The Cantillon File · Medicines and medical devices · Data to 2026-10-21

Johnson & Johnson JNJ

A medicines and devices group replacing its biggest lost patent with newer drugs. The open question is whether the replacement keeps pace once US price setting and the orthopaedics split land. Seven questions that follow the money through the business, the price and the tape. Every number comes from SEC filings and market data, and every score from a rule printed next to it.

Business quality
5.5/10
Middling, from the numbers
Growth the price assumes
Members
Chapter 05
Money flow
Members
Chapter 06, IVT terminal

What this File stands on. Annual figures: FY2025 10-K (year to 2025-12-28, filed 2026-02-11). "Last 12 months" figures add the quarters through 2026-09-27 (10-Q, filed 2026-10-21). Prices to 2026-10-21. The numbers rebuild every Monday, so each new 10-Q or 10-K appears within a week of filing. The written parts (business, defences, risks, the read) are from the FY2025 10-K, and the terminal read is dated 2026-10-17.

01 Where the money comes from

64 cents of every revenue dollar come from Innovative Medicine, up 6% on the year.

What it does

Discovers and sells prescription medicines, and makes the devices surgeons and heart doctors use in the operating room.

How it charges

Two businesses. Innovative Medicine sells drugs for cancer, immune diseases and the brain, and is about two thirds of sales. MedTech sells heart, surgery, orthopaedic and eye-care devices to hospitals.

Who buys, and why

Hospitals, surgeons, pharmacies and drug wholesalers, paid mostly by insurers and governments. Doctors pick the drug or device; patents and surgeon training keep them there.

Revenue by line, FY2025$99.3B last 12 months
Innovative Medicine64%+6% y/y
MedTech36%+6% y/y
Revenue by year+5.6% a year, 3 yrs
$78.7BFY22$80.0BFY23$85.2BFY23$88.8BFY24$94.2BFY25$99.3BTTM
57% United States23% Europe15% Asia-Pacific and Africa5% Americas outside the US
02 Where the money goes

Of every $100 of sales, $19 is left for owners once staff stock pay is counted as a cost.

Follow $100 of sales, TTM
$100Sales-32Cost ofsales$68Gross profit-41Runningcosts, tax,working$26Operatingcash flow-6Capitalspending$21Free cashflow-1Stock pay tostaff$19Ownerearnings
Owner earnings per $100 of sales
$24FY22
$20FY23
$20FY23
$21FY24
$19FY25
$19TTM

Owner earnings = operating cash flow minus capital spending minus stock-based pay. Stock pay is a real cost: it is paid in shares instead of cash.

What it is building Harvesting

It spends little on growth. The business is being run for cash, not built.

R&D, TTM2%of sales
Growth capex, TTM0%of sales, above depreciation
Owner earnings before growth spending$19per $100, against $19 after it
Return on the extra capitaln/a

R&D is treated as an investment written off over 5 years. Capital spending up to depreciation keeps the business standing; anything above it is growth spending. A company that puts more than 10% of sales into R&D and growth capex is building; it is paying off when after-tax profit has grown by at least 12 cents for every extra dollar of capital it put in.

03 Who ends up with it green

The share count is shrinking 3.0% a year, so each share owns a little more of the business every year.

Share count, per year-3.0%
Stock pay, % of sales1.4%
Returned, TTM$7.9B
Insiders own0.1%
Owner earnings per share+7.8% a year, 3 yrs
$6.96FY22$6.02FY23$6.67FY23$7.68FY24$7.55FY25$7.83TTM
Share count stable or falling-3.0% a year over 3 years
Stock pay below 10% of sales1.4% of sales (TTM)
Owner earnings per share growing+7.8% a year over 3 years

CEO Joaquin Duato, in the seat since 2022.

04 What protects it

The strongest defence is switching costs. Gross margin has been steady, within 3 points over 6 periods.

Switching costsModerate, stable

Surgeons train on one maker's devices and doctors stay with a drug that works, but a medicine loses that hold once cheaper copies arrive.

Network effectsNone, stable

A drug or device is no more useful because other patients use the same one.

Scale economiesModerate, stable

A research budget and sales force in the tens of billions few can match, though Pfizer, Merck, Roche and Medtronic work at the same scale.

Brand and intangiblesModerate, stable

Patents are the real asset, and they run out one product at a time, as Stelara is showing now.

Does it show in the numbers?Direction: Stable
Gross margin held within 5 points2.7 point range
Return on invested capital above 12%n/a
Profits turn into cash: free cash flow at least 80% of net income82% over 5 years

Sources are rated from the annual report (notes file). The two evidence checks are computed: margins that hold and high returns on capital are what a real defence looks like in the numbers.

05 What the price assumes Members

A reverse discounted cash flow: the growth today's price requires, set against what the business has actually delivered, and how that changes if you demand a different return.

06 Is money flowing in Members

The IVT terminal read on the weekly and daily charts: bias, money flow, strength, whether the entry window is open, and the sharp captures.

IVT terminal weekly chart for JNJ, blurred for the public version
07 What would break the case Members

The worst fall of the last five years, the balance sheet, the pressure points and the specific conditions that would break the case.

08 The read Members

Where the business sits on quality against price, the quality score line by line, and the conclusion.

Members

The rest of the JNJ File

Chapters 5 to 8: the growth today\'s price assumes, the full IVT terminal read with sharp captures, what would break the case, and the final read.

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Where every number comes from 14 figures, each linked to its SEC filing
FigureValuePeriodFiling
Revenue$94.2BFY2510-K, filed 2026-02-11RevenueFromContractWithCustomerExcludingAssessedTax
Gross profit$63.9BFY2510-K, filed 2026-02-11GrossProfit
Cost of sales$30.3BFY2510-K, filed 2026-02-11CostOfGoodsAndServicesSold
Net income$26.8BFY2510-K, filed 2026-02-11NetIncomeLoss
Operating cash flow$24.5BFY2510-K, filed 2026-02-11NetCashProvidedByUsedInOperatingActivities
Capital spending$4.8BFY2510-K, filed 2026-02-11PaymentsToAcquirePropertyPlantAndEquipment
Stock-based pay$1.4BFY2510-K, filed 2026-02-11ShareBasedCompensation
Buybacks$6.0BFY2510-K, filed 2026-02-11PaymentsForRepurchaseOfCommonStock
Diluted shares2,429MFY2510-K, filed 2026-02-11WeightedAverageNumberOfDilutedSharesOutstanding
Cash and investments$17.2B2026-09-2710-Q, filed 2026-10-21CashCashEquivalentsAndShortTermInvestments
Debt due within a year$2.0B2025-12-2810-K, filed 2026-02-11LongTermDebtCurrent
Long-term debt$35.8B2026-09-2710-Q, filed 2026-10-21LongTermDebtNoncurrent
Short-term borrowings$8.9B2026-09-2710-Q, filed 2026-10-21ShortTermBorrowings
Shareholders' equity$81.5B2026-09-2710-Q, filed 2026-10-21StockholdersEquity
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Educational research, not investment advice and not a recommendation to buy or sell any security. Scores are mechanical and reproducible from public filings; the notes are the author's judgment. Author position in JNJ: none. Sources: SEC EDGAR XBRL company facts (filings to 2026-09-27), daily prices to 2026-10-21. Past performance does not predict future returns.