RESULTS OF OPERATIONS

Sales to Customers

Analysis of Consolidated Sales



For the fiscal first quarter of 2022, worldwide sales were $23.4 billion, a
total increase of 5.0%, which included operational growth of 7.7% and a negative
currency impact of 2.7% as compared to 2021 fiscal first quarter sales of $22.3
billion. In the fiscal first quarter of 2022, the net impact of acquisitions and
divestitures on worldwide operational sales growth was a negative 0.2%.

Sales by U.S. companies were $11.4 billion in the fiscal first quarter of 2022,
which represented an increase of 2.7% as compared to the prior year. In the
fiscal first quarter of 2022, the net impact of acquisitions and divestitures on
the U.S. operational sales growth was a negative 0.1%. Sales by international
companies were $12.0 billion, a total increase of 7.2%, which included
operational growth of 12.6% and a negative currency impact of 5.4%. In the
fiscal first quarter of 2022, the net impact of acquisitions and divestitures on
the international operational sales growth was a negative 0.3%.

In the fiscal first quarter of 2022, sales by companies in Europe achieved
growth of 11.3%, which included operational growth of 19.5% and a negative
currency impact of 8.2%. Sales by companies in the Western Hemisphere, excluding
the U.S., achieved growth of 4.1%, including operational growth of 5.1% and a
negative currency impact of 1.0%. Sales by companies in the Asia-Pacific, Africa
region achieved growth 3.1%, including operational growth of 6.6% and a negative
currency impact of 3.5%.



  [[Image Removed: jnj-20220403_g1.jpg]][[Image Removed: jnj-20220403_g2.jpg]]


                       Note: values may have been rounded



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Analysis of Sales by Business Segments

Consumer Health

Consumer Health segment sales in the fiscal first quarter of 2022 were $3.6
billion, a decrease of 1.5% as compared to the same period a year ago, including
operational growth of 0.8% offset by a negative currency impact of 2.3%. U.S.
Consumer Health segment sales decreased by 3.4%. International Consumer Health
segment sales were flat including operational growth of 4.1% and a negative
currency impact of 4.1%. In the fiscal first quarter of 2022, the net impact of
acquisitions and divestitures on the Consumer Health segment operational sales
growth was a negative 0.8% primarily due to the DR. CI:LABO - Sedona divestiture
in Asia Pacific.

Major Consumer Health Franchise Sales* - Fiscal First Quarter Ended



                                                                                                      Total               Operations              Currency
(Dollars in Millions)                               April 3, 2022           April 4, 2021             Change                Change                 Change
OTC(1)                                            $        1,461          $        1,273                 14.8  %                 17.1  %               (2.3) %
Skin Health/Beauty                                         1,012                   1,163                (13.0)                  (11.0)                 (2.0)
Oral Care                                                    366                     417                (12.2)                  (10.2)                 (2.0)
Baby Care                                                    355                     389                 (8.6)                   (6.4)                 (2.2)
Women's Health                                               228                     222                  2.6                     8.3                  (5.7)
Wound Care/Other                                             164                     177                 (7.4)                   (7.2)                 (0.2)
Total Consumer Health Sales                       $        3,586          $        3,641                 (1.5) %                  0.8  %              

(2.3) %




*Certain prior year amounts have been reclassified to conform to current year
presentation
(1)In the fiscal first quarter of 2021, approximately $0.1 billion of certain
international OTC products, primarily in China, were reclassified from the
Pharmaceutical segment to the Consumer Health segment based on operational
changes

The OTC franchise achieved operational growth of 17.1% as compared to the prior year fiscal first quarter. Growth was driven by upper respiratory products, TYLENOL and MOTRIN and IMODIUM and PEPCID products in digestive health.

The Skin Health/Beauty franchise experienced an operational decline of 11.0% as compared to the prior year fiscal first quarter. The decline was driven by external supply constraints, the DR. CI:LABO - Sedona divestiture in Asia Pacific and competitive pressures. The decline was partially offset by U.S. category recovery and strength in the Latin America and Asia Pacific regions.

The Oral Care franchise experienced an operational decline of 10.2% as compared to the prior year fiscal first quarter. The decline was primarily driven by strategic SKU rationalization in the U.S. and lapping prior year COVID-19 related increased demand outside the U.S.

The Baby Care franchise experienced an operational decline of 6.4% as compared to the prior year fiscal first quarter. The decline was driven by supply constraints in the U.S. and EMEA.

The Women's Health franchise achieved operational growth of 8.3% as compared to
the prior year fiscal first quarter primarily driven by growth in EMEA due to
increased stocking and LATAM due to price increases.
The Wound Care/Other franchise experienced an operational decline of 7.2% as
compared to the prior year fiscal first quarter primarily driven by the
professional tape divestiture along with comparison to prior year COVID-19
recovery for NEOSPORIN in the U.S. and BAND-AID® Brand Adhesive Bandages outside
the U.S. This decline was partially offset by growth of U.S. BAND-AID® Brand
Adhesive Bandages.

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 the initial announcement.
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Pharmaceutical



Pharmaceutical segment sales in the fiscal first quarter of 2022 were $12.9
billion, an increase of 6.3% as compared to the same period a year ago,
including an operational increase of 9.3% and a negative currency impact of
3.0%. U.S. Pharmaceutical sales increased 2.9% as compared to the same period a
year ago. International Pharmaceutical sales increased by 10.3%, including
operational growth of 16.7% and a negative currency impact of 6.4%. In the
fiscal first quarter of 2022, the net impact of acquisitions and divestitures on
the Pharmaceutical segment operational sales growth was negligible. Adjustments
to previous sales reserve estimates were negligible in the fiscal first quarter
of 2022 and approximately $0.2 billion in the fiscal first quarter of 2021.

Major Pharmaceutical Therapeutic Area Sales** - Fiscal First Quarter Ended



                                                                                                             Total              Operations              Currency
(Dollars in Millions)                                      April 3, 2022           April 4, 2021            Change                Change                 Change
Immunology                                               $        4,119          $        3,914                 5.2  %                  7.5  %              (2.3) %
   REMICADE                                                         663                     777               (14.7)                  (14.2)                (0.5)
   SIMPONI/ SIMPONI ARIA                                            571                     562                 1.5                     4.7                 (3.2)
   STELARA                                                        2,288                   2,148                 6.5                     9.0                 (2.5)
   TREMFYA                                                          590                     418                41.3                    44.5                 (3.2)
   Other Immunology                                                   6                       8               (22.0)                  (22.0)                    0.0
 Infectious Diseases                                              1,297                     998                30.0                    33.1                 (3.1)
   COVID-19 VACCINE                                                 457                     100                *                     *                            *
   EDURANT/rilpivirine                                              248                     243                 1.8                     9.6                 (7.8)
   PREZISTA/ PREZCOBIX/ REZOLSTA/ SYMTUZA                           501                     546                (8.3)                   (6.9)                (1.4)
   Other Infectious Diseases(2)                                      91                     108               (15.3)                  (11.0)                (4.3)
 Neuroscience                                                     1,741                   1,715                 1.5                     5.0                 (3.5)
   CONCERTA/ methylphenidate                                        157                     171                (8.3)                   (4.8)                (3.5)
   INVEGA SUSTENNA/ XEPLION/ INVEGA TRINZA/
TREVICTA                                                          1,048                     965                 8.6                    11.3                 (2.7)
   RISPERDAL CONSTA                                                 129                     157               (17.6)                  (13.9)                (3.7)
   Other Neuroscience(2)                                            408                     422                (3.5)                    1.7                 (5.2)
 Oncology                                                         3,950                   3,570                10.6                    14.9                 (4.3)
   DARZALEX                                                       1,856                   1,365                36.0                    40.3                 (4.3)
   ERLEADA                                                          400                     261                53.0                    57.5                 (4.5)
   IMBRUVICA                                                      1,038                   1,125                (7.7)                   (3.9)                (3.8)
   ZYTIGA/ abiraterone acetate                                      539                     638               (15.6)                  (10.1)                (5.5)
   Other Oncology                                                   118                     182               (35.1)                  (32.3)                (2.8)
 Pulmonary Hypertension                                             852                     861                (1.1)                    1.2                 (2.3)
   OPSUMIT                                                          443                     450                (1.6)                    1.1                 (2.7)
   UPTRAVI                                                          325                     305                 6.5                     7.7                 (1.2)
   Other Pulmonary Hypertension                                      83                     105               (20.8)                  (16.8)            

(4.0)


 Cardiovascular / Metabolism / Other                                910                   1,044               (12.8)                  (11.9)                (0.9)
   XARELTO                                                          508                     589               (13.8)                  (13.8)                   -
   INVOKANA/ INVOKAMET                                              128                     150               (14.6)                  (13.1)                (1.5)
   Other(1,2)                                                       274                     305               (10.0)                   (7.5)                (2.5)
Total Pharmaceutical Sales                               $       12,869          $       12,101                 6.3  %                  9.3  %              (3.0) %


* Percentage greater than 100% or not meaningful
**Certain prior year amounts have been reclassified to conform to current year
presentation
(1) Inclusive of PROCRIT / EPREX which was previously disclosed separately
(2)In the fiscal first quarter of 2021, approximately $0.1 billion of certain
international OTC products, primarily in China, were reclassified from the
Pharmaceutical segment to the Consumer Health segment based on operational
changes
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Immunology products achieved operational growth of 7.5% as compared to the same
period a year ago driven by continued strong uptake of STELARA (ustekinumab) in
Crohn's disease and Ulcerative Colitis partially offset by share declines in
Psoriasis and Psoriatic Arthritis and strength of TREMFYA (guselkumab) in
Psoriasis and uptake in Psoriatic Arthritis. This was partially offset by lower
sales of REMICADE (infliximab) 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.

The latest expiring United States patent for STELARA (ustekinumab) will expire
in September 2023. STELARA (ustekinumab) U.S. sales in fiscal 2021 were
approximately $5.9 billion. The expiration of a product patent or loss of market
exclusivity is likely to result in a reduction in sales.

Infectious disease products achieved operational growth of 33.1% as compared to
the same period a year ago. Growth was primarily driven by the contribution of
the COVID-19 vaccine. This was partially offset by lower sales of PREZISTA and
PREZCOBIX/REZOLSTA (darunavir/cobicistat) due to increased competition and loss
of exclusivity of PREZISTA in certain countries outside the U.S.

Neuroscience products achieved operational sales growth of 5.0% as compared to
the same period a year ago. Growth of Paliperidone long-acting injectables
INVEGA SUSTENNA/XEPLION (paliperidone palmitate) and INVEGA TRINZA/TREVICTA was
due to patient mix, new patient starts and persistence of treatment as well as
the launch of INVEGA HAFYERA.
Oncology products achieved operational sales growth of 14.9% as compared to the
same period a year ago. Contributors to the growth were strong sales of DARZALEX
(daratumumab) driven by share gains in all regions, continued strong market
growth, and solid uptake of the subcutaneous formulation; the continued global
launch uptake of ERLEADA (apalutamide) and IMBRUVICA (ibrutinib) growth in all
regions outside the U.S. In the U.S. IMBRUVICA (ibrutinib) declined due to
competitive pressures from novel oral agents.

Pulmonary Hypertension achieved operational sales growth of 1.2% as compared to
the same period a year ago. Sales growth of OPSUMIT (macitentan) and UPTRAVI
(selexipag) were due to demand and share gains partially offset by COVID-19
related market constraints as well as entrants in Other Pulmonary Hypertension.


Cardiovascular / Metabolism / Other products experienced an operational decline
of 11.9% as compared to the same period a year ago. The decline was primarily
attributable to lower sales of XARELTO due to a one-time favorable prior period
pricing adjustment in the fiscal first quarter of 2021 and INVOKANA/INVOKAMET
(canagliflozin) due to continued share erosion.

Starting in the second quarter of fiscal 2022, the Company updated its policy so
that no end customer will be permitted to direct delivery of product to a
location other than the billing location. The updated policy will impact
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 unlimited contract pharmacy
arrangements under policy exceptions. The Company 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 update could have potential discount and volume implications going
forward.

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MedTech*



The MedTech segment sales in the fiscal first quarter of 2022 were $7.0 billion,
an increase of 5.9% as compared to the same period a year ago, which included
operational growth of 8.5% and a negative currency impact of 2.6%. U.S. MedTech
sales increased 5.6%. International MedTech sales increased by 6.3%, including
operational growth of 11.1% and a negative currency impact of 4.8%. In the
fiscal first quarter of 2022, the net impact of acquisitions and divestitures on
the MedTech segment operational sales growth was a negative 0.1%.

Major MedTech Franchise Sales - Fiscal First Quarter Ended



                                                                         Total       Operations      Currency
  (Dollars in Millions)          April 3, 2022       April 4, 2021       Change        Change         Change
  Surgery                       $        2,434      $        2,372        2.6  %          5.0  %       (2.4) %
     Advanced                            1,146               1,118        2.5             4.5          (2.0)
     General                             1,288               1,254        2.7             5.5          (2.8)
  Orthopaedics                           2,188               2,113        3.5             5.6          (2.1)
     Hips                                  389                 356        9.3            11.3          (2.0)
     Knees                                 339                 317        6.7             8.8          (2.1)
     Trauma                                748                 733        2.1             4.2          (2.1)
     Spine, Sports & Other                 712                 707        0.6             2.7          (2.1)
  Vision                                 1,257               1,145        9.8            13.9          (4.1)
     Contact Lenses/Other                  910                 857        6.2            10.6          (4.4)
     Surgical                              347                 288       20.4            23.8          (3.4)
  Interventional Solutions               1,092                 949       15.1            17.4          (2.3)

  Total MedTech Sales           $        6,971      $        6,579        5.9  %          8.5  %       (2.6) %

*Previously referred to as Medical Devices



The Surgery franchise achieved operational sales growth of 5.0% as compared to
the prior year fiscal first quarter. The operational growth in Advanced Surgery
was primarily driven by Endocutter and Biosurgery products attributable to
market recovery, market expansion and the success of new products. Growth of
Endocutter products was offset by COVID-19 market slow down in the Asia Pacific
region and competitive pressures in the U.S. Energy products growth was flat to
the prior year fiscal first quarter with market recovery and new product
penetration mostly offset by COVID-19 market slow downs in Asia Pacific. The
operational growth in General Surgery was primarily driven by market recovery,
strength of the Suture portfolio, and technology penetration.

The Orthopaedics franchise achieved operational sales growth of 5.6% as compared
to the prior year fiscal first quarter. The operational growth in hips reflects
the market recovery, continued strength of the portfolio including the ACTIS
stem and enabling technologies - KINCISE and VELYS Hip Navigation and momentum
in the U.S. Ambulatory Surgery Center channel. The operational growth in knees
was primarily driven by market recovery and uptake of new products and momentum
in the U.S. Ambulatory Surgery Center channel. The operational growth in Trauma
was driven by global market recovery and uptake of new products. The operational
growth in Spine, Sports & Other was driven by recovery across most specialties,
new products in Sports, Spine & VELYS Digital Solutions and a prior year China
distribution channel change. Growth was partially offset by market softness and
competitive pressures in Spine.

The Vision franchise achieved operational sales growth of 13.9% as compared to
the prior year fiscal first quarter. The Contact Lenses/Other operational growth
was due to market recovery, new products and the U.S. benefit related to a
current year forward buy ahead of a list price increase. The growth was
partially offset by the negative impact from prior year stocking. The Surgical
operational growth was primarily due to market recovery and uptake of recently
launched products.

The Interventional Solutions franchise achieved operational sales growth of 17.4% as compared to the prior year fiscal first quarter driven by the market recovery, success of new products and commercial strategies.


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ANALYSIS OF CONSOLIDATED EARNINGS BEFORE PROVISION FOR TAXES ON INCOME



Consolidated earnings before provision for taxes on income for the fiscal first
quarter of 2022 was $5.9 billion representing 25.0% of sales as compared to $7.4
billion in the fiscal first quarter of 2021, representing 33.3% of sales.


Cost of Products Sold


                     [[Image Removed: jnj-20220403_g3.jpg]]

(Dollars in billions. Percentages in chart are as a percent to total sales)




Q1 2022 versus Q1 2021
Cost of products increased as a percent to sales driven by:
•Unfavorable volume/mix in the MedTech segment
•Commodity inflation in the Consumer Health segment

The intangible asset amortization expense included in cost of products sold for
the fiscal first quarters of 2022 and 2021 was $1.1 billion and $1.2 billion,
respectively.

Selling, Marketing and Administrative Expenses


                     [[Image Removed: jnj-20220403_g4.jpg]]

(Dollars in billions. Percentages in chart are as a percent to total sales)




Q1 2022 versus Q1 2021
Selling, Marketing and Administrative Expenses increased as a percent to sales
driven by:
•Higher brand marketing expenses in the Pharmaceutical and Consumer Health
businesses









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Research and Development Expense


                     [[Image Removed: jnj-20220403_g5.jpg]]

(Dollars in billions. Percentages in chart are as a percent to total sales)

Q1 2022 versus Q1 2021 Research and Development increased as a percent to sales driven by: •General portfolio progression in the Pharmaceutical business

In-Process Research and Development (IPR&D)



In the fiscal first quarter of 2022, the Company recorded an intangible asset
impairment charge of approximately $0.6 billion related to an in-process
research and development asset, bermekimab (JnJ-77474462), an investigational
drug for the treatment of Atopic Dermatitis (AD) and Hidradenitis Suppurativa
(HS). Additional information regarding efficacy of the AD indication became
available which led the Company to the decision to terminate the development of
bermekimab for AD. The Company acquired all rights to bermekimab from XBiotech,
Inc. in the fiscal year 2020.

Interest (Income) Expense



Interest (Income) Expense in the fiscal first quarter of 2022 was a net interest
income of $12 million as compared to interest expense of $48 million in the same
period a year ago primarily due to the benefit from net investment hedging, a
higher average cash balance and a lower average debt balance. The balance of
cash, cash equivalents and current marketable securities was $30.4 billion at
the end of the fiscal first quarter of 2022 as compared to $24.6 billion at the
end of the fiscal first quarter of 2021. The Company's debt position was $33.1
billion as of April 3, 2022 as compared to $33.6 billion the same period a year
ago.

Other (Income) Expense, Net*


Q1 2022 versus Q1 2021
Other (income) expense, net for the fiscal first quarter of 2022 was unfavorable
by $0.8 billion as compared to the prior year primarily due to the following:

Fiscal First Quarter


     (Dollars in Billions)(Income)/Expense                      2022       

2021 Change


     Changes in the fair value of securities                  $  0.4

0.0 0.4

Acquisition, integration and divestiture related(1) 0.0 (0.5) 0.5

Consumer Health separation costs                            0.1       

0.0 0.1


     Employee benefit plan related                              (0.3)      

(0.2) (0.1)


     Other                                                      (0.3)      

(0.2) (0.1)


     Total Other (Income) Expense, Net                        $ (0.1)     $

(0.9) $ 0.8

(1) Primarily related to divestiture gains of two pharmaceutical brands outside the U.S. in the fiscal first quarter of 2021.



*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), changes in
the fair value of securities, gains and losses on divestitures, gains and losses
on sale of assets, certain transactional currency gains and losses,
acquisition-related costs, litigation accruals and settlements, investment
(income)/loss related to employee benefit plans, as well as royalty income.


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EARNINGS BEFORE PROVISION FOR TAXES BY SEGMENT


Income (loss) before tax by segment of business for the fiscal first quarters
were as follows:

                                                     Income Before Tax                              Segment Sales                          Percent of Segment Sales
                                                                     April 4,
(Dollars in Millions)                         April 3, 2022            2021             April 3, 2022           April 4, 2021         April 3, 2022        April 4, 2021
Consumer Health                             $          686          $    842          $        3,586          $        3,641                 19.1  %              23.1  %
Pharmaceutical                                       3,924             5,169                  12,869                  12,101                 30.5                 42.7
MedTech                                              1,477             1,629                   6,971                   6,579                 21.2                 24.8
Segment earnings before tax                          6,087             7,640                  23,426                  22,321                 26.0                 34.2
Less: Expenses not allocated to
segments (1)                                           123               

211


Less: Consumer Health separation
costs                                                  102                 -
Worldwide income before tax                 $        5,862          $  7,429          $       23,426          $       22,321                 25.0  %              33.3  %

(1) Amounts not allocated to segments include interest (income) expense and general corporate (income) expense.

Consumer Health Segment

The Consumer Health segment income/(loss) before tax as a percent of sales in
the fiscal first quarter of 2022 was 19.1% versus 23.1% for the same period a
year ago. The decrease in the income before tax as a percent of sales in the
fiscal first quarter of 2022 as compared to the prior year was primarily driven
by the following:
•An increase in brand marketing expenses
•Commodity inflation

Pharmaceutical Segment



The Pharmaceutical segment income before tax as a percent of sales in the fiscal
first quarter of 2022 was 30.5% versus 42.7% for the same period a year ago. The
decrease in the income before tax as a percent of sales for the fiscal first
quarter of 2021 as compared to the prior year was primarily driven by the
following:
•An IPR&D charge of $0.6 billion in 2022 related to bermekimab (JnJ-77474462),
an investigational drug for the treatment of AD and Hidradenitis Suppurativa
(HS)
•Divestiture gains of $0.6 billion in 2021.
•Net mark-to-market loss related to the change in the fair value of securities
($0.4 billion in 2022 vs. $0.0 billion in 2021)
•Increased Research & Development investment for general portfolio progression
•Higher brand marketing expenses
MedTech Segment

The MedTech segment income before tax as a percent of sales in the fiscal first
quarter of 2022 was 21.2% versus 24.8% for the same period a year ago. The
decrease in the income before tax as a percent of sales for the fiscal first
quarter was primarily driven by the following:
•Product mix within the MedTech franchises


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Restructuring

In the fiscal second quarter of 2018, the Company announced plans to implement
actions across its Global Supply Chain that are intended to enable the Company
to focus resources and increase investments in critical capabilities,
technologies and solutions necessary to manufacture and supply its product
portfolio 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
billion in annual pre-tax cost savings that will be substantially delivered by
the end of 2022. The Company expects to record pre-tax restructuring charges of
approximately $2.1 to $2.3 billion by the completion of the program in December
2022. In the fiscal first quarter of 2022, the Company recorded a net pre-tax
charge of $72 million, which is included on the following lines of the
Consolidated Statement of Earnings, $70 million in restructuring, $16 million in
cost of products sold and income of $14 million (from property sales) in other
(income) expense, net. In the fiscal first quarter of 2021, the Company recorded
a pre-tax charge of $104 million, which is included on the following lines of
the Consolidated Statement of Earnings, $53 million in restructuring, $27
million in cost of products sold and $24 million in other (income) expense, net.
Restructuring charges of approximately $1.8 billion have been recorded since the
restructuring was announced.

See Note 12 to the Consolidated Financial Statements for additional details related to the restructuring.

Provision for Taxes on Income



The worldwide effective income tax rate was 12.2% in 2022 and 16.6% in 2021.
During fiscal year 2022, the Company is expected to incur significant additional
international tax costs related to the legal separation of the Consumer Health
businesses.

For discussion related to the fiscal first quarter of 2022 provision for taxes refer to Note 5 to the Consolidated Financial Statements.

LIQUIDITY AND CAPITAL RESOURCES

[[Image Removed: jnj-20220403_g6.jpg]] [[Image Removed: jnj-20220403_g7.jpg]]


                     [[Image Removed: jnj-20220403_g8.jpg]]


Cash Flows

Cash and cash equivalents were $10.5 billion at the end of the fiscal first quarter of 2022 as compared with $14.5 billion at the end of fiscal year 2021. The primary sources and uses of cash that contributed to the $4.0 billion decrease were:



        (Dollars In Billions)
        $                 14.5   Q4 2021 Cash and cash equivalents balance
                           4.0   cash generated from operating activities
                          (3.6)  net cash used by investing activities
                          (4.4)  net cash used by financing activities

        $                 10.5   Q1 2022 Cash and cash equivalents balance


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In addition, the Company had $19.9 billion in marketable securities at the end
of the fiscal first quarter of 2022 and $17.1 billion at the end of fiscal year
2021.

Cash flow from operations of $4.0 billion was the result of:



(Dollars In Billions)
$                  5.1    Net Earnings
                          non-cash expenses and other adjustments primarily for depreciation and
                          amortization, stock-based compensation, asset

write-downs and credit losses


                          and accounts receivable allowances partially 

offset by the deferred tax


                   1.6    provision and net gain on sale of 

assets/businesses



                  (1.0)   an increase in accounts receivable and inventories

                  (2.8)   a decrease in accounts payable and accrued liabilities
                   1.0    a decrease in other current and non-current assets
                   0.1    an increase in other current and non-current liabilities
$                  4.0    Cash Flow from operations


Investing activities use of $3.6 billion of cash was primarily used for:



  (Dollars In Billions)
  $                 (0.6)  additions to property, plant and equipment
                     0.2   proceeds from the disposal of assets/businesses, net
                    (0.3)  acquisitions, net of cash acquired and other
                    (2.7)  net purchases of investments

                    (0.2)  credit support agreements activity, net

  $                 (3.6)  Net cash used for investing activities


Financing activities use of $4.4 billion of cash was primarily used for:



(Dollars In Billions)
$                 (2.8)   dividends to shareholders
                  (1.6)   repurchase of common stock
                      0.0 net repayment of short and long term debt
                          proceeds from stock options exercised/employee 

withholding tax on stock


                   0.3    awards, net
                  (0.2)   credit support agreements activity, net
                  (0.1)   other and rounding
$                 (4.4)   Net cash used for financing activities



The Company has access to substantial sources of funds at numerous banks
worldwide. In September 2021, the Company secured a new 364-day Credit Facility.
Total credit available to the Company approximates $10 billion, which expires on
September 8, 2022. Interest charged on borrowings under the credit line
agreement is based on either Term Secured Overnight Financing Rate (SOFR)
Reference Rate or other applicable market rates as allowed under the terms of
the agreement, plus applicable margins. Commitment fees under the agreement are
not material.

In the fiscal first quarter of 2022, the Company's notes payable and long-term
debt was in excess of cash, cash equivalents and marketable securities. As of
April 3, 2022, the net debt position was $2.8 billion as compared to the prior
year of $9.0 billion. Considering recent market conditions and the on-going
COVID-19 crisis, the Company has re-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
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to the commercial paper markets will continue to provide sufficient resources to
fund operating needs, including the Company's approximate $0.9 billion in
contractual supply commitments associated with its development of the COVID-19
vaccine, the agreement to settle opioid litigation for $5 billion and the
establishment of the $2 billion trust for talc related liabilities (See Note 11
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. Subsequent
to April 3, 2022, the Company paid approximately $1.0 billion to the U.S.
Treasury including $0.8 billion related to the current installment due on
foreign undistributed earnings as part of the TCJA charge (see Note 1 to the
Consolidated Financial Statements in the Company's Annual Report on Form 10-K
for the fiscal year ended January 2, 2022) and $0.2 billion primarily related to
the normal estimated payment for the fiscal first quarter of 2022.


Dividends

On January 4, 2022, the Board of Directors declared a regular cash dividend of $1.06 per share, payable on March 8, 2022 to shareholders of record as of February 22, 2022.



On April 19, 2022, the Board of Directors declared a regular cash dividend of
$1.13 per share, payable on June 7, 2022 to shareholders of record as of May 24,
2022. The Company expects to continue the practice of paying regular quarterly
cash dividends.

OTHER INFORMATION

New Accounting Pronouncements

Refer to Note 1 to the Consolidated Financial Statements for new accounting pronouncements.

Economic and Market Factors



COVID-19 considerations and business continuity
The Company has considered various internal and external 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
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 2021 and 2020, 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 delivered and contractually obligated to be paid to these
contract manufacturing organizations of approximately $0.9 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 the global demand for the Covid-19 vaccine and its
related supply.

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
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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.

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 first quarter of 2022, including accounts receivable or inventory
reserves, was not material. As of both the 2021 fiscal year ending January 2,
2022, and the fiscal first quarter ending April 3, 2022, the business of the
Company's Ukraine subsidiaries represented less than 1% of the Company's
consolidated assets and revenues. As of both the 2021 fiscal year ending January
2, 2022, and the fiscal first quarter ending April 3, 2022, 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 continued to supply its products throughout the first quarter as
patients rely on many of the products for healthcare purposes. However, in early
March, the Company took steps to suspend all advertising, enrollment in clinical
trials, and any additional investment in Russia. Additionally, at the end of
March, the Company made the decision to suspend supply of personal care products
in Russia.

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 and currency exchange
rates continue to have an effect on worldwide economies and, consequently, on
the way the Company operates. The Company has accounted for operations in
Venezuela and Argentina as highly inflationary, as the prior three-year
cumulative inflation rate surpassed 100%. Beginning in the fiscal second quarter
of 2022, the Company will account for operations in Turkey as highly
inflationary, as the prior three-year cumulative inflation rate surpassed 100%.
This will not have a material impact on 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.

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 health care changes that may continue to
result in pricing pressures that include health care cost containment and
government legislation relating to sales, promotions and reimbursement of health
care products.

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.



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 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.

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