controls relating to management’s evaluation of the opioid litigation, including controls over determining whether a loss is probable and whether the amount of loss can be reasonably estimated, as well as financial statement disclosures. These procedures also included, among others, (i) gaining an understanding of the Company’s process around the accounting and reporting for the opioids litigation; (ii) discussing the status of significant known actual and potential litigation and ongoing settlement negotiations with the Company’s in-house legal counsel, as well as external counsel when deemed necessary; (iii) obtaining and evaluating the letters of audit inquiry with internal and external legal counsel for significant litigation; (iv) evaluating the reasonableness of management’s assessment regarding whether an unfavorable outcome is reasonably possible or probable and reasonably estimable; and (v) evaluating the sufficiency of the Company’s litigation contingencies disclosures.

/s//s/ PricewaterhouseCoopers LLP
Florham Park, New Jersey
February 17, 202216, 2024
We have served as the Company’s auditor since at least 1920. We have not been able to determine the specific year we began serving as auditor of the Company.
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Management’s Reportreport on Internal Control Over Financial Reporting

internal control over financial reporting
Under Section 404 of the Sarbanes-Oxley Act of 2002, management is required to assess the effectiveness of the Company’s internal control over financial reporting as of the end of each fiscal year and report, based on that assessment, whether the Company’s internal control over financial reporting is effective.
Management of the Company is responsible for establishing and maintaining adequate internal control over financial reporting. The Company’s internal control over financial reporting is designed to provide reasonable assurance as to the reliability of the Company’s financial reporting and the preparation of external financial statements in accordance with generally accepted accounting principles.
Internal controls over financial reporting, no matter how well designed, have inherent limitations. Therefore, internal control over financial reporting determined to be effective can provide only reasonable assurance with respect to financial statement preparation and may not prevent or detect all misstatements. Moreover, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
The Company’s management has assessed the effectiveness of the Company’s internal control over financial reporting as of January 2, 2022.December 31, 2023. In making this assessment, the Company used the criteria established by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in “Internal Control-Integrated Framework (2013).” These criteria are in the areas of control environment, risk assessment, control activities, information and communication, and monitoring. The Company’s assessment included extensive documenting, evaluating and testing the design and operating effectiveness of its internal controls over financial reporting.
Based on the Company’s processes and assessment, as described above, management has concluded that, as of January 2, 2022,December 31, 2023, the Company’s internal control over financial reporting was effective.
The effectiveness of the Company’s internal control over financial reporting as of January 2, 2022December 31, 2023 has been audited by PricewaterhouseCoopers LLP, an independent registered public accounting firm, as stated in their report, which appears herein.
/s/ J. Duato
/s/ Joseph J. J. Wolk
Joaquin DuatoJoseph J. Wolk
DirectorChairman, Board of DirectorsExecutive Vice President, Chief Financial Officer
Chief Executive Officer

2023 Annual Report106109


Shareholder Return Performance Graphsreturn performance graphs
Set forth below are line graphs comparing the cumulative total shareholder return on the Company’s Common Stock for periods of five years and ten years ending January 2, 2022,December 31, 2023, against the cumulative total return of the Standard & Poor’s 500 Stock Index, the Standard & Poor’s Pharmaceutical Index and the Standard & Poor’s Healthcare Equipment Index. The graphs and tables assume that $100 was invested on December 31, 20162018 and December 31, 20112013 in each of the Company’s Common Stock, the Standard & Poor’s 500 Stock Index, the Standard & Poor’s Pharmaceutical Index and the Standard & Poor’s Healthcare Equipment Index and that all dividends were reinvested.
5 Year Shareholder Return Performance J&J vs. Indices
jnj-20220102_g10.jpg
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Johnson & Johnson
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S&P 500 Index
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S&P Pharmaceutical Index
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S&P Healthcare Equipment Index
201620172018201920202021
Johnson & Johnson$100.00$124.40$118.02$137.15$152.03$169.43
S&P 500 Index$100.00$121.82$116.47$153.13$181.29$233.28
S&P Pharmaceutical Index$100.00$112.57$121.68$140.04$150.58$189.36
S&P Healthcare Equipment Index$100.00$130.90$152.15$196.77$231.46$276.26
5-year CAGR
J&J6.8 %
S&P 50015.7 %
S&P Pharm11.1 %
S&P H/C Equip9.9 %
22539988373407
201820192020202120222023
Johnson & Johnson$100.00$116.21$128.82$143.57$152.14$139.05
S&P 500 Index$100.00$131.47$155.65$200.29$163.98$207.04
S&P Pharmaceutical Index$100.00$115.09$123.75$155.62$168.77$169.33
S&P Healthcare Equipment Index$100.00$129.32$152.12$181.56$147.32$160.64











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10 Year Shareholder Return Performance J&J vs. Indices
jnj-20220102_g11.jpg
20112012201320142015201620172018201920202021
Johnson & Johnson$100.00$110.83$149.19$175.05$177.08$204.21$254.05$241.00$280.07$310.46$346.00
S&P 500 Index$100.00$115.99$153.55$174.55$176.95$198.10$241.33$230.73$303.35$359.13$462.13
S&P Pharmaceutical Index$100.00$114.43$154.74$189.12$200.06$196.93$221.69$239.63$275.78$296.54$372.90
S&P Healthcare Equipment Index$100.00$117.27$149.74$189.09$200.39$213.38$279.31$324.67$419.87$493.90$589.48
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Johnson & Johnson
icon-legend_black.jpg
S&P 500 Index
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S&P Pharmaceutical Index
icon-legend_gray.jpg
S&P Healthcare Equipment Index
10-year CAGR
J&J8.4 %
S&P 50012.0 %
S&P Pharm10.1 %
S&P H/C Equip13.3 %
22539988370904
20132014201520162017201820192020202120222023
Johnson & Johnson$100.00$117.34$118.69$136.88$170.29$161.54$187.73$208.10$231.92$245.76$224.62
S&P 500 Index$100.00$113.67$115.23$129.00$157.15$150.24$197.53$233.85$300.91$246.37$311.06
S&P Pharmaceutical Index$100.00$122.22$129.29$127.27$143.27$154.86$178.23$191.64$240.99$261.37$262.23
S&P Healthcare Equipment Index$100.00$126.28$133.82$142.50$186.53$216.82$280.39$329.83$393.66$319.42$348.30










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Item 9.CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE Changes in and disagreements with accountants on accounting and financial disclosure
Not applicable.
Item 9A.CONTROLS AND PROCEDURES
    Disclosure Controls and Procedures.procedures
Disclosure controls and procedures.  At the end of the period covered by this Report, the Company evaluated the effectiveness of the design and operation of its disclosure controls and procedures. The Company’s disclosure controls and procedures are designed to ensure that information required to be disclosed by the Company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by the Company in the reports that it files or submits under the Exchange Act is accumulated and communicated to the Company’s management, including its principal executive and principal financial officers, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure. Joaquin Duato, Chairman and Chief Executive Officer, and Joseph J. Wolk, Executive Vice President, Chief Financial Officer, reviewed and participated in this evaluation. Based on this evaluation, Messrs. Duato and Wolk concluded that, as of the end of the period covered by this Report, the Company’s disclosure controls and procedures were effective.
Reports on Internal Control Over Financial Reporting.internal control over financial reporting. The information called for by this item is incorporated herein by reference to “Management’s ReportManagement’s report on Internal Control Over Financial Reporting”,internal control over financial reporting, and the attestation regarding internal controls over financial reporting included in the “Reportreport of Independent Registered Public Accounting Firm”independent registered public accounting firm included in Item 8 of this Report.
Changes in Internal Control Over Financial Reporting.internal control over financial reporting.  During the fiscal quarter ended January 2, 2022,December 31, 2023, there were no changes in the Company’s internal control over financial reporting identified in connection with the evaluation required under Rules 13a-15 and 15d-15 under the Exchange Act that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting. The Company has not experienced any material impact to its internal controls over financial reporting despite the fact that many of its employees have worked remotely due to the COVID-19 pandemic. The Company proactively took actions to re-evaluate and refine its financial reporting process through additional monitoring controls to provide reasonable assurance that the financial results are reported accurately and timely. The Company continues to monitor and assess the effectiveness of the design and operation of its disclosure controls and procedures.
The Company is implementing a multi-year, enterprise-wide initiative to integrate, simplify and standardize processes and systems for the human resources, information technology, procurement, supply chain and finance functions. These are enhancements to support the growth of the Company’s financial shared service capabilities and standardize financial systems. This initiative is not in response to any identified deficiency or weakness in the Company’s internal control over financial reporting. In response to this initiative, the Company has and will continue to align and streamline the design and operation of its financial control environment.
Item 9B.OTHER INFORMATION
    Not applicable. Other information

Securities trading plans of Directors and Executive Officers
. During the fiscal fourth quarter of 2023, none of our directors or officers (as defined in Rule 16a-1(f) of the Exchange Act) informed us of the adoption or termination of a “Rule 10b5-1 trading arrangement” or “non-Rule 10b5-1 trading arrangement,” each as defined in Item 408 of Regulation S-K.
Item 9C. DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONSDisclosure regarding foreign jurisdictions that prevent inspections
Not applicable.
PART
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Part III
Item 10.DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE Directors, executive officers and corporate governance
The information called for by this item is incorporated herein by reference to the discussion of the Audit Committee under the caption “ItemItem 1. Election of Directors - Board Committees”;committees; and the material under the captions “ItemItem 1. Election of Directors”Directors and, if applicable, “Stock Ownership and Section 16 Compliance – Delinquent Section 16(a) Reports”reporting in the Proxy Statement; and the material under the caption “Executive Officers of the Registrant” in Part I of this Report.
The Company’s Code of Business Conduct, which covers all employees (including the Chief Executive Officer, Chief Financial Officer and Controller), meets the requirements of the SEC rules promulgated under Section 406 of the Sarbanes-Oxley Act of 2002. The Code of Business Conduct is available on the Company’s website at www.jnj.com/code-of-business-conduct, and copies are available to shareholders without charge upon written request to the Secretary at the Company’s principal executive offices. Any substantive amendment to the Code of Business Conduct or any waiver of the Code granted to
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the Chief Executive Officer, the Chief Financial Officer or the Controller will be posted on the Company’s website at www.investor.jnj.com/gov.cfmwww.jnj.com/code-of-business-conduct within five business days (and retained on the website for at least one year).
In addition, the Company has adopted a Code of Business Conduct & Ethics for Members of the Board of Directors and Executive Officers. The Code of Business Conduct & Ethics for Members of the Board of Directors and Executive Officers is available on the Company’s website at www.investor.jnj.com/gov/boardconduct.cfmgovernance/corporate-governance-overview/code-of-business-conduct--ethics, and copies are available to shareholders without charge upon written request to the Secretary at the Company’s principal executive offices. Any substantive amendment to the Code or any waiver of the Code granted to any member of the Board of Directors or any executive officer will be posted on the Company’s website at www.investor.jnj.com/gov.cfmgovernance/corporate-governance-overview/code-of-business-conduct--ethics within five business days (and retained on the website for at least one year).
Item 11.EXECUTIVE COMPENSATION Executive compensation
The information called for by this item is incorporated herein by reference to the material under the captions “ItemItem 1. Election of Directors – Director Compensation,”compensation, and “ItemItem 2. Compensation & Benefits Committee Report,” “Compensation Discussionreport, Compensation discussion and Analysis”analysis and “Executive Compensation Tables”Executive compensation tables in the Proxy Statement.
The material incorporated herein by reference to the material under the caption “Compensation & BenefitsCompensation Committee Report”report in the Proxy Statement shall be deemed furnished, and not filed, in this Report and shall not be deemed incorporated by reference into any filing under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended, as a result of this furnishing, except to the extent that the Company specifically incorporates it by reference.
Item 12.SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS Security ownership of certain beneficial owners and management and related stockholder matters
The information called for by this item is incorporated herein by reference to the material under the caption “ItemItem 1. Stock Ownership and Section 16 Compliance”ownership in the Proxy Statement; and Note 16 “Common Stock, Stock Option PlansCommon stock, stock option plans and Stock Compensation Agreements”stock compensation agreements of the Notes to Consolidated Financial Statements in Item 8 of this Report.
2023 Annual Report113


Equity Compensation Plan Informationcompensation plan information
The following table provides certain information as of January 2, 2022December 31, 2023 concerning the shares of the Company’s Common Stock that may be issued under existing equity compensation plans.
Plan CategoryNumber of Securities to
be Issued Upon Exercise of
Outstanding Options and Rights
Weighted Average
Exercise Price of
Outstanding Options and Rights
Number of Securities
Remaining Available for
Future Issuance Under Equity Compensation Plans(2)(3)
Equity Compensation Plans Approved by Security Holders(1)
133,794,708 $109.96 240,344,013 
Equity Compensation Plans Not Approved by Security Holders---
Total133,794,708 $109.96 240,344,013 

Plan CategoryNumber of
Securities to
be Issued Upon
Exercise of
Outstanding
Options and Rights
Weighted Average
Exercise Price of
Outstanding Options
and Rights
Number of Securities
Remaining Available for
Future Issuance Under
Equity Compensation
Plans(2)(3)
Equity Compensation Plans Approved by Security Holders(1)
127,211,785$123.41130,112,007
Equity Compensation Plans Not Approved by Security Holders
Total127,211,785$123.41130,112,007
(1)Included in this category are the following equity compensation plans which have been approved by the Company’s shareholders: 20052012 Long-Term Incentive Plan and 20122022 Long-Term Incentive Plan.
(2)This column excludes shares reflected under the column “Number of Securities to be Issued Upon Exercise of Outstanding Options and Rights.”
(3)The 20052012 Long-Term Incentive Plan expired April 26, 2012.2022. All options and restricted shares granted subsequent to that date were under the 20122022 Long-Term Incentive Plan.
Item 13.CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE Certain relationships and related transactions, and director independence
The information called for by this item is incorporated herein by reference to the material under the captions “ItemItem 1. Election of Directors - Related person transactions & Director Independence” and “Related Person Transactions”independence in the Proxy Statement.
Item 14.PRINCIPAL ACCOUNTANT FEES AND SERVICES Principal accountant fees and services
The information called for by this item is incorporated herein by reference to the material under the caption “ItemItem 3. Ratification of Appointmentappointment of Independent Registered Public Accounting Firm”independent registered public accounting firm in the Proxy Statement.
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PARTPart IV
Item 15.EXHIBITS AND FINANCIAL STATEMENT SCHEDULES Exhibits and financial statement schedules
The following documents are filed as part of this report:
1.Financial Statements
Consolidated Balance Sheetsbalance sheets at end of Fiscal Yearsfiscal years 2023 and 2022
Consolidated statements of earnings for fiscal years 2023, 2022 and 2021    and 2020
Consolidated Statementsstatements of Earningscomprehensive income for Fiscal Years 2021, 20202023, 2022 and 2019    2021
Consolidated Statementsstatements of Comprehensive Incomeequity for Fiscal Yearsfiscal years 2023, 2022 and 2021 2020
Consolidated statements of cash flows for fiscal years 2023, 2022 and 20192021
        Consolidated Statements of Equity for Fiscal Years 2021, 2020 and 2019
        Consolidated Statements of Cash Flows for Fiscal Years 2021, 2020 and 2019
Notes to Consolidated Financial Statements
Report of Independent Registered Public Accounting Firmindependent registered public accounting firm
All schedules are omitted because they are not applicable or the required information is included in the financial statements or notes.
2.Exhibits Requiredrequired to be Filedfiled by Itemitem 60l of Regulationregulation S-K
The information called for by this item is incorporated herein by reference to the Exhibit Index in this Report.

Item 16. FORMForm 10-K SUMMARYsummary
Registrants may voluntarily include a summary of information required by Form 10-K under this Item 16. The Company has elected not to include such summary information.

2023 Annual Report110115


SIGNATURESSignatures
Pursuant to the requirements of Section 13 of the Securities Exchange Act of 1934, the registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized.
Date: February 17, 202216, 2024
JOHNSON & JOHNSON
(Registrant)
By 
/s/  J. Duato
J. Duato Director
, Chairman of the Board
and Chief Executive Officer

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated.
SignatureTitleDate
/s/ J. Duato
DirectorChairman of the BoardFebruary 17, 202216, 2024
J. DuatoChief Executive Officer
(Principal Executive Officer)
/s/ J. J. Wolk
Chief Financial OfficerFebruary 17, 202216, 2024
J. J. Wolk(Principal Financial Officer)
/s/ R. J. Decker Jr.
Controller and Chief Accounting OfficerFebruary 17, 202216, 2024
R. J. Decker Jr.(Principal Accounting Officer)
/s/ A. Gorsky
Executive Chairman, Board of DirectorsD. AdamczykFebruary 17, 2022
A. Gorsky
/s/ M. C. BeckerleDirectorFebruary 16, 2024
D. Adamczyk
/s/ M. C. Beckerle
DirectorFebruary 17, 202216, 2024
M. C. Beckerle
/s/ D. S. Davis
DirectorFebruary 17, 202216, 2024
D. S. Davis
/s/ I. E. L. Davis
J. A. DoudnaDirectorFebruary 17, 2022
I. E. L. Davis16, 2024
/s/  J. A. DoudnaDirectorFebruary 17, 2022
J. A. Doudna  
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SignatureTitleDate
/s/ M. A. Hewson
DirectorFebruary 17, 202216, 2024
M. A. Hewson
/s/ H. Joly
P. A. JohnsonDirectorFebruary 16, 2024
P. A. Johnson
/s/ H. Joly
DirectorFebruary 17, 202216, 2024
H. Joly
/s/ M. B. McClellan
DirectorFebruary 17, 202216, 2024
M. B. McClellan
/s/ A. M. Mulcahy
DirectorFebruary 17, 202216, 2024
A. M. Mulcahy
/s/ C. Prince
M. A. WeinbergerDirectorFebruary 17, 2022
C. Prince16, 2024
/s/  A. E. WashingtonDirectorFebruary 17, 2022
A. E. Washington
/s/  M. A. WeinbergerDirectorFebruary 17, 2022
M. A. Weinberger
/s/ N.Y. N. Y. West
DirectorFebruary 17, 202216, 2024
N. Y. West
/s/ R.E. A. WilliamsWoods
DirectorFebruary 17, 202216, 2024
R.E. A. WilliamsWoods

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EXHIBIT INDEXExhibit index
Reg. S-K 
Exhibit TableDescription
Item No.of Exhibit
Agreement and Plan of Merger, dated as of October 31, 2022, by and among Johnson & Johnson, Athos Merger Sub, Inc. and ABIOMED, Inc. – Incorporated herein by reference to Exhibit 2.1 of the Registrant’s Form 8-K Current Report filed November 1, 2022.†
Restated Certificate of Incorporation effective February 19, 2016 — Incorporated herein by reference to Exhibit 3(i) of the Registrant’s Form 10-K Annual Report for the fiscal year ended January 3, 2016.
Certificate of Amendment to the Certificate of Incorporation of Johnson & Johnson effective April 30, 2020  — Incorporated herein by reference to Exhibit 3.1 of the Registrant's Form 8-K Current Report filed April 29, 2020.
By-Laws of the Company, as amended effective June 9, 2020 — Incorporated herein by reference to Exhibit 3.1 of the Registrant’s Form 8-K Current Report filed June 10, 2020.
4(a)Upon the request of the Securities and Exchange Commission, the Registrant will furnish a copy of all instruments defining the rights of holders of long-term debt of the Registrant.
Description of Securities Registered Pursuant to Section 12 of the Securities Exchange Act of 1934  — Incorporated herein by reference to Exhibit 4.1 of the Registrant’s Form 8-K Current Report filed August 12, 2020.
2005 Long-Term Incentive Plan — Incorporated herein by reference to Exhibit 4 of the Registrant’s S-8 Registration Statement filed on May 10, 2005 (file no. 333-124785).*
Form of Stock Option Certificate under the 2005 Long-Term Incentive Plan — Incorporated herein by reference to Exhibit 10.1 of the Registrant’s Form 8-K Current Report filed January 13, 2012.*
2012 Long-Term Incentive Plan — Incorporated herein by reference to Appendix A of the Registrant’s Proxy Statement filed on March 15, 2017.2012.*
Form of Stock Option Certificate under the 2012 Long-Term Incentive Plan — Incorporated herein by reference to Exhibit 10.2 of the Registrant’s Form 10-Q Quarterly Report for the quarter ended April 1, 2012.*
Form of Restricted Share Unit Certificate under the 2012 Long-Term Incentive Plan — Incorporated herein by reference to Exhibit 10.3 of the Registrant’s Form 10-Q Quarterly Report for the quarter ended April 1, 2012.*
Form of Stock Option Certificate, Restricted Share Unit Certificate and Performance Share Unit Certificate under the 2012 Long-Term Incentive Plan — Incorporated herein by reference to Exhibits 10.2, 10.3 andExhibit 10.4 of the Registrant’s Form 10-Q Quarterly Report for the quarter ended April 1, 2012.*
Global NonQualified Stock Option Award Agreement, Global Restricted Share Unit Award Agreement and Global Performance Share Unit Award Agreement under the 2012 Long-Term Incentive Plan — Incorporated herein by reference to ExhibitsExhibit 10.1 10.2 and 10.3 of the Registrant’s Form 10-Q Quarterly Report for the quarter ended April 1, 2018.*
Johnson & Johnson ExecutiveGlobal Restricted Share Unit Award Agreement under the 2012 Long-Term Incentive Plan (Amended as of November 28, 2018) — Incorporated herein by reference to Exhibit 10(a)10.2 of the Registrant’s Form 10-Q Quarterly Report for the quarter ended March 31, 2019.April 1, 2018.*
Global Performance Share Unit Award Agreement under the 2012 Long-Term Incentive Plan — Incorporated herein by reference to Exhibit 10.3 of the Registrant’s Form 10-Q Quarterly Report for the quarter ended April 1, 2018.*
Global Restricted Share Unit Award Agreement granted to John Reed on May 1, 2023 under the 2022 Long-Term Incentive Plan — Filed with this document.*
Domestic Deferred Compensation (Certificate of Extra Compensation) Plan — Incorporated herein by reference to Exhibit 10(g) of the Registrant’s Form 10-K Annual Report for the year ended December 28, 2003.*
Amendments to the Certificate of Extra Compensation Plan effective as of January 1, 2009 — Incorporated herein by reference to Exhibit 10(j) of the Registrant’s Form 10-K Annual Report for the year ended December 28, 2008.*
2009 Certificates of Long-Term Performance Plan — Incorporated herein by reference to Exhibit 10.1 of the Registrant’s Form 10-Q Quarterly Report for the quarter ended September 27, 2009.*
Amended and Restated Deferred Fee Plan for Directors (Amended as of January 17, 2012) — Incorporated herein by reference to Exhibit 10(k) of the Registrant's Form 10-K Annual Report for the fiscal year ended January 1, 2012.*
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Reg. S-K
Exhibit TableDescription
Item No.of Exhibit
The Johnson & Johnson Executive Income Deferral Plan Amended and Restated Effective January 1, 2010 — Incorporated herein by reference to Exhibit 10.1 of the Registrant’s Form 10-Q Quarterly Report for the quarter ended September 30, 2012.*
The Johnson & Johnson Excess Savings Plan (Effective(amended and restated as of January 1, 1996)2022) — Incorporated herein by reference to Exhibit 10(j)10(l) of the Registrant’s Form 10-K Annual Report for the fiscal year ended December 29, 1996.January 1, 2023.*
Amendments to theExcess Benefit Plan of Johnson & Johnson Excess Savings Plan effectiveand Affiliated Companies (amended and restated as of January 1, 20092020)Incorporated hereinincorporated by reference to Exhibit 10(p)10(n) of the Registrant’s Form 10-K Annual Report for the fiscal year ended December 28, 2008.January 3, 2021.*
Amended and Restated Excess Benefit Plan of Johnson & Johnson and Affiliated Companies (Amended and restated effective January 1, 2020, except as otherwise provided) incorporated herein by reference to Exhibit 10(n) of the Registrant's Form 10-K Annual Report for the fiscal year ended January 3, 2021*
10(o)10(p)**Executive Life Plan Agreement — Incorporated herein by reference to Exhibit 10(i) of the Registrant’s Form 10-K Annual Report for the fiscal year ended January 3, 1993.*
Executive Life Plan Agreement Closure Letter — Incorporated herein by reference to Exhibit 10.1 of the Registrant’s Form 10-Q Quarterly Report for the quarter ended March 29, 2015.*
Employment Agreement for Dr. Paulus Stoffels -2022 Long-Term Incentive Plan — Incorporated herein by reference to Exhibit 10.2Appendix A of the Registrant’s Form 10-Q Quarterly Report for the quarter ended September 30, 2012.Proxy Statement filed on March 16, 2022.*
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Reg. S-K
Exhibit TableDescription
Item No.of Exhibit
Severance Pay Plan of Johnson & Johnson and U.S. Affiliated Companies, Amended and Restated as of October 1, 2014 — Incorporated herein by reference to Exhibit 10.1 of the Registrant's Form 10-Q Quarterly Report for the quarter ended September 28, 2014.*
First Amendment to the Severance Pay Plan of Johnson & Johnson and U.S. Affiliated Companies (as amended and restated effective October 1, 2014) — Incorporated herein by reference to Exhibit 10.1 of the Registrant's Form 10-Q Quarterly Report for the quarter ended June 28, 2015.*
Second Amendment to the Severance Pay Plan of Johnson & Johnson and U.S. Affiliated Companies (as amended and restated effective October 1, 2014) — Incorporated herein by reference to Exhibit 10(x) of the Registrant's Form 10-K Annual Report for the fiscal year ended January 3, 2016.*
Contingent Value Rights Agreement, dated as of December 22, 2022, by and between Johnson & Johnson and American Stock Transfer & Trust Company, LLC – Incorporated herein by reference to Exhibit 10.1 of the Registrant’s Form 8-K Current Report filed December 22, 2022.†
Separation Agreement, dated as of May 3, 2023, by and between Johnson & Johnson and Kenvue Inc.
Tax Matters Agreement, dated as of May 3, 2023, by and between Johnson & Johnson and Kenvue Inc.
Employee Matters Agreement, dated as of May 3, 2023, by and between Johnson & Johnson and Kenvue Inc.
Intellectual Property Agreement, dated as of May 3, 2023, by and between Johnson & Johnson and Kenvue Inc.
Trademark Phase-Out License Agreement, dated as of April 3, 2023, by and between Johnson & Johnson and Johnson & Johnson Consumer Inc.
Transition Services Agreement, dated as of May 3, 2023, by and between Johnson & Johnson and Kenvue Inc.
Transition Manufacturing Agreement, dated as of May 3, 2023, by and between Johnson & Johnson and Kenvue Inc.
Registration Rights Agreement, dated as of May 3, 2023, by and between Johnson & Johnson and Kenvue Inc.
Johnson & Johnson Deferred Compensation Plan*
Global Performance Share Unit Award Agreement*
2023 Annual Report119


Reg. S-K
Exhibit TableDescription
Item No.of Exhibit
Global Restricted Share Unit Award Agreement*
Global Nonqualified Stock Option Award Agreement*
Amendment One to the Johnson & Johnson Excess Savings Plan (amended and restated effective as of January 1, 2022) — Incorporated herein by reference to Exhibit 10.1 of the Registrant’s Form 10-Q Quarterly Report for the quarter ended October 1, 2023.*
Johnson & Johnson Executive Incentive Plan (Amended as of September 7, 2023) — Incorporated herein by reference to Exhibit 10.2 of the Registrant’s Form 10-Q Quarterly Report for the quarter ended October 1, 2023.*
Johnson & Johnson Stock Trading Policy for Directors, Executive Officers and Insiders (Amended as of April 27, 2023) — Filed with this document.
Subsidiaries — Filed with this document.
Consent of Independent Registered Public Accounting Firm — Filed with this document.
Certification of Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act — Filed with this document.
Certification of Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act — Filed with this document.
Certification of Chief Executive Officer Pursuant to Section 906 of the Sarbanes-Oxley Act — Furnished with this document.
Certification of Chief Financial Officer Pursuant to Section 906 of the Sarbanes-Oxley Act — Furnished with this document.
Johnson & Johnson Clawback Policy (effective as of August 8, 2023) — Filed with this document.
Exhibit 101:
EX-101.INSInstance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document
EX-101.SCHInline XBRL Taxonomy Extension Schema
EX-101.CALInline XBRL Taxonomy Extension Calculation Linkbase
EX-101.LABInline XBRL Taxonomy Extension Label Linkbase
EX-101.PREInline XBRL Taxonomy Extension Presentation Linkbase
EX-101.DEFInline XBRL Taxonomy Extension Definition Document
Exhibit 104:Cover Page Interactive Data File––the cover page interactive data file does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
*Management contract or compensatory plan.
**Paper filing.
Certain exhibits and schedules have been omitted pursuant to Item 601(b)(2)(ii) or 601(b)(10)(iv) of Regulation S-K, as applicable.
A copy of any of the Exhibits listed above will be provided without charge to any shareholder submitting a written request specifying the desired exhibit(s) to the Secretary at the principal executive offices of the Company. Pursuant to Item 601(b)(4)(iii)(A) of Regulation S-K, the Company has not filed as exhibits to this Form 10-K certain long-term debt instruments, including indentures, under which the total amount of securities authorized does not exceed 10% of the total assets of the Company and its subsidiaries on a consolidated basis. The Company hereby agrees to furnish a copy of any such instrument to the SEC upon request.


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