Worldwide and Regional Sales Performance - Worldwide sales for the fiscal nine months of 2023 were 63.8billion,a6.260.1 billion in 2022, with operational growth of 7.5% and a negative currency impact of 1.3%[208] - U.S. sales for the fiscal nine months of 2023 were 34.4billion,a10.529.3 billion, a 1.5% increase, including operational growth of 4.2% and a negative currency impact of 2.7%[209] - Sales in Europe for the fiscal nine months of 2023 declined by 0.6%, with operational decline of 1.0% and a positive currency impact of 0.4%[210] - Worldwide sales for the fiscal third quarter of 2023 were 21.4billion,a6.820.0 billion in 2022, with operational growth of 6.4% and a positive currency impact of 0.4%[211] - U.S. sales for the fiscal third quarter of 2023 were 12.0billion,an11.19.4 billion, a 1.6% increase, including operational growth of 0.7% and a positive currency impact of 0.9%[212] Innovative Medicine Segment Performance - Innovative Medicine segment sales for the fiscal nine months of 2023 were 41.0billion,a4.213.9 billion, a 5.1% increase compared to the same period a year ago, with operational growth of 4.3% and a positive currency impact of 0.8%[216] - Immunology products achieved operational growth of 12.4%, with STELARA sales reaching 2.864billion,a16.941 million[217][220] - Neuroscience products grew 4.6% operationally, driven by SPRAVATO sales increasing 82.1% to 183million[217][221]−Oncologyproductssaw10.42.499 billion[217][221] - Pulmonary Hypertension sales grew 12.4% operationally, with UPTRAVI sales increasing 20.7% to 402million[217][222]−Cardiovascular/Metabolism/Otherproductsdeclined8.0625 million[217][222] MedTech Segment Performance - MedTech segment sales increased 10.0% to 22.7billion,withoperationalgrowthof12.04.681 billion, driven by the Abiomed acquisition[226] - Vision sales grew 4.3% to 3.864billion,withContactLenses/Othersalesup4.02.820 billion[226] - Total MedTech sales increased by 10.0% to 7.458billion,withoperationalgrowthof10.45.2 billion, representing 24.4% of sales[231] - Cost of products sold increased due to commodity inflation, restructuring-related excess inventory costs, and Abiomed amortization in the MedTech business[232] - Research and Development expenses decreased as a percent to sales, driven by cost management initiatives in the MedTech business and portfolio prioritization in the Innovative Medicine business[235] - Interest income in Q3 2023 was 374million,upfrom150 million in Q3 2022, due to higher rates of interest earned on cash balances[240] - Other (income) expense, net for Q3 2023 was unfavorable by 0.3billion,primarilyduetochangesinthefairvalueofsecurities[244]−TheCompany′sdebtpositionwas29.9 billion as of October 1, 2023, compared to 32.0billionthesameperiodayearago[240]−InnovativeMedicinesegmentincomebeforetaxincreasedto14.008 billion in the fiscal nine months of 2023, up from 12.424billionin2022,representing34.14.265 billion in the fiscal nine months of 2023, up from 3.641billionin2022,accountingfor18.810.236 billion, down from 15.519billionin2022,primarilyduetoa7 billion charge related to the talc settlement proposal and a 0.6billionunfavorablechangeinthefairvalueoftheretainedstakeinKenvue[245][246]−Theworldwideeffectiveincometaxrateforthefiscalninemonthsof2023was10.219.7 billion at the end of the fiscal third quarter of 2023, up from 14.1billionattheendoffiscalyear2022,drivenby14.9 billion in net cash generated from operating activities[256][257] - The Company secured a new 364-day Credit Facility of 10billioninSeptember2023,whichexpiresonSeptember5,2024,providingaccesstosubstantialsourcesoffunds[261]−AsofOctober1,2023,thecompanyhad23.5 billion in cash and equivalents, with a net debt position of 6.4billioncomparedtoaprioryearnetcashpositionof1.1 billion[266] - The company paid 4.9billiontotheU.S.Treasuryinthefiscalninemonthsof2023,including1.5 billion related to foreign undistributed earnings[267] - The company completed a 5.0billionsharerepurchaseprogramasofApril2,2023[267]−Thecompanydeclaredregularcashdividendsof1.19 per share in July and October 2023, payable in September and December respectively[268] Restructuring and Charges - The Company recorded a pre-tax restructuring charge of 0.4 billion in the fiscal nine months of 2023 related to the prioritization of its R&D investment within the Innovative Medicine segment, including the discontinuation of its RSV adult vaccine program[251] - The MedTech segment initiated a restructuring program in the third quarter of 2023, resulting in a pre-tax restructuring expense of 0.2 billion, primarily related to inventory and instrument charges from market and product exits[252] Kenvue IPO and Related Transactions - Kenvue completed its IPO on May 8, 2023, issuing 198,734,444 shares at 22.00pershare,raisingnetproceedsof4.2 billion[262] - Johnson & Johnson owned 89.6% of Kenvue's total outstanding shares post-IPO, with a non-controlling interest of 1.3 billion reflected in equity[262] - Johnson & Johnson disposed of 80.1% ownership of Kenvue through an exchange offer, receiving 31.4 billion in common stock and reducing its ownership to 9.5%[264] - Johnson & Johnson recorded a 21.0billiongainfromtheKenvueexchangeoffer,includinga2.8 billion gain on retained Kenvue shares[265] Subsidiaries and Regional Impact - The company's Russian subsidiaries represented less than 1% of consolidated assets and revenues as of October 1, 2023[270] - The company's Israel subsidiaries represented 1% of consolidated assets and less than 1% of revenues as of October 1, 2023[272] STELARA Biosimilar Settlement - The company anticipates no biosimilar version of STELARA in the U.S. until January 1, 2025, following settlements with third parties[220]