Johnson & Johnson reported first-quarter 2026 sales of $24.06 billion, up 9.9% from $21.89 billion a year earlier.
On an operational basis, sales rose 6.4%, while adjusted operational sales increased 5.3%. Net earnings fell to $5.24 billion from $11.00 billion, and diluted earnings per share declined to $2.14 from $4.54.
Adjusted net earnings were $6.61 billion, down 1.4% from $6.71 billion, and adjusted diluted EPS slipped 2.5% to $2.70 from $2.77. Free cash flow was about $1.5 billion, down from $3.38 billion in the prior-year quarter.
By geography, U.S. sales rose 8.3% to $13.33 billion from $12.31 billion. International sales increased 11.9% to $10.73 billion from $9.59 billion. Operational growth was 8.3% in the U.S. and 3.9% internationally, while adjusted operational growth was 8.3% domestically and 4.0% abroad.
By segment, Innovative Medicine sales climbed 11.2% to $15.43 billion from $13.87 billion. Operational growth in the segment was 7.4%, and adjusted operational growth was 5.6%. MedTech sales rose 7.7% to $8.64 billion from $8.02 billion, with operational growth of 4.6% and adjusted operational growth of 4.7%.
Within Innovative Medicine, growth came from Darzalex, Carvykti, Erleada, and Rybrevant/Lazcluze in oncology, Tremfya in immunology, and Spravato in neuroscience. That was partly offset by an approximate 920-basis-point drag from Stelara and by Imbruvica. MedTech growth was driven by electrophysiology products, Abiomed, Shockwave in cardiovascular, and trauma in orthopaedics.
Johnson & Johnson raised its 2026 outlook. It now expects estimated reported sales of $100.8 billion at the midpoint, up from $100.5 billion previously, and adjusted diluted EPS of $11.55 at the midpoint, up from $11.53. The new sales midpoint implies 7.0% growth, versus 6.7% in the prior outlook, while the EPS midpoint implies 7.1% growth, versus 6.9% before.
For the full year, the company lifted its adjusted operational sales midpoint to $100.2 billion from $100.0 billion and its adjusted operational EPS midpoint to $11.40 from $11.38. Today the company's shares have moved -0.29% to a price of $239.24. For more information, read the company's full 8-K submission here.
