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Novo Resources
Annual Report 2009

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FY2009 Annual Report · Novo Resources
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Financial, social and environmental performance

Creating value 
through innovation

 
 
 
 
 
 
 
 
 
Performance
highlights 2009

Financial performance
Sales total 
Diabetes care 
Of which modern insulins 
Biopharmaceuticals 
Gross profit 
Gross margin 
Sales and distribution costs 
Research and development costs 
Administration expenses 
Operating profit 
Net profit 
Diluted earnings per share/ADR 
Effective tax rate 
Capital expenditure 
Free cash flow 

Long-term financial targets
Operating profit growth 
Operating margin 
Return on invested capital (ROIC) 
Cash to earnings (three-year average) 

Non-financial performance
Employees 
Employee turnover 
Employment impact worldwide (direct and indirect jobs) 
Least developed countries where Novo Nordisk
sells insulin according to the differential pricing policy 
New patent families (first filings) 
Total waste 
Energy consumption 

Non-financial targets
Maintain a level of engaging culture of 4.0 or above up to 2014 
Diversity in all 28 senior management teams by 2014 
Water consumption: 11% reduction by 2011 compared to 2007 
CO2 emissions: 10% reduction by 2014 compared to 2004 

Share performance
Dividend per share (proposed) 
Closing share price (B shares) 
Market capitalisation (B shares)*** 

DKK million 
DKK million 
DKK million 
DKK million 
DKK million 
% 
% of sales 
% of sales 
% of sales 
DKK million 
DKK million 
DKK 
% 
DKK million 
DKK million 

% 
% 
% 
% 

Number 
% 
Number of jobs 

Number 
Number 
Tons 
1,000 GJ 

Scale 1–5* 
%** 
% 
% 

DKK 
DKK 
DKK billion 

* Based on eVoice, an employee survey using a scale of 1–5, with 5 being the best.

** Diverse in gender and nationality.

*** Novo Nordisk B shares (excluding treasury shares).
See more financial and non-financial highlights and non-financial targets on pp 14–15.

2009 

51,078 
37,502 
21,471 
13,576 
40,640 
79.6 
30.2 
15.4 
5.4 
14,933 
10,768 
17.82 
23.0 
2,631 
12,332 

20.7 
29.2 
47.3 
111.5 

29,329 
8.3 
96,500 

36 
55 
21,019 
2,246 

4.3 
50 
(34) 
(31) 

7.50 
332 
159 

2008 

Change

45,553 
33,356 
17,317 
12,197 
35,444 
77.8
28.2
17.2
5.8
12,373 
9,645 
15.54  
24.0
1,754 
11,015 

38.4
27.2
37.4
97.6

27,068 
12.1
88,500 

32 
71 
20,346 
2,533 

4.2 
43 
(17) 
2 

6.00 
271 
136 

12.1%
12.4%
24.0%
11.3%
14.7%

20.7%
11.6%
14.7%

50.0%
12.0%

8.4%

9.0%

12.5%
(22.5%)
3.3%
(11.3%)

25.0%
22.5%
16.9%

 
 
 
For more than 85 years, Novo Nordisk has combined drug 
discovery with technology to turn science into solutions for 
people with diabetes, people with haemophilia, people with 
growth hormone deficiency and women experiencing the 
symptoms of menopause. Our commitment to research is 
reflected in our full portfolio of insulin products and the many
new treatment options in our pipeline.

At Novo Nordisk, decisions about our operations are driven by
the Triple Bottom Line: a commitment to social responsibility, 
sound environmental management and balanced economic 
growth.

With headquarters in Denmark, Novo Nordisk employs more
than 29,300 employees in 76 countries and markets its products 
in 179 countries. Novo Nordisk’s B shares are listed on the stock 
exchanges in Copenhagen and London and our ADRs are listed 
on the New York Stock Exchange under the symbol ‘NVO’. We 
expect to receive approval to delist our B shares from the London 
Stock Exchange during 2010. For more information about our 
company, visit novonordisk.com.

This public filing contains references and links to information posted on the company’s
website; such information is not incorporated by reference into the public filing. Additional 
reporting online provides more background, context and data. Many sections of this report 
reference additional online information, and an index on p 108 provides links to online content 
at annualreport2009.novonordisk.com.

Our 2009 accomplishments
and results
    2  Creating value through innovation
    5   Meeting changing healthcare needs

and societal expectations

    7  Performance in 2009
  13  Outlook 2010
  14  Performance highlights
  16  Pipeline progress
Diabetes care
  18  Diabetes care
  19  Victoza®: a treatment revolution
  19  Modern insulin portfolio
  20  Changing Diabetes®
  22  Expanding access
Biopharma ceuticals
  24  Biopharma ceuticals
  24  Commitment to haemophilia
  26  Changing Possibilities in Haemophilia®
  26  Leadership and innovation
How we work
  28  How we work
  28  Novo Nordisk Way of Management
  30  Our impact on society
  31  Engaging stakeholders
  32  Our people
  33  Working with integrity
  35  Environmental responsibility
Governance and leadership
  37  Corporate governance
  39  Executive remuneration
  40  Risk management
  43  Board of Directors
  46  Executive Management
Investor information
  47  Shares and capital structure
  50  Novo Nordisk at a glance
Consolidated financial and
non-financial statements 2009
  52  Consolidated financial statements
  89  Consolidated non-financial statement
  96  Supplementary information (unaudited)

  98  Financial statements of the Parent company

105  Management’s statement
106  Independent Auditor’s reports
Additional information
108  Index

Inside back cover:
    •  Our products
    •  References

Novo Nordisk Annual Report 2009     1

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2     Novo Nordisk Annual Report 2009

Creating
value through 
innovation

As the global economic environment and the reimbursement 
environment for medicines developed as we anticipated, with 
continuing challenges, we are pleased to be able to report very 
positive results for 2009.

We increased sales by 11% (measured in local currencies) and 
our reported operating profit by 21%. Dividends to shareholders 
paid during 2009 increased by 25% compared to the prior year. 
We also completed share repurchases of 6.5 billion Danish kroner 
during 2009.

Our accomplishments during the year also include measures 
that will provide a foundation for better long-term 
performance:

•   We launched a new product, Victoza®, which has the potential 
to improve diabetes care, and our research and development 
activities have resulted in a strengthened pipeline of new 
products for our therapeutic areas.

•   Overall we have improved our productivity, allowing us to 
invest more in research and development and expand our 
international sales and marketing organisation.

•   We have continued our efforts to expand access to diabetes 
care throughout the world as a company and via the World 
Diabetes Foundation.

•   We have decoupled growth in CO2 emissions from business 
growth. By the end of 2009, emissions from production had 
fallen below the level of the 2004 baseline year.

Progress in innovation
Our products are our greatest contribution to society. They pro-
vide significant benefits to patients, tangibly improving people’s 
health. To remain competitive we must constantly innovate, 
improving treatment outcomes, and in this area the last year has 
been very eventful. Victoza®, the first once-daily human GLP-1 
analogue, was approved and launched in Europe in the summer 
of 2009 and was approved in the US and Japan in January 2010. 
We are convinced that Victoza® will prove to be a valuable 
treatment option for type 2 diabetes in major markets around
the world.

Achieving market access and reimbursement for a new medicine 
in a new treatment class required strong evidence and compelling 
arguments for why this therapy should become a standard treat-
ment. We are gratified that the initial launches surpassed our 
expectations.

Photo: Lars Rebien Sørensen, president and chief executive officer

 
 
 
 
A new generation of insulins for both type 1 and type 2 diabetes, 
Degludec and DegludecPlus, continues to show promising results 
and has progressed to phase 3 trials. If preliminary results are 
confirmed, this new generation of insulins has the potential 
to offer better treatment for people with diabetes and further 
strengthen Novo Nordisk’s competitive position.

While the technical challenge of effective insulin treatment in tablet 
form is substantial, we are greatly encouraged by the progress our 
research and development teams have made during the past two 
years. Oral insulin could ensure improved treatment and better 
health for many people with diabetes, as greater convenience could 
lead to earlier and more diligent use of insulin therapy. Our first oral 
insulin preparation entered into phase 1 clinical trials at the end of 
2009 – a testament to our belief in this future treatment paradigm.

During 2009, we made notable advances in the development 
of our biopharmaceuticals pipeline, including progress with 
treatments for haemophilia A and B. We believe that we have 
an obligation and an opportunity to develop new and better 
ther apies both for inhibitor patients and for general haemophilia 
patients as well as other patients with rare coagulation disorders.

We launched a new product, 
Victoza®, which has the 
potential to improve diabetes 
care, and our research and 
development activities have 
resulted in a strengthened 
pipeline of new products
for our therapeutic areas.

Global values for global growth
In the insulin market we have maintained our position as the 
world leader with a market share of more than 50% by volume. 
We are continuing to increase market share in the modern 
insulin market and our portfolio of modern insulins was the key 
driver of our solid business performance in 2009. To expand our 
competitive position and brand awareness, not least among 
general practitioners, we have continued to increase our sales 
organisation in key markets.

As we grow and globalise our business, it is critical that all em-
ployees develop a deep understanding of the principles at the 
heart of the Novo Nordisk Way of Management, which describes 
our vision, our values, our commitment and our policies, and 
thereby guides all of our actions. Continual training is necessary 
as our business grows and attracts new people and as the 
regulatory environment and global norms change.

We acknowledge that in 2005 Novo Nordisk was one of many 
companies listed as paying fees to the Iraqi government in con-

Photo: Sten Scheibye, chairman of the Board of Directors

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Novo Nordisk Annual Report 2009     3

 
 
 
 
model that helps drive the market for renewable energy. Based 
on our experience, we believe that transformation to a low-
carbon economy is not only possible, it also offers a promise of 
economic returns.

Outlook
2010 is going to be a year of greater uncertainty for Novo Nordisk 
than we have seen in the past.

There are major healthcare reforms sweeping the globe, in 
particular in the US. We anticipate an impact on our business 
in the short term, but in the longer term, it is our expectation 
that healthcare reform will expand the use of particular 
pharmaceuticals to treat chronic diseases such as diabetes.

We are potentially facing the impact of patent expiration of our 
only oral antidiabetic drug, NovoNorm®/Prandin® in the US and 
EU during 2010 which is likely to impact sales growth.

In spite of these uncertainties, we are still forecasting significant 
growth in sales in local currencies and growth in operating profit. 
In other words, 2010 is going to be yet another exciting year for 
Novo Nordisk.

Thank you
We wish to thank everyone at Novo Nordisk for their tremendous 
efforts during 2009. Their contribution has solidified the foun-
dation of our company, which is trust in our products and trust
in Novo Nordisk. Finally, we also want to thank our shareholders 
and business partners for their support in yet another year when 
Novo Nordisk turned a positive return in the face of a rather grim 
financial picture.

Lars Rebien Sørensen
President and chief executive officer

Sten Scheibye
Chairman of the Board of Directors

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nection with contracts entered into under the programme that 
enabled Iraq to sell oil to meet humanitarian needs. During 2009, 
we reached settlement agreements with the US Securities and 
Exchange Commission, the US Department of Justice and the 
Danish Public Prosecutor for Serious Economic Crime regarding 
the company’s sales to Iraq from 2000 to 2003 under the United 
Nations Oil-for-Food programme.

Novo Nordisk has fully cooperated with the investigations of the 
company in connection with this matter. The mistakes committed 
were regrettable, and we have taken substantial measures to 
prevent similar events from occurring in the future. Our policies 
and procedures have been amended, and our training pro-
grammes reflect these measures. We are dependent upon our 
ability to delegate responsibility as far out in our organisation 
as possible, but this delegation of responsibility involves an 
obligation to comply with our values.

We are forecasting significant 
growth in sales in local 
currencies and growth
in operating profit.

Managing responsibly
As we see it, a business can only be sustainable in the long 
term if it meets stakeholders’ expectations regarding social and 
environmental impact, in addition to delivering strong financial 
performance. This is the core of our Triple Bottom Line approach.

Our approach to improving access to diabetes care in developing 
countries builds upon three main pillars:

•   Our long-term financial commitment to the World Diabetes 

Foundation, a leading funding body devoted solely to projects 
within diabetes care and prevention in the developing world

•   Our commitment to supply life-saving insulin at reduced cost

in the poorest countries of the world

•   Our Changing Diabetes® in Children programme, which 
was recently expanded to include Bangladesh as its sixth 
developing country. The programme builds sustainable 
partnerships to offer diabetes care, including free insulin,
for children with type 1 diabetes.

As a global business, we need a long-term and global framework 
to make decisions about our future operations. We would there-
fore have preferred clear targets for CO2 emissions from the 
COP15 meeting in Copenhagen in December 2009, but we 
acknowledge the tremendous obstacles to reaching such a 
commitment. We think that, viewed retrospectively, the outcome 
of the meeting, the Copenhagen Accord, will prove to be a 
turning point in the commitment to curb man’s impact on the 
climate.

At Novo Nordisk, we have experienced double-digit sales
growth rates in recent years. At the same time we have reduced 
CO2 emissions through greater efficiency and a new partnership 

4     Novo Nordisk Annual Report 2009

 
 
 
 
Meeting changing
healthcare needs and
societal expectations

Interview with Novo Nordisk’s CEO,
Lars Rebien Sørensen

As the global economy struggles to rebound and
governments and private payers face budget constraints
that impact healthcare spending, what are the
implications for the future of the healthcare industry?
The current economic downturn has impacted societies’ and 
individuals’ ability to pay for healthcare, including life-saving 
medicines. At an industry level, a lack of innovation also means 
that the number of new medicines approaching the market is 
not sufficient to replace revenue lost due to patent expiry. Of 
course, patent expiry also means that generic competition will 
lower society’s costs for existing treatments, creating room in 
healthcare budgets for new, innovative drugs that fulfil important 
medical needs.

While there are problems at an industry level, there are also 
significant opportunities. The prevalence of chronic disease is 
increasing everywhere, and the demand for better and more 
convenient therapies is immense. To address the growth in 
chronic disease, healthcare systems will need to evolve and 
change, with increased emphasis on prevention and wellness.

This trend has implications for how we approach innovation 
and treatment. In the treatment of diabetes, for instance, we 
need to consider the rise in obesity in many parts of the world, 
which is associated with a higher risk of chronic disease. The 
greatest improvements in quality of life will come from earlier 
interventions, halting or arresting disease progression.

During 2009, we undertook our third round of future scenario 
development to help us analyse the emergence of new paradigms 
that may impact healthcare and our business. One scenario we 
considered is a world where obesity becomes the new ‘normal’, 
with a wider range of medical and public health interventions. 
Another possible scenario involves a change in industry dynamics, 
with increased emphasis on medicines as part of the full cycle 
of care and payment tied to carefully monitored healthcare 
outcomes.

With a strong pipeline and a primary business focus on chronic 
disease, we believe we are well positioned for many of the 
challenges and potential changes facing the healthcare sector.

Where do you see future growth coming from?
In the near term, our growth will come primarily from the
global expansion of insulin therapy with modern insulin 
analogues, particularly in the US and emerging markets. 
In addition, we anticipate substantial growth from the 
introduction of Victoza®, a new once-daily human GLP-1 
analogue. 

One of the most interesting businesses we will develop in the 
next 10 years is a broad pipeline of treatments for haemophilia 
and rare coagulation disorders. We anticipate being the leading 
player in this field within 15 years.

As markets are becoming more global we are seeing a 
convergence of medical and regulatory practices. This favours 
companies with a global presence and the building of global 
brands. By continuing to expand globally, Novo Nordisk will 
continue to develop into a strong international competitor, but 
with a Danish heritage. 

Our people around the world build the business. The responsibility 
of management is to ensure that the business is built on Novo 
Nordisk values. Novo Nordisk’s heritage and values are of great 
importance to our stakeholders and to our ability to attract 
employees who want to work for a company that prioritises ethical 
behaviour and social and environmental responsibility – and 
combine these with attractive, sustainable financial returns.

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The prevalence of chronic 
disease is increasing 
everywhere, and the demand 
for better and more convenient 
therapies is immense. To 
address the growth in chronic 
disease, healthcare systems
will need to evolve and change, 
with increased emphasis on 
prevention and wellness.

How will healthcare reforms in various
markets impact Novo Nordisk in the near term?
Healthcare reforms are taking place all over the world with the 
aim of making provision of health services more affordable. This 
puts constant pressure on pricing of all products and services 
used.

Most noticeable is the ongoing work in the US to extend services 
and insurance coverage to a larger part of the population. This 
may lead to a reduction in prices in the US in the short term, 
particularly for people whose treatment is paid for by government 
programmes. Extending coverage to more people could improve 
the prevention and treatment of chronic diseases, which today 
are underdiagnosed and undertreated. Ultimately, more people 
may be treated.

Reforms are, however, a global theme as populations are growing 
older and consuming more healthcare services, and some parts
of the world are becoming affluent enough to be able to
afford heathcare services in the first place. Add to this an ever-
increasing expansion of treatment options, and you can begin
to understand the future funding difficulties.

How does Novo Nordisk define value for money?
Payers around the world are concerned about the cost of healthcare 
and the pricing of medicines. The requirement to substantiate 
healthcare purchases in terms of value for money is becoming an 
additional hurdle for product acceptance over and above clinical
trial and regulatory requirements for safety, efficacy and quality.

Novo Nordisk Annual Report 2009     5

 
 
 
 
diabetes products, so we have a responsibility to do what we
can to ensure that treatment is available. In Africa, for example, 
more people are dying of diabetes than of HIV/AIDS. The 
increased prevalence of diabetes is of a magnitude that will 
impact economic growth in many countries.

Giving products away is not sustainable. To create long-term 
change in healthcare systems, we need to have a substantial 
impact on healthcare infrastructure and capacity. For this 
reason we launched the World Diabetes Foundation in 2001. 
The WDF focuses exclusively on capacity-building and diabetes 
awareness in developing countries. Through our programme 
to reach children with type 1 diabetes, Changing Diabetes® in 
Children, we seek to improve distribution systems and healthcare 
education. By combining this with the company’s differential 
pricing scheme, which allows the poorest countries to buy our 
life-saving insulins at significantly reduced cost, we believe we 
can be part of the solution to healthcare access dilemmas.

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We create value for healthcare patients and payers by offering 
medicines and devices that significantly improve healthcare 
outcomes and quality of life or reduce the need for other health 
services. In diabetes, for example, we have made the case that 
earlier diagnosis and treatment can significantly reduce the 
burden on healthcare spending as diabetes, if left untreated, 
carries significant economic and humanitarian costs in the form 
of serious late-stage complications.

How will Novo Nordisk prepare for future challenges?
It is not enough to produce a drug that is slightly better than 
its predecessor. The need for evidence of improved healthcare 
outcomes is growing, as is the demand for solid evidence. This 
means we not only have to innovate, we have to achieve a
greater level of innovation than ever before. With a looming 
shortage of healthcare professionals in much of the world and 
existing healthcare systems overwhelmed by the increase in 
chronic disease, new types of innovation will also be required
as treatment processes change.

During 2009, we assessed the level of innovation within our 
organisation and how innovation is fostered. To challenge 
ourselves to continuously improve, we are introducing new
pilot programmes in 2010 to cultivate new ways of thinking
and working in several parts of our business. 

Another issue we must address is the fundamental trust society 
has in healthcare companies. Our sector needs to build stronger 
relationships with governments, regulators and people who need 
treatment and care. 

The need for evidence of 
improved healthcare outcomes 
is growing, as is the demand
for solid evidence. This
means we not only have
to innovate, we have to
achieve a greater level of 
innovation than ever before.

We understand the need to be open about how we operate. I 
anticipate our engagement with stakeholders will intensify and 
hope this will increase understanding of what we are trying to 
accomplish.

As the world leader in diabetes care, what is Novo Nordisk’s role?
Our dream and our hope is that we can cure diabetes. Our 
commitment is backed by substantial investment in diabetes 
research, but finding a cure for type 1 diabetes and preventing 
type 2 diabetes are very difficult tasks. In the absence of a
cure, we are leading the fight against diabetes, advocating
and working for improvements in prevention, earlier diagnosis, 
better treatments and, eventually, a cure.

We believe that access to health is a fundamental human right. 
We know that people around the world die of lack of access to 

6     Novo Nordisk Annual Report 2009

 
 
 
 
Performance in 2009

2009 was a successful year for Novo Nordisk with solid sales 
growth in all major business areas, continued improvement in
the gross margin and solid progress in the clinical development 
pipeline for key projects in both diabetes care and biopharma-
ceuticals. In 2009, we launched Victoza®, the first once-daily 
human GLP-1 analogue, in several markets in Europe.  Victoza® 
was approved in the US and Japan in January 2010. Our 
accomplishments during the year also include measures that
will provide a foundation for better long-term performance.
We have continued to improve the efficiency of our production 
and have decoupled growth in CO2 emissions from business 
growth. During 2009, we exceeded our target of a 10% absolute 
reduction in emissions from the 2004 baseline year.

Sales increased by 12% in Danish kroner and by 11% measured
in local currencies. Growth was realised within both diabetes
care and biopharmaceuticals. Modern insulins were again the 
main contributor to growth, increasing by 24% (23% in local 
currencies). NovoSeven® and Norditropin® also contributed
to the solid sales growth, increasing, by 11% (10% in local 
currencies) and by 14% (10% in local currencies) respectively.

Sales by
geographical area

(cid:81)(cid:3)Europe
(cid:81)(cid:3)North America
(cid:81)(cid:3)International Operations
(cid:81)(cid:3)Japan & Oceania

DKK billion

2009

2008

2007

2006

2005

51.1

45.6

41.8

38.7

33.8

0

10

20

30

40

50

60

DKK billion

Sales by therapy area

(cid:81)(cid:3)Diabetes care
(cid:81)(cid:3)Haemostasis management

(NovoSeven®)

(cid:81)(cid:3)Growth hormone therapy
(cid:81)(cid:3)Hormone replacement

therapy (HRT)
(cid:81)(cid:3)Other products

2009

2008

2007

2006

2005

51.1

45.6

41.8

38.7

33.8

0

10

20

30

40

50

60

Sales growth 
Local and reported rates

(cid:3)
(cid:3)

In DKK as reported
In local currencies

%

25

20

15

10

5

0

2005  2006  2007  2008  2009

Sales growth was realised in all regions. North America was the 
main contributor with 48% share of growth measured in local 
currencies. International Operations and Europe contributed 32% 
and 19%, respectively, of the total sales growth – also measured 
in local currencies.

Reported operating profit increased by 21% to DKK 14,933 
million. Adjusted for the impact from currencies, underlying 
operating profit increased by more than 15%.

Net profit increased by 12% to DKK 10,768 million and earnings 
per share (diluted) increased by 15% to DKK 17.82.

2009 performance against
long-term financial targets
By focusing on growth, profitability, financial return and 
generation of cash, our four long-term financial targets guide 
Novo Nordisk’s financial development and the way we seek to 
create shareholder value. Our long-term financial targets are 
operating profit growth, operating margin, return on invested 
capital and cash conversion.

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Operating margin

(cid:3) Target
(cid:3) Realised
(cid:3) Realised excl pulmonary
(cid:3) diabetes projects

Growth in
operating profit

(cid:3) Target
(cid:3) Realised
(cid:3) Realised excl pulmonary
(cid:3) diabetes projects

Return on 
invested capital 
(ROIC)

(cid:3) Target
(cid:3) Realised

Cash to earnings 
Three-year average

(cid:3) Target
(cid:3) Realised

%

50

40

30

20

10

0

%

50

40

30

20

10

0

%

50

40

30

20

10

0

%

125

100

75

50

25

0

2005  2006  2007  2008  2009

2005  2006  2007  2008  2009

2005  2006  2007  2008  2009

2005  2006  2007  2008  2009

Novo Nordisk Annual Report 2009     7

 
 
 
 
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Operating profit growth was realised at 21%. However, adjusted 
for the impact from currencies, the underlying operating profit 
growth increased by more than 15%. This performance reflects 
solid underlying sales growth as well as an improved gross 
margin. The long-term target is average annual operating profit 
growth of 15%.

The operating margin for 2009 was realised at 29%, up from 
27% in 2008, mainly driven by an improved gross margin. The 
long-term operating margin target is 30%.

The return on invested capital was 47%, a significant improve-
ment compared to 2008 when the return on invested capital was 
37%. The improvement mainly reflects solid growth in operating 
profit as well as a lower level of invested capital following contin-
ued working capital improvements but has also benefited from 
the development in key currencies. The long-term target for 
return on invested capital is 50%.

The cash-to-earnings ratio was realised at 115% in 2009 and
at 111% for the last three years on average. The long-term target 
for cash-to-earnings ratio is 80%. The cash-to-earnings ratio has 
been positively impacted by a relatively low level of investments 
during 2008 and 2009 compared to the long-term trend. The 
cash-conversion ability will inherently fluctuate between the 
individual years, and the long-term target therefore measures
the cash-to-earnings ratio over a three-year period.

Diabetes care
We continue to be the global leader with 51% of the total insulin 
market and 45% of the modern insulin market, both measured
by volume. We aim to expand our leadership position in diabetes 
care by leveraging the full portfolio of modern insulins in state-
of-the-art delivery devices, and continuing the launch of Victoza®, 
while developing new antidiabetic agents and a new generation 
of insulins to provide more effective diabetes care. See pp 18–23.

Sales performance
Sales of diabetes care products increased by 12% measured
in Danish kroner to DKK 37,502 million and by 11% in local 
currencies compared to 2008.

Modern insulins, human insulins
and protein-related products
Sales of modern insulins, human insulins and protein-related 
products increased by 13% in Danish kroner to DKK 34,850 
million and by 11% measured in local currencies, driven by
North America and International Operations. 

Our portfolio of modern insulins was the main contributor to 
growth and sales increased by 24% in Danish kroner to DKK 
21,471 million and by 23% in local currencies. All regions realised 
solid growth rates, with North America accounting for 51% of 
the growth followed by Europe and International Operations. 
Sales of modern insulins constituted 65% of our sales of insulin
in Danish kroner in 2009.

North America
Sales in North America increased by 25% in Danish kroner and
by 20% in local currencies in 2009, reflecting a solid penetration 
of the modern insulins Levemir®, NovoLog® and NovoLog® Mix 
70/30. We maintained our leadership position in the US insulin 
market with 42% of the total insulin market and 34% of the 
modern insulin market, both measured by volume. At the end

8     Novo Nordisk Annual Report 2009

of 2009, 40% of our modern insulin volume in the US was sold
in FlexPen®.

Europe
Sales in Europe were largely unchanged measured in Danish 
kroner and increased by 4% in local currencies during 2009. This 
reflects continued progress for the portfolio of modern insulins 
but also declining human insulin sales. Novo Nordisk holds 54% 
of the total insulin market and 51% of the modern insulin market, 
both measured by volume, and is capturing the main share of 
growth in the modern insulin market. The device penetration
in Europe remains high with more than 95% of Novo Nordisk’s 
insulin volume sold in devices at the end of 2009, primarily 
NovoPen® and FlexPen®.

Victoza®, the first once-daily human GLP-1 analogue, has been 
launched in Germany, the United Kingdom, Denmark, Ireland, 
Norway, Switzerland, the Netherlands, Greece and Sweden. 
Launch activities are progressing well in these markets and 
feedback from healthcare professionals and patients is encour-
aging. At the end of 2009, Victoza® had obtained market 
leadership in the expanding GLP-1 market in both Germany
and Denmark.

Insulin value 
market share 
Geographical areas

  Europe
  North America

International Operations
Japan & Oceania

Modern insulins 
Global value market 
share of segment

  NovoRapid®
  NovoMix®
  Levemir®

%

100

80

60

40

20

0

%

100

80

60

40

20

0

2005  2006  2007  2008  2009

2005  2006  2007  2008  2009

International Operations
Sales within International Operations increased by 17% in Danish 
kroner and by 19% in local currencies. The main contributor to 
growth in 2009 was sales of modern insulins, primarily in China 
and Turkey. Furthermore, sales of human insulin, primarily driven 
by China, continue to add to overall growth in the region. The 
device penetration in China is high with more than 90% of
our insulin volume sold in devices, primarily NovoPen®.

Japan & Oceania
Sales in Japan & Oceania increased by 12% measured in Danish 
kroner and decreased by 1% in local currencies. The sales 
development reflects sales growth for all three modern insulins, 
NovoRapid®, Levemir® and NovoRapid Mix® 30, countered by 

 
 
 
 
 
 
 
 
 
 
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pressure on the overall Novo Nordisk market share due to intense 
competition. Novo Nordisk holds 67% of the total insulin market 
in Japan and 59% of the modern insulin market, both measured 
by volume. The device penetration in Japan remains high with 
more than 95% of our insulin volume sold in devices, primarily 
NovoPen® and FlexPen®.

Oral antidiabetic products (NovoNorm®/Prandin®)
In 2009, sales of oral antidiabetic products increased by 11% in 
Danish kroner to DKK 2,652 million and by 9% in local currencies 
compared to 2008. This increase primarily reflects increased sales 
in International Operations, particularly China.

Biopharmaceuticals
We continue to grow our biopharmaceuticals therapy areas
by leveraging our specialised expertise with proteins and our 
understanding of chronic disease. Novo Nordisk is committed to 
developing innovative and improved ways to treat haemophilia
and other rare coagulation disorders, growth hormone 
deficiency, the symptoms of menopause and inflammatory 
diseases. See pp 24–27.

Sales performance
In 2009, sales of biopharmaceutical products increased by 11% 
measured in Danish kroner to DKK 13,576 million and by 9% 
measured in local currencies compared to 2008. 

NovoSeven®
Sales of NovoSeven® increased by 11% in Danish kroner to
DKK 7,072 million and by 10% in local currencies. Sales growth 
for NovoSeven® was primarily realised in International Operations 
and Europe. The sales growth for NovoSeven® mainly reflected 
increased sales from treatment of spontaneous bleeding episodes 
for congenital inhibitor patients, which remains the largest 
therapeutic area of use for NovoSeven®.

Norditropin®
Sales of Norditropin® (ie growth hormone in a liquid, ready-to-
use formulation) increased by 14% measured in Danish kroner
to DKK 4,401 million and by 10% measured in local currencies 
compared to 2008. North America and Europe were the main 
contributors to growth measured in local currencies. We 
maintained our position as the second-largest company in
the global growth hormone market with 24% market share 
measured by volume.

Other products
Sales of other products within biopharmaceuticals, which pre-
dominantly consist of hormone replacement therapy-related 
products, increased by 9% in Danish kroner to DKK 2,103 million 
and by 6% in local currencies. This development primarily reflects 
continued sales progress for Vagifem®, a topical oestrogen 
product, in the US.

Operating performance
The gross margin increased to 79.6% compared to 77.8% in 
2008. This improvement primarily reflects improved production 
efficiency, higher average selling prices in the US and a positive 
currency effect. The improved production efficiency primarily 
reflects higher yields in diabetes bulk production and increased 
utilisation of insulin filling and packaging lines. The gross margin 
was positively impacted by around 0.4 percentage points as a 
result of a positive currency development, primarily the higher 

value of the US dollar and the Japanese yen versus the Danish 
krone compared to 2008.

Gross margin

  Development 

in gross margin

%

85

80

75

70

65

2005  2006  2007  2008  2009

US dollar
Cover and exchange rate

(cid:81)(cid:3) Cover (left)
  Rate (right)

Months

25

20

15

10

5

0

Rate

570

550

530

510

490

12/08  03/09  06/09  09/09  12/09

Japanese yen
Cover and exchange rate

(cid:81)(cid:3) Cover (left)
  Rate (right)

Months

25

20

15

10

5

0

Rate

5.9

5.8

5.7

5.6

5.5

12/08  03/09  06/09  09/09  12/09

In 2009, total non-production-related operating costs increased 
by 12% to DKK 26,048 million compared to the same period
last year. Around 1.5 percentage points of the increase in 
non-production-related operating costs reflect the higher value 
of key currencies versus the Danish krone in 2009 compared to 
2008. The underlying development in non-production-related 
operating costs relates to the expanded sales forces in especially 
the US, the UK, Germany, Japan and China, countered by a stable 
level for research and development costs. The development in 
research and development costs primarily reflects non-recurring 
costs in 2008 related to the discontinuation of all pulmonary 
diabetes projects and of the growth hormone therapy project
for patients in low serum albumin in dialysis (Growth Hormone 
Therapy in LSAD) countered by costs in 2009 related to late-stage 
development of the new Degludec and DegludecPlus (formerly 
known as SIBA and SIAC) in the second half of 2009.

Licence fees and other operating income were DKK 341 million
in 2009 compared to DKK 286 million in 2008.

Operating profit in 2009 increased by 21% to DKK 14,933 million 
compared to 2008.

Novo Nordisk Annual Report 2009     9

 
 
 
 
 
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Research & 
development costs

(cid:81)(cid:3) Diabetes care

(excl pulmonary
  diabetes projects)
(cid:81)(cid:3) Biopharmaceuticals

DKK billion

2009

2008

2007

2006

2005

0

2

4

7.9

7.5

7.2

6.3

5.1

6

8

10

Net financials and tax
Net financials showed a net expense of DKK 945 million in 2009 
compared to a net income of DKK 322 million in 2008.

Included in net financials is the result from associated companies 
with an expense of DKK 55 million, primarily related to Novo 
Nordisk’s share of losses in ZymoGenetics, Inc. In 2008, the result 
from associated companies was an expense of DKK 124 million. 

For 2009, the foreign exchange result was an expense of
DKK 751 million compared to an income of DKK 141 million
in 2008. This development reflects losses on foreign exchange 
hedging of especially US dollars and Japanese yen, due to the 
appreciation of these currencies versus Danish kroner in 2009 
compared to the exchange rate level prevailing in 2008. 

The effective tax rate was 23.0%, a decrease from 24.0% in 
2008. 

Capital expenditure
and free cash flow
Net capital expenditure for property, plant and equipment for 2009 
was realised at DKK 2.6 billion compared to DKK 1.8 billion in 2008. 
The main investment projects in 2009 were the insulin filling plant in 
Tianjin, China, and new device manufacturing lines in Denmark.

Free cash flow for 2009 was realised at DKK 12.3 billion com-
pared to DKK 11.0 billion in 2008. The higher cash flow is driven 
by higher net profit and lower income taxes paid, countered by 
increased capital expenditure during 2009.

Equity
Total equity was DKK 35,734 million at the end of 2009, equivalent 
to 65% of total assets, unchanged from the end of 2008.

Proposed dividend 
At the Annual General Meeting on 24 March 2010, the Board of 
Directors will propose a 25% increase in dividend to DKK 7.50 per 
share of DKK 1, corresponding to a pay-out ratio of 40.9%, com-
pared to 37.8% for the financial year 2008. No dividend will be 
paid on the company’s holding of treasury B shares.

Share repurchase programme
During 2009, Novo Nordisk repurchased 21,661,949 B shares
at an average price of DKK 301 per share, equivalent to a cash 
value of DKK 6.5 billion, completing the share repurchase 
programme of DKK 19 billion initiated in 2006.

10     Novo Nordisk Annual Report 2009

The Board of Directors has approved a new DKK 7.5 billion share 
repurchase programme to be executed during 2010.

Share savings programme
In the autumn of 2009, the employees in the Danish part of
the organisation were offered participation in a share savings 
programme. An annual maximum of DKK 22,800 per participant 
can be saved out of gross salary in 2010. The savings will be 
converted into Novo Nordisk B shares at the market price on
7 December 2010 contingent on continued employment. The 
shares will be restricted until January 2018.

Approximately 8,400 employees elected to participate in the 
programme corresponding to 64% of the eligible employees. 
The total amount invested by employees will be approximately 
DKK 160 million. This programme is cost neutral to the 
company.

Holding of treasury shares
and reduction of share capital
As per 2 February 2010, Novo Nordisk A/S and its wholly-owned 
affiliates owned 32,137,945 of its own B shares, corresponding to 
5.2% of the total share capital. 

In order to maintain capital structure flexibility, the Board of 
Directors at the Annual General Meeting in 2010 will also pro-
pose a reduction in the B share capital from DKK 512,512,800 to 
DKK 492,512,800 by cancelling 20,000,000 B shares of DKK 1 
from the company’s own holdings of B shares at a nominal value 
of DKK 20,000,000, equivalent to 3.2% of the total share capital. 
After implementation of the share capital reduction, the com-
pany’s share capital will amount to DKK 600,000,000 divided 
into an A share capital of DKK 107,487,200 and a B share capital 
of DKK 492,512,800.

Legal issues
Novo Nordisk is party to a number of legal cases. See key legal 
issues and information on contingencies for pending litigations 
on pp 84–85.

Non-financial performance
Strategic management of the direct and indirect economic,
social and environmental impacts of our activities reduces risk 
and strengthens competitiveness. Managing our business using 
the Triple Bottom Line business principle helps ensure that 
decisions are balanced and take a long-term view, with the 
objective of protecting and enhancing shareholder and societal 
value. See pp 28–36.

2009 performance against
long-term non-financial targets
Long-term non-financial targets guide the company’s sustainability-
driven priorities in an increasingly dynamic business environment. 
Focus is on maximising positive social impacts by improving access 
to and quality of care and effectively managing resources to 
minimise environmental impacts.

During 2009, we met our long-term targets related to employee 
engagement and adherence to the Novo Nordisk Way of 
Management. We also made progress towards the diversity 
target we set in 2008. As a measure of our progress in expanding 
access to diabetes care, we also made progress in increasing 
adoption of our long-established differential pricing policy for 
insulin sales in least developed countries (LDCs).

 
 
 
 
 
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Our long-term target for reduction of CO2 emissions was achieved 
at the end of 2009, well ahead of schedule. Targets for water and 
total energy consumption were also achieved. 

Social
Performance on social dimensions continued on a positive trend 
with notable progress on all dimensions: people (employees), 
patients and communities. See p 89. 

People
In 2009, we onboarded 4,640 new employees, compared to
4,496 in 2008. The global growth trend continues as projected, 
with Europe and International Operations leading the expansion. 
At the end of 2009, the total number of employees was 29,329, 
which corresponds to 28,809 full-time positions. The total number 
of employees increased by 8%, from 27,068 at the end of 2008.

1,000 full-time positions

Full-time positions 
Geographical areas

(cid:81)(cid:3)Denmark
(cid:81)(cid:3)Europe 

(excl Denmark)
(cid:81)(cid:3)North America
(cid:81)(cid:3)International Operations
(cid:81)(cid:3)Japan & Oceania

2009

2008

2007

2006

2005

28.8

26.6

25.5

23.2

22.0

0

10

20

30

Sales per
full-time position

  Sales per

full-time position

DKK million
2.0

1.8

1.6

1.4

1.2

2005  2006  2007  2008  2009

DKK billion

1,000 tons

Climate strategy
impact

(cid:3) Sales (left)
(cid:3) CO2 emissions (right)

70

60

50

40

30

300

240

180

120

60

2005 2006 2007 2008 2009

In the same period, employee turnover decreased from 12.1% to 
8.3%, reflecting a continuous focus on retention which was likely 
reinforced by the economic environment.

Via the multiplier effect, the employment impact in 2009 – ie
the number of jobs created in the supply chain and through 
employees’ private consumption – was 96,500 jobs worldwide. 
Most notably, of the total increase of 8,000 the largest portion
is estimated to be in International Operations.

Productivity continued to increase, with sales per full-time position at 
an average of DKK 1.8 million, compared to DKK 1.7 million in 2008.

The ability to manage global growth and stimulate productivity 
and innovation is tracked via the internal facilitation process
and a set of engagement scores in the annual employee survey, 
eVoice. In 2009, the consolidated score (on a scale of 1–5, with
5 being best) was 4.3, an increase of 0.1 from 2008. Annual 
scores have been consistently above the long-term target of 
maintaining a level of 4.0 or above.

Similarly, the level of fulfilment of action points from facilitations
of local units’ adherence to the Novo Nordisk Way of Management 
was 93% in 2009, against a long-term target to maintain a level of 
80% or above. 

In 2008, we set a five-year goal to have diversity in terms
of gender and nationality in all senior management teams. 
Achievement of this goal relies on training, talent management 
and succession planning; activities that have all been scaled
up and intensified during the 12 months since the launch of
a renewed strategy for diversity management. At the end of 
2009, 50% of the senior management teams met the diversity 
criteria, an increase from 43% at the end of 2008.

Patients
Changing Diabetes®, our commitment to give people with 
diabetes priority, drive health outcomes and break the curve
of the diabetes pandemic, aims to deliver sustainable positive 
impacts for people with diabetes. Efforts are being made to 
improve systematic measuring, tracking and reporting on 
outcomes, from a patient perspective as well as the socio-
economic implications, of corporate-driven programmes as
well as local initiatives.

Developing healthcare capacity to improve the ability to diagnose 
and treat diabetes is key to achieving sustainable results in terms 
of improved access to care and personal health. Over the years, 
our investments in training and education of healthcare profes-
sionals have been significantly scaled up. Since 2002, we have 
conducted training programmes for a total of 805,000 healthcare 
professionals worldwide. During 2009, we also reached out to 
416,000 people with diabetes, offering training on how to 
manage their condition. 

Our pricing policy for people with diabetes in the world’s poorest 
countries (LDCs), in place since 2001, is now well-established in 
these markets. In 2009, we sold insulin at or below the policy price, 
not to exceed 20% of the average prices in the Western world, to 
36 out of all 49 LDCs, up from 32 out of 50 in 2008. Our long-term 
goal is for the differential pricing to be adopted in all LDCs.

Environment
Performance on environmental dimensions also improved,
and we successfully exceeded long-term targets for reduction
of CO2 emissions, water consumption and total energy 
consumption. Our environmental targets and performance 
management focus on impacts from production. See p 89.

Climate action
Our aim has been to decouple environmental impacts from 
production growth and this has now been accomplished for
CO2 emissions. At the end of 2009, we surpassed our 2014 target
of a 10% absolute reduction compared to 2004 – well ahead
of time. This accomplishment is the result of energy savings in
all production facilities globally. Savings from energy reductions 
in Denmark have been earmarked to purchase wind energy
to supply power for Danish operations from Horns Rev 2 – an 

Novo Nordisk Annual Report 2009     11

 
 
 
 
 
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offshore wind farm in the North Sea. The gradual conversion
to renewable power supplies began in the second half of 2009 
and is expected to be fully effective in 2010.

Resource efficiency
Consumption of water and energy for production decreased
in 2009 by 34% and 19%, respectively, compared to the 2007 
baseline. These reductions surpassed our long-term targets
of 11% reductions in both areas by 2011 compared to 2007. 

The total volume of waste increased to 21,019 tons in 2009 
from 20,346 tons in 2008, while the recycling percentage 
stayed consistent at 51%. The increased waste volume relates
to increases in production, but as we are aiming for absolute 
reductions of environmental impacts wherever possible, we 
intensified efforts to map and manage waste during 2009. 
Developing a long-term waste target is part of this process.

12     Novo Nordisk Annual Report 2009

 
 
 
 
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Outlook 2010

The current expectations for 2010 are summarised in the table 
below:

Expectations are as reported, 
if not otherwise stated 

Current expectations
2 February 2010

Sales growth
•  in local currencies 
•  as reported 

Operating profit growth
•  in local currencies 
•  as reported 

Net financial expense 

Effective tax rate 

Capital expenditure 

6–10%
At a similar level as local currencies

Around 10%
At a similar level as local currencies

Around DKK 100 million

Approximately 23%

Around DKK 3.5 billion

Depreciation, amortisation and impairment losses 

Around DKK 2.7 billion

Free cash flow 

Around DKK 12 billion

Novo Nordisk expects sales growth in 2010 of 6–10% measured 
in local currencies. This is based on expectations of continued 
market penetration for Novo Nordisk’s key strategic products 
within diabetes care, including continued global roll-out of 
Victoza®, and biopharmaceuticals as well as expectations of 
continued intense competition, potential generic competition
to NovoNorm®/Prandin® and an adoption of a healthcare
reform in the US. Given the current level of exchange rates versus 
Danish kroner, the reported sales growth is now expected to be 
at a level similar to the growth rate measured in local currencies.

For 2010, growth in operating profit is expected to be around 
10% measured in local currencies. The forecast reflects further 
improve ment of the gross margin, increased spending for R&D 
activities, primarily related to insulin Degludec and DegludecPlus, 
and higher licence fees and other operating income. Given the 
current level of exchange rates versus Danish kroner, the reported 
operating profit growth is now expected to be at a level similar to 

the growth rate measured in local currencies. Given the develop-
ment in key curren cies in 2009, a higher share of the 2010 growth 
for reported sales and operating profit is expected to be realised
in the second half of 2010.

For 2010, Novo Nordisk expects a net financial expense of around 
DKK 100 million. The current expectation primarily reflects Novo 
Nordisk share of losses in associated companies. 

The effective tax rate for 2010 is expected to be maintained at 
around 23%. 

Capital expenditure is expected to be around DKK 3.5 billion in 2010, 
primarily related to the new insulin formulation and filling plant in 
China and new device capacity in Denmark. Expectations for depre-
ciations, amortisation and impairment losses are around DKK 2.7 
billion, and free cash flow is expected to be around DKK 12 billion. 

All of the above expectations are based on the assumption that the 
global economic environment will not significantly change business 
conditions for Novo Nordisk during 2010 and that currency 
exchange rates, especially the US dollar, remain at the current level 
versus the Danish krone during 2010 (see appendix 7). Novo 
Nordisk has hedged expected net cash flows in a number of 
invoicing currencies and, all other things being equal, movements 
in key invoicing currencies will impact Novo Nordisk’s operating 
profit as outlined in the table below:

Key 
invoicing 
currency 

Annual impact on Novo Nordisk’s 
operating profit of a 5%  
movement in currency 

Hedging
period
(months)

USD 
JPY 
CNY 
GBP 
CAD 

DKK 580 million 
DKK 150 million 
DKK 100 million 
DKK 80 million 
DKK 40 million 

* USD used as proxy when hedging Novo Nordisk’s CNY currency exposure.

17
15
17*
13
9

The financial impact from foreign exchange hedging is included 
in ‘Net financials’.

Forward-looking statement
Novo Nordisk’s reports filed with or furnished to the US Securities and Exchange Commission 
(SEC), including this document and Form 20-F, both expected to be filed with the SEC in 
February 2010, and written information released, or oral statements made, to the public in the 
future by or on behalf of Novo Nordisk, may contain forward-looking statements. Words such
as ‘believe’, ‘expect’, ‘may’, ‘will’, ‘plan’, ‘strategy’, ‘prospect’, ‘foresee’, ‘estimate’, ‘project’, 
‘anticipate’, ‘can’, ‘intend’, ‘target’ and other words and terms of similar meaning in connection 
with any discussion of future operating or financial performance identify forward-looking 
statements. Examples of such forward-looking statements include, but are not limited to: 

•   statements of plans, objectives or goals for future operations, including those related to Novo 

Nordisk’s products, product research, product development, product introductions and 
product approvals as well as cooperations in relation thereto

•   statements containing projections of or targets for revenues, income (or loss), earnings per 

share, capital expenditures, dividends, capital structure or other net financials

•   statements of future economic performance, future actions and outcome of contingencies 

such as legal proceedings

These statements are based on current plans, estimates and projections. By their very nature, 
forward-looking statements involve inherent risks and uncertainties, both general and specific. 
Novo Nordisk cautions that a number of important factors, including those described in this 
document, could cause actual results to differ materially from those contemplated in any 
forward-looking statements.

Factors that may affect future results include, but are not limited to, global as well as local 
political and economic conditions, including interest rate and currency exchange rate 
fluctuations, delay or failure of projects related to research and/or development, unplanned
loss of patents, interruptions of supplies and production, product recall, unexpected contract 
breaches or terminations, government-mandated or market-driven price decreases for Novo 
Nordisk’s products, introduction of competing products, reliance on information technology, 
Novo Nordisk’s ability to successfully market current and new products, exposure to product 
liability and legal proceedings and investigations, changes in governmental laws and related 
interpretation thereof, including on reimbursement, intellectual property protection and 
regulatory controls on testing, approval, manufacturing and marketing, perceived or actual 
failure to adhere to ethical marketing practices, investments in and divestitures of domestic
and foreign companies, unexpected growth in costs and expenses, failure to recruit and retain
the right employees and failure to maintain a culture of compliance.

•   statements of the assumptions underlying or relating to such statements.

Please also refer to the overview of risk factors on pp 40–42.

In this document, examples of forward-looking statements can be found under the headings 
‘Creating value through innovation’, ‘Performance in 2009’, including long-term financial 
targets, ‘Outlook for 2010’ and note 28, ‘Financial risk’, on p 75.

Unless required by law Novo Nordisk is under no duty and undertakes no obligation to update
or revise any forward-looking statement after the distribution of this document, whether as a 
result of new information, future events or otherwise.

Novo Nordisk Annual Report 2009     13

 
 
 
 
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Performance highlights

DKK million 

2005 

2006 

2007 

2008 

Sales 
  Modern insulins (insulin analogues) 
  Human insulin 
  Protein-related sales 
  Oral antidiabetic products (OAD) 

  Diabetes care total 

  NovoSeven® 
  Norditropin® 
  Hormone replacement therapy 
  Other products 

  Biopharmaceuticals total 

Total sales by business segment 

  North America 
  Europe1 

International Operations1 
Japan & Oceania 

Total sales by geographical segment 

Increase in sales prices and volume/product mix 
Currency effect (local currency impact) 

Total sales increase as reported 

Financial performance
Depreciation, amortisation and impairment losses 
Operating profit 
Operating profit (excl AERx®)2 
Net financials 
Profit before income taxes 
Net profit 

Total assets 
Equity 

Investments in property, plant and equipment (net) 
Free cash flow3 

Financial ratios
Sales in percent:
  Modern insulins (insulin analogues) 
  Diabetes care total 
  Biopharmaceuticals total 

Percentage of sales
  Sales outside Denmark 
  Sales and distribution costs 
  Research and development costs 
  Research and development costs (excl AERx®)2 
  Administrative expenses 

Gross margin3 
Net profit margin3 
Effective tax rate3 
Equity ratio3 
Return on equity3 
Payout ratio3 
Payout ratio adjusted for impact of Dako and AERx® 

Ratios for long-term financial targets 
Operating profit margin 
Operating profit margin (excl AERx®)2 
Growth in operating profit 
Growth in operating profit (excl AERx®)2 
Growth in operating profit, three-year average 
Return on invested capital (ROIC)3 
Cash to earnings 
Cash to earnings, three-year average 

Share ratios5
Basic earnings per share/ADR in DKK 
Diluted earnings per share/ADR in DKK 
Dividend per share in DKK 

14     Novo Nordisk Annual Report 2009

7,298 
13,543 
1,463 
1,708 

24,012 

5,064 
2,781 
1,565 
338 

9,748 

33,760 

9,532 
14,020 
5,497 
4,711 

33,760 

15% 
1% 

16% 

1,930 
8,088 
8,088 
146 
8,234 
5,864 

41,960 
27,634 

3,665 
4,833 

21.6% 
71.1% 
28.9% 

99.2% 
28.7% 
15.1% 
15.1% 
6.3% 

72.8% 
17.4% 
28.8% 
65.9% 
21.7% 
33.2% 
33.2% 

24.0% 
24.0% 
15.9% 
15.9% 
11.0% 
24.7% 
82.4% 
82.4% 

8.95 
8.92 
3.00 

10,825 
13,451 
1,606 
1,984 

27,866 

5,635 
3,309 
1,607 
326 

10,877 

38,743 

12,280 
15,300 
6,494 
4,669 

38,743 

16% 
(1%) 

15% 

2,142 
9,119 
9,119 
45 
9,164 
6,452 

44,692 
30,122 

2,787 
4,707 

27.9% 
71.9% 
28.1% 

99.2% 
30.0% 
16.3% 
16.3% 
6.2% 

75.3% 
16.7% 
29.6% 
67.4% 
22.3% 
34.4% 
34.4% 

23.5% 
23.5% 
12.7% 
12.7% 
12.4% 
25.8% 
73.0% 
80.2% 

10.05 
10.00 
3.50 

14,008 
12,572 
1,749 
2,149 

30,478 

5,865 
3,511 
1,668 
309 

11,353 

41,831 

13,746 
16,350 
7,295 
4,440 

41,831 

13% 
(5%) 

8% 

3,007 
8,942 
10,267 
2,029 
10,971 
8,522 

47,731 
32,182 

2,268 
9,012 

33.5% 
72.9% 
27.1% 

99.2% 
29.6% 
20.4% 
17.2% 
6.0% 

76.6% 
20.4% 
22.3% 
67.4% 
27.4% 
32.8% 
34.9% 

17,317 
11,804 
1,844 
2,391 

33,356 

6,396 
3,865 
1,612 
324 

12,197 

45,553 

15,154 
17,219 
8,425 
4,755 

45,553 

12% 
(3%) 

9% 

2,442 
12,373 
12,698 
322 
12,695 
9,645 

50,603 
32,979 

1,754 
11,015 

38.0% 
73.2% 
26.8% 

99.2% 
28.2% 
17.2% 
16.5% 
5.8% 

77.8% 
21.2% 
24.0% 
65.2% 
29.6% 
37.8% 
37.8% 

2008–2009

Change
4,154
(489)
220
261

4,146

676
536
132
35

1,379

5,525

3,125
321
1,401
678

5,525

109
2,560
2,235
(1,267)
1,293
1,123

4,139
2,755

877
1,317

2009 

21,471 
11,315  
2,064 
2,652 

37,502 

7,072 
4,401 
1,744 
359 

13,576 

51,078 

18,279 
17,540 
9,826 
5,433 

51,078 

11%
1%

12%

2,551 
14,933 
14,933 
(945) 
13,988 
10,768 

54,742 
35,734 

2,631 
12,332 

42.0%
73.4%
26.6%

99.2%
30.2%
15.4%
15.4%
5.4%

79.6%
21.1%
23.0%
65.3%
31.3%
40.9%
40.9%

Long-term
financial targets4
30%

15%

50%

80%

21.4% 
24.5% 
(1.9%) 
12.6% 
8.9% 
27.2% 
105.7% 
87.0% 

13.49 
13.39 
4.50 

27.2% 
27.9% 
38.4% 
23.7% 
16.4% 
37.4% 
114.2% 
97.6% 

15.66 
15.54 
6.00 

29.2% 
29.2%
20.7% 
20.7%
19.1%
47.3% 
114.5%
111.5% 

17.97
17.82
7.50

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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Social performance 
Employees:
North America 
Europe 
International Operations 
Japan & Oceania 

Total employees 

Employment impact worldwide
(direct and indirect):
North America 
Europe 
International Operations 
Japan & Oceania 

Total employment impact (direct and indirect) 

Ratios, scales and numbers 
Fulfilment of action points from 
facilitations of the NNWoM (%)6 

Engaging culture (employee engagement) 
on a scale of 1–57 

Diverse senior management teams (%)8 

Warning letters and re-inspections 

LDCs9 where Novo Nordisk sells insulin
according to the differential pricing policy (%) 

Company reputation with external key 
stakeholders on a scale of 0–10010 

Environmental performance 
Diabetes care:
Energy consumption (1,000 GJ) 
Water consumption (1,000 m3) 
CO2 emissions from energy consumption (1,000 tons) 
Biopharmaceuticals:
Energy consumption (1,000 GJ) 
Water consumption (1,000 m3) 
CO2 emissions from energy consumption (1,000 tons) 
Other:11
Energy consumption (1,000 GJ) 
Water consumption (1,000 m3) 
CO2 emissions from energy consumption (1,000 tons) 

Ratios 
Energy consumption 
(% change compared to 2007) 

Water consumption 
 (% change compared to 2007) 

CO2 emissions from energy consumption 
(% change compared to 2004) 

2005 

2006 

2007 

2008 

2009 

2,482 
15,582 
3,510 
886 

22,460 

6,785 
59,172 
9,686 
2,373 

78,000 

88 

– 

– 

1 

64 

2,850 
15,577 
4,199 
987 

23,613 

7,466 
61,160 
11,616 
2,507 

82,700 

88 

4.0 

– 

0 

68 

3,940 
16,100 
4,943 
1,025 

26,008 

10,522 
54,384 
14,085 
2,583 

81,600 

91 

4.1 

– 

0 

72 

3,727 
16,721 
5,587 
1,033 

27,068 

10,004 
58,770 
17,148 
2,604 

88,500 

92 

4.2 

43 

0 

64 

4,076 
17,686 
6,557 
1,010 

29,329 

10,896 
61,533 
21,429 
2,616 

96,500 

93 

4.3 

50 

0 

74 

74.3 

73.8 

74.0 

72.4 

76.3 

– 
– 
– 

– 
– 
– 

– 
– 
– 

– 

– 

9 

1,916 
2,625 
164 

335 
186 
32 

461 
184 
33 

– 

– 

9 

2,182 
2,907 
177 

323 
175 
30 

279 
149 
29 

– 

– 

12 

1,803 
2,377 
146 

302 
166 
28 

428 
141 
41 

(9) 

(17) 

2 

1,544 
1,817 
99 

292 
143 
19 

410 
189 
28 

(19) 

(34) 

(31) 

2008–2009

Change

349
965
970
(23)

2,261

892
2,763
4,281
12

8,000

Long-term
social targets
80% or above
up to 2014

4.0 or above
up to 2014

100% by 2014

0

100%

Improve
(or maintain)

Change

(259)
(560)
(47)

(10)
(23)
(9)

(18)
48
(13)

Long-term
environmental targets
11% reduction by 2011
compared to 2007

11% reduction by 2011
compared to 2007

10% reduction by 2014
compared to 2004

  1   Comparative sales figures for 2005 and 2006 have been adjusted in order to reflect a changed organisational structure from 1 January 2007

which transferred eight countries, including Bulgaria and Romania, from Region International Operations to Region Europe.

  2   Excluding costs related to the discontinuation of pulmonary diabetes projects in 2007.
  3   For definitions, please refer to p. 88.
  4   The long-term financial targets were updated in January 2009.
  5   In 2007, there was a stock split of the company’s A and B shares. The trade unit was changed from DKK 2 to DKK 1.

The comparative figures for 2005 and 2006 have been updated accordingly.

  6   NNWoM is an abbreviation of the Novo Nordisk Way of Management.
  7   Based on eVoice, an employee survey using a scale of 1–5, with 5 being the best.
  8   Diverse in terms of gender and nationality.
  9   The Least Developed Countries as defined by the UN.
10   Company reputation is measured by an independent external consultancy firm.
11   ‘Other’ consists of consumption and emissions that cannot directly be linked to the production of either diabetes care or biopharmaceuticals.

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Pipeline progress

In 2009, significant progress was made across Novo Nordisk’s clinical 
development pipeline. This overview illustrates key development 

activities: entries into the pipeline, progression of development 
compounds, exits from the pipeline and major regulatory approvals.

Phase 1
Studies in a small group of healthy volunteers, and sometimes 
patients, usually between 10 and 100, to investigate how the body 
handles new medication and establish maximum tolerated dose.

Phase 2
Testing a drug at various dose levels in a larger group of patients
to learn about its effect on the condition and its side effects.

Diabetes care

Oral insulin
(Type 1 and type 2 diabetes)

Diabetes care

Semaglutide
(Type 2 diabetes)

We are exploring the possibilities of an oral insulin preparation to 
improve convenience of treatment. A phase 1 trial involving 84 people 
was initiated in November 2009.

Semaglutide is a long-acting human GLP-1 analogue designed to treat 
type 2 diabetes. The phase 2 clinical trial involving more than 400 
people was completed in 2009.

Biopharmaceuticals

Recombinant factor XIII analogue
(Cardiac surgery)

We are developing a recombinant factor XIII analogue intended for the 
treatment of patients undergoing cardiac surgery with cardio-
pulmonary bypass to reduce the need for allogenic blood transfusions. 
The phase 2 clinical trial, involving about 400 people, was initiated in 
2009.

Once-weekly growth hormone
(Growth hormone deficiency)

We are developing a long-acting growth hormone derivative intended 
to improve patient convenience by reducing the number of injections 
needed. In 2009, we completed a phase 2 clinical trial involving more 
than 30 adults with growth hormone deficiency and initiated a phase 2a 
trial involving approximately 30 children with growth hormone 
deficiency.

Long-acting, recombinant
factor VIIa derivative
(Haemophilia patients with inhibitors)

We are developing a long-acting, recombinant factor VIIa derivative. 
With its long duration of action, it is intended to enable the prevention 
of bleeding in haemophilia patients with inhibitors. The phase 2 clinical 
trial, begun in 2009, is expected to involve about 25 people.

Fast-acting, recombinant
factor VIIa analogue
(Haemophilia patients with inhibitors)

We are developing a fast-acting, recombinant factor VIIa analogue 
designed to deliver predictable, fast and sustainable clotting. The 
ongoing phase 2 clinical trial involves about 90 people.

Oral GLP-1
(Type 2 diabetes)

We are exploring the possibilities of an oral GLP-1 preparation to 
improve convenience of treatment. A phase 1 trial was initiated in 
January 2010 involving 155 people.

GIC
(Type 2 diabetes)

GIC, a combination of a basal insulin and a GLP-1 analogue, is being 
developed for people with type 2 diabetes. The phase 1 clinical trial 
initiated in 2009 involves 24 people.

NN9161
(Obesity)

We are developing NN9161 for the treatment of obesity. A phase 1 trial 
was initiated during 2009 involving approximately 140 overweight or 
obese but otherwise healthy people.

Biopharmaceuticals

Anti-C5aR
(Rheumatoid arthritis)

We are developing anti-C5aR, a monoclonal antibody blocking the C5aR 
receptor, for the intended treatment of rheumatoid arthritis. The ongoing 
phase 1 trial involves about 50 people.

NN8555 
(Rheumatoid arthritis)

NN8555 is a monoclonal antibody intended for the treatment of 
rheumatoid arthritis. The phase 1 clinical trial, which involves around
50 people, was initiated in 2009.

Anti-IL20
(Psoriatic arthritis and rheumatoid arthritis)

We are developing a monoclonal antibody for neutralising the 
interleukin 20 protein, for the intended treatment of psoriatic arthritis 
and rheumatoid arthritis. The ongoing phase 1 development 
programme is expected to involve about 80 people. 

Long-acting, recombinant factor IX derivative
(Haemophilia B)

We are devoloping a long-acting, recombinant factor IX derivative 
intended for the treatment of haemophilia B. The long duration of action 
is intended to support less frequent treatment administration and to 
enable the prevention of bleeding. The phase 1 clinical trial, begun in 
2009, is expected to involve 15 people.

Subcutaneous, long-acting, recombinant
factor VIIa derivative
(Haemophilia patients with inhibitors)

We are investigating the bioavailability of subcutaneous injections of
a long-acting, recombinant factor VIIa derivative intended to improve 
treatment convenience. The phase 1 clinical trial, begun in 2009, is 
expected to involve about 30 people.

16     Novo Nordisk Annual Report 2009

 
 
 
 
See more at novonordisk.com/investors/rd_pipeline/rd_pipeline.
asp and clinicaltrials.gov.

Phase 3
Studies in large groups of patients worldwide comparing the new 
medication with a commonly used drug or placebo for both safety 
and efficacy in order to establish its risk–benefit relationship.

Filed/regulatory approval
A New Drug Application is submitted for review by various 
government regulatory agencies.

Diabetes care

Degludec (insulin degludec)
(Type 1 and type 2 diabetes)

Diabetes care

Victoza®
(Type 2 diabetes)

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Victoza®, the first once-daily human GLP-1 analogue, is targeted as
a treatment for type 2 diabetes as an adjunct to diet and exercise, both 
as monotherapy and in combination with commonly used antidiabetic 
medications. The clinical development programme involved about
6,500 people. In 2009, Victoza® was approved and launched in Europe. 
It was approved in the US and Japan in January 2010 and regulatory 
approval is pending in other markets.

Biopharmaceuticals

Vagifem® low dose
(Hormone replacement therapy)

Vagifem® low dose is a topical product for vaginal application. It was 
approved in the US in November 2009 and in Europe in January 2010.

We are developing a new generation of ultra-long-acting basal insulin 
analogue with a duration of action of more than 24 hours. Degludec is 
intended for the treatment of type 1 and type 2 diabetes in adults. A 
phase 3 development programme, BEGIN™, expected to involve 7,000 
people, was initiated in 2009.

DegludecPlus (insulin degludec/insulin aspart)
(Type 1 and type 2 diabetes)

We are developing a new generation of ultra-long-acting basal insulin 
with a bolus boost of rapid-acting insulin (NovoRapid®). DegludecPlus
is intended for the treatment of type 1 and type 2 diabetes in adults.
A phase 3 development programme, BOOST™, expected to involve 
3,000 people, was initiated in 2009.

Liraglutide
(Obesity)

We are investigating the use of liraglutide as an antiobesity treatment. 
The ongoing phase 3 programme is expected to involve around
5,000 people and will focus on weight loss and prevention of weight 
gain in people with type 2 diabetes.

Biopharmaceuticals

Recombinant factor VIII
(Haemophilia A)

We are developing a recombinant factor VIII intended for the treatment 
of haemophilia A. In 2009, Novo Nordisk initiated a phase 3 clinical trial 
expected to involve about 140 people.

Recombinant factor XIII analogue
(Congenital factor XIII deficiency)

We are developing a recombinant factor XIII analogue intended to treat 
factor XIII deficiency. The phase 3 trial, fully enrolled in 2009, involves
40 people.

Novo Nordisk Annual Report 2009     17

 
 
 
 
Diabetes
care

Novo Nordisk has been in the business of diabetes for 85 years 
and has pioneered many therapeutic breakthroughs in diabetes 
care. Today, diabetes remains our primary focus, accounting for 
73% of 2009 sales. The company is the market leader with 51% 
of the total insulin market and 45% of the modern insulin (insulin 
analogue) market, based on volume, at year end.

Diabetes is a metabolic disorder affecting the way our bodies 
use digested food for growth and energy. Much of the food we 
eat is broken down into glucose, the form of sugar in the blood. 
Glucose is the main source of fuel for the body. When we eat, 
the pancreas automatically produces the right amount of insulin 
to move glucose from blood into our cells. In people with 
diabetes, however, the pancreas either produces little or no 
insulin or the cells do not respond appropriately to the insulin 
that is produced. 

We are dedicated to creating value for patients by changing 
diabetes – changing how it is treated, how it is viewed around the 
world, and how the future of the disease evolves. While we seek 
to offer innovative solutions that fit the way people want to live, 
changing diabetes cannot be achieved through science alone.
We have to effect change at every level: in research, in education, 
in public policy, and in humanitarian and outreach efforts.

Range of treatment options
Our edge in scientific discovery and our expertise with proteins 
make us uniquely positioned to address the issues at the core of
the diabetes epidemic: insulin deficiency and the complexities
of treating it. Our goal is to offer people with diabetes, and their 
healthcare providers, a wide range of treatment options.

We are the only company with a full portfolio of modern insulins. 
We also produce the most widely used prefilled and durable 
insulin pen devices in the world. Beginning with the first patients 
treated with insulin in the 1920s, we have been dedicated to 
continuously improving the safety, effectiveness and convenience
of diabetes treatment.

Our leadership position within diabetes care is bolstered by the 
fact that we are the only company with two new-generation 
insulins in late-stage clinical development. If successful, this new 
generation of insulins is expected to offer even better treatment 
outcomes and convenience for people with diabetes. 

Novo Nordisk is looking at new ways to prevent type 2 diabetes
by treating its prestages, including obesity, which is known to be a 
major risk factor in developing type 2 diabetes. We are conducting 
a phase 3 trial for liraglutide treatment of obesity. From a 

Photo: To improve treatment compliance and outcomes, we look for new 
ways to make it easier for people with diabetes to take insulin and make
sure that products more closely resemble the body’s natural insulin curve.
Ib Jonassen, senior principal scientist and project director, Diabetes Protein 
Engineering, is one of the inventors of Degludec, a new insulin under 
development. Ultra-long-acting Degludec is in phase 3 clinical trials.

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Creating value
by improving 
treatment 
outcomes

18     Novo Nordisk Annual Report 2009

 
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commercial perspective, moving into prediabetes and obesity 
treatment offers attractive potential, but also many challenges.

also been granted in the US and Japan and we will launch the 
product in both markets in 2010.

“Our commercial strategy is to expand our global leadership 
within modern insulin, gain GLP-1 leadership and continue to 
offer innovations, including devices, that address unmet medical 
needs,” says Kåre Schultz, executive vice president and chief 
operating officer. 

Modern insulin 
portfolio

Victoza®:
a treatment revolution

Expert clinical practice shows that successful treatment of type 
2 diabetes requires a patient-centred approach: focusing solely 
on glucose management is not enough. Many treatments for 
diabetes available up to now have involved trade-offs for 
patients and physicians. While effective at lowering blood 
glucose, many treatments can induce low blood sugar episodes 
(hypoglycaemia), weight gain and other side effects. It is known 
that some patients do not take their medicines regularly to 
reduce such side effects.

GLP-1 gives patients and
their healthcare providers
an important new tool
in managing the multiple
aspects of diabetes.

Glucagon-Like Peptide-1 (GLP-1) is a hormone from the human 
gut involved in glucose regulation. New GLP-1 therapies are a 
major innovation in the treatment of type 2 diabetes: they lower 
glucose while having a low risk of triggering hypoglycaemia, and 
in most patients also support weight loss. In type 2 diabetes, the 
ability of the pancreas to release insulin in the presence of glucose 
is impaired. GLP-1 therapies help address this defect by directly 
acting on the pancreas. 

Our new, long-acting, human GLP-1 analogue, Victoza®
(liraglutide), was approved in the EU in 2009 on the basis of the 
LEAD™ phase 3 programme. LEAD™ (Liraglutide Effect and Action 
in Diabetes) comprised five randomised, controlled, double-blind 
studies involving 6,500 patients in 40 countries. LEAD™ demon-
strated the strong safety and efficacy profile of Victoza® used alone 
or in combination with other diabetes therapies. Two of the trials 
with large patient populations, LEAD™ 2 and LEAD™ 3, have been 
extended for 18 months and three years, respectively.

“Victoza® is off to a great start. Feedback from patients and 
physicians is extremely positive – and reveals how Victoza® delivers 
much more than reduced blood sugar,” explains Jakob Riis, senior 
vice president, Liraglutide.

We launched Victoza® in nine European markets during the 
second half of 2009 and will continue the European roll-out 
throughout 2010. As of January 2010, regulatory approval has

Diabetes is a progressive chronic disease and, to maintain blood 
glucose levels over time, insulin may be introduced following life-
style changes and initiation of metformin or GLP-1 therapy. As
a third step, treatment guidelines recommend transition to inten-
sive insulin therapy to maintain glucose targets. 

Maintaining tight glucose control is associated with fewer serious 
complications and better treatment outcomes. By engineering 
proteins we have created a portfolio of modern insulins that offer 
options for individual treatment needs to achieve improved blood 
glucose control. For insulin initiation, treatment can include either 
a long-acting modern insulin or a modern premix insulin with 
dual release to cover both mealtime and basal requirements. 
Insulin treatment can also be intensified in two ways, either with
a modern premix insulin or by adding a rapid-acting modern 
insulin to the long-acting insulin at mealtimes.

Our portfolio of modern insulins includes:

•   Levemir®, a soluble, long-acting modern insulin for once-daily use.

•   NovoRapid® (NovoLog® in the US), the world’s most widely 

used rapid-acting insulin for use at mealtimes.

•   NovoMix® 70/50/30 (NovoLog® Mix 70/30 in the US), a dual-
release modern insulin that covers both mealtime and basal 
requirements.

Better glucose control
The Treat-to-Target study for type 2 diabetes, published in the 
New England Journal of Medicine in October 2009, evaluated 
three different treatment regimens using Novo Nordisk insulins 
over three years1.

DKK billion

Diabetes care 
Sales development

(cid:81)(cid:3)Modern insulins
(cid:81)(cid:3)Human insulins
(cid:81)(cid:3)Protein-related products
(cid:81)(cid:3)Oral antidiabetic
products (OAD)

2009

2008

2007

2006

2005

37.5

33.4

30.5

27.9

24.0

Modern insulins 
Sales development

(cid:81)(cid:3)NovoRapid®
(cid:81)(cid:3)NovoMix®
(cid:81)(cid:3)Levemir®

0

10

20

30

40

DKK billion

2009

2008

2007

2006

2005

21.5

17.3

14.0

10.8

7.3

0

5

10

15

20

25

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The results demonstrated that patients with type 2 diabetes
can achieve good blood glucose control sustained over three 
years with low rates of hypoglycaemia using Levemir®, NovoMix® 
and/or NovoRapid®. Patients starting on Levemir® had the lowest 
weight gain.

“Tight blood glucose control is widely believed to be difficult to 
achieve because of a high risk of hypoglycaemia,” notes Mads 
Krogsgaard Thomsen, executive vice president and chief science 
officer. “The Treat-to-Target study shows that this need not be 
the case.”

Continuous innovation
As more people throughout the world develop diabetes, there
is a growing need for more treatment options to help manage 
symptoms and arrest disease progression. Studies have found 
that convenience and safety are linked to higher rates of treat-
ment compliance, which in turn is linked to better health 
outcomes.

We are working on two new-generation insulin products, 
Degludec and DegludecPlus, which are intended to be even 
longer acting to improve treatment outcomes and provide
more convenient insulin therapy with a possibility of fewer 
injections. Currently in phase 3 development, the Degludec
and DegludecPlus development programmes will involve more 
than 10,000 patients from 39 countries around the world.

The trial programme for Degludec is known as BEGIN™ and
will involve more than 7,000 patients. Degludec has so far 
demonstrated an ultra-long duration of action of more than 24 
hours, offering the potential of greater dosing flexibility and lower 
risk of hypoglycaemia. The trial programme for DegludecPlus is 
called BOOST™ and will recruit over 3,000 patients. DegludecPlus
is the first soluble combination of an ultra-long-acting basal insulin 
with a boost of rapid-acting insulin (NovoRapid®).

Oral formulations
Most people would prefer a tablet to an injection. However, 
because insulin is a protein, it is rapidly destroyed or degraded
in the gastrointestinal tract. The challenge is to move a purpose-
designed insulin analogue through the gut to exert its therapeutic 
effect on blood glucose.

At the end of 2009, we initiated a phase 1 clinical trial for an oral 
insulin analogue. This project combines our unique expertise with 
insulin design in a partnership with Merrion Pharmaceuticals, 
which has expertise in mechanisms for transporting proteins 
through the gastrointestinal tract. 

We also initiated a phase 1 clinical trial of an oral formulation
of GLP-1 in January 2010. This formulation was designed in 
partnership with Emisphere Technologies. In addition, we have 
built on our internal capabilities in basic science and protein tablet 
formulation and have established tablet production facilities for 
these clinical development programmes.

While the development of these new products is still at an early 
stage and many technological challenges remain, significant 
progress has been made, and both our partners and we are 
enthusiastic about the potential within this area.

Safety profile
In the summer of 2009, research studies linking certain insulin 
analogues to an increased risk of cancer were published in the 

20     Novo Nordisk Annual Report 2009

official journal of the European Association for the Study of 
Diabetes, Diabetologia2.

Insulin can bind to two different receptors in the body: insulin
and IGF-1 (Insulin-like Growth Factor-1) receptors. It has long 
been known that certain insulin analogues are more likely to
bind to IGF-1 receptors. For this reason, all Novo Nordisk insulin 
analogues developed during the past 20 years have been 
engineered with molecular safety in mind and rigorously tested 
for IGF-1 receptor binding in very early research phases. We have 
only proceeded to develop modern insulins with a molecular 
safety profile similar to, or better than, that of human insulin.

While insulin can have a growth-promoting effect on cells, 
extensive clinical testing has provided evidence that Novo Nordisk’s 
modern insulins have clinical advantages for many patients with 
diabetes compared to human insulin, and each insulin has a 
molecular safety profile as good as or better than human insulin. 
All Novo Nordisk insulin analogues on the market have been 
investigated in many randomised, controlled trials and in 
observational studies, and they are also monitored for any safety 
signals through rigorous post-marketing safety surveillance.

Device innovation
In our device pipeline, we strive to continuously improve chronic 
disease therapy with more accurate, convenient and user-friendly 
devices. Convenience and simplicity can be factors in treatment 
compliance, with direct implications for health. 

FlexPen®, the world’s best-selling prefilled insulin pen3, is available 
for Levemir®, NovoRapid®/NovoLog® and NovoMix®/NovoLog® 
Mix. It eliminates the need to manually load insulin into a delivery 
device or use a separate vial and syringe. Once in use, the prefilled 
pen may be stored at room temperature for 14 days or more, 
which can be important to suit flexible lifestyles. FlexPen® is
made of a recyclable plastic, which has the potential to reduce 
environmental impact.

The new award-winning4 NovoTwist® needle was launched in 
Europe in 2009 and will be introduced to additional markets
in 2010. NovoTwist® has a simple ‘just twist’ attachment and 
detachment that makes injection easier for people using FlexPen® 
or taking Victoza®5,6.

Our newest device, NovoPen Echo™, is a colourful pen with dose 
settings in half-unit increments, suitable for children needing 
small doses. It features a simple and intuitive memory function 
that makes it easy to check, the time lapsed since the last dose 
was taken. NovoPen Echo™ was announced in Europe in 2009 
and will be launched in 2010.

Changing Diabetes®

Diabetes and other chronic, non-communicable diseases are a 
leading threat to human health and development. Diabetes kills 
almost as many people as HIV/AIDS, disables millions of people and 
is already causing damage to the global economy. The International 
Diabetes Federation estimates that the number of people with 
diabetes will increase from 285 million today to 438 million in 20307.

As a world leader in diabetes care, we have the potential and 
responsibility to make a difference for people with diabetes, 
facilitating change in addition to providing innovative treatments. 
We do this through a concerted effort called Changing Diabetes®, 

 
 
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which includes programmes and engagement at global, regional 
and national levels. Our ambitions are to:

•   give people with diabetes a priority that reflects the scope

and severity of the disease and its complications by supporting 
systemic change for chronic disease management

Cooperation Centre of the Chinese Ministry of Health and the 
World Diabetes Foundation. It was organised by the Chinese 
Center for Diabetes Society and the Chinese Disease Control and 
Prevention, with the support of the Bureau of Disease Prevention 
and Control of the Chinese Ministry of Health, and the Inter-
national Diabetes Federation.

•   drive healthcare outcomes for people with diabetes by 

promoting improved care and timely investment to prevent 
disease progression

In 2010, we will organise Changing Diabetes® Leadership Forums 
with stakeholders in India, sub-Saharan and Northern Africa and 
the Middle East.

•   break the curve of the global diabetes epidemic by mobilising 
multi-stakeholder efforts to set clear targets and achieving 
concrete results.

Giving people with diabetes priority
To change the course of diabetes and improve treatment 
outcomes, we are working to put diabetes on public health 
agendas. To date, we have created 13 Changing Diabetes® 
briefing books for nine countries. These reports provide an 
overview of the diabetes state of each nation and a projection 
of the future diabetes burden if nothing is done to curb it.
We have also engaged more than 5,000 key stakeholders 
through 19 Changing Diabetes® Leadership Forums and 
regional or national round-tables in 13 countries, helping to 
reach consensus about what it will take to change diabetes.

According to the International 
Diabetes Federation, 285 
million people worldwide have 
diabetes. By 2030, this will 
increase to 438 million people.

In 2009, we sponsored the Changing Diabetes® Leadership Forum 
in China. One of a series of forums held across the world, the goal 
was to unite all key stakeholders in setting an agenda for improving 
access to care and quality of care for people with diabetes.

Driving healthcare outcomes
Our goals for the newly launched Changing Diabetes® Barometer 
website, changingdiabetesbarometer.com, include improving 
health outcomes for people with diabetes globally while bringing 
down total costs.

The barometer is a collaboration with the International Diabetes 
Federation’s Diabetes Atlas, ensuring that all data gathered from 
the participating countries is included in the global reference for 
diabetes prevalence. By increasing transparency and highlighting 
areas where improvements are possible, the tool gives policy-
makers and healthcare providers critical information to measure 
progress and drive change.

Breaking the curve
To address patient needs and deter the growth of the diabetes 
pandemic, we build partnerships around a shared vision of 
changing diabetes and implementing the UN Resolution on 
diabetes, engaging with governments, policy-makers, healthcare 
organisations, healthcare professionals, people with diabetes, 
patient associations, private enterprises, non-governmental 
organisations and the media.

Our global campaign drives awareness of the personal and societal 
risks of diabetes. Through our National Changing Diabetes® 
programmes, we promote better education of healthcare profes-
sionals and wider availability of screening for diabetes symptoms
to help save lives and significant costs long term. The Changing 
Diabetes® Bus visited 16 countries in Europe and the Middle East 
during the year, providing 62,000 people with diabetes testing. On 
World Diabetes Day, 14 November, more than 315,000 people in 
56 countries were engaged in different Novo Nordisk-sponsored 
activities, including fundraisers and educational programmes. 

Due to rapid economic and industrial development, urbanisation 
is spreading in China. Increasingly unhealthy lifestyles have 
caused a significant increase in the number of overweight and 
obese people, and a fivefold increase in the risk of getting 
diabetes in urban areas compared to rural areas. The Forum
was jointly hosted by the International Health Exchange, the 

Over the past decade, we have published a series of possible 
future scenarios for diabetes, and have used these to engage 
stakeholders in dialogue about the diabetes pandemic. Our third 
edition of future scenarios, published in 2009, has two main 
focus areas. One scenario outlines how linking treatment 
outcomes and reimbursement will change healthcare. A second 

Improving diabetes care

Stop
pandemic

Detect
earlier

Treat better
earlier

Delay
progression

Prevent
complications

Delay
complications

Prevention

Screening

Diagnosis

Treatment and 
lifestyle modifi cation

Treatment
initiation

Treatment
intensifi cation

Management of late-
stage complications

Novo Nordisk Annual Report 2009     21

 
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scenario describes how communities and healthcare systems will 
be impacted as obesity, which can be a precursor of diabetes, 
becomes increasingly common around the world.

countries continue to have high mortality rates, with life expec-
tancies of less than one year in sub-Saharan Africa.

Expanding access

Building sustainable partnerships to expand access to diabetes 
treatment and develop healthcare system capacity is the 
primary goal of our long-term efforts to change the diabetes 
epidemic in developing countries. Our commitment extends
to people who lack access to treatment, those who face barriers 
due to inadequate healthcare infrastructures and the high 
out-of-pocket costs that can be a part of having a progressive, 
chronic disease.

Our significant contribution to the improvement of diabetes care
in the developing world includes our continued long-term financial 
commitment to the World Diabetes Foundation, totalling 1.2 billion 
Danish kroner allocated over 15 years (see p 84.)

The independent and non-profit foundation supports the 
prevention and treatment of diabetes where it is needed most, 
providing funding for local initiatives that improve healthcare 
capacity. Since it was founded by Novo Nordisk in 2001, it has 
supported 219 projects in 90 countries. The foundation’s annual 
report is online at worlddiabetesfoundation.org.

Beyond our donations to the World Diabetes Foundation, our 
approach to expanding access builds on the right to health and 
aligns with the UN Millennium Development Goals, which offer
a common vision for tackling some of the major challenges facing 
the world by 2015.

Over the next decade, our emphasis will be on areas selected 
because of their ability to have an impact on current and future 
generations, with a long-term impact consistent with our role
as a sustainable business. Our areas of emphasis support three
of the UN Millennium Development Goals.

Treating children with type 1 diabetes
Despite progress, children with type 1 diabetes in developing 

To reduce child mortality – UN Millennium Development Goal 4 
– Novo Nordisk has made an ambitious five-year, 25-million-
dollar commitment to treat children with type 1 diabetes. The 
Changing Diabetes® in Children programme responds to the 
International Diabetes Federation’s call that no child should
die of diabetes. Our goal is to work in cooperation with local 
partners, including governments and diabetes associations,
to build sustainable national capacity in some of the world’s 
poorest countries and create well-functioning diabetes clinics
for treatment of children with type 1 diabetes.

The programme provides the necessary medical and laboratory 
equipment, organises training of healthcare professionals, puts in 
place diabetes patient education, and creates systems for adequate 
monitoring and follow-up. In addition, insulin and diabetes supplies 
are being provided free of charge for the duration of the programme. 

In Bangladesh, one of the countries in the world with the lowest 
healthcare spending per capita, the programme has been rolled 
out as a joint initiative with the Diabetic Association of Bangladesh 
(BADAS). As in most other developing countries, there are no 
existing facilities for treating children with diabetes. “Currently, 
children with diabetes are managed primarily by adult diabetes 
clinics or general medical outpatient clinics, but treating diabetes in 
children is different from treating diabetes in adults,” says Professor 
Azad Khan, president of BADAS. “They have other needs and 
delayed treatment can often lead to devastating complications.” 

More than 400 children were diagnosed and enrolled during 
2009 in Bangladesh, Cameroon, Democratic Republic of Congo, 
Guinea, Tanzania and Uganda. Our ambition is to reach 10,000 
children as we expand the programme into additional countries 
over the next few years.

Diabetes in pregnancy
Due to the decreasing age of onset for type 2 diabetes, growing 
numbers of women have diabetes prior to pregnancy. Diabetes 
makes pregnancies higher risk and can lead to long-term com  -
plications for both mother and child.

Expanding access to care supports development goals

Millennium Development Goal

Target

Novo Nordisk response

Sustainability

MDG 4
Reduce child
mortality

MDG 5
Improve
maternal health

Target 4: Reduce by two 
thirds the mortality rate 
among children under fi ve

Treating children
with type 1 diabetes

Target 5a: Reduce by three quarters
the maternal mortality ratio
Target 5b: Achieve universal access to 
reproductive health

Confronting diabetes in pregnancy

MDG 8
Global partnership
for development

Target 8e: In cooperation with 
pharmaceutical companies, provide 
access to affordable essential
drugs in developing countries

Donations to support the 
World Diabetes Foundation
Differential pricing

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22     Novo Nordisk Annual Report 2009

 
 
 
 
Over 10 million women develop gestational diabetes during 
pregnancy every year. More than half of women who develop 
gestational diabetes will go on to develop type 2 diabetes during 
the next decade, and their children have a substantially increased 
risk of developing type 2 diabetes. Supporting healthy pregnancies 
is therefore important to reverse the diabetes pandemic.

In support of Millennium Development Goal 5, targeting 
maternal health, we are initiating activities to raise awareness
of the impact of diabetes in pregnancy, address knowledge gaps, 
support community-based maternal health programmes and 
advocate for sustainable change, which ultimately will increase 
access to diabetes screening, treatment and lifestyle education. 
Through our commitment to address the needs of women with 
diabetes, we aim to improve the health outlook for women and 
their families today as well as for future generations.

Pricing in developing countries
The cost of therapy still constitutes a significant barrier for better 
healthcare in the developing world. In many countries, the 
availability of medicines at public health facilities is often very 
poor due to inadequate funding, lack of incentives for main-
taining stocks, inability to forecast accurately or inefficiencies
in procurement, supply and distribution. Among the targets
for UN Millennium Development Goal 8 is a call for cooperation 
from pharmaceutical companies to provide access to affordable 
essential drugs in developing countries.

Through our long-standing differential pricing policy for the 
least developed countries (LDCs), as defined by the United 
Nations, we sell insulin at or below 20% of the average prices 
for insulin in the Western world. Each year we offer differential 
pricing in all LDCs. In 2009, either governments or non-profit 
organisations in 36 of these countries chose to purchase at the 
differential prices. See p 93.

Building partnerships and capacity 
The huge challenge of tackling development and diabetes poses 
numerous dilemmas for the developing world that require 
innovative approaches. While our strength is in diabetes care, 
working in partnership is crucial to help address organisational 
matters and increase the impact of our efforts. 

Novo Nordisk already has a long history of working in partnership 
with governments, ministries of health and other partners 
through our World Partner Project. Launched in 2001, the project 
focused on developing models for addressing diabetes healthcare 
in developing countries. Together with partners, the World 
Partner Project has had an impact through 31 programmes
in eight countries (Bangladesh, Malaysia, Tanzania, Zambia,
El Salvador, Costa Rica, China and India). Lessons from these 
projects continue to inform our approach for fostering sustain-
able diabetes care.

We continue to seek innovative partnerships to improve access
to diabetes care for these vulnerable populations not being 
supported in their current system.

Photo: To increase access to all people with diabetes, Mapoko Mbelenge 
Ilondo, programme director, Global Diabetes Partnerships, builds models for 
sustainable public–private partnerships in developing countries. In Tanzania, 
for example, Ilondo has worked with the health ministry and the diabetes 
association to integrate diabetes care into the country’s healthcare system.

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Novo Nordisk Annual Report 2009     23

 
Biopharma-
ceuticals

Our specialised expertise with proteins and our understanding
of chronic disease are leveraged in our biopharmaceuticals 
business to develop innovative and improved ways to treat 
haemophilia and other rare coagulation disorders, growth 
hormone deficiency, the symptoms of menopause and 
inflammatory diseases.

Commitment
to haemophilia

Haemophilia is an inherited or acquired coagulation disorder and 
people living with haemophilia lack, either partly or completely, 
an essential clotting factor necessary to form blood clots. The 
main danger is uncontrolled internal bleeding, which can cause 
stiffness, pain, severe joint damage, disability and even death.

Novo Nordisk has a heritage of improving existing standards of 
care. For this reason, our haemophilia pipeline has expanded to 
include compounds targeting faster and more efficient treatment 
of episodic bleedings, long-acting compounds to allow for less 
frequent infusions and products administered by the more 
convenient subcutaneous route. 

We have a solid position in the treatment of haemophilia patients 
who have developed inhibitors, or antibodies, to their missing 
coagulation factor. NovoSeven® remains the only recombinant 
treatment option for these patients. Our pipeline includes two 
potential successors to NovoSeven®: a long-acting, recombinant 
factor VIIa derivative and a fast-acting, recombinant factor VIIa 
analogue. Both are in clinical development.

“In the absence of a cure, the challenge is to provide effective, 
safe and convenient treatments that prevent bleeding as far as 
possible,” says Anne Prener, corporate project vice president of 
Haemostasis Management.

Expanded pipeline 
Our ambition is to use our understanding of haemophilia to 
develop new compounds to offer improved treatment options
for all people with haemophilia and for the treatment of many 
rare coagulation disorders.

In order to improve upon existing treatments for haemophilia A 
using factor VIII, we had to first produce a third-generation factor 
VIII compound. We expect to launch this new recombinant factor 
VIII treatment for haemophilia within the next few years while we 
continue to develop a longer-acting formulation. Our goal is to 

Photo: Egon Persson, principal scientist, Haemostasis Biochemistry, is an 
inventor of a fast-acting, recombinant factor VIIa analogue currently in
a phase 2 clinical trial. A potential successor to NovoSeven®, it is intended
to deliver predictable, sustainable clotting fast, as shown in the diagram.

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Creating value 
by improving 
by improving 
treatment 
treatment 
convenience
convenience

24     Novo Nordisk Annual Report 2009

improve treatment by developing a long-acting concentrated 
formula to reduce frequency and infusion times, which can be
as long as 45 minutes every other day.

During 2009, we initiated a phase 1 trial for a long-acting, 
recombinant factor IX compound for haemophilia B that is 
intended to be used once a week. This would offer patients 
greater convenience compared to current prophylactic treatments 
to help prevent bleeding, which have to be infused twice a week. 

In most of the world, patients with congenital factor XIII deficiency 
do not have any treatment options. The only treatment available
in some countries is made from human plasma, which may involve 
risk of bloodborne viruses. Our phase 3 clinical trial for a safer 
recombinant factor XIII treatment involves 40 patients and is 
expected to be completed in 2010. We are investigating the same 
molecule to reduce the need for blood transfusions for cardiac 
surgery patients.

New generation of NovoSeven®
Novo Nordisk developed NovoSeven® for the 3,500 people
with haemophilia who develop inhibitors, or antibodies, to
other replacement factor therapies. Our factor VIIa product, 
NovoSeven®, was a significant innovation when launched and 
remains the only recombinant medication available for haemo-
philia patients with inhibitors. It provides effective treatment
for rapid control of bleeding episodes and has been a major 
advancement in the treatment of haemophilia patients who 
have developed inhibitors, for whom there were few other 
treatment options. NovoSeven® is also the only recombinant 
medication approved for the treatment of bleeding episodes
in acquired haemophilia factor VII deficiency and, in Europe, 
Glanzmann’s thrombasthenia.

Our continuous efforts to make NovoSeven® more convenient 
and more effective include the launch in 2008 of a NovoSeven® 
room temperature stable formulation that has a smaller infusion 
volume for added convenience. Because NovoSeven® room 
temperature stable does not need to be refrigerated, it is 
portable, which may allow bleeds to be treated faster8. After 
initial launch in the US in 2008, we successfully introduced
the product in 24 markets in 2009.

Novo Nordisk has a heritage
of improving existing standards 
of care. Our long-term 
ambition is to develop more 
effective, safe and convenient 
treatment options for people 
with haemophilia.

To develop new therapeutic approaches for prevention of 
bleeding based on the established efficacy of factor VIIa, we 
initiated a phase 2 clinical trial in 2009 for a long-acting derivative 
of recombinant factor VIIa. The same molecule is also being 
investigated for subcutaneous use. Another phase 2 trial is 
currently ongoing to determine the optimal dose and safety 
profile of a new recombinant factor VIIa analogue with an even 

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Expanded pipeline for 
haemophilia and rare 
coagulation disorders

Recombinant
factor XIII analogue

Recombinant factor
VIIa single dose*

ur activities in
hilia and rare
ulation disord ers

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Long-acting,
recombinant factor IX

Recombinant 
factor VIII products

Contin
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Research and
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commitment

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Recombinant
factor VIIa room
temperature stable*

Recombinant 
factor VIIa
for prophylaxis*

D

a ti o
evelop the next  g e n e
n t
of treatments with r e c o m b i n
h i b it o rs
factor VIIa for patients  w i
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Subcutaneous
administration

* Not approved in all markets.

Long-acting, recombinant 
factor VIIa derivative

Fast-acting,
recombinant factor 
VIIa analogue

Novo Nordisk Annual Report 2009     25

 
 
 
 
 
 
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faster onset of action than NovoSeven® and the ability to form 
even stronger clots in a shorter time.

Expanding access to care
As our focus on haemophilia has expanded, so has our 
commitment to the global haemophilia community. We 
established the Novo Nordisk Haemophilia Foundation in 2005
to address the significant need for improving haemophilia care 
and treatment in developing countries, where haemophilia is
not a healthcare priority and many patients go undiagnosed or 
are inadequately treated. Our donations to the NNHF, including 
15.4 million Danish kroner in 2009, support 28 projects and five 
fellowships in 24 developing and emerging countries. By working 
with partners across all areas of the haemophilia community
with local ownership of projects, the NNHF aims to ensure the 
sustainability of development programmes. See nnhf.org for 
more information.

Changing Possibilities
in Haemophilia®

Building on our long-standing concerted efforts in diabetes, called 
Changing Diabetes®, we launched a similar strategic initiative in 
late 2008 called Changing Possibilities in Haemophilia®. Under
this umbrella, we seek to partner with physicians and the wider 
haemophilia community to help build a better tomorrow for 
people with haemophilia. We also collaborate with governments 
and healthcare policy-makers to track quality of life issues for 
people who have haemophilia, and help set standards for the
level of treatment that this patient group receives.

We partner with physicians
and the wider haemophilia 
community to help build
a better tomorrow for
people with haemophilia.

Collaboration with the haemophilia community
To strengthen our collaboration with the global haemophilia 
community, we have embarked on a psychosocial study to 
determine how to best support the needs of those with 
haemophilia. A multi-disciplinary team of healthcare profes-
sionals and patient representatives met in Montreal, Canada,
in September 2009 to establish a global advisory board on 
psychosocial issues in haemophilia. Based on discussions from 
this meeting, we are beginning a structured process of enquiry, 
seeking a broad spectrum of input about life with haemophilia 
in the family, the school setting, the workplace and the wider 
community. Our hope is that findings from the study will 
uncover ways to improve the quality of life for people with 
haemophilia and those caring for them. The programme will
be conducted in close collaboration with experts and patient 
representatives and is inspired by our existing DAWN™
(Diabetes Attitudes Wishes and Needs) programme.

26     Novo Nordisk Annual Report 2009

In 2009, we also made a commitment with the World Federation 
of Hemophilia to further the haemophilia cause each year on 
World Hemophilia Day as an official sponsor.

Continued medical education
Some types of haemophilia are particularly rare, so few health-
care providers have extensive experience with treatment. 
Through the Novo Nordisk Haemophilia Grants & Awards 
programme, Access to Insight, we offer support to encourage 
doctors and scientists to enhance their understanding of 
haemophilia and share best practices for treatment to improve 
care. We also sponsor an accredited training programme and 
scientific sessions at major congresses such as the World 
Federation of Hemophilia and the International Society of 
Thrombosis and Haemostasis.

Leadership
and innovation 

In determining which businesses our company should be in, 
we consider our core strengths in protein engineering and 
chronic disease as well as the potential for global market 
leadership. 

Leadership and innovation in human growth hormone
Through our expertise in protein synthesis based on recom-
binant technology, Novo Nordisk has become one of the world’s 
leading producers of human growth hormone. Norditropin® 
builds on our 40-year commitment to growth hormone treat-
ment and is a market leader because it is unique: it is the only 
liquid growth hormone product with a formulation that does 
not require refrigeration and is available in a prefilled, ready-to-
use device. 

Growth hormone deficiency affects the pituitary gland, a small 
gland located at the base of the brain that produces growth 
hormone and other hormones. If the pituitary gland does not 
produce enough growth hormone, growth is slower than normal. 
Children need growth hormone to grow to normal height.
In adults, growth hormone is needed to maintain the proper 
amounts of body fat, muscle and bone. Research shows that 
children with short stature are more likely to experience difficulty
at school and adults with growth hormone deficiency have 
poorer-than-average health-related quality of life.

Since human growth hormone is a protein that can work effec-
tively only through injection, we have drawn on our technological 
expertise in injection devices to improve growth hormone delivery 
systems and products. We launched new devices in some markets 
in 2009, including an improved NordiFlex™ pen, which studies 
indicate has a 40% lower dose force.

To further ease treatment for patients with this chronic deficiency, 
we are also developing a once-weekly growth hormone derivative 
to reduce the number and frequency of injections. A phase 2
trial of this compound was successfully completed in adult patients 
in 2009.

Supporting improved treatment outcomes
To improve treatment outcomes for people with growth hormone 
deficiency, we support healthcare provider education and scientific 
research. NordiScience® supports physicians with endocrine 

develop new treatments for these diseases. This work is conducted 
in Denmark and at our newly opened research centre in Seattle, 
Washington, US. The Seattle centre is part of an effort to further 
globalise research and development.

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research and educational services and support, including clinical 
symposia, fellowship grants and access to scientific publications.

NordiNet®, an international outcome study including data from 
more than 5,000 patients, is one example of our commitment
to long-term studies that track treatment success and safety.
The NordiNet® platform is an electronic data-capturing tool for 
patient outcome evaluations that gives healthcare providers in 
certain countries access to software that determines bone age. 

Since human growth hormone 
is a protein that can work 
effectively only through 
injection, we have drawn
on our technological expertise 
in injection devices to improve 
growth hormone delivery 
systems and products.

Low-dose hormone replacement
Novo Nordisk launched its first low-dose hormone replacement 
product, Activella®, in the US in 2008. It was introduced as 
Activelle® in Europe in 2009. Our low-dose topical hormone 
replacement treatment, Vagifem®, was approved in the US in 
November 2009 and by EU regulatory authorities in January 2010.

These products build on our 25 years of experience with hormone 
treatment for menopausal symptoms. Our long-standing position 
is that hormone replacement therapy for women should be 
prescribed at the lowest effective doses and for the shortest
time periods consistent with treatment goals and risks assessed
for individual women.

Development projects target inflammatory diseases
Leveraging our protein expertise to help patients with other types 
of chronic disease and add to our clinical pipeline of products, we 
now have three projects in early clinical development targeting 
chronic inflammatory conditions. These projects target rheumatoid 
arthritis, psoriatic arthritis and systemic lupus erythematosus.

By investing in early-stage research in this field we hope to find the 
underlying causes of different inflammatory conditions and 

DKK billion

Biopharmaceuticals 
Sales development

(cid:81) Haemostasis management

 (NovoSeven®)

(cid:81)(cid:3)Growth hormone therapy
(cid:81)(cid:3)Hormone replacement

(cid:3)therapy

(cid:81)(cid:3)Other products

2009

2008

2007

2006

2005

0

5

13.6

12.2

11.4

10.9

9.7

10

15

Novo Nordisk Annual Report 2009     27

How
we work

Making a difference to patients and society is what we are all 
about. If we can improve treatment outcomes for people with 
chronic diseases, keeping them healthy and productive, we can 
help not only individuals needing treatment but also their families 
and their communities. 

Our aspiration is to be the world’s leading diabetes care company 
and, ultimately, to defeat diabetes and leverage our expertise in
the fight against other chronic, non-communicable diseases. This
is our core business proposition, the essence of Novo Nordisk’s 
contribution to sustainable development and the heart of our vision. 

We accomplish this by expressing our values in all of our actions, 
focusing on patients first. Our impact on society is reflected
by the number of patients who benefit from our products and 
our efforts to catalyse change in healthcare systems and train 
patients and healthcare providers. 

Novo Nordisk Way
of Management

The Novo Nordisk Way of Management, the framework within 
which we work, supports our culture of innovation and responsi-
bility. Aligned with the principles of the United Nations Global 
Compact in the areas of human rights, labour, the environment 
and anti-corruption, the Novo Nordisk Way of Management 
ensures the long-term growth and welfare of our company
and helps us find the right balance between compassion and 
competitiveness. 

In 2009, we continued to drive initiatives related to the UN Global 
Compact principles across our value chain. Many of these 
initiatives are described in the following pages. A comprehensive 
account is found in our annual Communication on Progress. See 
annualreport2009.novonordisk.com/governance-and-reporting/
un-global-compact.aspx.

The Novo Nordisk Way of Management includes our vision, our 
values and our commitment to the Triple Bottom Line principle. A 
follow-up methodology for auditing and validating performance 
and policies in key areas supports cross-organisational under-
standing and helps ensure implementation.

While our values are global, they are also owned and lived at a local 
level, providing flexibility and fostering diversity in ideas. As our 
business grows, the Novo Nordisk Way of Management provides

Photo: Our partnership approach to addressing climate change and preparing 
our business for a carbon-constrained future resulted in a new business
model that has helped drive the market for renewable energy. Priya Matzen, 
programme director, Global TBL Management, has been a driving force 
behind our climate strategy. See pp 31 and 35.

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Creating value 
for society by working 
transparently and
responsibly

28     Novo Nordisk Annual Report 2009

 
 
a foundation to ensure that we stay on course, focused on 
innovating in ways that support our vision and are consistent
with our values.

“Achieving targets is only one aspect of performance. It is just
as important that employees work in a way that expresses Novo 
Nordisk’s core values,” says Lars Rebien Sørensen, president and 
chief executive officer.

The Novo Nordisk Way of Management’s follow-up methodology 
provides a tool to assess the degree to which values are embedded 
in our actions and operations. It also helps ensure that the frame-
work can stand the test of time and different cultures.

The entire framework for the Novo Nordisk Way of Management
is detailed at novonordisk.com/about_us.

Triple Bottom Line management
We are committed to operating in a way that is financially, 
environmentally and socially responsible. Anchored in the 
company’s bylaws, the articles of association, and the Novo 
Nordisk Way of Management, our commitment to the Triple 
Bottom Line principle helps us balance short-term profitability 
with longer-term societal interests.

Applying the Triple Bottom Line principle in decision-making 
serves two purposes. It builds trust and protects our licence to 
operate and it helps drive innovation and long-term growth.
This is how Triple Bottom Line management generates value.

We monitor trends that could impact our business success and 
proactively respond to stakeholder expectations and emerging 

Our vision
•  We will be the world’s leading diabetes care 

company.

•  We will offer products and services in other 

areas where we can make a difference.

•  We will achieve competitive business results.

•  A job here is never just a job.

•  Our values are expressed in all of our actions.

Our values

Each Novo Nordisk employee is expected to be:

•  Accountable

•  Ambitious

•  Responsible

•  Engaged with stakeholders

•  Open and honest

•  Ready for change.

Our Triple Bottom Line approach

Financially and economically responsible

Patients

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Socially
responsible

Environmentally
responsible

issues such as the right to health, business ethics and bioethics. 
We also take responsibility for addressing global challenges that 
are critical to our ability to manage a sustainable business for the 
long term.

We focus on fighting the diabetes pandemic and confronting
the climate change challenge. These are areas where we have
an opportunity and an obligation to put effort behind making
a real difference. Our impact goes beyond our own operations; 
by demonstrating results we can inspire others to join forces.
We also seek to influence public policy and drive societal change 
towards more sustainable practices.

Measuring values-based orientation 
As part of the follow-up methodology, we have a global 
facilitator team consisting of senior people with deep under-
standing of our business and the business environment. They 
evaluate the extent to which business units operate in compliance 
with the Novo Nordisk Way of Management, and the team has
a formal reporting line to the chairman of the Board.

“Facilitation is the follow-up method used to document com-
pliance regarding the Novo Nordisk Way of Management,”
says Kim Bundegaard, senior vice president, Business Assurance. 
“It provides a systematic approach to gaining insight into how 
units in the organisation are living the Novo Nordisk Way of 
Management.”

For some units, facilitations take place annually; for others, the 
process takes place once every three years. From 30 September 
2008 to 30 September 2009, 70 facilitations were conducted, 
covering units with more than 12,000 employees. Of these, more 
than 3,000 employees were interviewed to determine how 
corporate values are being lived and implemented throughout 
the organisation.

Observations from this process were reported to the Board in 
December 2009. To maintain a strong level of compliance, more 
than 300 recommendations or actions were issued during the 2009 
facilitations. Areas identified for increased focus include future 
business direction and prioritising process improvement initiatives.

Novo Nordisk Annual Report 2009     29

 
 
Our impact on society

We hold ourselves accountable to shareholders and other 
stakeholders that may affect or be affected by the company’s 
activities. As a business, Novo Nordisk generates wealth for 
society and contributes to socioeconomic development through 
sustainable business practices, investment and employment.
As a pharmaceutical innovator, we provide knowledge, research 
and development and healthcare products. Our outreach 
programmes also improve awareness, diagnosis and treatment.

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Patients and those at risk

Novo Nordisk’s products are sold to 
hospitals, doctors and healthcare 
professionals for treatment of their 
patients. Novo Nordisk has a 51% 
market share of the global insulin 
market (by volume). We also advocate 
on behalf of patients for systemic 
healthcare change to support chronic 
disease management. See pp 20–23 
and p 93.

Novo Nordisk

Shareholders and
business partners

We aim to communicate openly with 
shareholders about the company’s 
fi nancial and business development as 
well as strategies and targets. See pp 
47–49. We also purchase resources 
and inputs from more than 38,000 
suppliers. See annualreport2009.
novonordisk.com/social/responsible-
sourcing.aspx.

Our people

Employees’ knowledge and 
productivity are a major part of 
the company’s intangible value. 
Our employees contribute to 
the communities in which we 
operate through volunteerism and 
payroll taxes. See pp 32–33 and 
annualreport2009.novonordisk.com/
social/employee-volunteering.aspx.

Public sector

Environment

We use water, energy and other raw 
materials to produce therapies for 
patients. As a result of our operations, 
we produce emissions and waste. 
Managing our environmental impact 
and resource consumption reduces 
our costs and minimises our impact
on the environment. See pp 93 and 95 
and annualreport2009.novonordisk.
com/environment.aspx.

Communities

As a business, Novo Nordisk 
generates wealth for society and 
contributes to socioeconomic 
development through its sustainable 
business practices, investment 
and employment (estimated direct 
and indirect impact amounting to 
96,500 jobs globally). See p 94 and 
annualreport2009.novonordisk.
com/social/donations.aspx.

Tax payments fund services offered 
by the public sector. Novo Nordisk’s 
tax payments are an estimated 2.9% 
of corporate taxes in Denmark. In 
total, Novo Nordisk’s income taxes in 
Denmark for the year amounted to 
854 million Danish kroner. See p 65 
and annualreport2009.novonordisk.
com/fi nancial-economics/tax.aspx.

30     Novo Nordisk Annual Report 2009

 
 
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Engaging
stakeholders

The burdens of chronic disease will grow and challenge societies 
in new ways as the global population expands and ages and 
increasing urbanisation contributes to more sedentary lifestyles. 
By involving stakeholders and working in partnership, we believe 
we can better understand these challenges and cocreate solutions 
that are more likely to succeed.

Our key stakeholders are patients. We engage with all other 
stakeholders – including healthcare providers, payers, employees, 
investors, suppliers and other business partners – in support of 
improved treatment outcomes for people with diabetes and other 
chronic diseases. Examples of our stakeholder engagement and 
partnerships are included in this section, but other examples can 
be found throughout this report and online at annualreport2009.
novonordisk.com/stakeholder-engagement.aspx.

How we engage
Long-term partnerships have for many years created value for 
Novo Nordisk and for society. We partner with others to address 
societal problems that are integral to our long-term business 
success, to leverage our assets and expertise to deal with the 
problem, to play a role in mobilising stakeholders and driving 
concerted action, and finally to measure and learn from results.

Recognising the complexity of climate change, we have taken a 
partnership approach to address it, teaming up with others who 
have specialist knowledge in the field. Our CO2 reduction target 
was set in close collaboration with the World Wildlife Fund (WWF) 
under the WWF Climate Savers Programme. Our ongoing 
partner ship with DONG Energy (see p 36) has allowed us to find
a cost-neutral way of converting power supplies for our Danish 
operations to wind energy, an important element in achieving
the target.

When setting the target, we shared internal data with WWF
and had a very open dialogue. WWF challenged us to set the
bar higher than we would have otherwise done.

The UN Resolution on diabetes, adopted in December 2006
to increase awareness of the growing diabetes pandemic and 
develop policies for the prevention, treatment and care of 
diabetes, is one example of the kind of change that is possible 
through long-term partnerships. It was the result of a multi-
stakeholder campaign led by the International Diabetes Federation 
in which Novo Nordisk was an active and supportive partner.
It recognises the urgent need to pursue multilateral efforts to 
promote and improve human health and encourages UN member 
states to have strategies for diabetes prevention, diagnosis and 
treatment as part of the sustainable development of healthcare 
systems.

Patient support
Our core business is to help people, seeking to reduce suffering 
and improve health. Our commitment to patients is paramount, 
and engaging with patients and patient organisations and 
understanding their needs is an important part of how we 
work.

An example of the value of patient dialogue is the DAWN™ 
programme – the largest global survey to uncover the psychosocial 

aspects of diabetes and the attitudes, wishes and needs of people 
with diabetes. Initiated by Novo Nordisk in 2001, the survey 
included people with diabetes and healthcare professionals from 
13 countries.

Today, DAWN™ serves as a patient advocacy platform, calling
for concerted action to improve diabetes care in more than
30 countries and influencing academic research, educational 
programmes and new approaches to treatment at hospitals and 
clinics. In some countries, national task forces and coalitions are 
now coordinating efforts to implement patient-centred care and 
community initiatives inspired by DAWN™ surveys.

Since the DAWN™ study started in 2001, other international 
studies have been completed, including the DAWN™ MIND 
study. The DAWN™ MIND study aims to implement monitoring 
of well-being in people with diabetes as part of routine diabetes 
care. Monitoring helps identify psychological needs that are 
otherwise likely to stay unrecognised.

We are also launching a psychosocial survey of people with all 
types of haemophilia to better understand their needs and wishes 
and help support efforts to improve care. See p 26.

Collaborating for innovation
Our commercial focus is on a few mutually re-enforcing protein-
based therapeutic areas. Within each, we are committed to 
improving the quality of life for people living with the particular 
disease. We search for innovative biologics at all stages of 
development, from early discovery to clinical phases.

Always a pioneer in scientific innovation, we have entered into 
preliminary collaborations with biotechnology-based research 
companies, resulting in many technological advances. These 
include our work with research and development companies to 
formulate therapeutic proteins and generate human monoclonal 
antibodies. One example of our success in collaborating to drive 
innovation is our clinical development of oral insulin and GLP-1 
formulations. See p 20.

By involving stakeholders
and working in partnership,
we believe we can better 
understand healthcare 
challenges and cocreate 
solutions that are more
likely to succeed.

Our responsible sourcing programme is another example of how 
our commitment to partner with others is integrated in the way
we do business. The programme also underpins the company’s 
commitment to the UN Global Compact and the Universal 
Declaration of Human Rights. We have established a methodology 
for assessing our supplier base, including screening principles and a 
model to map and manage social and environmental risks relevant 
for different types of procurement.

Novo Nordisk Annual Report 2009     31

 
 
 
Bioethics dialogue
Dialogue with stakeholders includes sharing views and knowledge 
about our bioethical work. This process, which includes engage-
ment with non-governmental organisations, inter-governmental 
organisations, governments and regulators, researchers and 
patients, helps us reconcile ethical dilemmas about research and 
development and stay attuned to societal concerns. 

In 2009, our long-term efforts to build a partnership in Denmark 
to find ways to refine and reduce the use of animal experimen-
tation were recognised with an award at the World Congress
on Alternatives and Animal Use in the Life Sciences in Rome. The 
main focus of the collaboration of companies and universities is 
to do research in ways that consider animal welfare and to share 
information and ideas about alternatives to animal testing.

Our people

Looking at our projected growth, 75% of our people, the heart of 
our company, will be outside Denmark in 10 years’ time. Embracing 
diversity and embodying a global mindset are necessary to 
successfully manage the increasing globalisation of our business.

To support sales growth, new product launches and a strong 
pipeline of future treatments, we hired 4,640 new employees in 
2009. Our employees numbered 29,329 at year end, an increase 
of more than 8% compared to 2008. As we expect this rate of 
growth to continue for the forseeable future, the importance
of ensuring that all employees understand and demonstrate the 
Novo Nordisk Way of Management is huge. We want to grow the 
company in a way that is consistent with our values and culture. 

Diversity and inclusion
We believe diverse management teams and people with different 
perspectives are best suited to drive performance and foster 
innovative thinking. Our ambition is that within five years of the 
launch of our diversity strategy at the end of 2008, all senior 
management teams will include employees of both genders
and different nationalities.

At the end of 2009, diversity was reflected in 50% of senior 
management teams, compared to 43% at the end of 2008. While 
we have chosen to report on our progress annually, changing our 
organisational culture is a long-term objective that involves training 
and mentoring, talent management and succession planning.

To help foster opportunity, greater transparency has been 
introduced into the succession-planning process. For all key 
positions, succession planning must consider and include 
employees of both genders as well as both local and non-local 
employees.

Training in diversity and cultural inclusion is offered to all 
employees and is integrated into the company’s leadership 
development programmes for vice presidents, managers
and young talent to build leadership capabilities. We have
also established diversity networks in the US and Europe.

Photo: Per Valstorp, senior vice president, Product Supply, has successfully 
fostered an innovation culture and mindset through the company’s cLEAN® 
programme. Implementation has been driven by an 80% focus on culture
and mindset and 20% on operational and technical tools.

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32     Novo Nordisk Annual Report 2009

 
 
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Innovative culture
In 2009, we undertook an assessment of the current state of our 
innovation systems and culture to determine how to build on and 
increase innovative activity. One example of how innovation is 
fostered throughout the organisation is our cLEAN® programme. 
cLEAN® is our version of LEAN – a well-known process optimisation 
philosophy. The ‘c’ stands for current and emphasises that working 
with cLEAN® is a continuous journey.

The cLEAN® mindset is an example of our values in action, 
empowering employees to be accountable, ambitious and ready 
for change. The programme has also involved a substantial 
investment in training to improve capabilities at all levels as well 
as development of leadership competences to stimulate an 
innovation culture.

Developed over the past six years, cLEAN® has allowed us to 
transform proprietary knowledge into value-optimising quality, 
delivery and cost. Progress toward many of our environmental 
targets and much of the recent improvement in our gross margin 
are attributable to cLEAN® process innovations. Savings from 
process innovations have been invested in research and devel-
opment activities and sales force expansion, helping to secure
the long-term future of the company.

To challenge ourselves to continuously improve, we are intro-
ducing new pilot programmes in 2010 to foster innovation in new 
ways. One project involves managing innovation across the value 
chain – from governance to incentives – to make launching 
innovative projects routine.

Our ambition is that by
2014 all senior management 
teams will include employees
of both genders and
different nationalities.

Life-changing careers 
Our global employer branding programme, Life-changing 
careers, launched in 2008, aims to attract and retain employees, 
particularly in countries where competition remains high. To 
attract and retain the talented people needed to drive our 
business, we must provide an attractive work environment. Novo 
Nordisk has consistently been named among the best places to 
work in Denmark. During 2009, we were also recognised as 
being among the best places to work in other markets, including 
Argentina, France, Poland, South Africa and the US.

We now have a consistent, transparent target-setting and 
performance management process across our business which 
supports employee mobility across regions. Employees typically 
have two target appraisals a year when, together with their 
manager, they set goals for the year, assess achievements and 
also define a preferred career path.

Talent and leadership programmes are in place targeting all 
levels, and several new programmes have been implemented
to facilitate early talent-spotting. As our business grows,
we have sought to ensure that all new managers with no
prior management responsibility at Novo Nordisk complete 
leadership training within the first six months of their 
appointment. More than 500 managers completed this 
programme in 2009.

Talent development programmes such as our Lighthouse 
programme for vice presidents and general managers use 
cooperative learning processes, including engagement with local 
hospitals, communities and non-governmental organisations. 
Participants are encouraged to find creative ways to implement 
Novo Nordisk’s commitment to patients, stakeholders and 
sustainable business practices.

Working with integrity

Maintaining and building trust is key to sustaining our licence to 
operate and innovate, and this requires that we operate ethically 
and with transparency across our value chain, from conducting 
clinical research to interactions with healthcare providers and 
patient organisations.

Institutionalising ethical conduct requires more than codes
and standards; it requires the fostering of a healthy corporate 
culture. The Novo Nordisk Way of Management (see p 28) 
outlines expectations for employee behaviour in all spheres, and 
adherence to the corporate values, which include accountability,
is monitored as part of our ongoing facilitation process.

Our business ethics policy is one of 13 policies that are part of
the framework of the Novo Nordisk Way of Management. We 
have also implemented policies and procedures tailored to our 
operations and regulatory environment to provide guidance on 
governing the business conduct of our employees, agents and 
contractors. Our approach includes global procedures, backed
by mandatory training and review by internal auditors.

Establishing standards
Our business ethics policy is implemented through three separate 
but complementary procedures. Two apply to everyone at Novo 
Nordisk, providing guidance on business ethics and interaction 
with third-party agents such as marketing consultants. The third 
outlines standards for interacting with healthcare professionals 
and applies to relevant employees.

Performance management
and leadership development
Developing the leadership we need for long-term sustainable 
growth requires that we support our people to develop
their qualifications, competences, employability and career 
opportunities. We also offer competitive remuneration and 
employment conditions. Increasingly, we are integrating 
performance management in leadership processes, moving 
towards performance leadership.

The procedures explain minimum requirements to ensure 
adherence to standards and compliance with local laws.
We continuously seek to strengthen and update standards
to reflect the dynamic regulatory environment, and integration 
of new and updated policies and regulations is ongoing. The 
procedures were revised for the second time in four years at
the end of 2009. Circumstances under which employees are 
obliged to report possible misconduct for investigation have 
been clarified.

Novo Nordisk Annual Report 2009     33

 
 
We have further strengthened our global procedures governing 
clinical investigations and observational studies to prepare for 
significant growth in the number of participants who will be 
involved in our clinical research programmes in the next few 
years. To ensure that everyone involved in clinical development 
lives up to the new standards, we are launching an e-learning 
programme for clinical research ethics in 2010.

In partnership with the University of Copenhagen and Henk
ten Have, director of UNESCO’s Division of Ethics of Science and 
Technology, we are developing a set of online tools to support 
ethical decision-making for bioethics dilemmas. The tools will 
be launched in 2010 and it is our intention that they will be 
hosted by a third party and made widely available online.

Training and implementation
We are committed to all necessary steps of communicating
and implementing the standards, policies and procedures,

and this includes continual training on our ethical and legal 
obligations. As we grow, adding more than 4,000 new 
employees annually, ongoing training helps ensure that all
new employees are familiar with their responsibilities. Training 
content is selected through an analysis of ethical trends and
a formalised risk assessment.

All staff involved in sales, marketing, regulatory affairs and 
public affairs must complete training that provides guidance, 
including examples of what constitutes unacceptable behaviour. 
Business ethics training was also required of all managers 
throughout the company for the first time in 2009. Of this 
group, 91% completed the required training. A global procedure 
ensures that in-house legal counsel and regulatory experts 
review and approve marketing materials and activities, and the 
review of promotional materials is documented in an electronic 
review system. The procedure, intended to be a minimum 
requirement, also involves a second-tier review at the affiliate 

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How we work with business ethics

Leadership
Board of Directors and 
Executive Management

•  Communication

•  Role models

Programme oversight
Business Ethics Steering Group

•  Monitor performance

•  Review resources

Audit and assurance
Group Internal Audit
and facilitators

•  Audits

•  Assurance

•  Hotline

•  Facilitations

•  Investigations

Implementation
and sanctions
Management

•  Leadership

•  Implementation

•  Sanctions

•  Role models

Strategic development
and compliance
Business Ethics
Compliance Offi ce

•  Policy and procedures

•  Strategy development

•  Compliance advice

•  Implementation tools

•  Training

•  Societal engagement

•  Investigations

Local
implementation
Regional and local lawyers

•  Policy and procedures

•  Local trendspotting

•  Compliance advice

•  Training 

•  Investigations

34     Novo Nordisk Annual Report 2009

 
 
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level to ensure compliance with local regulations in the market 
where materials will be used.

another employee for good faith reports of potential or 
suspected violations of laws, regulations or company policies.

Our dedicated internal website includes business ethics
proce dures and other information in eight languages, including 
descriptions of controls and investigations and a toolbox with 
tools for local training.

Monitoring and oversight
We monitor adherence to ethical standards in several ways, 
ensuring a consistent, multifaceted approach. First, our 
facilitation process includes interviews with more than 3,000 
employees throughout the organisation each year to monitor 
how our values are being lived and implemented throughout
our business.

Business ethics audits are conducted by Group Internal Audit, using 
risk assessments to determine which units to audit. These audits 
include on-site interviews and reviews of documentation to assess 
knowledge of Novo Nordisk’s business ethics procedures and how 
effectively those procedures are being implemented. More than
30 business ethics audits were conducted in 2009 and more than 
100 findings have been issued.

Maintaining and building trust 
is key to sustaining our licence 
to operate and innovate, and 
this requires that we operate 
ethically and with transparency 
in all aspects of our business.

Investigations of suspected business ethics misconduct are also 
conducted by Group Internal Audit. Actions taken on substan-
tiated cases have included training activities or disciplinary actions 
such as warnings and dismissal of employees.

Employees are encouraged to ask questions about compliance 
issues. They also have an obligation to report possible or suspected 
misconduct. Employees can report misconduct to their immediate 
manager, through our internal compliance hotline, to the local or 
corporate counsel or to the Business Ethics Compliance Office,
or to the investigations unit of Group Internal Audit, which has
a formal reporting line to the Audit Committee of the Board of 
Directors. Fourteen business ethics cases were reported through 
the compliance hotline in 2009.

Staff and stakeholders are also invited to confidentially report 
business ethics concerns and financial fraud to the Audit 
Committee through our global whistleblower system. Reports
of misconduct are treated confidentially and employees who 
use the compliance hotline or the whistleblower system may 
choose to remain anonymous. Managers who receive reports
of misconduct are obligated to report this directly to the Audit 
Committee Secretary or through the local counsel. 

While ethical issues can be reported anonymously, we also 
have a policy prohibiting retaliation by any employee against 

We investigate all reported allegations of misconduct and initiate 
corrective action where appropriate. Although each situation is 
considered individually, Novo Nordisk evaluates and implements 
the appropriate action to address inappropriate conduct and 
deter future violations. Disciplinary action may include retraining, 
dismissal or other appropriate discipline of the individual involved 
as well as discipline of the supervisor.

The Business Ethics Steering Group sets strategy and oversees 
implementation of ethical standards, procedures and training
by the Business Ethics Compliance Office. The steering group is 
comprised of senior executives from across the organisation and 
supports the development, operation and monitoring of ethics 
and compliance activities.

Responsibility for implementing business ethics rests with the 
Business Ethics Compliance Office, which reports to the general 
counsel and has the authority to report directly to the Audit 
Committee. The Business Ethics Compliance Office identifies
and assesses compliance risks, enforces procedures related to 
business ethics, provides advice to the organisation on compliance 
issues, and is responsible for developing and revising policies as 
necessary.

Environmental 
responsibility

This was a particularly notable year from a climate perspective, 
both for our company and the global community. At the end
of 2009, we had exceeded our 2014 target of a 10% absolute 
reduction in CO2 emissions compared to 2004.

Since 2004, emissions growth has been kept below the rate
of production increases, and in 2008 we achieved an absolute 
emission reduction while production continued to grow. The 
reduction target was supported by key performance indicators 
tied to our internal Balanced Scorecard and our long-term 
incentive programme (described on p 39).

A global climate framework
Our commitment to reducing environmental impact goes beyond 
what we are able to accomplish in our own facilities. “The trans-
formation to a carbon-neutral economy is necessary to secure 
global sustainable development,” says Lise Kingo, executive vice 
president and chief of staffs. “This will require collaboration 
between government, business and science to drive innovative 
change, supported by a long-term, stable policy framework that 
incentivises more sustainable practices.”

To raise awareness of the need for a successful outcome of
the UN Climate Change Conference held in Copenhagen in 
December 2009, Novo Nordisk provided seed money and was
a driving force behind the World Business Summit on Climate 
Change held in May 2009. The summit was organised by the 
Copenhagen Climate Council and supported by the Danish 
government, UN Global Compact, and the World Business 
Council for Sustainable Development. The summit produced
a list of six items that the business community believed to be 
necessary ingredients of an effective global climate agreement.

Novo Nordisk Annual Report 2009     35

 
 
To manage water usage, we conducted an assessment of the 
water we use in our production processes and our impact on 
local water supplies, identifying areas of risk where greater 
control was needed as well as opportunities for additional 
reductions in consumption. The assessment identified oppor-
tunities to reduce the amount of water used at our insulin
filling plants.

Total water
consumption

  Water used at all
  production sites

1,000 m3

4.0

3.5

3.0

2.5

2.0

2005  2006  2007  2008  2009

At our Chartres production facility in France, our focused efforts 
led to a 50% drop in water usage at the site between 2005 and 
2009. The amount of water used to produce each Penfill® 3 ml 
holder for NovoPen® 3 dropped to 0.75 liters from 2.5 liters,
a reduction of 70%. Production at Chartres increased by 60% 
during this four-year period.

During 2009, we conducted detailed water mapping and 
identified opportunities for water savings at our Montes Claros 
facility in Brazil. This is our largest insulin filling facility, and it
is located in a water-stressed area. A number of projects to 
optimise water use have been initiated. Total output at Montes 
Claros is increasing, so we anticipate that water usage will still 
increase, but at a substantially lower rate. Water mapping of 
other production facilities continues.

The additional production facility we are currently constructing
in Tianjin, China, has been designed to optimise water and energy 
use and to be more water-efficient than the newest similar facility 
in Brazil. 

Reducing waste
Performance improvements were seen in all of our environmental 
indicators in 2009 with the exception of waste. We are intent
on reducing the impact of our operations and during 2009 we 
established a waste reduction plan, focusing on areas where we 
have the greatest opportunities for reducing waste from our 
production activities. To support waste reduction projects and 
facilitate knowledge sharing, we are launching an internal waste 
forum. Our plan is to develop longer-term waste reduction 
targets beginning in 2011.

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We are, however, disappointed with the Copenhagen Accord,
the final outcome of the climate summit in Copenhagen at the 
end of 2009. As a global business we had hoped for an ambitious, 
binding and long-term global framework that would help guide 
business decisions for future operations and chart the course 
towards a low-carbon global economy. We recognise, though, 
that it is at least a step in the right direction to have a formal 
agreement on the need for deep cuts in global emissions to
hold the increase in global temperature below 2°C.

For the business community, we find it now more urgent than 
ever to keep up momentum on initiatives that will mitigate 
climate change, contribute to adaptation and drive sustainable 
development. We will continue our work to develop a next-
generation climate action strategy, taking into account signals 
from the summit process.

Creating value by reducing emissions
Savings from reduced energy consumption at our Danish 
production facilities have been earmarked to purchase electricity 
from a new offshore wind farm opened by our Danish energy 
supplier in September 2009. Our energy consumption in 
Denmark has dropped by 30 million kWh, and the cost savings 
from these cuts are enough to purchase sufficient wind electricity 
for all of the power needs at our Danish facilities once the new 
wind farm, Horns Rev 2, is fully operational in 2010. Switching to 
wind-generated electricity will result in an annual CO2 reduction 
of 90,000–100,000 tons.

During 2009, we exceeded
our long-term target of
a 10% absolute reduction
in CO2 emissions.

Our commitment to reduce energy consumption and use 
alternative energy sources where possible is global in scope.
Our Brazilian facility makes extensive use of hydroelectric 
energy and biomass. As a result, the site has the lowest CO2 
emissions among Novo Nordisk production sites worldwide.

We have participated in the Carbon Disclosure Project, which 
measures disclosure on climate risk management, since its 
inception in 2000. We are also a member of the project’s Nordic 
Carbon Disclosure Leadership Index.

To further improve our disclosure and carbon risk management,
we are extending our climate strategy focus from production areas 
to emissions from all transportation, including product distribution, 
company cars and business travel. During 2010, we will assess
a baseline for emissions from company cars in our affiliates and 
consolidate plans to reduce emissions from the entire car fleet. 

Water usage
We recognise widespread concerns about water scarcity and the 
potential effects of climate change on access to fresh water. In 
line with our efforts to effectively manage resources, we have 
intensified our focus on conserving water during the past two 
years. In 2009, our water usage fell by 20% compared to 2008.

36     Novo Nordisk Annual Report 2009

 
 
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Corporate 
governance

Our company is part of the Novo Group, a family of independent 
companies with a common history and shared values. The Novo 
Group comprises a holding company, Novo A/S, wholly owned
by the Novo Nordisk Foundation. 

The framework for our corporate governance system consists
of internal principles as well as external regulation and codes, 
including compliance with applicable securities laws in Denmark, 
the US and the UK. We are also in full compliance with the Danish 
Corporate Governance Recommendations and are in general 
compliance with corporate governance standards as a foreign 
issuer listed on the New York Stock Exchange and the London 
Stock Exchange. We expect to receive approval to delist our 
shares from the London Stock Exchange during 2010.

Novo Nordisk’s values are consistent with principles of good 
governance, and the Novo Nordisk Way of Management forms 
the internal values-based governance framework (see p 28).

Governance
Accountability to shareholders
Novo Nordisk holds itself accountable to shareholders for its 
performance. The company seeks to enhance the accuracy, 
completeness and reliability of the information provided in the 
company’s annual financial and non-financial reporting through 
internal controls, assurance and independent audits. Reporting helps 
shareholders assess the actions of the Board and management.

Shareholder rights
Novo Nordisk’s share capital is divided into A shares and B shares. 
All A shares are held by Novo A/S, a Danish limited liability 
company wholly owned by the Novo Nordisk Foundation, which 
is a commercial, profit-making foundation. The B shares are 
traded on the stock exchanges in Copenhagen and London and
in the form of ADRs on the New York Stock Exchange. The 
company will, however, apply for delisting from the London Stock 
Exchange in the first quarter of 2010. See p 48.

Each A share (= nominal value 1 Danish krone) carries 1,000
votes and each B share (= nominal value 1 Danish krone) carries 
100 votes (see p 48). Special rights attached to A shares include 
pre emptive subscription rights in case of an increase of the
A share capital and preemptive purchase rights in case of a sale
of A shares and priority dividend if the dividend is below 0.5%, 
while B shares take priority for dividend between 0.5% and 5% 
and B shares take priority for winding-up proceedings.

We are not aware of the existence of any agreements with
or between shareholders on the exercise of votes or control. 
Shareholders have ultimate authority over the company and 
exercise their right to make decisions regarding Novo Nordisk at 
general meetings, either in person or by proxy. Resolutions can 
generally be passed by a simple majority, while resolutions to 
amend the articles are subject to adoption by at least two-thirds 
of votes cast and capital represented unless stricter require-
ments are imposed by Danish company law. At the annual 

general meeting, shareholders approve the annual report and any 
amendments to the company’s articles. They also elect board 
members and the independent auditor. All shareholders may, 
no later than 1 February, request that proposals for resolutions 
be included on the agenda. All shareholders may also ask 
questions at the general meetings. Simultaneous interpretation 
between English and Danish is available, and the meeting is 
webcast live.

The Novo Nordisk Foundation
The Foundation supports Novo Nordisk in achieving its vision
and adhering to the Charter for Companies in the Novo Group. 
All strategic and operational matters are solely decided by the 
Board and the management of Novo Nordisk. Overlapping board 
memberships help to ensure that the Foundation and Novo 
Nordisk share a common vision and strategy.

Board of Directors
The company has a two-tier board structure consisting of the Board 
of Directors and Executive Management. The two bodies are 
separate and no person serves as a member of both. On behalf
of the shareholders, the Board determines the company’s overall 
strategy and actively contributes to developing the company as
a focused global pharmaceutical company. The Board supervises 
Executive Management in its decisions and operations and the 
company may issue new shares or buy back shares in accordance 
with authorisations granted by the general meeting and recorded 
in the minutes.

The Board has 11 members, seven of whom are elected by 
shareholders at general meetings and four by employees. 
Shareholder-elected board members serve a one-year term and 
may be re-elected at the general meeting. Board members must 
retire at the first general meeting after reaching the age of 70.
A proposal for nomination of Board members is presented by
the Chairmanship to the Board, taking into account required 
competences and reflecting the result of a self-assessment 
process. The assessment process is based on written question-
naires and evaluates whether each Board member and executive 
participates actively in board discussions and contributes with 
independent judgement.

In nominating candidates, the Chairmanship seeks to achieve
a balance between renewal and continuity. Four of the share-
holder-elected board members are independent as defined by the 
Danish Corporate Governance Recommendations, while three 
shareholder-elected board members are related to the majority 
shareholder through board or executive positions, and two
of these have also previously been executives in Novo Nordisk
(see pp 43–45).

Under Danish law, Novo Nordisk employees in Denmark are entitled 
to be represented by half of the total number of board members 
elected at the general meeting. Board members elected by 
employees serve a four-year term and have the same rights, duties 
and responsibilities as shareholder-elected board members. In 2009, 
the Board met seven times. Four meetings were attended by all 
board members; three of the members had to be excused from 
attending one meeting each during the year. With the exception
of agenda items reserved for the Board’s internal discussion at each 
meeting, executives attend and may speak, without voting rights,
at board meetings to ensure that the Board is adequately informed 
of the company’s operations. Executives’ regular feedback from 
meetings with investors allows board members an insight into major 
shareholders’ views of the company.

Novo Nordisk Annual Report 2009     37

 
 
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Chairmanship
A chairman and a vice chairman elected by the Board from 
among its members form the Chairmanship of the Board.
In 2009, the Chairmanship held seven meetings and both 
members participated in all meetings. The Chairmanship carries 
out administrative tasks such as planning board meetings to 
ensure a balance between overall strategy-setting and financial 
and managerial supervision of the company. It also reviews the 
fixed asset investment portfolio. Other tasks include recom-
mending the remuneration of directors and executives and 
suggesting candidates for election by the general meeting.
In practice, the Chairmanship has the roles and responsibilities 
of a nomination committee and a remuneration committee.

In March 2009, the Board re-elected Sten Scheibye chairman
and Göran A Ando vice chairman.

Research and development facilitator
The Board has appointed a research and development facilitator
to assist the Board and Executive Management in preparing the 
Board’s discussions about research and development. The key tasks 
are reviewing R&D strategies and evaluating the competitiveness of 
the R&D organisation, processes and projects. In March 2009, the 
Board re-elected Göran A Ando as R&D facilitator.

Audit Committee
The Audit Committee currently has three members elected by
the Board from among its members. All members qualify as 
independent and have been designated as financial experts as 
defined by the US Securities and Exchange Commission (SEC).
In addition, two members have been designated as financial 
experts under Danish law. In 2009, the Audit Committee held 
four meetings and all members participated in all meetings except 
for one occasion when one member was absent.

The Audit Committee assists the Board of Directors with 
oversight of the external auditors, the internal audit function, 
complaints regarding financial fraud and business ethics,
the financial reporting process and reviews of investments.
The Audit Committee conducts a self-assessment annually, 
evaluating whether each member participates actively in 
discussions and contributes with independent judgement.

In March 2009, the Board re-elected Kurt Anker Nielsen as 
chairman and re-elected Jørgen Wedel as a member of the
Audit Committee. At the same time, Hannu Ryöppönen was 
elected to the Audit Committee as a new member.

Whistleblower programme
Concerns over possible breaches of ethical business conduct
and financial fraud may be raised anonymously with the Audit 
Committee by telephone or on the web in eight languages,
with no subsequent disciplinary or retaliatory action towards
the whistleblower. The whistleblower system is managed by an 
external vendor. Employees may also report ethical misconduct
to our internal compliance hotline. See p 35.

Management of the company
The Board has delegated responsibility for day-to-day management 
to Executive Management. Executive Management consists of the 
president and chief executive officer and four other executives (see
p 46) and is responsible for organisation of the company as well
as allocation of resources, determination and implementation
of strategies and policies, direction-setting and ensuring timely 
reporting and provision of information to the Board and the stake 
holders of Novo Nordisk. Executive Management meets at least
once a month and often more frequently. The Board appoints 
members of Executive Management and determines remuneration. 
The Chairmanship reviews the performance of the executives.

The Novo Nordisk model
of corporate governance

Corporate governance
codes and practices
Novo Nordisk is in full compliance with the
Danish Corporate Governance Recommendations 
and – as a foreign listed issuer – is in general 
compliance with the corporate governance 
standards of the stock exchanges in London
and the New York Stock Exchange, where Novo 
Nordisk’s B shares and ADRs, respectively, are 
listed. We expect that our B shares will be delisted 
from the London Stock Exchange during 2010.

The applicable corporate governance codes for 
each exchange and a detailed review of Novo 
Nordisk’s compliance are available at novonordisk.
com/about_us.

The Novo Nordisk corporate governance model 
sets the direction and is the framework within 
which the com pany is managed (see also p 28).

38     Novo Nordisk Annual Report 2009

Governance structure

Framework

Shareholders

Assurance

External
codes and
regulations

Novo Nordisk
Way of
Management

Board of Directors

Chairmanship

Audit
Committee

R&D
facilitator

Executive Management

Organisation

Financial
audit and
non-fi nancial
assurance

Facilitation

Organisational
audit

Quality audit

 
 
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Assurance
External audit
The company’s financial reporting and the internal controls
over financial reporting processes are audited and assessed by
an external auditor elected by the annual general meeting. The 
auditor acts in the interest of shareholders and the public (see
p 106). The auditor reports any significant findings regarding 
accounting matters and any significant internal control deficien-
cies via the Audit Committee to the Board and in the Auditor 
Long-Form report to the Board.

As part of the company’s commitment to financial, environmental 
and social responsibility, Novo Nordisk voluntarily includes an 
assurance report for non-financial reporting in its annual report 
(see p 107). The assurance provider reviews whether the non-
financial performance information included in the annual
report is inclusive, covers aspects deemed to be material and
is responsive to company stakeholders.

Internal audit
The internal audit function provides independent and objective 
assurance primarily within internal control and governance. To 
ensure that the function works independently of management, 
its charter, audit plan and budget are approved by the Audit 
Committee.

The Audit Committee must approve the appointment, remuneration 
and dismissal of the head of the internal audit function.

Internal control
Novo Nordisk’s risk management and internal controls in 
relation to financial processes are designed with the purpose
of effectively controlling the risk of material misstatements.
A detailed description of the implemented internal controls
and risk management system in relation to financial reporting 
processes is available at novonordisk.com/about_us/corporate_
governance/internal_control.asp.

Novo Nordisk is in compliance with US Sarbanes–Oxley Act 
section 404, which requires detailed documentation of the 
design and operation of financial reporting processes. Novo 
Nordisk must ensure that there are no material weaknesses in the 
internal controls that could lead to a material misstatement in its 
financial reporting. The company’s conclusion and the auditor’s 
evaluation of these processes are included in its Form 20-F filing 
to the US Securities and Exchange Commission.

Executive 
remuneration
Board members
The remuneration of the Board of Directors is aligned with other 
major Danish companies, and payments made to members of
the Board are reported in detail on pp 78–80. The remuneration
of board members is presented for approval by the annual 
general meeting. Under this separate agenda item, the actual 
remuneration of the Board of Directors for the previous year
and the level for the current year are approved.

Each board member receives a fixed fee per year. Board members 
receive a fixed amount (the base fee) while the chairman receives 

2.5 times the base fee and the vice chairman 1.5 times. Service
on the Audit Committee entitles members to additional payments 
of 0.5 times the base fee or, in the case of the committee chair, 
1.25 times the base fee. Individual board members may take on 
specific ad hoc tasks outside the normal assigned duties. In such 
cases the Board determines a fixed fee for the work. This is the 
case for the R&D facilitator. Expenses, such as travel and accom-
modation in relation to board meetings as well as relevant 
training, are reimbursed. It was decided at the 2009 Annual 
General Meeting that all board members residing outside 
Denmark are to be paid a fixed travel allowance per meeting 
attended in Denmark. No travel allowance is paid to board 
members when attending board meetings outside Denmark. 
Board members are not offered stock options, warrants or other 
incentive schemes.

Executives
Executive remuneration is proposed by the Chairmanship and 
requires the approval of the entire Board. Detailed reporting of 
2009 executive pay appears on pp 76–80. Levels are evaluated 
annually against a Danish benchmark of large companies with 
international activities. This information is supplemented by 
information on remuneration levels for similar positions in the 
international pharmaceutical industry. Executive remuneration 
packages consist of a fixed base salary, a short-term cash bonus, 
a long-term share-based incentive, pensions and other benefits. 
For executives being expatriated at the request of the company, 
the remuneration package is based on current Danish remune-
ration levels, including pension entitlements, while a specific 
expatriation package is added for the period of expatriation.
The short-term cash incentive bonus may yield a maximum 
annual payout equal to four months’ fixed base salary plus 
pension contribution. The long-term incentive programme may 
result in a maximum allocation per year equal to eight months’ 
fixed base salary plus pension contribution.

Fixed base salary
The fixed base salary for each executive is between 40% and 60% 
of the total value of the remuneration package.

Short-term incentive programme
The short-term incentive programme consists of a cash bonus 
linked to the achievement of predefined functional and individual 
business targets for each executive. The targets for the chief 
executive officer are set by the chairman of the Board, while 
targets for executive vice presidents are set by the chief executive 
officer.

The chairman of the Board evaluates the degree of target 
achievement for each executive and presents this, along with 
proposed cash bonus payments, for approval by the Board.

Long-term incentive programme 
In January each year the Board decides whether to establish
a long-term incentive programme for the calendar year. The 
programme is based on a calculation of shareholder value 
creation compared with budgeted performance. Aligned with 
Novo Nordisk’s long-term financial targets, the calculation of 
shareholder value creation is based on reported operating profit 
after tax reduced by a weighted average cost of capital-based 
return requirement on average invested capital. A proportion of 
the calculated shareholder value creation is allocated to a joint 
pool for the participants, which includes Executive Management 
and other members of the Senior Management Board.

Novo Nordisk Annual Report 2009     39

 
 
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For executives the joint pool operates with a yearly maximum 
allocation per participant equal to eight months’ fixed base salary 
plus pension contribution. The joint pool may, subject to the 
Board’s assessment, be reduced in the event of lower-than-planned 
performance in significant research and development projects or 
key sustainability projects. Targets for non-financial performance 
may include achievement of certain milestones by set dates.

Once the joint pool has been approved by the Board, the total cash 
amount is converted into Novo Nordisk B shares at market price. 
The market price is calculated as the average trading price for Novo 
Nordisk B shares on NASDAQ OMX Copenhagen in the open 
trading window following the release of financial results for the 
year prior to the bonus year. The shares in the joint pool are 
allocated to the participants on a pro rata basis: the chief executive 
officer has three units, executive vice presidents have two units 
each and other members of the Senior Management Board have 
one unit each. Joint pool shares for a given year are locked up
for three years before they are transferred to participants. If a 
participant resigns during the lock-up period, his or her shares will 
remain in the joint pool to the benefit of the other participants.
In the lock-up period, the Board may remove shares from the
joint pool in the event of lower-than-planned value creation in 
subsequent years if, for example, the economic profit falls below
a predefined threshold compared with the budget for a particular 
year. In the lock-up period the value of the joint pool will change 
depending on the development in the share price, aligning the 
interests of participants with those of shareholders.

Pension
The pension contribution for executives is between 25% and 30% 
of the fixed base salary including bonus.

Other benefits
Executives receive non-monetary benefits, such as a company car 
and phone. Such other benefits are approved by the Board by 
delegation of powers to the Chairmanship. The Chairmanship 
informs the Board of the process and outcome. In addition, the 
executives may participate in programmes that are offered to all 
Novo Nordisk employees. Expenses incurred by the executives in 
connection with business travel, conferences, education, etc, are 
reimbursed.

Severance
In addition to their notice period, executives are entitled, in the 
event of termination, whether by Novo Nordisk or by the individual 
due to a merger, acquisition or takeover of Novo Nordisk, to a 
severance payment of up to 36 months’ fixed base salary plus 
pension contribution. This amounts to between 14.3 million and 
24.4 million Danish kroner per executive. The severance payment is 
three months’ fixed base salary plus pension contribution per year 
of employment as an executive, but in no event less than 12 or 
more than 36 months’ fixed base salary plus pension contribution. 
The Remuneration Policy for Novo Nordisk board members and 
Executive Management is available at novonordisk.com/about_us/
corporate_governance/remuneration.asp. Application of the 
Remuneration Policy in 2009 is described in notes 29 and 30
on pp 76–80. Remuneration for board members and Executive 
Management will be in accordance with this policy for 2010.
This is also expected to be the case for 2011.

Global remuneration strategy
We aspire to be an employer of choice. The company’s remune-
ration strategy aims to attract, retain and motivate employees 

40     Novo Nordisk Annual Report 2009

around the world. Compensation is designed to be competitive 
and to align interests with those of shareholders.

On a global basis, compensation packages are guided by five 
broad principles:

•   A total rewards approach
     In addition to base pay, incentives and benefits, non-financial 

remuneration such as continuing education, career progression 
and working environment are important elements of the ‘total 
rewards’ package.

•   Market linked
     Salaries, incentives and benefits are positioned and main-
tained at the level required to be competitive in local 
markets, generally between the local market median and 
upper quartile. Novo Nordisk also provides adequate life 
insurance, healthcare and pension provisions irrespective
of local competitive practice.

•   Performance linked
     There is a transparent, direct link between employee performance 
and remuneration. Variable pay is used to reward performance, 
with base pay increases reflecting market conditions.

•   Transparency
     Clear communication of remuneration programmes is a priority, 
and all costs associated with compensation practices are known 
and publicly disclosed.

•   Flexibility
     Subject to corporate governance or legal requirements, 
flexibility is encouraged. Flexible solutions must be cost 
neutral to Novo Nordisk, and adequate levels of insurance 
must be maintained.

Risk management

Executive Management, reporting to the Board of Directors,
is responsible for maintaining and monitoring a systematic, 
integrated process to continually assess the risks of a wide range 
of issues. The Risk Management Board, representing senior 
managers from all parts of the value chain and chaired by the 
chief financial officer, sets the strategic direction for the risk 
management process and challenges the overall risk and control 
profile for Novo Nordisk.

Risk management is also embedded in our governance system
as a part of the policy framework of the Novo Nordisk Way of 
Management. Our policy for risk management is that risks are 
managed to enable the continued growth of our business and
to protect our people, assets and reputation. This means we will:

•   utilise an effective and integrated risk management process 

while maintaining business flexibility

•   identify and assess material risk to enable continued growth

of our business

•   monitor, manage and mitigate risks.

Risk management process
Each quarter, all major business areas in the company are required 
to report to the Risk Office their most significant risks, 

 
 
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considering both financial and non-financial risks, along with 
plans or processes to manage these risks. The risk identification 
process is both top down and bottom up, with risks escalated 
from all parts of the organisation. The Risk Office, acting as the 
secretariat for the Risk Management Board, challenges business 
areas about reported risks and encourages exploration of 
longer-term concerns. Reported risks are then consolidated
into a ranking and assessment of the company’s key risks. This 
information is presented to the Risk Management Board and
from here to Executive Management and the Board of Directors.

Our policy for risk 
management is that risks
are managed to enable the 
continued growth of our 
business and to protect our 
people, assets and reputation.

All assessments of risk take into account the likelihood of an 
event and its potential impact on the business. Impacts are 
quantified and assessed in terms of potential financial loss and 
reputational damage. Risks are assessed both as gross risk and 
net risk. The assessment of gross risk assumes that no mitigating 
actions have been implemented, whereas net risk assessment 
takes into account mitigating actions and their anticipated 
effect. Enterprise risk management increases our ability to assess 
and understand risks separately and in relation to each other 
from a global perspective but with local control.

The risks that we deem of greatest importance to our business 
are categorised and described below. They are not, however, 
ranked. Many of these issues are also discussed elsewhere in
the report.

Market risks
Price pressures
Novo Nordisk focuses on developing differentiated products that 
offer improved treatment options for patients and economic 
benefits to healthcare systems. As healthcare costs have risen, 
outstripping the pace of economic growth, there is increasing 
economic, political and regulatory pressure to contain pharma-
ceutical prices. In the US, healthcare reform legislation under 
consideration at the beginning of 2010 targets drug prices, 
constituting a key risk for Novo Nordisk in the short term. We 
believe expanded access to healthcare will ultimately result in 
more people receiving treatment for chronic diseases such as 
diabetes. Documenting treatment benefits is critical to ensuring 
that innovation is properly valued. Novo Nordisk is increasing the 
number of clinical and health-economic studies to substantiate 
the benefits of its products to patients and society, particularly 
for improved diabetes treatment.

Biosimilar competition 
The market for therapeutic proteins is becoming more attractive 
to biosimilar producers as more lenient regulatory rules in Europe 
have made it easier for producers to introduce biosimilar products 

when patent protection for branded products expires. More 
lenient rules have also been proposed in the US. The introduction 
of lower-priced, biosimilar products could potentially result in a 
significant reduction in net sales. Traditional, earlier generations 
of insulin products have been off patent for years so this is a
risk with which Novo Nordisk is familiar and has considerable 
experience addressing. Biosimilar products have been present
on the European market for several years but have had only a 
marginal impact. In countries such as India and China, where the 
company has long had biosimilar competition, Novo Nordisk has 
maintained an insulin volume market share of approximately 
60%.

R&D risks
Bringing new products to market
Continued growth in our business, particularly as patents 
expire, depends on the company’s ability to develop and offer 
better treatments or breakthrough products to patients. While 
we commit substantial effort and resources to research and 
development activities, certain challenges could delay the 
introduction of new products. These include an increasingly 
difficult regulatory environment, recruitment of patients
for large-scale clinical trials and issues related to production 
processes.

Regulatory approval
Before a new treatment can be launched, it must receive regulatory 
approval based on its safety and efficacy. The approval process for 
new products is generally lengthy and can be subject to delays. 
Failure to obtain, or delays in obtaining, regulatory clearance to 
market products could adversely affect the results of operations. 
Even after a product is approved, it may be subject to regulatory 
action based on newly discovered findings about safety or efficacy. 
One example of such a potential risk could be the issue raised in 
Diabetologia, the journal of the European Association for the Study 
of Diabetes, concerning the potential carcinogenicity of certain 
insulin analogues2. Regulatory action may adversely affect product 
marketing, require changes to product labelling or even lead to 
withdrawal of regulatory approval.

Production and quality risks
Supply disruptions
Failure or breakdown in any of the company’s vital production 
facilities could adversely affect the results of operations, as well 
as possibly causing employee injuries or infrastructure damage. 
Fire-prevention design, alarms and fire instructions, annual 
inspections, back-up facilities and safety inventories are aimed
at mitigating this risk. To spread this risk geographically and 
optimise costs and supply logistics, we are expanding production 
capacity beyond the company’s European base to the US, Brazil 
and China. As our sourcing becomes more global, our supply 
chain expands, which increases risks involved in supply chain 
management.

Risk of product recalls
Product safety is directly linked to patient well-being, so safety 
and product quality are paramount concerns from both financial 
and reputational perspectives. While the gross risk is very high, 
with product safety having the potential to adversely affect 
operations, we believe that our vigorous efforts to manage and 
mitigate this risk effectively reduce the company’s net risk profile. 
We have a corporate quality system in place, with quality audits, 
quality improvement plans and systematic management reviews.

Novo Nordisk Annual Report 2009     41

 
 
or reputational risk. Our reputation as a trusted healthcare 
partner is integral to effectively maintain and grow our business. 
At the same time, the regulatory context for marketing activity is 
constantly changing. A business ethics policy and global business 
ethics procedures, paired with close monitoring of performance 
and enhanced reporting requirements, all aim to mitigate these 
risks. The policy supplements long-standing local ethics and 
compliance policies. Significant resources are also dedicated to 
training marketing and sales people around the world.

Legal risks
Intellectual property
Patent rights are a very important tool for promoting innovation, 
leading to new and better products and processes, and stimu-
lating long-term economic growth and job creation. We will 
enforce our patent rights towards infringing parties if deemed 
advisable by Executive Management after having carefully 
analysed the commercial and legal aspects of such enforcement. 
Novo Nordisk patent rights will be defended against legal chal-
lenges with respect to validity and enforceability if deemed 
advisable after a similar analysis.

Legal issues related to intellectual property are included on
pp 84–85.

Other legal risks
Legal issues related to product liability claims and business 
practices are included in the overview of current legal cases
on pp 84–85.

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People-related risks
Attracting and retaining talented people
Our ability to develop innovative products and ensure growth and 
high performance depends on our ability to attract and develop 
talented people. The global financial crisis has had significant 
impact on the labour market, which has been expressed in terms
of more applicants to vacant positions across functional areas and 
geographies, as well as increased retention of employees. In most 
markets the turnover rates are lower than the local market bench-
mark. We make substantial investments in training, and this makes 
our people attractive to other companies, particularly those 
seeking to build a strong platform within the diabetes segment. 
Appropriately managing remuneration, non-financial benefits
and recognition are critical success factors in conjunction with 
offering our people the best development opportunities working 
for a good cause. This is critical to the company’s long-term success 
and is prioritised accordingly.

Financial risks
Exchange rates
As a global business, fluctuations in currency exchange rates 
impact the reported performance. Novo Nordisk’s reporting 
currency and the functional currency of corporate operations is 
the Danish krone, which is closely linked to the euro in a narrow 
range of ±2.25%. However, the company has substantial 
exposure to other currencies, including the US dollar, Japanese 
yen, Chinese yuan and British pound. For information on how
the company manages these risks, see note 28 in the financial 
statements on p 75.

Ethical risks
Marketing practices
In a competitive environment with increasing public scrutiny and 
regulation, marketing practices can be the source of legal action 

Managing risks
throughout our business

External stakeholders

Board of Directors

Executive Management

Risk Management Board

The entire range of 
risks is consolidated 
and challenged every 
quarter. Key risks are 
identifi ed throughout 
the global organisation 
while control is 
maintained locally.

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Critical

Major

Moderate

Minor

Unlikely

Possible

Likely
Likelihood

Very likely

•  Gross assessment
•  Net assessment after mitigation

42     Novo Nordisk Annual Report 2009

 
 
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Board of Directors

Sten Scheibye, picture 1
From 1995 to 2008, Mr Scheibye was president and CEO of Coloplast 
A/S, Denmark. Before joining Coloplast in 1993, Mr Scheibye served 
as senior vice president, sales and marketing in Leo Pharma A/S, 
Denmark. He joined Leo Pharma in 1981. Mr Scheibye is chairman
of the Board of Directors of the Trade Council of Denmark and the 
Board of Governors of DTU (the Technical University of Denmark) and 
a member of the boards of Danske Bank A/S, Rambøll Gruppen A/S, 
DADES A/S, the Danish Industry Foundation and the Aase and Ejnar 
Danielsen Foundation, all in Denmark. Furthermore, he is chairman 
of the Denmark–America Foundation and vice chairman of the 
Danish Fulbright Commission.

Mr Scheibye has an MSc in Chemistry and Physics from 1978 and
a PhD in Organic Chemistry from 1981, both from the University of 
Aarhus, Denmark, and a BComm from the Copenhagen Business 
School, Denmark, from 1983.

The special competences possessed by Mr Scheibye that are 
important for the performance of his duties are his knowledge
of the healthcare industry, particularly in relation to patients 
requiring chronic care, and managerial skills relating to inter-
national organisations.

Dr Ando qualified as a medical doctor at Linköping Medical University, 
Sweden, in 1973, and as a specialist in general medicine at the same 
institution in 1978.

The special competences possessed by Dr Ando that are important 
for the performance of his duties are his medical qualifications and 
his extensive executive background within the international 
pharmaceutical industry.

Dr Ando became vice chairman of the Novo Nordisk A/S Board in 
2006. Dr Ando has also been designated research and development 
facilitator by the Board of Novo Nordisk A/S.

Henrik Gürtler, picture 3
Henrik Gürtler has been president and CEO of Novo A/S, Denmark, 
since 2000. He was employed by Novo Industri A/S, Denmark, as
an R&D chemist in the Enzymes Division in 1977. After a number of 
years in various specialist and managerial positions within this area,
Mr Gürtler was appointed corporate vice president of Human 
Resource Development in Novo Nordisk A/S in 1991, and in 1993 he 
was appointed corporate vice president of Health Care Production. 
From 1996 to 2000, he was a member of Corporate Management
of Novo Nordisk A/S with special responsibility for Corporate Staffs.

Mr Gürtler is chairman of the boards of Novozymes A/S, 
Copenhagen Airports A/S and COWI A/S, all in Denmark.

Mr Scheibye became vice chairman of the Novo Nordisk A/S Board
in 2004 and chairman in 2006.

Mr Gürtler has an MSc in Chemical Engineering from DTU (the 
Technical University of Denmark) (1976).

Göran A Ando, picture 2
Dr Ando was CEO of Celltech Group plc, UK, until 2004. He joined 
Celltech from Pharmacia, now Pfizer, US, where he was executive 
vice president and president of R&D with additional responsibilities 
for manufacturing, IT, business development and M&A from 1995
to 2003. From 1989 to 1995, Dr Ando was medical director, moving 
to deputy R&D director and then R&D director of Glaxo Group, UK. 
He was also a member of the Glaxo Group Executive Committee.
Dr Ando is a specialist in general medicine and a founding fellow
of the American College of Rheumatology in the US. Dr Ando serves 
as chairman of the Board of Novexel SA, France, as vice chairman
of the Board of S*Bio Pte Ltd, Singapore, and as a board member
of Novo A/S, Denmark, EDBI Pte Ltd, Singapore, NicOx SA, France, 
EUSA Pharma, UK, CBio Ltd, Australia, and Albea Pharmaceuticals 
AG, Switzerland. Dr Ando also serves as a senior advisor to Essex 
Woodlands Health Ventures UK Ltd. and is chairman of the Scientific 
Advisory Board, Southwest Michigan First, US.

The special competences possessed by Mr Gürtler that are important 
for the performance of his duties are his knowledge of the Novo 
Group’s business and its policies and his knowledge of the inter-
national biotech industry.

Johnny Henriksen, picture 4
Johnny Henriksen joined Novo Nordisk in January 1986 and currently 
works as an environmental advisor in Product Supply.

Mr Henriksen has an MSc in Biology from the University of 
Copenhagen, Denmark (1977).

Pamela J Kirby, picture 5
From 2001 to 2003, Pamela J Kirby was CEO of the contract
research organisation Quintiles Transnational Corporation, US, and 
before that Dr Kirby was director of Global Strategic Marketing of
F. Hoffman-La Roche Limited, Switzerland, from 1998 to 2001.

Name (male/female) 
Sten Scheibye (m) 
Göran A Ando (m) 
Henrik Gürtler (m) 
Johnny Henriksen2 (m) 
Pamela J Kirby (f) 
Anne Marie Kverneland2 (f) 
Kurt Anker Nielsen (m) 
Søren Thuesen Pedersen2 (m) 
Hannu Ryöppönen (m) 
Stig Strøbæk2 (m) 
Jørgen Wedel (m) 

First elected 
2003 
2005 
2005 
2002 
2008 
2000 
2000 
2006 
2009 
1998 
2000 

Term 
2010 
2010 
2010 
2010 
2010 
2010 
2010 
2010 
2010 
2010 
2010 

Nationality 
Danish 
Swedish 
Danish 
Danish 
British 
Danish 
Danish 
Danish 
Finnish 
Danish 
Danish 

Date of birth 
03 Oct 1951 
06 Mar 1949 
11 Aug 1953 
19 Apr 1950 
23 Sep 1953 
24 Jul 1956 
08 Aug 1945 
18 Dec 1964 
25 Mar 1952 
24 Jan 1964 
10 Aug 1948 

Independence3
Independent
Not independent1
Not independent1
Not independent
Independent
Not independent
Not independent1,4
Not independent
Independent4 
Not independent
Independent4

1 Member of management or the Board of Novo A/S or the Novo Nordisk Foundation.
2 Elected by employees of Novo Nordisk.
3 In accordance with Section V4 of Recommendations for Corporate Governance designated by NASDAQ OMX Copenhagen.
4 Mr Nielsen, Mr Ryöppönen and Mr Wedel qualify as independent Audit Committee members as defined by the US Securities and Exchange Commission (SEC).

Novo Nordisk Annual Report 2009     43

 
 
From 1996 to 1998, Dr Kirby was commercial director at British 
Biotech plc, UK, and from 1979 to 1996, Dr Kirby was employed
by Astra (now AstraZeneca) in various international positions, most 
recently as regional director/vice president of Corporate Strategy, 
Marketing and Business Development.

Dr Kirby is chairman of the Board of Scynexis Inc, US, and a board 
member of Smith & Nephew plc, UK, and Informa plc, Switzerland. 

Dr Kirby has a BSc in Pharmacology (1975) and a PhD in Clinical 
Pharmacology (1978), both from the University of London, UK.

The special competences possessed by Dr Kirby that are important 
for the performance of her duties are her scientific qualifications
and her extensive executive background within the international 
pharmaceutical and biotech industries, particularly as relates to 
marketing, strategic planning, clinical trials and life cycle manage-
ment in relation to pharmaceutical products. 

Anne Marie Kverneland, picture 6
Anne Marie Kverneland joined Novo Nordisk in July 1981 as a laboratory 
technician and is currently working as a full-time shop steward.

Ms Kverneland has a degree in medical laboratory technology from 
the Copenhagen University Hospital, Denmark (1980).

Kurt Anker Nielsen, picture 7
Kurt Anker Nielsen was initially employed in Novo Industri A/S in 1974 
as an economist. He served as CFO and deputy CEO of Novo Nordisk 
A/S until 2000, and from 2000 to 2003 he was CEO of Novo A/S.
He serves as vice chairman of the Board of Novozymes A/S and as
a member of the boards of the Novo Nordisk Foundation, LifeCycle 
Pharma A/S, Denmark, and ZymoGenetics, Inc, US. He is chairman
of the Board of Reliance A/S, Denmark, and a member of the board
of Vestas Wind Systems A/S, Denmark. He is also elected Audit 
Committee chairman for Novozymes A/S, LifeCycle Pharma A/S, 
ZymoGenetics, Inc. and Vestas Wind Systems A/S. Mr Nielsen serves as 
chairman of the Board of Directors of Collstrups Mindelegat, Denmark. 

Mr Nielsen has an MSc in Commerce and Business Administration 
from the Copenhagen Business School, Denmark (1972).

The special competences possessed by Mr Nielsen that are important 
for the performance of his duties are his in-depth knowledge of Novo 
Nordisk A/S and its businesses, his working knowledge of the global 
pharmaceutical industry and his experience with accounting, 
financial and capital markets issues.

Mr Nielsen has been chairman of the Audit Committee at Novo 
Nordisk A/S since 2004 and is also designated as financial expert
(as defined by the SEC)9.

Søren Thuesen Pedersen, picture 8
Søren Thuesen Pedersen joined Novo Nordisk in January 1994 and
is currently working as a specialist in Global Quality Development.

Mr Pedersen has been an employee-elected member of the Board of 
Directors of the Novo Nordisk Foundation since 2002. Mr Pedersen 
has a BSc in Chemical Engineering from the Danish Academy of 
Engineers (1988).

Hannu Ryöppönen, picture 9
Hannu Ryöppönen was CFO and deputy CEO of Stora Enso Oyj, 
Finland, until 2009. Before that he was CFO and an executive in Royal 
Ahold, the Netherlands, from 2003 to 2005 and served on the Board 

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44     Novo Nordisk Annual Report 2009

 
 
of Directors of the ICA Group, Sweden, including the chairmanship 
of the Audit Committee. From 1999 to 2003, Mr Ryöppönen was 
finance director of Industri Kapital Group, UK. Mr Ryöppönen served 
as CFO of the IKEA Group, Denmark, from 1985 to 1998, including
a position as deputy CEO in IKANO Asset Management from 1998 to 
1999. From 1977 to 1985, Mr Ryöppönen held various management 
positions at Chemical Bank in the US and the UK, as well as at Alfa 
Laval in the US and Sweden. 

Mr Ryöppönen is the chairman of the Board of Directors of Tiimari 
Oyj, a member of the Board of Directors of Neste Oil Oyj, Amer 
Sports Oyj and Rautaruukki Oyj, all in Finland. Mr Ryöppönen is
also the chairman of the Audit Committees of Amer Sports Oyj and 
Rautaruukki Oyj, and a member of the Audit Committee of Neste Oil 
Oyj. Finally, Mr Ryöppönen is chairman of the Board of Directors of 
the Altor private equity funds, Altor 2003 GP Limited, Altor Fund II 
GP Limited and Altor III GP Limited, Jersey, Channel Islands, and a 
member of the Board of Directors of the private equity fund Value 
Creation Investments Limited, Jersey, Channel Islands.

Mr Ryöppönen has a BA in Business Administration (1976) from 
Hanken School of Economics, Helsinki, Finland.

The special competences possessed by Mr Ryöppönen that are 
important for the performance of his duties are his international 
executive background and thorough understanding of managing 
finance operations in global organisations, in particular in relation
to accounting, financing and capital markets issues, but also his 
experience within private equity and Mergers & Acquisitions (M&A).

In March 2009, the Board of Directors of Novo Nordisk A/S elected 
Mr Ryöppönen as a member of the Audit Committee and designated 
him financial expert under both Danish and US law9.

Stig Strøbæk, picture 10
Stig Strøbæk joined Novo Nordisk in 1992 as an electrician and is 
currently working as a full-time union steward. Stig Strøbæk has 
been an employee-elected member of the Board of Directors of
the Novo Nordisk Foundation since 1998.

Mr Strøbæk has a diploma in electrical engineering and a diploma
in further training for board members from the Danish Employees’ 
Capital Pension Fund.

Jørgen Wedel, picture 11
Jørgen Wedel was executive vice president of the Gillette Company, US, 
until 2001. He was responsible for Commercial Operations, International, 
and was a member of Gillette’s Corporate Management Group. From 
2004 to 2008, he was a board member of ELOPAK AS, Norway.

Mr Wedel has an MSc in Commerce and Business Administration 
from the Copenhagen Business School, Denmark (1972), majoring
in accounting and financing, and an MBA from the University of 
Wisconsin, US (1974).

The special competences possessed by Mr Wedel that are important 
for the performance of his duties are his background as a senior sales 
and marketing executive in a globally consumer-oriented company 
within the fast-moving consumer goods industry, as well as particular 
insight into the US market. In addition, he possesses competences in 
relation to auditing and accounting. 

Mr Wedel has been a member of the Audit Committee at Novo 
Nordisk A/S since 2005, and in March 2009 he was designated
as financial expert under both Danish and US law 9.

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Novo Nordisk Annual Report 2009     45

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Executive 
Management

Lars Rebien Sørensen, picture A
Lars Rebien Sørensen joined Novo Nordisk’s Enzymes Marketing in 
1982. Over the years, he has been stationed in several countries, 
including the Middle East and the US. Mr Sørensen was appointed
a member of Corporate Management in May 1994 and given special 
responsibility within Corporate Management for Health Care in 
December 1994. He was appointed president and CEO in November 
2000. Mr Sørensen is a member of the boards of ZymoGenetics, Inc, 
US, DONG Energy A/S and Danmarks Nationalbank, both Denmark, as 
well as a member of the Bertelsmann AG Supervisory Board, Germany. 
Mr Sørensen received the French award Chevalier de l’Ordre National 
de la Légion d’Honneur in 2005. Mr Sørensen has an MSc in Forestry 
from the Royal Veterinary and Agricultural University (now the University 
of Copenhagen), Denmark, from 1981, and a BSc in International 
Economics from the Copenhagen Business School, Denmark, from 
1983. Since October 2007, Mr Sørensen has been adjunct professor at 
the Life Sciences Faculty of the University of Copenhagen. Mr Sørensen 
is a Danish national, born on 10 October 1954.

Jesper Brandgaard, picture B
Jesper Brandgaard joined Novo Nordisk in 1999 as corporate vice 
president of Corporate Finance and was appointed CFO in November 
2000. He serves as chairman of the boards of SimCorp A/S, NNE 
Pharmaplan A/S and NNIT A/S, all in Denmark. Mr Brandgaard has
an MSc in Economics and Auditing from 1990 as well as an MBA 
from 1995, both from the Copenhagen Business School, Denmark. 
Mr Brandgaard is a Danish national, born on 12 October 1963.

Lise Kingo, picture C
Lise Kingo joined Novo Nordisk in 1988 and has worked over the years 
to build up the company’s Triple Bottom Line approach. Ms Kingo was 
appointed senior vice president in 1999 and executive vice president, 
Corporate Relations, in 2002. Ms Kingo serves as chair of the board
of the Steno Diabetes Center A/S, Denmark. She is also associate 
professor at the Medical Faculty, Vrije Universiteit, Amsterdam, the 
Netherlands. Ms Kingo has a BA in Religions and a BA in Ancient Greek 
Art from the University of Aarhus, Denmark, from 1986, a BComm
in Marketing Economics from the Copenhagen Business School, 
Denmark, from 1991, and an MSc in Responsibility and Business 
Practice from the University of Bath, UK, from 2000. Ms Kingo
is a Danish national, born on 3 August 1961.

Kåre Schultz, picture D
Kåre Schultz joined Novo Nordisk in 1989 as an economist in Health 
Care, Economy & Planning. In November 2000, he was appointed chief 
of staffs. In March 2002, he took over the position of COO. Mr Schultz 
is a member of the Board of LEGO A/S, Denmark. Mr Schultz has
an MSc in Economics from the University of Copenhagen, Denmark, 
from 1987. Mr Schultz is a Danish national, born on 21 May 1961.

Mads Krogsgaard Thomsen, picture E
Mads Krogsgaard Thomsen joined Novo Nordisk in 1991. He was 
appointed CSO in November 2000. He sits on the editorial boards of 
international journals and is a member of the Board of Cellartis AB, 
Sweden. Dr Thomsen has a DVM from the Royal Veterinary and 
Agricultural University (now the University of Copenhagen), Denmark, 
from 1986, where he also obtained a PhD in 1989 and a DSc in 1991, 
and became adjunct professor of pharmacology in 2000. He is a former 
president of the National Academy of Technical Sciences (ATV), 
Denmark. Dr Thomsen is a Danish national, born on 27 December 1960.

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Other members of the Senior Management Board
Kim Bundegaard – Business Assurance
Jesper Bøving – CMC Supply
Flemming Dahl – Biopharmaceuticals
Claus Eilersen – Japan & Korea*
Peter Bonne Eriksen – Regulatory Affairs
Lars Green – Corporate Finance
Jerzy Gruhn – North America
Susanne Hundsbæk-Pedersen – Devices & Sourcing
Jesper Høiland – International Operations
Lars Fruergaard Jørgensen – IT & Corporate Development
Terje Kalland – Biopharmaceuticals Research Unit
Lars Guldbæk Karlsen – Global Quality
Jesper Kløve – Device Research & Development
Per Kogut – NNIT
Peter Kristensen – Global Development
Peter Kurtzhals – Diabetes Research Unit
Lars Christian Lassen – Corporate People & Organisation
Patrick Loustau – Global Marketing
Ole Ramsby – Legal Affairs
Jakob Riis – Liraglutide
Martin Soeters – Europe
Kim Tosti – Diabetes Finished Products
Per Valstorp – Product Supply
Hans Ole Voigt – NNE Pharmaplan
Henrik Wulff – Diabetes API

*  As of 1 January 2010, Korea is included as a region with Japan. Australia and New Zealand are 

included in International Operations. See p 63.

46     Novo Nordisk Annual Report 2009

 
 
Shares
and capital
structure

We aim to communicate openly with stakeholders about
the company’s financial and business development as well
as strategies and targets. Through active dialogue, we seek
to obtain fair and efficient pricing of Novo Nordisk shares.

To keep investors updated on financial and operating performance 
as well as the progress of clinical programmes, Novo Nordisk hosts 
conference calls with Executive Management following key events 
and the release of financial results, which are also accessible by 
webcast. Executive Management and Investor Relations also travel 
extensively to ensure that all investors with a major holding of Novo 
Nordisk shares can meet with Novo Nordisk on a regular basis and 
that a high number of smaller investors or potential investors also 
have access to the company. Roadshows are primarily held in major 
European and North American financial centres.

A wide range of other investor activities are held during the year. 
Investors and financial analysts are welcome to visit our headquar-
ters in Bagsværd, Denmark, as well as our regional headquarters.
In 2009, meetings with investor groups were held at regional 
headquarters in Princeton, US, Beijing, China, and Tokyo, Japan. 
Investors and analysts are also invited every year to presentations
of the most recent scientific results in connection with the two 
major scientific diabetes conferences, the American Diabetes 
Association and the European Association for the Study of
Diabetes. We expect to host similar investor events in 2010.

Share price performance
Novo Nordisk’s share price increased by 22.5% from its 2008 
close of 271 Danish kroner to its 31 December 2009 close of 332 
kroner. This was less than the 2009 performance of the NASDAQ 
OMX Copenhagen 20 Index, which increased by 36% following
a significant decline in 2008, reflecting the non-cyclical nature of 
the pharmaceutical industry. In 2008, Novo Nordisk’s share price 
and the NASDAQ OMX Copenhagen 20 Index decreased by 19% 
and 47%, respectively.

In 2009, Novo Nordisk’s share price performed better than the 
MSCI Europe Health Care Index, increasing by 14% measured
in Danish kroner. Measured in US dollars, the price of the Novo 
Nordisk B share increased by 24%, above the dollar gain of 18% 
for the MSCI US Health Care Index.

We believe the positive development of the company’s share 
price is a reflection of our relatively solid position in a growing 
market with strong operating performance and ongoing progress 
in research and development.

In 2009, factors believed to have impacted the share price 
positively include a solid operating performance bolstered by 
steady sales growth, driven by modern insulins and NovoSeven®. 
Substantial productivity increases, achieved through the 
production efficiency improvement programme cLEAN®, also 

contributed to a solid improvement in the gross margin of around 
1.8 percentage points in 2009.

In Europe, Victoza® received marketing authorisation in June 
2009 and was by the end of the year launched in Germany, the 
UK, Denmark, Ireland, Norway, Switzerland, the Netherlands, 
Greece and Sweden. Good launch performance, with GLP-1 
leadership positions in Germany and Denmark by the end of 
2009, is believed to have impacted the share price positively.

Within research and development particular focus has been on 
developments related to liraglutide, the once-daily human GLP-1 
analogue, primarily in the US and Europe. This has been reflected
in the share price, which was negatively impacted by the discussions 
of liraglutide’s overall risk–benefit profile at the Advisory Committee 
meeting organised by the Food and Drug Administration on 2 April 
in connection with the regulatory approval process in the US. In 
January 2010, Victoza® was approved in both the US and Japan. 
Progress made with Degludec and DegludecPlus, Novo Nordisk’s 
two new-generation insulin projects, which initiated phase 3 clinical 
development in September 2009, is also believed to have had a 
positive impact on the share price.

Capital structure
The Board of Directors believes that the current capital and share 
structure of Novo Nordisk serves the interests of the shareholders 

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Price development 
and monthly turn-
over of Novo 
Nordisk’s B shares
on NASDAQ OMX 
Copenhagen 2009

  Novo Nordisk’s B share
  closing prices in DKK (left)
(cid:81)  Turnover of B shares 
in DKK billion (right)

DKK

500

400

300

200

100

0

DKK billion

15

12

9

6

3

0

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Index: 3 January 2005 = 100

Price development 
of Novo Nordisk’s 
B shares relative to 
the MSCI Europe 
Health Care Index 
measured in DKK

(cid:3) Novo Nordisk’s B

shares (prices in DKK)
  MSCI Europe Health

Care Index

500

400

300

200

100

0

2005  2006  2007  2008  2009

Index: 3 January 2005 = 100

Price development 
of Novo Nordisk’s 
B shares relative
to the MSCI US
Health Care Index 
measured in USD

(cid:3) Novo Nordisk’s B

shares (prices in USD)

  MSCI US Health
Care Index

500

400

300

200

100

0

2005  2006  2007  2008  2009

Novo Nordisk Annual Report 2009     47

 
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Dividend payments
and payout ratio

(cid:81)  Dividend for the year (left)

Payout ratio (right)

* 2007 payout ratio adjusted for the AERx®
 discontinuation cost and the divestment
 of Dako’s business activities.

DKK

10

8

6

4

2

0

2005 2006 2007* 2008 2009E

%

50

45

40

35

30

Breakdown of shareholders 
% of capital

(cid:81) Novo A/S, Bagsværd,

Denmark 26% (72%)*

(cid:81) Novo Nordisk A/S 5% (0%)*
(cid:81) Other 69% (28%)*

 * % of votes, excl treasury shares.

Geographical distribution 
of share capital 
% of capital

(cid:81) Denmark 50%
(cid:81) North America 24%
(cid:81) UK 20%
(cid:81) Other 6%

and the company. “Our guiding policy is that any excess capital, 
after the funding of organic growth opportunities and potential 
acquisitions, is returned to investors,” says Jesper Brandgaard, 
executive vice president and chief financial officer. “We apply
a pharmaceutical industry payout ratio to dividend payments 
complemented by long-term share repurchase programmes.”

As decided at the Annual General Meeting 2009, a reduction of 
the company’s B share capital, corresponding to approximately 
2% of the total share capital, was effected in June 2009 by 
cancellation of treasury shares. This enables Novo Nordisk to 
continue to buy back shares without exceeding the limit for a 
total holding of treasury shares of 10% of the total share capital.

In 2009, we repurchased shares worth 6.5 billion Danish kroner, 
compared to 4.7 billion kroner in 2008. This completed the
19 billion kroner share repurchase programme for the period 
2006–2009. For 2010, Novo Nordisk has initiated a new share 
repurchase programme with an expected total repurchase value 
of B shares amounting to a cash value of 7.5 billion kroner. Since 
2008, the share repurchase programme has primarily been 
conducted in accordance with the provisions of the European 
Commission’s Regulation no 2273/2003 of 22 December 2003, 
also known as the ‘Safe Harbour Regulation’. This programme 

48     Novo Nordisk Annual Report 2009

gives the selected financial institutions the mandate to purchase 
shares independently of Novo Nordisk A/S.

As part of the agenda for the Annual General Meeting 2010,
the Board of Directors will propose a reduction of the company’s
B share capital, corresponding to approximately 3% of the total 
share capital, by cancellation of treasury shares.

Share capital and ownership
Our total share capital of 620,000,000 Danish kroner is divided 
into A share capital of nominally 107,487,200 kroner, and B share 
capital of nominally 512,512,800 kroner, of which 32,137,945 
kroner is held as treasury shares (figures as of 31 December 
2009). The company’s A shares (each 1 krone) are not listed and 
are held by Novo A/S, a Danish public limited liability company 
which is 100% owned by the Novo Nordisk Foundation.

According to the Articles of Association of the Foundation, the
A shares cannot be divested by Novo A/S or the Foundation. As
of 31 December 2009, Novo A/S also held 50,612,800 kroner of B 
share capital. Each holding of 1 krone of the A share capital carries 
1,000 votes. Each holding of 1 krone of the B share capital carries 
100 votes. With 25.5% of the total share capital, Novo A/S controls 
72.4% of the total number of votes, excluding treasury shares. The 
total market value of Novo Nordisk’s B shares excluding treasury 
shares was 159 billion kroner at the end of 2009.

Novo Nordisk’s B shares are quoted on the NASDAQ OMX 
Copenhagen and the London Stock Exchange, and on the New 
York Stock Exchange in the form of ADRs. The B shares are traded
in units of 1 krone and the ratio of Novo Nordisk’s B shares to 
ADRs is 1:1. The B shares are issued to the bearer but may, on 
request, be registered in the holder’s name in Novo Nordisk’s 
register of shareholders. As Novo Nordisk B shares are in bearer 
form, no official record of all shareholders exists. Based on 
available sources of information on the company’s shareholders
as of 31 December 2009, it is estimated that shares were distributed 
as shown in the charts on this page. At the end of 2009, the free 
float was 69%.

Novo Nordisk has decided to terminate its listing on the London 
Stock Exchange as the required international exposure is obtained 
through the listings on NASDAQ OMX Copenhagen and the New 
York Stock Exchange. The low volume of trade in the company’s 
shares on the London Stock Exchange is not believed to justify the 
listing. The delisting is expected to be effective upon approval by 
the regulatory body and the exchange, which is expected to take 
place in the first quarter of 2010.

Form 20-F
The Form 20-F Report for 2009 is expected to be filed with the 
United States Securities and Exchange Commission in February 
2010. The report can be downloaded from novonordisk.com/
investors.

Payment of dividends
Shareholders’ enquiries concerning dividend payments, transfer 
of share certificates, consolidation of shareholder accounts and 
tracking of lost shares should be addressed to Novo Nordisk’s 
transfer agents (see back cover). Novo Nordisk does not pay a 
dividend on its holding of treasury shares. As illustrated in the 
figure above Novo Nordisk has consistently increased both the 
payout rate and the paid dividend over the last five years. The 
dividend for 2008 paid in March 2009 was 6.00 Danish kroner 
per share of 1 krone.

 
The proposed dividend payments for Novo Nordisk shares are 
noted in the table below:

Proposed dividend payment for 2009

A shares of DKK 1 

B shares of DKK 1 

ADRs

DKK 7.50 

DKK 7.50 

DKK 7.50

Analyst coverage
Our company is currently covered by about 30 analysts, including
the major global investment banks that regularly produce research 
reports about Novo Nordisk. A list of analysts covering Novo Nordisk 
can be found at novonordisk.com/investors.

Internet 
Our homepage for investors is novonordisk.com/investors.
It includes historical and updated information about Novo 
Nordisk’s activities: press releases from 1995 onwards, financial 
and non-financial results, a calendar of investor-relevant events, 
investor presentations, background information and recent 
annual reports.

Financial calendar 2010

Annual General Meeting 24 March 2010

Dividend 
Ex-dividend 
Record date 
Payment 

B shares 
25 March 2010 
29 March 2010 
30 March 2010 

ADRs
25 March 2010
29 March 2010
5 April 2010

Announcement of financial results
First three months 
Half year 
First nine months 
Full year 

27 April 2010
5 August 2010
27 October 2010
2 February 2011

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Novo Nordisk Annual Report 2009     49

 
 
 
 
 
Novo Nordisk
at a glance

Novo Nordisk is a focused healthcare company and a world leader 
in diabetes care. Key market figures for the diabetes care business 
are on p 19.

In its other business segment, biopharmaceuticals, Novo Nordisk 
has a leading position within the therapeutic areas of haemostasis 
management, growth hormone therapy and hormone replacement 
therapy. See p 27 for key market figures.

Europe
Sales:
34% of total sales
Insulin volume share: 
54% of the total market
Modern insulin volume share: 
51% of the segment

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Japan & Oceania*
Sales:
11% of total sales
Insulin volume share: 
67% of the total market
Modern insulin volume share: 
59% of the segment

North America
Sales:
36% of total sales
Insulin volume share:
42% of the total market
Modern insulin volume share:
34% of the segment

•  Production sites
  Ain-Allah, Dely Brahim, Algeria
  Bagsværd, Denmark
  Chartres, France
  Clayton, North Carolina, US
  Gentofte, Denmark
  Hillerød, Denmark
  Hjørring, Denmark
  Kalundborg, Denmark
  Koriyama, Japan
  Køge, Denmark
  Mexico City, Mexico
  Montes Claros, Brazil
  Måløv, Denmark
  Tianjin, China
  Værløse, Denmark

•  R&D facilities
  Bagsværd, Denmark
  Beijing, China
  Gentofte, Denmark
  Hillerød, Denmark
  Måløv, Denmark
  Seattle, Washington, US

•  Clinical development centres
  Beijing, China
  Princeton, New Jersey, US
  Tokyo, Japan
  Zürich, Switzerland

•   Regional and business

area offices

•  Representative offices

•  Affiliates

International Operations
Sales:
19% of total sales
Insulin volume share:
56% of the total market
Modern insulin volume share:
56% of the segment

*  As of 1 January 2010, Korea is included as a region with Japan. Australia and New Zealand are included in International Operations. See p 63.

50     Novo Nordisk Annual Report 2009

 
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Consolidated
financial and
non-financial
statements
2009

52  Statement of comprehensive income
53  Balance sheet
54  Statement of cash flow
55  Statement of changes in equity
56  Notes to the Consolidated financial statements
88  Financial definitions
89  Statement of non-financial reporting
90  Notes to the Consolidated non-financial statement
96  Summary of financial data 2005 –2009 in EUR (unaudited)
97  Quarterly financial figures 2008 and 2009 (unaudited)
98  Financial statements of the Parent company

105  Management’s statement
106  Independent auditor’s reports

Novo Nordisk Annual Report 2009     51

 
 
 
 
 
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Statement of comprehensive income for the year ended 31 December

DKK million

Income statement

Sales 
Cost of goods sold

Gross profit

Sales and distribution costs
Research and development costs
– hereof costs related to discontinuation of all pulmonary diabetes projects
Administrative expenses
Licence fees and other operating income, net

Operating profit

Share of profit or loss of associated companies, net of tax
Financial income
Financial expenses

Profit before income taxes

Income taxes

Net profit for the year

Earnings per share:
Basic earnings per share (DKK)
Diluted earnings per share (DKK)

Statement of comprehensive income

Net profit for the year
Other comprehensive income
Gains and losses arising from translating the financial statements of 
foreign operations and re-measuring available-for-sale financial assets
Adjustment of cash flow hedges for the year
Share of other comprehensive income of associated companies
Other 
Income taxes relating to Other comprehensive income 

Other comprehensive income for the year, net of tax

Note

2009

2008

2007

3, 4
5, 7

5, 7
5, 7
1
5, 6, 7
8

16
9
10

11

13
13

12

11

51,078
10,438

40,640

15,420
7,864
–
2,764
341

14,933

(55)
375
1,265

13,988

3,220

10,768

45,553
10,109

35,444

12,866
7,856
(325)
2,635
286

12,373

(124)
1,127
681

41,831
9,793

32,038

12,371
8,538
(1,325)
2,508
321

8,942

1,233
1,303
507

12,695

10,971

3,050

9,645

2,449

8,522

17.97
17.82

15.66
15.54

13.49
13.39

10,768

9,645

8,522

527
1,252
9
10
(25)

1,773

(482)
(1,555)
39
(45)
81

(1,962)

65
271
(41)
21
(93)

223

Total comprehensive income for the year

12,541

7,683

8,745

52 Novo Nordisk Annual Report 2009

 
 
 
 
 
 
 
 
 
 
Balance sheet at 31 December

DKK million

Assets

Intangible assets
Property, plant and equipment
Investments in associated companies
Deferred income tax assets
Other non-current financial assets

Total non-current assets

Inventories
Trade receivables
Tax receivables
Other current assets
Marketable securities and financial instruments
Cash at bank and in hand

Total current assets

Total assets

Equity and liabilities

Share capital
Treasury shares
Retained earnings
Other reserves

Total equity

Non-current debt
Deferred income tax liabilities
Retirement benefit obligations
Provisions for other liabilities

Total non-current liabilities

Current debt and financial instruments
Trade payables
Tax payables
Other current liabilities
Provisions for other liabilities

Total current liabilities

Total liabilities

Total equity and liabilities

Note

2009

2008

14
15
16
23
17

18
17, 19

17, 20
17
17

21
21

17, 22
23
24
25

17
17

17, 26
25

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l

1,037
19,226
176
1,455
182

22,076

10,016
7,063
799
1,962
1,530
11,296

32,666

54,742

620
(32)
34,435
711

35,734

970
3,010
456
1,157

5,593

418
2,242
701
6,813
3,241

13,415

19,008

54,742

788
18,639
222
1,696
194

21,539

9,611
6,581
1,010
1,704
1,377
8,781

29,064

50,603

634
(26)
33,433
(1,062)

32,979

980
2,404
419
863

4,666

1,334
2,281
567
5,853
2,923

12,958

17,624

50,603

Novo Nordisk Annual Report 2009     53

 
 
 
 
 
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Statement of cash flow for the year ended 31 December

DKK million

Net profit for the year

Adjustments for non-cash items:

Income taxes
Depreciation, amortisation and impairment losses
Interest income and interest expenses
Other adjustments

Income taxes paid
Interest received 
Interest paid

Cash flow before change in working capital

(Increase)/decrease in trade receivables and other current assets
(Increase)/decrease in inventories
Increase/(decrease) in trade payables and other current liabilities
Exchange rate adjustment

Note

2009

2008

2007

10,768

9,645

8,522

11
7
9, 10
27

3,220
2,551
71
859
(1,998)
284
(98)

15,657

(740)
(405)
921
(55)

3,050
2,442
(385)
614
(3,172)
656
(247)

2,449
3,007
(16)
(37)
(2,607)
295
(324)

12,603

11,289

(700)
(591)
1,228
323

(638)
(620)
331
(375)

Cash flow from operating activities

15,378

12,863

9,987

Purchase of intangible assets and non-current financial assets
Proceeds from sale of property, plant and equipment
Purchase of property, plant and equipment
Net change in marketable securities (maturity exceeding three months)
Dividend received

Cash flow from investing activities

Repayment of non-current debt
Purchase of treasury shares
Proceeds from sale of treasury shares 
Dividends paid to the Parent company’s owners

Cash flow from financing activities

Net cash flow

Unrealised gain/(loss) on exchange rates and marketable securities
included in cash and cash equivalents

Net change in cash and cash equivalents

Cash and cash equivalents at the beginning of the year

Cash and cash equivalents at the end of the year

Additional information:
Cash and cash equivalents at the end of the year
Bonds with original term to maturity exceeding three months
Undrawn committed credit facilities *)

Financial resources at the end of the year

Cash flow from operating activities
+ Cash flow from investing activities 
– Net change in marketable securities (maturity exceeding three months)

Free cash flow

15

16

21
21
13 

17

(433)
1
(2,632)
–
18

(3,046)

–
(6,512)
117
(3,650)

(10,045)

(264)
18
(1,772)
466
170

(1,382)

(153)
(4,717)
295
(2,795)

(7,370)

(118)
40
(2,367)
(541)
1,470

(1,516)

(18)
(4,835)
241
(2,221)

(6,833)

2,287

4,111

1,638

21

2,308

8,726

11,034

11,034
1,013
4,465

16,512

15,378
(3,046)
–

12,332

(2)

(6)

4,109

4,617

8,726

8,726
997
7,451

1,632

2,985

4,617

4,617
1,486
7,457

17,174

13,560

12,863
(1,382)
466

11,015

9,987
(1,516)
(541)

9,012

*) At year-end, the Group had an undrawn committed credit facility amounting to DKK 4,465 million (DKK 7,451 million in 2008). The undrawn committed credit facility is a 

EUR 600 million facility committed by a number of Danish and international banks. The facility matures in 2012.

54 Novo Nordisk Annual Report 2009

 
 
 
 
 
 
 
 
 
 
Statement of changes in equity at 31 December

Share
capital

Treasury
shares

Retained
earnings

Other reserves

Total

Exchange
rate
adjust-
ments

Deferred
gain/(loss)
on cash
flow hedges

Other
adjust-
ments

DKK million

2009

Balance at the beginning of the year
Total comprehensive income for the year

634

(26)

33,433
10,768

(256)
527

(859)
1,252

53
(6)

32,979
12,541

Transactions with owners, recognised 
directly in equity:
Dividends (refer to note 13)
Share-based payments
Purchase of treasury shares
Sale of treasury shares
Reduction of the B share capital

Balance at the end of the year

(22)
2
14

(32)

(14)

620

(3,650)
259
(6,490)
115

(3,650)
259
(6,512)
117
–

34,435

271

393

47

35,734

Share
capital

Treasury
shares

Retained
earnings

Other reserves

Total

Exchange
rate
adjust-
ments

Deferred
gain/(loss)
on cash
flow hedges

Other
adjust-
ments

DKK million

2008

Balance at the beginning of the year
Total comprehensive income for the year

647 

(26)

30,661
9,645

209
(465)

678
(1,537)

13
40

32,182
7,683

Transactions with owners, recognised 
directly in equity:
Dividends (refer to note 13)
Share-based payments
Purchase of treasury shares
Sale of treasury shares
Reduction of the B share capital

Balance at the end of the year

(16)
3
13

(26)

(13)

634

(2,795)
331
(4,701)
292

(2,795)
331
(4,717)
295
–

33,433

(256)

(859)

53

32,979

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Novo Nordisk Annual Report 2009     55

 
 
 
 
 
 
 
 
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1   Critical accounting estimates and judgements 

The preparation of financial statements in conformity with International
Financial Reporting Standards requires management to make estimates and
assumptions that affect the reported amounts of assets and liabilities and
disclosure of contingent assets and liabilities at the date(s) of the financial
statements and the reported amounts of revenues and expenses during the
reporting period(s). 

Management bases its estimates on historical  experience and various other
assumptions that are believed to be reasonable  under the circumstances,
the results of which form the basis for  making judgements about the
 reported carrying amounts of assets and  liabilities and the reported amounts
of revenues and expenses that may not be readily apparent from other
sources. Actual results could differ from those estimates. 

Management believes the following are the critical accounting estimates
and judgements used in the preparation of the consolidated financial state-
ments.

Sales rebate accruals and provisions 
Sales rebate accruals and provisions are established in the same period as
the related sales. The sales rebate accruals and provisions are recorded as a
reduction in sales and are included in Other current liabilities and Provisions
for other liabilities. Sales rebates are predominately issued in region North
America.

The accruals and provisions are based upon historical rebate payments. 
They are calculated on the basis of a percentage of sales for each product as
defined by the contracts with the various customer groups.

Significant sales rebates and discounts amounts are rebates from sales
 covered by Medicaid and Medicare, the US public healthcare insurance
 system. Provisions for Medicaid and Medicare rebates have been calculated
using a combination of historical experience, product and population
growth, price increases, the impact of contracting strategies and specific
terms in the  individual agreements. For Medicaid, the calculation of rebates
involves  inter  pretation of relevant regulations, which are subject to chal-
lenge or change in interpretative guidance by government authorities.
Although  accruals are made for Medicaid and Medicare rebates at the time
sales are recorded, the Medicare and Medicaid rebates related to the spe -
cific sale will typically be invoiced to Novo Nordisk up to six months later.
Due to the time lag, in any particular period the rebate adjustments to sales
may incorporate revisions of accruals for prior periods.

Customer rebates are offered to a number of managed healthcare plans.
These rebate programmes provide that the customer receives a rebate after
attaining certain performance parameters relating to product purchases,
formulary status and pre-established market share milestones relative to
competitors. Since they are contractually agreed upon, rebates are esti -
mated according to the specific terms in each agreement, historical experi-
ence, anticipated channel mix, product growth rates and market share
 information. Novo Nordisk considers the sales performance of products
 subject to managed healthcare rebates and other contract discounts and
adjusts the provision periodically to reflect actual experience. 

Wholesaler charge-backs relate to contractual arrangements existing
 between Novo Nordisk and indirect customers, mainly in the US, whereby
products are sold at prices lower than the list price charged to wholesalers.
A wholesaler charge-back represents the difference between the invoice
price to the wholesaler and the indirect customer’s contract price. Provisions
are calculated for estimated charge-backs using a combination of factors
such as historical experience, current wholesaler inventory levels, contract
terms and the value of claims received but not yet processed. Wholesaler
charge-backs are generally settled within one to three months of incurring
the liability.

Novo Nordisk believes that the accruals and provisions established for sales
rebates are reasonable and appropriate based on current facts and circum-
stances. However, the actual amount of rebates and discounts may differ
from the amounts estimated by management.

The following table is a reconciliation of gross sales to net sales for North
America (the US and Canada):

DKK million

Gross sales

Gross-to-net sales adjustments:
Medicaid and Medicare rebates
Managed healthcare rebates
Wholesaler charge-backs
Cash discounts
Sales returns
Other rebates and allowances

2009

2008

2007

27,890

22,639

20,109

(2,447)
(2,121)
(3,720)
(567)
(168)
(588)

(1,672)
(1,543)
(2,949)
(433)
(512)
(376)

(1,279)
(1,333)
(2,594)
(381)
(432)
(344)

Total gross-to-net sales adjustments 
(rebates)

(9,611)

(7,485)

(6,363)

Net sales

18,279

15,154

13,746

The carrying amount of sales rebate accruals and provisions is DKK 2,886
million as at 31 December 2009. Please refer to note 3 for disclosure of 
sales from business and geographic segments and note 4 and 25 for further
information on sales provisions.

Provisions and contingencies
Pending litigations 
Management of the Group makes judgements about provisions and 
con tingencies, including the probability of pending and potential future
 litigation outcomes that in nature are dependent on future events that are
 inherently uncertain. In making its determinations of likely outcomes of
 litigations etc, management considers the evaluation of external counsel
knowledgeable about each matter, as well as known outcomes in case law. 

Provisions for pending litigations are recognised under Provisions for other
liabilities. Please refer to notes 25 and 32 for a description of significant 
litigations pending.

Deferred income tax assets and liabilities 
Novo Nordisk recognises  deferred income tax assets if it is probable that
 sufficient taxable income will be available in the future against which the
temporary differences and  unused tax losses can be utilised. Management
has considered future taxable income in assessing whether deferred income
tax assets should be recognised. 

The carrying amount of deferred income tax assets and deferred income 
tax liabilities is DKK 1,455 million and DKK 3,010 million, respectively, as at
31 December 2009. Please refer to note 23 for further information. 

Returned products
As part of normal business, Novo Nordisk issues credit notes for expired
goods. Consequently, a provision for future returns is made, based on
 historical statistical product returns.

Revenue recognition for new product launches is based on specific facts 
and circumstances for the specific products, including estimated demand
and acceptance rates from well-established products with similar market
characteristics. In recent years, the products launched by Novo Nordisk have
been comparable with either other products already on the market or
 products in therapy areas well known to Novo Nordisk, and therefore un -
certainties surrounding product returns on new products launched have
been limited.

The carrying amount of provision for returned products is DKK 588 million
as at 31 December 2009. Please refer to note 25 for further information.

Indirect production costs (IPCs)
Production costs for work in progress and finished goods include IPCs such
as employee costs, depreciation, maintenance etc.

IPCs are measured based on a standard cost method which is reviewed
 regularly in order to ensure relevant measures of utilisation, production lead
time and other relevant factors. Changes in the parameters for calculation
of IPCs, including utilisation levels, production lead time etc could have 
an impact on the gross margin and the overall valuation of inventories. The
 carrying amount of IPCs is DKK 5,046 million as at 31 December 2009.
Please refer to note 18 for further information.

56 Novo Nordisk Annual Report 2009

 
 
 
 
 
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Allowances for doubtful trade receivables
Trade receivables are stated at amortised cost less allowances for potential
losses on doubtful trade receivables. 

Novo Nordisk maintains allowances for doubtful trade receivables for
 estimated losses resulting from the subsequent inability of customers to
make required payments. If the financial conditions of the customers were
to deteriorate, resulting in an impairment of their ability to make payments,
additional allowances may be required in future periods. Management
specifically analyses trade receivables and examines historical bad debt,
 customer concentrations, customer creditworthiness, current economic
trends and changes in the customer payment terms when evaluating the
 adequacy of the allowance for doubtful trade receivables. 

The carrying amount of allowances for doubtful trade receivables is DKK
600 million as at 31 December 2009. Please refer to note 19 for further
 information.

Non-recurring costs related to discontinuation 
of all pulmonary diabetes projects
Towards the end of 2007, Novo Nordisk conducted a detailed analysis of 
the future prospects for inhaled insulin and a review of the medical and
commercial potential of the AERx ® iDMS inhaled insulin system (AERx ®). This
analysis resulted in a non-recurring impairment cost regarding intangible
 assets and manufacturing activities related to the AERx ® system and cost of
discontinuing all clinical development in the amount of DKK 1,325 million,
which was recorded and negatively impacted operating profit in 2007.

In April 2008, Novo Nordisk also decided to discontinue the remainder of 
its pulmonary activities. As a result of these decisions, an additional cost of
DKK 325 million was expensed in 2008.

In 2008 and 2007, Novo Nordisk recorded the following charges related 
to the impairment of pulmonary diabetes projects. No charges have been
recorded in 2009 as all pulmonary activities have been closed down.

DKK million

2009

2008

2007

Impairment of intangible assets
Severance pay and other employee- 
related costs
Impairment of tangible assets
Commitments regarding clinical trials
Lease and investment commitments
Other costs related to closure of 
pulmonary diabetes projects

Total costs

–

–
–
–
–

–

–

–

155
53
–
42

75

325

117

–
753
326
129

–

1,325

These charges were included in Research and development costs. In addi-
tion, a cost of DKK 52 million, related to the AERx ® discontinuation, was
 included as financial expense in 2007.

2   Accounting policies

The principal accounting policies applied to the preparation of the con -
solidated financial statements are set out below. These policies have been
applied consistently for all the years presented. 

Basis of preparation
The consolidated financial statements are prepared in accordance with
International Financial Reporting Standards (IFRS) as issued by the Inter -
national Accounting Standards Board (IASB) and with International Financial
Reporting Standards as endorsed by the EU. 

Furthermore, the Annual Report is prepared in accordance with additional
Danish disclosure requirements for annual reports for listed companies. The
Financial statements of the Parent company, Novo Nordisk A/S, as presented
on pps 98 –104, are prepared in accordance with The Danish Financial
Statements Act.

The Consolidated financial statements are prepared in accordance with the
historical cost convention, as modified by the revaluation of available-for-
sale financial assets, and financial assets and liabilities (derivatives) at fair
value through profit or loss. 

Accounting standards effective in 2009 
Novo Nordisk has adopted all new or amended and revised accounting
 standards and interpretations (‘IFRSs’) endorsed by the EU effective for the
accounting period beginning on 1 January 2009. Based on an analysis made
by Novo Nordisk, most of the IFRSs effective for 2009 have no material im-
pact or are not relevant to the Group. However, the following revised
 standard has a material impact on the presentation and disclosure of the
consolidated financial statements:

• IAS 1 (Revised), ‘Presentation of Financial Statements’. The revised

 standard prohibits the presentation of items of income and expenses (that
is ‘non-owner changes in equity’) in the statement of changes in equity,
requiring ‘non-owner changes in equity’ to be presented separately from
owner changes in equity (statement of comprehensive income). 

As a result the Group presents in the consolidated Statement of changes
in equity all owner changes in equity, whereas all non-owner changes 
in equity are presented in Other comprehensive income. Comparative
 information has been re-presented so that it also conforms with the
 revised standard. Since the change in accounting policy only impacts
 presentation aspects, there is no impact on Operating profit, Equity or
earnings per share.

Amendments and interpretations to existing accounting standards 
that are not yet effective and have not been early adopted
During 2009 IASB issued a number of IFRSs, amendments and interpre -
tations which have been endorsed by the EU as per 31 December 2009 and
are mandatory for the Group’s accounting periods beginning on or after
1 January 2010. 

Novo Nordisk has thoroughly assessed the impact of the IFRSs, amendments
and interpretations that are not yet effective and determined that most of
them will not have a material impact on the consolidated financial state-
ments going forward. Consequently, no early adoption has been made.
However, the following revised standard can in future have a material im-
pact on the Consolidated financial statements:

• IFRS 3 (Revised), ‘Business combinations’. The revised standard continues
to apply the acquisition method to business combinations, with some
 significant changes. For example, all payments to purchase a business are
to be recorded at fair value at the acquisition date, with contingent con-
siderations classified as debt subsequently measured through the Income
statement. IFRS 3(2008) is to be applied prospectively.

Principles of consolidation
The Consolidated Financial Statements include the financial statements of
Novo Nordisk A/S (the Parent company) and all the companies in which
Novo Nordisk A/S directly or indirectly owns more than 50% of the voting
rights or in some other way has a controlling influence (subsidiaries). Novo
Nordisk A/S and these companies are referred to as the Group.

Companies that are not subsidiaries, but in which the Group holds 20% to
50% of the voting rights, or in some other way has a significant influence
on the operational and financial management, are treated as associated
companies.

The Consolidated financial statements are based on the Financial state-
ments of the Parent company and of the subsidiaries applying group
 accounting policies, and are prepared by combining items of a uniform
 nature and eliminating inter company transactions, shareholdings, balances
and unrealised inter company profits and losses.

Acquired and divested companies are included in the consolidation during
the period of Novo Nordisk’s ownership. Comparative figures are not
 adjusted for disposed or acquired companies.

Novo Nordisk Annual Report 2009     57

 
 
 
 
 
Forward exchange contracts and currency swaps hedging recognised as
 assets or liabilities in foreign currencies are measured at fair value at the end
of the reporting period. Value adjustments are recognised in Other com -
prehensive income, along with any value adjustments of the hedged asset
or liability that is attributable to the hedged risk. 

The value adjustments on forward exchange contracts and interest rate
swaps designated as hedges of forecasted transactions are recognised
 directly in Other comprehensive income, given hedge effectiveness. The
 cumulative value adjustment of these contracts is reclassified from Other
comprehensive income to the Income statement as a reclassification adjust-
ment under ‘Financial income’ or ‘Financial expenses’ when the hedged
transaction is recognised in the Income statement. 

Currency swaps used to hedge net investments in subsidiaries are measured
at fair value based on the difference between the swap exchange rate and
the exchange rate at the end of the reporting period. The value adjustment
is recognised in Other comprehensive income.

Further to the above, the Group uses currency option hedges of forecasted
transactions. Currency options are initially recognised at cost which equals
fair value of considerations paid and subsequently re-measured at their fair
values at the end of the reporting period. While providing effective eco -
nomic hedges under the Group’s risk management policy, the current use of
currency options does not meet the detailed requirements for allowing
hedge accounting. Currency options are therefore recognised directly in the
Income statement under Financial income or Financial expenses.

The accumulated net fair value of derivatives is presented as Marketable
 securities and financial instruments, if positive, or Current debt and  financial
instruments, if negative.

Determination of fair value
The fair value of financial assets and liabilities is measured on the basis of
quoted market prices of financial instruments traded in active markets. 
If an active market exists, fair value is based on the most recently observed
market price at the end of the reporting period.

If a financial instrument is quoted in a market that is not active, the Group
bases its valuation on the most recent transaction price. Adjustment is made
for subsequent changes in market conditions, for instance by including
transactions in similar financial instruments that are assumed to be motiv -
ated by normal business considerations.

If an active market does not exist, the fair value of standard and simple
finan cial instruments, such as interest rate and currency swaps and unlisted
bonds, is measured according to generally accepted valuation techniques.
Market-based parameters are used to measure fair value.

Derecognition of hedging instrument
When a hedging instrument expires or is sold, or when a hedge no longer
meets the criteria for hedge accounting, any cumulative gain or loss existing
in equity at that time remains in equity and is recognised when the forecast
transaction is ultimately recognised in the Income statement. When a fore-
cast transaction is no longer expected to occur, the cumulative gain or loss
that was reported in equity is immediately transferred to the Income state-
ment within Financial income or Financial expenses.

Provisions 
Provisions, including tax and legal cases, are recognised where a legal or
constructive obligation has been incurred as a result of past events and it is
probable that it will lead to an outflow of resources that can be reliably
 estimated. In this connection, Novo Nordisk makes the estimate on the basis
of an evaluation of the individual most likely outcome of the cases. In cases
where a reliable estimate cannot be made, these are disclosed as contingent
liabilities.

Provisions are measured at the present value of the expenditures expected
to be required to settle the legal or constructive obligation using a pre-tax
rate that reflects current market assessments of the time value of money
and the risks specific to the obligation. The increase in the provision due to
the passage of time is recognised as interest expense.

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Significant accounting policies

Novo Nordisk’s management considers the following to be the most signifi-
cant accounting policies for the Group.

Sales and revenue recognition
Sales comprise the fair value of the sale of goods excluding value added 
tax and after deduction of provisions for returned products, rebates, trade
discounts and allowances.

Provisions and accruals for rebates to customers are provided for in the
 period the related sales are recorded. Historical data are readily available
and reliable, and are used for estimating the amount of the reduction in
sales.

Sales are recognised when realised or realisable and earned. Revenues 
are considered to have been earned when Novo Nordisk has substantially
accomplished what it must do to be entitled to the revenues. 

Revenue from the sale of goods is recognised when all the following specific
conditions have been satisfied:

• Novo Nordisk has transferred to the buyer the significant risk and rewards

of ownership of the goods

• Novo Nordisk retains neither continuing managerial involvement to the
degree usually associated with ownership nor effective control over the
goods sold

• The amount of revenue can be measured reliably
• It is probable that the economic benefits associated with the transaction

will flow to Novo Nordisk

• The costs incurred or to be incurred in respect of the transaction can be

measured reliably.

These conditions are usually met by the time the products are delivered to
the customers. 

Research and development
Due to the long development period and significant uncertainties relating 
to the development of new products, including risks regarding clinical trials
and regulatory approval, it is concluded that the Group’s internal develop-
ment costs in general do not meet the capitalisation criteria. Consequently,
the technical feasibility criteria are not considered fulfilled before regulatory
filing. Therefore, all internal research and development costs are expensed
in the Income statement as incurred. The same principles are used for
 property, plant and equipment developed as part of a research and
development  project.

For acquired in-process research and development projects, the effect of
probability is reflected in the cost of the asset and the probability recognition
criteria are therefore always considered satisfied. As the cost of acquired in-
process research and development projects can often be measured reliably,
these projects fulfil the criteria for capitalisation as intangible assets upon
acquisition. However, further internal development costs subsequent to
 acquisition are treated as other internal development costs.

Property, plant and equipment used for general research and development
purposes are capitalised and depreciated over their estimated useful lives.

Financial instruments
The Group uses forward exchange contracts, interest rate swaps and cur -
rency swaps to hedge forecasted transactions, assets and liabilities, and net
investments in foreign subsidiaries in foreign currencies in accordance with
the specific rules of IAS 39 ‘Financial Instruments: Recognition and
Measure  ment’. 

Upon initiation of the contract, the Group designates each derivative finan-
cial contract that qualifies for hedge accounting as either:

• Hedges of the fair value of a recognised asset or liability or a firm commit-

ment (fair value hedge),

• Hedges of the fair value of a forecast financial transaction (cash flow

hedge); or 

• Hedges of a net investment in a foreign operation (net investment hedge).

All contracts are initially recognised at fair value and subsequently re-
 measured at their fair values based on current bid prices at the end of the
reporting period. 

58 Novo Nordisk Annual Report 2009

 
 
 
 
 
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Other accounting policies

Translation of foreign currencies
Functional and presentation currency
Items included in the financial statements of each of the Group’s entities 
are measured using the currency of the primary economic environment in
which the entity operates (functional currency). The Consolidated financial
statements are presented in Danish kroner (DKK), which is the functional
and presentation currency of the Parent company.

Translation of transactions and balances
Foreign currency transactions are translated into the functional currency
 using the exchange rates ruling at the dates of the transactions. Foreign
 exchange gains and losses resulting from the settlement of such trans -
actions and from the translation at year-end exchange rates of monetary
 assets and liabilities denominated in foreign currencies are recognised in the
Income statement, except when deferred in Other comprehensive income 
as qualifying cash flow hedges and qualifying net investment hedges.

Translation differences on non-monetary items, such as financial assets
 classified as available for sale, are included in the fair value reserve in Other
comprehensive income. 

Translation of Group companies
Financial statements of foreign subsidiaries are translated into Danish 
kroner at exchange rates ruling at the end of the reporting period for assets
and  liabilities and at average exchange rates for Income statement items. 

All exchange rate adjustments are recognised in the Income statement with
the exception of exchange gains and losses arising from:

• The translation of foreign subsidiaries’ net assets at the beginning of the

year at the exchange rates at the end of the reporting period

• The translation of foreign subsidiaries’ income statement using average
exchange rates, whereas balance sheet items are translated using the
 exchange rates ruling at the end of the reporting period

• The translation of non-current intercompany receivables that are con -

sidered to be an addition to net investments in subsidiaries

• The translation of investments in associated companies.

The above exchange gains and losses are recognised in Other compre -
hensive income.

Licence fees and other operating income
Licence fees and other operating income comprise licence fees and income
of a secondary nature in relation to the main activities of the Group. Licence
fees are recognised on an accrual basis in accordance with the terms and
substance of the relevant agreement. Licence fees and other operating
 income also includes non-recurring income items in respect of sale of intel-
lectual property.

As a principal rule, sale of intellectual property rights is recorded as income
at the time of the sale. Where the Group assumes an obligation in con -
nection with a sale of intellectual property rights, the income is recognised
in accordance with the term of the obligation. On the sale of intellectual
property rights where the final sale is conditional on future events, the
amount is deferred and recorded as income at the occurrence of such future
events.

Intangible assets
Goodwill
Goodwill represents any cost in excess of identifiable net assets, measured
at fair value, in the acquired company. Goodwill recorded under Intangible
assets is related to subsidiaries. 

Other intangible assets
Patents and licences that include acquired patents and licences to in-process
research and development projects are carried at historical cost less accu -
mulated amortisation and any impairment loss. Amortisation is calculated
using the straight-line method to allocate the cost of patents and licences
over their estimated useful lives. The amortisation commences in the year in
which the rights first generate sales.

Internal development of software and other development costs related to
major IT projects for internal use that are directly attributable to the design
and testing of identifiable and unique software products controlled by the
Group are recognised as intangible assets under Other intangible assets if
the recognition criteria are met. Amortisation is provided under the straight-
line method over the estimated useful life of 3–10 years.

Property, plant and equipment 
Property, plant and equipment is measured at historical cost less accu -
mulated depreciation and any impairment loss. The cost of self-constructed
assets includes costs directly attributable to the construction of the assets.
Subsequent cost is included in the asset’s carrying amount or recognised as
a separate asset, as appropriate, only when it is probable that future
 economic benefits associated with the item will flow to the Group and the
cost of the item can be measured reliably. In general, constructions of 
major  invest ments are self-financed and thus no material interest on loans
(borrowings) is  capitalised as part of the cost.

Depreciation is provided under the straight-line method over the estimated
useful lives of the assets as follows: 

• Buildings: 12– 50 years
• Plant and machinery: 5 –16 years
• Other equipment: 3 –16 years
• Land is not depreciated

The assets’ residual values and useful lives are reviewed, and adjusted if
 appropriate, at the end of each reporting period. An asset’s carrying amount
is written down to its recoverable amount if the asset’s carrying amount is
higher than its estimated recoverable amount. 

Gains and losses on disposals are determined by comparing the proceeds
with the carrying amount and are recognised in the Income statement.

Leases
Leases of assets whereby the Group assumes substantially all the risks and
rewards of ownership are capitalised as finance leases under Property, plant
and equipment and depreciated over the estimated useful lives of the
 assets, according to the periods listed above. The corresponding finance
lease liabilities are included in liabilities.

Operating lease costs are charged to the Income statement on a current
 basis over the period of the lease.

Investments in associated companies
Investments in associated companies are accounted for under the equity
method of accounting (ie at the respective share of the associated com -
panies’ net asset value applying Group accounting policies). Goodwill
 relating to associated companies is recorded as part of the investment under
Investments in associated companies.

Impairment of assets 
Assets that have an indefinite useful life, for example goodwill, are not
 subject to amortisation and are tested annually for impairment. Assets that
are subject to amortisation, such as intangible assets and other non-current
assets, are reviewed for impairment whenever events or changes in circum-
stances indicate that the carrying amount may not be recoverable. Factors
considered material by the Group and that could trigger an impairment test
include the following:

• Development of a competing drug
• Changes in the legal framework covering patents, rights or licences
• Advances in medicine and/or technology that affect the medical treat-

ments

• Lower than predicted sales
• Adverse impact on reputation and/or brand names
• Change in the economic lives of similar assets
• Relationship with other intangible or tangible assets
• Changes or anticipated changes in participation rates or reimbursement

policies

If it is determined that the carrying amount of intangible assets, other non-
current assets or goodwill exceeds its recoverable amount based upon the
existence of one or more of the above indicators of impairment, any impair-
ment is measured based on discounted projected cash flows.

Intangible assets and other non-financial assets other than goodwill that
have suffered impairment are reviewed for possible reversal of the impair-
ment at each reporting date.

Novo Nordisk Annual Report 2009     59

 
 
 
 
 
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Financial assets
The Group classifies its investments in the following categories: Financial
 assets at fair value through profit or loss (derivatives), Loans and  receivables
and Available-for-sale financial assets. The classification depends on the
purpose for which the investments were acquired. Management  determines
the classification of its investments on initial recognition and re-evaluates
this designation at the end of every reporting period to the extent that such
a designation is permitted and required.

If the expected sales price less completion costs and costs to execute sales
(net realisable value) is lower than the carrying amount, a write-down is
recognised for the amount by which the carrying amount exceeds its net
 realisable value.

Tax
Income taxes in the Income statement include tax payable for the year with
addition of the change in deferred tax for the year.

Financial assets at fair value through profit or loss
Derivatives used for cash flow hedging purposes are classified as financial
assets at fair value through profit or loss even though derivatives used for
hedging purposes are recognised in Other comprehensive income. Assets in
this category are classified as Current assets.

Loans and receivables
Loans and receivables are non-derivative financial assets with fixed or deter-
minable payments that are not quoted in an active market. If collection is
expected in one year or less (or in the normal operating cycle of the business
if longer), they are classified as Current assets. If not, they are presented as
Non-current assets.

Deferred income taxes arise from temporary differences between the
 accounting and taxable values of the individual consolidated companies and
from realisable tax-loss carry-forwards, using the liability method. The tax
value of tax-loss carry-forwards is included in deferred tax assets to the
 extent that the tax losses and other tax assets are expected to be utilised 
in the future taxable income. The deferred income taxes are measured
 according to current tax rules and at the tax rates expected to be in force on
the elimination of the temporary differences. 

Unremitted earnings are retained by subsidiaries for reinvestment. No pro -
vision is made for income taxes that would be payable upon the  distribution
of such earnings.

Trade receivables and Other current assets are recognised initially at fair
 value and subsequently measured at amortised cost using the effective
 interest method, less provision for impairment. A provision for impairment
of trade receivables is established when there is objective evidence that the
Group will not be able to collect all amounts due according to the original
terms of the receivables. 

Employee benefits 
Wages, salaries, social security contributions, paid annual leave and sick
leave, bonuses and non-monetary benefits are accrued in the year in which
the associated services are rendered by employees of the Group. Where 
the Group provides long-term employee benefits, the costs are accrued to
match the rendering of the services by the employees concerned.

The carrying amount of Trade receivables is reduced with the provision for
impairment, and the amount of the loss is recognised in the Income  state -
ment within Sales and distribution costs. When a trade receivable is  uncol -
lectible, it is written off against the allowance account for trade  receivables.
Subsequent recoveries of amounts previously written off are credited
against Sales and distribution costs in the Income statement.

Available-for-sale financial assets
Available-for-sale financial assets are non-derivatives that are either   
design ated in this category or not classified in any of the other categories.
They are included in Other non-current assets unless management intends
to  dispose of the investment within 12 months of the end of the reporting
 period. Market able securities under current assets are classified as available-
for-sale financial assets.

Recognition and measurement
Purchases and sales of investments are recognised on the settlement date.
Investments are initially recognised at fair value plus transaction costs for all
financial assets not classified as fair value through profit or loss. 

Currency options, available-for-sale financial assets and financial assets at
fair value through profit or loss are subsequently carried at fair value. Loans
and receivables are carried at amortised cost using the effective interest
method. 

Unrealised gains and losses arising from changes in the fair value of finan-
cial assets classified as available-for-sale are recognised in Other com -
prehensive income. When financial assets classified as available-for-sale are
sold or  impaired, the accumulated fair value adjustments are included in 
the Income statement.

Fair value disclosures are made separately for each class of financial instru-
ments at the end of the reporting period.

The fair values of quoted investments (incl bonds) are based on current bid
prices. Financial assets for which no active market exists are carried at cost if
no reliable valuation model can be applied (unlisted shares). 

Investments are derecognised when the rights to receive cash flows from
the investments have expired or have been transferred and the Group has
transferred substantially all risks and rewards of ownership. 

Inventories 
Inventories are stated at the lowest of cost and net realisable value. Cost is
determined using the first-in, first-out method. Cost comprises direct pro-
duction costs such as raw materials, consumables, energy and labour, and
production overheads such as employee costs, depreciation, maintenance
etc. The production overheads are measured based on a standard cost
method which is reviewed regularly in order to ensure relevant measures of
utilisation, production lead time etc.

60 Novo Nordisk Annual Report 2009

Pensions
The Group operates a number of defined contribution plans throughout 
the world. In a few countries, the Group still operates defined benefit plans.
The costs for the year for defined benefit plans are determined using the
projected unit credit method. This reflects services rendered by employees
to the dates of valuation and is based on actuarial assumptions primarily
 regarding discount rates used in determining the present value of benefits,
projected rates of remuneration growth and long-term expected rates of
 return for plan assets. Discount rates are based on the market yields of high-
rated corporate bonds in the country concerned. 

Actuarial gains and losses are recognised as income or expense when the
net cumulative unrecognised actuarial gains and losses for each individual
plan at the end of the previous reporting period exceed 10% of the  higher
of the defined benefit obligation and the fair value of plan assets at that
date. These gains or losses are recognised over the expected average re-
maining working lives of the employees participating in the plans. 

Past service costs are allocated over the average period until the benefits
 become vested. 

Pension assets are only recognised to the extent that the Group is able to
derive future economic benefits in the way of refunds from the plan or
 reduc tions of future contributions.

The Group’s contributions to the defined contribution plans are charged to
the Income statement in the year to which they relate.

Share-based compensation
The Group operates equity-settled, share-based compensation plans. The
fair value of the employee services received in exchange for the grant of the
options or shares is recognised as an expense and allocated over the vesting
period.

The total amount to be expensed over the vesting period is determined by
reference to the fair value of the options or shares granted, excluding the
impact of any non-market vesting conditions. The fair value is fixed at grant
date. Non-market vesting conditions are included in assumptions about 
the number of options or shares that are expected to vest. At each reporting
period end, the Group revises its estimates of the number of options or
shares that are expected to vest. Novo Nordisk recognises the impact of the
revision of the original estimates, if any, in the Income statement and a cor-
responding adjustment to Equity (change in proceeds) over the remaining
vesting period. Adjustments relating to prior years are included in the
Income statement in the year of adjustment. 

 
 
 
 
 
Liabilities
Generally, liabilities are stated at amortised cost unless specifically men-
tioned otherwise.

Borrowings are recognised initially at fair value, net of transaction costs
 incurred. Borrowings are subsequently stated at amortised cost; any differ-
ence between the proceeds (net of transaction costs) and the redemption
value is recognised in the Income statement over the period of the borrow-
ings using the effective interest method. Borrowings are classified as Current
debt unless the Group has an unconditional right to defer settlement of the
liability for at least 12 months after the end of the reporting period.

Equity
Treasury shares
Treasury shares are deducted from the share capital at their nominal value 
of DKK 1 per share. Differences between this amount and the amount paid
for acquiring, or received for disposing of, treasury shares are deducted
from retained earnings.

Statement of cash flows 
The statement of cash flows and financial resources is presented in accor-
dance with the indirect method commencing with net profit for the year.
The statement shows cash flows for the year, the net change in cash and
cash equivalents for the year, and cash and cash equivalents at the begin-
ning and end of the year.

Cash and cash equivalents consist of cash and marketable securities, with
original maturity of less than three months, less short-term bank loans.
Financial resources consist of cash and cash equivalents, bonds with original
term to maturity exceeding three months, and undrawn committed credit
facilities expiring after more than one year.

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Novo Nordisk Annual Report 2009     61

 
 
 
 
 
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3   Segment information

Operating segments are reported in a manner consistent with the internal
reporting provided to Executive Management and the Board of Directors.

Business segments

For management reporting purposes, the Group operates in two global
business segments based on different therapies:

Diabetes care
The business segment includes discovery, development, manufacturing and
marketing of products within the areas of insulin, GLP-1 and related delivery
systems as well as oral antidiabetic products (OAD).

Biopharmaceuticals
The business segment includes discovery, development, manufacturing and
marketing of products within the areas of haemophilia, growth hormone
therapy, hormone replacement therapy, inflammation therapy and other
therapy areas.

No operating segments have been aggregated to form the above reportable
operating segments.

Management monitors the operating results of its business segments
 separately for the purpose of making decisions about resource allocation
and performance assessment. Segment performance is evaluated based on
operating profit consistent with the consolidated financial statements.
Group financing (including financial expenses and financial income) and
 income taxes are managed on a Group basis and are not allocated to
 operating segments.

Business segments

DKK million

Segment sales and results

Sales
Modern insulins (insulin analogues)
Human insulins
Protein-related sales
Oral antidiabetic products (OAD)

Diabetes care total

NovoSeven ®
Norditropin ®
Hormone replacement therapy
Other products

Biopharmaceuticals total

Sales

Change in DKK (%)
Change in local currencies (%)

Cost of goods sold 
Sales and distribution costs 
Research and development costs
– hereof costs related to discontinuation of all pulmonary diabetes projects
Administrative expenses 
Licence fees and other operating income 
Operating profit 
Operating profit (excl costs related to discontinuation of all pulmonary diabetes projects)

2009

2008

2007

Diabetes care *)

21,471
11,315
2,064
2,652

37,502

17,317
11,804
1,844
2,391

14,008
12,572
1,749
2,149

33,356

30,478

37,502
12.4%
11.1%
9,001
12,877
5,257
–
2,044
187
8,510
8,510

33,356
9.4%
12.7%
8,705
10,497
4,791
(325)
1,936
142
7,569
7,894

30,478
9.4%
14.1%
8,404
9,962
6,116
(1,325)
1,916
179
4,259
5,584

Geographical information

2009

2008

2007

2009

2008

2007

DKK million

Sales

Change in DKK (%)
Change in local currencies (%)

Property, plant and equipment
Total assets

North America

Europe **)

18,279
20.6%
15.2%
905
3,232

15,154
10.2%
17.7%
973
3,532

13,746
11.9%
21.8%
998
2,873

17,540
1.9%
5.2%
15,445
42,933

17,219
5.3%
6.7%
15,624
40,849

16,350
6.9%
6.8%
16,398
38,428

*)  Total assets for the Diabetes care segment amounts to DKK 29.8 billion (DKK 30.5 billion and DKK 30.3 billion in 2008 and 2007, respectively) and for the Biopharmaceuticals 
segment DKK 8.1 billion (DKK 6.6 billion and DKK 6.7 billion in 2008 and 2007, respectively). The remaining part of total assets that has not been allocated to any of the two 
business segments includes Cash at bank and in hand, Marketable securities and financial instruments etc and amounts to DKK 16.8 billion (DKK 13.5 billion and DKK 10.7 billion 
in 2008 and 2007, respectively).

**) Novo Nordisk’s country of domicile is Denmark which is included in the Europe geographic segment.

62 Novo Nordisk Annual Report 2009

 
 
 
 
 
There are no sales or other transactions between the business segments.
Costs have been split between business segments based on a specific
 allocation with the addition of a minor number of corporate overheads
 allocated systematically to the segments. Other operating income has 
been allocated to the two segments based on the same principle. Segment 
assets comprise the assets that are applied directly to the activities of the
segment, including intangible assets, property, plant and equipment, non-
current  financial assets, inventories, trade receivables and other receivables.

No single customer represents more than 10% of the total revenue.

Geographical information

The Group operates in four geographical regions:

• North America: The US and Canada
• Europe: the EU, EFTA, Albania, Bosnia-Herzegovina, Croatia, Macedonia,

Serbia, Montenegro and Kosovo

• Japan & Oceania: Japan, Australia and New Zealand
• International Operations: All other countries

Sales are attributed to geographical regions based on the location of the
customer. There are no sales between regions. Total assets and additions to
property, plant and equipment, and intangible assets are based on the
 location of the assets.

Effective 1 January 2010, changes to the regional structure have been 
made. Korea joins Japan to form Region Japan & Korea while Australia and
New Zealand become part of International Operations. The change does 
not impact the segment reporting or other disclosures in the Annual Report
2009.

2009

2008

2007

2009

2008

2007

Biopharmaceuticals *)

Total

21,471
11,315
2,064
2,652

37,502

7,072
4,401
1,744
359

13,576

51,078
12.1%
10.6%
10,438
15,420
7,864
–
2,764
341
14,933
14,933

17,317
11,804
1,844
2,391

14,008
12,572
1,749
2,149

33,356

30,478

6,396
3,865
1,612
324

5,865
3,511
1,668
309

12,197

11,353

45,553
8.9%
12.2%
10,109
12,866
7,856
(325)
2,635
286
12,373
12,698

41,831
8.0%
12.9%
9,793
12,371
8,538
(1,325)
2,508
321
8,942
10,267

7,072
4,401
1,744
359

13,576

13,576
11.3%
9.3%
1,437
2,543
2,607
–
720
154
6,423
6,423

6,396
3,865
1,612
324

5,865
3,511
1,668
309

12,197

11,353

12,197
7.4%
11.1%
1,404
2,369
3,065
–
699
144
4,804
4,804

11,353
4.4%
9.9%
1,389
2,409
2,422
–
592
142
4,683
4,683

2009

2008

2007

2009

2008

2007

2009

2008

2007

International Operations

Japan & Oceania

9,826
16.6%
18.5%
2,686
7,537

8,425
15.5%
20.5%
1,827
5,267

7,295
12.3%
17.8%
2,031
5,648

5,433
14.3%
1.3%
190
1,040

4,755
7.1%
2.1%
215
955

4,440
(4.9%)
3.1%
178
782

51,078
12.1%
10.6%
19,226
54,742

Total

45,553
8.9%
12.2%
18,639
50,603

41,831
8.0%
12.9%
19,605
47,731

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Novo Nordisk Annual Report 2009     63

 
 
 
 
 
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4   Sales rebate accruals and provisions

7   Depreciation, amortisation and impairment losses

DKK million

At the beginning of the year
Adjustments to previous year’s accruals 
and provisions
Additional accruals and provisions
Payments and grants of rebates 
used during the year
Exchange rate adjustments

At the end of the year

Specification of sales rebate accruals 
and provisions:
Other current liabilities
Provisions for other liabilities

Total sales rebate accruals and provisions

2009

2,400

(90)
6,119

(5,500)
(43)

2,886

2008

2007

DKK million

2009

2008

2007

1,833

1,847

(209)
4,157

(168)
3,176

(3,469)
88

(2,835)
(187)

2,400

1,833

Included in the Income statement:
Cost of goods sold
Sales and distribution costs
Research and development costs *)
Administrative expenses

1,851
43
528
129

1,831
38
473
100

1,652
31
1,205
119

Total depreciation, amortisation and 
impairment losses

2,551

2,442

3,007

*) In 2008 and 2007 cost related to discontinuation of pulmonary diabetes projects

amounted to DKK 53 million and DKK 870 million, respectively.

263
2,623

2,886

119
2,281

89
1,744

2,400

1,833

8   Licence fees and other operating income (net)

DKK million

2009

2008

2007

5   Employee costs

DKK million

2009

2008

2007

Licence fees 
Net income from IT, engineering and 
other services
Other income

11,775

10,541

9,792

Total licence fees and other operating 
income (net)

130

96
115

341

2009

313
62

–
–

375

146

229

50
90

26
66

286

321

2008

2007

631
–

462
34

322
–

911
70

1,127

1,303

9   Financial income

DKK million

Interest income 
Foreign exchange gain (net)
Foreign exchange gain on 
derivatives (net) 
Gains on currency options (net)

Total financial income

10   Financial expenses

DKK million

2009

2008

2007

Interest expenses
Foreign exchange loss (net)
Foreign exchange loss on 
derivatives (net)
Loss on currency options (net)
Capital loss on investments etc
Other financial expenses

384
–

757
56
16
52

246
355

–
–
28
52

324
71

–
–
60
52

Total financial expenses

1,265

681

507

Wages and salaries
Share-based payment costs 
(refer to note 29)
Pensions – defined contribution plans
Pensions – retirement benefit 
obligations (refer to note 24)
Other contributions to social security
Other employee costs

259
822

152
853
1,270

331
745

128
714
1,169

130
724

109
709
1,094

Total employee costs

15,131

13,628

12,558

Included in the Income statement:
Cost of goods sold
Sales and distribution costs
Research and development costs
Administrative expenses

Included in the Balance sheet:
Capitalised employee costs related 
to assets in course of construction
Change in employee costs included 
in inventories

3,952
6,063
3,218
1,811

3,676
5,083
3,040
1,654

3,519
4,498
2,813
1,563

66

21

29

146

58

107

Total employee costs

15,131

13,628

12,558

In addition, employee costs of DKK 1,699 million (DKK 1,657 million in 2008
and DKK 1,442 million in 2007) from NNE Pharmaplan and NNIT are  con -
solidated in License fees and other operating income (net). Furthermore,
employee costs of DKK 345 million (DKK 297 million in 2008 and DKK 264
million in 2007) from NNE Pharmaplan have been capitalised as assets in
course of  construction.

For information on remuneration to the Board of Directors and Executive
Management, please refer to note 30.

Average number of full-time employees
Year-end number of full-time employees

27,985
28,809

26,069
26,575

24,344
25,516

6   Fees to statutory auditors

DKK million

Statutory audit 
Audit-related services
Tax advisory services
Other services

Total 

2009

2008

2007

25
6
13
3

47

25
4
16
1

46

25
6
15
1

47

64 Novo Nordisk Annual Report 2009

 
 
 
 
 
11   Income taxes

DKK million

Current tax on profit for the year
Deferred tax on profit for the year

Tax on profit for the year
Adjustments related to previous years – current tax
Adjustments related to previous years – deferred tax

Income taxes in the Income statement

Computation of effective tax rate:
Statutory corporate income tax rate in Denmark
Deviation in foreign subsidiaries’ tax rates compared to the Danish tax rate (net)
Non-tax income less non-tax deductible expenses (net)
Effect on deferred tax related to change in the Danish tax rate in 2007
Other

Effective tax rate

Tax on exchange rate adjustment of investments in subsidiaries
Tax on fair value adjustments on financial instruments
Tax on other adjustments

Income tax relating to Other comprehensive income

12   Components of other comprehensive income

DKK million

Adjustment of cash flow hedges for the year:
Deferred gain/(loss) on cash flow hedge at the beginning of the year

Effect of hedged forecast transactions transferred to the Income statement 
Fair value adjustments for the year on cash flow hedges

Adjustment of cash flow hedges for the year through Other comprehensive income

Deferred gain/(loss) on cash flow hedges at the end of the year

13   Earnings per share and dividend

DKK million

Net profit for the year

Average number of shares outstanding *)
Dilutive effect of outstanding share bonus pool and options ‘in the money’ **)

in 1,000 shares
in 1,000 shares

Average number of shares outstanding including dilutive effect of options ‘in the money’ 

in 1,000 shares

Basic earnings per share *)
Diluted earnings per share *)

DKK
DKK

In 2007, there was a stock split of the company’s A and B shares. The trade unit was changed from DKK 2 to DKK 1.

*) 
**) For further information on outstanding share bonus pool and options, please refer to note 29 and 30.

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2009

2,382
840

3,222
(54)
52

3,220

25.0%
(2.2%)
0.2%
–
0.0%

23.0%

–
1
24

25

2008

2,233
851

3,084
(218)
184

3,050

25.0%
(0.3%)
(0.4%)
–
(0.3%)

2007

2,835
(347)

2,488
(11)
(28)

2,449

25.0%
2.9%
(3.2%)
(2.0%)
(0.4%)

24.0%

22.3%

(8)
(18)
(55)

(81)

–
12
81

93

2009

2008

2007

(859)

900
352

1,252

393

696

(615)
(940)

(1,555)

(859)

425

(363)
634

271

696

2009

10,768

599,197
5,126

604,323

17.97
17.82

2008

9,645

2007

8,522

615,780
4,947

631,783
4,639

620,727

636,422

15.66
15.54

13.49
13.39

Dividend
At the end of 2009, proposed dividends (not yet declared) of DKK 4,400 million (DKK 7.50 per share) are included in Retained earnings. 
The declared dividend included in Retained earnings was DKK 3,650 million (DKK 6.00 per share) and DKK 2,795 million (DKK 4.50 per share) in 2008 and
2007, respectively.

No dividend is declared on treasury shares.

Novo Nordisk Annual Report 2009     65

 
 
 
 
 
14   Intangible assets

DKK million

2009
Cost at the beginning of 2009
Additions during the year
Disposals during the year
Exchange rate adjustments

Cost at the end of 2009

Amortisation and impairment losses at the beginning of 2009
Amortisation for the year
Impairment losses for the year 
Amortisation and impairment losses reversed on disposals during the year
Exchange rate adjustments

Amortisation and impairment losses at the end of 2009

Carrying amount at the end of 2009

2008
Cost at the beginning of 2008
Additions during the year
Disposals during the year
Exchange rate adjustments

Cost at the end of 2008

Amortisation and impairment losses at the beginning of 2008
Amortisation for the year
Impairment losses for the year
Amortisation and impairment losses reversed on disposals during the year

Amortisation and impairment losses at the end of 2008

Carrying amount at the end of 2008

*) Includes primarily internally developed software and costs related to major IT projects.

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Goodwill

Patents and
licences etc

Other
intangible
assets *)

136
3
–
–

139

65
–
–
–
–

65

74

133
5
(2)
–

136

65
–
–
–

65

71

700
277
(49)
–

928

219
21
92
(49)
–

283

645

520
172
–
8

700

153
16
50
–

219

481

609
113
(6)
11

727

373
40
–
(6)
2

409

318

572
22
(7)
22

609

336
34
8
(5)

373

236

Total

1,445
393
(55)
11

1,794

657
61
92
(55)
2

757

1,037

1,225
199
(9)
30

1,445

554
50
58
(5)

657

788

The impairment test in 2009 and 2008 was based upon management’s projections and anticipated net present value of future cash flows from cash 
generating units. Management has determined the discount rates (WACC) used based on the risk inherent in the related activity’s current business model and
industry comparisons. The used WACC is currency specific and dependent, among other things, on interest rate level and creditworthiness compared to DKK.
Terminal values used are based on the expected life of products, forecasted life cycle and forecasted cash flow over that period and the useful live of the 
underlying assets.

In 2009 Novo Nordisk in-licensed a monoclonal antibody developed by ZymoGenetics and capitalised an upfront payment of DKK 124 million (USD 24 million). 
In continuance hereof it was decided to close down the Anti-IFN-a project with Argos and recognise an impairment loss of DKK 40 million. In addition, 
Novo Nordisk has terminated the development activities of rFXIII within the cancer indication and recognised an impairment loss of DKK 26 million. In 2008,
Novo Nordisk decided to exit the oncology area and recognised an impairment loss of DKK 50 million.

66 Novo Nordisk Annual Report 2009

 
 
 
 
 
Total

32,388
2,632
(328)
–
519

35,211

13,749
2,243
155
(279)
117

15,985

19,226

32,608
1,772
(1,761)
–
(231)

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15   Property, plant and equipment

DKK million

2009
Cost at the beginning of 2009
Additions during the year
Disposals during the year
Transfer from/(to) other items
Exchange rate adjustments

Cost at the end of 2009

Depreciation and impairment losses at the beginning of 2009
Depreciation for the year
Impairment losses for the year
Depreciation and impairment losses reversed on disposals during the year
Exchange rate adjustments

Depreciation and impairment losses at the end of 2009

Land and
buildings

Plant and
machinery

Other 
equipment

12,280
232
(81)
190
234

15,699
259
(129)
615
265

12,855

16,709

3,792
528
100
(73)
40

4,387

8,471
1,418
52
(105)
77

9,913

2,620
179
(118)
54
5

2,740

1,486
297
3
(101)
–

1,685

Payments on 
account and 
assets in
course of
construction

1,789
1,962
–
(859)
15

2,907

–
–
–
–
–

–

Carrying amount at the end of 2009

8,468

6,796

1,055

2,907

2008
Cost at the beginning of 2008
Additions during the year
Disposals during the year
Transfer from/(to) other items
Exchange rate adjustments

Cost at the end of 2008

Depreciation and impairment losses at the beginning of 2008
Depreciation for the year
Impairment losses for the year
Depreciation and impairment losses reversed on disposals during the year
Exchange rate adjustments

Depreciation and impairment losses at the end of 2008

12,208
164
(448)
472
(116)

15,564
261
(335)
378
(169)

12,280

15,699

3,618
516
6
(333)
(15)

3,792

7,317
1,399
92
(311)
(26)

8,471

2,289
164
(183)
335
15

2,620

1,366
265
3
(152)
4

1,486

2,547
1,183
(795)
(1,185)
39

1,789

32,388

702
–
53
(755)
–

13,003
2,180
154
(1,551)
(37)

–

13,749

Carrying amount at the end of 2008

8,488

7,228

1,134

1,789

18,639

16   Investments in associated companies

DKK million

Carrying amount of investments at the beginning of the year
Additions during the year
Disposals during the year
Share of profit/(loss) recognised in the Income statement
Dividend received from associated companies *)
Exchange rate adjustments and other equity movements

Carrying amount of investments at the end of the year

*) Dividend received from Harno Invest A/S (formerly Dako A/S).

2009

2008

222
15
–
(55)
(18)
12

176

500
–
(18)
(124)
(170)
34

222

In 2009 the associated companies realised DKK 170 million in sales and generated a net loss of DKK 598 million. Total assets amounted to DKK 2,168 million
whereas the total liabilities amounted to DKK 1,772 million.

Values of shareholdings in listed associated companies:
– ZymoGenetics, Inc. (NASDAQ symbol: ZGEN)
– Innate Pharma SA (Euronext symbol: IPH)

Please refer to note 34 for a list of Novo Nordisk associated companies.

Carrying 
amount

–
126

2009

Market 
value

693
100

Carrying 
amount

32
125

2008

Market 
value

331
48

Novo Nordisk Annual Report 2009     67

 
 
 
 
 
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17   Financial assets and liabilities

DKK million

Assets at the end of the year

2009
Available-for-sale financial assets
– Other non-current financial assets (equity investments)
– Marketable securities *)
Assets at fair value through profit and loss
– Derivative financial instruments (refer to note 31) 
Loans and receivables
– Other non-current financial assets
– Trade receivables
– Other current assets less prepayments
– Cash at bank and in hand

Total

2008
Available-for-sale financial assets
– Other non-current financial assets (equity investments)
– Marketable securities *)
Assets at fair value through profit and loss
– Derivative financial instruments (refer to note 31) 
Loans and receivables
– Other non-current financial assets 
– Trade receivables
– Other current assets less prepayments
– Cash at bank and in hand

Maturity
< 1 year

Maturity
> 1 year
< 5 years

Maturity
> 5 years

Total

8
500

550

–
7,063
1,271
11,296

20,688

15
–

307

–
6,581
1,111
8,781

–
513

(33)

–
–
–
–

137
–

–

37
–
–
–

480

174

–
997

58

–
–
–
–

153

–

41
–
–
–

145
1,013

517

37
7,063
1,271
11,296

21,342

168
997

365

41
6,581
1,111
8,781

Total

16,795

1,055

194

18,044

*) Danish AAA-rated mortgage bonds issued by Danish credit institutions governed by The Danish Financial Supervisory Authority. Redemption yield on the bond portfolio is 1.79%

(4.3% in 2008) which matured 1 January 2010 (DKK 500 million) and 1 January 2011 (DKK 513 million).

DKK million

Liabilities at the end of the year

2009
Financial liabilities at amortised cost
– Non-current debt 
– Current debt
– Trade payables
– Other current liabilities less taxes and duties payable
Derivatives used for hedging
– Derivative financial instruments (refer to note 31)

Total

2008
Financial liabilities at amortised cost
– Non-current debt 
– Current debt
– Trade payables
– Other current liabilities less taxes and duties payable
Derivatives used for hedging
– Derivative financial instruments (refer to note 31)

Total

Maturity
< 1 year

Maturity
> 1 year
< 5 years

Maturity
> 5 years

Total

–
263
2,242
6,551

71

9,127

–
55
2,281
5,718

1,084

9,138

563
–
–
–

84

647

518
–
–
–

195

713

407
–
–
–

–

407

462
–
–
–

–

462

970
263
2,242
6,551

155

10,181

980
55
2,281
5,718

1,279

10,313

For a description of credit quality of financial assets such as Trade receivables, Cash at bank and in hand, Current debt and financial instruments, please refer 
to note 28 and 31.

68 Novo Nordisk Annual Report 2009

 
 
 
 
 
17   Financial assets and liabilities (continued)

Financial assets that are measured in the Balance sheet at fair value can be categorised by the following fair value measurement hierarchy:

DKK million

2009
Available-for-sale financial assets
Other non-current financial assets (equity investments)
Marketable securities (bonds)

Assets at fair value through profit and loss
Derivative financial instruments

Total

2008
Available-for-sale financial assets
Other non-current financial assets (equity investments)
Marketable securities (bonds)

Assets at fair value through profit and loss
Derivative financial instruments

Total

Active 
market 
data *)

Directly or 
indirectly  
observable  
market   
data **)

Not based on  
observable 
market 
data ***) 

8
1,013

–

1,021

15
997

–

1,012

–
–

517

517

–
–

365

365

137
–

–

137

153
–

–

153

Total

145
1,013

517

1,675

168
997

365

1,530

*) 

The fair value of financial instruments traded in active markets is based on quoted market prices at the balance sheet date. The quoted market price used for financial assets 
held by the Group is the current bid price.

**)  The fair value of financial instruments that are not traded in an active market (for example, over-the-counter derivatives) is determined by using valuation techniques. 
***) If there is no observable market data, the instrument is included in the last category.

There were no significant transfers in and out of the first two categories in 2008 and 2009.

The following table presents the changes in the category “Not based on observable market data” for the year ended 31 December.

DKK million

Other non-current financial assets (equity investments)
Balance at the beginning of the year
Total gains/(losses) recognised in the Income statement
Total unrealised gains/(losses) recognised in Other comprehensive income
Purchases

Balance at the end of the year

2009

2008

153
(33)
–
17

137

98
(41)
3
93

153

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Novo Nordisk Annual Report 2009     69

 
 
 
 
 
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18   Inventories

DKK million

Raw materials and consumables
Work in progress
Finished goods

Total inventories

20   Other current assets

2008

DKK million

1,279
6,659
1,673

9,611

Prepayments *) 
Interest receivable
Amounts owed by affiliated companies
Rent deposit
Other receivables **)

2009

1,143
6,694
2,179

10,016

2009

2008

691
83
118
344
726

593
54
146
305
606

Total other current assets

1,962

1,704

*)  Comprise prepayments to ongoing research and development activities and pay-

ments made concerning subsequent financial years etc.

**) Other receivables comprise VAT receivables, miscellaneous duties and work in

progress for third parties etc.

Indirect production costs included in work 
in progress and finished goods

5,046

4,633

Amount of write-down of inventories 
recognised as expense during the year

Amount of reversal of write-down of 
inventories during the year

19   Trade receivables

DKK million

Trade receivables (gross)

Allowances at the beginning of the year
Change in allowance during the year
Receivables written off during the year 
as uncollectible

Allowances at the end of the year

314

115

733

48

2009

7,663

602
18

(20)

600

2008

7,183

542
69

(9)

602

Trade receivables (net)

7,063

6,581

Trade receivables (net) are equal to an 
average credit period of (days)

Trade receivables (gross) can be specified as follows:
– Not yet due
– Overdue by between 1 and 179 days
– Overdue by between 180 and 359 days
– Overdue by  more than 360 days

Trade receivables (gross)

50

53

6,193
741
513
216

7,663

5,699
901
263
320

7,183

70 Novo Nordisk Annual Report 2009

 
 
 
 
 
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21   Share capital

DKK million

Development in share capital:
2004 and before
2005
2006
2007
2008

At the beginning of the year

2009

At the end of the year

A share
capital

B share
capital

Total share
capital

107
–
–
–
–

107

–

107

602
–
(35)
(27)
(13)

527

(14)

513

709
–
(35)
(27)
(13)

634

(14)

620

At the end of 2009, the share capital amounted to DKK 107,487,200 in A share capital (equal to 107,487,200 A shares of DKK 1) and DKK 512,512,800 
in B share capital (equal to 512,512,800 B shares of DKK 1).

Treasury shares

Number of   As % of share
capital before
cancellation

B shares 
of DKK 1

As % of share
capital after
cancellation

Market value
DKK million

Holding at the beginning of the year
Cancellation of treasury shares

25,721,095
(14,000,000)

4.06%
(2.21%)

Holding of treasury shares, adjusted for cancellation

11,721,095

1.85%

1.89%

Purchase during the year
Sale during the year
Value adjustment

Holding at the end of the year

21,661,949
(1,245,099)
–

32,137,945

6,970
(3,794)

3,176

6,512
(117)
1,099

3.49%
(0.20%)

5.18%

10,670

Acquisition of treasury shares during the year is part of the 2006 –2009 share buy-back programs of Novo Nordisk B shares. The DKK 19 billion program was 
initiated in order to align the capital structure with the expected development in free cash flow. Sale of treasury shares relates to exercised share options and
employee shares.

At the end of the year 8,051,217 shares of the treasury B shareholding shares are regarded as hedges for the share-based incentive schemes and restricted
stock awards to employees.

22   Non-current debt

DKK million

Mortgage debt and other secured loans *)
Unsecured loans and other non-current loans **) 

Total non-current debt

The debt is denominated in the following currencies:
DKK
EUR
USD

Total non-current debt 

2009

2008

503
467

970

2
501
467

970

504
476

980

2
502
476

980

Adjustment of the above loans to market value at year-end 2009 would result in a loss of DKK 22 million (a loss of DKK 2 million at year-end 2008).

*)  Terms to maturity between 2016 and 2022 and a weighted average interest rate of 1.31%.
**) Terms to maturity in 2011 and a weighted average interest rate of 0.35%.

Novo Nordisk Annual Report 2009     71

 
 
 
 
 
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23   Deferred income tax assets and liabilities

DKK million

At the beginning of the year
Deferred tax on profit for the year
Adjustment relating to previous years
Deferred tax on items recognised in Other comprehensive income
Exchange rate adjustments

Total deferred tax assets/(liabilities), net

2009

(708)
(840)
(52)
(14)
59

(1,555)

DKK million

Assets

Liabilities

Specification
The deferred tax assets and liabilities are allocable 
to the various items in the Balance sheet as follows:
Property, plant and equipment
Intangible assets
Indirect production costs
Unrealised profit on intercompany sales 
Provisions for doubtful trade receivables
Tax-loss carry-forward
Other

165
475
–
2,106
101
44
288

3,179

(1,432)
(5)
(1,262)
–
–
–
(2,035)

(4,734)

2009
Total

(1,267)
470
(1,262)
2,106
101
44
(1,747)

(1,555)

Assets

Liabilities

129
628
–
1,997
72
52
453

3,331

(1,502)
(7)
(1,158)
–
(2)
–
(1,370)

(4,039)

2008

176
(851)
(184)
108
43

(708)

2008
Total

(1,373)
621
(1,158)
1,997
70
52
(917)

(708)

Netting of deferred tax assets and deferred tax liabilities related to 
income taxes for which there is a legally enforceable right to offset

(1,724)

1,724

–

(1,635)

1,635

–

Total deferred tax assets/(liabilities), net

1,455

(3,010)

(1,555)

1,696

(2,404)

(708)

Tax-losses carried forward
Further to the above, the tax value of tax losses carried forward of DKK 285 million (DKK 276 million in 2008) has not been recognised in the Balance sheet 
due to the likelihood that the tax losses will not be realised in the future.

24   Retirement benefit obligations 

Most employees in the Group are covered by post-employment retirement plans in the form of primarily defined contribution plans or alternatively defined 
benefit plans. Group companies sponsor these plans either directly or by contributing to independently administered funds. The nature of such plans varies 
according to the legal regulations, fiscal requirements and economic conditions of the countries in which the employees are employed, and the benefits 
are generally based on the employees’ remuneration and years of service. The obligations relate both to existing retirees’ pensions and to pension entitlements 
of future retirees.

The Group’s defined benefit plans are primarily located in Japan, Germany, the United States and Switzerland. Post-employment benefit plans are usually 
funded by payments from group companies and by employees to funds independent of the Group. Where a plan is unfunded, a liability for the retirement 
obligation is recognised in the Balance sheet. In accordance with the Accounting Policies, the costs recognised for post-employment benefits are included 
in Cost of goods sold, Sales and distribution costs, Research and development costs or Administrative expenses.

Other post-employment benefits consist mostly of post-retirement healthcare plans, principally in the United States. The following shows a five-year summary
reflecting the funding of retirement obligations and the impact of historical deviations between expected and actual return on plan assets and actuarial
 adjustments on plan liabilities:

DKK million

Retirement obligations
Fair value of plan assets

(Over)/under funding
Unrecognised actuarial gains/(losses)

Net retirement obligations recognised in the Balance sheet

Actuarial (gain)/loss on plan assets
Actuarial (gain)/loss on plan liabilities 

2009

1,063
(620)

443
13

456

14
(29)

2008

2007

2006

2005

1,103
(649)

454
(35)

419

56
24

885
(566)

319
43

362

(3)
(151)

938
(495)

443
(113)

330

(3)
7

875
(435)

440
(124)

316

6
77

72 Novo Nordisk Annual Report 2009

 
 
 
 
 
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24   Retirement benefit obligations (continued)

DKK million

DKK million

2009

2008

Pension
plans

Medical
benefits

Total

Total

Changes in the retirement 
obligations
At the beginning of the year
Current service costs
Interest cost
Actuarial (gains)/losses
Past service costs
Benefits paid 
Curtailments
Settlements
Exchange rate adjustments
Other

At the end of the year

907
85
33
(26)
(4)
(50)
(2)
(104)
0
(7)

832

196
33
12
(3)
0
(3)
–
–
(3)
(1)

231

1,103
118
45
(29)
(4)
(53)
(2)
(104)
(3)
(8)

1,063

885
112
41
24
1
(52)
17
–
72
3

1,103

Costs recognised in the Income statement 
for the year
Current service costs
Interest cost on pension obligation
Expected return on plan assets *)
Actuarial (gains)/losses recognised in the year
Curtailment/settlement gains
Past service costs

Total charge to the Income statement 

*) Actual return on plan assets was DKK 6 million in 2009 

(a loss of DKK 33 million in 2008).

The costs are recognised in the Income statement 
as employee costs by function and consist of:

Defined benefit pension plans
Post-employment medical benefits

Total charge to the Income statement 

2009

2008

118
45
(20)
30
(20)
(1)

152

112
41
(24)
(2)
–
1

128

107
45

152

92
36

128

DKK million

Changes in the fair value of plan assets 
of the year
At the beginning of the year
Expected return on plan assets
Actuarial gains/(losses)
Employer contributions
Benefits paid to employees
Curtailments
Settlements
Exchange rate adjustments
Other

At the end of the year

DKK million

Amounts recognised in the Balance sheet 
are determined as
Present value of funded obligations
Fair value of plan assets

Net retirement obligations funded

Present value of unfunded obligations

(Over)/ under funding

Unrecognised actuarial gains/(losses) 
on pension benefit plans (net)
Unrecognised actuarial gains/(losses) 
on post-employment medical plans (net)
Unrecognised past service costs

Net obligation recognised in the Balance sheet

2009

2008

The Group expects to contribute DKK 67 million to its defined benefit 
pension plans in 2010.

649
20
(14)
68
(40)
3
(67)
1
0

620

566
24
(56)
81
(24)
11
–
44
3

649

Weighted average asset 
allocation of funded 
retirement obligations
Equities
Bonds
Cash at bank
Property

2009

2008

Total

2009

DKK
million

%

DKK
million

311
190
99
20

620

50%
31%
16%
3%

100%

142
376
98
33

649

2008

%

22%
58%
15%
5%

100%

832
(620)

212

231

443

(26)

37
2

456

870
(649)

221

233

454

(68)

36
(3)

419

DKK million

2009

2008

The weighted average assumptions used 
for computation and valuation of defined 
benefit plans and post-employment 
medical benefits are as follows
Discount rate
Projected return on plan assets
Projected future remuneration increases
Healthcare cost trend rate
Inflation rate

4%
3%
3%
6%
2%

5%
4%
4%
6%
2%

For all major defined benefit plans, actuarial computations and valuations 
are performed annually.

The effect of one percentage point increase or decrease in the medical cost
trend rate is shown below. The Group’s major postemployment medical
plans are for US employees.

Amounts recognised in the Balance sheet for post-employment defined
benefit pension plans and medical benefits are predominantly non-current
and are reported as Non-current debt.

DKK million

Changes in the retirement obligations 
recognised in the Balance sheet
At the beginning of the year
Recognised in the Income statement
Employer contributions
Benefit paid to employees (net)
Settlements
Curtailments
Exchange rate adjustment

At the end of the year

DKK million

2009

2008

Current service cost and interest cost
Defined benefit obligation

Increase

Decrease

2
13

(3)
(14)

419
152
(68)
(13)
(37)
7
(4)

456

362
128
(81)
(28)
–
10
28

419

Novo Nordisk Annual Report 2009     73

 
 
 
 
 
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25   Provisions for other liabilities

DKK million

At the beginning of the year
Adjustments to previous year’s provisions
Additional provisions
Used during the year
Exchange rate adjustments

At the end of the year

Specification of other provisions:
Non-current
Current

Total provisions for other liabilities

Provisions
for returned
products *)

Provisions
for sales
rebates **)

Other
provisions
***)

594
(24)
245
(228)
1

588

–
588

588

2,281
(90)
4,933
(4,460)
(41)

911
(33)
323
(50)
36

2,623

1,187

–
2,623

2,623

1,157
30

1,187

2009
Total

3,786
(147)
5,501
(4,738)
(4)

4,398

1,157
3,241

4,398

2008
Total

3,640
(329)
3,975
(3,555)
55

3,786

863
2,923

3,786

*)  Novo Nordisk issues credit notes for expired goods as a part of normal business. Consequently, a provision for future returns is made based on historical statistical product 

**) 

returns, which represents management’s best estimate. The provision is expected to be used within the normal operating cycle.
In some countries, the actual rebates depend on which customers purchase the products. Factors complicating the rebate calculations are the identification of which 
products have been sold subject to a rebate, on which customer or government price terms apply, and the estimated time lag between sale and payment of the rebate. 
Please refer to notes 1 and 4 for further information on rebates deducted from sales.

***) Other provisions consist of various types of provisions, including provisions for legal disputes, which represent management’s best estimate. Please refer to note 32 for further 

information on commitments and contingencies.

26   Other current liabilities

DKK million

Employee costs payable
Taxes and duties payable
Deferred income
Amounts owed to affiliated companies
Other payables *)

Total other current liabilities

2009

2,742
262
50
38
3,721

6,813

2008

2,272
135
78
79
3,289

5,853

*) Other payables primarily consist of accruals related to ongoing R&D clinical trials, 

royalty payments, staff accruals and interest accruals etc.

27   Other adjustments for non-cash items

DKK million

Share-based payment costs
Increase/(decrease) in provisions
and benefit obligations
(Gain)/loss from sale of property, 
plant and equipment
Change in provisions for doubtful 
trade receivables
Unrealised (gain)/loss on shares and 
bonds etc
Unrealised foreign exchange (gain)/loss
Share of (profit)/loss in associated 
companies
Other, including difference between 
average exchange rate and year-end 
exchange rate

Other adjustments for non-cash items

2009

259

649

(3)

18

21
(253)

55

113

859

2008

2007

331

221

95

69

30
24

130

490

140

119

54
37

124

(1,233)

(280)

614

226

(37)

74 Novo Nordisk Annual Report 2009

 
 
 
 
 
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28   Financial risk

Novo Nordisk has centralised the management of the Group’s financial risks.
The overall objective and policies for the company’s financial risk manage-
ment are outlined in the Treasury Policy, which is approved by the Board of
Directors. The Treasury Policy consists of the Foreign Exchange Policy, the
Investment Policy, the Financing Policy and the Policy regarding Credit Risk
on Financial Counterparts, and includes a description of allowed financial
instruments and risk limits. 

Novo Nordisk only hedges commercial exposures and consequently does not
enter into derivative transactions for trading or speculative purposes. Novo
Nordisk uses a fully integrated Treasury Management System to manage all
financial positions. All positions are marked-to-market based on real-time
quotes and risk is assessed using generally accepted standards.  

Foreign exchange risk
Foreign exchange risk is the principal financial risk for Novo Nordisk and 
as such has a significant impact on the Income statement and the Balance
sheet.

The bulk of Novo Nordisk’s sales is in EUR, USD, JPY, CNY and GBP, while
most production, research and development costs are carried in DKK. As a
consequence, Novo Nordisk’s foreign exchange risk is most significant in
USD, JPY, CNY and GBP, excluding EUR for which the exchange rate risk is
regarded as low due to the Danish fixed-rate policy towards the EUR.

The overall objective of foreign exchange risk management is to limit the
short-term negative impact on earnings and cash flow from exchange rate
fluctuations, thereby increasing the predictability of the financial results. 

Novo Nordisk hedges existing assets and liabilities in major currencies as
well as future expected cash flows up to 24 months forward. Currency
hedging is based upon expectations of future exchange rates and takes
place using mainly foreign exchange forwards and foreign exchange options
matching the due dates of the hedged items. Expected cash flows are
 continuously assessed using historical inflows, budgets and monthly sales
forecasts. Hedge effectiveness is assessed on a regular basis. 

In 2009, the USD, the JPY and the CNY depreciated by 1.8%, 3.9%, and
1.7% versus DKK, respectively. In 2008, the USD, the JPY and the CNY
 appreciated by 4.1%, 30.3%, and 11.3% versus DKK,  respectively. The GBP
appreciated by 7.6% in 2009. In 2008, the GBP de preciated by 24.6%.

At year-end 2009, Novo Nordisk covered the foreign exchange exposures 
on the Balance sheet together with 17 months of expected future cash flow
in USD and CNY. For JPY and GBP, the equivalent cover was 15 months and
14 months of expected future cash flow,  respectively. At the end of 2008,
the USD and CNY cover was 15 months, and for JPY and GBP the cover was
13 months.

A 5% increase/decrease in the following currencies will have a full-year
 impact on operating profit of approximately:

DKK million

USD
JPY
CNY
GBP
CAD

Estimated 
for 
2010

580
150
100
80
40

2009

530
150
80
80
40

At the end of 2009, a 5% increase in all other currencies versus EUR and
DKK would result in a decrease of the value of the net financial instruments
of the Group of approximately DKK 927 million (DKK 661 million in 2008). 
A 5% decrease in all other currencies versus EUR and DKK would result 
in an increase of the value of the net financial instruments of the Group of
approximately DKK 977 million (DKK 669 million in 2008).

The financial instruments included in the foreign exchange sensitivity
 analysis are the Group’s Cash, Accounts receivable and Account payable,
Current and non-current loans, Current and non-current financial invest-
ments, foreign exchange forwards and foreign exchange options hedging
transaction exposure. Furthermore, interest rate swaps and cross-currency
swaps are included. Not included are anticipated currency transactions,
 investments and fixed assets. Cross-currency swaps hedging translation
 exposure are excluded from the sensitivity analysis, as the effects of chang-
ing exchange rates hereon are recognised directly in Other comprehensive
income.

Novo Nordisk only hedges invested equity in major foreign affiliates to a
very limited extent. Equity hedging takes place using long-term cross-
 currency swaps. At the end of 2009, hedged equity made up 16% of the
Group’s JPY equity. At the end of 2008, 12% of the Group’s JPY equity 
was hedged.

Interest rate risk
DKK and EUR interest rates fell during most of 2009, particularly during the
first quarter of the year. The Danish two-year interest rate was 2.42% at the
end of 2009, down from 3.57% at the end of 2008. Short-term  interest
rates fell even more. The three month Cibor was 1.55% at the end of 2009,
down from 4.91% at the end of 2008.

Changes in interest rates have an effect on Novo Nordisk’s financial instru-
ments. At the end of 2009, an increase in the interest rate level of one
 percentage point would, everything else being equal, increase the fair value
of Novo Nordisk’s financial instruments by DKK 19 million (DKK 19 million 
in 2008).

The financial instruments included in the sensitivity analysis consist of
Marketable securities, Deposits, Current and non-current loans, Interest rate
swaps and cross-currency swaps. Not included are foreign exchange for-
wards and foreign exchange options due to the limited effect that a parallel
shift in interest rates in all currencies has on these instruments.

Liquidity risk
Novo Nordisk ensures availability of required liquidity through a combina-
tion of cash management, highly liquid investment portfolios and uncom-
mitted as well as committed facilities. Novo Nordisk uses cash pools for
 optimisation and centralisation of cash management. For non-cash pool
 affiliates, surplus cash above the balance required for working capital
 management is deposited with the parent company, who invests surplus
cash in money market deposits and marketable securities.

Counterparty risk
The use of derivatives and money market deposits gives rise to counterparty
exposure. To manage the credit risk on financial counterparties, Novo
Nordisk only enters into derivative financial contracts and money market
 deposits with financial counterparties which have a  satisfactory long-term
credit rating assigned by both Standard and Poor’s and Moody’s. At the end
of 2009, the majority of Novo Nordisk deposits are secured by the general
Danish State guarantee until September 2010. Furthermore, maximum
credit lines defined for each counterparty limit the overall counterparty risk.

The credit risk on bonds is limited as investments are made in highly liquid
bonds with solid credit ratings. 

Credit risk on Trade receivables and Other current assets is limited as Novo
Nordisk has no significant concentration of credit risk, with exposure being
spread over a large number of counterparties and customers.

Capital structure
Novo Nordisk’s capital structure is characterised by a substantial equity 
ratio. This is in line with the general capital structure of the pharmaceutical
industry and reflects the inherent long-term investment horizons in an
 industry with typically more than 10 years’ development time for pharma-
ceutical products. Novo Nordisk’s equity ratio, calculated as equity to total
 liabilities, was 65.3% at the end of the year (65.2% at the end of 2008).

Novo Nordisk Annual Report 2009     75

 
 
 
 
 
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29   Share-based payment schemes

The total number of shares in the joint pools relating to the years 2007,
2008 and 2009:

DKK million

2009

2008

2007

Year allocated to pool       

Number of shares    

Vesting

Total share-based payment costs 
recognised in the Income statement
Employee shares (DK-based employees)
Employee shares (outside DK)
Long-term share-based incentive 
programme (Senior Management Board)
Long-term share-based incentive 
programme and share options 
(management group below 
Senior Management Board) *)

Share-based payment expensed in the 
Income statement

–
49

54

156

259

156
15

55

–
9

43

105

78

331

130

*) Includes long-term share-based incentive programme for 2007 to 2009 and share 

option programme for 2004 to 2006.

Long-term share-based incentive programme
For a description of the programme, please refer to the section Executive
Remuneration on pp 39 – 40.

In 2009, the allocation to the joint pool for members of the Senior
Management Board amounted to DKK 54 million, corresponding to 7.0
months’ salary. This amount was expensed in 2009. The cash amount was
converted into 177,066 Novo Nordisk B shares of DKK 1 using a share price
of DKK 307, equal to the average trading price for Novo Nordisk B shares 
on NASDAQ OMX Copenhagen from 29 January to 12 February 2009.
Based on the split of participants at the establishment of the joint pool,  ap -
proximately 30% of the pool will be allocated to the members of Executive
Management and 70% to members of the Senior Management Board.

The shares allocated to the joint pool for 2006 (261,500 shares) were
 released to the individual participants on 1 February 2010 following the
 approval of the Annual Report 2009 by the Board of Directors.

For the management group below the Senior Management Board, a similar
share-based incentive programme was introduced in 2007. For the service
entities NNIT and NNE Pharmaplan separate share-based incentive pro-
grammes have been setup which are similar to the general Novo Nordisk
programme but operates with entity specific targets.

For 2007, the total group below Senior Management Board including NNIT
and NNE Pharmaplan consisted of about 500 employees. The allocation to
the joint pool was DKK 135 million in 2007, corresponding to 527,665
shares. The cost of this allocation will be amortised equally over the period
2007–2010.

For 2008, this group consisted of about 590 employees. The allocation to
the joint pool was DKK 181 million corresponding to 570,390 shares. The
cost of this allocation will be amortised equally over the period 2008 –2011. 

For 2009, this group consisted of about 675 employees. The allocation to
the joint pool was DKK 186 million corresponding to 605,218 shares. The
cost of this allocation will be amortised equally over the period 2009 –2012.

Senior management board
2007
2008
2009

Management group below 
Senior management board
2007
2008
2009
Cancelled

Total

166,292
171,492
177,066

514,850

527,665
570,390
605,218
(27,853)

1,675,420

2,190,270

2011
2012
2013

2011
2012
2013

Share options
Novo Nordisk had established share option schemes in 1998 –2006 with the
purpose of motivating and retaining a qualified management group and to
ensure common goals for management and the owners. Each option gives
the right to purchase one Novo Nordisk B share. All share options are
hedged by treasury shares. No options have been granted since 2006 as the
long-term incentive programme from 2007 onwards has been share-based.

The options are exercisable three years after the issue date and will expire
after eight years. The exercise price for options granted based on per -
formance targets for the financial years 2000 –2006 was equal to the
 market price of the Novo Nordisk B share at the time when the plan was
 established. The options can only be settled in shares.

Assumptions
The market value of the Novo Nordisk B share options has been calculated
using the Black-Scholes option pricing model.

The expected volatility is calculated as one-year historic volatility – average
of daily volatilities.

The assumptions used are shown in the table below:

Expected life of the option in years 
(average) 
Expected volatility 
Expected dividend per share (in DKK)
Risk-free interest rate 
(based on Danish government bonds)
Novo Nordisk B share price 
at the end of the year

2009

2008

2007

6
26%
7.50

6
29%
6.00

6
21%
4.50

2.00%

3.00%

4.25%

332

271

335

76 Novo Nordisk Annual Report 2009

 
 
 
 
 
201

289

201
201
201
201
201
201
201
201

137

137
137
137
137
137
137
137
137

189

1,535

201

(28)
(32)
(18)
(45)
(114)
(31)
(12)
(3)
(505)

948

(35)
(15)
(20)
(25)
(69)
0
(1)
(14)
287

1,056

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Average exercise 
price per option 
DKK

Market value
per option
DKK

Market
value
DKK million

29   Share-based payment schemes (continued)

Outstanding share options in Novo Nordisk

Outstanding at the end of 2007

Employee share options granted in 2008 *)
Exercised in 2008:

Of 1999 Ordinary share option plan
Of 2000 Ordinary share option plan
Of 2001 Ordinary share option plan
Of 2003 Ordinary share option plan
Of 2004 Launch share option plan 
Of 2005 Employee share options **)

Expired in 2008
Cancelled in 2008
Value adjustment ***)

Share options

7,638,748

694,500

(140,500)
(159,525)
(92,700)
(225,225)
(566,516)
(156,380)
(58,070)
(16,000)

140

0

99
99
166
97.5
133.5
0
140
140

Outstanding at the end of 2008

6,918,332

133

Exercised in 2009:

Of 2000 Ordinary share option plan
Of 2001 Ordinary share option plan
Of 2003 Ordinary share option plan
Of 2004 Ordinary share option plan 
Of 2005 Ordinary share option plan
Of 2008 Employee share options *)

Expired in 2009
Cancelled in 2009
Value adjustment ***)

Outstanding at the end of 2009

(258,341)
(113,484)
(148,255)
(186,350)
(500,225)
(1,530)
(5,000)
(105,700)

99
166
97.5
133.5
153
0
99
133

5,599,447

135

*)  Granted to all employees outside Denmark under the 2008 employee share option programme, with a benefit equal to the benefit obtained by the Danish-based employees 

under the employee share option programme.

**)  Granted to employees in certain countries outside Denmark under the 2005 employee share option programme, with a benefit equal to the benefit obtained by the Danish-

based employees under the employee share option programme.

***) The market value has been calculated using the Black-Scholes model with the parameters existing at year-end of the respective year.

Exercisable and outstanding
share options in Novo Nordisk

Issued
share 
options

Exercised
share 
options

2000 Ordinary share option plan
2001 Ordinary share option plan
2003 Ordinary share option plan
2004 Ordinary share option plan
2005 Ordinary share option plan

1,526,000 
1,369,960
2,185,000
1,618,832
1,640,468

(1,474,496)
(846,064)
(1,352,490)
(752,866)
(500,225)

Expired

Cancelled

(5,000)
–
–
–
–

(46,504)
(95,788)
(82,666)
(118,000)
(152,818)

–
428,108
749,844
747,966
987,425

Outstanding/
exercisable
share options

Exercise 
price
DKK

Exercisable at the end of 2009

8,340,260

(4,926,141)

(5,000)

(495,776)

2,913,343

2006 Ordinary share option plan
2008 Employee share option

2,229,084
694,500

–
(1,530)

–
–

(166,500)
(69,450)

2,062,584
623,520

Outstanding at the end of 2009 *)

11,263,844

(4,927,671)

(5,000)

(731,726)

5,599,447

*) All share options will vest if there is a change of control of Novo Nordisk A/S, please refer to note 32.

Average market price of Novo Nordisk B shares per trading period in 2009

29 January – 12 February
30 April – 14 May 
6 August – 20 August 
29 October – 12 November 

Total exercised options

99 
166
98 
134
153 

175
0

Exercise period

22/2/04 – 21/2/09
8/2/05 –   7/2/10
6/2/07 –   5/2/12
31/1/08 – 30/1/13
31/1/09 – 30/1/14

31/1/10 – 30/1/15
1/11/11

Average
market price
DKK

307
274
313
321

Exercised
share
options

839,996
52,159
195,400
120,630

1,208,185

Novo Nordisk Annual Report 2009     77

 
 
 
 
 
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30   Management’s remuneration, share options and shareholdings

For information on the Board of Directors, the members of Executive Management and other members of the Senior Management Board, please refer to 
pp 43 – 46 of this Annual Report.

Fee to the Board of Directors and the Audit Committee
In 2009, the base fee for members of the Board of Directors was DKK 400,000 (DKK 400,000 in 2008).

DKK million

Sten Scheibye (chairman of the Board)
Göran A Ando (vice chairman of the Board and R&D facilitator)
Kurt Anker Nielsen (chairman of the Audit Committee)
Jørgen Wedel (Audit Committee member)
Hannu Ryöppönen (Audit Committee member)
Other members of the Board of Directors/Audit Committee

Total

Board of
Directors

Audit
Committee

1.0
0.9
0.4
0.4
0.3
2.5

5.5

–
–
0.5
0.2
0.2
–

0.9

2009
Total

1.0
0.9
0.9
0.6
0.5
2.5

6.4

Board of
Directors

Audit
Committee

1.0
0.9
0.4
0.4
–
2.8

5.5

–
–
0.5
0.2
–
0.1

0.8

2008
Total

1.0
0.9
0.9
0.6
–
2.9

6.3

Executive Management and other members of the Senior Management Board

DKK million

2009
Executive Management:
Lars Rebien Sørensen
Jesper Brandgaard
Lise Kingo
Kåre Schultz
Mads Krogsgaard Thomsen

Executive Management in total

Other members of the Senior Management Board in total *)

Joint pool **)

2008
Executive Management:
Lars Rebien Sørensen
Jesper Brandgaard
Lise Kingo
Kåre Schultz ***)
Mads Krogsgaard Thomsen

Executive Management in total

Other members of the Senior Management Board in total *)

Joint pool **)

Fixed salary

Cash bonus

Pensions

Other
benefits

Share-based
payment

Total
remuneration

6.5
4.2
3.8
4.5
4.2

23.2

59.5

6.3
3.9
3.5
4.9
3.9

22.5

55.3

1.6
1.4
1.3
1.2
1.0

6.5

2.0
1.4
1.2
1.6
1.3

7.5

0.3
0.3
0.3
0.3
0.3

1.5

20.5

19.6

10.6

2.1
1.4
1.2
1.8
1.4

7.9

2.1
1.3
1.2
1.5
1.3

7.4

17.1

17.3

0.3
0.3
0.3
0.9
0.3

2.1

8.1

–
–
–
–
–

–

–

54.4

–
–
–
–
–

–

–

54.5

10.4
7.3
6.6
7.6
6.8

38.7

110.2

54.4

10.8
6.9
6.2
9.1
6.9

39.9

97.8

54.5

*) 

The total remuneration for 2009 includes remuneration to 25 senior vice presidents. The total remuneration for 2008 includes remuneration to 26 senior vice presidents, two of
whom resigned during the year.

**)  The joint pool is locked up for three years before it is transferred to the participants employed at the end of the three-year period. The value is the cash amount of the share 

bonus granted in the year using the grant date market value of Novo Nordisk B shares. Based on the split of participants at the establishment of the joint pool, approximately 
30% of the pool will be allocated to the members of Executive Management and 70% to other members of the Senior Management Board (2008: 35% and 65%, respectively). 
In the lock-up period the joint pool may potentially be reduced in case of lower-than-planned value creation in subsequent years.

***) The total remuneration in 2008 reflects costs in relation to Kåre Schultz’ expatriation to Switzerland. Out of the total remuneration, approximately 8.9% is related to cost

 compensation and associated tax effects of being expatriated.

78 Novo Nordisk Annual Report 2009

 
 
 
 
 
30   Management’s remuneration, share options and shareholdings (continued)

The shares allocated to the joint pool for 2006 (261,500 shares) were released to the individual participants following approval by the Board of Directors 
on 1 February 2010. Based on the share price at the end of 2009, the value of the released shares is as follows:

Value per 31 December 2009 of shares released 1 February 2010

Executive Management:
Lars Rebien Sørensen
Jesper Brandgaard
Lise Kingo
Kåre Schultz
Mads Krogsgaard Thomsen

Executive Management in total

Other members of the Senior Management Board in total **)

*)  The market value of the shares released in 2010 is based on Novo Nordisk B share price at the end of 2009 of DKK 332.
**) In addition 34,872 shares (market value: DKK 11.6 million) were released to retired members of management.

Number Market value *)
DKK million
of shares

26,138
17,430
17,430
17,430
17,430

95,858

130,770

8.6
5.8
5.8
5.8
5.8

31.8

43.4

Lars Rebien Sørensen serves as a member of the Board of Directors of Danmarks Nationalbank and retains the remuneration of DKK 10,000 in 2009 (not a
member in 2008) and as a member of the Board of Directors of ZymoGenetics, Inc. and does not retain any compensation. Furthermore, Lars Rebien Sørensen
serves as a member of the Supervisory Board of Bertelsmann AG and retains the remuneration of EUR 87,500 in 2009 (EUR 55,000 in 2008) and as a member
of the Supervisory Board of DONG Energy A/S and retains the remuneration of DKK 175,000 in 2009 (DKK 168,750 in 2008). Jesper Brandgaard serves as
chairman of the Board of SimCorp A/S and retains the remuneration of DKK 856,400 in 2009 (DKK 442,500 in 2008). Until March 2008 Lise Kingo served as a
member of the Board of Directors of GN Store Nord A/S and retained the remuneration of DKK 100,000. Kåre Schultz serves as a member of the Board of
Directors of Lego A/S and retains the remuneration of DKK 250,000 in 2009 (DKK 250,000 in 2008). Mads Krogsgaard Thomsen serves as a member of the
Board of Directors of Cellartis AB and retains the remuneration of SEK 50,000 (SEK 50,000 in 2008). In 2008 Mads Krogsgaard Thomsen also served as a
 member of the Board of Directors of DTU and retained the remuneration of DKK 60,000.

Management’s share options

Share options in Novo Nordisk

Executive Management:
Lars Rebien Sørensen
Jesper Brandgaard
Lise Kingo
Kåre Schultz
Mads Krogsgaard Thomsen

Executive Management in total

At the
beginning
of the year

Exercised
during
the year

Additions
during
the year **)

At the end
of the year 

Market
value *)
DKK million

90,000 
45,500 
19,000 
–
45,500 

22,000
12,500
–
–
12,500

200,000 

47,000

–
–
–
–
–

–

68,000
33,000
19,000
–
33,000

153,000

13.7
6.6
4.4
–
6.6

31.3

46.1

77.4

Other members of the Senior Management Board in total

276,950 

42,750

8,750

242,950

Total

476,950 

89,750

8,750

395,950

*)  Calculation of market values at year-end has been based on the Black-Scholes option pricing model applying the assumptions shown in note 29.
**) Additions during the year cover the holdings of share options by the Senior Management Board members appointed in 2009.

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30   Management’s remuneration, share options and shareholdings (continued)

Management’s holdings of Novo Nordisk shares
The internal rules for trading by board members, executives and certain employees in Novo Nordisk securities only permit trading in the 15-calendar-day period 
following each quarterly announcement.

At the beginning
of the year

Addition
during the year

Sold/released 
during the year

At the end Market value *)
DKK million
of the year

Shares in Novo Nordisk

Board of Directors:
Sten Scheibye
Göran A Ando
Anne Marie Kverneland
Henrik Gürtler
Johnny Henriksen
Jørgen Wedel
Kurt Anker Nielsen 
Hannu Ryöppönen
Pamela J Kirby
Stig Strøbæk
Søren Thuesen Pedersen

Board of Directors in total

Executive Management:
Lars Rebien Sørensen
Jesper Brandgaard
Lise Kingo
Kåre Schultz
Mads Krogsgaard Thomsen

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800
1,200
3,100
–
760
11,000
98,904
–
–
420
585

–
400
–
–
–
–
–
600
–
–
–

–
–
328
–
–
–
15,200
–
–
–
–

800
1,600
2,772
–
760
11,000
83,704
600
–
420
585

116,769 

1,000

15,528

102,241

920
420 
220 
37,846 
420

45,208
27,968
15,468
15,468
27,968

35,208
27,968
15,468
8,214
16,500

10,920
420
220
45,100
11,888

0.3
0.5
0.9
–
0.3
3.7
27.8
0.2
–
0.1
0.2

34.0

3.6
0.1
0.1
15.0
3.9

22.7

19.4

Executive Management in total

39,826

132,080

103,358

68,548

The Senior Management Board in total

29,450

151,666

122,792

58,324

Joint pool for Executive Management and 
other members of the Senior Management Board **) 

736,324

177,066

186,750

726,640 ***)

241.2

Total

922,369

461,812

428,428

955,753

317.3

*)  Calculation of the market value is based on the quoted share price of DKK 332 at the end of the year.
**)  The annual allocation to the joint pool is locked up for three years before it is transferred to the participants employed at the end of each three-year period. Based on the split 
of participants at the establishment of the joint pool, 30 –35% of the pool will be allocated to the members of Executive Management and 65–70% to other members of the 
Senior Management Board. In the lock-up period, the joint pool may potentially be reduced in case of lower-than-planned value creation in subsequent years.

***) Excludes 49,710 shares currently assigned for 4 retired members of management.

80 Novo Nordisk Annual Report 2009

 
 
 
 
 
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a
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i
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31   Financial instruments 

Novo Nordisk uses a number of derivatives to hedge currency exposure. Novo Nordisk’s currency hedging activities are categorised into hedging of forecasted 
transactions (cash flow hedges), hedging of assets and liabilities (fair value hedges) and hedging of net investments.

Hedging of forecasted transactions (cash flow hedge)
The table below shows the fair value of cash flow hedging activities for 2009 and 2008 specified by hedging instrument and the major currencies. The fair 
value of the financial instruments qualifying for hedge accounting is recognised directly under Other comprehensive income until the hedged items are 
recognised in the Income statement. At year-end, a gain of DKK 388 million is deferred via Other comprehensive income (a loss of DKK 864 million in 2008). 
The fair values of the financial instruments not qualifying for hedge accounting are recognised directly in the Income statement.

Hedging of forecasted transactions qualifying for hedge accounting

2009

2008

Contract
amount
at year-end

Positive 
fair value 
at year-end

Negative
fair value
at year-end

Contract
amount
at year-end

Positive 
fair value 
at year-end

Negative
fair value
at year-end

DKK million

Forward contracts, net sales:
USD
JPY
GBP
Other

Total forward contracts

Cross-currency and interest rate swaps:
EUR / EUR
EUR/USD

Total cross-currency and interest rate swaps

12,799
3,728
916
563

18,006

250
503

753

266
132
20
–

418

–
–

–

Total hedging of forecasted transactions

18,759

418

Other forecast transaction hedges for which hedge accounting is not applied

Cross currency and interest rate swaps:
DKK / DKK
EUR / EUR *)
EUR / USD *)
JPY/ DKK

Total cross currency and interest rate swaps

Currency options

310
–
–
314

624

3,274

–
–
–
55

55

37

Total hedging of forecasted transactions

22,657

510

*) The contract value is disclosed only in the upper table.

–
–
–
15

15

4
11

15

30

17
9
40
–

66

–

96

10,326
3,464
1,027
354

15,171

251
504

755

–
–
163
31

194

5
–

5

550
511
–
–

1,061

–
2

2

15,926

199

1,063

310
–
–
314

624

1,080

–
–
–
40

40

17

15
8
32
–

55

–

17,630

256

1,118

The financial contracts existing at the end of the year 
(cash flow hedges) cover the expected future cash flow for
the following number of months:
USD
JPY
GBP

2009

2008

17 months
15 months
14 months

15 months
13 months
13 months

The maturity of the swaps existing at the end of 2009 is December 2011 and December 2012 (December 2011 and December 2012 at the end of 2008).

Novo Nordisk Annual Report 2009     81

 
 
 
 
 
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31   Financial instruments (continued)

Hedging of assets and liabilities (fair value hedge) 
The table below shows the fair value of fair value hedging activities for 2009 and 2008 specified by hedging instrument and the major currencies. 
All changes in fair values are recognised in the Income statement amounting to a loss of DKK 49 million in 2009 (a loss of DKK 34 million in 2008).  
As the hedges are highly effective, the net gain or loss on the hedged items is similar to the net loss or gain on the hedging instruments.

DKK million

Forward contracts, net sales:
USD
JPY
GBP
Other

Total forward contracts

Total hedging of assets and liabilities

2009

2008

Contract
amount
at year-end

Positive 
fair value 
at year-end

Negative
fair value
at year-end

Contract
amount
at year-end

Positive 
fair value 
at year-end

Negative
fair value
at year-end

2,092
764
304
542

3,702

3,702

–
–
7
–

7

7

25
13
–
18

56

56

1,235
669
326
448

2,678

2,678

2
–
51
56

109

109

–
143
–
–

143

143

The financial contracts existing at the end of the year hedge the currency exposure on assets and liabilities in the Group’s major currencies other than DKK 
and EUR, ie primarily assets and liabilities in USD, JPY and GBP.

Hedging of net investments in foreign subsidiaries (net investment hedge)
The table below shows the fair value of hedging activities relating to net investments in foreign subsidiaries for 2009 and 2008 specified by hedging 
instrument and the major currencies. All changes in fair values relating to currency are recognised directly in Other comprehensive income, amounting 
to a loss of DKK 3 million in 2009 (a loss of DKK 18 million in 2008). All changes relating to interest rates are recognised in the Income statement, 
amounting to DKK 1 million in 2009 (DKK 1 million in 2008).

DKK million

Cross-currency swaps:
JPY/ DKK

Total hedging of net investments in foreign subsidiaries

2009

2008

Contract
amount
at year-end

Positive 
fair value 
at year-end

Negative
fair value
at year-end

Contract
amount
at year-end

Positive 
fair value 
at year-end

Negative
fair value
at year-end

166

166

–

–

3

3

100

100

–

–

18

18

The maturity of the swap existing at the end of 2009 is November 2012 (October 2009, at the end of 2008).

The financial contracts existing at the end of the year hedge the following share of the major net investments:

DKK million

USD
JPY
GBP
EUR *)
Other

Total

2009

2008

Net investment

% covered

Net investment

% covered

3,283
1,028
168
3,755
5,400

13,634

0%
16%
0%
0%
0%

2,423
1,013
153
4,301
3,782

11,672

0%
12%
0%
0%
0%

*) Including subsidiaries with EUR as the functional currency regardless of the local currency in the subsidiary.

82 Novo Nordisk Annual Report 2009

 
 
 
 
 
31   Financial instruments (continued)

Total hedging activities
The table below summarises the fair values of all the hedging activities of Novo Nordisk.

DKK million

Currency-related instruments
Forward contracts, cash flow hedges
Forward contracts, fair value hedges
Currency options, cash flow hedges
Cross-currency swaps, cash flow hedges
Cross-currency swaps, other forecast transaction hedges
Cross-currency swaps, net investment hedging

Total currency-related instruments

Interest-related instruments
Interest rate swaps, cash flow hedges
Interest rate swaps, other forecast transaction hedges

Total interest-related instruments

Total derivatives included in Marketable securities 
and financial instruments and in Current debt and 
financial instruments

The fair value adjustments are recognised in
Income statement
– Other forecast transaction hedges for which hedge 
accounting is not applied
– Fair value hedges
Other comprehensive income
– Cash flow hedges
– Net investment hedges 
(included in exchange rate adjustment)

Total fair values

2009

2008

Contract
amount
at year-end

Positive 
fair value 
at year-end

Negative
fair value
at year-end

Contract
amount
at year-end

Positive 
fair value 
at year-end

Negative
fair value
at year-end

18,006
3,702
3,274
503
314
166

25,965

250
310

560

418
7
37
–
55
–

517

–
–

–

15
56
–
11
40
3

125

4
26

30

15,171
2,678
1,080
504
314
100

19,847

251
310

561

194
109
17
–
40
–

360

5
–

5

1,061
143
–
2
32
18

1,256

–
23

23

26,525

517

155

20,408

365

1,279

92
7

418

–

517

66
56

30

3

155

57
109

199

–

365

55
143

1,063

18

1,279

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Novo Nordisk Annual Report 2009     83

 
 
 
 
 
32   Commitments and contingencies

Contingencies

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DKK million

Commitments

Operating lease commitments
The operating lease commitments below are
 related to non-cancellable operating leases
 primarily related to premises, company cars and
 office equipment. Approximately 55% of the
 commitments are related to leases outside
 Denmark. The lease costs for 2009 and 2008
were DKK 615 million and DKK 547 million,
 respectively.

Lease commitments expiring within 
the following periods as from the end 
of the reporting period:
Within one year
Between one and two years
Between two and three years
Between three and four years
Between four and five years
After five years

Total

Purchase obligations
The purchase obligations primarily relate to
 contractual obligations to investments in proper-
ty, plant and equipment as well as purchase
agreements regarding medical equipment and
consumer goods. Novo Nordisk expects to fund
these commitments with existing cash and cash
flows from operations.

Obligations relating to research 
and development projects
Novo Nordisk has engaged in research and
 development projects with a number of external
corporations. The major part of the obligations
comprises fees on the phase 3 Decludec and
DecludecPlus programmes.

Other guarantees
Other guarantees primarily relate to guarantees
 issued by Novo Nordisk in relation to rented
 property.

2009

2008

See note 1 for the principles for making accounting estimates and judge-
ments about pending and potential future litigation outcomes.

Pending litigation against Novo Nordisk
As of 1 February 2010, Novo Nordisk Inc., along with a majority of the
 hormone therapy product manufacturers in the US, is a defendant in pro -
duct liability lawsuits related to hormone therapy products. These lawsuits
currently involve a total of 52 individuals (as compared to 50 individuals 
in January 2009) who allege to have used a Novo Nordisk hormone therapy
product. These products (Activella ® and Vagifem®) have been sold and
 marketed in the US since 2000. Until July 2003, the products were sold and
marketed exclusively in the US by Pharmacia & Upjohn Company (now Pfizer
Inc.). According to information received from Pfizer, 63 individuals (as com-
pared to 51 individuals in January 2009) currently allege, in relation to
 similar lawsuits against Pfizer Inc, that they also have used a Novo Nordisk
hormone therapy product. Currently, Novo Nordisk does not have any trials
scheduled in 2010. Novo Nordisk does not expect the pending claims to
have a material impact on Novo Nordisk’s financial position, operating profit
or cash flow.

In November 2006, Novo Nordisk A/S and the Italian affiliate Novo Nordisk
Farmaceutici S.P.A. were sued by A. Menarini Industrie Farmaceutiche
Riunite s.r.l. and Laboratori Guidotti S.P.A. (‘Menarini’) in the Civil Court in
Rome. Menarini alleges that Novo Nordisk breached an alleged contract
with Menarini for the sale and distribution of insulin and insulin analogues
in the Italian market or, in the alternative, has incurred a pre-contractual 
or extra-contractual liability arising from negotiations between the parties.
Novo Nordisk disputes the claims made by Menarini. A hearing in the 
matter is scheduled to take place in January 2011. Novo Nordisk cannot
 predict how long the litigation will take or when it will be able to provide
additional information. At this point in time, Novo Nordisk does not expect
the pending claim to have a material impact on Novo Nordisk’s financial
 position, operating profit or cash flow.

Novo Nordisk Inc. is currently a defendant in four separate cases filed in the
US alleging that Novo Nordisk and a number of other pharmaceutical com-
panies provided a false Average Wholesale Price for certain drugs covered
by Medicaid. These cases have been brought by the State of Alabama and
the counties of Oswego, Erie and Schenectady, New York. Novo Nordisk was
dismissed from a similar action brought by the State of Mississippi. Further,
in 2005, Novo Nordisk was dismissed in 38 similar cases brought by counties
in the State of New York. Novo Nordisk does not expect the pending claims
to have a material impact on Novo Nordisk’s financial  position, operating
profit or cash flow.

670
559
441
346
315
679

579
483
394
302
281
710

3,010

2,749

2,051

2,093

1,989

764

443

412

In addition to the above, the Novo Nordisk Group is engaged in certain
 litigation proceedings. In the opinion of management, settlement or
 continuation of these proceedings are not expected to have a material
 effect on Novo Nordisk’s financial position, operating profit or cash flow.

Security for debt
Land, buildings and equipment, etc at carrying 
amount.

1,459

1,401

World Diabetes Foundation
At the Annual General Meeting of Novo Nordisk A/S in 2002, the share -
holders agreed on a donation to the World Diabetes Foundation, obligating
Novo Nordisk A/S for a period of 10 years from 2001 to make annual dona-
tions to the Foundation of 0.25% of the net insulin sales of the Group in the
preceding financial year. 

At the Annual General Meeting in 2008, a new donation in supplement to
the existing obligation was agreed by the shareholders. According to the
new donation, Novo Nordisk is obliged to make annual donations to the
Foundation of 0.01% in the period 2008 –2010 and 0.125% in the period
2011–2017 of the net insulin sales of the Group in the preceding financial
year.

However, annual donations for 2010 shall not exceed the lower of 
DKK 70 million or 15% of the taxable income of Novo Nordisk A/S and from
the period 2011–2017 the lower of DKK 80 million or 15% of the taxable
income of Novo Nordisk A/S in the  financial year in question.

The donation of DKK 68 million in 2009 is recognised in the Income state-
ment.

84 Novo Nordisk Annual Report 2009

Pending claims against Novo Nordisk and investigations 
involving Novo Nordisk
In December 2005, the office of the US Attorney for the Eastern District of
New York served Novo Nordisk with a subpoena calling for the production
of documents relating to Novo Nordisk’s US marketing and promotional
practices. Novo Nordisk assess that the investigation is limited to its insulin
products. The subpoena indicates that the documents are necessary for the
investigation of potential criminal offences relating to healthcare benefit
programmes. Novo Nordisk is cooperating with the US Attorney in this
 investigation. At this point in time, Novo Nordisk cannot determine or pre-
dict the outcome of the investigation. In addition, Novo Nordisk cannot
 predict how long the investigation will take or when the company will be
able to provide additional information.

In May 2009 Novo Nordisk entered into a Deferred Prosecution Agree -
ment (DPA) for a three year period with the US Department of Justice
 relating to certain actions undertaken by Novo Nordisk under the Iraq Oil
for Food Programme. Under the terms of the DPA Novo Nordisk must
comply with the DPA (including US regulation related to the Foreign Cor -
rupt Practices Act and Foreign Assets Control) in order for the case to be
dismissed. If Novo Nordisk breaches the DPA, the prosecution may resume.
In light of the DPA, Novo Nordisk has identified potential breaches of US
Foreign Assets Control regulations. An investigation has been initiated in
order to assess the significance and potential future implications.

 
 
 
 
 
In January 2010, the Inspector General of the US Department of Defense
 issued a subpoena directed to Novo Nordisk to provide documents relating
to NovoSeven ®. Novo Nordisk is cooperating with the Office of the 
Inspector General and the US Attorney’s Office for the District of Maryland
in respond ing to the subpoena, but cannot, at this point of time, determine
or predict the outcome of the investigation or when the next update 
related to this case will be available given the unpredictable nature of these
investigations.

In addition to the above, the Novo Nordisk Group is engaged in various on-
going tax audits and investigations. In the opinion of management, these
pending audits and investigations are not expected to have a material effect
on Novo Nordisk’s financial position, operating profit or cash flow.

Liability for the debts and obligations of Novozymes following 
the demerger of Novozymes in 2000
Novo Nordisk A/S and Novozymes A/S are subject to joint and several
 liabilities for any obligation which existed at the time of the announcement
of the demerger in 2000. At the end of the year the remaining part of the
joint and several liabilities in Novozymes A/S amounted to DKK 557 million
(DKK 557 million in 2008). 

Debts and obligations pertaining to the period before 1 January 2000,
which are recognised after 1 January 2000 and which cannot be clearly
 attributed to either Novo Nordisk A/S or Novozymes A/S, will be distributed
proportionally between the two companies according to an agreement
 established in connection with the demerger in November 2000.

Disclosure regarding Change of Control
The EU Takeover Bids Directive, as partially implemented by the Danish
Financial Statements Act, contains certain rules relating to listed companies
on dis closure of information that may be of interest to the market and
 potential take-over bidders, in particular in relation to disclosure of change
of control provisions. 

For information on the ownership structure of Novo Nordisk, please see
Shares and capital structure on pp 47– 49. For information on change of
control clauses in share option programmes, please see note 29 ‘Share-
based payment schemes’ on pp 76 –77, and in relation to employee 
contracts of Executive Management of Novo Nordisk, please see ‘Executive 
remuneration’ on p 40.

In addition, Novo Nordisk discloses that the Company has significant agree-
ments to which the Company is a party and which take effect, alter or
 terminate upon a change of control of the Company following implementa-
tion of a take-over bid. If effected, a takeover could – at the discretion of
each relevant counterparty – lead to the termination of one or more of such
agreements and a total loss of approximately 5% of Novo Nordisk’s sales,
corresponding to approximately 5% of Novo Nordisk‘s gross profit.

33   Related party transactions

Novo Nordisk A/S is controlled by Novo A/S (incorporated in Denmark),
which owns 25.5% of the shares in Novo Nordisk A/S. The remaining shares
are widely held. The ultimate parent of the Group is the Novo Nordisk
Foundation (incorporated in Denmark). Both entities are considered related
parties.

Other related parties are considered to be the Novozymes Group due to
joint ownership, associated companies, the directors and officers of these
entities and management of Novo Nordisk A/S. Following the demerger 
of Novozymes in November 2000, Novo Nordisk A/S has access to certain
assets of and may purchase certain services from Novo A/S and the
Novozymes Group, and vice versa. All agreements relating to such assets
and services are based on the list prices used for sales to third parties where
such list prices exist, or the price has been set at what is regarded as market
price. Most of these agreements cover one year.

The Group has had the following material transactions with related parties:

DKK million

2009

2008

2007

Novo Nordisk Foundation
Donations to Novo Nordisk 

Novo A/S
Services provided by Novo Nordisk 
Purchase of Novo Nordisk B shares
Sale of treasury shares 
(related to share options)

Novozymes
Services provided by Novo Nordisk
Services provided by Novozymes

Associated companies
Purchased intangible assets, fees 
and royalties etc paid to associated 
companies by Novo Nordisk 
Received intangible assets, fees 
and royalties etc from associated 
companies to Novo Nordisk 

(32)

(29)

(30)

(8)
1,111

(2)

(6)
1,016

(7)
2,090

(9)

(8)

(357)
118

(284)
147

(253)
159

184

40

–

(12)

63

–

There have not been any material transactions with any director or officer 
of Novo Nordisk, Novozymes, Novo A/S, the Novo Nordisk Founda tion 
or  associated companies. For information on remuneration to the manage-
ment of Novo Nordisk, please refer to note 30.

There are no material un settled transactions with related parties at the end
of the year.

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Novo Nordisk Annual Report 2009     85

 
 
 
 
 
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34   Companies in the Novo Nordisk Group

Country

Year of  
incorporation /
acquisition

Issued share capital /
paid-in capital

Percentage
of shares
owned

Activity

l

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a
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P

•

Parent company
Novo Nordisk A/S

Subsidiaries by region

Denmark

1931

DKK

620,000,000

–

•

•

•

•

Europe
Novo Nordisk Pharma GmbH 
SA Novo Nordisk Pharma NV 
Novo Nordisk Pharma d.o.o. 
Novo Nordisk Pharma EAD 
Novo Nordisk Hrvatska d.o.o. 
Novo Nordisk s.r.o. 
Novo Nordisk Region Europe A/S 
Novo Nordisk Farma OY 
Novo Nordisk Pharmaceutique SAS 
Novo Nordisk Production SAS 
Novo Nordisk Pharma GmbH 
Novo Nordisk Hellas Epe 
Novo Nordisk Hungary Sales and Trading Ltd. 
Novo Nordisk Limited 
Novo Nordisk Farmaceutici S.P.A. 
UAB Novo Nordisk Pharma 
Novo Nordisk Farma dooel 
Novo Nordisk B.V. 
Novo Nordisk Scandinavia AS 
Novo Nordisk Pharma Sp. z.o.o. 
Novo Nordisk Comércio Produtos Farmace˜ uticos 
Limitada 
Novo Nordisk Farma S.R.L. 
Novo Nordisk Pharma d.o.o. Belgrade (Serbia) 
Novo Nordisk Slovakia s.r.o. 
Novo Nordisk, trzˇenje farmacevtskih izdelkov d.o.o. 
Novo Nordisk Pharma S.A. 
Novo Nordisk Scandinavia AB 
Novo Nordisk FemCare AG 
Novo Nordisk Health Care AG 
Novo Nordisk Pharma AG 
Novo Nordisk Holding Limited 
Novo Nordisk Limited 

1974 
Austria 
Belgium 
1974 
Bosnia and Herzegovina 2009 
2005 
Bulgaria 
2004 
Croatia 
1997 
Czech Republic 
2002 
Denmark 
1972 
Finland 
2003 
France 
1959 
France 
1973 
Germany 
1979 
Greece 
1996 
Hungary 
1978 
Ireland 
1980 
Italy 
2005 
Lithuania 
2006 
Macedonia 
1983 
Netherlands 
1965 
Norway 
1996 
Poland 

1984 
Portugal 
Romania 
2005 
Serbia and Montenegro  2005 
2007 
Slovakia 
2006 
Slovenia 
1978 
Spain 
1971 
Sweden 
2003 
Switzerland 
2000 
Switzerland 
1968 
Switzerland 
1977 
United Kingdom 
1978 
United Kingdom 

North America
Novo Nordisk Canada Inc. 
Novo Nordisk Region North America A/S 
Novo Nordisk US Holdings Inc. 
Novo Nordisk Pharmaceutical Industries Inc. 
Novo Nordisk Inc. 

Japan & Oceania
Novo Nordisk Pharmaceuticals Pty. Ltd. 
Novo Nordisk Region Japan & Oceania A/S 
Novo Nordisk Pharma Ltd. 
Novo Nordisk Pharmaceuticals Limited 

Canada 
Denmark 
United States
United States 
United States 

Australia 
Denmark 
Japan 
New Zealand 

1983 
2003 
2007 
1991 
1982 

1985 
2002 
1980 
1990 

EUR 
EUR 
BAM 
BGN 
HRK 
CZK 
DKK 
EUR 
EUR 
EUR 
EUR 
EUR 
HUF 
EUR 
EUR 
LTL 
MKD 
EUR 
NOK 
PLN 

EUR 
RON 
EUR 
EUR 
EUR 
EUR 
SEK 
CHF 
CHF 
CHF 
GBP 
GBP 

CAD 
DKK 
USD 
USD 
USD 

36,336 
69,000 
97,792 
5,880,000 
5,000,000 
14,500,000 
108,370,500 
420,500 
5,821,140 
57,710,220 
614,062 
1,050,000 
371,000,000 
635 
516,500 
2,150,000 
14,068,285 
61,155 
250,000 
29,021,000 

250,000 
2,795,000 
640,000 
265,552 
2,679,286 
1,502,500 
100,000 
1,100,000 
159,325,000 
50,000 
2,802,132 
2,350,000 

200 
500,000 
50,000 
55,000,000 
283,837,600 

AUD 
DKK 
JPY 
NZD 

500,001 
15,500,000 
2,104,000,000 
1,000,000 

100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100

100
100
100
100
100
100
100
100
100
100
100
100

100
100
100
100
100

100
100
100
100

•
•
•
•
•
•

•
•

•
•
•
•
•
•
•
•
•
•

•
•
•
•
•
•
•
•
•
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•

•

•

•

•
•

•

•
•

•

•

•

•
•

•

•
•

•

•
•

86 Novo Nordisk Annual Report 2009

 
 
 
 
 
 
 
 
 
34   Companies in the Novo Nordisk Group (continued)

Country

Year of  
incorporation /
acquisition

Issued share capital /
paid-in capital

Percentage
of shares
owned

1994 
1997 
2007 
2002 
1990 
2006 
1994 

Algeria 
Argentina 
Bangladesh 
Brazil 
Brazil 
Chile 
China 

International Operations
Aldaph SpA 
Novo Nordisk Pharma Argentina S.A. 
Novo Nordisk Pharma (Private) Limited 
Novo Nordisk Produção Farmacêutica do Brasil Ltda. 
Novo Nordisk Farmacêutica do Brasil Ltda. 
Novo Nordisk Farmacêutica Limitada 
Novo Nordisk (China) Pharmaceuticals Co., Ltd. 
Beijing Novo Nordisk Pharmaceuticals Science & 
Technology Co., Ltd. 
Novo Nordisk Pharma Operations A/S 
Novo Nordisk Region International Operations A/S 
Novo Nordisk Egypt Pharmaceuticals Ltd. 
Novo Nordisk Hong Kong Limited 
Novo Nordisk India Private Limited 
PT. Novo Nordisk Indonesia 
Novo Nordisk Pars 
Novo Nordisk Ltd 
Novo Nordisk Pharma s.a.r.l 
Novo Nordisk Pharma (Malaysia) Sdn Bhd 
Novo Nordisk Mexico S.A. de C.V. 
Novo Nordisk Pharma SAS 
Novo Nordisk Pharma Limited 
Novo Nordisk Pharma (Private) Limited 
Novo Nordisk Pharmaceuticals (Philippines) Inc 
Novo Nordisk Limited Liability Company 
Novo Investment Pte Ltd. 
Novo Nordisk Pharma (Singapore) Pte Ltd. 
Novo Nordisk (Pty) Ltd 
Novo Nordisk Pharma Korea Ltd 
Novo Nordisk Pharma (Taiwan) Ltd 
Novo Nordisk Pharma (Thailand) Ltd. 
Novo Nordisk Tunisie SARL 
Novo Nordisk Saglik Ürünleri Tic. Ltd. Sti. 
Novo Nordisk Pharma Gulf FZ-LLC 
Novo Nordisk Venezuela Casa de Representación C.A.  Venezuela 

2006 
China 
2009 
Denmark 
2002 
Denmark 
2004 
Egypt 
2001 
Hong Kong 
1994 
India 
2003 
Indonesia 
2005 
Iran 
1997 
Israel 
2007 
Lebanon 
1992 
Malaysia 
2004 
Mexico 
2006 
Morocco 
2006 
Nigeria 
2005 
Pakistan 
1999 
Philippines 
2003 
Russia 
1994 
Singapore 
1997 
Singapore 
1959 
South Africa 
1994 
South Korea 
1990 
Taiwan 
1983 
Thailand 
2004 
Tunisia 
Turkey 
1993 
United Arab Emirates  2005 
2004 

Other subsidiaries
FeF Chemicals A/S 
NNIT A/S *) 
NNE Pharmaplan A/S *) 
Steno Diabetes Center A/S 

Associated companies
Harno Invest A/S 
Innate Pharma S.A.
ZymoGenetics, Inc. 

Denmark 
Denmark 
Denmark 
Denmark 

Denmark 
France 
United States 

1989 
1998 
1989 
2008 

1992 
2006 
1988 

*) In addition to the listed companies, NNIT A/S and NNE Pharmaplan A/S have their own subsidiaries.

DZD 
ARS 
BDT 
BRL 
BRL 
CLP 
USD 

1,742,650,000 
7,465,150 
17,500,000 
896,834,727 
84,727,136 
758,271,200 
289,124,617 

2,000,000 
USD 
500,000 
DKK 
113,303,210 
DKK 
50,000 
EGP 
500,000 
HKD 
265,000,000 
INR 
827,900,000 
IDR 
10,000,000 
IRR 
100 
ILS 
600,000,000 
LBP 
200,000 
MYR 
387,816,547 
MXN 
2,597,000 
MAD 
10,000,000 
NGN 
43,000,000 
PKR 
50,000,000 
PHP 
188,243,360 
RUB 
12,000,000 
SGD 
200,000 
SGD 
ZAR 
8,000 
KRW  6,108,400,000 
TWD 
9,000,000 
15,500,000 
THB 
TND 
400,000 
25,296,300 
TRY 
100,000 
AED 
2,250,000 
VEF 

DKK 
DKK 
DKK 
DKK 

DKK 
EUR 
USD 

10,000,000 
1,000,000 
500,000 
1,000,000 

70,419,910 
1,295,600 
797,623,000 

100
100
100
100
100
100
100

100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
49
100
100
100
100

100
100
100
100

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Novo Nordisk Annual Report 2009     87

 
 
 
 
 
 
 
 
 
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Financial definitions

ADRs
An American Depositary Receipt (or ADR) represents ownership in the
shares of a non-US company and trades in US financial markets.

Gross margin 
Gross profit as a percentage of sales.

Net profit margin 
Net profit as a percentage of sales.

Basic earnings per share (EPS) 
Net profit divided by the average number of shares outstanding.

Number of shares outstanding 
The total number of shares excluding the holding of treasury shares.

Cash to earnings 
Free cash flow as a percentage of net profit.

Diluted earnings per share 
Net profit divided by the sum of average number of shares outstanding
 including the dilutive effect of share options ‘in the money’. The dilutive
 effect of share options ‘in the money’ is calculated as the difference
 between the following:
1) the number of shares that could have been acquired at fair value with
proceeds from the exercise of the share options, and 
2) the number of shares that would have been issued assuming the exercise
of the share options. 
The difference (the dilutive effect) is added to the denominator as an issue
of shares for no consideration.

Operating profit 
Earnings before tax, financial income and expenses (net) and share of
 profit/loss in associated companies.

Operating profit margin 
Operating profit as a percentage of sales.

Other comprehensive income
Other comprehensive income comprises all non-owner changes eg items 
of income and expense (including reclassification adjustments) that are not
recognised in the Income statement.

Payout ratio 
Total dividends for the year as a percentage of net profit.

Effective tax rate 
Income taxes as a percentage of profit before income taxes.

Return on equity
Net profit for the year as a percentage of shareholders’ equity (average).

Equity ratio 
Equity at year-end as a percentage of the sum of total liabilities and equity
at year-end.

Free cash flow 
The sum of cash flow from operating activities and cash flow from  investing
activities excluding net changes in marketable securities (maturity exceeding
three months).

ROIC (return on invested capital) 
Operating profit after tax (using the effective tax rate) as a percentage of
 average inventories, receivables, property, plant and equipment as well as
intangible assets less non-interest-bearing liabilities including provisions 
(the sum of the above assets and liabilities at the beginning of the year and
at year-end divided by two).

88 Novo Nordisk Annual Report 2009

 
 
Statement of non-financial reporting for the year ended 31 December

Note

2009

2008

2007

Social performance

Employees (total)
Employee turnover (%)
Absence (%)
Frequency of occupational injuries (number/million working hours)
Annual training costs per employee (DKK)
Engaging culture (employee engagement) on a scale of 1–5
Diverse senior management teams
Managers trained in business ethics (%)
Fulfilment of action points from facilitations of the NNWoM (%)

LDCs where Novo Nordisk sells insulin according to the differential pricing policy
Healthcare professionals trained or educated in diabetes (1,000)
People with diabetes trained (1,000)

Company reputation with external key stakeholders on a scale of 0 –100

People participating in clinical trials
Animals purchased
Active patent families to date
New patent families (first filings)
Warning letters and re-inspections

Employment impact worldwide (direct and indirect)
R&D costs as share of sales

Environmental performance

Energy consumption (1,000 GJ)
Water consumption (1,000 m3)
Raw materials and packaging materials (1,000 tons)

Volume of wastewater (1,000 m3)
COD **) (tons) in wastewater
Total waste (tons)
Non-hazardous waste (% of total waste)
CO2 emissions from energy consumption (1,000 tons)
CO2 emissions from cooling agents (1,000 tons) 
CO2 emissions from energy consumption as share of sales in DKK 
(index 2003 = 100)
Breaches of regulatory limit values 

*)  See change in accounting policies. Hence the data is not comparable year on year.
**) Chemical oxygen demand, which is a method to measure the amount of pollutants in the water.

2
2
5
5
2
2
2
3
4

6
6
6

7

8
9
14
14
10

15
15

11
12
13

16
16
17
17
18
18

18
19

29,329
8.3
2.6
4.3
13,283
4.3
14
91
93

27,068
12.1
2.2
5.4
13,192
4.2
12
–
92

26,008
11.6
2.7
5.9
13,130
4.1
–
–
91

36
805
416 *)

32
380
1,755 *)

36
336
422 *)

76.3

11,130
57,315
905
55
0

96,500
15.4

2,246
2,149
79

2,062
617
21,019
64
146
5.8

37
10

72.4

74.0

13,822
57,253
890
71
0

88,500
16.5

2,533
2,684
132

2,542
891
20,346
70
215
–

60
28

11,915
54,675
1,003
116
0

81,600
17.2

2,784
3,231
152

2,764
813
17,576
66
236
–

72
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Novo Nordisk Annual Report 2009     89

 
 
 
 
 
 
 
 
 
 
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1   Summary of non-financial accounting policies 

For more information on Novo Nordisk’s voluntary reporting, see 
annualreport2009.novonordisk.com.

The accounting policies applied to the preparation of the consolidated non-
financial reporting have been consistently applied to the years presented,
except as described below in ‘Change in non-financial accounting policies’.

Standards for non-financial reporting 
The consolidated non-financial statement is prepared in accordance with
the Danish Financial Statements Act, section 99a, effective as of 1 January
2009. Section 99a requires Novo Nordisk to account for the company’s
 activities on social responsibility, reporting on business strategies and
 activities on human rights, labour standards, environment and anti-corrup-
tion. Companies that subscribe to the UN Global Compact and annually
submit their Communication on Progress (CoP) will be in compliance with
the new legislation, provided that the annual report includes a reference to
where the CoP has been made publicly available. Novo Nordisk’s CoP 2009
can be found at annualreport2009.novonordisk.com/governance-and-re-
porting/un-global-compact.aspx and at UN Global Compact’s website at un-
globalcompact.org/COP.

Novo Nordisk adheres to the following internationally acknowledged
 voluntary standards and principles:

• AA1000 framework for accountability. The framework states that report-
ing must provide a complete, accurate, relevant and balanced picture 
of the organisation’s approach to and impact on society. Novo Nordisk’s
assurance process is designed according to AA1000AS(2008). 

• Global Compact. As a signatory to the United Nations Global Compact, a
platform to promote good corporate principles and learning in the areas
of human rights, labour, environment and anti-corruption, Novo Nordisk
reports on actions during 2009 to implement the 10 principles in the CoP,
which can be found at annualreport2009.novonordisk.com/governance-
and-reporting/un-global-compact.aspx.

• Global Reporting Initiative’s (GRI) Sustainability Reporting Guidelines 
(G3). The guidelines include the only internationally recognised set 
of  indicators for economic, environmental and social aspects of business
 performance, which enable stakeholders to compare companies’ per-
formance. Novo Nordisk’s reporting according to the reporting principles
and guidance including required disclosures can be found at 
annualreport2009.novonordisk.com/governance-and-reporting/global-re-
porting-initiative.aspx.

Defining materiality
Ongoing stakeholder engagement and trendspotting help identify new
 issues that are or could become material to Novo Nordisk. Following a
 review of the implications for Novo Nordisk’s long-term business, a strategy
is framed for those issues that are deemed material and subsequently data,
indicators and targets are identified. Management of the issue is embedded
in the organisation, so that it eventually becomes fully integrated into
 business processes. The process is iterative as strategies are revisited as
 appropriate.

It is Novo Nordisk’s responsibility to ensure that those areas are addressed 
in which the company has significant impact or where it has a responsibility
and ability to act. Novo Nordisk has sought inspiration in AccountAbility’s
materiality test to define what is material to Novo Nordisk’s business, what
should be included in the annual report and on which grounds. Applying
the materiality test as a tool, sustainability-related issues are prioritised to 
be reported either in the printed annual report (most  material; business
 critical), online (material, often to cater for specific stakeholder  interests) or
not reported (not material). The same process applies for the  assurance
provider’s recommendations.

The outcomes of formal reviews, research, stakeholder engagement and
 internal materiality discussions are presented as a proposal for the annual
reporting to Executive Management and the Board of Directors, and sub -
sequently approved. In addition, Novo Nordisk’s external assurance provider
is requested to assure whether the non-financial performance included 
in the annual report covers the material aspects. The conclusion is available
in the Independent Assurance Report on non-financial reporting 2009.

Change in non-financial accounting policies
In 2009, there were no significant changes to the accounting policies for
non-financial data.

The following accounting policies have been adjusted: 

• The accounting policy for ‘Fulfilment of action points from facilitations 

of the NNWoM’ has been adjusted to reflect how it is reported internally
to Executive Management. Data reported for 2005 –2008 reflects the
 adjusted accounting policy.

• The accounting policy for ‘People with diabetes trained or treated’ has
previously been reported as an accumulated number but will from this
year on be reported as the actual number of people with diabetes trained
or treated within the given year. This adjustment is reflected in the data
reported for 2007–2008. Further, it has been specified that people with
diabetes who have been offered training as part of their treatment are not
included, as this is not a direct Novo Nordisk activity. This year and going
forward reporting on these activities will therefore be defined as ‘People
with diabetes trained’. This adjustment is not reflected in the 2007–2008
data as it is not possible to separate the ‘trained’ and ‘treated’ in the
 historical data.

Please refer to the specific accounting policies for further information.

The non-financial statement has been reviewed and new disclosures added
to reflect current priorities and enhance transparency:

• Diverse senior management teams
• Managers trained in business ethics
• People participating in clinical trials
• Volume of wastewater
• Non-hazardous waste (% of total waste)
• CO2 emissions from cooling agents.

The review process also resulted in a decision to discontinue reporting on
the following disclosures in the statement:

• Opportunity to use and develop competences/skills
• People from diverse backgrounds have equal opportunities
• Employees in sales & marketing trained in business ethics
• R&D expenditure to tangible investments
• Total corporate tax as share of sales
• Novo Nordisk exports as share of Danish exports
• Nitrogen (wastewater)
• Phosphorus (wastewater)
• Organic solvents 
• EIR Water
• EIR Energy
• Number of accidental releases.

The above measures are not used to drive performance, and hence do not
qualify for inclusion as performance indicators.

The review process furthermore resulted in a decision to only report the
 following disclosures in the notes instead:

• Fatalities due to occupational injuries
• Importance of social and environmental issues for the future of the

 company

• Manager’s behaviour consistent with Novo Nordisk’s values 
• LDCs where Novo Nordisk operates
• Recycling percentage (waste)

Principles of non-financial disclosures
The non-financial statement and disclosures cover Novo Nordisk A/S (the
Parent company) and all the companies in which Novo Nordisk A/S directly
or indirectly owns more than 50% of the voting rights or in some other 
way has a controlling influence (subsidiaries). Novo Nordisk A/S and these
companies are referred to as the Group. 

The environmental disclosures cover the significant environmental impact

90 Novo Nordisk Annual Report 2009

 
 
 
 
 
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from the Novo Nordisk Group’s production sites producing approved 
pro ducts for the market – 14 in total. 

The employee engagement is a simple average of answers given by 
the  employees. The 10 questions are the same as in the previous years.

Accounting policies
To Novo Nordisk, AA1000APS(2008) is an essential component in creating a
generally applicable approach to assessing and strengthening the credibility
of the company’s public reporting of non-financial data. Novo Nordisk’s
 assurance process has been designed to ensure that the qualitative and
quantitative information that documents sustainability performance as well
as the systems that underpin the data and performance are assured. The
principles outlined by AA1000APS(2008) have been applied as described
 below.

1. Inclusivity
As a pharmaceutical company with global reach, Novo Nordisk is committed
to being accountable to those on whom the organisation has an impact 
and those who have an impact on Novo Nordisk. Novo Nordisk continuously
maps its stakeholders and has processes in place to ensure inclusion of
stakeholder concerns and expectations. Stakeholder engagement results in
stakeholders being involved in developing and accounting for strategic
 responses to  sustainability challenges.

2. Materiality
Key issues are identified through ongoing stakeholder engagement and
 addressed by programmes or action plans with clear and measurable
 targets. Stretch targets are set to guide the long-term efforts in strategic
 areas, such as climate action. The issues pre sented in the annual  report are
deemed to have a significant impact on the company’s future business
 performance and may support stakeholders in their decision- making and
are therefore regarded as Novo Nordisk’s material issues.

3. Responsiveness
The report reaches out to a wide range of stakeholders, each with their
 specific needs and interests. To most stakeholders, however, the annual
 report is just one element of interaction and communication with the com-
pany. The annual report reflects how the company has addressed stake -
holder concerns and interests in dealing with the dilemmas and issues.
Stakeholder dialogue is an invaluable part of Novo Nordisk’s efforts as a
 responsible business, and readers are encouraged to give their feedback.

This is the first year in which Novo Nordisk is reporting according to the
AA1000APS(2008) and the assurance process has been carried out
 according to AA1000AS(2008). The new framework has not affected Novo
Nordisk’s approach to sustainability and stakeholder engagement.

Social performance
Employees
The number of employees at year-end includes all employees except
 externals, employees on unpaid leave, interns, bachelor and master thesis
employees and substitutes. The number of fulltime employees (FTEs), is
 defined as employees with a working time ratio of 95% or more.

Employee turnover
The rate of turnover is calculated as the number of employees, excluding
temporary employees, who left the Novo Nordisk Group during the financial
year compared to the average number of employees, excluding temporary
employees.

Absence
The rate of absence is calculated as absence due to the employee’s own
 illness, pregnancy-related sick leave and occupational injuries and illnesses
per total average working hours in the year, adjusted for holidays.

Frequency of occupational injuries
The frequency of occupational injuries is calculated based on the number 
of injuries reported for all employees per million working hours, excluding
externals, employees on unpaid leave, interns, bachelor and master thesis
employees and substitutes. An occupational injury is any work-related injury
causing at least one day of absence in addition to the day of the injury.

Annual training costs per employee
The annual training costs cover the internal and external training costs
recorded directly linked to training. Costs related to on-the-job training,
 internal  seminars and other activities are not included in the amount.

Engaging culture (employee engagement)
The employee engagement is measured on a scale of 1– 5, with 5 being the
 best, and is an average of respondents’ answers to 10 selected questions
 related to employees’ engagement in the annual employee survey, eVoice.

Diverse senior management teams
The number of diverse senior management teams is measured as the
 number of teams diverse in gender and nationality (locals and non-locals). 
A senior management team is defined as being diverse when it has people
of both genders and includes both locals and non-locals.

Managers trained in business ethics
Managers trained in business ethics is based on registrations in a training
database. It is measured as the percentage of managers completing business
ethics e-learning.

Fulfilment of action points from facilitations of the NNWoM 
The percentage of fulfilment of actions points arising from facilitations with
respect to the Novo Nordisk Way of Management (NNWoM) is measured as
an average of timely closure of action points issued in the current year and
the two previous years. The reason for using a three-year average as basis
for the calculation is that action lead time varies from typically a couple of
months to more than a year.

Least Developed Countries where Novo Nordisk sells insulin 
according to the differential pricing policy
Least Developed Countries where Novo Nordisk sells insulin according to 
the differential pricing policy is measured as direct or indirect sales by Novo
Nordisk via government tender or private market sales to wholesalers,
 distributors, NGOs etc.

Healthcare professionals trained or educated in diabetes
The estimated number of healthcare professionals (HCPs) trained or  edu -
cated in diabetes includes HCPs directly trained, educated, interacted with
or reached through awareness campaigns. The estimated number is based
on  registrations by subsidiaries and corporate functions in Novo Nordisk.
The number covers the total number of HCPs Novo Nordisk has engaged
with since the National Changing Diabetes ® programmes were initiated in
2002.

People with diabetes trained
People with diabetes trained is measured as the total number of people with
diabetes with whom Novo Nordisk has engaged during the year for educa-
tional purposes. Training denotes activities conducted, organised or funded
by Novo Nordisk and only relates to activities, that are non-product branded
for at least 50% of the time.

Company reputation
Company reputation is measured as a mean brand score in four key 
markets (China, Germany, the UK and the US) according to primary care 
and secondary care physicians. The survey is performed by an independent
 external con sultancy firm. The mean brand score is based on company
 ratings (scale of 0 –100). For 2007 and 2008, the survey was conducted via
telephone and face-to-face interviews with primary and secondary care
 professionals  (target groups). For 2009, the survey was conducted via online
interviews  except for China (face-to-face interviews).

People participating in clinical trials
The number of people participating in clinical trials (phases 1–3) is measured
as active participants in clinical trials during the year.

Animals purchased 
The number of animals purchased is measured as animals in all studies
 performed by Novo Nordisk either in-house or at external contractors.

Active patent families to date
Active patent families to date is measured as the sum of all active patents in
Novo Nordisk. 

New patent families (first filing)
First filing is measured as all new patents that were approved within the
year. 

Warning letters and re-inspections
Warning letters and re-inspections are measured as the number of warning
 letters issued by the FDA in connection with GMP, GCP or GLP inspections,
and the number of re-inspections issued to Novo Nordisk by any health

Novo Nordisk Annual Report 2009     91

 
 
 
 
 
 authority globally. Warning letters from the FDA regarding promotional
 materials are not included.

2   Employee statistics

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Employment impact worldwide (direct and indirect)
Employment impact worldwide is an estimate of the direct and indirect jobs
created by the Novo Nordisk Group. It is calculated using financial records
and general statistics from public sources, such as Statistics Denmark, Up -
dated Economic Multipliers for the US Economy (Economic Policy Institute)
and China Statistical Yearbook.

R&D expenditure as share of sales
R&D expenditure as share of sales is calculated based on data from Novo
Nordisk’s consolidated financial statements.

Environmental performance
Energy consumption
Energy consumption (direct and indirect supply) includes both direct supply
of energy (internally produced energy), ie natural gas, fuel oil and other
types, and indirect supply of external energy (externally produced energy),
for example electricity, steam and district heat. The consumption of fuel and
externally produced energy is based on meter readings and  invoices.

Water consumption
Water consumption is based on meter readings and invoices and includes
consumption of drinking water, industrial water and steam.

Raw materials and packaging materials
Raw materials and packaging materials comprise materials for production
and related processes and packaging of products. The consumption of raw
materials and packaging is converted to tons. Data is based on registrations
in Novo Nordisk’s stock system. 

Volume of wastewater 
The volume of wastewater comprises process wastewater and sanitary
wastewater. Furthermore, drainage water from fortified areas is included.
The total volume of wastewater is calculated based on input from the
 production sites either directly measuring the total sum of discharge to
 public sewer systems or by the total water consumption for the site minus
 registered evaporation from cooling systems (including cooling towers 
and other plants from which evaporation occurs), and any large amount of
wastewater collected and treated as waste.

COD in wastewater
The quantity of COD is calculated based on in-house test results or standard
factors.

Total waste
Total waste is measured as the sum of non-hazardous and hazardous waste.
The amount of waste disposed of is registered based on weight receipts.

Non-hazardous waste
The percentage is  calculated as the waste disposed of as non-hazardous of
the total amount of waste disposed. 

CO2 emissions from energy consumption
CO2 emissions from energy consumption are calculated according to the
GHG protocol. Emissions of CO2 from energy (total) are based on standard
factors for fuel and for  energy on a three-year average of available emission
factors from the  external suppliers of energy. Hence, emission factors for
2009 are the three-year average of 2006 to 2008. 

CO2 emissions from cooling agents
CO2 emissions from cooling agents are calculated based on standard
 factors.

CO2 emissions from energy consumption as share of sales
CO2 emissions from energy consumption as share of sales is calculated as an
index using 2003 as baseline (index 100).

Breaches of regulatory limit values
Breaches of regulatory limit values are measured as all breaches reported to
the authorities.

Number

Employees by gender
– Female
– Male

Total

2009

2008

2007

14,514
14,815

29,329

13,432
13,636

12,845
13,163

27,068

26,008

Fulltime employees (FTEs)

28,809

26,575

25,516

The increase of 2,261 (8%) employees in 2009 from 1,060 (4%) in 2008 
is as expected and reflects increased activities in most of the business areas
and in particular in sales & marketing and R&D. In the regions the largest
 increase in employees is seen in Europe and International Operations. 

The rate of employee turnover decreased from 12.1% in 2008 to 8.3% in
2009. This decrease can be attributed to the general economic recession
and the continuous focus on employee retention within Novo Nordisk.

The annual training costs per employee stayed consistent, with a spend of
DKK 13,283 in 2009 compared to DKK 13,192 in 2008.

In the annual eVoice survey the response rate was 92%. The engagement
rate increased from 4.2 in 2008 to 4.3 in 2009. Below are additional key
questions and scores from the eVoice survey, which reconfirm the strong
 adherence to the company’s values and priorities.

Living our values

Scale 1– 5

2009

2008

2007

Importance of social and environmental 
issues for the future of the company
Manager’s behaviour consistent with 
Novo Nordisk’s values

4.5

4.4

4.5

4.3

4.4

4.2

The number of diverse senior management teams increased from 12 in
2008 to 14, which means that at year-end 2009 50% of all the 28 senior
 management teams are diverse in terms of gender and nationality. The
 development is as expected.

3   Managers trained in business ethics

In 2009, 91% of all managers were trained in business ethics via e-learning.
This training has been conducted in the previous years but not systematically
recorded.

Besides e-learning, first-line sales managers in sales and marketing are
trained face-to-face in business ethics. As above, the face-to-face training
has been conducted in previous years but has not been systematically
recorded. In 2009, 99% of all first line sales managers were trained in
 business ethics.

4   Fulfilment of action points from facilitations 

of the NNWoM

In 2009, 93% of all actions points, based on a three-year average, were
timely closed. This is a slight improvement compared to 2008, when 92% 
of all action points were timely closed. At year-end, three actions were in
status ‘overdue’. Action plans have been agreed between the units and the
facilitators to ensure closure of these actions.

92 Novo Nordisk Annual Report 2009

 
 
 
 
 
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5   Health and safety

8   People participating in clinical trials

In 2009, there were no fatal occupational injuries and Novo Nordisk has not
had any fatal occupational injuries since 2004.

The rate of absence increased slightly in 2009 to 2.6% from 2.2% in 
2008. The development is due to increased absence related to illness. The
 frequency of occupational injuries decreased by 1.1 from 5.4 in 2008 to 
4.3 in 2009. The decrease is attributed to the continuous focus on health
and safety.

In 2009, implementation of Novo Nordisk’s occupational health & safety
management system continued. The management system is certifiable
 according to OHSAS 18001. All sites in Denmark have implemented the
 system, and Product Supply globally is certified.

The next step in the roll-out is R&D outside Denmark. R&D units in the US
and China will implement the occupational health & safety management
system.

The number of people participating in clinical interventional trials decreased
by 20% from 13,822 in 2008 to 11,130 in 2009. This was mainly due to the
discontinuation of the pulmonary diabetes project in 2008 and also post-
ponement of the initiation of the remaining part of the liraglutide obesity
phase 3 programme.

9   Animals purchased

Novo Nordisk sets goals to reduce, refine and replace experiments on
 animals and to improve animal welfare. Despite a significantly higher level
of research activity in early phases, when animal experimentation is
 required, the number of animals purchased in 2009 increased only slightly
to 57,315  animals, of which 96% were rodents. In 2009, the majority of the
animals were housed in Denmark. However, for the first time, ever in-house
studies were performed outside Denmark as the animal facility at NNST,
Beijing, China, opened and in 2009 housed a small number of mice.

6   Access to health

Novo Nordisk has formulated a differential pricing policy offering insulin to
the world’s Least Developed Countries (LDCs) at or below a price of 20% 
of the average prices for insulin in the Western world. The Western world is
defined as Europe (EU, Switzerland and Norway), the US, Canada and
Japan. 

In 2009, Novo Nordisk operated in 37 of the 49 LDCs. For 2009, the dif -
ferential pricing policy was offered, as part of the global health initiatives, 
to all LDCs as defined by the United Nations. During 2009, Novo Nordisk
sold insulin to either governments or to the private market in a total of 
36 countries according to the differential pricing policy compared to 32 in
2008. In Nepal the public authorities have been offered the opportunity 
to buy insulin at the policy price, but in 2009 the insulin was sold to the
 private market without using the policy price.

In 12 countries Novo Nordisk does not sell insulin at all, for various reasons.
In several cases, either the government has not responded to the offer, there
are no private wholesalers or other partners with whom to work, or wars or
political unrest make it impossible to do business. While Novo Nordisk
prefers to sell insulin at the differential price through government tenders,
the company is willing to sell to private distributors and agents. Novo
Nordisk has no way of guaranteeing that the price at which Novo Nordisk
sells the insulin will be reflected in the final price to the consumer.

A measure of the company’s contribution to global health is the number of
healthcare professionals directly trained, educated, interacted with or
reached through awareness campaigns and the number of people with
 diabetes targeted with training or awareness. The aim is to continue
 activities for educating healthcare professionals and to train people with
 diabetes. 

Since 2002, 805,000 healthcare professionals have been trained, educated,
interacted with or reached through awareness campaigns. The increase in
numbers is due to more activities reaching a greater number of healthcare
professionals and more diligent reporting from affiliates. The number of
people with diabetes trained was 416,000 in 2009. As reporting this year
does not include people treated, the 2009 number is not comparable to the
2007–2008 numbers.

7   Company reputation

Company reputation, measured as the mean brand score, increased by 3.9
points from 72.4 in 2008 to 76.3 (on a scale of 0 –100) in 2009. The positive
 development can be attributed to a wide range of activities focusing on the
product portfolio and on clinical trials, educational activities and involve-
ment in the diabetes community.

Number

Mice and rats
Guinea pigs
Hamsters
Rabbits
Pigs
Dogs 
Goats
Non-human primates
Other vertebrates *)

Total

2009

2008

2007

54,714
84
6
559
1,170
240
2
540
0

57,315

54,484
150
16
770
808
276
6
593
150

51,940
290
0
1,029
1,001
62
3
350
0

57,253

54,675

*) Other vertebrates are fish, chickens and frogs.

10   Quality

In 2009, as in 2008, no warning letters were issued to Novo Nordisk by the
FDA in  connection with GMP, GCP or GLP inspections. Nor were any re-
 inspections issued to Novo Nordisk. In total, 77 inspections were concluded
in 2009 and the number of inspections was as expected.

11   Energy

In 2009, the consumption of energy was 2,246,000 GJ, which is a decrease
of 11% compared to 2,533,000 GJ in 2008. The reduced consumption was
mainly due to optimisations at the insulin bulk production in Kalundborg,
but the cLEAN ® programme and energysaving projects at many other sites
have also contributed to the decrease in consumption.

12   Water

The consumption of water decreased by 20% from 2,684,000 m 3 in 2008 
to 2,149,000 m 3 in 2009. The decrease was mainly due to optimisations at
the insulin bulk production in Kalundborg, but the cLEAN ® programme and
water saving projects at several sites have also contributed to the  decrease 
in consumption.

13   Raw materials and packaging materials

The consumption of raw materials decreased by 40% from 132,000 tons in
2008 to 79,000 tons in 2009. The decrease was mainly due to optimisations
of the insulin bulk production in Kalundborg, but the cLEAN ® programme
has also contributed to the decrease in consumption.

Novo Nordisk Annual Report 2009     93

 
 
 
 
 
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14   Patent families

The development in the existing patent families and new patent families (first filing) is as expected. The number of Novo Nordisk patent families increased 
from 890 in 2008 to 905 in 2009. The number of new patent families established in 2009 was 55, which is a decrease of 23% compared to the filing activity of
2008, when 71 new patent families were established. This development is explained by changes in the focus areas of research and increased requirements
when filing requires more resources per filing.

The patent expiry dates for the product portfolio are shown in the table below. The dates provided are for expiry of patents in the US, Japan and major
European markets *) on the active ingredient, unless otherwise indicated, and include extensions of patent term (including for paediatric extension where 
applicable). In many cases Novo Nordisk has exclusivity beyond the expiry of the active ingredient patent through later-expiring patents. For several products, 
in addition to the compound patent, Novo Nordisk holds other patents on manufacturing processes, formulations or uses that may extend exclusivity beyond
the expiration of the product patent. Furthermore, data-based exclusivity may be available under pharmaceutical regulatory laws.

Marketed products in key markets (active ingredients)

Product

Levemir ®
NovoRapid ® (NovoLog ®)
NovoMix ® 30 (NovoLog ® Mix 70/30)
NovoNorm ® (Prandin ®)
Norditropin ® (Norditropin ® SimpleXx ®)
NovoSeven ®
Victoza ®
PrandiMet ®

Major European markets are defined as Germany, France and the UK.
Formulation patent until 2017.
Exact date varies from country to country.

*) 
**)
***) 
****)  Formulation.
*****) Combination.

15   Socioeconomics

Europe 

US

Japan

2018
2011 **)

2014 –15 ***)
2009
2017 ****)
2010 –11 ***)

Pending
Pending 

2019
2014 **)
2014
Expired
Pending ****)

2010
Pending

Pending

2010 **)
2014
Expired

2017 ****)

Expired
Pending

2018 *****)  Pending  

In 2009, Novo Nordisk created 2,261 new positions globally and had 28,809 full-time positions measured as full-time equivalents (FTEs)  compared to 2008,
when 1,060 new positions were created with 26,575 FTEs. The number of jobs in 2009 translate into 96,500 direct and indirect jobs. Of these, 67,660 indirect
global jobs are created in the supply chain from production needs and employees’ private consumption. The majority of these jobs created are due to
 production (47,904) but the effect of private consumption from Novo Nordisk employees is also significant (19,756). In 2008, the total number of jobs created
was 88,500. 

R&D costs as a share of sales decreased from 16.5% in 2008 to 15.4% in 2009 reflecting non-recurring costs in 2008 related to closure of all  pulmonary
 diabetes projects as well as the closure of further development activities in the low serum albumin in dialysis (LSAD) indication for growth hormone. 

Cash value distribution 2009

Customers
Suppliers
Company cash
Employees
Investors/funders
Public sector
Management

Cash received from products and services (from sales) 
Cash payments for materials, facilities and services *)
Cash added value (cash received minus cash payments)
Remuneration
Dividend, share repurchase and interest payments
Taxes
Future growth

DKK million

Cash
received

Cash
added value

50,596
20,386
30,210
15,496
10,429
1,998
2,287

100%
40%

31%
21%
4%
4%

100%
51%
34%
7%
8%

*) Investments in fixed assets and cash payments outside Novo Nordisk. The figure includes cash received from licence fees, realised exchange rate gains and interest income.

94 Novo Nordisk Annual Report 2009

 
 
 
 
 
16   Wastewater

The total volume of wastewater decreased by 19% from 2,542,000 m3 in
2008 to 2,062,000 m 3 in 2009, primarily due to changes in production 
at the production facility in Kalundborg. In the same period, the discharged
quantity of COD decreased by 31% from 891 tons in 2008 to 617 tons in
2009. This was due to improved data registration and changes in produc-
tion in Kalundborg.

17   Waste

In 2009, the total amount of waste increased by 3% compared to 2008.
This is mainly due to a 24% increase in the quantity of hazardous waste,
 primarily because of a larger disposal of ethanol. The amount of non-
 hazardous waste decreased by 6% due to minor decreases in several
 fractions such as incinerated waste, plastic, and gland residues. Non-
hazardous  construction and demolition waste fractions increased.

The recycling percentage remained at the same level as in 2008.

Tons

2009

2008

2007

Non-hazardous waste
– Recycled
– Incinerated *)
– Landfill
– Special treatment
Hazardous waste
– Recycled ethanol **)
– Incinerated ethanol ***)

Total waste

13,432
58
21
5
17
7,587
40
21

21,019

14,240
57
20
6
17
6,106
38
19

11,604
48
26
13
13
5,972
18
40

20,346

17,576

Recycling percentage of total waste

51

51

38

99.3% with energy recovery.

*) 
**)  Ethanol recycled in eg biogas or wastewater treatment plants.
***) Incinerated at combined heat and power plants or at plants for special treatment

of hazardous waste with energy recovery.

18   CO2 emissions to air

The CO2 emissions from energy consumption decreased from 215,000 tons
in 2008 to 146,000 tons in 2009 – a decrease of 32% (69,000 tons). Close
to half of this reduction is due to the decrease in energy consumption of
11%. The other half is attributable to the partnership with DONG Energy in
Denmark and the purchase of electricity from Horns Rev 2 – an offshore
wind turbine farm in the North Sea.

The CO2 emissions from cooling agents is a new focus area for Novo 
Nordisk and was measured consistently for the first time in 2009, when 
emissions totalled 5,841 tons.

The CO2 emissions from energy consumption as share of sales in Danish
 kroner  (measured as an index, with 2003 = 100) improved to 37 in 2009
compared to 60 in 2008. This demonstrates that Novo Nordisk has drama -
tically  reduced CO2 emissions from energy consumption from production 
as sales and production continue to increase.

19   Breaches of regulatory limit values

Ensuring compliance with legal requirements on environment is a high
 priority for Novo Nordisk. The number of breaches of regulatory limit values
decreased from 28 in 2008 to 10 in 2009, a decrease of 64%. This reduction
and the low level of breaches is due to a continuous focus on this area.

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Novo Nordisk Annual Report 2009     95

 
 
 
 
 
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Summary of financial data 2005 –2009 in EUR (unaudited)

EUR million

Sales

Sales by business segment:

Modern insulins (insulin analogues)
Human insulins
Protein-related sales
Oral antidiabetic products (OAD)

Diabetes care total

NovoSeven ®
Norditropin ®
Hormone replacement therapy
Other products

Biopharmaceuticals total

Sales by geographical segment:

North America
Europe *)
International Operations *)
Japan & Oceania

Depreciation, amortisation and impairment losses
Operating profit
Operating profit (excl AERx ®) **)
Net financials 
Profit before income taxes
Income taxes
Net profit

Total assets
Total current liabilities
Total non-current liabilities
Equity

Investments in property, plant and equipment (net) 
Investments in intangible assets and non-current financial assets (net)
Free cash flow ***)
Net cash flow

2005

4,531

979
1,819
196
229

3,223

680
373
210
45

2006

5,194

1,451
1,804
215
266

3,736

755
444
215
44

2007

5,614

1,880
1,687
235
288

4,090

788
471
224
41

2008

6,109

2,323
1,583
247
321

4,474

858
518
216
43

1,308

1,458

1,524

1,635

1,279
1,882
738
632

259
1,085
1,085
20
1,105
318
787

5,624
1,418
502
3,704

492
(18)
649
(85)

1,646
2,051
871
626

287
1,223
1,223
6
1,229
364
865

5,994
1,362
592
4,040

374
33
631
62

1,845
2,194
979
596

404
1,200
1,378
272
1,472
328
1,144

6,401
1,427
658
4,316

304
16
1,210
220

2,032
2,309
1,130
638

328
1,660
1,704
43
1,703
409
1,294

6,792
1,739
627
4,426

235
35
1,478
552

2009

6,860

2,883
1,520
277
356

5,036

950
591
234
49

1,824

2,454
2,356
1,320
730

343
2,005
2,005
(126)
1,879
433
1,446

7,356
1,802
752
4,802

353
58
1,656
307

*)  Comparative figures for 2005 and 2006 have been adjusted in order to reflect a changed organisational structure from 1 January 2007 which transfers eight countries, incl 

Bulgaria and Romania, from International Operations to Europe.

**)  Excluding costs related to discontinuation of all pulmonary diabetes projects.
***) For definitions, please refer to p 88.

Key figures are translated into EUR as supplementary information – the translation of Income statement items is based on the average exchange rate in 2009 (EUR 1 = DKK 7.4463) 
and the translation of balance sheet items is based on the exchange rate at the end of 2009 (EUR 1 = DKK 7.4415). The figures in DKK reflect the economic substance of the underlying 
events and circumstances of the Group.

96 Novo Nordisk Annual Report 2009

 
 
 
 
 
 
 
 
 
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Quarterly financial figures 2008 and 2009 (unaudited)

DKK million

Sales

Sales by business segment:

Modern insulins (insulin analogues)
Human insulins 
Protein-related sales
Oral antidiabetic products (OAD)

Diabetes care total

NovoSeven ®
Norditropin ®
Hormone replacement therapy
Other products

Biopharmaceuticals total

Sales by geographical segment:

North America
Europe 
International Operations 
Japan & Oceania

Gross profit
Sales and distribution costs
Research and development costs
Administrative expenses
Licence fees and other operating income (net)
Operating profit

Net financials
Profit before taxation
Income taxes

Net profit

2008

2009

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

10,614

11,110

11,246

12,583

12,498

13,001

12,517

13,062

3,821
2,939
443
640

4,103
2,966
460
478

4,365
2,806
464
671

5,028
3,093
477
602

4,990
3,004
484
691

5,414
2,879
492
675

5,353
2,747
519
650

5,714
2,685
569
636

7,843

8,007

8,306

9,200

9,169

9,460

9,269

9,604

1,440
878
385
68

1,648
986
391
78

1,534
941
394
71

1,774
1,060
442
107

1,805
1,034
409
81

1,874
1,122
435
110

1,651
1,074
440
83

1,742
1,171
460
85

2,771

3,103

2,940

3,383

3,329

3,541

3,248

3,458

3,450
4,061
2,096
1,007

8,201
2,975
1,858
627
88
2,829

39
2,868
688

3,467
4,400
2,069
1,174

8,556
3,178
1,980
626
74
2,846

405
3,251
780

3,759
4,305
2,074
1,108

8,640
3,155
1,579
633
51
3,324

182
3,506
842

4,478
4,453
2,186
1,466

10,047
3,558
2,439
749
73
3,374

(304)
3,070
740

4,532
4,195
2,513
1,258

9,990
3,844
1,744
679
87
3,810

4,710
4,375
2,532
1,384

10,391
3,837
1,849
693
78
4,090

4,527
4,376
2,288
1,326

9,832
3,502
1,884
666
34
3,814

4,510
4,594
2,493
1,465

10,427
4,237
2,387
726
142
3,219

(305)
3,505
806

(206)
3,884
893

(207)
3,607
852

(227)
2,992
669

2,180

2,471

2,664

2,330

2,699

2,991

2,755

2,323

Depreciation, amortisation and impairment losses

563

567

560

752

607

533

657

754

Total assets
Total equity

Financial ratios

In percentage of sales

Sales and distribution costs
Research and development costs
Administrative expenses  

Gross margin
Operating profit margin
Equity ratio

Share ratios

Basic earnings per share/ADR (in DKK)
Diluted earnings per share/ADR (in DKK)

Average number of shares outstanding (million) – basic
Average number of shares outstanding (million) – diluted 

Employees

47,534
31,251

48,478
33,046

48,990
32,173

50,603
32,979

50,205
31,345

51,246
34,086

52,589
34,874

54,742
35,734

5.9%

28.0% 28.6% 28.1% 28.3%
17.5% 17.8% 14.0% 19.4%
6.0%
77.3% 77.0% 76.8% 79.8%
26.7% 25.6% 29.6% 26.8%
65.7% 68.2% 65.7% 65.2%

5.6%

5.6%

5.4%

30.8% 29.5% 28.0% 32.4%
14.0% 14.2% 15.1% 18.3%
5.6%
79.9% 79.9% 78.5% 79.8%
30.5% 31.5% 30.5% 24.6%
62.4% 66.5% 66.3% 65.3%

5.3%

5.3%

3.51
3.48

620.9
626.3

3.99
3.96

618.6
623.5

4.34
4.30

614.2
618.6

3.82
3.80

609.3
614.4

4.44
4.41

607.4
612.7

4.96
4.91

603.1
607.9

4.62
4.58

596.4
601.4

3.95
3.92

589.9
595.2

Number of full-time employees at the end of the period

25,765

26,060

26,360

26,575

27,429

27,998

28,497

28,809

Novo Nordisk Annual Report 2009     97

 
 
 
 
 
 
 
 
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Financial
statements
of the Parent
company
for 2009

99  Income statement

100  Balance sheet
101  Notes to the financial statements

98 Novo Nordisk Annual Report 2009

 
 
 
 
 
 
Income statement for the year ended 31 December

DKK million

Sales 
Cost of goods sold

Gross profit

Sales and distribution costs
Research and development costs
Administrative expenses
Licence fees and other operating income (net)

Operating profit

Profit in subsidiaries
Share of profit in associated companies
Financial income
Financial expenses

Profit before income taxes

Income taxes

Net profit for the year

Proposed appropriation of net profit:
Dividends
Net revaluation reserve according to the equity method
Retained earnings

Note

2
3

3
3
3, 4

9
9
5
5

6

2009

27,834
9,155

18,679

6,932
6,739
1,229
433

4,212

8,170
(55)
381
1,087

11,621

857

10,764

4,400
5,751
613

10,764

2008

27,145
8,069

19,076

7,654
5,633
1,243
409

4,955

5,318
71
1,098
635

10,807

1,165

9,642

3,650
(5,422)
11,414

9,642

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Novo Nordisk Annual Report 2009     99

 
 
 
 
 
 
 
 
 
 
 
 
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Balance sheet at 31 December

DKK million

Assets

Intangible assets
Property, plant and equipment
Financial assets

Total non-current assets

Raw materials and consumables
Work in progress
Finished goods

Inventories

Trade receivables
Amounts owed by affiliates
Tax receivables 
Other receivables

Receivables

Marketable securities and financial instruments

Cash at bank and in hand

Total current assets

Total assets

Equity and liabilities

Share capital
Net revaluation reserve according to the equity method
Retained earnings
Exchange rate adjustments

Total equity

Deferred income tax liabilities
Other provisions

Total provisions

Mortgage debt
Other non-current debt

Non-current liabilities

Current debt and financial instruments
Trade payables
Amounts owed to affiliates
Tax payables
Other liabilities

Current liabilities

Total liabilities

Total equity and liabilities

100 Novo Nordisk Annual Report 2009

Note

2009

2008

7
8
9

10

12
13

11

781
14,381
17,400

32,562

1,100
6,509
1,492

9,101

1,081
3,889
464
623

6,057

1,528

10,625

27,311

59,873

620
22,144
12,670
271

35,705

880
566

1,446

503
467

970

306
1,188
17,454
1
2,803

21,752

22,722

59,873

543
14,512
11,313

26,368

1,160
6,683
1,065

8,908

945
5,541
535
631

7,652

1,375

8,299

26,234

52,602

634
16,393
16,183
(256)

32,954

906
588

1,494

504
476

980

1,279
1,262
11,917
1
2,715

17,174

18,154

52,602

 
 
 
 
 
 
 
 
 
Net profit of subsidiaries less unrealised intercompany profits is recorded in
the Income statement of the Parent company.

Average number of full-time 
employees in Novo Nordisk A/S

1   Accounting policies

The Financial statements for the Parent company have been prepared in
 accordance with the Danish Financial Statements Act (Class D), and other
accounting regulations for companies listed on NASDAQ OMX Copen -
hagen.

The accounting policies for the Financial statements for the Parent company
are unchanged compared to last financial year and are the same as for the
Consolidated financial statements with the following additions. For a
 description of the accounting policies of the Group, please refer to note 1
Critical accounting estimates and judgements, pp 56 –57 and note 2
Accounting policies, pp 57– 61.

Supplementary accounting policies for the Parent company

Financial assets
In the financial statements of the Parent company, Investments in sub-
sidiaries and associated companies are recorded under the equity method,
which is at the respective share of the net asset values in subsidiaries and
 associated companies. Any cost in excess of net assets in the acquired com-
pany is capitalised in the Parent company under Financial assets as part of
investments in subsidiaries (‘Goodwill’). Amortisation of goodwill is pro -
vided under the straight-line method over a period not exceeding 20 years,
based on estimated useful life. 

To the extent it exceeds declared dividends from such companies, net
 revaluation of investments in subsidiaries and associated companies is trans-
ferred to net revaluation reserve according to the equity method under
 equity.

Fair value adjustments of financial assets categorised as ‘Available for sale’
are recognised in the Parent company in the Income statement.

The profit in subsidiaries is shown as profit after tax.

Tax
The Parent company is assessed jointly for Danish tax purposes with its
 Danish subsidiaries. The Danish jointly taxed companies are included in a
Danish on-account tax payment scheme for Danish corporate income tax.
All current taxes under the scheme are recorded in the individual com -
panies.

Cash flow statement
No separate cash flow statement has been prepared for the Parent company
– please refer to the Consolidated statement of cash flow on p 54.

2   Sales

DKK million

Sales by business segment *)
Diabetes care total
Biopharmaceuticals total

Total sales

Sales by geographical segment *)
Europe
North America
International Operations
Japan & Oceania

Total sales

2009

2008

27,513
321

26,802
343

27,834

27,145

10,603
7,013
6,917
3,301

10,535
7,520
5,880
3,210

27,834

27,145

Sales are attributed to geographical segment based on location of the 
customer.

*) For definitions of the segments, please refer to the Consolidated financial state-

ments, note 3, pp 62– 63.

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3   Employee costs

DKK million

Wages and salaries
Share-based payment costs
Pensions
Other contributions to social security
Other employee costs

Total employee costs

2009

6,106
121
541
144
275

7,187

2008

5,521
257
504
95
338

6,715

Included in the Balance sheet as change 
in employee costs included in inventories

90

87

For information regarding remuneration to the Board of Directors and
Executive Management, please refer to Consolidated financial statements,
note 30, pp 78 –79. Reference is furthermore made to the Consolidated
 financial statements, note 29, p 76, and the Consolidated financial state-
ments, note 30, pp 79 – 80, for information regarding share-based payment
schemes to the Board of Directors, Executive Management and the Senior
Management Board.

2009

2008

10,910

10,693

2009

2008

8
1
6
2

17

7
2
8
–

17

4   Remuneration to statutory auditors

DKK million

Statutory audit
Audit-related services
Tax advisory services
Other services

Total

5   Financial income and financial expenses

DKK million

2009

2008

Interest income relating to subsidiaries 
Other financial income

Financial income

Interest expenses relating to subsidiaries 
Foreign exchange loss (net) 
Other financial expenses

Financial expenses

24
357

381

157
57
873

1,087

164
934

1,098

410
68
157

635

6   Income taxes

The Parent company paid DKK 1,370 million related to current year 
(DKK 1,663 million in 2008).

Novo Nordisk Annual Report 2009     101

 
 
 
 
 
 
 
 
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7   Intangible assets

DKK million

Cost at the beginning of the year
Additions during the year
Disposals during the year

Cost at the end of the year

Amortisation at the beginning of the year
Amortisation during the year
Impairment losses for the year
Amortisation reversed on disposals during the year

Amortisation at the end of the year

Carrying amount at the end of the year

8   Property, plant and equipment

Goodwill

Patents and
licences

Software

51
–
–

51

51
–
–
–

51

–

590
277
(48)

819

205
16
59
(48)

232

587

392
69
–

461

234
33
–
–

267

194

2009
Total

1,033
346
(48)

1,331

490
49
59
(48)

550

781

2008
Total

831
202
–

1,033

401
31
58
–

490

543

DKK million

Cost at the beginning of the year
Additions during the year
Disposals during the year
Transfer from/(to) other items

Cost at the end of the year

Depreciation and impairment losses at the beginning of the year
Depreciation for the year
Impairment losses for the year
Depreciation reversed on disposals during the year

Depreciation and impairment losses at the end of the year

Land and
buildings

Plant and
machinery

Other
equipment

9,420
130
(47)
186

13,160
126
(90)
615

9,689

13,811

3,003
365
100
(44)

3,424

7,281
1,130
61
(65)

8,407

1,696
77
(40)
37

1,770

965
153
7
(31)

1,094

Payments
on account
and assets
in course of
construction

1,485
1,389
–
(838)

2,036

–
–
–
–

–

2009
Total

2008
Total

25,761
1,722
(177)
–

27,306

11,249
1,648
168
(140)

12,925

25,255
1,151
(645)
–

25,761

10,013
1,672
152
(588)

11,249

Carrying amount at the end of the year

6,265

5,404

676

2,036

14,381

14,512

102 Novo Nordisk Annual Report 2009

 
 
 
 
 
 
 
 
9   Financial assets

DKK million

Cost at the beginning of the year
Additions during the year
Disposals during the year

Cost at the end of the year

Value adjustments at the beginning of the year
Adjustments to prior year
Profit/(loss) before tax
Income taxes on profit for the year
Amortisation and impairment of goodwill
Dividends received
Exchange rate adjustments
Other adjustments

Value adjustments at the end of the year

Offset against amounts owed by subsidiaries 
at the beginning of the year
Additions during the year

At the end of the year

Unrealised internal profit at the beginning of the year
Change for the year
Exchange rate adjustments

At the end of the year

Investments
in subsidiaries

Amounts
owed by
affiliates

Investments
in associated
companies

Other
securities
and
investments

2009
Total

2008
Total

8,193
8
–

8,201

15,624
286
10,763
(2,363)
–
(2,650)
478
61

22,199

61
41

102

(13,274)
(230)
45

(13,459)

83
5
(15)

73

–
–
–
–
–
–
–
–

–

–
–

–

–
–
–

–

601
15
–

616

(116)
(286)
(55)
–
(3)
(18)
–
14

(464)

–
–

–

–
–
–

–

463
25
–

488

(322)
–
–
–
–
–
–
(34)

(356)

–
–

–

–
–
–

–

9,340
53
(15)

9,378

15,186
–
10,708
(2,363)
(3)
(2,668)
478
41

21,379

61
41

102

(13,274)
(230)
45

(13,459)

7,187
2,197
(44)

9,340

20,853
–
8,036
(1,885)
(3)
(11,680)
455
(590)

15,186

164
(103)

61

(12,190)
(762)
(322)

(13,274)

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Carrying amount at the end of the year

17,043

73

152

132

17,400

11,313

Carrying amount of investments in subsidiaries does not include capitalised goodwill at the end of the year. Carrying amount of investments in associated 
companies includes net capitalised goodwill of DKK 58 million at the end of the year (DKK 61 million in 2008). No additions or disposals were made during 
the year.

A list of companies in the Novo Nordisk Group is included in the Consolidated financial statements, note 34.

10   Statement of changes in equity

DKK million

Balance at the beginning of the year
Appropriated from net profit for the year
Proposed dividends
Appropriated from net profit for the year to net revaluation reserve
Purchase of treasury shares
Sale of treasury shares
Share-based payments
Reduction of the B share capital
Dividends paid
Exchange rate adjustment of investments in subsidiaries 
Effect of hedged forecast transactions transferred 
to the Income statement
Fair value adjustments for the year on cash flow hedges
Other adjustments

Share
capital

Net
revaluation
reserve

Retained
earnings

Exchange
rate
adjustments

634

16,393

5,751

(14)

16,183
613
4,400

(6,512)
117
259
14
(3,650)

900
352
(6)

2009
Total

32,954
613
4,400
5,751
(6,512)
117
259
–
(3,650)
523

900
352
(2)

2008
Total

32,160
11,414
3,650
(5,422)
(4,717)
295
331
–
(2,795)
(473)

(615)
(940)
66

35,705

32,954

(256)

523

4

271

Balance at the end of the year

620

22,144

12,670

Regarding average number of shares please refer to the Consolidated financial statements, note 13, p 65.
Regarding total number of A and B shares in Novo Nordisk A/S and treasury shares, please refer to the Consolidated financial statements, note 21, p 71.

Novo Nordisk Annual Report 2009     103

 
 
 
 
 
 
 
 
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DKK million

2009

2008

11   Non-current liabilities

14   Commitments and contingencies

Non-current liabilities falling due after more than five years from the balance
sheet date amounts to DKK 407 million (DKK 462 million in 2008). At the
end of 2009, none of the non-current liabilities was falling due within one
year.

12   Deferred income tax liabilities

DKK million

2009

2008

Commitments
Lease commitments
Contractual obligations relating to 
investments in property, plant and equipment
Guarantees given for subsidiaries
Obligations related to research and 
development projects
Other guarantees and commitments

The deferred tax assets and liabilities 
are allocated to the various balance sheet 
items as follows:
Property, plant and equipment
Indirect production costs
Unrealised profit on intercompany sales
Other

1,217
1,171
(1,587)
79

1,305
1,134
(1,541)
8

Lease commitments expiring 
within the following periods 
as from the balance sheet date
Within one year
Between one and five years
After five years

Total income tax liabilities

880

906

Total lease commitments

The deferred income tax has been calculated using a tax rate of 25%.

For a specification of deferred income tax posted directly in Other com -
prehensive income, please refer to the Consolidated financial statements,
note 11, p 65.

The lease costs for 2009 and 2008 were 
DKK 250 million and DKK 223 million, respectively.

Security for debt
Land, buildings and equipment etc 
at carrying amount

809

260
1,346

1,989
1,373

144
387
278

809

600

99
2,184

764
1,793

109
247
244

600

1,196

1,255

13   Other provisions

DKK million

Specification of other provisions:
Non-current
Current

Total other provisions

For information on pending litigation and other contingencies, please refer
to the Consolidated financial statements, note 32, pp 84 – 85.

15   Related party transactions

For information on transactions with related parties, please refer to the
Consolidated financial statements, note 33, p 85.

2009

2008

149
417

566

163
425

588

Provisions for pending litigations are recognised as other provisions. 
Further more, as part of normal business Novo Nordisk issues credit notes 
for  expired goods. Consequently, a provision for future returns is made,
based on historical statistical product returns.

104 Novo Nordisk Annual Report 2009

 
 
 
 
 
 
 
 
Statement by the Board of Directors and Executive Management on the Annual Report

Today, the Board of Directors and Executive Management approved the Annual Report of Novo Nordisk A/S for the year 2009.

The Consolidated financial statements are prepared in accordance with International Financial Reporting Standards as issued by the International Accounting
Standards Board (IASB), and with the International Financial Reporting Standards as endorsed by the EU. The Financial statements of the Parent company,
Novo Nordisk A/S, are prepared in accordance with the Danish Financial Statements Act.

Further, the Consolidated financial statements, the Financial statements of the Parent company and Management’s Review are prepared in accordance with
additional Danish disclosure requirements for listed companies.

In our opinion, the Consolidated financial statements and the Financial statements of the Parent company give a true and fair view of the financial position at
31 December 2009, the results of the Group and Parent company operations and consolidated cash flows for the financial year 2009. Furthermore, in our
opinion, Management’s Review includes a true and fair account of the development in the operations and financial circumstances, of the results for the year
and of the financial position of the Group and the Parent company as well as a description of the most significant risks and elements of uncertainty facing 
the Group and the Parent company.

Novo Nordisk’s non-financial statements have been prepared in accordance with the non-financial reporting principles of materiality, inclusivity 
and responsiveness of AA1000APS(2008). They give a balanced and reasonable presentation of the organisation’s economic, environmental and social 
performance.

We recommend that the Annual Report be adopted at the Annual General Meeting.

Gladsaxe, 1 February 2010

Executive Management

Lars Rebien Sørensen
President and CEO

Jesper Brandgaard
CFO

Lise Kingo

Kåre Schultz

Mads Krogsgaard Thomsen

Board of Directors

Sten Scheibye
Chairman

Göran A Ando
Vice chairman

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Henrik Gürtler

Johnny Henriksen

Pamela J Kirby

Anne Marie Kverneland

Kurt Anker Nielsen
Chairman of 
the Audit Committee

Søren Thuesen Pedersen

Hannu Ryöppönen
Audit Committee member 

Stig Strøbæk

Jørgen Wedel
Audit Committee member

Novo Nordisk Annual Report 2009     105

 
 
 
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Independent auditor’s report on the Annual Report 
for 2009

To the shareholders of Novo Nordisk A/S 
We have audited the Annual Report of Novo Nordisk A/S for the financial
year 2009, pp 2– 88 and pp 98 –105, which comprises Management
Statement, Management’s review, Income Statement, Statement of Com -
prehensive Income, Balance Sheet, Statement of Changes in Equity and
Notes including significant accounting policies for the Group as well as for
the Parent Company and Consolidated Cash Flow Statement. 

The Consolidated Financial Statements are prepared in accordance with
International Financial Reporting Standards as issued by the International
Accounting Standards Board, and International Financial Reporting
Standards as endorsed by the EU. The Financial Statements of the Parent
Company are prepared in accordance with the Danish Financial Statements
Act. Moreover, the Annual Report is prepared in accordance with additional
Danish disclosure requirements for listed companies.

Management’s responsibility
Management is responsible for the preparation and fair presentation of 
the Consolidated Financial Statements and the Financial Statements of the
Parent Company in accordance with the above legislation and accounting
standards  This responsibility includes: designing, implementing and main-
taining internal control relevant to the preparation and fair presentation of
Consolidated Financial Statements and Financial Statements of the Parent
Company that are free from material misstatement, whether due to fraud or
error. 

The responsibility also includes selecting and applying appropriate
 accounting policies; and making accounting estimates that are reasonable
in the circumstances. Furthermore, Management is responsible for the
preparation of a Management’s review that gives a true and fair account in
accordance with Danish disclosure requirements for listed companies.

Auditor’s responsibility
Our responsibility is to express an opinion on the Annual Report based on
our audit. We conducted our audit in accordance with International and
Danish Auditing Standards. Those Standards require that we comply with
ethical requirements and plan and perform the audit to obtain reasonable
assurance that the Annual Report is free from material misstatement.

An audit involves performing procedures to obtain audit evidence about the
amounts and disclosures in the Annual Report. The procedures selected
 depend on the auditor’s judgment, including the assessment of the risks of
material misstatement of the Annual Report, whether due to fraud or error.
In making those risk assessments, the auditor considers internal control
 relevant to the Entity’s preparation and fair presentation of Consolidated
Financial Statements and Financial Statements of the Parent Company and
to the preparation of a Management’s review that gives a true and fair
 account in order to design audit procedures that are appropriate in the
 circumstances. 

An audit also includes evaluating the appropriateness of accounting policies
used and the reasonableness of accounting estimates made by Manage -
ment, as well as evaluating the overall presentation of the Annual Report.
We believe that the audit evidence we have obtained is sufficient and
 appropriate to provide a basis for our audit opinion.

Our audit has not resulted in any qualification.

Opinion
In our opinion, the Annual Report gives a true and fair view of the financial
position at 31 December 2009 of the Group and of the results of the
Group’s operations and consolidated cash flows for the financial year 2009
in accordance with International Financial Reporting Standards as issued by
the International Accounting Statements Board, and International Financial
Reporting Standards as endorsed by the EU and additional Danish disclosure
requirements for listed companies. Moreover, in our opinion the Annual
Report gives a true and fair view of the financial position at 31 December
2009 of the Parent Company and of the results of the Parent Company’s
 operations for the financial year 2009 in accordance with the Danish
Financial Statements Act and additional Danish disclosure requirements for
listed companies. Furthermore, in our opinion the Management’s review
gives a true and fair account in accordance with Danish disclosure require-
ments for listed companies.

Gladsaxe, 1 February 2010

PricewaterhouseCoopers
Statsautoriseret Revisionsaktieselskab

Mogens Nørgaard Mogensen
Danish State Authorised 
Public Accountant

Lars Baungaard
Danish State Authorised 
Public Accountant

106 Novo Nordisk Annual Report 2009

 
 
Independent assurance report on the non-financial 
reporting for 2009

To the stakeholders of Novo Nordisk A/S 
We have reviewed the non-financial information in the Annual Report of
Novo Nordisk A/S for the financial year 2009, which comprises Manage -
ment’s Statement, Management’s Review, the non-financial accounting
policies and the consolidated non-financial statement on pp 2– 50, 89 – 95
and 105.

The assurance engagement has furthermore covered the nature and 
extent of Novo Nordisk A/S incorporation of the AA1000 AccountAbility
(AA1000APS(2008)) principles (inclusivity, materiality and responsiveness)
with respect to stakeholder dialogue.

Criteria for the preparation of reporting on data
The non-financial information is prepared in accordance with the
 accounting policies described on pp 90 – 92. 

Management’s responsibility 
Novo Nordisk A/S’ Management is responsible for preparing the non-finan-
cial information, including for establishing data collection and registration,
internal control systems with a view to ensuring reliable reporting, specify-
ing acceptable reporting criteria and choosing data to be collected for
 intended users of the report. Also, adherence to AA1000APS(2008) and the
three principles of inclusivity, materiality and responsiveness is the respons -
ibility of Novo Nordisk A/S’ Management.

Assurance provider’s responsibility
Our responsibility is, on the basis of our work, to express a conclusion on
the reliability of the non-financial information in the report. Furthermore,
our responsibility is to express a conclusion on as well as to make recom-
mendations for the nature and extent of Novo Nordisk A/S’ adherence to
the AA1000APS principles.

Our team of experts have competences in respect of assurance engage-
ments related to non-financial information. In addition, our team have com-
petences in assessing non-financial information and sustainability manage-
ment, and thus qualify to conduct this independent assurance engagement.
Also, we have not been responsible for the preparation of any part of the
 report, and we are independent as defined by the AA1000 Assurance
Standard (AA1000AS (2008)).

Scope, standards and criteria used
We have planned and performed our work in accordance with the Inter -
national Standard on Assurance Engagements (ISAE) 3000,“Assurance
Engagements other than Audits or Reviews of Historical Financial Informa -
tion”, to obtain limited assurance that the non-financial information in the
Annual Report is free of material misstatements and that the information
has been presented in accordance with the non-financial accounting
 policies. The assurance obtained is limited, as our work compared to that of
an engagement with reasonable assurance has been limited to, principally,
inquiries, interviews and analytical procedures related to registration and
communication systems, data and underlying documentation.  

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Moreover, we have planned and performed our work based on the
AA1000AS(2008), using the criteria in the AA1000APS(2008), to perform 
a Type 2 engagement and to obtain a moderate level of assurance regarding
the nature and extent of Novo Nordisk A/S’ adherence to the principles of
inclusivity, materiality and responsiveness. 

Methodology, approach, limitation and scope of work
Based on an assessment of materiality and risk, our work included: 
(i) Inquiries regarding procedures and methods to ensure that non-financial
reporting includes data from the Group’s Business Unit operations, and 
that these data have been incorporated in compliance with the accounting
policies. Through site visits to Hillerød, Kalundborg, Chartres and Montes
Claros and based on requests and selected documentation, we have
further more assessed the existing systems for data collection and registra-
tion, and procedures to ensure reliable reporting; 
(ii) Inquiries and interviews with members of Executive Management, staff
from the sustainability development department, as well as Management
representing different functions in the Group, regarding Novo Nordisk A/S’
adherence to the principles of inclusivity, materiality and responsiveness,
 including Management’s commitment to the principles, the existence 
of  systems and procedures to support adherence to the principles and the
 embedding of the principles at corporate level. 

Conclusion  
Based on our review, nothing has come to our attention which causes 
us not to believe that the non-financial performance information presented
in the Annual Report 2009 (on pp 2– 50, 89– 95 and 105) is free of  material
misstatements and has been stated in accordance with the criteria men-
tioned. 

Furthermore, nothing has come to our attention causing us to believe that
Novo Nordisk A/S does not adhere to the AA1000APS(2008) principles. 

Observations and recommendations
According to the Assurance Standard (AA1000AS(2008)), we are required
to include observations and recommendations for improvements in relation
to adherence to the AA1000APS(2008) principles: 

Novo Nordisk A/S’ Management has a strong commitment to inclusivity 
and stakeholder engagement. Also, the Company has in place systems and
processes to ensure a continuous mapping of relevant stakeholders, as 
well as a structured and systematic approach to ensuring the inclusion of
stakeholder concerns, demands and expectations at a corporate level.

Novo Nordisk A/S’ Management systematically takes the principle of  mate -
riality into consideration when making decisions regarding sustainability 
at management level. Also, the Company has in place a number of relevant
governance bodies to discuss, evaluate and determine the materiality of
 sustainability issues on ongoing basis. 

Novo Nordisk A/S is committed to being responsive to stakeholders as 
is  evident from the wide range of media, forums and forms used by Novo
Nordisk A/S to communicate on sustainability issues. 

We recommend that Novo Nordisk A/S continue to work on ensuring a
 systematic and structured approach to the AA1000APS(2008) principles at 
a local site level.

Gladsaxe, 1 February 2010

PricewaterhouseCoopers
Statsautoriseret Revisionsaktieselskab

Mogens Nørgaard Mogensen
Danish State Authorised 
Public Accountant

Lars Baungaard
Danish State Authorised 
Public Accountant

Novo Nordisk Annual Report 2009     107

 
 
Index

This index might be of help if you are looking for specific information. It explains how our reporting fulfils our commitment to report
in accordance with the Global Reporting Initiative and the UN Global Compact. Additional information for topics covered in this report 
is available online, under the categories listed here, at annualreport2009.novonordisk.com.

Topic

Page(s) in this report

Global Reporting Initiative Indicator 

UN Global Compact Principle

Financial and economics

Brand and reputation management 

93

10

10

10

6

6

1–6, 10

6

10

1–6

6

3, 6

8, 9

8

8

7–9

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A

Business ethics

Economic footprint

Financial performance

Innovation

Litigation

Marketing practices

Quality

Share information

Socioeconomics

Tax

Social

Access to health

Animal welfare

Changing Diabetes® 

Clinical research

Diversity

Donations

Health and safety

Healthy workplace

Human rights

People strategy

Public Affairs

Responsible sourcing 

29, 33–35, 38, 42, 92

30

SO2–3

EC1, EC9

7–10, 14, 52–55, 62–63, 96–97

2, 4–6, 19–20, 25–26, 31–33

42, 84–85

33–35

93

47–49

30, 94

30, 72

SO7

PR6–7

PR1–4

EC1, EC9

22–23, 26, 93

EC8

93

20–22

32–34

32, 92

22, 26, 84

93

93

28, 31

32–33

34

31

PR3

LA13

LA7

LA8

HR1–9, SO5

EC7, LA11–12

SO5-6

EC6, HR1–2

LA12

Talent attraction and development

32–33

Wages and benefi ts

39–40, 64, 78–80

EC5, LA3–4, LA12

Environment

Climate action

Environmental management

33–36

35–36

EN5, EN7, EN18

EN13, EN30

Environmental performance

11–12, 35–36, 92–95

EN1, EN3, EN4, EN8, EN16, EN20–23

Product stewardship

20

EN26

Stakeholder engagement

Partnerships

4, 21, 31–33

Stakeholder engagement strategy

31

Governance and reporting

Accountability

Audit and assurance

Board of Directors

Capital structure

Compliance

Corporate governance

Executive Management

Executive remuneration

Materiality

Novo Nordisk Way of Management

Risk management

Our business

About Novo Nordisk 

Biopharmaceuticals

Diabetes care

Pipeline

Sustainability

Triple Bottom Line

33, 37, 90

34, 90

43–45

48

29, 33–35, 37–39, 42

37–39

46

39–40, 76–80

90

28–29

40–42

1, 50

24–27

18–23

16–17

10, 22, 26, 28, 40

1, 4, 10, 28, 29, 31

108     Novo Nordisk Annual Report 2009

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Our products 

This report makes reference to European product trade names. The list below provides an overview of European trade names with 
accompanying generic names. Trade and generic names may differ in other markets.

Therapeutic area

Trade name

Generic name

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Diabetes care

Modern insulins

GLP-1

Human insulins

Diabetes devices

Oral antidiabetic agents

Biopharmaceuticals

Haemostasis

Human growth hormone

HRT

References

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Levemir®

NovoRapid®

NovoMix® 30

NovoMix® 50

NovoMix® 70

Victoza®

Insulatard®

Actrapid®

Mixtard® 30

FlexPen®

NovoPen® 4

Insulin detemir

Insulin aspart

Biphasic insulin aspart

Biphasic insulin aspart

Biphasic insulin aspart

Liraglutide

Insulin human

Insulin human

Insulin human

Prefilled insulin delivery system

Durable insulin delivery system

NovoPen Echo®

Durable insulin delivery system

InnoLet®

NovoFine®

NovoTwist®

GlucaGen® 

NovoNorm®

PrandiMet®

NovoSeven®

Norditropin®

NordiFlex™

Prefilled insulin delivery system

Needle

Needle

Glucagon

Repaglinide

Repaglinide/metformin

Recombinant factor VIIa

Somatropin (rDNA origin)

Prefilled multidose delivery system

NordiFlex PenMate®

Automatic needle insertion accessory

NordiPen®

Prefilled multidose delivery system

NordiPenMate®

Prefilled multidose delivery system

NordiLet®

Activelle®

Estrofem® 

Novofem®

Vagifem®

Prefilled multidose delivery system

Estradiol/norethisterone acetate

Estradiol

Estradiol/norethisterone acetate

Estradiol hemihydrate

1   Three-Year Efficacy of Complex Insulin Regimens in Type 2 Diabetes: Holman R et al,

New England Journal of Medicine; 361; 18; 29 October, 2009

2  diabetologia-journal.org
3   Estimated number of patients using FlexPen®, based on worldwide sales in numbers
of packs sold, IMS worldwide data Q3’09 and Daily Defined Dosage (DDD) for insulin
as stipulated by WHO

4   g-mark.org/english/archive/2009/outline.html

5   Sommavilla et al. Expert Opin Pharmacother 2008; 9: 2223–32
6   Lytzen & Ostfeldt. American Diabetes Association 69th Scientific Sessions; 2009; 1
7   International Diabetes Federation, Diabetes Atlas, 5th edition, 2009
8   NovoSeven® room temperature stable must be stored at temperatures

between 3°C and 25°C (38°F and 77°F).

9   Mr Nielsen, Mr Ryöppönen and Mr Wedel qualify as independent Audit Committee

members as defined by the US Securities and Exchange Commission (SEC).

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
N
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9

This report is about how we do business. When it comes to 
building relations, that is what Novo Nordisk people across
the globe do every day. We value stakeholders’ reviews of
our reporting and we welcome questions or comments about
this report or our performance.

Visit the corporate website at
novonordisk.com

Headquarters
Novo Nordisk A/S
Novo Allé
2880 Bagsværd
Denmark
Tel +45 4444 8888
webmaster@novonordisk.com

Transfer agents
Shareholders’ enquiries concerning dividend payments, transfer 
of share certificates, consolidation of shareholder accounts and 
tracking of lost shares should be addressed to Novo Nordisk’s 
transfer agents:

Danske Bank
Holmens Kanal 2–12
1092 Copenhagen K
Denmark
Tel +45 3344 0000

In North America:
JP Morgan Chase & Co
PO Box 64504
St Paul, MN 55164-0504
USA
Tel +1 800 990 1135
Tel +1 651 453 2128 for enquiries from outside the United States

Cover photo: Development of the GLP-1 molecule that eventually led to the 
creation of Victoza® was initiated by Lotte Bjerre Knudsen, senior principal 
chemist. GLP-1, a natural hormone found in the body and released after eating, 
lowers blood glucose and suppresses appetite. Victoza® is an analogue of 
natural GLP-1 with the crucial difference that it works actively for 24 hours.

CVR number 24 25 67 90

novonordisk.com