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Novo Resources
Annual Report 2015

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FY2015 Annual Report · Novo Resources
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 OBESITY How do you market a 
treatment for a disease that many 
doctors don’t even acknowledge?

GLP-1 
Small protein, 
big potential

GLOBAL DEMAND for 
diabetes products triggers 
major production investments

WHY DO SO 
MANY PEOPLE 
IN CITIES GET 
DIABETES?

06

2015 PERFORMANCE  
and 2016 outlook

26

GLP-1   
– Small protein, big potential

28

OBESITY CARE
– Building the market from scratch

30

Tackling the rise of 
DIABETES IN CITIES

CONTENTS

ACCOMPLISHMENTS 
AND RESULTS 2015

01    Letter from the Chairman

02     Letter from the CEO

04     Novo Nordisk at a glance

06     2015 performance and 2016 outlook

14     Performance highlights

OUR BUSINESS

16     Our strategy

18       Novo Nordisk Way

20     Pipeline overview

22      193 million people do not know they 
have diabetes – Are you one of them?

24     Future diabetes medicines  

   – What’s next from Novo Nordisk’s labs?

26      GLP-1 

– Small protein, big potential

28      Obesity care 

– Building the market from scratch 

30     Tackling the rise of diabetes in cities

32     30 years of changing haemophilia

33    The people behind it all

34      The future of pharmaceuticals

38      Global demand triggers major 
production investments

40      Environmental strategy  

– Doing more with less

42     Managing risks

GOVERNANCE, 
LEADERSHIP AND 
SHARES

44    Shares and capital structure

46     Corporate governance

49     Remuneration

52     Board of Directors

54      Executive Management

FINANCIAL, SOCIAL  
AND ENVIRONMENTAL 
STATEMENTS

55      Consolidated financial, social 
and environmental statements

 105   Financial statements 

of the parent company

 109   Management’s statement  
and Auditor’s reports

ADDITIONAL INFORMATION

112    Product overview

 113   More information and references

38

GLOBAL DEMAND
triggers major production 
investments

All references can be found on p 113.

The Management review, as defined by the Danish Financial Statements Act (FSA), is found on pp 1–54 and 95.
This Annual Report is published in English only. A shorter version, consisting of the Management review and excerpts from 
the consolidated statements, is available in Danish. In the event of any discrepancies, the English version shall prevail.

 
A GOOD YEAR

LETTER FROM THE CHAIRMAN

1

2015 was a good year for Novo Nordisk. This is how the Board of 
Directors sees it when taking stock of the year that is now behind us. 
I hope that you will agree with us.

In  a  difficult  and  changing  environment  for  the  pharmaceutical 
industry,  Novo  Nordisk  delivered  on  the  forecasts  it  made  at  the 
beginning  of  the  year,  both  in  terms  of  sales  growth  and  profit 
growth.  Equally  important  was  the  encouraging  progress  in  the 
company’s  pipeline  of  new  and  upcoming  products,  which  bodes 
well for the future.

In his review of the year on the following pages, President and CEO Lars 
Rebien Sørensen highlights some of the key developments and achieve-
ments in 2015, including the launch of Saxenda® for the treatment of 
obesity, the flow of encouraging phase 2 and 3 data regarding sema-
glutide in both an injectable and an oral version for type 2 diabetes, and, 
of course, the long-awaited approval of Tresiba® in the US.

These achievements are the result of a very robust long-term strategy 
and  excellent  execution  by  the  entire  Novo  Nordisk  organisation. 
Every  year  we  spend  a  considerable  amount  of  time  in  board 
meetings and in meetings with members of Executive Management 
reviewing  this  strategy  –  challenging  assumptions  and  bringing  in 
new  perspectives  to  be  sure  not  only  that  the  company’s  strategic 
priorities are the right ones, but also that the organisation has the 
capabilities needed to execute them. 

If  you  have  been  following  Novo  Nordisk  for  some  years,  you  will 
notice from the article on pages 16–17 that we have not made any 
significant changes to the strategy in 2015. This means the company 
will retain its sharp focus on just four disease areas: diabetes, obesity, 
haemophilia and growth disorders. Many of our discussions last year 
focused on how best to ensure that Novo Nordisk can continue its 
track record of innovation within these areas, so that we will have 
new  and  better  medicines  also  in  the  coming  decades  for  people 
with these serious chronic conditions. This requires further expansion 
of our research organisations in Europe, the US and China, and also 
that  we  become  even  more  active  in  forming  partnerships  with 
biotech  companies  and  universities  that  have  knowledge  and 
technologies that complement what we have in-house. 

One  of  the  main  responsibilities  of  a  board  is  to  ensure  that  the 
company has the right executive leadership and that there are solid 
succession  plans  in  place  for  top  management.  In  April,  we 
announced  significant  changes  to  the  organisation’s  leadership, 
elevating  the  heads  of  our  commercial  activities  in  the  US,  Europe 
and  International  Operations,  and  of  Product  Supply  to  Executive 
Management.  Moreover,  Jakob  Riis,  executive  vice  president, 
Marketing, Medical Affairs and Stakeholder Engagement, was given 
additional  responsibility  for  China,  Japan,  Korea,  Australasia  and 
Canada.  The  Board  also  decided  that  CEO  Lars  Rebien  Sørensen 
should remain in his role until he approaches the end of his contract, 
which expires in 2019.

These changes enhance the visibility of Novo Nordisk’s international 
business  operations  to  the  Board  at  a  time  when  the  company  is 
preparing for global launches of several key products and embarking 
on  an  unprecedented  investment  programme  in  new  production 
facilities.  In  addition,  they  support  the  further  development  of  our 
key leadership talent. 

As a result of the changes, Kåre Schultz, president and COO, decided to 
continue his professional career outside Novo Nordisk. I wish him all the 

best  and  thank  him  for  his  achievements  over  many  years  at  Novo 
Nordisk. Lars Rebien Sørensen now has the additional role of chairman 
of the Operations Committee, with Lars Fruergaard Jørgensen, executive 
vice president, Corporate Development, as vice chair. 

In light of Novo Nordisk’s solid performance in 2015, the Board will at 
the  Annual  General  Meeting  propose  a  28%  increase  in  dividend  to 
6.40 Danish kroner per share. Furthermore, the Board has decided to 
initiate a new share repurchase programme of up to 14 billion kroner, 
which  will  commence  in  February  2016,  and  intends  to  introduce  an 
interim dividend for 2016 in August 2016.

With the financial results for 2015, we have achieved the long-term 
financial targets that we last revised in January 2013. In light of the 
significant  improvement  in  operating  margin 
during the past years and the need 
to  invest  in  sustaining  sales 
growth, further improvement 
of the operating margin is 
not  a  strategic  priority 
in  the  coming  years. 
Reflecting this, we have 
set the long-term target 
for  operating  profit 
growth at 10%, under-
lining  our  confidence  in 
the  growth  outlook  for 
the company.

On behalf of the Board 
of Directors, I would like 
to express my appreciation 
for  the  leadership  shown 
by  Lars  Rebien  Sørensen 
and his management team, 
and  for  the  hard  work  and 
dedication of the entire Novo 
Nordisk organisation.

Göran Ando 
Chairman of the Board of Directors

IT’S ALL ABOUT 
INNOVATION

LETTER FROM THE CEO

In my letter in last year’s Annual Report, I predicted that 2015 would 
be one of the most exciting and challenging years in Novo Nordisk’s 
92-year history. And indeed it has been. As it turned out, there were 
many reasons to be excited, and we successfully dealt with most of 
the challenges.

I will return to the challenges later. Let us start with the excitement 
which,  to  a  large  extent,  was  related  to  new  developments  in  our 
product pipeline. The  fact  is that if our pipeline does not progress 
well, if we fail to discover and develop new, innovative products for 
people with diabetes and other serious chronic conditions, then we 
will not be successful in the long term. So let us look at the highlights 
from our pipeline in 2015:

•   Tresiba®  (insulin  degludec)  –  our  new-generation  long-acting 
insulin  –  was  approved  in  the  US  in  September  and  launched  in 
January 2016 for the treatment of type 1 and type 2 diabetes.

•   Xultophy® – the combination of insulin degludec and liraglutide for 
type 2 diabetes – was launched in the first European countries and 
filed for approval in the US.

•   Following successful completion of the phase 3a studies, we filed 
for regulatory approval of faster-acting insulin aspart in both the 
EU  and  the  US  for  the  management  of  blood  glucose  around 
meals for both type 1 and 2 diabetes patients.

•   Injectable semaglutide – a once-weekly GLP-1-analogue for type 2 
diabetes – showed superior efficacy over the comparator products 
in four phase 3 trials announced during the year. 

•   A  once-daily  oral  formulation  of  semaglutide  showed  very 
encouraging results in a proof-of-concept phase 2 trial, and we 
subsequently  decided  to  take  this  product  into  phase  3 
development. 

•   We launched Saxenda® (liraglutide 3 mg) in the US and in the first 
markets outside the US. Saxenda® is our first product for chronic 
weight  management,  an  undeveloped  market  despite  the  huge 
and growing burden of obesity all over the world.

•   We launched NovoEight® in the US for people with haemophilia 
A,  and  in  January  2016  we  filed  our  long-acting  factor  IX 
(nonacog  beta  pegol)  for  the  treatment  of  haemophilia  B  for 
approval in Europe. We expect to file in the US in the first half  
of 2016.

With  the  number  of  projects  we  have  in  our  pipeline  these  days, 
one would also expect a number of setbacks. However, we were 
privileged to have only one significant disappointment in 2015: the 
results  of  phase  3  trials  showed  that  liraglutide  (Victoza®),  as 
adjunct to insulin therapy, met the primary end-point of improving 
blood  glucose  control  for  people  with  type  1  diabetes,  but 
unfortunately  without  the  hypoglycaemic  benefit  experienced  in 
type 2 diabetes. We therefore decided not to submit an application 
to expand the label of Victoza® for use in type 1 diabetes.

Our expectation is that there will continue to be increasing demand for 
our products for many years to come. That is why, in 2015, we decided 
on an unprecedented expansion of our production capacity for diabetes, 
obesity  and  haemophilia  products.  This  includes  investing  close  to  2 
billion  US  dollars  in  a  new  site  in  Clayton,  North  Carolina,  which  will 
produce  active  pharmaceutical  ingredients  for  both  oral  semaglutide 
and a range of Novo Nordisk’s current and future diabetes care products. 

While developing and making such products will always remain our 
number  one  priority,  our  efforts  to  change  diabetes  go  beyond 
medicine.  In  2014,  we  launched  Cities  Changing  Diabetes  –  a 
partnership  programme  to  identify  and  address  the  root  causes  of 
type 2 diabetes in major cities around the world. I was very happy to 
see the progress already made when we hosted the inaugural Cities 
Changing Diabetes Summit in Copenhagen in November 2015. 

When I referred to 2015 as a challenging year in the opening of my 
letter,  I  was  referring  to  the  challenges  of  obtaining  access  to  the 
market for our new products. 

In 2015, we found ourselves in increasingly tougher negotiations with 
payers in the US to get our products onto their formularies. In Europe, 
China, Japan and many other countries, we are experiencing continued 
strong  pressure  on  prices  and  reimbursement  restrictions  for  new 
products. In one case, for Tresiba® in Germany, we had to make the 
difficult  decision  to  discontinue  the  product  following  the  negative 
outcome  of  price  negotiations  with  the  statutory  health  insurance 
funds. We were offered a price at the level of ordinary human insulin, 
a product which was launched in the 1980s. If we were to accept this 
price, we would undermine our ability to research and develop medical 
innovations for people with diabetes. 

This  is  an  extreme  case,  but  it  serves  as  an  example  of  what  could 
become  an  unsustainable  future  for  research-based  pharmaceutical 
companies if payers and producers cannot find common ground when 
determining the value of a medicinal product. There is no doubt that 
we  at  Novo  Nordisk,  and  in  the  industry  at  large,  need  to  become 
better at demonstrating the value that our new products bring. It is in 
this light that our new partnership with IBM Watson Health should be 
seen. Announced in December, this partnership will explore possibilities 
for  improved  diabetes  care  via  insights  from  real-time,  real-world 
evidence of Novo Nordisk diabetes treatments and devices. 

Despite market access challenges, we ended the year growing sales by 
8% and operating profit by 21%, both in local currencies. Sales growth 
was primarily driven by Victoza®, aided by the high growth of the GLP-1 
market,  but  other  products  also  did  well,  including  Levemir®, 
NovoRapid®, Tresiba® and our human growth hormone, Norditropin®.

Measured  in  local  currencies,  new-generation  insulin  accounted  for 
10% sales growth, and Tresiba® continues to do well in all the markets 
in which it is competing on an equal footing with other insulin products 
in terms of reimbursement status. Tresiba® was launched in Japan as the 
first country in February 2013, and by the end of 2015 it had claimed 
more than 33% of the segment for long-acting insulin (basal insulin) in 
Japan, measured in value. 

 
3

From a regional perspective, North America accounted for 62% of 
sales  growth,  followed  by  International  Operations  and  Region 
China. It is also in these regions that we expect to see most of the 
growth  in  the  coming  years,  although  we  have  had  to  lower  our 
short-term  growth  projections  for  China  due  to  a  combination  of 
lower economic growth, pricing reforms and increased competition 
from both local and global competitors.

In  the  performance  review  starting  on  page  6  and  in  subsequent 
articles in this Annual Report, you can read more about some of the 
topics I have mentioned in my letter. I hope they will give you a good 
sense  of  why,  despite  the  challenging  business  environment  for  the 
pharmaceutical industry, I remain optimistic about the future for Novo 
Nordisk. The need for medical treatment and better pharmaceuticals 
is there, not least in many emerging economies. We will do our best to 
meet these needs and, in doing so, create value for our shareholders 
and for society at large by the knowledge we generate, the taxes we 
pay and the jobs we create. 

So  what  about  2016?  I  predict  another  exciting  and  challenging 
year. There will be an intense news flow from our pipeline, including 
the results of the two large cardiovascular outcomes trials: LEADER 
regarding Victoza® and DEVOTE regarding insulin degludec. Plus, 
of course, there will be a lot of attention on how Tresiba® performs 
in the all-important US market. You will find a table of key pipeline 
events on page 21 and our financial outlook for 2016 on page 8. 

As  always,  I  take  great  pleasure  in  working  with  my  Executive 
Management team, our Senior Management Board and the Board of 
Directors on making the most of the opportunities and dealing with 
the challenges ahead. As mentioned by our Chairman, Göran Ando, 
in his letter, we had a reorganisation of Executive Management in 
2015, which led to Kåre Schultz, our chief operating officer for many 
years,  seeking  new  opportunities  outside  Novo  Nordisk.  I  have 
worked  with  Kåre  for  as  long  as  I  can  remember  and  have  great 
respect for his capabilities and what he has done for Novo Nordisk 
over the years. I wish him all the best in his new career.

Last but not least, I would like to thank everyone in the Novo Nordisk 
organisation for their contributions to our results in 2015, the 
people  who  use  our  products  for  their  confidence  in  us, 
our stakeholders and partners for their collaboration 
and  our  shareholders  for  their  continued 
support.

Lars Rebien Sørensen
President and chief executive officer

NOVO 
NORDISK
AT A GLANCE

Novo Nordisk is a global healthcare company with more than 90 years of innovation and 
leadership in diabetes care. This heritage has given us experience and capabilities that also 
enable  us  to  help  people  defeat  other  serious  chronic  conditions:  haemophilia,  growth 
disorders  and  obesity.  For  more  information,  visit  novonordisk.com,  Twitter,  LinkedIn, 
YouTube and Facebook.

OUR BUSINESS MODEL

HOW NOVO NORDISK CREATES AND SUSTAINS VALUE

Taking a patient-centred approach, Novo Nordisk provides innovation 
for  the  benefit  of  all  of  the  company’s  stakeholders.  The  Triple 
Bottom  Line  principle,  anchored  in  the  Novo  Nordisk  Way,  is  the 
foundation that makes it possible to optimise the  use of resources 
and maximise value creation in a sustainable way.

RESOURCES

EXTERNAL

Capital provided  
by investors

Insights from patients 
and expertise from 
academic and 
educational institutions

Raw materials 

INTERNAL

Financial resources 
to invest in R&D, 
production capacity 
and customer outreach

A skilled and  
diverse workforce

FOCUS

VALUE CREATED

WE DISCOVER, DEVELOP AND MANUFACTURE 
INNOVATIVE BIOLOGICAL MEDICINES AND 
MAKE THEM ACCESSIBLE TO PATIENTS 
THROUGHOUT THE WORLD

s

Diabet e

O

b

e

s

i
t

y

PATIENTS

H

a

e

m

o

p

hilia

s
er

o w t h disord

G r

CORPORATE STRATEGY

Improved health and 
quality of life for 
people with diabetes 
and other serious 
chronic diseases

Return to 
shareholders

Contributions 
to communities

Tax contributions

Job creation 
and productivity

Biological research and 
manufacturing facilities

NOVO NORDISK WAY

Capacity and 
competence building 

A GLOBAL ORGANISATION WITH A LOCAL PRESENCE

5

HEADQUARTERED 
IN DENMARK 
ESTABLISHED IN 1923

PRODUCTS MARKETED  
IN 180+ COUNTRIES 

AFFILIATES OR 
OFFICES IN 
75 COUNTRIES 

RESEARCH AND 
DEVELOPMENT 
FACILITIES ON 
3 CONTINENTS 

THE TRIPLE BOTTOM LINE

THE PEOPLE WE FOCUS ON

8.6

DKK billion expensed 
in company income 
tax (+13%)

34.9

DKK billion
in net profit 
(+32%)

FINANCIALLY
RESPONSIBLE

SOCIALLY
RESPONSIBLE

ENVIRONMENTALLY
RESPONSIBLE

41,122

employees 
(+5%)*

26.8

million patients use our 
diabetes care products
(+10%)

107

thousand tons 
of CO2 emissions
(–11%)

3,131

thousand m3 water 
consumption
(+6%)

* Excluding employees in NNIT A/S, witch was divested in 2015.

415

MILLION PEOPLE LIVE WITH 
DIABETES1

600

MILLION PEOPLE LIVE WITH 
OBESITY2

0.4

MILLION PEOPLE LIVE WITH 
HAEMOPHILIA3

3

OUT OF 10,000 CHILDREN LIVE WITH 
GROWTH DISORDERS4

6

ACCOMPLISHMENTS AND RESULTS 2015

2015 PERFORMANCE 
AND 2016 OUTLOOK

FINANCIAL PERFORMANCE 

Novo Nordisk’s 2015 performance was in line 
with the latest guidance provided in October.

SALES DEVELOPMENT
Sales increased by 22% in Danish kroner and 
by  8%  measured  in  local  currencies.  North 
America was the main contributor with 62% 
share of growth measured in local currencies, 
followed  by  International  Operations  with 
26%. Sales growth was realised within both 
diabetes  care  and  biopharmaceuticals,  with 
the  majority  of  growth  originating  from 
modern insulin and Victoza®. 

In  the  following  sections,  unless  otherwise 
noted,  market  data  are  based  on  moving 
annual  total  (MAT)  from  November  2015 
and November 2014 provided by the inde-
pendent data provider IMS Health.

DIABETES AND OBESITY 
CARE, SALES DEVELOPMENT

Sales of diabetes and obesity care products 
increased  by  22%  measured  in  Danish 
kroner and by 9% in local currencies to DKK 
85,590  million.  Novo  Nordisk  is  the  world 
leader  in  diabetes  care  and  holds  a  global 
value  market  share  of  28%,  compared  to 
27%  at  the  same  time  last  year.  Sales  of 
new-generation  insulin  (Tresiba®,  Ryzodeg® 
and Xultophy®) reached DKK 1,438 million, 
compared with DKK 658 million in 2014.

INSULIN 
The  roll-out  of  Tresiba®  (insulin  degludec), 
the once-daily new-generation basal insu-
lin,  continues  and  the  product  has  now 
been  launched  in  39  countries,  including 
Spain and the US, with initial encouraging 
market  access.  In  Japan,  where  Tresiba® 
was launched in March 2013 with the same 
level of reimbursement as insulin glargine, 
its  share  of  the  basal  insulin  market  has 
grown  steadily,  and  Tresiba®  has  captured 
33%  of  the  market  measured  in  monthly 
value  market  share.  Similarly,  Tresiba®  has 
shown  solid  penetration  in  other  markets 
with  reimbursement  at  a  similar  level  to 
insulin  glargine,  whereas  penetration  re-
mains  modest  in  markets  with  restricted 
market  access  compared  with 
insulin 
glargine.  Novo  Nordisk  has  ceased  distri-
bution  of  Tresiba®  in  Germany  in  January 
2016  as  a  result  of  the  negative  outcome 
from  price  negotiations  with  the  National 
Association  of  Statutory  Health  Insurance 
Funds (GKV-SV). 

Ryzodeg®,  a  soluble  formulation  of  insulin 
degludec  and  insulin  aspart,  was  recently 
launched  in  Japan  as  the  third  market 
following  launches  in  Mexico  and  India. 
Launch activities are progressing as planned 
and  early  feedback  from  patients  and  pre-
scribers is encouraging. 

Xultophy®, a once-daily single-injection com-
bination  of  insulin  degludec  (Tresiba®)  and 

liraglutide (Victoza®), has been marketed in 
Switzerland, Germany, the UK and Sweden. 
Launch activities are progressing as planned, 
and also here, early feedback from patients 
and prescribers is encouraging.

Sales of modern insulin increased by 21% in 
Danish kroner and by 7% in local currencies 
to  DKK  50,164  million.  North  America 
accounted for 66% of the growth, followed 
by  International  Operations  and  Region 
China.  Sales  of  modern  insulin  and  new-
generation  insulin  now  constitute  82%  of 
Novo Nordisk’s sales of insulin.    

VICTOZA®
(GLP-1 THERAPY FOR TYPE 2 DIABETES)
Victoza®  sales  increased  by  34%  in  Danish 
kroner  and  by  18%  in  local  currencies  to 
DKK 18,027 million. Sales growth is driven 
by  North  America  as  well  as  positive 
contributions  from  Europe,  Japan  &  Korea 
and  International  Operations.  The  GLP-1 
segment’s value share of the total diabetes 
care  market  has  increased  to  7.8%,  com-
pared  with  7.0%  in  2014.  Victoza®  is  the 
market leader in the GLP-1 segment, with a 
67% value market share.

OTHER DIABETES AND OBESITY CARE
Sales  of  other  diabetes  and  obesity  care 
products,  which  predominantly  consist  of 
oral  antidiabetic  products,  needles  and 
Saxenda®,  increased  by  16%  in  Danish 
kroner  and  by  5%  in  local  currencies  to 

SALES GROWTH

 •  In local currencies
 •  In DKK as reported

SALES BY SEGMENT

 Biopharmaceuticals
 Diabetes and obesity care

%

25

20

15

10

5

0

2011 2012 2013 2014 2015

DKK billion

125

100

75

50

25

0

SHARE OF GROWTH 
IN LOCAL CURRENCIES

 Japan & Korea
 Region China
 International Operations
 Europe
 North America

%

100

80

60

40

20

0

2011 2012 2013 2014 2015

2011 2012* 2013 2014* 2015

*  In 2012 and 2014, Japan & Korea contributed –1% to the total growth.

NOVO NORDISK ANNUAL REPORT 2015DEVELOPMENT IN COSTS 
Costs in % of sales

 •  Sales and distribution
 •  Cost of goods sold
 •  Research and development
 •  Administration

%

40

30

20

10

0

ACCOMPLISHMENTS AND RESULTS 2015

7

OPERATING PROFIT

 •  Operating profit margin (right)
 Operating profit (left)

NET PROFIT

 •  Net profit margin (right)
 Net profit (left)

DKK billion

50

40

30

20

10

0

%

50

40

30

20

10

0

DKK billion

40

30

20

10

0

%

40

30

20

10

0

2011 2012 2013 2014 2015

2011 2012 2013 2014 2015

DKK 4,730 million. This reflects a significant 
positive contribution from the US launch of 
Saxenda®,  liraglutide  3  mg  for  weight 
management,  in  May  2015.  In  the  US, 
Saxenda®  has  broad  market  access  in  the 
commercial  segment,  launch  activities  are 
progressing as planned and feedback from 
patients  and  prescribers  is  encouraging. 
Declining  sales  of  needles 
in  Europe  
and  oral  anti-diabetics  in  North  America  
and  International  Operations  partly  offset  
sales growth.

BIOPHARMACEUTICALS 
SALES DEVELOPMENT

Sales  of  biopharmaceutical  products  in-
creased by 19% measured in Danish kroner 
and by 6% in local currencies to DKK 22,337 
million.  Sales  growth  is  primarily  driven  by 
North  America,  International  Operations 
and Europe.

OTHER BIOPHARMACEUTICALS 
Sales  of  other  products  within  biopharma-
ceuticals,  which  predominantly  consist  of 
hormone replacement therapy-related (HRT) 
products,  increased  by  28%  in  Danish 
kroner  and  by  13%  in  local  currencies  to 
DKK 3,870 million. Sales growth is driven by 
a  positive  impact  from  pricing  of  Vagifem® 
in the US.

DEVELOPMENT IN COSTS 
AND OPERATING PROFIT

The cost of goods sold increased by 11% to 
DKK  16,188  million,  resulting  in  a  gross 
margin of 85.0%, compared with 83.6% in 
2014. This reflects a positive currency impact 
of  1.5  percentage  points  and  a  positive 
impact  from  the  product  mix,  primarily  due 
to  increased  sales  of  Victoza®  and  modern 
insulin.  This  is  countered  by  ramp-up  costs 
for new manufacturing capacity.

HAEMOPHILIA
Sales  of  haemophilia  products  increased  by 
14%  in  Danish  kroner  and  by  3%  in  local 
currencies to DKK 10,647 million. The growth 
in  local  currencies  is  primarily  driven  by  the 
roll-out of NovoEight® in Europe, Japan and 
the  US  as  well  as  by  NovoSeven®  in  Inter-
national  Operations,  partly  offset  by  lower 
NovoSeven® sales in the US and Japan. 

Sales  and  distribution  costs  increased  by 
22%  in  Danish  kroner  and  by  9%  in  local 
currencies  to  DKK  28,312  million.  The 
increase in costs is driven by US launch costs 
related to Saxenda® and NovoEight® and by 
preparations  for  the  Tresiba®  launch  in  the 
US,  sales  force  investments  in  selected 
countries in International Operations as well 
as adjustments to legal provisions.

NORDITROPIN®
(GROWTH HORMONE THERAPY)
Sales  of  Norditropin®  increased  by  20%  in 
Danish kroner and by 8% in local currencies 
to  DKK  7,820  million.  The  sales  growth  is 
primarily  derived  from  North  America, 
reflecting  favourable  pricing  and  increased 
demand  driven  by  the  pre-filled  FlexPro® 
device as well as Latin American and Middle 
East  markets  in  International  Operations. 
Novo Nordisk is the leading company in the 
global growth hormone market, with a 32% 
market share measured in volume.

Research and development costs decreased 
by 1% in Danish kroner and by 6% in local 
currencies to DKK 13,608 million. Excluding 
all  costs  related  to  inflammatory  disorders, 
an  area  which  Novo  Nordisk  exited  in 
September 2014, research and development 
costs  increased  by  8%  compared  to  2014. 
The increase in underlying costs reflects the 
progression  of  the  late-stage  diabetes  care 
portfolio  and  is  primarily  driven  by  the 
cardiovascular  outcomes  trial  DEVOTE  for 
insulin  degludec  and  the  phase  3a  pro-
gramme SUSTAIN for the once-weekly GLP-1 

2011 2012 2013 2014 2015

analogue semaglutide. The increase in costs 
is  partly  offset  by  lower  costs  related  to 
faster-acting  insulin  aspart  following  the 
completion  of  the  phase  3a  development 
programme onset in August 2015.

Administration  costs  increased  by  9%  in 
Danish kroner and by 4% in local currencies 
to DKK 3,857 million.

Other  operating  income  (net)  was  DKK 
3,482  million,  compared  with  DKK  770 
million in 2014. The increase is driven by the 
DKK  2,376  million  non-recurring  income 
from the partial divestment of NNIT A/S, an 
IT  service  and  consultancy  company,  in 
connection  with  the  Initial  Public  Offering 
on  Nasdaq  Copenhagen  under  the  symbol 
‘NNIT’ (ISIN DK0060580512) as well as the 
DKK  449  million  non-recurring  income 
related  to  the  out-licensing  of  assets  for 
inflammatory disorders.

Operating profit increased by 43% in Danish 
kroner  to  DKK  49,444  million.  In  local 
currencies  the  growth  was  21%,  which  is 
slightly  higher  than  the  latest  guidance  for 
operating  profit  growth  measured  in  local 
currencies for 2015 of ‘around 20%’. Adjusted 
for  the 
income  related  to  the  partial 
divestment  of  NNIT  A/S,  the  growth  in 
operating profit was 14% in local currencies.

NET FINANCIALS AND TAX
Net  financials  showed  a  net  loss  of  DKK 
5,961  million,  compared  with  a  net  loss  of 
DKK 396 million in 2014. The reported net 
financial loss in 2015 is larger than the latest 
guidance  of 
‘around  DKK  5.6  billion’, 
primarily  reflecting  higher  than  expected 
losses on commercial balances following the 
depreciation  of  the  Argentine  peso  in 
December  2015  as  well  as  an  effect  from 
the depreciation of the Russian rouble and 
the Brazilian real during the fourth quarter 
of 2015. 

CONTINUED

NOVO NORDISK ANNUAL REPORT 20158

ACCOMPLISHMENTS AND RESULTS 2015

In  line  with  Novo  Nordisk’s  treasury  policy, 
the  most  significant  foreign  exchange  risks 
for  the  Group  have  been  hedged,  primarily 
through foreign exchange forward contracts. 
The  foreign  exchange  result  was  a  loss  of 
DKK  5,898  million  compared  with  a  loss  of 
DKK  381  million in 2014. This development 
reflects losses on foreign exchange hedging 
involving  especially  the  US  dollar  due  to  its 
appreciation  versus  the  Danish  krone  com-
pared  with  the  prevailing  exchange  rates  in 
2014. As of 31 December 2015, foreign ex-
change  hedging  losses  of  around  DKK  700 
million have been deferred for recognition in 
the income statement in 2016.

The effective tax rate for 2015 was 19.8%, 
which is in line with the latest guidance of a 
tax  rate  of  ‘around  20%’  for  the  full  year 
2015. The lower tax rate compared with the 
2014  level  of  22.3%  primarily  reflects  the 
tax-free gain from the partial divestment of 
NNIT  A/S,  the  gradual  reduction  of  the 
corporate income tax rate in Denmark from 
24.5% in 2014 to 23.5% in 2015 as well as 
changes in provisions related to international 
tax cases.

CAPITAL EXPENDITURE 
AND FREE CASH FLOW

Net  capital  expenditure  for  property,  plant 
and equipment was DKK 5.2 billion, compared 
with DKK 4.0 billion in 2014, which is in line 
with the latest guidance of ‘around DKK 5.0 
billion’. Net capital expenditure was primarily 
related  to  investments  in  additional  insulin 
filling  capacity,  expansion  of  the  manu fac-
turing capacity for biopharmaceutical pro d-
ucts  and  the  construction  of  new  re search 
facilities. 

Free cash flow was DKK 34.2 billion, com-
pared with DKK 27.4 billion in 2014, which 
is  in  line  with  the  latest  guidance  of  ’DKK 
33–35  billion’.  The  increase  of  25%  com-
pared  with  2014  primarily  reflects  the 
increased cash flow from operating activities 
as well as the non-recurring proceeds from 
the partial divestment of NNIT A/S.

OUTLOOK 2016 
Sales  growth  for  2016  is  expected  to  be 
5–9%  measured  in  local  currencies.  This 
reflects  expectations  for  continued  robust 
performance  for  the  portfolio  of  modern 
insulin,  Victoza®  and  Tresiba®  as  well  as  a 

OUTLOOK 2016

The current expectations for 2016 are summarised in the table below:

EXPECTATIONS ARE AS REPORTED,  
IF NOT OTHERWISE STATED 

EXPECTATIONS
3 FEBRUARY 2016  

Sales growth 
•  in local currencies 
•  as reported 

Operating profit growth* 
•  in local currencies 
•  as reported 

Net financials 

Effective tax rate 

Capital expenditure 

Depreciation, amortisation and impairment losses 

Free cash flow 

5–9% 
Around 1 percentage point lower

5–9% 
Around 1 percentage point lower

Loss of around DKK 1.3 billion

20–22%

Around DKK 7.0 billion

Around DKK 3.0 billion

DKK 36–39 billion

*  Adjusted DKK 2,376 million for the partial divestment of NNIT A/S and DKK 449 million for the income related to the out-licensing 

of assets for inflammatory disorders, both in 2015.

contribution  from  Saxenda®  and  Xultophy®. 
These sales drivers are expected to be partly 
countered by an impact from a contract loss 
in  the  US,  healthcare  reforms,  the  loss  of 
exclusivity  for  products  within  hormone 
replacement  therapy,  intensifying  compe-
tition within diabetes and biopharmaceuticals 
as  well  as  macroeconomic  conditions  in 
China  and  a  number  of  markets  in  Inter-
national  Operations.  Given  the  current  level 
of  exchange  rates  versus  the  Danish  krone, 
growth  reported  in  DKK  is  expected  to  be 
around  1  percentage  point  lower  than  the 
local currency level.

For  2016,  operating  profit  growth 
is 
expected  to  be  5–9%  measured  in  local 
currencies,  adjusted  by  DKK  2,376  million 
for the partial divestment of NNIT A/S and 
by DKK 449 million for the income related to 
the out-licensing of assets for inflammatory 
disorders,  both  in  2015.  The  expectations 
for  operating  profit  growth  reflect  growth 
in  selling  and  distribution  costs  to  support 
continued  launch  activities  as  well  as  in 
research and development costs to support 
the  progress  of  Novo  Nordisk’s  pipeline. 
Given  the  current  level  of  exchange  rates 
versus the Danish krone, growth reported in 
DKK is expected to be around 1 percentage 
point lower than the local currency level.

For 2016, Novo Nordisk expects a net financial 
loss  of  around  DKK  1.3  billion.  The  current 
expectation primarily reflects losses associat-
ed with foreign exchange hedging contracts, 
mainly related to the appreciation of the US 

dollar  versus  the  Danish  krone  compared  to 
the prevailing exchange rates in 2015. 

The effective tax rate for 2016 is expected to 
be in the range of 20–22%. 

Capital expenditure is expected to be around 
DKK  7.0  billion  in  2016,  primarily  related  to 
investments  in  an  expansion  of  the  manu-
facturing  capacity  for  biopharmaceutical 
products,  additional  capacity  for  active 
pharmaceutical ingredient production within 
diabetes  care,  an  expansion  of  the  insulin 
filling  capacity  and  construction  of  new 
research facilities. Depreciation, amortisation 
and  impairment  losses  are  expected  to  be 
around  DKK  3.0  billion.  Free  cash  flow  is 
expected to be DKK 36–39 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 
2016,  and  that  currency  exchange  rates, 
especially  the  US  dollar,  will  remain  at  the 
current level versus the Danish krone. 

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 to the left.

LONG-TERM 
FINANCIAL TARGETS

long-term  considerations, 

Novo  Nordisk  introduced  four  long-term 
financial  targets  in  1996  to  balance  short- 
and 
thereby 
ensuring  a  focus  on  shareholder  value 
creation.  The  targets  were  subsequently 
revised  and  updated  on  several  occasions, 
most recently in connection with the annual 
results for 2012 released in January 2013. 

KEY INVOICING  ANNUAL IMPACT ON NOVO NORDISK’S OPERATING 
PROFIT OF A 5% MOVEMENT IN CURRENCY 
CURRENCIES 

HEDGING PERIOD 
(MONTHS)

USD 

CNY 

JPY 

GBP 

CAD 

DKK 2,000 million 

DKK 300 million 

DKK 150 million 

DKK 85 million 

DKK 70 million 

12
*
11

 12

11

11

* USD and Chinese yuan traded offshore (CNH) used as proxy when hedging Novo Nordisk’s CNY currency exposure.

NOVO NORDISK ANNUAL REPORT 2015 
ACCOMPLISHMENTS AND RESULTS 2015

9

PERFORMANCE AGAINST 
LONG-TERM FINANCIAL TARGETS

Operating profit growth

Operating margin

Operating profit after tax to net operating assets

Cash to earnings

Cash to earnings (three-year average) 

Result 
2015

43%

46%

149%

98%

97%

Average 
2012–2015*

Previous
target

Updated
target

23%

40%

111%

97%

15%

40%

125%

10%

N/A**

125%

90%

90%

* Calculated as a simple average.  ** A new target has not been established, as operating margin is expected to remain around 44%.

In  2015,  Novo  Nordisk  reached  these  four 
long-term financial targets and consequently, 
the  Board  of  Directors  has  approved  three 
long-term  financial  targets  to 
updated 
guide  Novo  Nordisk’s  performance.  The 
targets  have  been  revised  based  on  an 
assumption of a continuation of the current 
business  environment.  Significant  changes 
including 
to  the  business  environment, 
the  structure  of  the  US  healthcare  system, 
regulatory requirements, pricing and mar ket 
access  environment,  competitive  environ-
ment,  healthcare  reforms,  exchange  rates 
and  changes  to  accounting  standards  may 
significantly  impact  the  time  horizon  for 
achieving  the  long-term  targets  or  require 
them to be revised.

The target level for long-term operating profit 
growth has been set at 10%, reflecting the 
current outlook for organic sales growth and 
opportunities for operating margin leverage. 

Novo Nordisk’s current operating margin level 
of 43.6% (adjusted for the effect of the partial 
divestment of NNIT A/S) has been achieved by 
continuous  improvement  in  manufacturing 
efficiency, positive pricing impact, sales and 
distribution leverage, reprioritisation of focus 
areas  within  research  and  development 
as  well  as  administrative  efficiencies.  It  is 
a  strategic  priority  to  continue  to  invest 
in  future  organic  sales  growth,  and  as  a 
consequence operating margin improvement 
is not expected to be a major contributor to 
operating  profit  growth.  This  expectation 
reflects  an  expanded  product  portfolio,  a 
significant number of product launches and 
continued  investments  within  research  and 
development.  Consequently,  no  target  for 
operating  margin  has  been  established,  as 
the operating margin is expected to remain 
at the current level around 44%.

The  target  level  for  operating  profit  after 
tax  to  net  operating  assets  is  unchanged 
at  125%.  The  target  reflects  the  expecta-
tion of a continued robust operating profit 
growth  combined  with  a  stable  effective 
tax rate and gradual increase in net operat-
ing  assets,  partly  related  to  an  expanded 
fixed  asset  investment  to  sales  ratio  to  ac-
commodate  future  sales  growth,  primarily 
within diabetes care.

The target level for the cash to earnings ratio 
is  maintained  at  90%,  as  expected  contin-
ued growth in International Operations and 
expanding investment priorities will gradually 
impact  net  operating  assets.  As  previously, 
and given the inherent volatility in this ratio, 
the  target  will  be  pursued  looking  at  the 
average over a three-year period.

FORWARD-LOOKING 
STATEMENTS

filed  with  or 
reports 
Novo  Nordisk’s 
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 2016, 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’, 
‘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 
statements. 
identify 
Examples  of  such  forward-looking  state-
ments include, but are not limited to: 

forward-looking 

‘expect’, 

‘may’, 

‘will’, 

•   statements of targets, 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 cooperation in 
relation thereto 

•   statements containing projections of 
or targets for revenues, costs, income 
(or loss), earnings per share, capital 
expenditures, dividends, capital structure, 
net financials and other financial measures 

•   statements regarding future economic 

performance, future actions and outcome 
of contingencies, such as legal 
proceedings 

•   statements regarding the assumptions 

underlying or relating to such statements.

In  this  document,  examples  of  forward-
looking statements can be found under the 
heading 
‘2015  performance  and  2016 
outlook’ and elsewhere. 

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  ex-
change rate fluctuations, delay or failure of 
projects  related  to  research  and/or  devel-
opment,  unplanned  loss  of  patents,  inter-
ruptions of supplies and production, product 
recalls,  unexpected  contract  breaches  or 
terminations,  government-mandated  or 
market-driven  price  decreases  for  Novo 
Nordisk’s products, introduction of compe t-
ing products, reliance on information tech-
nology, 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. 

Please  also  refer  to  the  overview  of  risk 
factors on pp 42–43. 

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 docu-
ment,  whether  as  a  result  of  new  infor-
mation, future events or otherwise.

NOVO NORDISK ANNUAL REPORT 201510 ACCOMPLISHMENTS AND RESULTS 2015

RESEARCH AND DEVELOPMENT

2015  was  a  year  in  which  Novo  Nordisk 
made significant progress in its research and 
development  pipeline  and  reached  several 
milestones. 

Below are the highlights from the key devel-
opment  projects.  On  p  20,  the  pipeline 
overview  shows  all  the  compounds 
in 
clinical development, and further details on 
clinical  trials  can  be  found  in  the  company 
announcements  and  press  releases  pub-
lished by Novo Nordisk during 2015, which 
are available on novonordisk.com.

 DIABETES 

In  March  2015,  Novo  Nordisk  decided  to 
resubmit  New  Drug  Applications  (NDA)  of 
Tresiba®  and  Ryzodeg®  70/30  in  the  US. 
The resubmission was based on the interim 
analysis of the cardiovascular outcomes trial 
for  Tresiba®,  DEVOTE.  In  order  to  preserve 
the  integrity  of  the  ongoing  DEVOTE  trial, 
only a small team within Novo Nordisk had 
access  to  the  data  and  made  the  decision 
to  resubmit  the  NDA.  Novo  Nordisk  man-
agement does not have access to the results 
of the  interim analysis.  The DEVOTE  trial is 
expected to be completed in mid-2016 and 
the results are expected to be announced in 
the second half of 2016.

Based  on  the  class  II  resubmission,  the 
US  Food  and  Drug  Administration  (FDA) 
approved  Tresiba®  and  Ryzodeg®  70/30 
for  the  treatment  of  diabetes  in  adults  in 
September  2015.  Following  the  approval, 
Tresiba®  was  introduced  to  diabetes  care 
specialists in the US during November 2015 
and was launched broadly in January 2016.

PATIENT YEARS IN CLINICAL TRIALS*

 Japan & Korea
 Region China
 International Operations
 Europe
 North America

Thousand

30

25

20

15

10

5

0

2011 2012 2013 2014 2015

*  A patient year is measured as the total number of months 

a patient is enrolled in a clinical trial divided by 12.

In  January  2016,  the  results  from  the 
double-blinded  phase  3b  trial  SWITCH  2 
were  announced.  The  primary  endpoint  of 
the  trial  was  met  by  showing  a  statisti cally 
significantly  lower  rate  of  severe  or  blood 
glucose  confirmed  symptomatic  hypogly-
caemia  during  the  maintenance  period 
of  30%  for  people  treated  with  Tresiba® 
compared to insulin glargine.

In  August  2015,  Novo  Nordisk  decided  to 
initiate  a  phase  3a  programme  with  oral 
semaglutide,  a  once-daily  oral  formulation 
of  the  long-acting  GLP-1  analogue  sema - 
glutide.  The  decision  followed  the  encour-
aging results of the proof-of-concept phase 
2 trial announced in February 2015 and the 
subsequent  consultations  with  regulatory 
authorities.  The  successful  phase  2  trial 
results mark a significant milestone for Novo 
Nordisk  in  its  ambition  to  deliver  protein-
based  medicine,  like  semaglutide,  in  the 
form  of  a  tablet  and  producing  it  in  large 
scale.  

Novo  Nordisk  intends  to  initiate  a  global 
phase  3a  programme,  named  PIONEER, 
comprising ten trials with more than 9,000 
people  with  type  2  diabetes.  The  PIONEER 
programme  will  include  nine  safety  and 
efficacy trials and one trial for evaluating the 
cardiovascular  safety  of  oral  semaglutide.
In September 2015, Novo Nordisk filed the 
NDA to the US FDA for Xultophy®, the first 
once-daily 
single-injection  combination 
of  Tresiba®  (insulin  degludec)  and  Victoza® 
(liraglutide).  The  submission  is  currently 
being reviewed under the US FDA’s Prescrip-
tion Drug User Fee Act V (PDUFA V).   

During  the  second  half  of  2015,  Novo 
Nordisk  completed  four  out  of  six  phase 
3a  trials  with  semaglutide  in  the  SUSTAIN 
programme.  Semaglutide  is  a  new  GLP-1 
analogue administered subcutaneously once 
weekly for the treatment of type 2 diabetes 
in adults. The data reported so far confirm 
the  strong  efficacy  profile  of  semaglutide, 
which also appeared safe and well tolerated 
in the trials.

In December 2015, Novo Nordisk submitted 
the  Marketing  Authorisation  Application 
(MAA)  to  the  European  Medicines  Agency 
(EMA) and the NDA to the US FDA for faster-
acting  insulin  aspart.  Faster-acting  insulin 
aspart  is  a  mealtime  insulin  for  improved 
control  of  postprandial  glucose  excursions 
and  has  been  developed  for  the  treatment 
of people with type 1 and type 2 diabetes.

The  filing  of  faster-acting  insulin  aspart  is 
based on the results from the onset clinical 

trial  programme,  which  involved  around 
2,100  people  with  type  1  and  2  diabetes. 
In  the  onset  programme,  people  treated 
with  faster-acting  insulin  aspart  achieved 
improvements in postprandial control versus 
NovoRapid® and an HbA1c reduction on par 
with  NovoRapid®.  Across  the  onset  trials, 
faster-acting  insulin  aspart  had  a  safe  and 
well-tolerated profile, with the most common 
adverse  event  being  hypoglycaemia  similar 
to the levels observed with NovoRapid®.  

 OBESITY

In  March  2015,  the  European  Commis-
sion  granted  marketing  authorisation 
for  Saxenda®  (liraglutide  3  mg)  for  the 
treatment  of  obesity.  Saxenda®  is  the  first 
once-daily human glucagon-like peptide-1 
(GLP-1)  analogue  for  the  treatment  of 
in  Europe.  Saxenda® 
obesity  approved 
is  indicated  in  the  EU  as  an  adjunct  to  a 
reduced-calorie diet and increased physical 
activity  for  weight  management  in  adult 
patients  with  an  initial  Body  Mass  Index 
(BMI)  of  ≥30  kg/m2  (obese),  or  ≥27  kg/m2 
to <30 kg/m2 (overweight) in the presence 
of at least one weight-related comorbidity 
such  as  dysglycaemia,  hypertension,  dys-
li pidaemia  or  obstructive  sleep  apnoea. 
Saxenda®  was  launched  in  Denmark  in 
August  2015.  Earlier  in  the  year,  during 
May, Saxenda® had already been launched 
in  the  US,  following  the  US  FDA  appro-
val  in  December  2014.  Novo  Nordisk  will 
continue  the  global  roll-out  of  Saxenda® 
during 2016 and expects to launch it in up 
to ten countries.

 HAEMOPHILIA

In  January  2016,  Novo  Nordisk  submitted 
the  MAA  to  the  EMA  for  the  approval  of 
long-acting factor IX, nonacog beta pegol. 
Nonacog  beta  pegol  is  a  glycopegylated 
recombinant  factor  IX  with  a  significantly 
improved pharmacokinetic (PK) profile, de-
veloped  for  patients  with  haemophilia  B. 
Novo Nordisk expects to file the Biologics 
License Application (BLA) for nonacog beta 
pegol  to  the  US  FDA  during  the  first  half 
of 2016. 

New  data  for 
long-acting  recombinant 
factor  VIII,  N8-GP  (turoctocog  alfa  pegol) 
was  reported  from  the  first  part  of  the 
pathfinder™2  extension  trial  in  November 
2015. The reported data provide additional 
support that N8-GP (turoctocog alfa pegol) 
appeared to have a safe and well-tolerated 
profile,  and  that  95%  of  mild  to  moderate 
bleeds can be managed with 1–2 infusions.

NOVO NORDISK ANNUAL REPORT 2015 
SOCIAL PERFORMANCE 

Social  performance  has  three  dimensions: 
improving  access  to  medical  treatment 
and  quality  of  care  for  patients,  offering  a 
healthy and engaging working environment, 
and  providing  assurance  that  responsible 
business practices are in place, with the aim 
of contributing to the communities in which 
the company operates. 

PATIENTS
Just over half of the 415 million people living 
with diabetes1 are diagnosed, and many of 
those  diagnosed  do  not  receive  medical 
treatment.

As part of Novo Nordisk’s strategy for global 
access to diabetes care, the company has set 
itself  the  long-term  target  of  reaching  40 
million people with its diabetes care products 
by 2020, which is double the baseline number 
in  2010.  The  aim  is  to  enable  more  people 
with diabetes to receive medical treatment.

In  2015,  Novo  Nordisk  provided  medical 
treatments to an estimated 26.8 million pa-
ti ents  with  diabetes  worldwide,  compared 
with  24.4  million  in  2014,  calculated  based 
on  WHO’s  recommended  daily  doses  for 
diabetes  medicines.  The  number  reflects 
an  overall  increase  in  the  number  of  pa-
ti ents  treated  with  Novo  Nordisk’s  insulin 
products  and  was  driven  by  human  insulin 
in  International  Operations  (1.2  million  pa-
ti ents)  and  modern  and  new-generation  in-
sulins  globally  (0.9  million  patients).  Novo 
Nordisk focuses on enhancing quality of care 
through product innovation, while remaining 
committed  to  expanding  access  to  medical 
treatment and care for patients with diabe-
tes throughout the world. The company has 
several  programmes  specifically  targeting 
people in low- and middle-income countries 
who have limited access to health services.

Novo  Nordisk  sold  human  insulin  according 
to the company’s differential pricing policy in 
23  of  the  world’s  48  poorest  countries  (the 
Least Developed Countries – LDC), compared 
with 32 countries in 2014. According to this 
policy,  the  price  should  not  exceed  20%  of 
the average insulin price in the western world 
(defined as the EU, Norway, Switzerland, the 
US,  Canada  and  Japan).  In  2015,  the  LDC 
ceiling price for insulin treatment per patient 
per  day  was  USD  0.19,  while  the  average 
realised  price  for  insulin  sold  under  the 
programme was USD 0.15, corresponding to 
USD  3.85  per  vial.  The  decline  is  attributed 
to  fewer  insulin  tenders  in  2015  and  lack 
of  response  from  governments  or  private 
wholesalers  and  other  partners  to  Novo 

Nordisk’s offer. The total number of patients 
treated with insulins sold at or below ceiling 
price  was  approximately  411,000  in  2015, 
which  is  a  slight  decrease  compared  with 
approximately 431,000 in 2014. Beyond this 
scheme,  Novo  Nordisk  sells  human  insulin 
at  similar  prices  in  low-income  countries.  In 
2015, an estimated 5.5 million patients have 
been treated with insulin for USD 0.19 per day 
or  less,  corresponding  to  a  price  per  vial  of 
USD 4.81 or less. In comparison, an estimated 
4.3 million patients were treated with insulin 
at or below the ceiling price in 2014.

By  the  end  of  2015,  continued  progress 
had  been  achieved  by  Changing  Diabetes® 
programmes  with  the  aim  of  reaching 
more  people  with  diabetes  and  building 
capacity. The Changing Diabetes® in Children 
programme  has  been  rolled  out  in  nine 
countries  since  its  launch  in  2009,  reach-
ing  more  than  3,400  children,  who  receive   
insulin treatment free of cost. A total of 108 
clinics  have  been  established,  and  more 
than  6,500  healthcare  professionals  have 
been  trained  or  re-trained.  The  Changing 
Diabetes®  in  Pregnancy  programme,  also 
launched  in  2009,  has  since  screened  more 
than 33,300 women for gestational diabetes 
mellitus, and more than 3,800 women have 
been  diagnosed  and  subsequently  treated. 
The  Base  of  the  Pyramid  programme  has, 
since  its  launch  in  2011,  established  seven 
Diabetes Support Centres in Nigeria and six in 
Ghana. The programme has been scaled up 
in Kenya to build capacity and ensure supply. 
Furthermore, two new Centres of Excellence 
in Diabetes care were launched in the Kenyan 
public sector at county level in 2015. 

launched  Cities 
In  2014,  Novo  Nordisk 
Changing  Diabetes  –  a  cross-disciplinary  and 
cross-sector partnership programme to iden - 
tify  and  address  the  root  causes  of  the 
rise  in  type  2  diabetes  in  urban  areas.  The 
programme  is  currently  running  in  Mexico 
City,  Copenhagen,  Houston,  Tianjin  and 
Shanghai, representing more than 60 million 
inhabitants.  In  2016,  they  will  be  joined  by 
Vancouver and Johannesburg. The aim of the 
programme is to drive transformative action 
through  new  research  focusing  on  cultural 
determinants  and  social  factors  that  will 
facilitate  the  implementation  of  integrated 
and sustainable solutions in cities. 

Donations  through  the  World  Diabetes 
Foundation  (WDF)  amounted  to  DKK  78 
million in 2015. The WDF is an independent 
non-profit organisation established by Novo 
Nordisk  in  2002  to  help  expand  access  to 
diabetes  care.  The  foundation  invests  in 

ACCOMPLISHMENTS AND RESULTS 2015

11

sustainable  initiatives  to  build  healthcare 
capacity,  with  the  aim  of  improving  pre-
vention  and  treatment  of  diabetes  in  de-
veloping  countries.  In  2015,  the  WDF  sup-
ported  22  new  projects.  These  included 
projects  with  a  focus  on  prevention  and 
others  aimed  at  reaching  people  in  the 
most  remote  rural  areas.  Read  more  on 
worlddiabetesfoundation.org.

Novo Nordisk also provides financial support 
to  improve  global  access  to  haemophilia  
care.  In  2015,  the  company  donated  DKK 
19  million  to  the  Novo  Nordisk  Haemo-
philia Foundation, established in 2005. The 
foundation  supports  projects  and  fellow - 
ships  in  developing  and  emerging  econ-
omies. Initiatives focus on capacity building, 
awareness, diagnosis and patient registries. 
Read more on nnhf.org.

EMPLOYEES
At  the  end  of  2015,  the  total  number  of 
employees  was  41,122,  corresponding  to 
40,638  full-time  positions,  which  is  a  1% 
decrease  compared  with  2014  due  to  the 
divestment  of  NNIT  A/S  in  March  2015. 
The  underlying  growth  (5%)  is  primarily 
driven by expansion within the sales region 
International  Operations  and  in  Denmark, 
primarily  within  research  &  development 
and production.

Employee turnover increased from 9.0% in 
2014  to  9.2%  and  was  primarily  driven  by 
Region China. In previous years the turnover 
rate has been 8–10%.

The  consolidated  score  in  the  annual  em-
ployee  survey,  eVoice,  was  4.3  as  in  2014, 
measured on a scale of 1 to 5, with 5 being 
the  best  score.  The  survey  measures  the 
extent to which the organisation is working 
in  accordance  with  the  Novo  Nordisk  Way. 
The 2015 result reflects a strong culture and 
commitment to the company’s values.

To  ensure  a  robust  pipeline  of  talent  for 
management positions, a new aspiration has 
been set that strives for enhanced diversity in 
all management teams, including entry-level 
and middle management. By the end of 2015, 
the  gender  diversity  among  managers  was 
59%  men  and  41%  women.  Of  the  newly 
promoted managers, 44% were women. 

Tragically, a sales representative in India died 
in a traffic accident while on duty in 2015. The 
2015 average frequency rate of occupational 
accidents  with  absence  decreased  to  3.0 
per  million  working  hours,  compared  with 

CONTINUED
CONTINUED

NOVO NORDISK ANNUAL REPORT 201512 ACCOMPLISHMENTS AND RESULTS 2015

PATIENTS REACHED WITH 
DIABETES CARE PRODUCTS 
Estimate

WORKING 
THE NOVO NORDISK WAY 
Average score in annual employee survey

 •  Realised

  Target (2020)

Million

50

40

30

20

10

0

 •  Realised
   Target

Scale

5

4

3

2

1

2011 2012 2013 2014 2015

2011 2012 2013 2014 2015

3.2  in  2014.  Novo  Nordisk  is  working  with 
a  zero-injury  mindset,  and  the  long-term 
commitment is to continuously improve per-
formance.  Focus  is  on  strengthening  risk 
awareness and preventing occupational acci-
dents for all employees.

ASSURANCE
Training  in  business  ethics  is  mandatory 
and  a  high  priority.  Annual  business  ethics 
training  is  required  for  all  employees,  in-
cluding  new  hires.  Business  ethics  training 
is  also  a  key  element  of  the  onboarding 
programmes.  In  2015,  as  in  2014,  98% 
of  all  relevant  employees  completed  and 
documented  their  training,  and  passed  the 
related tests. This high level is attributed to 
the  constant  focus  and  communication  by 
senior  management  on  the  importance  of 
business ethics compliance.

Adherence  to  the  company’s  global  stan-
dards  for  ethical  behaviour  must  be  ob-
ser ved  and  is  monitored.  Internal  business 
ethics  assurance  activities  are  conducted 
using on-site interviews and documentation 
reviews  to  assess  adherence  to  compliance 
requirements  and 
internal  proce dures. 
During  2015,  49  business  ethics  assurance 
reviews were conducted, com pared with 42 
in 2014.  

During  the  year,  the  global  facilitator  team 
conducted  65  audits  of  units’  adherence 
to  the  Novo  Nordisk  Way,  so-called  fa cil -
itations,  covering  approximately  18,500 
employees, 15% of whom were interviewed. 
The facilitations conducted in 2015 showed 
a  high  level  of  compliance  with  the  Novo 
Nordisk  Way.  A  facilitation  consists  of 
docu  ment review and interviews with local 
management,  employees  and  stakeholders 
to determine the level of adherence to the 
corporate  values  and  expected  behaviours 
spelled out in the Novo Nordisk Way. 

Best  practices  are  shared  internally,  while 
findings  of  non-compliance  are  reported  to 
local management, which must subsequently 
implement corrective actions. In 2015, 94% 
of actions were closed on time. A summary 
report, presented to the Board of Directors, 
outlines  key  observations  and  trends  across 
all  facilitations,  and  the  conclusion  is  that 
there was a high level of compliance with the 
Novo Nordisk Way across the organisation in 
2015. The Essentials, of which there are 10, 
are  the  basis  for  the  implementation  of  the 
Novo  Nordisk  Way.  See  the  article  on  p  18 
and  novonordisk.com/about-novo-nordisk/
novo-nordisk-way for additional information.

A total of 240 supplier audits were conducted 
to assess their level of compliance with the 
company’s  standards  for  suppliers.  These 
relate to quality as well as the environment, 
labour,  human  rights  and  business  ethics, 
in  line  with  Novo  Nordisk’s  responsible 
sourcing policy.

These  audits  are  undertaken  by  Novo 
Nordisk’s  global  quality  organisation.  The 
level of audit activity was up from 224 audits 
in  2014  due  to  Management’s  decision  to 
build  new  factories.  Of  the  audits  carried 
out in 2015, 28 were focused on responsible 
sourcing  criteria,  which  is  a  slight  increase 
compared with 25 audits in 2014. Only high-
risk  suppliers,  identified  through  a  robust 
risk  assessment,  are  selected  for  responsible 
sourcing  audits.  One  critical  finding  was 
identified  in  connection  with  a  quality  audit 
in  2015.  A  continuous  improvement  and 
engagement  programme  has  been  initiated 
with the supplier in order to address the issue.

In  2015,  as  in  2014,  Novo  Nordisk  had 
two  product  recalls  from  the  market.  Both 
recalls  were  related  to  incorrect  labelling 
of  products.  Local  health  authorities  were 
informed  in  both  instances  to  ensure  that 
distributors,  pharmacies,  doctors  and  pa- 
ti ents received appropriate information. 

In  2015,  as  in  2014,  there  were  no  failed 
inspections  among  those  resolved  at  year-
end.  Inspections  are  measured  in  relation 
to  the  US  Food  &  Drug  Administration, 
European  Medicines  Agency  (EMA),  the 
Japanese Pharmaceuticals & Medical Devices 
Agency  (PMDA),  Lloyd’s  Register  Quality 
Assurance (LRQA) and domestic authorities 
for  strategic  manufacturing  sites.  A  total 
of  82  inspections  were  conducted  in  2015 
at Novo Nordisk sites, at clinics conducting 
investigations  for  Novo  Nordisk  or  for 
voluntary ISO 9001 certification, compared 
with 59 inspections in 2014. At year-end, 57 
inspections  had  been  passed  and  25  were 
unresolved.  

Novo  Nordisk  is  implementing  its  commi t - 
ment  to  respect  human  rights  as  set  out 
in  the  UN  Guiding  Principles  on  Business 
and  Human  Rights.  The  human  rights 
due  diligence  started  with  a  Group-wide 
human  rights  impact  assessment  against 
all internationally recognised human rights. 
Novo Nordisk recognises that the company 
has  a  number  of  potential  impacts  with 
regard  to  a  range  of  human  rights,  right 
to  health,  right  to  privacy,  right  to  a  living 
wage,  and  safe  and  healthy  working 
conditions. The assessment has shown that 
strong  management  systems  are  in  place. 
Vigilance and continuous improvements are 
part of ongoing efforts. 

A company’s reputation with its key stake-
holders is an indicator of the extent to which 
the  company  lives  up  to  expectations.  The 
better  the  reputation,  the  more  likely  it  is 
that  these  stakeholders  will  trust,  support 
and  engage  with  the  company.  Novo 
Nordisk  measures  its  reputation  with  key 
stakeholders  annually  using  the  RepTrak® 
methodology  developed  by  Reputation  In-
stitute. Reputation is measured on a scale of 
0–100  and  a  score  above  80  is  considered 
excellent. In 2015, the score was 82.4, com-
pared with 80.8 in 2014.

LONG-TERM 
SOCIAL TARGETS

Novo  Nordisk  has  chosen  two  long-term 
social  targets  to  support  long-term  finan-
cial  performance,  balancing  responsibility 
with  profitability,  with  the  aim  of  creating 
sustainable  value  for  shareholders  and  other 
stakeholders. The social targets reflect aspira-
tions  expressed  in  the  Novo  Nordisk  Way: 
helping  people  live  better  lives  and  working 
the Novo Nordisk Way. The long-term patient 
target  is  expected  to  be  met.  Development 
year  on  year  will  vary,  reflecting  gains  and 
losses of large tenders and contracts.

For  additional  information  about  the  social 
performance, see the social statement on pp 
96–101  and  the  UNGC  Communication  on 
Progress at novonordisk.com/annualreport. 

NOVO NORDISK ANNUAL REPORT 2015ACCOMPLISHMENTS AND RESULTS 2015

13

ENVIRONMENTAL PERFORMANCE

Novo Nordisk measures environmental per-
formance on four dimensions: consumption 
of energy, consumption of water, CO2 emis-
sions from energy consumption and waste.

ENERGY AND WATER
In 2015, 2,778,000 GJ energy and 3,131,000 
m3  water  were  used  at  production  sites 
around  the  world.  In  spite  of  a  high  focus 
on  process  optimisations, 
the  energy 
consumption increased by 9% and the water 
consumption  by  6%.  This  development 
reflects  increased  production  and  capacity. 
Of  the  water  used  at  production  sites, 
14% is in water-scarce regions in Brazil and 
China. These sites have a particular focus on 
good water stewardship. 

CO2 EMISSIONS
While  the  main  focus  of  Novo  Nordisk’s 
climate  action  programme  has  been  to  re-
duce CO2 emissions from production as well 
as  emissions  from  distribution  of  products, 
Novo  Nordisk  is  now  extending  the  scope 
of  the  climate  programme  to  encompass 
indirect  emissions  from  relevant  business 
activities.  The  initial  focus  is  on  the  supply 
chain,  and  emissions  from  company  cars 
and  business  travel.  Refer  to  p  40  for  more 
information on the climate ambition.

The  CO2  emissions  related  to  consumption 
of  energy  at  the  production  facilities  de-
creased  by  11%,  despite  the  increase  in 
energy use of 9%. The production plant in 
Tianjin,  China,  has  started  sourcing  wind 
power from a windfarm in Inner Mongolia, 
and  the  Danish  production  facilities  are 

now sourcing bio-natural gas. This is biogas 
produced  from  liquid  manure,  food  waste 
and  organic  waste  from  the  industry.  The 
biogas  is  upgraded  to  meet  the  quality  re-
quirements of natural gas and feeds into the 
natural gas distribution system. 

CO2  emissions  from  transport 
(product 
distribution) decreased significantly, by 25%, 
compared  with  2014.  This  is  mainly  due 
to  an  increase  in  the  volume  of  products 
distributed  via  sea  from  72%  in  2014  to 
83% in 2015. In 2015, CO2 emissions from 
sea freight accounted for 16%, transport via 
trucks  accounted  for  5%  and  air  transport 
accounted for 79% of total emissions. Distri-
buting as many products as possible by sea 
is a priority for Novo Nordisk, as it reduces 
both CO2 emissions and costs.  

Novo  Nordisk  also  aims  to  reduce  CO2 
emissions from business flights and company 
cars.  In  2015,  business  flights  resulted  in 
estimated  CO2  emissions  of  74,000  tons, 
which is an increase of 9% compared with 
2014.  The  estimated  CO2  emissions  from 
leased company cars decreased by 7%, from 
72,000 tons in 2014 to 67,000 tons in 2015.

WASTE
In  2015,  Novo  Nordisk  generated  34,715 
tons of waste, which is an increase of 13% 
compared  with  2014.  This  is  mainly  due 
to  an  increase  in  non-recyclable  ethanol 
used  in  purification  processes  for  insulin 
production.  Reducing  ethanol  waste  is  a 
high priority for the company, and efficient 
regeneration  plants  enable  the  ethanol  to 
be re-used many times. 

LONG-TERM 
ENVIRONMENTAL TARGETS 

The  long-term  ambition  is  to  decouple 
consumption  of  water  and  energy  from 
sales  growth.  The  current  target  is  set  as 
a  maximum  of  half  of  the  percentage  in- 
cre ase in sales in local currencies, measured 
as  a  three-year  average.  In  2015,  sales 
increased  by  8%  in  local  currencies  while 
energy  consumption  increased  by  9%  and 
water  consumption  by  6%.  The  target  is 
challenged  by  production  expansion  and 
lower sales growth rates.

NEW LONG-TERM TARGET 
FOR CO2 EMISSIONS 

Novo Nordisk has set a new long-term target 
to  reduce  CO2  emissions.  A  key  element 
of  the  strategy  is  increasing  the  share  of 
renewable  energy.  In  2020,  production 
sites  worldwide  will  be  100%  powered  by 
renewable  electricity.  As  part  of  the  We 
Mean  Business  Coalition,  Novo  Nordisk 
has  signed  the  RE100  initiative  led  by  The 
Climate  Group  in  partnership  with  CDP. 
This is a collaborative initiative of influential 
businesses  committed  to  100%  renewable 
electricity  that  is  working  to  increase  cor-
porate demand for renewable energy.

For additional information on environmental 
performance,  see  the  environmental  state-
ment on pp 102–104 and the UNGC Com-
munication  on  Progress  at  novonordisk.
com/annualreport. 

ENERGY CONSUMPTION

WATER CONSUMPTION

 •  Realised

  Target (not to exceed)*

 •  Realised

  Target (not to exceed)*

1,000,000 GJ

1,000,000 m3

4

3

2

1

0

4

3

2

1

0

2011 2012 2013 2014 2015

2011 2012 2013 2014 2015

*  From 2007 to 2011, the target was set as an accumulated 

reduction over four years from a 2007 baseline.

*  From 2007 to 2011, the target was set as an accumulated 

reduction over four years from a 2007 baseline.

NOVO NORDISK ANNUAL REPORT 2015 
14 ACCOMPLISHMENTS AND RESULTS 2015 
14 ACCOMPLISHMENTS AND RESULTS 2015

PERFORMANCE HIGHLIGHTS

FINANCIAL PERFORMANCE 
Net sales 

66,346 

78,026 

83,572 

88,806 

107,927 

Excl
NNIT A/S2

Change 
22% 

2011 

2012 

2013 

2014 

2015 

2014–2015

Underlying sales growth in local currencies1 
Currency effect (local currency impact) 

11.4% 
(2.2%) 

11.6% 
6.0% 

11.9% 
(4.8%) 

8.3% 
(2.0%) 

8.4% 
13.1% 

Net sales growth as reported 

9.2% 

17.6% 

7.1% 

6.3% 

21.5% 

Depreciation, amortisation and impairment losses 
Operating profi t 
Net fi nancials 
Profi t before income taxes 
Net profi t for the year 

Total assets 
Equity 

Capital expenditure, net 
Free cash fl ow1 

FINANCIAL RATIOS
Percentage of sales:
Sales outside Denmark  
Sales and distribution costs 
Research and development costs  
Administrative costs 

Gross margin1 
Net profi t margin1 
Effective tax rate1 
Equity ratio1 
Return on equity1 
Cash to earnings1 
Payout ratio1 
Payout ratio adjusted for the partial divestment 
of NNIT A/S4 

LONG-TERM FINANCIAL TARGETS 
Operating profi t growth 
Operating profi t growth in local currencies 
Operating margin1 
Operating profi t after tax to net operating assets1 
Cash to earnings (three-year average) 

(14%) 
43% 
N/A 
28% 
32% 

19% 
17% 

31% 
25% 

36%

21%
22%

17%

2,737 
22,374 
(449) 
21,925 
17,097 

64,698 
37,448 

3,003 
18,112 

99.3% 
28.6% 
14.5% 
4.9% 

81.0% 
25.8% 
22.0% 
57.9% 
46.0% 
105.9% 
45.3% 

2,693 
29,474 
(1,663) 
27,811 
21,432 

65,669 
40,632 

3,319 
18,645 

99.4% 
27.6% 
14.0% 
4.2% 

82.7% 
27.5% 
22.9% 
61.9% 
54.9% 
87.0% 
45.3% 

2,799 
31,493 
1,046 
32,539 
25,184 

70,337 
42,569 

3,207 
22,358 

99.4% 
28.0% 
14.0% 
4.2% 

83.1% 
30.1% 
22.6% 
60.5% 
60.5% 
88.8% 
47.1% 

3,435 
34,492 
(396) 
34,096 
26,481 

77,062 
40,294 

3,986 
27,396 

99.5% 
26.2% 
15.5% 
4.0% 

83.6% 
29.8% 
22.3% 
52.3% 
63.9% 
103.5% 
48.7% 

2,959 
49,444 
(5,961) 
43,483 
34,860 

91,799 
46,969 

5,209 
34,222 

99.7% 
26.2% 
12.6% 
3.6% 

85.0% 
32.3% 
19.8% 
51.2% 
79.9% 
98.2% 
46.6% 

45.3% 

45.3% 

47.1% 

48.7% 

50.0% 

18.4% 
22.1% 
33.7% 
77.9% 
112.8% 

31.7% 
20.2% 
37.8% 
99.0% 
103.7% 

6.9% 
14.6% 
37.7% 
97.2% 
93.9% 

9.5% 
12.7% 
38.8% 
101.0% 
93.1% 

43.3% 
20.6% 
45.8% 
148.7% 
96.8% 

 2015 targets3
15%

40%
125%
90%

1. For defi nitions, please refer to p 94. 2. Adjusted for non-recurring income from the partial divestment of NNIT A/S of DKK 2,376 million and non-recurring proceeds in free cash fl ow 
of DKK 2,303 million. 3. The long-term fi nancial targets were updated in February 2016. Please refer to ‘2016 Outlook’ on p 8. 4. The net profi t impact from the partial divestment of 
NNIT A/S was returned to Novo Nordisk’s shareholders through a DKK 2.5 billion increase in the share repurchase programme announced in April 2015.

SALES BY GEOGRAPHIC REGION
SALES BY GEOGRAPHIC REGION
(cid:74) Japan & Korea
 Japan & Korea
(cid:74) Region China
 Region China
(cid:74) International Operations
 International Operations
(cid:74) Europe
 Europe
(cid:74) North America
 North America

DIABETES AND OBESITY CARE SALES
DIABETES AND OBESITY CARE SALES
(cid:74) Other diabetes and obesity care
 Other diabetes and obesity care
(cid:74) Victoza®
 Victoza®
(cid:74) New-generation insulin
 New-generation insulin
(cid:74) Modern insulins (insulin analogues)
 Modern insulins (insulin analogues)
(cid:74) Human insulins
 Human insulins

BIOPHARMACEUTICALS SALES
BIOPHARMACEUTICALS SALES
(cid:74) Other Biopharmaceuticals
 Other biopharmaceuticals
(cid:74) Norditropin®
 Norditropin®
(cid:74) Haemophilia
 Haemophilia

DKK billion
DKK billion

125
125

100
100

75
75

50
50

25
25

0
0

2011 2012 2013 2014 2015
2011 2012 2013 2014 2015

NOVO NORDISK ANNUAL REPORT 2015

DKK billion
DKK billion

100
100

80
80

60
60

40
40

20
20

0
0

2011 2012 2013 2014 2015
2011 2012 2013 2014 2015

DKK billion
DKK billion

25
25

20
20

15
15

10
10

5
5

0
0

2011 2012 2013 2014 2015
2011 2012 2013 2014 2015

NOVO NORDISK ANNUAL REPORT 2015 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACCOMPLISHMENTS AND RESULTS 2015
ACCOMPLISHMENTS AND RESULTS 2015

15
15

2011 

2012 

2013 

2014 

2015 

2014–2015

SOCIAL PERFORMANCE 
Least developed countries where Novo Nordisk sells 
insulin according to the differential pricing policy 
Donations (DKK million)5 
New patent families (fi rst fi lings) 

Employees (total)6 
Employee turnover 
Gender in Management (men/women) 

Relevant employees trained in business ethics 
Product recalls 
Failed inspections 
Company reputation (scale 0 –100) 

LONG-TERM SOCIAL TARGETS 
Patients reached with Novo Nordisk diabetes 
care products (estimate in million) 
Working the Novo Nordisk Way (scale 1– 5) 

ENVIRONMENTAL PERFORMANCE 
Energy consumption (1,000 GJ)  
Water consumption (1,000 m3) 

CO2 emissions from energy consumption (1,000 tons) 
Organic residues (tons) 
Waste (tons)  

LONG-TERM ENVIRONMENTAL TARGETS 
Energy consumption (vs prior year) 
Water consumption (vs prior year) 

SHARE PERFORMANCE 
Basic earnings per share/ADR in DKK1, 9 
Diluted earnings per share/ADR in DKK1, 9 
Total number of shares (million), 31 December  
Treasury shares (million), 31 December 
Share capital (DKK million) 
Net asset value per share in DKK1, 9 
Dividend per share in DKK9 
Total dividend (DKK million) 
Share repurchases (DKK million) 
Closing share price (DKK)9 

36 
81 
80 

35 
84 
65 

35 
83 
77 

32 
84 
93 

23 
97 
77 

32,632 
9.8% 
63%/37% 

34,731 
9.1% 
61%/39% 

38,436 
8.1% 
61%/39% 

41,450 
9.0% 
60%/40% 

41,122 
9.2% 
59%/41% 

99% 
5 
0 
N/A 

20.9 
4.3 

99% 
6 
1 
N/A 

22.8 
4.3 

97% 
6 
0 
82.97 

24.3 
4.4 

98% 
2 
0 
80.8 

24.4 
4.3 

98% 
2 
0 
82.4 

26.8 
4.3 

2,187 
2,136 

94 
71,685 
18,695 

2,433 
2,475 

122 
99,209 
19,213 

2,572 
2,685 

125 
110,228 
20,387 

2,556 
2,959 

120 
110,095 
30,720 

2,778 
3,131 

107 
124,049 
34,715 

(2%) 
4% 

11% 
16% 

6% 
8% 

(1%) 
10% 

9% 
6% 

6.05 
6.00 
2,900 
122 
580 
12.91 
2.80 
7,742 
10,839 
132.00 

7.82 
7.77 
2,800 
87 
560 
14.51 
3.60 
9,715 
12,162 
183.30 

9.40 
9.35 
2,750 
103 
550 
15.48 
4.50 
11,866 
13,989 
198.80 

10.10 
10.07 
2,650 
57 
530 
15.21 
5.00 
12,905 
14,728 
260.30 

13.56 
13.52 
2,600 
52 
520 
18.07 

6.4010 
16,23010 
17,229 
399.90 

Change

(28%)
15%
(17%)

(1%)

–
–

2015 targets

40 by 2020
4.0

Change
9%
6%

(11%)
13%
13%

2015 targets
Not to exceed 4%8
Not to exceed 4%8

Change
34%
34%
(2%)
(9%)
(2%)
19%
28%
26%
17%
54%

5. Donations to the World Diabetes Foundation and the Novo Nordisk Haemophilia Foundation, which are working to increase healthcare capacity in developing countries. 6. 2015 data 
exclude employees in NNIT A/S, which was divested in 2015 (approximately 2,400 employees in NNIT A/S in 2014; had these employees been included, the growth would have been 
5%). 7. Data for people with diabetes and employees are not included due to lack of availability. 8. The 4% equals half of the business growth measured as the increase in sales in local 
currencies as a three-year average. For detailed target defi nition, please refer to p 13. 9. Share performance-related key fi gures have been calculated refl ecting a trading unit of DKK 0.20. 
10. Proposed dividends for the year (not yet declared).

EMPLOYEES (TOTAL)
EMPLOYEES (TOTAL)
(cid:74) Japan & Korea
 Japan & Korea
(cid:74) Region China
 Region China
(cid:74) International Operations
 International Operations
(cid:74) Europe
 Europe
(cid:74) North America
 North America

Thousand
Thousand

50
50

40
40

30
30

20
20

10
10

0
0

2011 2012 2013 2014 2015
2011 2012 2013 2014 2015

SALES AND CO2 EMISSIONS 
SALES AND CO2 EMISSIONS 
(2004 = INDEX 100)
(2004 = INDEX 100)
 •  Index sales in DKK
 •  Index sales in DKK
 •  Index CO2 emissions
 •  Index CO2 emissions

NET CASH DISTRIBUTION 
NET CASH DISTRIBUTION 
TO SHAREHOLDERS
TO SHAREHOLDERS
(cid:74) Dividends
 Dividends
(cid:74) Share repurchases
 Share repurchases

Index
Index
400
400

320
320

240
240

160
160

80
80

0
0

2011 2012 2013 2014 2015
2011 2012 2013 2014 2015

DKK billion
DKK billion

50
50

40
40

30
30

20
20

10
10

0
0

2011 2012 2013 2014 2015
2011 2012 2013 2014 2015

NOVO NORDISK ANNUAL REPORT 2015

NOVO NORDISK ANNUAL REPORT 2015 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
16 OUR BUSINESS

OUR STRATEGY

The ingredients that make up Novo Nordisk’s corporate strategy are a sharp focus on four 
therapeutic areas, five core capabilities and a clear purpose, all anchored in a values-based 
management system.

Expand leadership  
in DIABETES

Establish presence  
in OBESITY

Pursue leadership  
in HAEMOPHILIA

Expand leadership in  
GROWTH DISORDERS

Engineering, 
formulating, 
developing 
and 
delivering 
protein-
based 
treatments

Deep 
disease 
under-
standing

Efficient 
large-scale 
production 
of proteins

Planning and 
executing 
global 
launches of 
new 
products 

Building and 
maintaining 
a leading 
position  
in emerging 
markets

Driving change  
to defeat diabetes 
and other serious 
chronic conditions

Novo Nordisk Way

Since it was founded in Denmark more than 
90 years ago, Novo Nordisk has been changing 
diabetes. This heritage has given the company 
experience and capabilities that also enable it 
to  help  people  defeat  other  serious  chronic 
conditions:  haemophilia,  growth  disorders 
and obesity. Today, Novo Nordisk is a leading 
company  within  diabetes,  haemophilia  and 

growth  disorders,  and  is  well  on  its  way  to 
building a presence within obesity. 

This  sharp  focus  on  a  few  selected  thera-
peutic areas is a key part of Novo Nordisk’s 
corporate  strategy.  Another  is  the  strong 
focus  on  the  constant  development  of  five 
core capabilities that Novo Nordisk has built 

up over the years and continues to leverage 
in all four therapeutic areas. The final ingre-
dient  of  the  strategy  is  the  values-based 
management  system,  the  Novo  Nordisk 
Way.  All  of  which  serves  the  pur pose  of 
driving change to defeat diabetes and other 
serious chronic conditions. Read more about 
the Novo Nordisk Way on p 18.

THE FOUR STRATEGIC PRIORITIES

1. EXPAND LEADERSHIP  
IN DIABETES

According to the International Diabetes Fed-
eration,  415  million  people  worldwide  are 
living with diabetes, and it is predicted that 
by 2040 more than 10% of the world’s adult 
population  –  642  million  people  worldwide 
– will have diabetes.1 

The global market for diabetes care products 
amounts  to  353  billion  Danish  kroner,  of 
which  Novo  Nordisk  products  account  for 
approximately 27%. The mar ket has grown 
by around 10% annually in the last decade, 
and all indications are that it will continue to 

grow as a result of the increasing number of 
people  with  diabetes  and  the  need  for 
better  treatments.  Of  this  global  market, 
insulin  accounts  for  56%,  oral  diabetes 
products (tablet-based medi cations) account 
for  37%  and  GLP-1  products  account  for 
7%, measured in value.

Diabetes  care  is  by  far  Novo  Nordisk’s 
largest business area, accounting for 79% 
of  the  company’s  total  sales.  In  2007,  the 
company decided to focus all its efforts in 
diabetes  care  on  protein-based  products, 
such as insulin and GLP-1. As a result, today 
Novo  Nordisk  is  the  leader  in  both  seg-
ments,  with  market  shares  of  40%  and 
75% respectively, measured in value. 

Novo Nordisk’s ambition is to further expand 
its  leadership  within  the  insulin  and  GLP-1 
segments.  Key  to  achieving  this  ambition 
are the new generation of insulin products, 
Tresiba®,  Xultophy®  and  Ryzodeg®,  and  the 
once-daily  GLP-1  analogue  Victoza®,  all  of 
which  have  been  or  will  be  launched  in 
such  as 
injection  devices, 
convenient 
FlexTouch®.  Significant  projects  in  the  re-
search  and  development  pipeline  include  a 
new  faster-acting  formulation  of  insulin 
aspart, a once-weekly injectable GLP-1 ana-
logue  semaglutide  and  a  once-daily  tablet 
version of semaglutide. 

NOVO NORDISK’S STRATEGYSTRATEGIC FOCUS AREASCORE CAPABILITIESPURPOSENOVO NORDISK ANNUAL REPORT 2015Innovative  biological  medicines  such  as 
these  are  Novo  Nordisk’s  key  contribution 
to  defeating  diabetes.  However, 
the 
company  is  well  aware  that  its  products 
only do part of the job: it takes more than 
medicine  to  change  diabetes.  That  is  why 
Novo Nordisk, with Changing Diabetes®, is 
engaged  in  other  activities  aimed  at  cre-
ating  awareness  of  type  2  diabetes  and 
promoting  healthy  lifestyles  and  societal 
changes  that  are  needed  to  curb  the 
alarming rise in new cases of the disease. A 
recent example is Cities Changing Diabetes, 
a global initiative to tackle diabetes in the 
world’s big cities. Read more about:

Novo Nordisk’s pipeline of 
products in development, p 20
GLP-1 products, p 26 
The challenge of fighting diabetes, p 22
Cities Changing Diabetes, p 30.

2. ESTABLISH A  
PRESENCE IN OBESITY

Obesity is known to be a major risk factor in 
developing  serious  diseases  such  as  type  2 
diabetes and, as such, is a natural therapeutic 
area for Novo Nordisk to enter. Obesity has 
reached  pandemic  proportions,  with  more 
than  600  million  adults  having  clinical 
obesity  (defined  as  having  a  Body  Mass 
Index  of  30  or  above).2  However,  currently 
there  are  few  pharmaceutical  treatment 
options  available  to  treat  obesity,  and 
reimbursement  for  these  medications  is 
limited.  The  global  pharmaceutical  market 
for  obesity  products  currently  amounts  to 
around 10 billion kroner.

In  2015,  Novo  Nordisk  entered  the  obesity 
market  with  Saxenda®  (liraglutide  3  mg), 
which was launched in the US in April and is 
now also available in Denmark and Canada. 
Novo Nordisk’s ambition is to build a long-
term  presence  in  the  obesity  market,  and 
Saxenda® is seen as the first of several steps 
towards  achieving  this.  Read  more  about 
Novo Nordisk’s obesity strategy on p 28.

3. PURSUE LEADERSHIP  
IN HAEMOPHILIA

Haemophilia  is  an  inherited  or  acquired 
bleeding  disorder  that  prevents  blood  from 
clotting.  An  estimated  420,000  people 
worldwide are living with severe or moderate 
haemophilia.3 The global haemophilia phar-
maceutical market has a value of around 75 
billion kroner and has grown by around 5% 
annually in recent years.5

Novo Nordisk entered the haemophilia market 
in 1996 with NovoSeven® for the treatment of 
people with haemophilia who form antibodies 
against traditional treat ments.

The  launch  of  NovoEight®  in  2014  was  a 
significant  milestone 
in  the  company’s 
ambition  to  move  from  this  niche  into  the 
main  haemophilia  A  market.  In  January 
2016,  Novo  Nordisk  filed  for  regulatory 
approval of long-acting factor IX in the EU 
for  the  treatment  of  haemophilia  B.  Fur-
thermore,  the  company  has  a  long-acting 
clotting  factor  in  phase  3  development  for 
haemophilia  A.  Novo  Nordisk’s  ambition  is 
to achieve a leadership position within both 
haemophilia  A  and  haemophilia  B.Read 
more about Novo Nordisk’s activities within 
haemophilia on p 32.

4. EXPAND LEADERSHIP  
IN GROWTH DISORDERS

Novo Nordisk has been active in the treatment 
of  growth  hormone  deficiency  for  almost 
four decades. The global market for growth 
disorder  treatments  is  estimated  to  be  16 
billion  kroner.  Novo  Nordisk’s  growth  hor-
mone,  Norditropin®,  is  the  global  market 
leader, with a market share of 35% measured 
by  value.  The  company’s  ambition  is  to 
expand its leadership in the growth hormone 
market. A key project in this respect is Novo 
Nordisk’s long-acting growth hormone pro d-
uct which is in phase 3 development. 

ENGINEERING, FORMULATING, 
DEVELOPING AND DELIVERING 
PROTEIN-BASED TREATMENTS

1920

Nordisk Insulinlaboratorium (1923) and 
Novo Terapeutisk Laboratorium (1925) 
founded.

1940

Nordisk develops isophane insulin (NPH),  
a neutral insulin with prolonged action.

1980

NovoPen® is launched – an injection 
system similar in appearance to a 
fountain pen.
Novo starts production of human 
insulin with the help of genetically 
engineered yeast cells.

Nordisk markets Norditropin® – genetically 
engineered human growth hormone.

1990

NovoSeven® is launched – for the 
treatment of haemophilia patients 
with inhibitor reaction.

NovoRapid® – the company’s first 
modern insulin – is marketed.

2000

Victoza® – a human GLP-1 analogue 
for once-daily treatment of type 2 
diabetes – is launched. 

2010

Tresiba® – the company’s first new- 
generation insulin – is launched.

OUR BUSINESS

17

FIVE CORE 
CAPABILITIES

Novo  Nordisk’s  core  capabilities  have  been 
developed and refined over many years. 

ENGINEERING, FORMULATING, 
DEVELOPING AND DELIVERING 
PROTEIN-BASED TREATMENTS    
Novo  Nordisk’s  researchers  are  among  the 
world’s  best  within  protein  engineering, 
formulation technology, expression and de-
livery, enabling the company to continuously 
improve 
therapeutic 
proteins such as insulin and GLP-1 and the 
injection  devices  needed.  Recently,  Novo 
Nordisk  has  built  new  capabilities  in  for-
mulating protein-based products into tablets.

the  properties  of 

DEEP DISEASE UNDERSTANDING    
Striving  for  decades  to  meet  the  medical 
needs  of  people  with  diabetes  has  given 
Novo Nordisk a deep understanding of what 
it is like to live with this condition. Together 
with strong relationships and collaborations 
with external researchers and clinicians, this 
understanding  provides  a  solid  foundation 
for  the  company’s  research,  development 
and marketing activities.

EFFICIENT LARGE-SCALE 
PRODUCTION OF PROTEINS    
A  high-quality,  cost-effective  global  manu-
facturing  infrastructure  is  a  prerequisite  for 
competing  successfully  in  an  increasing ly 
competitive  pharmaceutical  market.  Novo 
Nordisk  is  the  world’s  largest  producer  of 
insulin and has been developing its expertise 
in  the  production  of  protein-based  pharma-
ceuticals  since  1923.  Read  more  about  new 
investments in production on p 38.

PLANNING AND EXECUTING GLOBAL 
LAUNCHES OF NEW PRODUCTS
Due to the high and increasing costs associated 
with developing and launching new medicines, 
most  products  are  launched  globally  over  a 
relatively short period to ensure a reasonable 
time  before  patent  expiration.  Through  the 
global  launch  of  Victoza®,  Novo  Nordisk  has 
refined  this  capability,  which  is  now  being 
used for the launch of new products, such as 
Tresiba® and NovoEight®.

BUILDING AND MAINTAINING 
A LEADING POSITION 
IN EMERGING MARKETS
Many years of experience have helped Novo 
Nordisk understand the needs of emerging 
markets as their healthcare systems develop. 
The company’s strategy has always been to 
establish  a  local  organisation  early  and  to 
grow  organically  as  the  market  develops. 
This  has  enabled  Novo  Nordisk  to  build  a 
highly  skilled  sales  force,  long-term  rela-
tionships and a sustainable market presence 
in emerging markets.

NOVO NORDISK ANNUAL REPORT 201518

OUR BUSINESS

NOVO 
NORDISK 
WAY

Through its approach to business, 
Novo Nordisk aims to create shared 
value with its stakeholders.

Novo Nordisk’s values-based management system, the Novo Nordisk 
Way,  is  a  key  ingredient  in  the  company’s  corporate  strategy.  “It 
describes  who  we  are,  where  we  want  to  go  and  the  values  that 
characterise  our  company,”  explains  President  and  Chief  Executive 
Officer (CEO) Lars Rebien Sørensen. 

He argues that it is an effective means of 
governing a fast-growing global orga n i-
sation such as Novo Nordisk: “There’s no 
way  we  could  have  a  written  rule  for 
everything  we  do  in  this  company.  In 
many cases we have to rely on our people 
making  the  right  decisions,  and  this  is 
why  the  Novo  Nordisk  Way  is  so  im-
portant. It applies to and sets the direc-
tion for all employees at Novo Nordisk – 
no  matter  what  they  do  or  where  they 
work.  It’s  a  promise  we  make  to  each 
other and to our external stakeholders.”

Lars Rebien Sørensen mentions some of 
the ways the company ensures that the 
Novo  Nordisk  Way  becomes  part  of 
every employee, from traditional means 
such as employee induction programmes 
and  leadership  training  to  a  unique 
feature called ‘facilitations’. A group of 
senior  employees  have  been  appointed 
facilitators  and  they  travel  the  global 
organisation  to  interview  employees, 
managers  and  internal  stakeholders  of 
the  organisational  units  they  are  faci l-
itating,  while  also  looking  into  docu-
ments  and  local  business  practices. 
Ultimately,  this  forms  the  basis  for  an 
assessment of the degree to which each 
particular unit is operating in accordance 
with the Novo Nordisk Way. 

NOVO NORDISK ANNUAL REPORT 2015

In 1923, our Danish founders began a journey to change 
diabetes.  Today,  we  are  thousands  of  employees  across 
the world with the passion, the skills and the commitment 
to  continue  this  journey  to  prevent,  treat  and  ultimately 
cure diabetes.

•  Our ambition is to strengthen our leadership in diabetes.

•  We aspire to change possibilities in haemophilia and other 
serious chronic conditions where we can make a difference.

•  Our key contribution is to discover and develop 
innovative biological medicines and make them 
accessible to patients throughout the world.

•  Growing our business and delivering competitive 

financial results is what allows us to help patients live 
better lives, offer an attractive return to our 
shareholders and contribute to our communities.

•  We never compromise on quality and business ethics.

•  Our business philosophy is one of balancing financial, 

social and environmental considerations – we call it the 
Triple Bottom Line.

•  We are open and honest, ambitious and accountable, 

and treat everyone with respect.

•  We offer opportunities for our people to realise their 

potential.

Every day we must make difficult choices, always keeping 
in mind what is best for patients, our employees and our 
shareholders in the long run.

It’s the Novo Nordisk Way.

The  end  product  is  a  report  evaluating  the  unit’s  performance 
against the Novo Nordisk Way and an action plan agreed with local 
management for how to do even better. Just as the facilitators can 
identify  areas  for  improvement,  they  also  identify  best  practices 
which  can  be  shared  throughout  the  company.  Both  Executive 
Management and the Board of Directors regularly receive reports on 
how well the organisation is living up to the Novo Nordisk Way.

THE TRIPLE BOTTOM LINE
A key element of the Novo Nordisk Way is the Triple Bottom Line 
business principle, which was written into the company’s Articles of 

Association at the Annual General Meeting in 2004. It states 
that  Novo  Nordisk  ”strives  to  conduct  its  activities  in  a 
financially, environmentally and socially responsible way”.

The  Triple  Bottom  Line  business  principle  frames  Novo 
Nordisk’s long-term strategy to be a sustainable business. 
It obliges everyone in the company to always consider how 
decisions and actions may affect people, communities and 
the  environment.  The  aim  is  to  ensure  long-term  profit - 
a bility by reducing risks related to business activities and 
to  enhance  the  positive  contributions  to  society  from 
Novo Nordisk’s global operations.

Lars Rebien Sørensen underlines that the Triple Bottom 
Line  principle  is  about  maximising  the  value  of  the 
company in the long term. “Because,” as he said in a 
recent interview with Harvard Business Review, “in the 
long  term,  social  and  environmental  issues  become 
financial issues. There’s really no hocus pocus about 
this.  And  Novo  Nordisk  is  part-owned  by  a  Danish 
foundation that obliges us to maximise the value of 
the company for the long term.

“When we convert to renewable energy, we reduce 
costs. When we provide a safe workplace and chal-
lenges  for  each  individual,  employees  can  realise 

OUR BUSINESS

1919

their potential. When we provide affordable medicines in the world’s 
poorest countries, we strengthen our business and repu tation. And 
when we contribute to our communities, we earn stakeholder trust,” 
he adds.

CREATING SHARED VALUE
Lars Rebien Sørensen is a firm believer that Novo Nordisk’s long-term 
success depends on its ability to create both economic and societal 
development:  “If  we’re  not  seen  as  creating  value  for  the  local 
communities in which we have a presence and the countries in which 
we do business, we will not be successful in the long run.”

Contributions  to  communities  are  often  measured  in  economic 
terms,  such  as  job  creation  and  tax  payments.  Novo  Nordisk  pays 
taxes in all jurisdictions where the company is present. It has a policy 
to ‘pursue a competitive tax level in a responsible way’, reflecting a 
continued  focus  on  value  creation  without  compromising  business 
ethics. To manage uncertainties regarding tax payments, multi-year 
agreements, known as Advance Pricing Agreements, are negotiated 
in key jurisdictions and fully disclosed to tax authorities. 

But  there  are  more  ways  to  generate  value  beyond  commercial 
transactions. Often referred to as creating shared value, companies 
can earn returns in a sustainable way by developing solutions for the 
benefit of society. One example is in Kalundborg, Denmark, where 
Novo Nordisk’s largest production site is located. Here, the company 
works with local stakeholders to promote sustainable development 
in the municipality. Its aim is to ensure that Kalundborg will develop 
into  an  even  more  attractive  place  to  live  and  work,  and  a  place 
where businesses will flourish. 

Novo  Nordisk’s  initiatives  at  country  level  aim  to  create  value  for 
society on a larger scale, for example by building capabilities in the 
healthcare  system  and  improving  access  to  healthcare.  When 
successful,  this  strengthens  the  company’s  stakeholder  relations, 
reputation  and  ultimately  its  chances  of  business  success  in  that 
country. 

An  example  of  this  philosophy  in  action  can  be  seen  in  Algeria, 
one  of  Novo  Nordisk’s  fastest-growing  markets,  where  the  com-
pany has had a successful partnership with the Ministry of Health 
for many years. Outcomes from this partnership include a Changing 
Diabetes® mobile clinic, which improves the competences of local 
healthcare  professionals,  and  access  to  diabetes  screening  and 
care  for  underserved  populations,  and  the  Algerian  Changing 
Diabetes® Barometer, which measures progress in the fight against 
diabetes.

DRIVING CHANGE ON A GLOBAL SCALE
Novo  Nordisk  proactively  engages  in  dialogue  on  sustainable 
development  with  relevant  partners  worldwide.  Since  the  Rio+20 
Conference  in  2012,  the  company  has  participated  in  the  process 
leading  up  to  the  approval  of  the  United  Nations  Sustainable 
Development  Goals  (SDGs),  or,  as  they  are  often  referred  to,  the 
Global Goals for Sustainable Development. 

“The Global Goals are important for Novo Nordisk, not least because 
non-communicable  diseases 
including  diabetes  are  explicitly 
mentioned in the goal to provide ‘health and well-being for all, of all 
ages’,”  says  Lars  Rebien  Sørensen.  “The  Global  Goals  give  us  a 
platform from which we can engage local, national and international 
stakeholders in discussions on diabetes and sustainable development, 
but also on many other topics on our agenda.”

NOVO NORDISK ANNUAL REPORT 2015Phase 1

Phase 2

Phase 3

Filed/
regulatory 
approval

20 OUR BUSINESS

PIPELINE OVERVIEW

DIABETES AND OBESITY CARE

Compound

Indication

Description

          Diabetes

Xultophy®
NN9068

Type 2 
diabetes

A  combination  of  insulin  degludec  and  liraglutide  in  a  once- 
daily single injection. Approved in Europe.

Faster-acting 
insulin aspart
NN1218

Type 1 and 2 
diabetes

A  new  formulation  of  insulin  aspart  intended  to  accelerate 
onset  of  action,  with  the  potential  for  increased  flexibility  of 
dosing.

Semaglutide
NN9535

Type 2 
diabetes

A  once-weekly  GLP-1  analogue  intended  to  offer  the  clinical 
benefits of a GLP-1 analogue with less frequent injections to 
people with type 2 diabetes.

OG217SC
NN9924

OI338GT
NN1953

Type 2 
diabetes

A  long-acting  oral  GLP-1  analogue  intended  as  a  once-daily 
tablet treatment for people with type 2 diabetes.

Type 1 and 2 
diabetes

A  long-acting  basal  insulin  analogue  intended  to  offer  the 
clinical  benefits  of  a  basal  insulin  analogue  in  a  once-daily 
tablet.

Anti-IL-21 T1D
NN9828

Type 1  
diabetes

Intended as a beta-cell preservation treatment for people who 
are newly diagnosed with type 1 diabetes. 

Dual-agonist
NN9709

Type 2  
diabetes

A GLP-1/GIP dual-agonist intended as a once-daily treatment 
for people with type 2 diabetes.

LAI287
NN1436

Mealtime
NN1406

OI320GT
NN1957

PYY 1562
NN9748

Phase 1

Type 1 and 2 
diabetes

A long-acting basal insulin analogue intended for once-weekly 
dosing.

Type 1 and 2 
diabetes

Type 2 
diabetes

Type 2 
diabetes

A liver-preferential mealtime insulin analogue.

A long-acting basal insulin in an oral formulation intended as a 
once-daily tablet treatment.

An  appetite-regulating  hormone,  peptide  tyrosine,  for  the 
treatment of diabetes.

Phase 2

Studies in a small group (usually 10–100) of healthy volunteers, and sometimes 
patients, to investigate how the body handles, distributes and eliminates new 
medication and establish the maximum tolerated dose.

Studies of various dose levels in a larger group of patients (usually 100–1,000) 
to learn about the new medication’s effect on the condition and its side effects. 
In  phase  2,  clinical  trials  are  carried  out  to  evaluate  efficacy  (and  safety)  in 
specified populations of patients. The outcome of phase 2 trials is clinical proof 
of concept and the selection of dose for evaluation in phase 3 trials.

Phase 3

Studies in large groups of patients (usually 1,000–3,000) comparing a new 
medication  with  a  commonly  used  drug  or  placebo  for  both  safety  and 
efficacy.  Phase  3a  covers  trials  conducted  after  efficacy  is  demonstrated 
and prior to regulatory submission. Phase 3b covers clinical trials completed 
during  and  after  regulatory  submission.  In  small  therapeutic  areas  such  as 
haemophilia,  regulatory  guidelines  may  allow  the  design  of  single-arm 
therapeutic  confirmatory  trials  or  trials  that  compare  against  historical 
control, for example, instead of existing treatment or placebo.

Filed/regulatory approval

The  phase  in  which  a  product  undergoes  regulatory  authority  review. 
Products listed under this phase are currently under regulatory review in at 
least one of the triad markets: the US, the EU and Japan.

NOVO NORDISK ANNUAL REPORT 2015OUR BUSINESS

21

Compound

Indication

Description

Phase 1

Phase 2

Phase 3

Filed/
regulatory 
approval

          Obesity

Semaglutide
NN9536

AM833
NN9838

G530L
NN9030

PYY 1562
NN9747

Obesity

Obesity

Obesity

Obesity

A long-acting GLP-1 analogue intended as a once-daily treat-
ment for obesity.

A novel amylin analogue intended as a once-weekly treatment 
for obesity.

A  novel  glucagon  analogue  which,  in  combination  with  lira-
glutide, is intended for the treatment of obesity.

An  appetite-regulating  hormone,  peptide  tyrosine,  which, 
alone or in combination with semaglutide, is intended for the 
treatment of obesity.

BIOPHARMACEUTICALS

          Haemophilia

N9-GP
NN7999

N8-GP
NN7088

Haemophilia B A glycopegylated long-acting recombinant coagulation factor IX 

intended to offer prophylaxis and treatment of bleeds.

Haemophilia A A  glycopegylated  long-acting  recombinant  coagulation  factor 

VIII intended to offer prophylaxis and treatment of bleeds.

Concizumab
NN7415

Haemophilia 
A and B 

A monoclonal antibody against Tissue Factor Pathway Inhibitor 
(TFPI)  intended  for  bleeding  prevention  after  subcutaneous 
administration.

          Growth disorders

Somapacitan
NN8640

Growth 
disorders

A long-acting human growth hormone intended to offer once-
weekly injections.

Read more at novonordisk.com/investors and clinicaltrials.gov.

2016 KEY MILESTONES 

Tresiba®

Victoza®

SWITCH and DEVOTE results

LEADER results

Semaglutide

Phase 3a completion

Oral semaglutide

Phase 3a initiation

Xultophy®

Faster-acting insulin aspart

Expected feedback from regulatory
filing in the US

Expected feedback from regulatory
filing in the US

N9-GP

Regulatory filing in the US

NOVO NORDISK ANNUAL REPORT 2015193 MILLION PEOPLE DO NOT 
KNOW THEY HAVE DIABETES

ARE YOU 
ONE OF 
THEM?

Early diagnosis and optimal control of blood 
sugar are key to avoiding long-term 
complications from diabetes.

The  International  Diabetes  Federation  (IDF) 
estimates  that,  of  the  415  million  people  in 
the  world  living  with  diabetes,  almost  half 
have  not  been  diagnosed.1  This  means  that 
approximately  193  million  people  are  going 
about  their  everyday  lives  not  realising  the 
damage  that  is  being  done  to  their  bodies: 
the longer it takes to diagnose diabetes, the 
more likely it is that complications will have 
arisen  –  including  damage  to  the  eyes, 
kidneys,  nerves  and  heart.  Furthermore, 
people  with  undiagnosed  diabetes  are  at 
significantly higher risk of stroke and car dio-
vascular disease. 

Alarmingly,  the  UK  Prospective  Diabetes 
Study  (UKPDS)  found  that  complications 
were already present in up to 50% of people 
at  the  time  of  diabetes  diagnosis.6  With 
almost  642  million  people  estimated  to  be 
living with diabetes by 20401, the number of 
people who remain undiagnosed is a major 
cause for concern. 

“Traditionally,  people  only  go  to  the  doctor 
when  they  have  a  problem  –  which  means 
that  by  the  time  they’re  diagnosed  with 
diabetes  a  lot  of  damage  has  already  been 
done,  as  someone  can  have  diabetes  for  a 
long  time  before  they  experience  any 
symptoms  from  complications,”  explains 
Professor  Stephen  Gough,  senior  principal 
clinical scientist at Novo Nordisk and former 
head of department at the Oxford Centre for 
Diabetes  Endocrinology  &  Metabolism 
(OCDEM). “If we are to reduce the burden of 
diabetes, we must diagnose people earlier – 
timing is crucial.”

RISK-BASED SCREENING
The diabetes ’Rule of Halves’ illustrates that 
only half of the many millions of people with 
diabetes have been diagnosed (see graphic). 
The  first  –  and  perhaps  the  most  crucial  – 
step  to  breaking  this  rule  is  therefore  to 
ensure  that  people  with  diabetes  are  diag-
nosed earlier. 

President  of  the  IDF,  Dr  Shaukat  Sadikot, 
stresses  how  important  it  is  that  diagnosis 
rates are increased: “Wider screening would 
enable us to catch diabetes at an earlier stage 
of  progression  when  it’s  easier  to  manage 
and treat well with less intensive therapy. But 
unfortunately  the  reality  is  that  universal 
screening  is  not  possible,  because  of  popu-
lation sizes and the costs involved.” 

However, there are a number of well-known 
risk factors associated with developing type 2 
diabetes (see box), and screening only those 
people who have one or more of these risk 
factors would, in many countries, be a man-
ageable task.

“Screening people who are at higher risk of 
having  diabetes,  before  they  exhibit  any 
symptoms,  would  have  a  major  impact  on 

THE ‘RULE  
OF HALVES’

ACCORDING  TO  THE  RULE  OF  HALVES7,  ONLY  AROUND 
6%  OF  PEOPLE  WITH  DIABETES  LIVE  A  LIFE  FREE  FROM 
DIABETES-RELATED COMPLICATIONS.*

Of the estimated 
415 million people 
with diabetes…

about 50% are 
diagnosed*…

of whom about 
50% receive 
care*…

of whom about 
50% achieve 
treatment 
targets**…

of whom about 6% 
live a life free from 
diabetes-related 
complications.

Diabetes
100%

Diagnosed
50%

Receive care
25%

Achieve 
treatment 
targets
12.5%

Achieve 
desired 
outcomes
≈ 6%

* Actual rates of diagnosis, treatment, targets and outcomes vary in different countries. ** That is, recommended glucose levels. 

health  outcomes,”  points  out  Dr  Sadikot. 
“Not only would we be able to catch people 
at  an  early  stage  of  diabetes  who  would 
respond  well  to  routine  management,  we 
would also be able to help people who are 
borderline for diabetes – who have impaired 
glucose  tolerance,  for  example  –  and  help 
them to delay the onset of diabetes through 
lifestyle changes.”

With  Changing  Diabetes®  (see  box),  Novo 
Nordisk  is  promoting  earlier  diagnosis  of 
diabetes  through  risk-based  screening  pro-
grammes,  so  that  the  risk  of  diabetes  com-
plications  is  reduced  and  people  with  dia-
betes are able to live their lives with as few 
limitations as possible.

OPTIMAL CARE
However,  even  when  diagnosed  with 
diabetes,  the  Rule  of  Halves  highlights  that 
only about 12.5% of people receive the ap-
propriate therapy to achieve their treatment 
targets.  This  means  that  very  few  can  live 
their lives free from complications.

Professor  Stephen  Gough  explains  that  the 
problem  is  that  people  with  diabetes  are 
often prescribed the simplest treatment, or a 
treatment  that  is  not  intensive  enough  to 
enable the optimal target to be reached for 
the disease stage. “The next step in treatment 
is  then  not  taken  until  blood  glucose  levels 
increase to an unacceptable level,” he says.

“In  an  ideal  world,  optimal  control  of 
diabetes  is  keeping  blood  glucose,  lipid 
profiles  and  blood  pressure  the  same  as  in 
someone  without  diabetes.  This  requires 
that  treatment  is  initiated  earlier  and  op-

timised  continuously.  Many  people,  how-
ever,  may  stop  taking  their  medicine, 
because  such  tight  control  can  lead  to  an 
increase 
in  hypoglycaemic  attacks  and 
weight gain,” he continues. “This is where 
the  new  advanced  and  better-tolerated 
treatments  come  in.  They  have  been  de-
signed  to  minimise  some  of  the  unwanted 
effects of optimal control and are therefore 
easier  for  people  to  use  to  reach  and 
maintain their targets.”

THE BURDEN OF DIABETES
The diabetes pandemic is a severe burden on 
people  and  society.  According  to  the  IDF, 
diabetes was a factor in 5 million deaths and 
accounted for 673 billion US dollars in health 
expenditure, or 11.6% of the total healthcare 
spend worldwide, in 2015.1 Added to this is 
the  impact  of  reduced  employment  and 
productivity, which together put a significant 
economic  burden  on  people  living  with 
diabetes, their families and society. Evidence 
shows  that  early  detection,  even  before 
symptoms are evident, and optimal control of 
diabetes  lead  to  fewer  and  less  serious 
complications, and increased life expectancy. 

Studies  supporting  the  cost-effectiveness  of 
screening  and  optimising  treatment  have 
proven  that,  while  short-term  costs  of 
treatment  and  management  may  increase, 
long-term  costs  for  healthcare  systems  will 
substantially  decrease.9,10,11  Furthermore,  evi-
dence  suggests  that,  in  the  long  term,  the 
society  gain  will  be  three  times  the  initial 
investment  costs  of  optimising  treatment.12 
Enhanced  treatment  is  therefore  not  only 
cost-effective;  it  may  also  be  cost-saving  – 
and, ultimately, life-saving.

23

RISK FACTORS FOR 
TYPE 2 DIABETES8
Risk factors for type 2 diabetes 
include:
•  Family history of diabetes
•  Overweight
•  Unhealthy diet
•  Physical inactivity
•  Increasing age
•  High blood pressure
•  Ethnicity
•  Impaired glucose tolerance
•  History of gestational diabetes
•  Poor nutrition during pregnancy.

CHANGING DIABETES®
Changing  Diabetes®  is  Novo  Nordisk’s 
response  to  the  global  diabetes  chal-
lenge. The company’s key contribution 
is  to  discover  and  develop  better  bio-
logical  medicines,  but  more  is  needed 
to help people defeat diabetes – to live 
a life with as few limitations as possible. 
Changing Diabetes® addresses the big-
gest unmet needs and focuses on three 
priorities:  more  people  with  diabetes 
must be diagnosed earlier, more people 
with  diabetes  must  achieve  optimal 
control,  and  diabetes  must  be  on  the 
agenda of those managing cities, where 
two out of three people with diabetes 
live today. Read more on p 30. For more 
information,  visit  novonordisk.com/
about-novo -nordisk /changing-
diabetes.

POTENTIAL 
COMPLICATIONS OF 
UNCONTROLLED DIABETES

STROKE
Strokes are up to 
four times as likely

BLINDNESS
Diabetes is a leading 
cause of blindness

HEART ATTACK
Heart attack is three times 
as likely and heart disease 
is up to four times as likely

KIDNEY FAILURE
Total kidney failure 
is three times as likely

AMPUTATION
Diabetes is a leading 
cause of non-traumatic 
lower-limb amputations

FUTURE 
DIABETES 
MEDICINES

WHAT’S NEXT FROM NOVO NORDISK’S LABS?

“At Novo Nordisk, it’s our fundamental belief that the 

future of diabetes treatment is not simply ‘more of the 

same’ – it’s something new, innovative and exciting.” 

PETER KURTZHALS
HEAD OF GLOBAL RESEARCH

shared  his  views  and  wishes  with  Novo 
Nordisk  researchers.  “I  think  it’s  incredibly 
beneficial  for  people  with  diabetes  to  be 
engaged  with  pharmaceutical  companies, 
so  that  treatments  address  not  just  the 
physical  burden,  but  also  the  psychosocial 
burden  of  this  disease.  I  believe  there  are 
many exciting medicines on the horizon, but 
it’s important they hone in on the accuracy 
of treatment so that the anxiety of regulating 
blood sugar levels is eliminated,” he says. “I 
want to be able to compete in a swim meet 
and not worry about my blood sugar.” 

Within  the  field  of  insulin  therapy,  Novo 
Nordisk is developing a faster-acting insulin 
and once-weekly long-acting insulins, with 
the  aim  of  meeting  the  needs  of  people 
living with diabetes. 

Although a once-weekly injection of insulin 
will  appeal  to  many  people  with  diabetes, 
some  may  still  prefer  to  forego  injections 
entirely – which is why Novo Nordisk started 
working  on  the  development  of  insulin  in 
tablet form a few years ago. But this is no 
easy task, as Peter Kurtzhals explains: “Oral 
insulin, as we call it, is a huge challenge, as 
we have to figure out a way to protect the 
insulin  molecule  so  that  it  isn’t  digested  in 
the gut, then find a way for this large protein 
molecule  to  pass  into  the  blood  stream  in 
the correct quantities and for it to remain in 
the blood for the right amount of time. But 
we  have  high  aspirations  and  are  excited 
about having brought an oral insulin com-
pound into phase 2 development.” 

To  further  its  knowledge  and  expertise  in  
the  field  of  protein  delivery  devices,  Novo 
Nordisk  recently  announced  a  three-year 
research  collaboration  with  the  Langer 
Laboratory  at  Massachusetts  Institute  of 
Technology, which Peter Kurtzhals has great 
hopes for: “Professor Robert Langer and his 
team  have  a  phenomenal  track  record  of 
being  innovative  at  the  interface  of  bio-
pharmaceuticals  and  technology.  They  are 
world-leading  experts 
in  creating  new 
approaches  for  delivering  peptides  and 
proteins across complex barriers in the body, 
such  as  the  intestine.  This  collaboration 
highlights our commitment to oral treatment 
options,  and  we’re  already  researching  the 
next  generation  of  oral  insulin.”  This  part-
nership is yet another example of a research 

Researchers at Novo Nordisk 
are working on new protein-
based medicines which hold 
great promise for diabetes 
treatment.

Treatment options for diabetes have come a 
long way since insulin was first used in 1922, 
but  the  ultimate  goal  of  conveniently 
achieving  normal  blood  glucose  levels  – 
with, for example, no risk of hypoglycaemia 
or weight gain – has still not been reached. 

“The  reality  is  that  we’re  not  there  yet  – 
there  are  still  challenges  to  overcome  with 
current  diabetes  therapy,”  explains  Peter 
Kurtzhals, senior vice president and head of 
Global  Research  at  Novo  Nordisk.  “This  is 
why  we  have  hundreds  of  world-class 
scientists, based in our cutting-edge research 
facilities  in  Denmark,  the  US  and  China, 
doing  what  we  do  best:  finding  new  and 
better  protein-based  therapeutics.  This  is  a 
very  exciting  time  as  we  have  so  many 
promising leads for new innovative diabetes 
medicines.”

INSULIN: THE ULTIMATE TREATMENT
While insulin remains the ultimate therapy13 
for many people with diabetes today, much 
more  can  be  done  to  improve  insulin 
treatment with regard to both efficacy and 
convenience – and who knows better than 
people  with  diabetes?  Tanner  Barton,  an 
American  student-athlete  who  has  type  1 
diabetes, was part of a Novo Nordisk patient 
workshop  in  Seattle  in  2015,  where  he 

OUR BUSINESS

25

collaboration agreement with a high-profile 
academic institution that Novo Nordisk has 
recently entered into; other examples include 
Oxford University and the Karolinska Institute 
in  Stockholm,  where  several  joint  post-doc 
programmes  are  now  in  place.  “Colla bor-
ations between academia and industry will 
be  increasingly  important  to  translate  new 
discoveries  into  medicines  for  people  with 
diabetes,” says Peter Kurtzhals.

THE POTENTIAL OF GLP-1
Novo Nordisk is also continuing its research 
into GLP-1 (glucagon-like peptide-1), a class 
of medicine which has substantial innovation 
potential  (see  p  26).  The  company  has  a 
once-weekly  GLP-1  analogue  semaglutide 
in phase 3 and will soon take its once-daily 
oral GLP-1 into phase 3 development. More-
over, it is researching next-generation GLP-1 
products as well as new combinations with 
insulin to improve treatment outcomes.

To further expand the company’s portfolio 
of  projects,  Novo  Nordisk  recently  an-
nounced  its  acquisition  of  a  research  port-
folio from two biotech companies based in 
the  US.  “These  companies  are  a  great 
addition to our competences, particu larly in 
protein chemistry, and will further strength-
en our pipeline, not least within GLP-1 and 
insulin research,” Peter Kurtzhals says.

FINDING A CURE
No  matter  the  advances  in  diabetes  treat-
ment  options,  the  biggest  wish  for  people 
with diabetes is still for a cure to be found. 
“Because  I’m  such  a  passionate  type  1 
diabetes advocate, I’ve participated in some 
amazing outreach opportunities, but don’t 
get me wrong – I absolutely want a cure!” 
emphasises Tanner Barton. “And I think the 
potential for finding a cure in my lifetime is 
within reach, if the great minds in this world 
come together and work as one.” 

Novo Nordisk is committed to finding a cure, 
and the company is continuing its stem cell 
research in this area. “We’re getting closer 
than ever to this goal, but we don’t want to 
raise expectations. It’s an extremely difficult 
task  and  we’re  investing  for  the  very  long 
term,” stresses Peter Kurtzhals.

A  powerful  intervention,  although  not  a 
cure  per  se,  is  also  being  investigated  by 
Novo  Nordisk  in  the  form  of  a  compound 
that may conserve beta cell function – and 
thereby  prevent  the  progression  of  type  1 
diabetes. 

“At  Novo  Nordisk,  it’s  our  fundamental 
belief that the future of diabetes treatment 
is  not  simply  ‘more  of  the  same’  –  it’s 
something  new,  innovative  and  exciting. 
We stand by our aspiration and belief that 
we can continue doing better than what’s 
on offer now. With each step, we’re getting 
closer to the summit and to helping people 
with  diabetes  live  a  life  with  as  few 
limitations  as  possible,”  Peter  Kurtzhals 
concludes.

NOVO NORDISK ANNUAL REPORT 2015

GLP-1

SMALL PROTEIN, BIG POTENTIAL

Glucagon-like  peptide-1  (GLP-1)  analogues  are  a  relatively  new 
therapy for diabetes – but Novo Nordisk has been researching them 
for  almost  a  quarter  of  a  century.  “GLP-1  is  an  extremely  exciting 
peptide,”  Executive  Vice  President  and  Chief  Science  Officer  Mads 
Krogsgaard  Thomsen  explains.  (Peptide  is  the  scientific  term  for  a 
small protein.) “We’ve known about its significant role in metabolism 
for some time, but only recently have we come to understand some 
other  roles  it  plays  in  the  human  body.  This  is  opening  up  new 
avenues of research for us.” 

Today, Novo Nordisk is the market leader in the GLP-1 segment for 
the treatment of type 2 diabetes. Its compound is liraglutide, a GLP-1 
analogue marketed under the brand name Victoza® and delivered as 
a  daily  injection.  In  2015,  the  company  launched  a  higher-dose 
version  of  liraglutide  under  the  brand  name  Saxenda®  for  the 
treatment  of  obesity.  But  what  excites  Mads  Krogsgaard  Thomsen 
most is the pipeline of potential GLP-1 analogue therapies that his 
people are working on and which are aimed at diabetes and obesity 
as well as other indications.

A POWERFUL LITTLE PROTEIN
Lotte Bjerre Knudsen, scientific vice president within Global Research, 
has been a driving force in Novo Nordisk’s GLP-1 research since the 
company first became interested in this peptide. “What makes GLP-1 
so powerful is that it does several things at the same time – including 

lowering  blood  glucose  levels  with  little  risk  of  hypoglycaemia  and 
reducing appetite, which may lead to weight loss,” she says. 

However,  the  hormone  in  its  natural  state  is  not  a  suitable  drug 
candidate. “GLP-1 has a half-life of less than two minutes in the blood 
and therefore can’t be used as a medical therapy in its natural form, so 
we  needed  to  use  our  protein  engineering  expertise  to  create  a 
modified version – an analogue – that will work for 24 hours. We’ve 
achieved  this  by  attaching  a  natural  fatty  acid  to  the  GLP-1  peptide 
that  inhibits  the  elimination  of  GLP-1.  The  molecule  was  named 
liraglutide.  We  first  synthesised  it  in  1997  and  were  all  very  proud 
when it entered clinical trials,” explains Lotte Bjerre Knudsen.

PIONEERING THERAPY
Liraglutide,  which  is  97%  similar  to  the  naturally  occurring  human 
GLP-1,  went  on  to  be  launched  in  2009  for  people  with  type  2 
diabetes and was the first once-daily GLP-1 treatment on the market. 
“I didn’t think of the potential market when we began working on 
GLP-1; I just knew this molecule had a very interesting biology and I 
was focused on doing what we do best, to make it a useful compound 
for people with diabetes,” Lotte Bjerre Knudsen says. 

Today,  over  1  million  people  with  type  2  diabetes  globally  use 
Victoza®.  And  in  2015,  Saxenda®  was  launched  in  the  US,  Canada 
and Denmark for the treatment of obesity.   

27
27

HOW GLP-1 WORKS

Glucagon-like peptide-1 (GLP-1) is produced by the gut and the brain in response to eating. GLP-1 interacts with 
the pancreas to increase the amount of insulin in the body. It stimulates insulin secretion in the beta cells in the 
pancreas and reduces glucagon in the alpha cells. It does so in a glucose-dependent manner, which helps lower 
fasting and postprandial blood glucose. At the same time, GLP-1 increases feelings of satiety and reduces feelings 
of hunger – leading to a reduction in food intake.

counterpart. Oral semaglutide may therefore have the power of GLP-1 
combined with the convenience of a tablet.” 

NEW AVENUE OF RESEARCH
The  potential  of  GLP-1  analogues  for  the  treatment  of  conditions 
other  than  diabetes  and  obesity  is  also  being  investigated.  Novo 
Nordisk  plans  to  initiate  a  phase  2  clinical  programme  in  2016  to 
investigate  semaglutide  for  the  treatment  of  non-alcoholic  steato-
hepatitis (NASH).

A  common  liver  disease  with  no  approved  treatments  currently, 
NASH may progress to cirrhosis, hepatocellular carcinoma and liver 
failure.  NASH  is  currently  the  third  most  common  cause  for  liver 
transplantation  and  is  projected  to  be  the  leading  cause  for  liver 
transplantation  in  2020.14  “The  liver  handles  both  glucose  and  fat 
metabolism.  GLP-1  therapy  therefore  appears  to  be  an  attractive 
approach to treating this type of fatty liver disease because of its dual 
effect  on  blood  glucose  control  and  weight  loss,”  says  Mads 
Krogsgaard Thomsen. 

“Today, we know that GLP-1 plays a key role in many of the biological 
processes in our body,” he adds. “I truly believe 
that  we  have  so  much  more  to  understand, 

discover and develop in this area.”

EVEN GREATER POTENTIAL
In the more than six years since Victoza® entered the market, Novo 
Nordisk  has  continued  to  study  the  GLP-1  molecule  and  has  sub-
sequently  created  semaglutide  –  another  GLP-1  analogue  that  has 
shown great potential in phase 2 and 3 clinical trials. 

The  company’s  ever-growing  expertise  in  protein  engineering  has 
enabled researchers to modify the fatty acid attached to the GLP-1 
molecule,  with  the  result  that  semaglutide  remains  in  the  blood 
plasma longer than liraglutide. This means that semaglutide can be 
taken once a week compared with the once-daily administration of 
liraglutide. 

“I  believe  that  once-weekly  semaglutide  has  great  potential  as  a 
treatment  for  type  2  diabetes,”  says  Mads  Krogsgaard  Thomsen. 
“The  results  from  phase  2  as  well  as  four  phase  3a  clinical  trials 
underscore how powerful this molecule might be.” Semaglutide is 
currently completing phase 3a trials for type 2 diabetes and under-
going phase 2 trials for obesity.

NEXT-GENERATION GLP-1
The development of semaglutide has also, for the first time, provided 
the opportunity for Novo Nordisk to develop a GLP-1 analogue that 
can be taken as a tablet. “When we first began working on GLP-1 
analogues,  people  joked  about  creating  a  tablet  version,  as  it  was 
deemed  impossible,”  explains  Lotte  Bjerre  Knudsen.  “One  of  the 
problems is that the uptake of a protein molecule is greatly reduced 
when it’s taken orally – which is a huge problem because you’ll need 
to  administer  a  much  larger  amount,  and  there’ll  be  too  big  a 
variability in how it works from day to day in the individual patient. 
But because semaglutide is a stable molecule, we’ve been able to get 
it to work in a tablet.”

Once-daily  oral  semaglutide  for  type  2  diabetes  will  enter 
phase 3 clinical development in February 
2016.  Mads  Krogsgaard  Thomsen 
says:  “Our  phase  2  data  were  
re ally exciting, with oral sema-
glutide  efficacy  data 
matching its injectable 

OBESITY CARE 
BUILDING THE MARKET 
FROM SCRATCH

How do you market a treatment for a disease that many 
doctors do not even acknowledge? That is the challenge 
facing Novo Nordisk following the launch of Saxenda®, 
the company’s therapy for chronic weight management.

For those living with obesity, stigmatisation is 
a painful reality of day-to-day life. It is an ugly 
societal trope that begins with the bullies in 
the  school  playground,  and  ends  with  an 
unsympathetic  doctor  refusing  to  prescribe 
anything other than “eat less, exercise more”.  

It is also the main hurdle Novo Nordisk must 
overcome if the company is to make a success 
of Saxenda® (liraglutide 3 mg), its first foray 
into  the  obesity  pharmacotherapy  space. 
Although the product was recently launched 
in  the  US,  where  around  35%  of  the 
population  has  obesity,15  it  is  by  no  means 
expected to become an overnight success.

“Yes,  Saxenda®  has  huge  potential,  but  it’s 
certainly  not  going  to  be  an  instant  block-
buster,”  explains  Jakob  Riis,  executive  vice 
president  of  China,  Pacific  &  Marketing. 
“One day, hopefully, but the horizon is much 
longer than it is when we’re taking a product 
into an established market where prescription 
habits are already there.

“You have to remember that many people – 
including some doctors and healthcare pro-
fessionals – simply don’t accept that obesity 
is  a  disease.  Until  we  can  convince  them 
otherwise,  we’ll  struggle  to  make  Saxenda® 
live up to its full potential.”

That  is  why  Novo  Nordisk  has  taken  a  very 
focused  approach  when  bringing  Saxenda® 
to  the  market,  as  Jakob  Riis  explains:  “Our 
focus is solely on people with a BMI of 35 or 
more,  as  they  often  need  to  lose  weight 
quickly.” 

TEN-YEAR PLAN
Novo  Nordisk  has  a  10-year  ambition  that 
starts  by  educating  doctors  and  payers 
about  the  scientifically  proven  benefits  of 
Saxenda®,  and  culminates  in  Novo  Nordisk 

Michael Battaglia 
lives in the US and 
works as a contractor. 
Michael’s BMI is 35. 

establishing  a  leading  position  within  the 
treatment of obesity. 

scribers and payers that this product actually 
does what we say it does.”

“Our  first  aim  is  to  make  sure  obesity  is 
widely recognised as a chronic disease and 
that even a moderate weight loss of 5–10% 
could  have  an  impact  on  weight-related 
comorbidities,” Jakob Riis explains.

Novo  Nordisk’s  ambition  is  to  develop  a 
leading obesity portfolio and pipeline that in 
10  years’  time  will  include  several  phase  3 
programmes  –  with  at  least  one  promising 
even greater weight loss efficacy.

One  man  who  knows  all  about  patient 
needs  is  Joe  Nadglowski,  chief  executive 
officer of the Obesity Action Coalition (OAC) 
–  a  50,000  member-strong  patient  orga n i-
sation dedicated to giving a voice to those 
living  with  obesity  across  the  US.  For  him, 
Novo  Nordisk  is  already  making  a  big 
difference – and he is proud to call the com-
pany a partner in his organisation’s fight to 
help  improve  the  lives  of  the  78.6  million 
adult Americans affected by the disease.15

“These  are  fairly  daunting  tasks  and,  of 
course, we’ll have to fine-tune our strategy 
as we go along,” he admits. “However, we 
think this ambition – set out over a 10-year 
horizon – strikes the right balance between 
being ambitious and being achievable.”

It  is  a  plan  that  has  already  been  put  into 
action  in  the  US,  where  Saxenda®  was 
launched in April 2015. Thanks to the efforts 
of Novo Nordisk’s field sales force, who have 
been  on  the  road  educating  potential 
prescribers  about  the  product’s  safety  and 
efficacy  profile  since  day  one,  Saxenda®  is 
starting  to  reach  those  who  need  it  the 
most.

“Novo Nordisk is laying the groundwork to 
be  seen  as  industry  leader  in  the  obesity 
space for many years to come,” he says. “In 
the US, patients are looking for new options 
to treat obesity, so to now have weight-loss 
medications  approved  and  available  is  a 
huge boon for those living with the disease.

“But more importantly, Novo Nordisk recog-
nises  the  fact  that  not  every  therapy  will 
work  for  every  patient,  and  is  therefore 
investing in a whole pipeline of future obe-
sity treatments. Couple this with a genuine 
desire  to  engage  with  and  listen  to  the 
patient  community,  and  it’s  a  recipe  for 
lasting success.”

PATIENTS BEFORE PROFITS
Although Saxenda® may not be generating 
huge amounts of revenue for the company 
just yet, Jakob Riis is clear that – initially, at 
least  –  success  will  not  be  measured  in 
dollars and cents.

THE BEGINNING OF THE BEGINNING
So  what  is  next  on  the  obesity  agenda? 
According  to  Executive  Vice  President  and 
Chief  Science  Officer  Mads  Krogsgaard 
Thomsen, Saxenda® is just the beginning of 
an exciting new chapter for Novo Nordisk. 

“In  the  short  term,  we’ll  be  measuring 
success  more  in  terms  of  the  benefits  it 
provides  to  patients  –  are  they  happy  with 
the  level  of  weight  loss?  We’ll  also  be 
seeking  acknowledgement  from  both  pre-

“With Saxenda®, we can help people under-
stand that obesity is a disease often requiring 
medical intervention and gradually build the 
market,” he says. “My hope is then that our 
Seattle research site, together with our strong 

29

academic  network,  will  be  able  to  pick  up 
new  targets  and  begin  creating  new  bio l-
ogics  which  can  make  an  even  bigger  dif- 
fe rence in terms of both physical health and 
quality of life for people with obesity.” 

One molecule already showing great poten-
tial is semaglutide (see p 26). Like lira glutide, 
it  is  a  long-acting  glucagon-like  peptide-1 
(GLP-1)  analogue,  but  recent  phase  3  study 
results  suggest  it  may  be  significantly  more 
effective for the treatment of obesity.

According  to  Mads  Krogsgaard  Thomsen, 
the most impressive results may ultimately be 
derived from combination therapies – an area 
he  describes  as  ’the  playground’  of  Novo 
Nordisk R&D.

“Ten years down the road we have some very 
strong ambitions for new obesity medicines 
–  specifically,  combination  therapies  that 
work synergistically,” he adds.

A glance at the pipeline gives a hint of what 
is in store. Aside from semaglutide, there are 
already  three  promising  new  candidates  in 
development  at  Novo  Nordisk  for  the  treat-
ment of obesity: NN9030, a novel glucagon 
analogue designed to be used in combination 
with liraglutide, NN9838, a novel long-acting 
amylin analogue, and NN9747, a novel long-
acting  PYY  analogue  (PYY  is  a  human 
peptide, secreted in response to a meal, that 
has been shown to reduce appetite).

“This is only the beginning of the beginning,” 
Mads Krogsgaard Thomsen says. “With our 
obesity  pipeline  and  strategy,  we’re  in  a 
fantastic  position  to  secure  a  leadership 
position  within  the  field  for  many  years  to 
come,  to  the  benefit  of  people  who  are 
struggling with obesity.”

WHAT IS OBESITY?
Obesity is defined as abnormal or excessive fat accumulation that may impair health 
for people with a body mass index (BMI) of more than 30. BMI provides the most 
convenient population-level measure of overweight and obesity currently available.2 
BMI itself, however, does not define health risk. BMI is a simple weight-for-height 
index  that  is  commonly  used  to  classify  overweight  and  obesity  in  adults.  It  is 
calculated by dividing a person’s weight in kilograms by the square of the person’s 
height in metres (kg/m2).

OF THE US ADULT POPULATION  
(OVER THE AGE OF 20) 
HAS OBESITY (BMI >30)*

*  Ogden CL, Carroll MD, Kit BK & Flegal KM. Prevalence of Childhood and Adult Obesity in the United States, 

2011–2012. The Journal of the American Medical Association 2014; 311(8):806–814.

 
TACKLING THE RISE OF  

DIABETES  
IN CITIES

What makes people in cities vulnerable to diabetes, and how 
can we prevent people from getting diabetes in the first place? 
The inaugural Cities Changing Diabetes Summit saw these 
questions and many more discussed, as over 250 international 
delegates descended on Copenhagen in November 2015.

Copenhagen, Houston, Mexico City, Shang-
hai and Tianjin. In 2016, Johannesburg and 
Vancouver  will  join  the  effort  to  identify, 
understand and address the root causes of 
diabetes in cities. 

UNDERSTANDING THE CHALLENGE
The  Cities  Changing  Diabetes  programme 
has  a  three-phase  strategy  –  to  map  the 
challenge,  to  share  learnings  with  cities 
around the world and to act as a catalyst for 
action to defeat the rise of diabetes in cities. 
The  mapping  phase  provides  a  foundation 
for  future  interventions,  as  Jakob  Riis, 
executive  vice  president  at  Novo  Nordisk, 
explains: “We know that certain urban diets 
and  lifestyles  are  driving  diabetes,  but  we 
can’t hope to address these issues without 
first  understanding  what  lies  behind  them. 
In the same way that Sherlock Holmes asked 
‘why didn’t the dog bark?’, so our research 
needs  to  ask  intelligent,  new  questions  to 
bring  about  a  deeper  knowledge  of  this 
unprecedented challenge.”

Cities are home to two-thirds of the world’s 
415 million people living with diabetes and, 
as  the  number  of  people  with  diabetes 
reaches 642 million, it is projected that this 
proportion  will  rise  to  three  in  four  people 
by 2040.1 Whilst cities have the potential to 
bring  about  significant  health  benefits  for 
residents,  the  vast  human  and  economic 
burden of diabetes is currently being driven 
by the way people live in cities.

In  its  second  year  of  responding  to  this 
challenge, the Cities Changing Diabetes part- 
nership has gathered momentum. Founding 
partners  Novo  Nordisk,  University  College 
London  (UCL)  and  Steno  Diabetes  Center 
have  been  joined  by  five  study  cities  – 

In 2015, the initial mapping phase resulted 
in  the  completion  of  the  world’s  largest 
study  on  urban  diabetes,  led  by  UCL  in 
collaboration  with  leading  researchers  in 
the  five  study  cities.  Trained  fieldworkers 
under took more than 550 interviews with 
people  at  risk  or  already  diagnosed  with 
diabetes.  This 
research 
found that vulnerability to diabetes in cities 
around  the  world  is  influenced  far  more 
than  previously  thought  by  social  and 
cultural factors. 

first-of-its-kind 

Multiple  examples  of  these  factors  were 
found in each study location and frequently 
came  as  a  surprise  to  experienced  re-
searchers.  In  Mexico  City,  gender  roles 

OF PEOPLE WITH DIABETES 
LIVE IN URBAN AREAS

1

were seen to directly influence vulnerability 
to diabetes as women neglected their own 
health to avoid being seen as burdensome. 
In  Shanghai,  the  cultural  trend  for  the 
denial of hardship meant that people with 
diabetes were less likely to seek help from 
friends, family or healthcare professionals. 
Such was the strength of social and cultural 
factors 
in  Houston  that  the  findings 
challenged  the  traditional  notion  of  dis-
advantage  being  equal  to  vulnerability,  as 
segments of society both with and without 
financial  constraints  had  an  increased  risk 
of diabetes.

Importantly  for  future  research  and  inter-
vention strategies, the findings will be useful 
across  the  diabetes  spectrum  –  from  initial 
risk  through  to  diagnosis  and  treat ment. 
Furthermore, although the factors manifest 
themselves uniquely in different cities, they 
will help build a framework that will enable 
a  consistent  approach  to  under standing 
diabetes in other cities around the world.   

David Napier, professor of Medical Anthro-
pology,  UCL  and  global  academic  lead, 
believes  that  the  research  has  moved 
traditional  thinking  about  urban  diabetes 
forward:  “For  the  first  time,  we  can  con-
fidently  say  that  we  have  a  holistic  under-
standing of vulnerability to diabetes in cities. 
In particular, our new-found appreciation of 
the  cultural  and  social  drivers  of  the 
condition means that we can consider how 
and why past interventions may have fallen 
short, and consider new solutions for tradi-
tional problems such as diet and inactivity.”

TRANSITION TO ACTION
The  Cities  Changing  Diabetes  Summit 
marked  the  first  major  milestone  for  the 
partnership  and  provided  the  first  op-
portunity for the partners to come together 
to  discuss  the  findings  and  share  local 
learnings and experiences. It also provided a 
forum  for  transition,  as  delegates  from  27 
countries  turned  their  minds  to  the  action 
phase  of  the  programme.  To  facilitate  this 
step,  keynote  speakers  and  workshops 
focused  not  only  on  diabetes  but  also  on 
urban  planning,  collaborative  working  and 
peer support. 

of  Copenhagen, 

After  opening  the  Summit,  Frank  Jensen, 
commented: 
Mayor 
“Through this partnership, we have – on the 
one  hand  –  been  reaffirmed  on  why 
Copenhagen  has  succeeded  in  becoming 
such a liveable city. But we’ve also – on the 
other hand – realised in which areas we need 
to  act  in  order  to  improve  the  health  and 
well-being  of  our  citizens.  Having  come 
together  with  colleagues  from  other  cities, 
partners  and  expert  contributors  at  this 
Summit, we’re now ready to put in place new 
solutions  that  safeguard  and  improve  the 
health of our citizens in Copenhagen.”

Across  the  five  cities,  the  action  phase  has 
been  gathering  pace  throughout  2015. 
Through  town  hall  meetings,  the  partners 
have  already  engaged  hundreds  of  sta ke-
holders, including non-governmental or gani-
sations (NGOs), faith-based groups, employ-
ers,  health  providers  and  beyond,  to  share 
local  learnings  and  insights  and  to  form 

31

16

action plans. In order to drive the prevention, 
early  detection  and  improved  treatment  of 
diabetes, upon leaving the Summit, delegates 
voted  to  focus  action  on  areas  including 
community-level  inter ventions  beyond  the 
traditional  scope  of  clinical  care  and  the 
integration of health within urban planning 
and municipal policies. 

For Novo Nordisk’s part, a further 20 million 
US dollars of expert resource and research 
funds  has  been  committed  to  the  fight 
against urban diabetes by 2020. In addition, 
a partnership with C40 – the world’s largest 
network of megacities – was announced in 
December  2015  to  move  health  up  the 
agenda  of  those  managing  and  designing 
the world’s urban environments.

Looking ahead, President and CEO of Novo 
Nordisk Lars Rebien Sørensen reflected: “We 
remain convinced that addressing diabetes in 
the  urban  setting  is  the  right  thing  to  do  – 
both  by  our  company  and  by  the  global 
community which we serve. We’re commit-
ted to changing diabetes, and preventing the 
rise of this condition through healthy cities is 
fundamental  to  this  objective.”  Read  more 
about  the  Cities  Changing  Diabetes  part-
nership, visit citieschangingdiabetes.com.

30 YEARS  
OF CHANGING  
HAEMOPHILIA

Building on its experience with NovoSeven®, 
Novo Nordisk has in recent years expanded its 
presence in haemophilia with NovoThirteen® 
and NovoEight®, underscoring its commitment 
to help defeat this serious condition.

Not so long ago, the outlook for a person who developed antibodies 
(inhibitors) against standard haemophilia treatments was very bleak, 
but  in  June  1985,  Novo  Nordisk  began  a  groundbreaking  project  
to  develop  recombinant  factor  VIIa  –  the  active  ingredient  in 
NovoSeven®. After more than a decade of development, NovoSeven® 
was launched, enabling the blood of inhibitor patients to form stable 
clots  without  the  use  of  standard  blood  factor  treatments.  As 
NovoSeven® is not derived from human blood plasma, this innovative 
product  also  addressed  concerns  at  the  time  regarding  safety  in 
relation to blood contamination. 

Paul  Huggins,  who  heads  Novo  Nordisk’s  global  marketing  of  bio-
pharmaceuticals in Zurich, Switzerland, appreciates what a big – and 
risky – step the development of NovoSeven® was for the com pany. 
“The business case was not convincing as the patient popu lation was 
only a few thousand people globally. But the company’s management 
decided nevertheless that it couldn’t ignore the unmet medical need 
as  Novo  Nordisk  had  the  capabilities  to  develop  a  compound  that 
would potentially meet this need,” he explains. 

NovoSeven® went on to become a very important treatment option, 
used  for  the  on-demand  treatment  of  bleeding  episodes  and  the 
management of bleeding during surgery for people with haemophilia 
with  inhibitors,  acquired  haemophilia,  factor  VII  deficiency  and 
Glanzmann’s thrombasthenia. 

GIVING PEOPLE A CHOICE
By  the  mid-2000s,  Novo  Nordisk  started  developing  new  and 
innovative factor VIII, IX and XIII treatments for bleeding disorders. 

WHAT IS HAEMOPHILIA?
Haemophilia is an inherited or acquired bleeding disorder that prevents 
the  blood  from  clotting.  People  with  haemophilia  either  partially  or 
completely  lack  an  essential  clotting  factor  needed  to  form  stable 
blood  clots.  Without  treatment,  uncontrolled  internal  bleeding  can 
cause stiffness, pain, severe joint damage and even death. Treatment 
with replacement clotting factors may be administered when bleeding 
occurs or, increasingly, on a preventive basis (prophylactic treatment). 
People  with  haemophilia  A,  an  estimated  350,000,17  have  absent, 
decreased  or  defective  production  of  the  blood  clotting  factor  VIII. 
People with haemophilia B, of whom there are some 70,000,18 have 
deficiencies in producing clotting factor IX. Both types are inherited.

“In 2012, we launched NovoThirteen®, which is marketed as Tretten® 
in  some  countries,  for  a  very  small  and  vulnerable  community  of 
people with congenital factor XIII deficiency, which is an extremely 
rare and serious bleeding disorder affecting only about 1,300 people 
globally,” says Paul Huggins. “We then had two products for patient 
communities  which  hadn’t  previously  attracted  a  lot  of  attention 
from companies engaged in haemophilia – which made the launch 
of  NovoEight®  last  year  very  important  to  us,  as  it  was  our  first 
treatment for the wider haemophilia community.” 

At the time of approval, NovoEight® was the first new recombinant 
factor  VIII  treatment  for  people  with  haemophilia  in  Europe  and 
Japan  for  over  a  decade.  It  was  launched  in  Europe  and  Japan  in 
2014 and in the US in 2015. “NovoEight® has been very well received 
in the US; the uptake has exceeded our expectations. Patients like 
–  and  deserve  –  a  choice,  which  is  why  I  think  the  haemophilia 
community has welcomed NovoEight®,” explains Paul Huggins. 

THREE DECADES OF RESEARCH AND DEVELOPMENT
Thirty years on, and Novo Nordisk’s commitment to the haemophilia 
community – which began with NovoSeven® – is undiminished. 

With  its  long-acting  versions  of  factor  IX  (N9-GP)  and  VIII 
(N8-GP), which Novo Nordisk expects to submit for regulatory 
approval in 2016 and 2018 respectively, the company aims 
to provide even more options for people with haemophilia. 

Novo Nordisk also has a long-acting version of a re com bi-
nant  factor  VIIa  in  pre-clinical  development,  which  it 
hopes  will  make  routine  prophylaxis  the  norm  for 
people  with  inhibitors.  Moreover,  the  company  is 
developing a monoclonal antibody against Tissue Fac-
tor  Pathway  Inhibitor  (TFPI),  which  is  intended  for 
prophylactic  treatment  after  subcutaneous  admin- 
i stration (see R&D pipeline on p 21).

NOVO NORDISK HAEMOPHILIA FOUNDATION
On 25 January 2015, the Novo Nordisk Haemophilia Foundation cele-
brated its 10th anniversary. The Foundation is a grant-making non-profit 
organisation  that  strives  to  improve  access  to  care  for  people  with 
haemophilia and allied bleeding disorders. Since it was established, the 
Foundation  has  supported  168  programmes  in  63  countries  in  the 
developing world, where many people with bleeding disorders still lack 
proper diagnosis or adequate care. Read more on nnhf.org. 

Carl lives with his mother, father and little sister 
in Lyngby, Denmark. Carl is 8 years old and in 2nd 
grade and was diagnosed with haemophilia at birth. 

OUR BUSINESS

33

Behind every great company are great people. In Novo Nordisk’s case that’s 40,000+ 
people who day in, day out, play their part in making the complex machinery of a 
global organisation work smoothly – with competence, commitment and a passion for 
improving the lives of people with diabetes and other serious chronic conditions. Here 
are a few numbers about the people behind Novo Nordisk.

EMPLOYEE DEVELOPMENT*

■ Denmark   ■ Outside Denmark

40,000

30,000

20,000

10,000

0

2010

2011

2012

2013

2014

2015

PROGRESS IN GENDER DIVERSITY IN MANAGEMENT

Women

Men

Managers/ 
Team Leaders

Corporate Vice 
Presidents/ 
Vice Presidents/  
General Managers

Executive Vice 
Presidents/ 
Senior Vice 
Presidents

2015

42%
58%

2010

39%
61%

2015

30%
70%

2010

26%
74%

2015

14%
86%

2010

11%
89%

Total

2015

41%
59%

2010

37.5%
62.5%

MANAGEMENT APPOINTMENTS **

1,373

2015

44%
WOMEN
56%
MEN

1,827

INTERNAL PROMOTIONS ***

2015

51%
WOMEN
49%
MEN

OVERALL  
RETENTION RATE ****

ENGAGEMENT 
SCORE *****

90.8% 4.3

* Development in the number of employees excl NNIT A/S.  ** All appointments to management positions, incl internal promotions and external hires in 2015 excl NNIT A/S.  *** Employees moving to 
a job at a higher level within a 12-month period excl NNIT A/S.  **** Retention of employees excl NNIT A/S.  ***** Working the Novo Nordisk Way (scale 1–5).

NOVO NORDISK ANNUAL REPORT 201534 OUR BUSINESS

THE FUTURE OF 
PHARMACEUTICALS

Most financial analysts and other observers of the pharmaceutical industry 
agree on one thing: the industry is changing. In fact, the way most healthcare 
products and services are being delivered and paid for is undergoing rapid 
change – nowhere more so than in the US, the world’s largest economy and 
healthcare market. This article takes a closer look at the changes in the global 
healthcare market and how they may affect Novo Nordisk.

THE PHARMACEUTICAL 
MARKET’S FOUR HURDLES

NOVO NORDISK ANNUAL REPORT 2015

NOVO NORDISK ANNUAL REPORT 2015OUR BUSINESS

35

THE GLOBAL PHARMA MARKET IS FORECASTED TO GROW 6% ANNUALLY IN THE 
PERIOD 2014–2020: THIS BRINGS THE TOTAL MARKET TO USD 1.4 TRILLION IN 2020.

Global market sales (2014–2020)       • US       • Emerging markets       • Europe       • China       • Japan       • Others

700
Sales (USD billion)

600

500

400

300

200

100

0

CAGR % 
(2014–2020)

6.8%

7.4%
3.4%

7.6%

1.3%
4.2%

2014

2015

2016

2017

2018

2019

2020

Source: IMS Market Prognosis Global Sept 2015. At ex-manufacturer price levels, not including rebates and discounts.

All  over  the  world,  governments,  healthcare  professionals,  patients, 
pharmaceutical companies and a host of intermediaries are engaged in 
heated debates and tough negotiations about which patients should 
have access to which products and services, at what cost and, let us not 
forget, who should foot the bill.

Some will argue (and rightly so) that this is not a new discussion. For as 
long as there have been healthcare systems, there have been discussions 
about how to balance access, cost and quality – the three foundational 
elements of a healthcare system. However, what many patients have 
experienced in recent years is that cost containment has become the 
dominant  consideration  when  healthcare  systems  implement  new 
initiatives  or  reforms.  One  consequence  is  that  more  patients  are 
finding  themselves  denied  access  to  pharmaceuticals  and  healthcare 
services  that  they  would  previously  have  expected  to  be  covered  by 
their public healthcare system or insurance. 

The pharmaceutical industry is feeling the effects of the strong focus on 
cost containment in the form of ever-tougher pricing and reimbursement 
negotiations, sometimes resulting in reimbursement being denied by a 
public healthcare system or, in the US, exclusion from the formularies of 
managed care organisations. 

When introducing new products, research-based companies are facing 
what  has  become  known  as  the  ‘fourth  hurdle’  –  being  required  by 
payers to demonstrate that their new products, in addition to being of 
good quality, effective and safe, also represent good value for money. 
To clear this fourth hurdle, companies need to show that their products 
are more effective than relevant comparators and that the increased 
cost is offset by savings elsewhere in the healthcare system. While this 
may  not  sound  like  an  unreasonable  demand,  it  is  often  difficult  to 
meet. One reason is that the benefits of using a newer product may 
only become apparent years later – which, for someone charged with 
making ends meet in this year’s budget, is not an attractive proposition. 

Diabetes drugs serve as a case in point: a new treatment may help a 
person with diabetes achieve better control of their blood glucose than 
an older product. In the short term, this may give the person a better 

quality of life – which is important – but the biggest cost savings are 
likely to come much later, from the reduced risk of developing serious 
long-term  complications  from  diabetes:  blindness,  amputations  and 
nerve damage. In the US, for example, it has been estimated that of the 
total  healthcare  spending  on  diagnosed  diabetes,  hospital  inpatient 
care account for 43%, medicines to treat complications 18%, diabetes 
medicines and supplies 12% and other costs 27%.

REAL-WORLD EVIDENCE
Novo  Nordisk  Executive  Vice  President  Jakob  Riis,  whose  respon-
sibilities include ensuring market access for the company’s products, 
mentions  another  complicating  factor  when  pharmaceutical  com-
panies  and  payers  negotiate  the  pricing  and  reimbursement  of  a 
product:  “There’s  no  commonly  agreed  standard  for  evaluating  
whe ther a new treatment will lead to an improved health outcome 
for certain patients and the financial value of this. Each healthcare 
system seems to do this in its own way.”

One  general  trend,  though,  is  that  payers  want  more  ‘real-world 
evidence’ of the benefits of a new product in addition to the data on 
efficacy and safety from the clinical trials that formed the basis of its 
approval by health authorities. Payers want to know whether similar 
results  can  be  achieved  in  real  life,  when  patients  are  not  part  of  a 
clinical trial. 

“We’ll have to find ways to collect and analyse real-world evidence in 
a way that satisfies payers. This will be a focus area for our development 
and market access organisations in the coming years,” says Jakob Riis.

In  this  context,  he  mentions  the  opportunities  presented  by  an 
increasingly  digitalised  healthcare  system  and,  as  an  example, 
highlights  a  partnership  Novo  Nordisk  formed  with  IBM  Watson 
Health in December 2015: “By combining our leadership in diabetes 
care  with  the  analytical  power  of  IBM  Watson  Health’s  cognitive 
computing  capability,  we’ll  explore  possibilities  for  improving 
diabetes care through the gathering and analysis of real-time, real-
world  evidence  from  current  diabetes  treatment.  If  successful,  this 
will not only help improve the lives of people with diabetes by making 

CONTINUED

NOVO NORDISK ANNUAL REPORT 201536 OUR BUSINESS

HEALTHCARE PROFESSIONALS ARE CONSOLIDATING  
INTO INTEGRATED DELIVERY NETWORKS IN THE US   

The pressures on healthcare 
professionals and market trends 
point in the same direction: 
towards organisation and 
corporatisation of primary care

PRESSURE TO REDUCE COSTS

MISALIGNED INCENTIVES

HEALTH INFORMATION TECHNOLOGY

FEDERAL & STATE HEALTH REFORM

NEW MODELS OF CARE DELIVERY

Traditional model
Independent practices  
and hospitals paid on a 
fee-for-service basis

New model
Fully integrated delivery networks 
paid for delivering certain 
performance or outcome targets

Patient management

GROWING PATIENT EMPOWERMENT

Population management

the  management  of  the  condition  more  simple,  effective  and 
measurable,  but  will  also  help  satisfy  the  payers’  demand  for  real-
world evidence of the benefits of our products.”

THE IMPORTANCE OF INNOVATION
Despite  market  access  challenges  and  price  pressure,  the  phar ma-
ceutical  industry  is  still  expected  to  grow.  The  need  for  more  and 
better pharmaceuticals keeps growing with ageing populations and 
the increasing prevalence of chronic diseases, such as type 2 diabetes, 
that come with age, unhealthy eating habits and too little exercise. 
At the same time, economic growth in some countries will allow for 
more funds to be invested in better healthcare. Given this landscape, 
IMS Health, a leading global information provider, predicts that the 
pharmaceutical  industry  will  grow  global  sales  by  6%  per  year 
between now and 2020. 

Not all companies will do equally well and, for some, the only option 
is to let themselves be acquired or merged with another company. In 
October 2015, Thomson Reuters reported that more than 850 billion 
US  dollars  of  merger  and  acquisition  transactions  had  been  an-
nounced since the start of 2014. 

“Novo Nordisk has no plans to engage in such industry consolidation,” 
says President and CEO Lars Rebien Sørensen. “I appreciate that such 
moves can help boost profits when sales are under pressure, but only 
short term. The only way to drive value in the long term is by innovation. 
As long as our research and development organisation can continue to 
discover  new  treatments  that  are  first  in  a  new  class  or  significantly 
better  than  products  in  an  existing  class,  we’ll  be  able  to  grow.  We 
currently have a very strong pipeline of products that we’ll be launching 
in the coming years. Our main challenge will be to make them accessible 
to as many patients as possible while obtaining a price that reflects the 
clinical  value  the  new  products  bring.  That’s  no  easy  task  in  today’s 
healthcare environment, but it’s one we’re determined to carry out.”

The  following  is  an  overview  of  the  world’s  main  pharmaceutical 
markets.

The US healthcare system is complex, as it involves multiple payers 
and  intermediaries  with  complex  interactions.  Roughly  half  of  all 
Americans  are  insured  by  their  employers  –  this  is  known  as  the 
managed  care  segment.  One-third  is  insured  through  public 
programmes, such as Medicare and Medicaid, while around 9% of 
Americans  are  uninsured.  The  number  of  people  insured  through 
public programmes is expected to grow, while the number of people 
uninsured is expected to drop in the coming years due, among other 
reasons, to the public exchanges that were established as part of the 
Affordable  Care  Act.  To  manage  the  purchase  and  delivery  of 
healthcare,  employers  and  the  government  contract  with  inter-
mediaries  such  as  health  plans  and  pharmacy  benefit  managers 
(PBMs). These are often referred to as payers, but are in most cases 
managers of healthcare costs on behalf of payers.

Health plans contract with providers such as physician, hospital and 
pharmacy  networks  to  provide  the  required  service.  They  provide 
different levels of coverage based on the payers’ willingness to pay 
for selected services for their employees. A PBM is an intermediary 
that contracts with payers and health plans to manage the pharmacy 
benefit for a specific population. 

The health plans use various methods to manage the use and cost of 
pharmaceuticals.  Among  the  most  widely  used  interventions  are 
generic  substitution,  quantity  limits,  prior  authorisation  (which 
means that a medication will only be covered under certain conditions 
and  subject  to  individual  approval  by  the  health  plan)  and  tightly 
controlled Preferred Drug Lists.

FOCUS IS SHIFTING TO VALUE
While, for many years, healthcare in the US was delivered by small, 
independent  practices  and  hospitals,  and  paid  for  as  a  fee-for-
service, more and more healthcare providers are now becoming part 
of  fully  integrated  delivery  networks.  Moreover,  new  payment 
models are emerging, with a growing number of accountable care 
organisations  being  paid  for  delivering  certain  performance  or 
outcome targets rather than a fee-for-service.

UNITED STATES
The US is the world’s largest market for pharmaceuticals, accounting 
for roughly 44% of global sales. Product success is largely based on 
competition on efficacy, safety, quality and price.

At  the  same  time,  the  managed  care  segment  is  consolidating, 
leading to fewer, more powerful payers. As a result, rebate nego-
tiations  have  become  tougher  for  the  pharmaceutical  industry. 
Contracts are generally of shorter duration than before and often 

NOVO NORDISK ANNUAL REPORT 2015have  price  protection  mechanisms  built  in,  which  means  that  list 
price increases automatically trigger an increased rebate level.

Another trend of note is the increasing number of people obtaining 
coverage through Medicare Part D. The rebates that pharmaceutical 
companies must offer for contracts under this scheme are generally 
higher than for private market contracts. Nevertheless, the US, which 
in 2015 accounted for 51% of total Novo Nordisk sales, is where the 
company  expects  to  generate  most  of  its  growth  in  the  coming 
years.  The  main  growth  drivers  are  expected  to  be  market  share 
gains  in  the  insulin  market,  upgrades  to  new-generation  insulin 
products and the continued penetration of GLP-1 products for the 
treatment of diabetes and obesity.

EUROPE
Europe  has  been  a  market  with  no  or  very  limited  growth  for  most 
pharmaceutical companies for quite some years. This is partly the result 
of the depressed economy in many European countries in the wake of 
the  financial  crisis,  which  has  led  governments  to  implement  cost-
cutting  measures  in  many  shapes  and  forms.  There  are  currently  no 
signs that this will change significantly in the near future. IMS predicts 
low  single-digit  growth  in  the  coming  years,  with  almost  all  growth 
coming from speciality drugs. Novo Nordisk also expects very modest 
growth  in  Europe  due  to  the  above-mentioned  factors,  increasing 
competition and its high market share in the insulin segment.

CHINA
China  is  the  world’s  second  largest  healthcare  market.  Annual 
growth rates of 15–20% were the norm until recently, as the Chinese 
government  invested  heavily  in  expanding  access  to  healthcare, 
especially in larger cities. Investments came in response to growing 
demands from an ageing population increasingly prone to diabetes 
and  other  chronic  diseases  that  often  come  with  urban  lifestyles. 
However,  all  signs  are  that  double-digit  growth  rates  are  history. 
With the slowdown in China’s economic growth in 2014 and 2015, 
the  government  now  has  a  stronger  focus  on  cost  containment. 
Increased  use  of  essential  drug  lists  and  a  new  drug  price  review 
process serve to force prices down. Moreover, specific measures have 
been taken to reduce hospitals’ reliance on drug sales as a source of 
income  and  limit  pharmaceutical  companies’  access  to  healthcare 
professionals.

China  is  Novo  Nordisk’s  second  largest  market.  An  estimated  110 
million Chinese have diabetes and less than a quarter of them receive 
medical  care,  so  despite  the  factors  mentioned  above  –  as  well  as 
increasing  competition  from  international  and  local  competitors  – 
Novo Nordisk expects continued growth in the coming years, albeit 
not at the double-digit growth rates seen in the past.

EMERGING MARKETS
China  is  far  from  the  only  country  facing  the  growing  burden  of 
chronic diseases. Growing economies in Asia, the Middle East, Africa 

OUR BUSINESS

37

DIABETES CARE 
Value market share by geographic region

•  North America
•  Europe
•  International Operations
•  Region China
•  Japan & Korea

%

and Latin America are experiencing exactly the same phenomenon. 
IMS predicts that close to 50% of pharmaceutical market growth in 
2015–2020 will come from these countries as populations grow and 
age, and economic growth makes it possible for more people to get 
some  form  of  healthcare.  At  Novo  Nordisk,  these  countries  are 
grouped under International Operations – a vast and diverse region 
of more than 140 countries.

Next  to  the  US,  the  countries  in  International  Operations  represent 
Novo Nordisk’s largest growth opportunity in the coming years. Half 
of  all  people  with  diabetes  live  in  this  region,  and  the  number  is 
growing faster than anywhere else. In many of the countries, there is 
both a public and a private market. The public market typically only 
reimburses the use of low-priced human insulin vials, while the private 
market  typically  comprises  modern  insulin  and  Victoza®  paid  for  by 
people who either have private insurance or who can pay out of their 
own pockets at prices similar to those in more developed markets.

JAPAN
In  Japan,  the  government  will  be  implementing  price  revisions, 
which,  together  with  the  increased  utilisation  of  generics,  means 
that  IMS  predicts  a  flat  market.  Furthermore,  the  insulin  market  is 
declining due to the increased use of new oral antidiabetics, which is 
why Novo Nordisk, despite success with Tresiba® and Victoza® and 
with the launch of Ryzodeg®, expects very modest growth in Japan 
in the coming years.

”We currently have a very strong pipeline of products that we’ll be 

launching in the coming years. Our main challenge will be to make them 

accessible to as many patients as possible while obtaining a price that 

reflects the clinical value the new products bring.”

LARS REBIEN SØRENSEN
PRESIDENT AND CEO

20112012201320142015010203040GLOBAL 
DEMAND TRIGGERS 
MAJOR PRODUCTION 
INVESTMENTS

In 2015, Novo Nordisk announced plans for 
major investments in new production plants.

Manufacturing proteins, such as insulin, is a 
highly  sophisticated 
task.  While  other 
pharmaceuticals are manufactured through 
a series of chemical syntheses, proteins are 
bigger,  more  complex  molecules,  and 
producing them relies on large investments 
in  sterile  production  facilities  and  an 
understanding  of  working  with  living  cells, 
such  as  yeast,  to  produce  a  pure,  uniform 
product. 

“Novo  Nordisk  is  the  world’s  largest  pro-
ducer  of  insulin  and  has  developed  its 
production  expertise  over  almost  nine 
decades,” says Henrik Wulff, executive vice 
president  and  head  of  Product  Supply. 
“We’ve  been  manufacturing  insulin  since 
the  1920s,  and  the  efficient  large-scale 
production  of  proteins  is  one  of  our  core 
competences. 

“There  have  been  many  innovations  over 
the years as we continuously strive to make 
our  production  processes  even  more  ef-
ficient and stable,” he continues, “and our 
focus  has  stayed  the  same  –  on  increasing 
ambitions:  delivering  high-quality  products 
in  regulatory  compliance  and  meeting  the 
increasing global demand for our products.”

Novo Nordisk insulin production 
plant in Kalundborg, Denmark.

MEETING GLOBAL DEMAND  
The  year  2015  was  an  exciting  time  for 
Product Supply, as Novo Nordisk announced 
several plans for major investments in new 
production plants over the next five years. 
This  will  also  be  evident  from  Novo 
Nordisk’s  accounts  in  the  coming  years, 
according to Novo Nordisk’s chief financial 
officer,  Jesper  Brandgaard.  Commenting 
on  investments  at  Novo  Nordisk’s  Capital 
Markets  Day  in  November  2015,  he  said: 
“Demands  to  support  future  product 
supply  are 
rising,  and  we  expect 
investments relative to sales will increase in 
the years to come.”   

investment 

largest  planned 

The 
is  a 
diabetes API (Active Pharmaceutical Ingre-
dient)  production  site  in  Clayton,  North 
Carolina,  USA.  The  site  is  expected  to  be 
operational  in  2020  and  is  estimated  to 
create  close  to  700  new  production  and 
engineering  jobs  in  Clayton,  where  Novo 
Nordisk  already  employs  more  than  700 
people.  A  further  100  new  jobs  will  be 
created  at  a  new  drug  product  plant  in 
Måløv,  Denmark.  Novo  Nordisk  plans  to 
invest  2  billion  US  dollars  in  these  two 
facilities in the next five years. 

Among  other  major  expansion  projects 
announced  in  2015  is  a  filling  facility  in 
Hillerød,  Denmark,  which  will  produce  
me dicines for the treatment of diabetes and 
obesity. This 10,300 m2 production facility is 
expected to be operational in 2019 and will 
add  450  new  production  and  engineering 
jobs to the 1,900 jobs already there.

“These and other investments in our manu-
facturing  capacity  are  a  response  to  the 
increasing demand for Novo Nordisk’s prod-
ucts, which is mainly driven by the growing 
global 
incidence  of  diabetes,”  ex plains 
Henrik Wulff. 

“With  the  initiation  of  these  large  invest-
ments,  we  plan  to  have  sufficient  capacity 
for  current  and  future  diabetes  products 
well  into  the  next  decade,”  he  says,  “and 
with the new facility in Måløv, we’ll be able 
to produce protein-based medicines such as 
semaglutide in tablet form on a large scale. 
This  is  something  only  few  believed  would 
be possible just a couple of years ago.”

39

NOVO NORDISK PRODUCTION SITES AROUND THE WORLD

DENMARK

USA

FRANCE

RUSSIA

JAPAN

CHINA

ALGERIA

BRAZIL

STRATEGIC SITES
A strategic site is established 
for high-volume production 
and can supply worldwide

LOCAL SITES
A local site is established 
to meet specific local 
requirements

considerable  manufacturing  expertise  and 
knowledge,  to  ensure  that  we  maintain 
consistently high standards in our production 
processes globally.” 

THE ADDED COMPLEXITY 
OF AN EXPANDING PORTFOLIO
The  complexity  of  Novo  Nordisk’s  manu-
facturing has increased in the past few years 
as  new  products  have  been  added  to  the 
company’s existing portfolio at a faster rate 
than at any time previously. In addition, new 
products  are  typically  more  sophis ticated 
molecules  than  first-generation  products, 
generally  demanding  more  com plex  pro-
duction processes.

“Our  growing  capacity  and  production 
complexity  require  best-in-class  planning 
and  execution  capabilities,”  Henrik  Wulff 
points  out.  “Product  Supply  works  24 
hours  a  day,  365  days  a  year,  and  has  to 
fulfil  many  important  tasks  worldwide 
every day to ensure we succeed in ensuring 
high-quality  products  for  more  and  more 
patients.

“Ultimately,  it  all  comes  back  to  the  needs 
of  our  patients.  They  expect  high-quality 
products and we have to make sure we can 
deliver  them  –  on  time  and  in  compliance 
with  the  requirements  of  the  authorities  – 
both now and in the future.”

ADDRESSING LOCAL NEEDS
Meeting  local  needs  is  also  a  priority  for 
Product Supply, which is why, in April, Novo 
Nordisk  opened  a  new  insulin  formulation 
and filling facility in Russia and, in September, 
announced that it would be the first western 
pharmaceutical  company  to  build  a  manu-
facturing  plant  in  Iran,  for  pre-filled  insulin 
injection devices. 

“Local plants allow us to react fast to local 
requirements  and  support  our  business  in 
future key markets,” Henrik Wulff says.

SECURING A HIGH-QUALITY SUPPLY
The compliance and quality of products are 
the  primary  focus  for  all  employees  in 
Product Supply. Every Novo Nordisk ma nu-
facturing  facility,  no  matter  where  it  is 
located, must comply fully with international 
and national regulations as well as adhere to 
the  company’s  global  quality  management 
system. 

“We have a very robust quality management 
system  at  Novo  Nordisk,  which  we  rely  on 
when  building  competences  and  organi-
sations  across  the  world,”  explains  Henrik 
Wulff. “We use this system, along with our 

ENVIRONMENTAL STRATEGY

DOING 
MORE 
WITH LESS

By 2020, all Novo Nordisk production facilities 
worldwide will be run on renewable power, 
but what about its suppliers’ CO2 emissions?  

For decades, Novo Nordisk has been fo cus-
ing  on  reducing  its  impact  on  the  envi-
ronment, and in 1993 it became one of the 
first global companies to report annually on 
its  environmental  performance  and  set 
targets for future improvements. 

The  environmental  strategy  has  changed 
over  time  since  Novo  Nordisk’s  first  Envi-
ronment  Department  was  established  in 
1973. Initially, the focus was on decreasing 
emissions  of  pollutants  to  air  and  water 
through  so-called  end-of-pipe  solutions  to 
ensure  compliance.  “Today,  we  have  good 
systems and controls in place,” says Henrik 
Wulff, executive vice president in charge of 
Product Supply. “Energy-, water- and waste-
reducing  initiatives  are  part  of  our  normal 
operations.” 

GHG PROTOCOL
The  Greenhouse  Gas  (GHG)  Protocol  Initiative  is  working  with 
businesses, non-governmental organisations and governments with 
the mission to develop internationally accepted GHG accounting and 
reporting standards. 

The Protocol defines three scopes to help define direct and indirect 
emission sources:

1.  Direct GHG emissions from sources that are owned or controlled 

by the company, for example from production processes.

2.  Indirect GHG emissions from the generation of purchased 

electricity consumed by the company.

3.  Other indirect GHG emissions which are a consequence of the 
company’s activities but occur from sources not owned or 
controlled by the organisation. This includes emissions associated 
with waste, water, business travel, commuting and procurement.

In 2010, Jing Tommy Wan started working as Filling 
Professional in Tianjin, China, and in August 2015, he 
joined Novo Nordisk Production in Hillerød, Denmark.

OUR BUSINESS

41

FOCUS OF THE NEW CLIMATE AMBITION

RAW MATERIALS
Glucose, ethanol, 
plastic, glass

PURCHASED GOODS
Office supplies,  
IT equipment

SERVICES
Business flights, 
company cars

PRODUCTION
Electricity,  
steam, facilities

DISTRIBUTION
Road, air, 
sea

WASTE
Production waste, 
product waste

For  the  past  10  years,  the  environmental 
strategy has had a strong focus on reducing 
CO2  emissions  from  Novo  Nordisk’s  own 
production  plants.  So  much  so  that  the 
company  announced  a  long-term  target  in 
2006: Novo Nordisk committed to cutting its 
production-related  CO2  emissions  by  10% 
within  10  years,  using  2004  data  as  the 
baseline. 

“At  the  time,  this  was  a  really  ambitious 
target, which we knew would be difficult to 
achieve,”  says  Vibeke  Burchard,  senior 
global  project  manager  for  Novo  Nordisk’s 
environmental strategy. “We were and still 
are  a  growing  company,  and  forecasts  
sho wed  our  energy  consumption  would  
in crease  threefold  in  this  period  –  yet  we 
committed to reducing emissions by 10% in 
absolute terms.” 

RENEWABLE POWER
This  focus  on  emissions  from  production 
sites proved very successful. By implementing 
energy  efficiency  programmes  and  using 
more renewable power – including switch-
ing  all  its  production  plants  in  Denmark  to 
renewable  power  from  wind  farms  in  the 
North Sea – Novo Nordisk actually went on 
to achieve this ambition in 2010.

Since  then,  the  company  has  refined  and 
optimised its energy management even fur-
ther,  and  recently  announced  a  bold,  new 
target:  that  all  Novo  Nordisk  production 
facilities worldwide would be run on renew-
able power by 2020. 

“Setting  an  absolute  target  of  zero  CO2 
emissions  from  power  used  at  production 
sites  in  just  five  years  is  very  ambitious,  as 
our  production  is  growing  to  meet  the 
increasing global demand for our products. 
We’ve 
renewable  
sour ces, including wind and solar power, for 
all  our  production  facilities,”  says  Dorethe 
Nielsen,  senior  director  of  Corporate  Envi-
ronmental Management. 

identifying 

started 

Novo Nordisk recently signed a wind power 
contract  for  its  production  site  in  Tianjin, 
China, and is currently investigating the use 
of renewable power for its plants in Clayton, 
North  Carolina  in  the  US,  and  Chartres  in 
France.

Once all its power consumption comes from 
renewable  sources,  the  company  aims  to 
replace  the  steam  supply  in  its  production 
facilities,  which  is  currently  based  on  fossil 
sources such as coal or gas, with renewable 
sources such as biomass or biogas. 

The realisation of this ambition recently came 
a  bit  closer  when  DONG  Energy,  an  energy 
company supplying Novo Nordisk with steam 
for insulin production in Denmark, initiated a 
feasibility study to shift from coal to biomass. 
A  positive  outcome  to  this  study  will  mean 
renewable steam supply from 2019 onwards. 
The feasibility study is the result of a partner-
ship with other local companies.

CLIMATE IN FOCUS
Now the company is ready to take the next 
step  in  its  environmental  strategy.  “Once 
we’re  using  renewable  energy  in  all  our 
production facilities, we’ll have done as much 
as  we  can  with  direct  carbon  emis sions,” 
Dorethe  Nielsen  explains.  “We’re  therefore 
broadening the scope of our strategy and will 
work  on  reducing  the  CO2  impact  from  so-
called indirect emissions – these are emissions 
from sources not controlled by us, such as the 
goods  and  services  we  purchase,  from  raw 
materials to business flights.”  

Novo Nordisk will focus on specific types of 
indirect  emission,  as  categorised  by  the 
internationally  accepted  Greenhouse  Gas 
Protocol  (see  box).  “We’ll  prioritise  areas 
where  we  believe  there  are  significant  op-
portunities for us to reduce CO2 emissions. 
Working  closely  with  our  largest  suppliers 
will be vital, to find out how they’re reducing 
emissions and if there’s scope for impro ve-
ment,” she says.

While  indirect  emissions  are  a  relatively 
new area for Novo Nordisk, the company is 
already working with key suppliers of raw 
materials to promote energy efficiency and 
the use of renewable energy.

From  recent  analyses,  Novo  Nordisk  has 
also acquired a good understanding of two 
other  types  of  indirect  emission:  business 
flights  and  leased  company  cars,  and, 
according  to  Dorethe  Nielsen,  is  planning 
initiatives  to  reduce  emissions  from  these 
sources. For the other categories, the focus 
will initially be on getting solid data based 
on  which  decisions  about  CO2  reduction 
initiatives can be made.

Jakob  Riis,  executive  vice  president,  is  the 
chairman of Novo Nordisk’s Social & Envi-
ronmental  Committee.  He  explains  the 
rationale  for  the  broader  scope  of  the 
company’s environmental strategy: “While 
we’ll  continue  to  challenge  ourselves  and 
improve in the areas of energy and water 
consumption,  waste  reduction  and  direct 
carbon emissions, we’re ready to broaden 
the  scope  of  our  responsibility  to  include 
indirect CO2 emissions. With overwhelming 
scientific  evidence  of  the  increased  rate 
and  impact  of  climate  change,  we  simply 
must set ourselves ambitious targets in this 
area,” he says. 

“Which  indicators  to  use  for  measuring 
performance  is  a  tricky  matter,”  he  ack-
nowledges.  “With  all  our  plants  soon 
using  renewable  energy  for  power,  it’s 
impossible to keep lowering CO2 emissions 
in  absolute  terms  when  our  company  is 
growing  as  much  as  it  is.  We  have  con-
cluded  that  the  best  way  to  measure  our 
CO2  performance 
is  to  measure  CO2 
emissions  relative  to  the  number  of 
patients treated with our products, or CO2 
emissions  per  treated  patient  if  you  will. 
Our  ambition  is  to  bring  that  number 
down.”

NOVO NORDISK ANNUAL REPORT 2015  
42

MANAGING 

RISKS

The pharmaceutical industry is associated 
with potentially serious risks that investors 
should keep in mind when making investment 
decisions. Novo Nordisk is no exception.

Effective  enterprise  risk  management  is  all  about  identifying  risks 
early, assessing them accurately and taking action to mitigate them 
so that they will not prevent the company from achieving its business 
objectives.  Sounds  easy,  but  of  course  it  is  more  complicated  in 
reality. Fact is that a well-functioning risk management process is key 
to ensuring Novo Nordisk’s long-term business success because risks 
are  everywhere  and  some  of  them  can  cause  serious  damage  if 
managed poorly.

In the pharmaceutical industry, most risks fall into one of the seven 
categories listed on the notepad. And while Novo Nordisk’s overall 
risk profile – the consolidated assessment of all the risks facing Novo 
Nordisk – seldom changes significantly from year to year, individual 
risks do.

Jesper Brandgaard, Novo Nordisk’s chief financial officer, heads the 
company’s Risk Management Board. As an example of a risk that has 
increased  in  both  likelihood  and  potential  impact  during  2015,  he 
cites  pressure  on  Novo  Nordisk’s  modern  insulin  prices  in  China, 
which is likely to grow in 2016 due to a new bidding reform which 
was implemented in June 2015.

Asked about risks that have become smaller during the year, Jesper 
Brandgaard  mentions  a  regulatory  risk  associated  with  Tresiba®: 
“When we entered the year, we did not know whether the US FDA 
would approve Tresiba® based on interim data from the DEVOTE study. 
When it turned out that they did, we could remove that risk from our 
risk  grid.”  At  the  same  time,  he  stresses  that  the  final  result  of  the 
DEVOTE study will not be known before the second half of 2016. 

As another example, he mentions a specific legal risk, the product 
liability  lawsuits  in  the  US  targeting  incretin-based  products,  in-
cluding Victoza®. In November, a federal judge handling most of the 
cases  dismissed  the  cases  against  Novo  Nordisk  and  other  phar-
maceutical companies. Although the ruling has been appealed, this 
means  the  likelihood  of  a  significant  financial  impact  from  these 
cases has been reduced.

The  following  is  an  overview  of  the  seven  main  types  of  risk  that 
Novo Nordisk faces.

DELAYS OR FAILURE OF PIPELINE PRODUCTS 
Development  of  a  new  pharmaceutical  product  is  an  expensive 
undertaking that can take more than 10 years. It includes extensive 
non-clinical tests and clinical trials as well as an elaborate regulatory 
approval  process,  including  approval  of  the  production  facilities. 
During the process, various hurdles may delay the development of a 
potential product candidate and add substantial expenses. In some 
cases,  significant  obstacles  could  lead  to  the  company  eventually 
deciding  to  abandon  the  development  of  the  potential  product 
candidate. Data from the pharmaceutical industry indicate that there 
is a less than 35% likelihood of a biologic diabetes product candidate 
in phase 1 ultimately being approved for marketing, while the like li-
hood  of  success  is  around  60%  for  products  in  phase  2,  rising  to 
around 80% for products in phase 3. However, there is significant 
uncertainty  regarding  the  timing  and  success  of  the  regulatory 
approval process.

MARKET RISKS 
The principal market risks Novo Nordisk experiences are:
•  Price pressure and reimbursement restrictions by payers
•  The launch of new products by established competitors
•  Increased competition from producers of biosimilar medicines. 

Europe,  China  and  the  US  are  all  main  markets  for  Novo  Nordisk 
where payers – both governments and private payers – take measures 
to  limit  spending  on  medicines,  typically  by  driving  down  prices, 
demanding  higher  rebates  and/or  restricting  access  to  and  reim-
bursement of products. This is unlikely to change in the fore seeable 
future.  For  Novo  Nordisk,  reimbursement  restrictions  pose  a  sig-
nificant risk when launching a new product such as Tresiba®. Despite 
the patient benefits and data supporting the health-eco nomic bene-
fits of this new basal insulin, it is not always possible to obtain market 
access under what Novo Nordisk considers reason able conditions. In 
some  countries,  the  company  may  therefore  decide  not  to  launch 
Tresiba® or other new products unless conditions change.

New  products  from  established  or  new  competitors  are  another 
inherent  market  risk.  In  the  basal  insulin  segment,  a  competitor 
launched  a  biosimilar  version  of  the  best-selling  modern  insulin 
product in some markets in 2015 and is likely to launch in the US by 
the end of 2016. How and to what extent these events will change 
the market dynamics is difficult to assess at present. In addition to 
these global risks, in some countries in the International Operations 
region, political instability or armed conflicts may pose a risk to Novo 
Nordisk’s business for varying lengths of time.

SUPPLY DISRUPTIONS 
Failure or breakdown at one of Novo Nordisk’s or the company’s key 
suppliers’  vital  production  facilities  could  adversely  affect  business 
operations and potentially cause employee injuries or infrastructure 
damage. Mitigating actions include measures to prevent and respond 
to fires, annual inspections, back-up facilities and safety inventories. 
To reduce supply risks and optimise costs and logistics, Novo Nordisk 
has established production sites in several countries.

QUALITY AND PRODUCT SAFETY ISSUES 
Quality and product safety issues may arise if, for example, a production 
facility is not continuously in regulatory compliance, a product is not 
within specifications or if side effects that were not detected in clinical 
trials become apparent when a product is used for longer periods of 
time. Novo Nordisk proactively manages such risks through its quality 

management system, a key priority of which is 
to safeguard product quality and minimise risks 
to  patient  safety.  The  quality  management 
system  aims  to  ensure  that  the  company  is  in 
compliance  with  all  regulatory  requirements.  It 
includes  standard  operating  procedures,  quality 
and release controls, quality audits, quality impro ve-
ment  plans  and  systematic  senior  manage ment 
reviews.

FINANCIAL RISKS 
Novo Nordisk’s main financial risks relate to exchange 
rates and tax disputes. Novo Nordisk’s reporting currency 
and  the  functional  currency  of  corporate  operations  is 
the Danish krone, which is closely linked to the euro within 
a narrow range of ±2.25%. However, the majority of the 
company’s sales are in US dollars, Chinese yuan, Japanese 
yen  and  British  pounds.  Exchange  rate  risk  is  therefore  the 
company’s  biggest  financial  risk,  and  the  risk  has  grown  in 
importance as the size of international markets and the share 
of sales in different currencies have increased. To manage this 
risk, the company hedges expected future cash flows for selected 
key currencies. Read more about how Novo Nordisk manages this 
risk in notes 4.2 and 4.3 on pp 81–84.

In the course of conducting business globally, transfer pricing disputes 
with tax authorities may occur. Novo Nordisk’s policy is to pursue a 
competitive tax level, meaning around the average for the company’s 
peer group, in a responsible way. This means paying relevant taxes in 
jurisdictions where its business activity generates profits. As a general 
rule, Novo Nordisk’s affiliates pay corporate taxes in the countries in 
which  they  operate.  To  manage  uncertainties  regarding  tax,  Novo 
Nordisk  has  negotiated  multi-year  transfer  pricing  agreements  with 
tax  authorities  in  key  markets.  Read  more  about  the  taxes  paid  by 
Novo Nordisk in 2015 in note 2.6 on pp 70–71.

INFORMATION TECHNOLOGY RISKS 
Well-functioning IT systems are critical for Novo Nordisk’s ability to 
operate effectively. Furthermore, they hold confidential information 
that,  if  disclosed,  could  have  a  severe  impact  on  Novo  Nordisk’s 
competitive situation. An information security strategy is in place to 
mitigate the risk of intruders causing damage to systems and gaining 
access to critical data and systems. Specific measures include aware-
ness  campaigns,  access  controls,  and  intrusion  detection  and  pre-
vention systems.

BUSINESS ETHICS AND LEGAL RISKS 
Business ethics violations, patent and contract disputes are the main 
risks in this area. The pharmaceutical industry is tightly regulated in 
many respects, including what promotional claims it can make about 
its products and how it can interact with doctors and other healthcare 
professionals.

In the US, Novo Nordisk settled two civil cases with the US Depart-
ment of Justice in June 2011 regarding alleged improper marketing 
of NovoSeven®. As part of the settlement, Novo Nordisk’s US affiliate 
entered  into  a  five-year  Corporate  Integrity  Agreement  with  the 
Office of the Inspector General of the US Department of Health and 
Human  Services.  Under  that  agreement,  the  US  affiliate  added 
additional  reporting  and  other  procedures  to  its  already  robust 
compliance programme. Read more about these and other pending 
litigations  against  Novo  Nordisk  and  investigations  involving  the 
company in note 3.7 on p 78.

The case mentioned above underlines the potential business ethics 
or  legal  risks  associated  with  being  a  pharmaceutical  company.  To 
minimise the risk of violating national and international regulations, 
Novo Nordisk has, over the past decade, strengthened its global and 
regional business ethics compliance programmes. 

Novo  Nordisk’s  business  model  is  based  on  developing  new, 
innovative products, and when the company makes significant new 
inventions, it will typically seek to patent them. Intellectual property 
risks  occur  if,  for  example,  a  government  does  not  recognise  the 
validity  of  patents  or  is  unable  to  uphold  patent  rights,  or  if  a 
competitor infringes a Novo Nordisk patent or challenges its validity.

NOVO NORDISK’S RISK MANAGEMENT POLICY

In Novo Nordisk we will proactively manage risk to ensure continued 
growth  of  our  business  and  to  protect  our  people,  assets  and 
reputation. This means that we will: 
•  utilise an effective and integrated risk management system while 

maintaining business flexibility

•  identify and assess material risks associated with our business
•  monitor, manage and mitigate risks.

Read more about Novo Nordisk’s risk management process at 
novonordisk.com/about_us.

44 GOVERNANCE, LEADERSHIP AND SHARES

SHARES

AND CAPITAL STRUCTURE

Through open and proactive communication, the company seeks 
to provide the basis for fair and efficient pricing of its shares.

SHARE CAPITAL AND OWNERSHIP
Novo  Nordisk’s  total  share  capital  of  DKK 
520,000,000 is divided into an A share capital 
of nominally DKK 107,487,200 and a B share 
capital  of  nominally  DKK  412,512,800.  The 
company’s A shares are not listed and are held 
by  Novo  A/S,  a  Danish  public  limited  liability 
company wholly owned by the Novo Nordisk 
Foundation.  The  Foundation  has  a  dual  ob-
jective:  to  provide  a  stable  basis  for  the 
commercial and research activities conducted 
by the companies within the Novo Group (of 
which  Novo  Nordisk  is  the  largest),  and  to 
support scientific and humanitarian purposes. 
According to the Articles of Association of the 
Foundation, the A shares cannot be divested. 
As of 31 December 2015, Novo A/S also held 
nominal value of DKK 32,762,800 of B share 
capital. Novo Nordisk’s B shares are listed on 
Nasdaq  Copenhagen  and  on  the  New  York 
Stock  Exchange  as  American  Depository 
Receipts  (ADRs).  Novo  Nordisk’s  A  and  B 
shares  are  calculated  in  units  of  DKK  0.20. 
Each  A  share  carries  200  votes  and  each  B 
share  carries  20  votes.  As  Novo  Nordisk’s  B 
shares are in bearer form, no complete record 
of  all  shareholders  exists.  Based  on  available 
sources  of  information  about  the  company’s 
shareholders  as  of  31  December  2015,  it  is 
estimated  that  shares  were  geographically 
distributed  as  shown  in  the  chart  on  the 
opposite page. As of 31 December 2015, the 
free  float  of  listed  B  shares  was  89.5%  (of 
which  approximately  13.1%  are  listed  as 
ADRs),  excluding  the  Novo  A/S  holding  and 
Novo  Nordisk’s  holding  of  treasury  shares 
which,  as  of  31  December  2015,  was  DKK 
10,433,741  nominally.  For  details  about  the 
share capital, see note 4.1 on pp 79–80.

CAPITAL STRUCTURE 
AND DIVIDEND POLICY
Novo  Nordisk’s  Board  of  Directors  and 
Executive  Management  consider  that  the 
current  capital  and  share  structure  of  Novo 
Nordisk  serves  the  interests  of  the  share-
holders  and  the  company  well,  providing 
strategic flexibility to pursue Novo Nordisk’s 
vision. Novo Nordisk’s capital structure stra t-
egy  offers  a  good  balance  between  long-
term  shareholder  value  creation  and  com-
petitive shareholder return in the short term. 
Novo  Nordisk’s  guiding  principle  is  that  any 
excess  capital,  after  the  funding  of  organic 
growth  opportunities  and  potential  acqui-
sitions, should be returned to investors. The 
company’s dividend policy applies a pharma-

ceutical  industry  benchmark  to  ensure  a 
competitive  payout  ratio  for  dividend  pay-
ments,  which  are  complemented  by  share 
repurchase  programmes.  The  Board  of  Dir-
ectors plans to introduce an interim dividend 
in August, 2016. As illustrated on the right, 
Novo  Nordisk  has  continuously  increased 
both the payout ratio and the dividend paid 
over the last five years. The dividend for 2014 
recorded  in  March  2015  was  equal  to  DKK 
5.00 per A and B share of DKK 0.20 as well as 
for ADRs. This corresponds to a payout ratio 
of  48.7%,  which  is  broadly  in-line  with  the 
2014  pharma  peer  group  average  of  54%. 
For 2015, the Board of Directors will propose 
a dividend of DKK 6.40, which corresponds 
to a payout ratio of 46.6%. Adjusting for the 
partial  divestment  of  NNIT  A/S,  where  the 
net  profit  impact  was  returned  to  share-
holders through a DKK 2.5 billion expansion 
of  the  2015  share  repurchase  programme, 
the payout ratio will be 50.1%. Novo Nordisk 
does  not  pay  a  dividend  on  its  holding  of 
treasury  shares.  Shareholders’  enquiries 
concerning  dividend  payments  and  share-
holder  accounts  should  be  addressed  to 
Investor Service. Read more on the back cover.

share 

During  the  12-month  period  beginning  30 
January  2015,  Novo  Nordisk  repurchased 
shares  worth  DKK  17.5  billion.  Since  2008, 
repurchase  programme  has 
the 
primarily been conducted in accordance with 
the  provisions  of  European  Commission 
Regulation  No  2273/2003  of  22  December 
2003  (also  known  as  the  Safe  Harbour 
Regulation).  In  such  a  programme,  financial 
institutions are appointed as lead managers 
to  execute  the  repurchases  independently 
and without influence from Novo Nordisk.

SHARE REPURCHASE 
PROGRAMME FOR 2016/2017 
For  the  next  12  months,  Novo  Nordisk  has 
decided  to  implement  a  new  share  re-
purchase  programme.  The  expected  total 
repurchase value of B shares amounts to a 
cash  value  of  up  to  DKK  14  billion.  Novo 
Nordisk  expects  to  implement  the  majority 
of  the  new  share  repurchase  programme 
according  to  the  Safe  Harbour  Regulation. 
The  size  of  the  2016  share  repurchase 
programme is adjusted for the impact of the 
interim  dividend.  In  March  2016,  at  the 
Annual  General  Meeting,  the  Board  of 
Directors will propose a further reduction in 
the company’s B share capital, corresponding 

to  approximately  1.92%  of  the  total  share 
capital,  by  cancelling  50,000,000  treasury 
shares.  After  the  imple mentation  of  the 
share  capital  reduction,  Novo  Nordisk’s 
share 
to  DKK 
510,000,000, divided into A share ca pital of 
DKK  107,487,200  and  B  share  capital  of 
DKK 402,512,800.

capital  will  amount 

SHARE PRICE DEVELOPMENT
Novo  Nordisk’s  share  price  increased  by 
54% between its 2014 close of DKK 260.3 
and  the  30  December  2015  close  of  DKK 
399.9. For comparison, the Danish OMXC20 
CAP stock index increased by 29% and the 
pharma peer group increased by 4% during 
2015. The increase in Novo Nordisk’s share 
price  during  2015  reflects  its  sustained 
leadership position in the growing diabetes 
care  market,  coupled  with  a  continued 
improvement in operating margins and the 
progress of key R&D projects, including the 
approval of Tresiba® in the US and the cli n-
ical progress with the novel GLP-1 analogue 
semaglutide.  The  total  market  value  of  
Novo Nordisk’s B shares, excluding treasury  
sha res,  was  DKK  804  billion  as  of  30 
December 2015.

COMMUNICATION 
WITH SHAREHOLDERS 
To  keep  investors  updated  about  perfor m-
ance  and  the  progress  of  clinical  devel-
opment  programmes,  Novo  Nordisk  hosts 
conference calls with Executive Management 
following  key  events  and  the  release  of 
financial  results.  Executive  Management 
and Investor Relations also travel extensively 
to  ensure  that  all  investors  with  a  major 
holding  of  Novo  Nordisk  shares  can  meet 
with  the  company  on  a  regular  basis  and 
that a number of other investors and poten-
tial investors also have access to the company’s 
Management and Investor Relations.

ANALYST COVERAGE
Novo Nordisk is currently covered by 37 sell-
side  analysts,  including  the  major  global 
investment  banks  that  regularly  produce 
research reports on Novo Nordisk. A list of 
analysts  covering  Novo  Nordisk  can  be 
found at novonordisk.com under ‘Investors’. 
Company  announcements 
from  1995 
onwards, financial, social and environmental 
results,  a  calendar  of 
investor-relevant 
events,  investor  presentations,  background 
information and so on are also available.

NOVO NORDISK ANNUAL REPORT 2015SHARE AND OWNERSHIP STRUCTURE

OWNERSHIP STRUCTURE

Novo Nordisk 
Foundation

Novo A/S

Institutional and 
private investors

75.0% of votes
27.0% of capital

25.0% of votes
73.0% of capital

A shares
537m shares

B shares
2,063m shares

Novo Nordisk A/S

GOVERNANCE, LEADERSHIP AND SHARES

45

GEOGRAPHIC DISTRIBUTION OF SHAREHOLDERS*
% of share capital

 2014   2015

%

50

40

30

20

10

0

Note: Treasury shares are included in share capital but have no voting right.

* Calculated using shareholders’ registered home countries.

Denmark 

North 
America 

UK and 
Ireland

Other

SHARE PRICE PERFORMANCE

SHARE PRICE PERFORMANCE 
Novo Nordisk share price and indexed peers

    Novo Nordisk      Pharmaceutical industry peers*      OMXC20 CAP

PRICE DEVELOPMENT AND MONTHLY TURNOVER 
OF NOVO NORDISK B SHARES

 Turnover of B shares (left)        Novo Nordisk’s B share 

closing prices (right)

DKK

420

360

300

240

180

DKK billion

25

20

15

10

5

0

450

360

270

180

90

0

Mar

Jun
2014

Sep

Dec Mar

Sep

Dec

Jun
2015

 Jan  Feb  Mar  Apr  May  Jun  Jul  Aug  Sep  Oct  Nov  Dec
2015

*  Pharma peers comprise: AstraZeneca, Bristol-Myers Squibb, Eli Lilly, 

GlaxoSmithKline, J&J, Merck & Co, Novartis, Pfizer, Roche, Sanofi and Teva.

CASH RETURN TO SHAREHOLDERS

ANNUAL CASH RETURN TO SHAREHOLDERS

DEVELOPMENT IN SHARE CAPITAL

 Dividend      Share repurchase      Free cash flow  

 Share capital

DKK billion

DKK million

40

32

24

16

8

0

(–2%)

(–4%)

(–2%)

(–2%)

600

550

500

450

400

2012

2013

2014

2015

2016E

2012

2013

2014

2015

2016E

Note: Dividends are allocated to the year of dividend pay.

NOVO NORDISK ANNUAL REPORT 2015 
CORPORATE 
GOVERNANCE

In 2015, the Board of Directors reached its 
diversity targets as set out in 2013 and 
consequently increased its diversity ambition 
even further by setting out new targets for 
2019. The Board of Directors established a 
Remuneration Committee to enhance the 
process for preparing proposals for the 
remuneration of the Board of Directors and 
Executive Management. Furthermore, the 
Board of Directors decided to reorganise 
Executive Management to enhance the 
Board’s visibility of Novo Nordisk’s 
international business operations and support 
further development of key leadership talents.

GOVERNANCE STRUCTURE

SHAREHOLDERS
Shareholders have ultimate authority over the company and exercise 
their rights to make decisions at general meetings. Resolutions can 
generally  be  passed  by  a  simple  majority.  However,  resolutions  to 
amend  the  Articles  of  Association  require  two-thirds  of  votes  cast 
and  capital  represented,  unless  other  adoption  requirements  are 
imposed by the Danish Companies Act.

At  the  annual  general  meeting,  shareholders  approve  the  annual 
report and any amendments to the company’s Articles of Association. 
Shareholders also elect board members and the independent auditor.

Novo Nordisk’s share capital is divided into A and B shares. Special 
rights attached to A shares include pre-emptive subscription rights in 
the  event  of  an  increase  in  the  A  share  capital  and  pre-emptive 
purchase rights in the event of a sale of A shares, while B shares take 
priority  for  liquidation  proceedings.*  Read  more  about  shares  and 
capital structure on p 44.

BOARD OF DIRECTORS
Novo Nordisk has a two-tier management structure consisting of the 
Board of Directors and Executive Management. The two bodies are 
separate  and  no  one  serves  as  a  member  of  both.  The  Board  of 
Directors determines the company’s overall strategy and follows up 
on its implementation, supervises the performance, ensures adequate 
management and organisation and, as such, actively contributes to 
developing the company as a focused, sustainable, global pharma-
ceutical company. The Board of Directors supervises Executive Man-
agement in its decisions and operations. The Board of Directors may 
also  issue  new  shares  or  buy  back  shares  in  accordance  with 
authorisations granted by the annual general meeting and recorded 
in the meeting minutes. For minutes from annual general meetings, 

see novonordisk.com/about_us. The Board of Directors has 12 mem-
bers,  eight  of  whom  are  elected  by  shareholders  and  four  by 
employees in Denmark. Novo Nordisk’s Board of Directors met seven 
times during 2015.

Shareholder-elected board members serve a one-year term and may 
be  re-elected.  Members  must  retire  at  the  first  annual  general 
meeting after reaching the age of 70. Five of the eight shareholder-
elected board members are independent as defined by the Danish 
Corporate Governance Recommendations. Read more on pp 52–53.

A proposal for nomination of board members is presented by 
the Nomination Committee to the Board of Directors, taking 
into  account  required  competences  as  defined  by  the 
Board  of  Directors’  competence  profile  and  reflecting 

* A shares take priority for dividends below 0.5%. B shares take 
priority for dividends between 0.5 and 5%. However, in practice, 
A shares and B shares receive the same amount of dividend 
per share. The dividend per share approved at the Annual 
General Meeting in March 2015 was DKK 5 for all shares 
of  DKK  0.20,  equivalent  to  a  dividend  percentage  of 
2,500%, making the dividend differentiation in the 

Articles of Association less relevant. 

47

the  result  of  a  self-assessment  process  facilitated  by  internal  or 
external  consultants.  The  assessment  process  is  based  on  written 
questionnaires  and  evaluates  the  Board  of  Directors’  composition 
and the skills of its members, including whether each board member 
and  executive  participates  actively 
in  board  discussions  and 
contributes with independent judgement.

To ensure that discussions include multiple perspectives representing 
the  complex,  global  pharmaceutical  environment,  the  Board  of 
Directors  aspires  to  be  diverse  in  gender  and  nationality.  Currently, 
three shareholder-elected board members are female and six of the 
eight shareholder-elected board members are non-Danes. In 2015, the 
Board of Directors increased its diversity ambition further and set out 
new targets with the aim that by 2019 it will consist of at least two 
shareholder-elected  board  members  with  Nordic  nationality  and  at 
least two shareholder-elected board members with a nationality other 
than Nordic – and at least four shareholder-elected board members of 
each gender. In accordance with section 99b of the Danish Financial 
Statements Act, Novo Nordisk discloses its diversity policy, targets and 
current performance in the UN Global Compact Communication on 
Progress, which is available at novonordisk.com/annualreport.

The self-assessment conducted in 2015 was facilitated internally and 
revealed continued strong performance by the Board and Executive 
Management.  The  process  also  resulted  in  the  identification  of  a 
number  of  areas  within  research,  manufacturing  and  sales  where 
more  insight  will  be  provided  to  the  Board.  In  order  to  support 
continued  fulfilment  of  the  Novo  Nordisk  Way,  criteria  for  board 
members include integrity, accountability, fairness, financial literacy, 
commitment and desire for innovation. Members are also expected 
to  have  experience  of  managing  major  companies  that  develop, 
manufacture  and  market  products  and  services  globally.  The 
competence profile, which includes the nomination criteria, is avai l-
able at novonordisk.com/about_us.

General  Meeting  re-elected  the  Chairman,  Göran  Ando,  and  the 
Vice Chairman, Jeppe Christiansen. See novonordisk.com/about_us 
for a report on the Chairmanship’s activities.

AUDIT COMMITTEE
The four members of the Audit Committee are elected by the Board 
of Directors from among its members. Pursuant to the US Securities 
Exchange  Act,  two  members  qualify  as  independent  while  two 
members rely on an exemption to the independence requirements. 
In addition, two members have been designated as financial experts 
as  defined  by  the  US  Securities  and  Exchange  Commission  (SEC). 
Under Danish law, two members qualify as independent – of whom 
one also qualifies as financial expert. One member is an employee 
representative. The Audit Committee assists the Board of Directors 
with oversight of the external auditors, the internal audit function, 
the procedure for handling complaints regarding accounting, internal 
accounting  controls,  auditing  or  financial  reporting  matters  and 
business ethics matters, financial, social and environmental reporting, 
business  ethics  compliance,  post-completion  reviews  and  post-
investment  reviews,  long-term  incentive  programmes  and  infor-
mation security. In 2015, the Board of Directors elected Liz Hewitt as 
Chairman and Jeppe Christiansen, Sylvie Grégoire and Stig Strøbæk 
as members. Eivind Kolding was elected as an observer on the Audit 
Committee.  See  novonordisk.com/about_us  for  a  report  on  the 
Audit Committee’s activities.

NOMINATION COMMITTEE
The Nomination Committee consists of five members. Three members 
qualify as independent, while one member is an employee representative. 
The  Nomination  Committee  assists  the  Board  with  oversight  of  the 
competence  profile  and  composition  of  the  Board,  nomination  of 
members  and  committees,  and  other  tasks  on  an  ad  hoc  basis  as 
specifically decided by the Board. In 2015, the Board of Directors elected 
Göran  Ando  as  Chairman  and  Bruno  Angelici,  Liz  Hewitt,  Liselotte  

Under Danish law, Novo Nordisk’s employees in Denmark are entitled 
to  be  represented  by  half  of  the  total  number  of  board  members 
elected at the annual general meeting. In 2014, employees elected 
four board members from among themselves – two male and two 
female,  all  Danes.  Board  members  elected  by  employees  serve  a 
four-year term and have the same rights, duties and responsibilities 
as shareholder-elected board members.

CHAIRMANSHIP
The annual general meeting directly elects the chairman and the vice 
chairman  of  the  Board  of  Directors.  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. Other tasks include review-
ing the fixed asset investment portfolio. In March 2015, the Annual 

Hyveled and Mary Szela as members. See  novonordisk.com\about_us 
for a report on the Nomination Committee’s activities.

REMUNERATION COMMITTEE
The  Board  of  Directors  established  a  Remuneration  Committee  in 
2015. The Remuneration Committee consists of five members. Two 
members qualify as independent, while one member is an employee 
representative. The chairman of the committee is not independent. 
The Remuneration Committee assists the Board with oversight of the 
remuneration  policy  as  well  as  the  actual  remuneration  of  board 
members, its committees and Executive Management. In 2015, the 
Board  of  Directors  elected  Göran  Ando  as  Chairman  and  Jeppe 
Christiansen,  Thomas  Paul  Koestler,  Søren  Thuesen  Pedersen  and 
Mary Szela as members. See novonordisk.com\about_us for a report 
on the Remuneration Committee’s activities.

CONTINUED

48 GOVERNANCE, LEADERSHIP AND SHARES

EXECUTIVE MANAGEMENT
Executive Management is responsible for the day-to-day management 
of the company. In 2015, one executive left and four executives were 
appointed by the Board of Directors. The four new executives were 
elevated from leaders of the commercial activities in the US, Europe 
and International Operations and of Product Supply to executive vice 
presidents  and  members  of  Executive  Management.  The  four  new 
executives  are  not  registered  with  the  Danish  Business  Authority. 
Executive  Management  now  consists  of  the  president  &  CEO,  plus 
eight executives. They are responsible for the overall conduct of the  

business  and  all  operational  matters,  the  organisation  of  the 
company, allocation of resources, determination and implementation 
of  strategies  and  policies,  direction-setting,  and  ensuring  timely 
reporting and provision of information to the Board of Directors and 
Novo Nordisk’s stakeholders. Executive Management meets at least 
once  a  month  and  often  more  frequently.  The  Board  of  Directors 
appoints  members  of  Executive  Management  and  determines  its 
remuneration.  The  Chairmanship  reviews  the  performance  of  the 
executives.

CORPORATE GOVERNANCE CODES AND PRACTICES

COMPLIANCE

GOVERNANCE STRUCTURE

ASSURANCE

Danish and foreign laws 
and regulations

Shareholders

Board of Directors

Corporate governance 
standards

Chairmanship*

Audit 
Committee

Nomination 
Committee

Remuneration 
Committee

Novo Nordisk Way

* The Chairmanship is directly elected by the annual general meeting.

Executive Management

Organisation

Audit of financial data 
and review of social  
and environmental data 
(internal and external)

Facilitation and 
organisational audit 
(internal)

Quality audit and 
inspections (internal 
and external)

ASSURANCE
The  company’s  financial  reporting  and  the  internal  controls  over 
financial  reporting  processes  are  audited  by  an  independent  audit 
firm elected at the annual general meeting. As part of Novo Nordisk’s 
commitment  to  its  social  and  environmental  responsibility,  the 
company  voluntarily  includes  an  assurance  report  for  social  and 
environmental reporting in the annual report. The assurance provider 
reviews  whether  the  social  and  environmental  performance 
information covers aspects deemed to be material, and verifies the 
internal control processes for the information reported.

Novo  Nordisk’s  internal  audit  function  provides  independent  and 
objective  assurance,  primarily  within  internal  control  of  financial 
processes, IT and business ethics. To ensure that the internal financial 
audit  function  works  independently  of  Executive  Management,  its 
charter, audit plan and budget are approved by the Audit Committee.

Three other types of assurance activity – quality audits, organisational 
audits  and  values  audits,  called  facilitations  –  help  ensure  that  the 
company adheres to high quality standards and operates in accor d-
ance with the Novo Nordisk Way.

COMPLIANCE WITH 
CORPORATE GOVERNANCE CODES

Novo Nordisk’s B shares are listed on Nasdaq Copenhagen and on the 
New  York  Stock  Exchange  (NYSE)  as  American  Depository  Receipts 
(ADRs).  The  applicable  corporate  governance  codes  for  each  stock 
exchange and a review of Novo Nordisk’s compliance are available at 
novonordisk.com/about_us.

In accordance with section 107b of the Danish Financial Statements Act, 
Novo Nordisk discloses its mandatory corporate governance report at 
novonordisk.com/about-novo-nordisk /corporate-governance/
Recommendations-and-practices.html. Novo Nordisk adheres to all but 
the following recommendations:

•  The responsibility for the remuneration policy applicable to the 

employees in general lies with Executive Management and not with 
the Remuneration Committee. 

•  Three employment contracts for Executive Management entered 
into before 2008 allow for severance payments of more than 24 
months’ fixed base salary plus pension contribution.

•  The majority of the Audit Committee’s members and the 
Remuneration Committee’s members respectively are not 
independent.

Novo  Nordisk  complies  with  the  corporate  governance  standards  of 
NYSE applicable to foreign listed private issuers. As a controlled company, 
Novo Nordisk is not obliged to comply with all the standards established 
by  NYSE.  Furthermore,  Novo  Nordisk,  as  a  foreign  private  issuer,  is 
permitted to follow home country practice, which is the case in relation 
to independence requirements, audit committee, equity compensation 
plans,  code  of  business  conduct  and  ethics,  and  CEO  certification.  A 
summary  of  the  significant  ways  in  which  Novo  Nordisk’s  corporate 
governance practices differ from the NYSE corporate governance listing 
standards  can  be  found  in  the  corporate  governance  report  at 
novonordisk.com/about-novo-nordisk /corporate-governance/
Recommendations-and-practices.html.

Novo Nordisk is part of the Novo Group and adheres to the Charter for 
Companies in the Novo Group, which is available at novo.dk. However, 
all strategic and operational matters are solely decided by the Board of 
Directors and Executive Management of Novo Nordisk.

NOVO NORDISK ANNUAL REPORT 2015 
REMUNERATION

At  the  Annual  General  Meeting  in  March 
2015,  the  fixed  base  fee  of  the  Board  of 
Directors was increased from DKK 500,000 to 
DKK 600,000 after not having been adjusted 
for four years.

Remuneration  of  the  Board  of  Directors  and 
Executive  Management  is  assessed  on  an 
annual  basis  against  a  benchmark  of  Nordic 
companies as well as European pharmaceutical 
companies that are similar to Novo Nordisk in 
size, complexity and market capitalisation. The 
results are presented to the Board of Directors 
by  the  Remuneration  Committee  at  its  Oc-
tober  meeting.  The  company  strives  for  sim-
plicity  when  devising 
remuneration 
package, and its remuneration principles pro-
vide  guidance  for  the  remuneration  of  the 
Board of Directors and Executive Management. 
These principles are available at novonordisk.
c o m /a b o u t- n o v o - n o r d i s k /c o r p o r a t e -
governance/remuneration.html.

the 

At  the  October  meeting,  the  Board  of 
Directors  agrees  on  recommendations  for 
remuneration  levels  for  the  next  financial 
year. In connection with the approval of the 
annual  report,  the  Board  endorses  the 
actual  remuneration  for  the  past  financial 
year  and  the  recommendation  on  remu-
neration levels for the current financial year. 
These  are  then  presented  to  the  annual 
general meeting for approval. 

TRAVEL AND EXPENSES
All  board  members  who  reside  outside  of 
Denmark  are  paid  a  fixed  travel  allowance 
for  each  board  meeting.  Expenses  such  as 
travel  and  accommodation  in  relation  to 
board meetings as well as those associated 
with  continuing  education  are  reimbursed. 
Novo Nordisk also pays social security taxes 
imposed  by  foreign  authorities.  Further  in-
formation on travel and expenses is available 
at novonordisk.com/about_us.

BOARD OF DIRECTORS’ REMUNERATION 
The remuneration of Novo Nordisk’s Board 
of  Directors  comprises  a  fixed  base  fee,  a 
multiplier of the fixed base fee for the Chair-
manship  and  members  of  the  company’s 
committees,  fees  for  ad  hoc  tasks  and  a 
travel allowance. Further information on the 
remuneration  of  the  Board  of  Directors  is 
available at novonordisk.com/about_us.

EXECUTIVE MANAGEMENT’S 
REMUNERATION
The  remuneration  of  Novo  Nordisk’s  Exec-
utive  Management  is  proposed  by  the  Re-
muneration  Committee  and  approved  by 
the Board of Directors. Remuneration pa ck-
ages  for  executives  comprise  a  fixed  base 
salary, a cash-based incentive, a share-based 
incentive, a pension contribution and other 

GOVERNANCE, LEADERSHIP AND SHARES

49

benefits.  For  executives  on  international 
assignments,  the  remuneration  package  is 
generally based on an equalised host co un-
try  net  salary  during  the  length  of  the 
assignment  and  relocation  benefits  includ-
ing  accommodation  and  school  arrange-
ments. The split between fixed and variable 
remuneration  is  intended  to  result  in  a 
reasonable part of the salary being linked to 
performance, while promoting sound, long-
term  business  decisions  to  meet  the  com-
pany’s objectives. All incentives are subject 
to claw-back if it is subsequently determined 
that  payment  was  based  on  information 
that was manifestly misstated.

FIXED BASE SALARY
The fixed base salary is intended to attract 
and  retain  executives  with  the  professional 
and personal competences required to drive 
the company’s performance.

CASH-BASED INCENTIVE
The  short-term  cash-based  incentive  is 
designed to incentivise individual perfor m-
ance.  The  incentive  is  dependent  on  the 
achievement  of  a  number  of  predefined 
short-term  financial,  process,  people  and 
customer targets relating to the executive’s 
functional  area  and  linked  to  goals  in  the 
company’s  Balanced  Scorecard  as  well  as 
the  achievement  of  a  number  of  personal 

CONTINUED

BOARD OF DIRECTORS
IN 2015, THE BASE FEE FOR MEMBERS OF THE BOARD OF DIRECTORS WAS DKK 600,000 (DKK 500,000 IN 2014).

DKK million 

Göran Ando3,4 (BC, NC and RC) 
Jeppe Christiansen (BV, AM and RM) 
Bruno Angelici (NM) 
Sylvie Grégoire1 (AM) 
Liz Hewitt (AC and NM) 
Liselotte Hyveled1 (NM) 
Thomas Paul Koestler (RM) 
Eivind Kolding1 (AO) 
Anne Marie Kverneland  
Søren Thuesen Pedersen (RM) 
Stig Strøbæk (AM) 
Mary Szela1 (NM and RM) 
Helge Lund2  
Hannu Ryöppönen2 
Henrik Gürtler2 
Ulrik Hjulmand-Lassen2 

Total 

2015 

Fixed 
base fee 

Fee for 
ad hoc tasks and 
committee work 

Travel 
allowance 

Total 

Fixed 
base fee 

2014

Fee for
ad hoc tasks and 
committee work 

Travel 
allowance 

Total

1.7 
1.2 
0.6 
0.5 
0.6 
0.6 
0.6 
0.5 
0.6 
0.6 
0.6 
0.5 
0.1 
0.1 
– 
– 

8.8 

– 
0.3 
0.1 
0.2 
0.7 
0.1 
0.1 
– 
– 
0.1 
0.3 
0.2 
0.1 
0.1 
– 
– 

2.3 

0.1 
– 
0.1 
0.2 
0.1 
– 
0.2 
– 
– 
– 
– 
0.2 
0.1 
0.1 
– 
– 

1.1 

1.8 
1.5 
0.8 
0.9 
1.4 
0.7 
0.9 
0.5 
0.6 
0.7 
0.9 
0.9 
0.3 
0.3 
– 
– 

12.25 

1.5 
1.0 
0.5 
– 
0.5 
0.4 
0.5 
– 
0.5 
0.5 
0.5 
– 
0.4 
0.5 
0.1 
0.1 

7.0 

– 
– 
0.1 
– 
0.4 
– 
– 
– 
– 
0.1 
0.3 
– 
0.2 
0.5 
– 
– 

1.6 

0.1 
– 
0.1 
– 
0.1 
– 
0.3 
– 
– 
– 
– 
– 
0.1 
0.1 
– 
– 

0.8 

1.6
1.0
0.7
–
1.0
0.4
0.8
–
0.5
0.6
0.8
–
0.7
1.1
0.1
0.1

9.45

BC = Board chairman, BV = Board vice chairman, AC = Audit Committee chairman, AM = Audit Committee member, AO = Audit Committee observer, NC = Nomination Committee 
chairman, NM = Nomination Committee member, RC = Remuneration Committee chairman, RM = Remuneration Committee member.

1. Liselotte Hyveled was fi rst elected in March 2014. Sylvie Grégoire, Eivind Kolding and Mary Szela were fi rst elected in March 2015. 2. Helge Lund and Hannu Ryöppönen resigned 
as of March 2015. Henrik Gürtler and Ulrik Hjulmand-Lassen resigned as of March 2014. 3. Novo Nordisk provides secretarial assistance to the chairman in Denmark and the UK. 4. As 
Göran Ando also holds the position of chairman of the Board, he has not received a fee as chairman of the Nomination Committee and the Remuneration Committee. 5. Excluding 
social security taxes paid by Novo Nordisk amounting to less than DKK 1 million (less than DKK 1 million in 2014).

NOVO NORDISK ANNUAL REPORT 2015 
 
 
 
 
 
 
 
50 GOVERNANCE, LEADERSHIP AND SHARES

targets  relating  to  the  individual  executive 
and  their  position.  Short-term  targets  for 
the  Chief  Executive  Officer  are  set  by  the 
Chairman  of  the  Board  of  Directors,  while 
the  targets  for  the  other  members  of 
Executive Management are set by the CEO. 
The  Chairmanship  evaluates  the  degree  of 
achievement for each member of Executive 
Management,  based  on  input  from  the 
CEO.

In  June  2015,  the  Board  of  Directors  de-
termined  that  the  2015  maximum  bonus 
would  be  a  maximum  of  12  months’  fixed 
base  salary  plus  pension  contribution  for 
the  CEO,  a  maximum  of  eight-and-a-half 
months’  fixed  base  salary  plus  pension 
contribution for executives on international 
assignments  and  a  maximum  of  eight 
months’  fixed  base  salary  plus  pension 
contribution for the remaining members of 
Executive Management based in Denmark.

SHARE-BASED INCENTIVES
The  long-term  share-based  incentive  pro-
gramme is designed to promote the collective 
performance of Executive Management and 
align  the  interests  of  executives  and  share-
holders. Share-based incentives are linked to 
both financial and non-financial targets. The 
long-term incentive programme is based on a 
calculation of economic value creation com-
pared with planned performance. In line with 
Novo  Nordisk’s  long-term  financial  targets, 
the calculation of economic value creation is 
based on reported operating profit after tax, 
reduced  by  a  weighted  average  cost  of  
cap i tal-based return requirement on average 
invested capital.

To a large extent, the sales growth drives the 
financial  development  of  the  company  and 
hence economic value creation. The economic 
value  created  can  thus  be  adjusted  in  a 
negative direction if the sales performance is 
lower  than  budgeted  sales.  The  calculated 
economic value creation is further adjusted if 
certain  non-financial  targets  are  not  met. 
Non-financial  targets  are  determined  on  the 
basis  of  an  assessment  of  the  objectives  re-
garded  as  particularly  important  for  the 
fulfilment  of  the  company’s  long-term  per - 
for m ance. Besides financial and sales growth 
targets, the 2015 targets consisted of 16 tar-
gets linked to the company’s Balanced Score-
card  within  the  categories  of  research  and 
development,  quality,  patients,  employees, 
environment  and  reputation.  Targets  within 
research  and  development  were  related  to 
specific  milestones,  such  as  submission  of 
product  files  to  the  regulatory  authorities  in 
the US and Europe within a certain time frame, 
achievement of marketing authorisations, ex-
ecution  of  trials  and  a  defined  number  of 
product  candidates  to  enter  development 
from discovery. Targets within quality related 
to  recalls  and  warning  letters,  and  targets 
within environment related to the emission of 
CO2 from energy consumption for production.
Based on these principles, a proportion of the 
calculated  economic  value  creation  is  allo-

cated to a joint pool for the participants, who 
include  Executive  Management  and  other 
members of the Senior Management Board.

In March 2015, the Board of Directors deter-
mined that the 2015 maximum for Executive 
Management as per 1 March 2015 would be 
12  months’  fixed  base  salary  including 
pension contribution for the CEO and up to 
nine months’ fixed base salary plus pension 
contribution for the other members of Exec-
utive  Management.  If  the  targets  are  met 
for  economic  value  creation  and  sales 
growth,  and  at  least  85%  performance  is 
reached  for  non-financial  targets,  the  allo-
cation to the joint pool would correspond to 
six  months’  base  salary  plus  pension 
contribution  for  the  CEO  and  four-and-a-
half  months’  base  salary  plus  pension  con-
tribution for the other members of Executive 
Management. Further information on Novo 
Nordisk’s share-based incentives is available 
at novonordisk.com/about_us.

PENSION
Pension  contributions  are  paid  to  enable 
executives  to  build  up  an  income  for  retire-
ment.

OTHER BENEFITS
Other  benefits  are  added  to  ensure  that 
overall  remuneration  is  competitive  and 
aligned with local practices.

SEVERANCE PAYMENT
Novo Nordisk may terminate employment by 
giving  executives  12  months’  notice.  Exec-
utives  may  terminate  their  employment  by 
giving  Novo  Nordisk  six  months’  notice.  In 
addition to the notice period, executives are 
entitled to a severance payment as described 
in  the  overview  of  the  composition  of 
executive  remuneration.  Further  information 
on  Novo  Nordisk  severance  payment  is 
available at novonordisk.com/about_us.

COMPOSITION OF EXECUTIVE REMUNERATION

2015 ON-TARGET PERFORMANCE

 Fixed base salary        Cash bonus        Share-based incentive        Pensions        Benefits

CEO

Other registered members of Executive Management

0

10

20

30

40

50

60

70

80

90

100%

REMUNERATION PACKAGE COMPONENTS

Remuneration

Board of 
Directors

Executive 
Management

Comments relating  
to Executive Management

Fixed fee/base salary

Fee for committee work

Fee for ad hoc tasks

Cash-based incentive

Share-based incentive

Pensions

Travel allowance and 
other expenses

Benefits

Severance payment

Accounts for approximately 25–50% of the total 
value of the remuneration package.*

Up to eight-and-a-half months’ fixed base salary + 
pension per year for executives on international 
assignments.

8–12 months’ fixed base salary + pension per year 
for executives based in Denmark.

9–12 months’ fixed base salary incl pension per 
year.**

25% of fixed base salary and cash-based incentive.

Executive Management receives a minor travel 
allowance equal to that of all other employees.

Executive Management receives non-monetary 
benefits, such as company cars, phones, etc. 
Executives on international assignments may 
receive relocation benefits.

Up to 24 months’ fixed base salary + pension. 
Three employment contracts entered into before 
2008 exceed the 24-month limit, though will not 
exceed 36 months’ fixed base salary plus pension 
contribution.

* The interval 25–50% states the span between ‘maximum performance’ and ‘on-target performance’.
** Executives as per 1 March 2015. 

NOVO NORDISK ANNUAL REPORT 2015 
GOVERNANCE, LEADERSHIP AND SHARES

51

2015 PERFORMANCE TRIGGERS MAXIMUM SHARE ALLOCATION
In 2015, Novo Nordisk exceeded the planned target for economic value creation by more than the 10% incentive threshold. Sales growth in local 
currencies was realised at 8.4%, thereby also exceeding the incentive target, while the threshold for the achievement of non-financial targets 
was met. Together, this means that participants in the share-based long-term incentive programme will receive the maximum share allocation.
REMUNERATION OF EXECUTIVE MANAGEMENT AND OTHER MEMBERS 
REMUNERATION OF EXECUTIVE MANAGEMENT AND OTHER MEMBERS 
OF THE SENIOR MANAGEMENT BOARD
OF THE SENIOR MANAGEMENT BOARD

DKK million 

DKK million 
Executive Management
Lars Rebien Sørensen 
Executive Management
Jesper Brandgaard 
Lars Rebien Sørensen 
Lars Fruergaard Jørgensen 
Jesper Brandgaard 
Jakob Riis 
Lars Fruergaard Jørgensen 
Mads Krogsgaard Thomsen 
Jakob Riis 
Non-registered members of 
Mads Krogsgaard Thomsen 
Executive Management1, 2 
Non-registered members of 
Retired members of 
Executive Management1, 2 
Executive Management:
Retired members of 
Kåre Schultz3 
Executive Management:
Lise Kingo3 
Kåre Schultz3 
Share-based incentive 
Lise Kingo3 
Share-based incentive 
Executive Management in total 

Fixed  
base 
Fixed  
salary5 
base 
salary5 

10.6 
6.0 
10.6 
5.2 
6.0 
5.2 
5.2 
6.0 
5.2 
6.0 
13.8 

13.8 

2.5 
– 
2.5 
– 
– 
– 
49.35 

Cash 
bonus 
Cash 
bonus 

Pension 

Pension 

10.6 
4.0 
10.6 
3.5 
4.0 
2.8 
3.5 
4.0 
2.8 
4.0 
12.0 

12.0 

1.3 
– 
1.3 
– 
– 
– 
38.2 

5.3 
2.5 
5.3 
2.2 
2.5 
2.0 
2.2 
2.5 
2.0 
2.5 
6.2 

6.2 

1.0 
– 
1.0 
– 
– 
– 
21.7 

2015 

2015 

Share- 
based 
Share- 
Benefi ts  incentive6 
based 
Benefi ts  incentive6 

0.3 
0.3 
0.3 
0.3 
0.3 
0.3 
0.3 
0.3 
0.3 
0.3 
0.8 

0.8 

0.1 
– 
0.1 
– 
– 
– 
2.4 

– 
– 
– 
– 
– 
– 
– 
– 
– 
– 
– 

– 

– 
– 
– 
44.0 
– 
44.0 
44.0 

Fixed  
base 
Fixed  
salary5 
base 
salary5 

10.4 
5.8 
10.4 
4.4 
5.8 
4.4 
4.4 
5.8 
4.4 
5.8 
– 

– 

7.3 
4.8 
7.3 
– 
4.8 
– 
42.95 

Total 

Total 

26.8 
12.8 
26.8 
11.2 
12.8 
10.3 
11.2 
12.8 
10.3 
12.8 
32.8 

32.8 

4.9 
– 
4.9 
44.0 
– 
44.0 
155.6 

Cash 
bonus 
Cash 
bonus 

Pension 

Pension 

9.5 
3.9 
9.5 
2.2 
3.9 
1.8 
2.2 
3.9 
1.8 
3.9 
– 

– 

4.3 
2.0 
4.3 
– 
2.0 
– 
27.6 

5.0 
2.5 
5.0 
1.6 
2.5 
1.5 
1.6 
2.5 
1.5 
2.5 
– 

– 

3.1 
1.7 
3.1 
– 
1.7 
– 
17.9 

2014

2014

Share- 
based 
Share- 
Benefi ts  incentive6 
based 
Benefi ts  incentive6 

Total

Total

25.2
12.5
25.2
8.5
12.5
8.0
8.5
12.5
8.0
12.5
–

–

15.0
8.8
15.0
27.3
8.8
27.3
117.8

0.3 
0.3 
0.3 
0.3 
0.3 
0.3 
0.3 
0.3 
0.3 
0.3 
– 

– 

0.3 
0.3 
0.3 
– 
0.3 
– 
2.1 

– 
– 
– 
– 
– 
– 
– 
– 
– 
– 
– 

– 

– 
– 
– 
27.3 
– 
27.3 
27.3 

42.95 

49.35 

2.1 

2.4 

17.9 

21.7 

27.6 

21.9 

27.3 

47.8 

47.8 

28.7 

18.3 

18.3 

20.6 

20.6 

22.2 

22.2 

38.2 

44.0 

117.8

73.15 

73.15 

155.6 

172.0 

172.0 

80.65 

80.65 

Executive Management in total 
Other members of the Senior 
Management Board in total4 
Other members of the Senior 
Management Board in total4 
191.7
1. Effective 30 April 2015, Novo Nordisk’s Executive Management was expanded to include four new members: Maziar Mike Doustdar, Jerzy Gruhn, Jesper Høiland and Henrik Wulff, 
none of whom are registered with the Danish Business Authority as members of Executive Management of Novo Nordisk A/S. Respective amounts in the table include remuneration for 
1. Effective 30 April 2015, Novo Nordisk’s Executive Management was expanded to include four new members: Maziar Mike Doustdar, Jerzy Gruhn, Jesper Høiland and Henrik Wulff, 
May to December 2015, with the exception of cash bonus, which covers the full year. 2. Amounts include taxes paid by Novo Nordisk due to the members’ international employment 
none of whom are registered with the Danish Business Authority as members of Executive Management of Novo Nordisk A/S. Respective amounts in the table include remuneration for 
terms. In addition, Maziar Mike Doustdar, Jerzy Gruhn and Jesper Høiland received benefi ts in 2015 in accordance with Novo Nordisk’s International Assignment Guidelines, such 
May to December 2015, with the exception of cash bonus, which covers the full year. 2. Amounts include taxes paid by Novo Nordisk due to the members’ international employment 
as  accommodation,  children’s  school  fees,  international  health  insurance  and  other  types  of  insurance,  spouse  allowance  and  tax-fi ling  support,  all  offered  net  of  tax  to  the 
terms. In addition, Maziar Mike Doustdar, Jerzy Gruhn and Jesper Høiland received benefi ts in 2015 in accordance with Novo Nordisk’s International Assignment Guidelines, such 
assignees. Including tax paid by Novo Nordisk, the benefi ts received in 2015 not included in the above table amount to DKK 5.4 million. 3. Following a change in the distribution of 
as  accommodation,  children’s  school  fees,  international  health  insurance  and  other  types  of  insurance,  spouse  allowance  and  tax-fi ling  support,  all  offered  net  of  tax  to  the 
responsibilities among the members of Executive Management, President and COO Kåre Schultz left Novo Nordisk as of April 2015. The remuneration of Kåre Schultz up to April 
assignees. Including tax paid by Novo Nordisk, the benefi ts received in 2015 not included in the above table amount to DKK 5.4 million. 3. Following a change in the distribution of 
2015 is included in the above table, whereas severance payment, including participation in the share-based incentive programme for 2015 and part of 2016, of DKK 72.7 million is not 
responsibilities among the members of Executive Management, President and COO Kåre Schultz left Novo Nordisk as of April 2015. The remuneration of Kåre Schultz up to April 
included. The remuneration of Lise Kingo for 2014 is also included in the above table, whereas severance payment, including participation in the share-based incentive programme for 
2015 is included in the above table, whereas severance payment, including participation in the share-based incentive programme for 2015 and part of 2016, of DKK 72.7 million is not 
2015, of DKK 32.2 million is not included. 4. The total remuneration for 2015 includes remuneration of 34 Senior Vice Presidents (31 in 2014), three of whom have retired or left the 
included. The remuneration of Lise Kingo for 2014 is also included in the above table, whereas severance payment, including participation in the share-based incentive programme for 
company (none in 2014). The 2015 remuneration for the retired Senior Vice Presidents is included in the table above, whereas severance payments of DKK 26 million are not included. 
2015, of DKK 32.2 million is not included. 4. The total remuneration for 2015 includes remuneration of 34 Senior Vice Presidents (31 in 2014), three of whom have retired or left the 
5. Excluding social security taxes paid amounting to DKK 1.3 million (DKK 0.0 million in 2014) for Executive Management and DKK 1.4 million (DKK 2.7 million in 2014) for other 
company (none in 2014). The 2015 remuneration for the retired Senior Vice Presidents is included in the table above, whereas severance payments of DKK 26 million are not included. 
members of the Senior Management Board. 6. The joint pool of shares is locked up for three years before it is transferred to the participants employed at the end of the three-year 
5. Excluding social security taxes paid amounting to DKK 1.3 million (DKK 0.0 million in 2014) for Executive Management and DKK 1.4 million (DKK 2.7 million in 2014) for other 
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. During the lock-up period, the joint pool may 
members of the Senior Management Board. 6. The joint pool of shares is locked up for three years before it is transferred to the participants employed at the end of the three-year 
potentially be reduced in the event of lower-than-planned value creation in subsequent years. The split between Executive Management and other members is based on the split of 
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. During the lock-up period, the joint pool may 
participants at the time of the establishment of the pool.
potentially be reduced in the event of lower-than-planned value creation in subsequent years. The split between Executive Management and other members is based on the split of 
participants at the time of the establishment of the pool.

191.7

38.9 

38.9 

28.7 

21.6 

21.6 

21.9 

MANAGEMENT’S LONG-TERM INCENTIVE PROGRAMME
MANAGEMENT’S LONG-TERM INCENTIVE PROGRAMME
The shares allocated to the joint pool for 2012 (487,730 shares) were released to the individual participants subsequent to the approval 
of the Annual Report 2015 by the Board of Directors and the announcement on 3 February 2016 of the full-year fi nancial results for 
The shares allocated to the joint pool for 2012 (487,730 shares) were released to the individual participants subsequent to the approval 
2015. Based on the share price at the end of 2015, the value of the released shares is as follows:
of the Annual Report 2015 by the Board of Directors and the announcement on 3 February 2016 of the full-year fi nancial results for 
2015. Based on the share price at the end of 2015, the value of the released shares is as follows:
Value as at 31 December 2015 of shares released on 3 February 2016 

Value as at 31 December 2015 of shares released on 3 February 2016 
Executive Management
Lars Rebien Sørensen 
Executive Management
Jesper Brandgaard 
Lars Rebien Sørensen 
Lars Fruergaard Jørgensen 
Jesper Brandgaard 
Jakob Riis 
Lars Fruergaard Jørgensen 
Mads Krogsgaard Thomsen 
Jakob Riis 
Non-registered members of Executive Management2 
Mads Krogsgaard Thomsen 
Non-registered members of Executive Management2 
Executive Management in total3 

Executive Management in total3 
Other members of the Senior Management Board in total3 

Number 
of shares 
Number 
of shares 

Market value1
(DKK million)
Market value1
(DKK million)

41,110 
27,335 
41,110 
13,665 
27,335 
13,665 
13,665 
27,335 
13,665 
40,995 
27,335 
40,995 
164,105 

164,105 
176,530 

16.4
10.9
16.4
5.5
10.9
5.5
5.5
10.9
5.5
16.4
10.9
16.4
65.6

65.6
70.6

Other members of the Senior Management Board in total3 
70.6
1.  The  market  value  of  the  shares  released  in  February  2016  is  based  on  the  Novo  Nordisk  B  share  price  of  DKK  399.90  at  the  end  of  2015.  2.  Including  members  of  Executive 
Management  not  registered  with  the  Danish  Business  Authority.  In  addition,  4,000  shares  were  released  to  a  non-registered  member  of  Executive  Management  not  part  of  the 
1.  The  market  value  of  the  shares  released  in  February  2016  is  based  on  the  Novo  Nordisk  B  share  price  of  DKK  399.90  at  the  end  of  2015.  2.  Including  members  of  Executive 
joint pool for 2012 for the Senior Management Board. 3. In addition, 147,095 shares (market value: DKK 58.8 million) were released to retired Executive Management and Senior 
Management  not  registered  with  the  Danish  Business  Authority.  In  addition,  4,000  shares  were  released  to  a  non-registered  member  of  Executive  Management  not  part  of  the 
Management Board members.
joint pool for 2012 for the Senior Management Board. 3. In addition, 147,095 shares (market value: DKK 58.8 million) were released to retired Executive Management and Senior 
Management Board members.
Lars Rebien Sørensen serves as a member of the Supervisory Board of Bertelsmann AG, from which he received remuneration of EUR 31,897 until May 2015 (EUR 117,000 in 2014); as 
a board member of Thermo Fisher Scientifi c Inc, from which he received remuneration of USD 223,865 until May 2015 (USD 299,063 in 2014); and as a board member of Carlsberg 
Lars Rebien Sørensen serves as a member of the Supervisory Board of Bertelsmann AG, from which he received remuneration of EUR 31,897 until May 2015 (EUR 117,000 in 2014); as 
A/S, from which he received remuneration of DKK 838,306 as of March 2015. Jesper Brandgaard serves as chairman of the Board of Directors of SimCorp A/S, from which he received 
a board member of Thermo Fisher Scientifi c Inc, from which he received remuneration of USD 223,865 until May 2015 (USD 299,063 in 2014); and as a board member of Carlsberg 
remuneration of DKK 730,488 in 2015, including share-based payment for Q1 2015 (DKK 913,500 in 2014, including share-based payment for the full year); and as chairman of the 
A/S, from which he received remuneration of DKK 838,306 as of March 2015. Jesper Brandgaard serves as chairman of the Board of Directors of SimCorp A/S, from which he received 
board of NNIT A/S, from which he received remuneration of DKK 562,500 as of March 2015 following the IPO of NNIT A/S (DKK 0 in 2014). The remuneration received from NNIT A/S is 
remuneration of DKK 730,488 in 2015, including share-based payment for Q1 2015 (DKK 913,500 in 2014, including share-based payment for the full year); and as chairman of the 
part of the remuneration of Executive Management presented above. Mads Krogsgaard Thomsen serves as a board member of the University of Copenhagen, from which he received 
board of NNIT A/S, from which he received remuneration of DKK 562,500 as of March 2015 following the IPO of NNIT A/S (DKK 0 in 2014). The remuneration received from NNIT A/S is 
remuneration of DKK 81,606 in 2015 (DKK 81,200 in 2014). Jakob Riis serves as a board member of ALK-Abelló A/S, from which he received remuneration of DKK 415,000 in 2015 
part of the remuneration of Executive Management presented above. Mads Krogsgaard Thomsen serves as a board member of the University of Copenhagen, from which he received 
(DKK 375,000 in 2014). Henrik Wulff serves as a board member of AMBU A/S as of December 2015 but did not receive remuneration in 2015. 
remuneration of DKK 81,606 in 2015 (DKK 81,200 in 2014). Jakob Riis serves as a board member of ALK-Abelló A/S, from which he received remuneration of DKK 415,000 in 2015 
(DKK 375,000 in 2014). Henrik Wulff serves as a board member of AMBU A/S as of December 2015 but did not receive remuneration in 2015. 

176,530 

 
 
 
 
  
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
  
 
 
 
 
 
 
 
52 GOVERNANCE, LEADERSHIP AND SHARES

BOARD OF DIRECTORS

GÖRAN 
ANDO

JEPPE 
CHRISTIANSEN

BRUNO 
ANGELICI

Formerly CEO of Celltech Group plc, UK (retired). 
Member  of  the  Board  of  Novo  Nordisk  A/S  since 
2005, vice chair since 2006, chair since 2013, chair 
of the Nomination Committee since 2013 and chair 
of the Remuneration Committee since 2015.

Chief executive officer of Fondsmæglerselskabet 
Maj Invest A/S, Denmark. Member and vice chair 
of  the  Board  of  Novo  Nordisk  A/S  since  2013. 
Member  of  the  Remuneration  Committee  and 
Audit Committee since 2015. 

Management duties: Symphogen A/S, Denmark 
(chair),  member  of  the  boards  of  Novo  A/S, 
Denmark,  Molecular  Partners  AG,  Switzerland, 
EUSA  Pharma  Ltd.,  UK,  and  ICMEC,  US.  Senior 
advisor to Essex Woodlands Health Ventures Ltd., 
UK.

Special  competences:  Medical  qualifications 
and  extensive  executive  background  within  the 
international pharmaceutical industry. 

Education: Specialism in general medicine (1978) 
and  degree  in  medicine  (1973),  both  from  Lin-
köping Medical University, Sweden. 

Management  duties:  Haldor  Topsøe  A/S  (vice 
chair), member of the boards of Novo A/S, KIRKBI 
A/S and Symphogen A/S, all in Denmark.

Special competences: Extensive background and 
experience within the financial sector, in particular 
in relation to financial and capital market issues, as 
well as insight into the investor perspective.

Education:  MSc  in  Economics  (1985)  from  the 
University of Copenhagen, Denmark. 

Formerly executive vice president of AstraZeneca 
(retired).  Member  of  the  Board  of  Novo  Nordisk 
A/S  since  2011  and  member  of  the  Nomination 
Committee since 2013.

Management duties: Vectura Group plc (chair), 
member  of  the  boards  of  Smiths  Group  plc,  UK, 
and Wolters Kluwer, the Netherlands. Member of 
the Global Advisory Board of Takeda Pharmaceutical 
Company Limited, Japan.

Special competences: Extensive global experience 
with two companies in the fields of pharmaceuticals 
and  medical  devices,  and  in-depth  knowledge  of 
strategy, sales, marketing and governance of major 
companies. 

Education:  AMP  (1993)  from  Harvard  Business 
School  and  MBA  (1978)  from  Kellogg  School  of 
Management at Northwestern University, both in 
the US. 

SYLVIE 
GRÉGOIRE

LIZ 
HEWITT

LISELOTTE 
HYVELED

Formerly president of Human Genetic Therapies, 
Shire plc, US and Switzerland (retired). Member of 
the  Board  of  Novo  Nordisk  A/S  and  the  Audit 
Committee since 2015. 

Management duties: Member of the boards of 
Galenica  AG,  Switzerland  and  Perkin  Elmer  Inc., 
US. Chairman of the strategic committee of Tarix 
Orphan  LLC.,  US.  Advisor  to  the  financial  and 
biotech community.

Special  competences:  In-depth  knowledge  of 
the  regulatory  environment  in  both  the  US  and 
the  EU,  having  experience  of  all  phases  of  the 
product life cycle, including discovery, registration, 
pre-launch and managing the life cycle while on 
the market. In addition, she has financial insight 
from i.a. P&L responsibility.

Education:  Pharmacy  Doctorate  degree  (1986) 
from the State University of NY at Buffalo, US, BA 
in Pharmacy (1984) from Laval University, Canada, 
and Science College degree (1980) from Séminaire 
de Sherbrooke, Canada.

Formerly Group Director Corporate Affairs of Smith 
& Nephew plc, UK (retired). Member of the Board of 
Novo  Nordisk  A/S  since  2012,  chair  of  the  Audit 
Committee  since  2015  (member  since  2012)  and 
member of the Nomination Committee since 2013.

Management duties: Member of the board and 
chair  of  the  audit  committee  of  Savills  plc,  and 
member of the board and chair of the nomination 
committee of Melrose Industries plc, both in the 
UK. Senior external member of the audit commit-
tee of the House of Lords, UK.

Special  competences:  Extensive  experience 
within  the  field  of  medical  devices,  significant 
financial knowledge and knowledge of how large 
international companies operate. 

Education: BSc (Econ) (Hons) (1977) from University 
College  London,  UK,  and  FCA  (UK  Institute  of 
Chartered Accountants) (1982). 

Project vice president for Novo Nordisk’s mealtime 
insulin  projects  faster-acting  insulin  aspart  and 
liver-preferential  mealtime 
in  Global 
Development.  Member  of  the  Board  of  Novo 
Nordisk  A/S  since  2014  and  member  of  the 
Nomination Committee since 2015.

insulin 

Education:  Master  of  Science  (1992)  from 
Copenhagen University, and Master of Medical 
Business  Strategies  (2011)  from  Copenhagen 
Business School, both in Denmark.

Name (male/female) 

First elected 

Göran Ando (m) 
Jeppe Christiansen (m) 
Bruno Angelici (m) 
Sylvie Grégoire (f) 
Liz Hewitt (f) 
Liselotte Hyveled (f) 

2005 
2013 
2011 
2015 
2012 
2014 

Term 

2016 
2016 
2016 
2016 
2016 
2018 

Nationality 

Born 

Swedish 
Danish 
French 
Canadian/American 
British 
Danish 

March 1949 
November 1959 
April 1947 
November 1961 
November 1956 
January 1966 

Independence1

Not independent2
Not independent2,4
Independent
Independent4,5
Independent4,5
Not independent3

1. As designated by Nasdaq Copenhagen in accordance with section 3.2.1 of Recommendations on Corporate Governance (updated 2014). 2. Member of Management or the Board of Novo A/S. 
3. Elected by employees of Novo Nordisk.

NOVO NORDISK ANNUAL REPORT 2015 
 
 
 
 
 
 
 
 
 
 
 
GOVERNANCE, LEADERSHIP AND SHARES

53

THOMAS 
PAUL 
KOESTLER

EIVIND 
KOLDING

ANNE MARIE 
KVERNELAND

Executive with Vatera Holdings LLC, US. Member 
of the Board of Novo Nordisk A/S since 2011 and 
member  of  the  Remuneration  Committee  since 
2015.

Management duties: Melinta Therapeutics Inc., 
US  (chair).  Member  of  the  boards  of  Momenta 
Pharmaceuticals Inc., ImmusanT Inc., Arisaph Phar-
maceuticals  Inc.  and  Edgemont  Pharmaceuticals 
LLC, all in the US.

Special competences: Extensive R&D knowledge, 
both  generally  and  within  the  field  of  regulatory 
affairs.  Significant  know-how  about  the  pharma-
ceutical  industry  in  general  and  how  large  inter-
national  corporations  operate.  Additional  know l-
edge of the US market. 

Education:  PhD  in  Medicine  &  Pathology  (1982) 
from the Roswell Park Memorial Institute and BSc in 
Biology (1975) from Daemen College, both in the US. 

CEO  of  Novo  A/S,  Denmark.  Member  of  the 
Board of Novo Nordisk A/S and observer on the 
Audit Committee since 2015.

Laboratory  technician  and  union  representative. 
Member of the Board of Novo Nordisk A/S since 
2000.

Management duties: Member of the boards of 
NNIT A/S and the Sonion Group, both in Denmark.

Management  duties:  Member  of  the  Novo 
Nordisk Foundation since 2014.

Special competences: Extensive executive expe-
rience  in  large  multinational  companies  head-
quartered in Denmark within regulated markets, 
and significant financial knowledge. 

Education:  AMP  (1994)  from  Wharton  Business 
School,  US,  and  Master  of  Law  (1983)  from  the 
University of Copenhagen, Denmark. 

Education:  Degree  in  Medical  Laboratory  Tec h-
nology 
(1980)  from  Copenhagen  University 
Hospital, Denmark. 

SØREN 
THUESEN  
PEDERSEN

STIG  
STRØBÆK

MARY  
SZELA

External  Affairs  director  in  Quality  Intelligence. 
Member  of  the  Board  of  Novo  Nordisk  A/S  since 
2006 and member of the Remuneration Committee 
since 2015. 

Management duties: Member of the boards of 
HOFOR A/S, HOFOR Forsyning Holding PS, HOFOR 
Forsyning Komplementar A/S and HOFOR Forsyning 
A/S (Copenhagen Utilities), all in Denmark. 

Education:  BSc  in  Chemical  Engineering  (1988) 
from the Engineering Academy of Denmark.

Electrician and union representative. Member of 
the  Board  of  Novo  Nordisk  A/S  since  1998  and 
member of the Audit Committee since 2013.

Education:  Qualified  electrician.  Diploma  in 
further  training  for  board  members  (2003)  from 
the Danish Employees’ Capital Pension Fund (LD).

CEO  of  Aegerion  Pharmaceuticals,  Inc.,  US. 
Member  of  the  Board  of  Novo  Nordisk  A/S,  the 
Remuneration  Committee  and  the  Nomination 
Committee since 2015. Member of the boards of 
Coherus  Biosciences,  Inc.,  Receptos  Pharma-
ceuticals, Inc., Suneva Medical, Inc. and Aegerion 
Pharmaceuticals, Inc., all in the US.

Management duties: Member of the boards of 
Coherus Biosciences, Inc., Receptos Pharmaceuticals, 
Inc. and Suneva Medical Inc., all in the US.

Special  competences:  In-depth  understanding 
of the clinical, regulatory and marketing aspects 
of the pharmaceutical industry in North America, 
having both operational and strategic experience.

Education:  MBA  (1991)  from  the  University  of 
Illinois at Chicago, US, and a BSc nursing degree 
(1985) from the University of Illinois at Chicago, US.

Name (male/female) 

First elected 

Thomas Paul Koestler (m) 
Eivind Kolding (m) 
Anne Marie Kverneland (f) 
Søren Thuesen Pedersen (m) 
Stig Strøbæk (m) 
Mary Szela (f) 

2011 
2015 
2000 
2006 
1998 
2015 

Term 

2016 
2016 
2018 
2018 
2018 
2016 

Nationality 

Born 

American 
Danish 
Danish 
Danish 
Danish 
American 

June 1951 
November 1959 
July 1956 
December 1964 
January 1964 
May 1963 

Independence1

Independent
Not independent2
Not independent3
Not independent3
Not independent3,4
Independent

4. Pursuant to the US Securities Exchange Act, Ms Hewitt and Ms Grégoire qualify as independent Audit Committee members while Mr Christiansen and Mr Strøbæk rely on an exemption to the 
independence requirements. 5. Ms Hewitt and Ms Grégoire qualify as independent Audit Committee members as defined under part 8 of the Danish Act on Approved Auditors and Audit firms.

NOVO NORDISK ANNUAL REPORT 2015 
 
 
 
 
 
 
  
 
 
 
 
54 GOVERNANCE, LEADERSHIP AND SHARES

EXECUTIVE MANAGEMENT

LARS 
REBIEN 
SØRENSEN

President and chief 
executive officer 
(CEO) 

JESPER 
BRANDGAARD

Executive vice president 
and chief financial 
officer (CFO) 

MAZIAR 
MIKE 
DOUSTDAR*

Executive vice 
president, 
International 
Operations

Lars  Rebien  Sørensen  joined  Novo  Nordisk’s  En-
zymes  Marketing  in  1982.  He  was  appointed 
president and chief executive officer in November 
2000. 

Jesper  Brandgaard  joined  Novo  Nordisk  in  1999 
as senior vice president of Corporate Finance. He 
was appointed executive vice president and chief 
financial officer in November 2000.

Other  management  duties:  Vice  chair  of  the 
board of Carlsberg A/S, Denmark.

Other management duties: Chair of the boards 
of SimCorp A/S and NNIT A/S, both in Denmark.

Born: October 1954.

Born: October 1963.

Maziar  Mike  Doustdar  joined  Novo  Nordisk  in 
1992 as an office clerk in Vienna, Austria. He was 
appointed  senior  vice  president  of  International 
Operations  in  2013,  and  in  April  2015  he  was 
appointed  executive  vice  president  with  respon-
sibility for International Operations. 

Born: August 1970.

JERZY 
GRUHN

Executive vice 
president, Europe 

JESPER 
HØILAND

Executive vice 
president, US 

LARS 
FRUERGAARD 
JØRGENSEN

Executive vice president 
and chief of staff 

Jerzy  Gruhn  joined  Novo  Nordisk  in  1996  as 
National Sales Manager in Poland. He was appoint-
ed senior vice president of Europe in 2013, and in 
April 2015 he was appointed executive vice presi-
dent with responsibility for Europe. 

Born: June 1963.

Jesper  Høiland  joined  Novo  Nordisk  in  1987  as 
assistant  area  manager  for  the  US,  Canada, 
Australia  and  New  Zealand.  He  was  appointed 
senior  vice  president  of  North  America  in  2013, 
and in April 2015 he was appointed executive vice 
president with responsibility for the US.

Born: September 1960.

Lars Fruergaard Jørgensen joined Novo Nordisk in 
1991 as an economist. He was appointed executive 
vice  president  for  IT,  Quality  &  Corporate  Devel-
opment in January 2013, and in November 2014 he 
took over the responsibilities for Corporate People 
& Organisation and Business Assurance.

Other management duties: Chair of the board of 
NNE Pharmaplan A/S, Denmark.

Born: November 1966.

JAKOB RIIS

Executive vice president, 
China, Pacific & 
Marketing 

MADS 
KROGSGAARD 
THOMSEN

Executive vice president, 
chief science officer 
(CSO) 

HENRIK 
WULFF

Executive vice 
president, Product 
Supply 

Jakob Riis joined Novo Nordisk in 1996 as a health 
economist  in  Marketing.  He  was  appointed  senior 
vice  president  for  Marketing  in  2005.  In  January 
2013,  he  was  appointed  executive  vice  president 
and in 2015 he took over responsibility for sales in 
the China and Pacific regions.

Other management duties: Chair of the board 
of Copenhagen Institute of Interaction Design and 
member  of  the  board  and  chair  of  the  audit 
committee of ALK-Abelló A/S, both in Denmark.

Born: April 1966.

Mads Krogsgaard Thomsen joined Novo Nordisk 
in  1991  as  head  of  Growth  Hormone  Research. 
He  was  appointed  senior  vice  president  of 
Diabetes R&D in 1994 and executive vice president 
and chief science officer in November 2000.

Henrik  Wulff  joined  Novo  Nordisk  in  1998  as  a 
chemist. He was appointed senior vice president 
of Product Supply in 2013, and in April 2015 he 
was appointed executive vice president of Product 
Supply.

Other management duties: Chair of the board 
of Steno Diabetes Center A/S and vice chair of the 
board  of  the  University  of  Copenhagen,  both  in 
Denmark.

Other management duties: Chair of the board 
of NN Pharmatech A/S and member of the boards 
of  NNE  Pharmaplan  A/S  and  Ambu  A/S,  all  in 
Denmark.

Born: December 1960.

Born: November 1970.

* Not registered with the Danish Business Authority as member of Executive Management of Novo Nordisk A/S. 

NOVO NORDISK ANNUAL REPORT 2015 
 
 
CONSOLIDATED FINANCIAL STATEMENTS

55

CONSOLIDATED 
FINANCIAL, SOCIAL 
AND ENVIRONMENTAL 
STATEMENTS 2015

CONSOLIDATED 
FINANCIAL 
STATEMENTS

56     Income statement and Statement 
of comprehensive income

57    Balance sheet

58     Statement of cash flows

59      Statement of changes in equity

60      Notes to the Consolidated 
financial statements

CONSOLIDATED  
SOCIAL STATEMENT 
(SUPPLEMENTARY INFORMATION)

96      Statement of social performance

97      Notes to the Consolidated  

social statement

CONSOLIDATED 
ENVIRONMENTAL 
STATEMENT 
(SUPPLEMENTARY INFORMATION)

102    Statement of environmental 

performance

102    Notes to the Consolidated 

environmental statement

Novo Nordisk remains committed to report its performance through its integrated 
reporting.  In  line  with  the  Novo  Nordisk  Triple  Bottom  Line  principle,  the 
Consolidated financial, social and environmental statements are presented along 
with the related notes.

Within each of the financial, social and environmental statements, the notes are 
grouped into sections based on how Novo Nordisk views its business. Each of the 
sections  has  an  introduction  explaining  the  link  between  long-term  targets  and 
business  priorities,  and  how  this  is  reflected  in  Novo  Nordisk’s  financial,  social 
and environmental statements. To provide transparency in the disclosed amounts, 
each note includes the relevant accounting policy, key accounting estimates and 
numerical disclosure.

NOVO NORDISK ANNUAL REPORT 2015

Novo Nordisk Headquarters, in 
Bagsværd north of Copenhagen 
in Denmark, designed by 
Henning Larsen Architects.

56 CONSOLIDATED FINANCIAL STATEMENTS 

INCOME STATEMENT 
AND STATEMENT OF COMPREHENSIVE INCOME FOR THE YEAR ENDED 31 DECEMBER

DKK million 

INCOME STATEMENT

Net sales  
Cost of goods sold 

Gross profi t 

Sales and distribution costs 
Research and development costs 
Administrative costs 
Other operating income, net 
– Non-recurring income from the partial divestment of NNIT A/S 

Operating profi t 

Financial income 
Financial expenses 

Profi t before income taxes 

Income taxes 

Net profi t for the year 

EARNINGS PER SHARE

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

Note 

2015 

2014 

2013

2.1, 2.2 
2.2 

107,927 
16,188 

88,806 
14,562 

91,739 

74,244 

2.2 
2.2, 2.3 
2.2 
2.2, 2.5 
2.5 

28,312 
13,608 
3,857 
3,482 
2,376 

23,223 
13,762 
3,537 
770 
– 

83,572
14,140

69,432

23,380
11,733
3,508
682
–

49,444 

34,492 

31,493

4.9 
4.9 

85 
6,046 

167 
563 

1,702
656

43,483 

34,096 

32,539

2.6 

8,623 

7,615 

7,355

34,860 

26,481 

25,184

4.1 
4.1 

13.56 
13.52 

10.10 
10.07 

9.40
9.35

DKK million 

Note 

2015 

2014 

2013

STATEMENT OF COMPREHENSIVE INCOME

Net profi t for the year 

34,860 

26,481 

25,184

Other comprehensive income:
Exchange rate adjustments of investments in subsidiaries  
Cash fl ow hedges, realisation of previously deferred (gains)/losses  
Cash fl ow hedges, deferred gains/(losses) incurred during the period  
Other items  

Items that will be reclassifi ed subsequently to the Income statement 
when specifi c conditions are met 

Remeasurements of defi ned benefi t plans 

Items that will not subsequently be reclassifi ed to the Income statement 

Other comprehensive income before tax 

4.3 
4.3 

3.5 

(669) 
2,216 
(681) 
366 

(39) 
(1,229) 
(2,225) 
111 

1,232 

(3,382) 

(37) 

(37) 

(247) 

(247) 

1,195 

(3,629) 

Tax on other comprehensive income, income/(expense)  

2.6 

(87) 

977 

Other comprehensive income for the year, net of tax 

1,108 

(2,652) 

(435)
(809)
1,195
75

26

54

54

80

(211)

(131)

Total comprehensive income for the year 

35,968 

23,829 

25,053

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
 
 
 
 
 
 
BALANCE SHEET
AT 31 DECEMBER

DKK million 

ASSETS

Intangible assets 
Property, plant and equipment 
Investment in associated company 
Deferred income tax assets 
Other fi nancial assets 

Total non-current assets 

Inventories 
Trade receivables 
Tax receivables 
Other receivables and prepayments 
Marketable securities  
Derivative fi nancial instruments 
Cash at bank and on hand 

Total current assets 

Total assets 

EQUITY AND LIABILITIES

Share capital 
Treasury shares 
Retained earnings 
Other reserves 

Total equity 

Deferred income tax liabilities 
Retirement benefi t obligations 
Provisions 

Total non-current liabilities 

Current debt   
Trade payables 
Tax payables 
Other liabilities 
Derivative fi nancial instruments 
Provisions 

Total current liabilities 

Total liabilities 

Total equity and liabilities 

CONSOLIDATED FINANCIAL STATEMENTS

57

Note 

2015 

2014

3.1 
3.2 
4.8 
2.6 
4.7 

3.3 
3.4 

4.7 
4.2, 4.4, 4.7 
4.2, 4.3, 4.7 
4.2, 4.4 

4.1 
4.1 

2.6 
3.5 
3.6 

4.4, 4.7 
4.7 

3.7, 4.7 
4.2, 4.3, 4.7 
3.6 

2,158 
25,545 
811 
6,806 
1,339 

36,659 

12,758 
15,485 
3,871 
2,257 
3,542 
304 
16,923 

55,140 

1,378
23,136
–
5,399
856

30,769

11,357
13,041
3,210
2,750
1,509
30
14,396

46,293

91,799 

77,062

520 
(10) 
46,816 
(357) 

530
(11)
41,277
(1,502)

46,969 

40,294

6 
1,186 
2,765 

3,957 

1,073 
4,927 
3,777 
12,655 
1,382 
17,059 

40,873 

44,830 

7
1,031
2,041

3,079

720
4,950
2,771
11,051
2,607
11,590

33,689

36,768

91,799 

77,062

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
58 CONSOLIDATED FINANCIAL STATEMENTS 

STATEMENT OF CASH FLOWS
FOR THE YEAR ENDED 31 DECEMBER

DKK million 

Net profi t for the year 

Note 

2015 

2014 

2013

34,860 

26,481 

25,184

Adjustment for non-cash items:
    Income taxes in Income statement 
    Depreciation, amortisation and impairment losses  
    Non-recurring income from the partial divestment of NNIT A/S 
    included in ‘other operating income’ 
    Other non-cash items 
Change in working capital 
Interest received 
Interest paid 
Income taxes paid 

Net cash generated from operating activities 

Proceeds from the partial divestment of NNIT A/S 
Purchase of intangible assets  
Proceeds from sale of property, plant and equipment 
Purchase of property, plant and equipment 
Proceeds from sale of other fi nancial assets 
Purchase of other fi nancial assets 
Sale of marketable securities 
Purchase of marketable securities 

2.6 
3.1, 3.2 

2.5 
4.6 
4.5 

2.6 

2.5 
3.1 

3.2 

8,623 
2,959 

(2,526) 
5,908 
(2,157) 
55 
(61) 
(9,374) 

7,615 
3,435 

– 
4,163 
(2,148) 
131 
(78) 
(7,907) 

7,355
2,799

–
584
(265)
131
(39)
(9,807)

38,287 

31,692 

25,942

2,303 
(1,182) 
15 
(5,224) 
32 
(9) 
1,500 
(3,533) 

– 
(321) 
4 
(3,990) 
35 
(24) 
2,232 
– 

–
(403)
31
(3,238)
29
(3)
811
–

(2,773)

Net cash used in investing activities 

(6,098) 

(2,064) 

Purchase of treasury shares, net 
Dividends paid  

4.1 
 4.1 

(17,196) 
(12,905) 

(14,667) 
(11,866) 

(13,924)
(9,715)

Net cash used in fi nancing activities 

(30,101) 

(26,533) 

(23,639)

Net cash generated from activities 

Cash and cash equivalents at the beginning of the year 
Exchange gains/(losses) on cash and cash equivalents 

2,088 

3,095 

(470)

13,676 
86 

10,513 
68 

11,053
(70)

Cash and cash equivalents at the end of the year 

4.4 

15,850 

13,676 

10,513

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
 
  
 
 
 
 
 
 
STATEMENT OF CHANGES IN EQUITY
AT 31 DECEMBER

CONSOLIDATED FINANCIAL STATEMENTS

59

DKK million 

Share 
capital 

Treasury 
shares 

Retained 
earnings 

  Other reserves 

Exchange 
rate 
adjust- 
ments 

Cash  
fl ow 
hedges 

Tax and 
other 
items 

Total 
other 
reserves 

Total

2015
Balance at the beginning of the year 

530 

(11) 

41,277 

(248) 

(2,221) 

967 

(1,502) 

40,294

Net profi t for the year 
Other comprehensive income for the year 

34,860 
(37) 

(669) 

1,535 

Total comprehensive income for the year 

34,823 

(669) 

1,535 

279 

279 

1,145 

34,860
1,108

1,145 

35,968

Transactions with owners:
Dividends (note 4.1) 
Share-based payments (note 5.1) 
Tax credit related to restricted stock units 
(note 2.6) 
Purchase of treasury shares (note 4.1) 
Sale of treasury shares (note 4.1) 
Reduction of the B share capital (note 4.1) 

Balance at the end of the year 

2014
Balance at the beginning of the year 

(12,905) 
442 

366 
(17,219) 
32 

(10) 
1 
10 

(12,905)
442

366
(17,229)
33
–

(10) 

46,816 

(917) 

(686) 

1,246 

(357) 

46,969

(10) 

520 

550 

(21) 

41,137 

(209) 

1,233 

(121) 

903 

42,569

Net profi t for the year 
Other comprehensive income for the year 

26,481 
(247) 

(39) 

(3,454) 

1,088 

(2,405) 

26,481
(2,652)

Total comprehensive income for the year 

26,234 

(39) 

(3,454) 

1,088 

(2,405) 

23,829

Transactions with owners:
Dividends (note 4.1) 
Share-based payments (note 5.1) 
Tax credit related to restricted stock units 
(note 2.6) 
Purchase of treasury shares (note 4.1) 
Sale of treasury shares (note 4.1) 
Reduction of the B share capital (note 4.1) 

Balance at the end of the year 

2013
Balance at the beginning of the year 

Net profi t for the year 
Other comprehensive income for the year 

Total comprehensive income for the year 

Transactions with owners:
Dividends (note 4.1) 
Share-based payments (note 5.1) 
Tax credit related to restricted stock units 
(note 2.6) 
Purchase of treasury shares (note 4.1) 
Sale of treasury shares (note 4.1) 
Reduction of the B share capital (note 4.1) 

Balance at the end of the year 

(11,866) 
371 

58 
(14,717) 
60 

(11) 
1 
20 

(11,866)
371

58
(14,728)
61
–

(11) 

41,277 

(248) 

(2,221) 

967 

(1,502) 

40,294

(20) 

530 

560 

(17) 

39,001 

226 

847 

15 

1,088 

40,632

25,184 
54 

25,238 

(9,715) 
409 

114 
(13,974) 
64 

(15) 
1 
10 

(435) 

(435) 

386 

386 

(136) 

(185) 

25,184
(131)

(136) 

(185) 

25,053

(9,715)
409

114
(13,989)
65
–

(21) 

41,137 

(209) 

1,233 

(121) 

903 

42,569

NOVO NORDISK ANNUAL REPORT 2015

(10) 

550 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
60 CONSOLIDATED FINANCIAL STATEMENTS 

NOTES  SECTIONS IN THE CONSOLIDATED FINANCIAL STATEMENTS

Basis of preparation

Results for the year

Operating assets
and liabilities

Capital structure and 
financing items

Other disclosures

SECTION 1  BASIS OF PREPARATION
Read this section to get an overview of the fi nancial accounting policies in 
general and an overview of Management’s key accounting estimates.

1.1  Principal accounting policies and key accounting estimates, p 61
1.2  Changes in accounting policies and disclosures, p 62
1.3  General accounting policies, p 62

SECTION 2  RESULTS FOR THE YEAR
Read this section to get more details on the results for the year, including 
operating segments, taxes and employee costs.

2.1  Net sales and sales deductions, p 63
2.2  Segment information, p 65
2.3  Research and development costs, p 68
2.4  Employee costs, p 69
2.5  Other operating income, net, p 69
2.6  Income taxes and deferred income taxes, p 70

SECTION 3  OPERATING ASSETS AND 
LIABILITIES
Read this section to get more details on the assets that form the basis for 
the activities of Novo Nordisk, and the related liabilities.

3.1  Intangible assets, p 72
3.2  Property, plant and equipment, p 73
3.3  Inventories, p 75
3.4  Trade receivables, p 75
3.5  Retirement benefi t obligations, p 76
3.6  Provisions and contingent liabilities, p 77
3.7  Other liabilities, p 78

SECTION 4  CAPITAL STRUCTURE AND 
FINANCING ITEMS
Read this section to gain an insight into the capital structure, cash fl ow and 
fi nancing items.

4.1  Share capital, distribution to shareholders and earnings per share, p 79
4.2  Financial risks, p 81
4.3  Derivative fi nancial instruments, p 82
4.4  Cash and cash equivalents, fi nancial resources and free cash fl ow, p 84
4.5  Change in working capital, p 84
4.6  Other non-cash items, p 85
4.7  Financial assets and liabilities, p 85
4.8  Investment in associated company, p 87
4.9  Financial income and expenses, p 87

SECTION 5  OTHER DISCLOSURES
Read this section for more details on the statutory notes that have 
secondary importance from the perspective of Novo Nordisk.

5.1  Share-based payment schemes, p 88
5.2  Management’s holdings of Novo Nordisk shares, p 90
5.3  Commitments, p 91
5.4  Related party transactions, p 92
5.5  Fee to statutory auditors, p 92
5.6  Companies in the Novo Nordisk Group, p 93
5.7  Financial defi nitions, p 94

NOVO NORDISK ANNUAL REPORT 2015

SECTION 1  BASIS OF PREPARATION

Basis of preparation

Results for the year

Operating assets
and liabilities

Capital structure and 
financing items

Other disclosures

CONSOLIDATED FINANCIAL STATEMENTS

61

Novo Nordisk presents its Consolidated fi nancial statements on the basis of 
the latest developments in international fi nancial reporting and strives for 
early adoption of EU-endorsed IFRS accounting standards. All entities in the 
Novo Nordisk Group follow the same Group accounting policies. This section 
gives a summary of the signifi cant accounting policies, Management’s key 

accounting estimates, new IFRS requirements and other accounting policies 
in general. A detailed description of accounting policies and key accounting 
estimates related to specifi c reported amounts is presented in each note to 
the relevant fi nancial items.

1.1  PRINCIPAL ACCOUNTING POLICIES 
AND KEY ACCOUNTING ESTIMATES 

The  Consolidated  fi nancial  statements  included  in  this  Annual  Report 
have  been  prepared  in  accordance  with  International  Financial  Reporting 
Standards (IFRS) as issued by the International Accounting Standards Board 
(IASB), in accordance with IFRS as endorsed by the European Union and also 
in  accordance  with  additional  Danish  disclosure  requirements  for  annual 
 reports of listed companies. 

Measurement basis
The Consolidated fi nancial statements have been prepared on the historical 
cost basis except for derivative fi nancial instruments, associated company, 
equity investments and marketable securities measured at fair value.

The  principal  accounting  policies  set  out  below  have  been  applied 
 consistently in the preparation of the Consolidated fi nancial statements for 
all the years presented. 

Principal accounting policies
Novo Nordisk’s accounting policies are described in each of the individual 
notes  to  the  Consolidated  fi nancial  statements.  Considering  all  the 
accounting  policies  applied,  Management  regards  the  ones  listed  in  the 
table below as the most signifi cant accounting policies for the recognition 
and measurement of reported amounts.

Key accounting estimates and judgements
The use of reasonable estimates and judgements is an essential part of the 
preparation of the Consolidated fi nancial statements. Given the uncertainties 
inherent  in  Novo  Nordisk’s  business  activities,  Management  must  make 
certain estimates and judgements that affect the application of accounting 
policies  and  reported  amounts  of  assets,  liabilities,  sales,  costs,  cash 
fl ows  and  related  disclosures  at  the  date(s)  of  the  Consolidated  fi nancial 
statements. The estimates identifi ed are those that have a signifi cant risk of 
resulting in a material adjustment.

Management  bases  its  estimates  on  historical  experience  and  various 
other assumptions that are held to be reasonable under the circumstances. 
The  estimates  and  underlying  assumptions  are  reviewed  on  an  ongoing 
basis and, if necessary, changes are recognised in the period in which the 
estimate is revised. Management considers the carrying amounts recognised 
in  relation  to  the  key  accounting  estimates  mentioned  below  to  be 
reasonable  and  appropriate  based  on  currently  available  information. 
However,  the  actual  amounts  may  differ  from  the  amounts  estimated  as 
more detailed information becomes available.

Management regards those listed below to be the key accounting estimates 
and  judgements  used  in  the  preparation  of  the  Consolidated  fi nancial 
statements.

Please  refer  to  the  specifi c  notes  for  further  information  on  the  key 
accounting estimates and judgements as well as assumptions applied. 

Principal accounting policies 

Key accounting estimates and judgements 

Note

Net sales and sales deductions 
Research and development 
Derivative fi nancial instruments 
Income taxes and deferred income taxes 

Property, plant and equipment including impairment 
Inventories 
Trade receivables  
Provisions and contingent liabilities 

Sales deductions – estimate of unsettled obligations 
– 
– 
Provision for uncertain tax positions, accrual for income taxes 
and deferred tax assets and liabilities 
– 
Indirect production costs capitalised 
Allowance for doubtful trade receivables 
Provisions for sales rebates and ongoing legal disputes 

2.1 
2.3, 3.1 and 3.2
4.3

2.6
3.2
3.3
3.4
3.6

Applying materiality
The  Consolidated  fi nancial  statements  are  a  result  of  processing  large 
 numbers  of  transactions  and  aggregating  those  transactions  into  classes 
 according to their nature or function. When aggregated, the transactions are 
presented in classes of similar items in the Consolidated fi nancial statements. 
If a line item is not individually material, it is aggregated with other items 
of a similar nature in the Consolidated fi nancial statements or in the notes. 

There are substantial disclosure requirements throughout IFRS. Management 
provides  specifi c  disclosures  required  by  IFRS  unless  the  information  is 
 considered immaterial to the economic decision-making of the users of these 
fi nancial statements or not applicable.

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
62 CONSOLIDATED FINANCIAL STATEMENTS 

1.2  CHANGES IN ACCOUNTING POLICIES 
AND DISCLOSURES

Adoption of new or amended IFRSs
Based  on  an  assessment  of  new  or  amended  and  revised  accounting 
 standards and interpretations (‘IFRSs’) issued by IASB, and IFRSs endorsed 
by  the  European  Union  effective  on  or  after 1 January  2015,  it  has  been 
 assessed  that  the  application  of  these  new  IFRSs  has  not  had  a  material 
 impact on the Consolidated fi nancial statements in 2015, and Management 
does  not  anticipate  any  signifi cant  impact  on  future  periods  from  the 
 adoption of these new IFRSs.

New or amended IFRSs that have been issued but have not yet come 
into effect and have not been early adopted
In addition to the above, IASB has issued a number of new or amended and 
revised accounting standards and interpretations that have not yet come into 
effect. The following standards are in general expected to change current 
accounting regulation most signifi cantly:

•  IASB has issued IFRS 9 ‘Financial Instruments’, with effective date 1  January 
2018.  It  currently  awaits  EU  endorsement.  IFRS  9  is  part  of  the  IASB’s 
 project to replace IAS 39, and the new standard will substantially change 
the classifi cation and measurement of fi nancial instruments and hedging 
requirements. Novo Nordisk has assessed the impact of the standard and 
determined that it will not have any signifi cant impact on the Consolidated 
fi nancial statements. 

•  IASB  has  issued  IFRS 15 ‘Revenue  from  contracts  with  customers’,  with 
 effective date 1 January 2018. It currently awaits EU endorsement. IFRS 15 
is part of the convergence project with FASB to replace IAS 18. The new 
standard  will  establish  a  single,  comprehensive  framework  for  revenue 
recognition. Novo Nordisk has completed a preliminary assessment of the 
impact of the standard and judged that it will not have any signifi cant 
impact on the Consolidated fi nancial statements. 

•  IASB  has  issued  IFRS 16 ‘Leasing’ with  effective  date 1 January  2019. 
The change in lease accounting requires capitalisation of the majority of 
the  Group’s  operational  lease  contracts,  representing  up  to  10%  of 
total  assets,  which  will  have  an  impact  on  the  Group’s  assets,  and  a 
corresponding impact on the liabilities. Hence this will affect the fi nancial 
ratios related to the balance sheet. The change will have a minor impact 
on net profi t as IFRS 16 requires the lease payments to be split between a 
depreciation charge included in operating costs and an interest expense on 
lease liabilities included in fi nance costs. 

1.3  GENERAL ACCOUNTING POLICIES

Principles of consolidation
The Consolidated fi nancial statements incorporate the fi nancial statements 
of Novo Nordisk A/S and entities controlled by Novo Nordisk A/S. Control 
 exists when Novo Nordisk has effective power over the entity and has the 
right to variable returns from the entity. 

Where  necessary,  adjustments  are  made  to  the  fi nancial  statements  of 
 subsidiaries  to  bring  their  accounting  policies  in  line  with  Novo  Nordisk 
Group policies. All intra-Group transactions, balances, income and expenses 
are eliminated in full when consolidated.

The  results  of  subsidiaries  acquired  or  disposed  of  during  the  year  are 
 included  in  the  consolidated  income  statement  from  the  effective  date 
of   acquisition  and  up  to  the  effective  date  of  disposal,  as  appropriate. 
 Comparative fi gures are not restated for disposed or acquired companies.

Translation of foreign currencies
Functional and presentation currency
Items included in the fi nancial statements of each of Novo Nordisk’s entities 
are measured using the currency of the primary economic environment in 
which the entity operates (functional currency). The Consolidated fi nancial 
statements are presented in Danish kroner (DKK), which is also 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  prevailing  at  the  transaction  dates.  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.

Translation differences on non-monetary items, such as equity investments 
classifi ed  as  fi nancial  assets  available  for  sale,  are  recognised  in  Other 
comprehensive income. 

Translation of Group companies
Financial statements of foreign subsidiaries are translated into Danish kroner 
at  the  exchange  rates  prevailing  at  the  end  of  the  reporting  period  for 
 balance sheet items, and at average exchange rates for income statement 
items. 

All  effects  of  exchange  rate  adjustments  are  recognised  in  the  Income 
 statement, with the exception of exchange rate adjustments of investments 
in subsidiaries arising from:

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

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

•  the translation of foreign subsidiaries’ statements of comprehensive income 
from  average  exchange  rates  to  the  exchange  rates  at  the  end  of  the 
reporting period 

•  the translation of non-current intra-Group receivables that are considered 

to be an addition to net investments in subsidiaries.

These  specifi c  exchange  rate  adjustments  are  recognised  in  Other  com-
prehensive income.

NOVO NORDISK ANNUAL REPORT 2015

SECTION 2  RESULTS FOR THE YEAR

Basis of preparation

Results for the year

Operating assets
and liabilities

Capital structure and 
financing items

Other disclosures

CONSOLIDATED FINANCIAL STATEMENTS

63

This section comprises notes related to the results for the year, such as sales 
including details on gross-to-net sales and segment information, research 
and development costs, employee costs as well as details on income and 
deferred  income  taxes.  Consequently,  this  section  provides  information 
related to Novo Nordisk’s long-term fi nancial target for growth in operating 
profi t. 

Novo Nordisk’s growth in sales is a result of continued growth in the  number 
of patients due to the diabetes pandemic, Novo Nordisk’s ability to bring 
innovative products to the market and the global commercial presence of 
our business.

The growth in operating profi t and margin refl ects not only growth in sales, 
but also currency impact and the increase in gross margin primarily driven 
by a positive product mix due to increased sales of Victoza® and modern 
insulins. Further, non-recurring income from the divestment of NNIT A/S has 
affected operating profi t positively. There has been a decrease in research 
and  development  costs  refl ecting  the  discontinuation  of  activities  within 
infl ammatory disorders in 2014. 

The article ‘2015 performance and 2016 outlook’ on p 6 includes Manage-
ment’s review of the results for the year.

Currency fl uctuations impact reported sales growth
Currency  fl uctuations  have  a  direct  impact  on  reported  Net  sales  and 
reported Operating profi t, though impact on Net profi t is limited. In 2015, 
the  currency  impact  on  growth  in  Net  sales  and  Operating  profi t  is  an 
increase of 13% point and 23% point respectively (2% point and 3% point 
decrease in 2014), compared with growth in local currencies. The impact of 
currency fl uctuations in the key currencies (USD, JPY, CNY, GBP and CAD) is 
mitigated through hedging contracts, which are included in Financial income 
and expenses. Hence, reported Net profi t is impacted only to a limited degree 
by key currency fl uctuations. 

However,  hedging  is  not  considered  feasible  for  emerging-market 
currencies. Consequently, such currency fl uctuations have a direct impact 
on both reported Net sales and Net profi t. 

Notes 4.2 and 4.3 include information on the foreign exchange risk and a 
sensitivity analysis for the key currencies.

2.1  NET SALES AND SALES DEDUCTIONS

Accounting policies

Revenue from goods sold is recognised when Novo Nordisk has transferred 
the  signifi cant  risks  and  rewards  to  the  buyer,  the  Group  no  longer  has 
managerial  involvement,  and  the  amount  of  revenue  can  be  measured 
reliably.

Sales are measured at the fair value of the consideration received or receiv-
able. When sales are recognised, Novo Nordisk also records estimates for 
a variety of sales deductions, including product returns as well as rebates 
and  discounts  to  government  agencies,  wholesalers,  health  insurance 
companies, managed healthcare organisations and retail customers. Sales 
deductions are recognised as a reduction of gross sales to arrive at net sales. 
Where  contracts  contain  customer  acceptance  provisions,  Novo  Nordisk 
recognises sales when the acceptance criteria are satisfi ed.

107.9 
107.9 
34.9 

DKK BILLION IN 
NET SALES 
(+22%)

DKK BILLION 
IN NET SALES 
(+22%)

49.4 

DKK BILLION 
IN NET PROFIT 
(+32%)

DKK BILLION IN 
OPERATING PROFIT 
(+43%)

CURRENCY IMPACT ON GROWTH
CURRENCY IMPACT ON GROWTH

Growth local currencies

(cid:81) Growth local currencies  (cid:81) Growth DKK
(cid:81) Share of growth regarding NNIT A/S divestment
Share of growth regarding NNIT divestment

Growth DKK

%
%

50
50

40
40

30
30

20
20

10
10

0
0

2014

2014

2015
2015

2014
2014

2015
2015

Net sales
Net sales

Operating profit
Operating profit

Revenue  recognition  for  new  product  launches  is  based  on  specifi c  facts 
and circumstances relating to those products,  including estimated demand 
and  acceptance  rates  for  well-established  products  with  similar  market 
 characteristics.  Where  shipments  of  new  products  are  made  on  a  sale  or 
return  basis,  without  suffi cient  historical  experience  for  estimating  sales 
 returns, revenue is only recorded when there is evidence of consumption or 
when the right of return has expired. 

Key accounting estimates – Sales deductions

Sales  deductions  are  estimated  and  provided  for  at  the  time  the  related 
sales are recorded. These estimates of unsettled obligations require use of 
judgement, as all conditions are not known at the time of sale, for example 
total  sales  volume  to  a  given  customer.  Provisions  for  sales  rebates  are 
adjusted to actual amounts as rebates and discounts are processed.

NOVO NORDISK ANNUAL REPORT 2015

 
64 CONSOLIDATED FINANCIAL STATEMENTS 

2.1  NET SALES AND SALES DEDUCTIONS 
(CONTINUED)

Sales discounts and sales rebates are predominantly issued in Region North 
America. In addition, political pressure to contain healthcare costs has led 
several other countries to impose signifi cant price reductions on pharma-
ceutical products. As such, governments in countries in Region Europe have 
implemented  concerted  austerity  measures,  while  government-mandated 
price cuts have been introduced in Region China, Japan and major countries 
in Region International Operations.

In  the  US,  signifi cant  sales  rebates  are  paid  in  connection  with  public 
healthcare insurance programmes, namely Medicare and Medicaid, as well 
as rebates to pharmacy benefi t managers (PBMs) and managed healthcare 
plans.

Key  customers  in  the  US  include  private  payers,  PBMs  and  government 
payers. Increasingly, PBMs play a key role in negotiating price concessions 
with drug manufacturers on behalf of private payers for both the commercial 
and government channels, and determining the list of drugs covered in the 
Health Plan’s formulary. Specifi cally, there are two primary drivers: 

•  Payer  pressure  to  reduce  the  overall  drug  costs  has  resulted  in  greater 
focus  on  negotiating  higher  rebates  from  drug  manufacturers.  Private 
payers  are  increasingly  keen  to  adopt  narrow  formularies  that  exclude 
certain drugs, while securing higher rebates from the preferred brand. 

•  Recent industry consolidation among private payers and PBMs has led to 

increasing pricing pressure for pharmaceutical companies.

US Managed Care and Medicare
For  Managed  Care  and  Medicare,  rebates  are  offered  to  a  number  of 
PBMs  and  managed  healthcare  plans.  These  rebate  programmes  allow 
the  customer  to  receive  a  rebate  after  attaining  certain  performance 
parameters  relating  to  formulary  status  or  pre-established  market  shares 
relative to competitors. Rebates are estimated according to the specifi c terms 
in each agreement, historical experience, anticipated channel mix, growth 
rates  and  market  share  information.  Novo  Nordisk  adjusts  the  provision 
periodically to refl ect actual sales performance.

US wholesaler charge-backs
Wholesaler charge-backs relate to contractual arrangements between Novo 
Nordisk  and  indirect  customers  in  the  US  whereby  products  are  sold  at 
contract prices lower than the list price originally charged to wholesalers. A 
wholesaler charge-back represents the difference between the invoice price 
to the wholesaler and the indirect customer’s contract price. Accruals 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 30 days of the liability being incurred.

US Medicaid 
Medicaid is a government insurance programme, and Medicaid rebates have 
been calculated using a combination of historical experience, product and 
population growth, price increases, and the impact of contracting strategies. 
Further, the calculation involves interpretation of relevant regulations that are 
subject to changes in interpretative guidance from government authorities. 
Although  provisions  are  made  for  Medicaid  rebates  at  the  time  sales  are 
recorded,  the  actual  rebates  related  to  the  specifi c  sale  will  typically  be 
invoiced to Novo Nordisk 6 –9 months later. Due to the time lag, the rebate 
adjustments to sales in any particular period may incorporate adjustments of 
provisions from prior periods.

Discounts, sales returns and other rebates
Other discounts are provided to wholesalers, hospitals, pharmacies etc, and 
are usually linked to sales volume or provided as cash discounts. Accruals 
are calculated based on historical data, and recorded as a reduction in gross 
sales at the time the related sales are recorded. Sales returns are related to 
damaged or expired products.

Arrangements with certain healthcare providers may require Novo Nordisk to 
make refunds to the healthcare providers if anticipated treatment outcomes 
do not meet predefi ned targets.

GROSS-TO-NET SALES RECONCILIATION

DKK million 

Gross sales 

2015 

2014 

2013

182,779 

131,841 

115,906

US Managed Care and Medicare 
US wholesaler charge-backs 
US Medicaid rebates 
Other US discounts and sales returns 
Non-US rebates, discounts and 
sales returns 

(33,235) 
(22,030) 
(9,838) 
(4,685) 

(17,522) 
(12,858) 
(5,578) 
(2,972) 

(12,504)
(10,126)
(3,851)
(2,063)

(5,064) 

(4,105) 

(3,790)

Total gross-to-net sales adjustments 

(74,852) 

(43,035) 

(32,334)

Net sales 

107,927 

88,806 

83,572

Please refer to note 3.6 for further information on sales-related provisions.

NOVO NORDISK ANNUAL REPORT 2015

2.2  SEGMENT INFORMATION

Accounting policies

Operating segments are reported in a manner consistent with the internal 
reporting provided to Executive Management and the Board of Directors. 

We consider Executive Management to be the operating decision-making 
body as all signifi cant decisions regarding business development and direction 
are taken in that forum.

Business segments
Novo  Nordisk  operates  in  two  business  segments  based  on  therapies: 
 Diabetes and obesity care and Biopharmaceuticals. 

The Diabetes and obesity care business segment includes research, develop-
ment, manufacturing and marketing of products within the areas of insulin, 
GLP-1 and  related  delivery  systems,  oral  antidiabetic  products  (OAD)  and 
obesity.

The Biopharmaceuticals business segment includes research, development, 
manufacturing and marketing of products within the areas of haemophilia, 
growth hormone therapy and hormone replacement therapy. In addition, 
costs in relation to infl ammatory disorders were included in the Biopharma-
ceuticals business segment in 2014. Please refer to note 2.3. 

CONSOLIDATED FINANCIAL STATEMENTS

65

Segment performance is evaluated on the basis of operating profi t consistent 
with the Consolidated fi nancial statements. Financial income and expenses 
and  income  taxes  are  managed  at  Group  level  and  are  not  allocated 
to   business  segments.  Further,  non-recurring  income  from  the  partial 
divestment of NNIT A/S has not been allocated to segments.

There are no sales or other transactions between the business segments. 
Costs have been split between business segments according to a specifi c 
allocation  with  the  addition  of  a  minor  number  of  corporate  overhead 
costs  allocated  systematically  between  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, 
other fi nancial assets, inventories, trade receivables, and other receivables 
and prepayments. 

No operating segments have been aggregated to form the reported business 
segments.

BUSINESS SEGMENTS

DKK million 

Segment sales 

New-generation insulin 
    NovoRapid® / NovoLog® 
    NovoMix® / NovoLog® Mix 
    Levemir® 
Total modern insulin 
Human insulin 
Victoza® 
Other diabetes and obesity care 

2015 

2014 

2013 

2015 

2014 

2013 

2015 

2014 

2013

Diabetes and obesity care 

Biopharmaceuticals 

Total

1,438 
20,720 
11,144 
18,300 
50,164 
11,231 
18,027 
4,730 

658 
17,449 
9,871 
14,217 
41,537 
10,298 
13,426 
4,061 

143 
16,848 
9,759 
11,546 
38,153 
10,869 
11,633 
4,658 

Diabetes and obesity care total sales 

85,590 

69,980 

65,456 

Haemophilia 
Norditropin® (human growth hormone) 
Other biopharmaceuticals 

Biopharmaceuticals total sales 

Segment key fi gures
Total net sales 
Change in DKK (%) 
Change in local currencies (%) 

Cost of goods sold 
Sales and distribution costs 
Research and development costs 
Administrative costs 
Other operating income, net 
Income from partial divestment of
NNIT A/S (not allocated to segments) 
Operating profi t  
Operating margin 

Depreciation, amortisation and 
impairment losses expensed 
Additions to Intangible assets and 
Property, plant and equipment 

Assets allocated to business segments 
Non-allocated assets1 
Total assets 

10,647 
7,820 
3,870 

9,304 
6,506 
3,016 

9,266 
6,114 
2,736 

22,337 

18,826 

18,116 

18,116 
5.7% 
11.5% 

107,927 
21.5% 
8.4% 

85,590 
22.3% 
8.9% 

13,725 
24,926 
10,475 
3,051 
488 

– 
33,901 
39.6% 

69,980 
6.9% 
8.8% 

12,482 
20,373 
9,318 
2,790 
516 

– 
25,533 
36.5% 

65,456 
7.5% 
12.0% 

11,909 
20,584 
7,786 
2,767 
510 

– 
22,920 
35.0% 

22,337 
18.6% 
6.3% 

2,463 
3,386 
3,133 
806 
618 

– 
13,167 
58.9% 

18,826 
3.9% 
6.2% 

2,080 
2,850 
4,444 
747 
254 

– 
8,959 
47.6% 

2,514 

2,438 

2,209 

445 

997 

4,991 

3,245 

2,651 

1,415 

1,066 

2,231 
2,796 
3,947 
741 
172 

– 
8,573 
47.3% 

590 

990 

46,444 

40,748 

36,436 

11,759 

10,914 

10,525 

88,806 
6.3% 
8.3% 

14,562 
23,223 
13,762 
3,537 
770 

– 
34,492 
38.8% 

83,572
7.1%
11.9%

14,140
23,380
11,733
3,508
682

–
31,493
37.7%

16,188 
28,312 
13,608 
3,857 
1,106 

2,376 
49,444 
45.8% 

2,959 

3,435 

2,799

6,406 

4,311 

3,641

58,203 
33,596 
91,799 

51,662 
25,400 
77,062 

46,961
23,376
70,337

1. The part of total assets that remains unallocated to either of the two business segments includes Investment in associated company, Deferred income tax assets, Other fi nancial assets, 

Tax receivables, Marketable securities, Derivative fi nancial instruments and Cash at bank and on hand.  

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
66 CONSOLIDATED FINANCIAL STATEMENTS 

2.2  SEGMENT INFORMATION (CONTINUED)

Geographical areas
Novo Nordisk operates in fi ve geographical regions:

•  North America: the US and Canada
•  Europe: the EU, EFTA, Albania, Bosnia-Hercegovina, Macedonia, Serbia, 

Montenegro and Kosovo

•  Japan & Korea: Japan and South Korea
•  Region China: China, Hong Kong and Taiwan
•  International Operations: all other countries.

As of 1 January 2016, the geographical regions have been changed to align 
with management structure. As such, the US will become a separate region, 
and Canada will join Japan and South Korea to form Region Pacifi c, together 
with  Australia  and  New  Zealand  (previously  included  in  International 
Operations). 

GEOGRAPHICAL AREAS

DKK million 

Sales by business segment:
        NovoRapid® / NovoLog® 
        NovoMix® / NovoLog® Mix 
        Levemir® 
    Modern insulins (insulin analogues) 
    Human insulins 
    Victoza® 
    Other diabetes and obesity care 

    Diabetes and obesity care total 

    Haemophilia 
    Norditropin® (human growth hormone) 
    Other biopharmaceuticals 

Sales  are  attributed  to  geographical  regions  according  to  the  location  of 
the customer. Allocation of property, plant and equipment, trade receivables, 
allowance for trade receivables and total assets is based on the location of 
the assets.

The  country  of  domicile  is  Denmark,  which  is  part  of  Region  Europe. 
 Denmark is immaterial to Novo Nordisk’s activities in terms of geographical 
size  and  the  operational  business  segments.  More  than  99.5%  of  total 
sales are realised outside Denmark.

Sales to external customers attributed to the US are collectively the most 
material to the Group. The US is the only country where sales contribute 
more than 10% of total sales, and sales to the US represent more than 90% 
of sales in Region North America.

2015 

2014 

2013 

2015 

2014 

2013

(cid:74) North America 

(cid:74) Europe

12,576 
2,837 
13,295 
28,708 
2,094 
13,014 
1,442 

10,191 
2,483 
9,386 
22,060 
1,997 
9,046 
846 

9,953 
2,694 
6,823 
19,470 
1,976 
7,537 
1,590 

4,239 
2,181 
2,929 
9,349 
2,014 
3,394 
1,225 

3,999 
2,317 
2,939 
9,255 
2,222 
3,130 
1,009 

3,819
2,450
2,909
9,178
2,427
2,896
885

45,258 

33,949 

30,573 

15,982 

15,616 

15,386

5,208 
3,626 
2,765 

4,449 
2,750 
1,975 

4,467 
2,273 
1,711 

2,405 
1,675 
736 

2,189 
1,654 
691 

2,296
1,729
652

    Biopharmaceuticals total 

11,599 

9,174 

8,451 

4,816 

4,534 

4,677

Total sales by business and geographical segment 

56,857 

43,123 

39,024 

20,798 

20,150 

20,063

Underlying sales growth in local currencies1 
Currency effect (local currency impact) 

10.7% 
21.1% 

10.8% 
(0.3%) 

17.8% 
(3.8%) 

1.6% 
1.6% 

0.2% 
0.2% 

2.5%
(0.7%)

Total sales growth as reported 

31.8% 

10.5% 

14.0% 

3.2% 

0.4% 

1.8%

Property, plant and equipment 
Trade receivables 
Allowance for doubtful trade receivables  
Total assets 

1. Additional non-IFRS measure; please refer to p 94 for defi nition.

3,050 
6,618 
(25) 
12,854 

2,215 
4,359 
(20) 
9,131 

1,571 
3,076 
(20) 
7,057 

19,097 
3,856 
(139) 
65,241 

17,411 
3,866 
(194) 
54,526 

16,801
3,779
(245)
51,205

SALES BY BUSINESS SEGMENT
(cid:81)(cid:3)Diabetes and obesity care   (cid:81)(cid:3)Haemophilia   (cid:81)(cid:3)Human growth hormone    
(cid:81)(cid:3)Other Biopharmaceuticals

4%

7%

10%

GROWTH ANALYSIS

Local currencies 

New generation insulin 
Modern insulin 
Human insulin 
Victoza®  
Other diabetes and obesity care 

Growth 

109% 
7% 
(1%) 
18% 
5% 

Share of
growth

10%
41%
(1%)
32%
3%

Diabetes and obesity care 

9% 

85%

Haemophilia 
Human growth hormone 
Other biopharmaceuticals 

Biopharmaceuticals 

Total sales 

3% 
8% 
13% 

3%
7%
5%

6% 

15%

8% 

100%

79%

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
CONSOLIDATED FINANCIAL STATEMENTS

67

In 2015, Novo Nordisk had three major wholesalers distributing products 
representing respectively 21%, 12% and 11% of total net sales (18%, 10% 
and 11% in 2014 and 16%, 11% and 9% in 2013). Net sales to the fi rst two 
wholesalers are within both diabetes and biopharmaceuticals, whereas the 
third is only within diabetes.

Net sales will be impacted by exchange rate fl uctuations, whereas Financial 
income and Financial expenses will be impacted by the corresponding results 
of hedging activities. Please refer to notes 4.2, 4.3 and 4.9 for more details 
on hedging.

For patent expiry in key markets by product, please refer to note 2.5 to the 
Consolidated social statement.

2015 

2014 

2013 

2015 

2014 

2013 

2015 

2014 

2013

(cid:74) International Operations 

(cid:74) Region China 

(cid:74) Japan & Korea

2,151 
2,458 
1,473 
6,082 
3,262 
937 
1,058 

1,802 
2,077 
1,344 
5,223 
2,660 
799 
820 

1,639 
1,875 
1,290 
4,804 
2,954 
741 
692 

866 
3,036 
410 
4,312 
3,537 
213 
1,594 

618 
2,338 
334 
3,290 
3,051 
171 
1,388 

486 
1,951 
236 
2,673 
3,022 
128 
1,163 

888 
632 
193 
1,713 
324 
469 
849 

839 
656 
214 
1,709 
368 
280 
656 

951
789
288
2,028
490
331
471

11,339 

9,502 

9,191 

9,656 

7,900 

6,986 

3,355 

3,013 

3,320

2,196 
1,165 
266 

1,893 
900 
245 

1,716 
853 
247 

3,627 

3,038 

2,816 

195 
15 
5 

215 

171 
13 
4 

188 

158 
13 
4 

175 

643 
1,339 
98 

602 
1,189 
101 

629
1,246
122

2,080 

1,892 

1,997

14,966 

12,540 

12,007 

9,871 

8,088 

7,161 

5,435 

4,905 

5,317

15.4% 
4.0% 

14.4% 
(10.0%) 

17.0% 
(8.6%) 

4.1% 
17.9% 

13.3% 
(0.4%) 

12.7% 
(0.8%) 

5.3% 
5.5% 

(0.8%) 
(6.9%) 

(0.1%)
(19.5%)

19.4% 

4.4% 

8.4% 

22.0% 

12.9% 

11.9% 

10.8% 

(7.7%) 

(19.6%)

953 
3,015 
(997) 
6,765 

1,145 
2,978 
(776) 
6,821 

1,292 
2,196 
(716) 
5,945 

2,291 
1,532 
0 
5,594 

2,230 
1,538 
0 
5,629 

2,078 
1,587 
0 
5,108 

154 
464 
(5) 
1,345 

135 
300 
(5) 
955 

140
269
(8)
1,022

SALES BY GEOGRAPHICAL AREA
(cid:81)(cid:3)North America   (cid:81)(cid:3)Europe   (cid:81)(cid:3)International Operations 
(cid:81)(cid:3)Region China   (cid:81)(cid:3)Japan & Korea   

5%

9%

14%

19%

53%

GROWTH ANALYSIS

Local currencies 

North America 
Europe 
International Operations 
Region China 
Japan & Korea  

Total sales 

Growth 

Share of
growth

11% 
2% 
15% 
4% 
5% 

62%
4%
26%
4%
4%

8% 

100%

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
68 CONSOLIDATED FINANCIAL STATEMENTS 

2.3  RESEARCH AND DEVELOPMENT COSTS

BY BUSINESS SEGMENT (NOTE 2.2)

Accounting policies

Novo Nordisk’s research and development is focused on therapeutic proteins 
within  insulins  for  diabetes  treatment,  GLP-1,  blood  clotting  factors  and 
human  growth  hormone.  The  research  activities  utilise  biotechnological 
methods  based  on  genetic  engineering,  advanced  protein  chemistry  and 
protein engineering. These methods have played a key role in the develop-
ment  of  the  production  technology  used  to  manufacture  insulin,  GLP-1, 
recombinant blood clotting factors, human growth hormone and glucagon.

In line with industry practice, Novo Nordisk expenses all internal research 
costs. Internal development costs are also expensed as incurred as these do 
not qualify for capitalisation as intangible assets until marketing approval by 
a regulatory authority is obtained or highly probable, due to regulatory and 
other uncertainties inherent in the development of new products. 

Research  and  development  activities  are  carried  out  by  Novo  Nordisk’s 
research and development centres, mainly in Denmark, the US and China, 
while  research  and  development  trials  are  carried  out  all  over  the  world. 
Without  establishing  joint  ventures  or  operations,  Novo  Nordisk  also 
enters into partnership agreements to a limited extent, primarily in terms of 
development and licence agreements. 

Research and development costs primarily comprise employee costs, internal 
and external costs related to execution of studies, including manufacturing 
costs, facility costs of the research centres, and amortisation, depreciation 
and impairment losses related to intangible assets and property, plant and 
equipment used in the research and development activities.

A very limited part of the research and development activities is recognised 
outside Research and development costs:

•  Up-front payments and milestones paid to partnerships prior to or upon 
regulatory approval are capitalised as intangible assets and amortised as 
Cost of goods sold over the useful life

•  Royalty  expenses  paid  to  partnerships  after  regulatory  approval  are 

expensed as Cost of goods sold

•  Royalty income received from partnerships is recognised as part of Other 

operating income, net

•  Contractual research and development obligations to be paid in the future 

are disclosed separately as Commitments in note 5.3.

RESEARCH AND DEVELOPMENT COSTS

DKK million 

2015 

2014 

2013

Diabetes and obesity care 
Biopharmaceuticals 

10,475 
3,133 

9,318 
4,444 

7,786
3,947

Total 

13,608 

13,762 

11,733

HISTORICAL RATIO OF RESEARCH AND DEVELOPMENT 
COSTS 2015

(cid:81)(cid:3)Research   (cid:81)(cid:3)Development

DIABETES AND OBESITY CARE

20–30%

BIOPHARMACEUTICALS

25–35%

70–80%

65–75%

In total, research comprises 20 –30% and development 70 – 80% of research 
and development costs.

The split between research and development will fl uctuate in individual years 
depending on the composition of the clinical development portfolio. 

Research  costs  include  the  costs  of  the  very  early  stages  of  the  drug 
development cycle from the initial drug discovery to the fi rst administration of 
the drug to humans. The activities initially focus on identifying a single drug 
candidate with a profi le that will support a decision to initiate development 
activities. Before selection of the fi nal drug candidate, it is tested in animals 
to gather effi cacy, toxicity and pharmacokinetic information. 

Development costs are incurred from the start of phase 1, when the drug is 
administered to humans for the fi rst time, ie projects captured in the pipeline 
overview  on  p  20.  The  fi nal  product  is  being  developed,  and  subsequent 
clinical  trials  (phase  2  and  3)  are  conducted  to  further  test  the  drug  in 
humans, using the results from these trials to attempt to obtain marketing 
authorisation,  permitting  Novo  Nordisk  to  market  and  sell  the  developed 
products.

DKK million 

2015 

2014 

2013

ACTIVITIES WITHIN INFLAMMATORY DISORDERS 

Internal and external research and 
development costs 
Employee costs (note 2.4) 
Amortisation and impairment losses, 
intangible assets (note 3.1) 
Depreciation and impairment losses, 
property, plant and equipment (note 3.2) 

7,352 
5,584 

7,646 
5,200 

6,587
4,680

247 

425 

425 

491 

126

340

Total research and development costs 

13,608 

13,762 

11,733

As percentage of sales 

12.6% 

15.5% 

14.0%

For a review of development in research and development costs, refer to p 7 
and p 10, ‘2015 performance and 2016 outlook’.

In September 2014, Management decided to discontinue all research and 
development activities within infl ammatory disorders. This was a strategic 
decision and as such not based on safety concerns.

In  total,  a  cost  of  DKK  600  million  was  recorded  as  part  of  research  and 
development costs in 2014 and negatively impacted operating profi t in 2014 
in the Biopharmaceuticals business segment.

NOVO NORDISK ANNUAL REPORT 2015

2.4  EMPLOYEE COSTS

Accounting policies

Wages, salaries, social security contributions, annual leave and sick leave, 
bonuses  and  non-monetary  benefi ts  are  recognised  in  the  year  in  which 
the associated services are rendered by employees of Novo Nordisk. Where 
Novo Nordisk provides long-term employee benefi ts, the costs are accrued to 
match the rendering of the services by the employees concerned.

EMPLOYEE COSTS

DKK million 

2015 

2014 

2013

Wages and salaries 
Share-based payment costs (note 5.1) 
Pensions – defi ned contribution plans 
Pensions – defi ned benefi t plans 
(note 3.5) 
Other social security contributions 
Other employee costs 

23,289 
442 
1,715 

21,306 
371 
1,607 

154 
1,783 
2,117 

142 
1,617 
1,944 

19,077
409
1,428

113
1,489
1,891

Total employee costs for the year 

29,500 

26,987 

24,407

Employee costs included in intangible 
assets and property, plant and 
equipment1 
Change in employee costs included 
in inventories 

Total employee costs 
in the Income statement 

Included in the Income statement:
Cost of goods sold 
Sales and distribution costs 
Research and development costs 
Administrative costs 
Other operating income, net 

Total employee costs 
in the Income statement 

(957) 

(866) 

(772)

28,352 

25,915 

23,606

7,239 
12,231 
5,584 
2,658 
640 

6,224 
10,334 
5,200 
2,426 
1,731 

5,160
9,831
4,680
2,250
1,685

28,352 

25,915 

23,606

1. This refl ects annual gross employee costs included in intangible assets and property, 
plant  and  equipment  that  will  subsequently  be  included  in  depreciation  and 
impairment losses.

Average number of full-time employees2 
40,342 
Year-end number of full-time employees2  40,638 

40,164 
40,957 

36,144
37,978

2. Full-time equivalent employees in 2014 in NNIT A/S was approximately 2,400.

(191) 

(206) 

(29)

DKK 108 million.

4. Benefi ts is included in Other employee costs and severance payments is included in 

wages and salaries in the table to the left.

CONSOLIDATED FINANCIAL STATEMENTS

69

REMUNERATION TO EXECUTIVE MANAGEMENT AND 
BOARD OF DIRECTORS

Effective 30 April 2015, Novo Nordisk’s Executive Management was expanded 
to include four new members. Remuneration to the new members has been 
included from 30 April 2015.

DKK million 

2015 

2014 

2013

Salary and cash bonus 
Pension 
Benefi ts4 
Share-based incentive 
Severance payments1,4 

Executive Management in total1,2,3 

Fee to Board of Directors 

Total 

89 
22 
7 
44 
73 

235 

12 

247 

71 
18 
2 
27 
32 

150 

9 

58
15
2
21
–

96

9

159 

105

1. Please refer to note 5.1 and ’Remuneration’, pp 49 –51, for further information.
2. EVP Kåre Schulz left Novo Nordisk as of 30 April 2015. The 2015 remuneration for 
Kåre  Schultz  is  included  in  the  above  table  together  with  severance  payments  of 
DKK 72.7 million. In November 2014 EVP Lise Kingo decided to leave Novo Nordisk. 
The 2014 remuneration for Lise Kingo is included in the above table together with 
severance payments of DKK 32.2 million. 

3. Total remuneration for registered members of Executive Management amounts to 

2.5  OTHER OPERATING INCOME, NET

Accounting policies

Other  operating  income  (net)  comprises  licence  income  and  income  of  a 
secondary nature in relation to the main activities of Novo Nordisk. Licence 
income  is  recognised  on  an  accrual  basis  in  accordance  with  the  terms 
and  substance  of  the  relevant  agreement.  Net  profi t,  not  related  to 
Novo  Nordisk,  from  the  wholly  owned  subsidiary  NNE  Pharmaplan  A/S  is 
recognised as Other operating income. Other operating income also includes 
income from sale of intellectual property rights.

Divested subsidiaries are recognised in the consolidated income statement 
until  the  time  when  control  is  lost.  Net  gain  or  loss  on  divestments  is 
determined as the difference between the sales proceeds and the carrying 
amount of net assets.

FINANCIAL IMPACT OF PARTIAL DIVESTMENT OF NNIT A/S

As a result of the Initial Public Offering of NNIT A/S on 6 March 2015, Novo 
Nordisk A/S disposed of 74.5% of the 100% interest held in the company. 

DKK million 

Sales proceeds from partial divestment 
Non-current assets 
Current assets 
Non-current liabilities 
Current liabilities  
Retained 25.5% investment in NNIT A/S 
Fair value revaluation of retained investment  

Non-recurring income from divestment of 74.5% 
of NNIT A/S 

Costs related to the divestment 

Net gain recognised in the Income statement as part of 
‘Other operating income, net’  

Sales proceeds from partial divestment 
Cash balance disposed 

Consideration received recognised in the 
Cash fl ow statement 

2015

2,328
(431)
(836)
67
601
153
644

2,526

(150)

2,376

2,328
(25)

2,303

NOVO NORDISK ANNUAL REPORT 2015

 
70 CONSOLIDATED FINANCIAL STATEMENTS 

2.6  INCOME TAXES AND DEFERRED 
INCOME TAXES

INCOME TAXES

Accounting policies

The  tax  expense  for  the  period  comprises  current  and  deferred  tax  and 
 interest on tax cases ongoing or settled during the year, including adjust-
ments to previous years and changes in provision for uncertain tax positions. 
Tax is recognised in the Income statement, except to the extent that it relates 
to items recognised in Equity or in Other comprehensive income.

Ongoing tax disputes, primarily related to transfer pricing cases, are included 
individually as part of deferred tax assets, tax receivables and tax payables. 

Key accounting estimate – Income taxes

Novo  Nordisk  is  subject  to  income  taxes  around  the  world.  Signifi cant 
 judgement  is  required  in  determining  the  worldwide  accrual  for  income 
 taxes, deferred income tax assets and liabilities, and provision for uncertain 
tax  positions.  Novo  Nordisk  recognises  deferred  income  tax  assets  if  it 
is  probable  that  suffi cient  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. In the course of con ducting 
business globally, transfer pricing disputes with tax authorities may occur, 
and  Management  judgement  is  applied  to  assess  the  possible  outcome 
of such disputes. The most probable outcome is used as the measurement 
method, and Novo Nordisk believes that the provision made for uncertain 
tax positions not yet settled with local tax authorities is adequate. However, 
the  actual  obligation  may  deviate  and  is  dependent  on  the  result  of 
litigations and settlements with the relevant tax authorities.

INCOME TAXES EXPENSED

DKK million 

2015 

2014 

2013

Current tax on profi t for the year 
Deferred tax on profi t for the year  

9,648 
(1,130) 

8,562 
(748) 

8,540
(682)

Tax on profi t for the year 
Adjustments recognised for 
current tax of prior periods 
Adjustments recognised for 
deferred tax of prior periods 

Income taxes in the 
Income statement 

8,518 

7,814 

7,858

3 

(313) 

(74)

102 

114 

(429)

DKK million 

2015 

2014 

2013

Computation of effective tax rate:
Statutory corporate income tax rate 
in Denmark 
Deviation in foreign subsidiaries’ 
tax rates compared with the Danish 
tax rate (net) 
Non-taxable income from partial 
divestment of NNIT A/S 
Non-taxable income less non-tax-
deductible expenses (net) 
Effect on deferred tax related to 
change in the Danish corporate tax rate 
Other 

23.5% 

24.5% 

25.0%

(2.9%) 

(1.9%) 

(2.0%)

(1.3%) 

– 

–

0.1% 

(0.0%) 

(0.0%)

– 
0.4% 

– 
(0.3%) 

(0.3%)
(0.1%)

Effective tax rate 

19.8% 

22.3% 

22.6%

Computation of effective tax amount:
Corporate income tax at tax rate 
in Denmark 
Impact from deviation in foreign 
subsidiaries’ tax rates compared with 
the Danish tax rate (net) 
Non-taxable income from partial 
divestment of NNIT A/S 
Non-taxable income less 
non-tax-deductible expenses (net) 
Effect on deferred tax related to 
change in the Danish corporate tax rate 
Other 

10,218 

8,354 

8,135

(1,240) 

(623) 

(636)

(558) 

– 

6 

(12) 

– 
197 

– 
(104) 

–

(8)

(99)
(37)

Effective tax amount 

8,623 

7,615 

7,355

The impact of the deviation in foreign subsidiaries’ tax rates compared with 
the Danish tax rate is mainly driven by Swiss and US business activities.

INCOME TAXES PAID

DKK million 

2015 

2014 

2013

Income taxes paid in Denmark 
Income taxes paid outside Denmark 

5,469 
3,905 

4,936 
2,971 

7,363
2,444

Total income taxes paid 

9,374 

7,907 

9,807

8,623 

7,615 

7,355

The income taxes paid in Denmark in 2013 include adjustments arising from 
ongoing tax disputes primarily related to transfer pricing from prior periods.

Tax on other comprehensive income 
for the year, (income)/expense 

87 

(977) 

211

DEFERRED INCOME TAXES 

Adjustments  recognised  for  prior  periods  include  adjustments  caused  by 
events that occurred in the current year related to current and deferred tax 
of prior periods. Such adjustments predominantly arise from tax payments 
regarding tax disputes related to transfer pricing and reversal of associated 
tax liability recognised in prior periods.

Tax on other comprehensive income for the year relates to tax on deferred 
(gains)/losses on cash fl ow hedges and internal profi t in inventories. This loss 
is offset by currency adjustment of DKK 99 million in 2014 recognised as 
current tax in Other comprehensive income in 2015.

Accounting policies

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 
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 elimina-
tion of the temporary differences. In general, the Danish tax rules related 
to company distributions provide exemption from tax for most repatriated 
profi ts. No provision is made for income taxes that would be payable on the 
distribution of unremitted earnings unless a concrete distribution of earnings 
is planned. The potential withholding tax amounts to DKK 288 million for 
2015 (DKK 212 million in 2014).

NOVO NORDISK ANNUAL REPORT 2015

2.6  INCOME AND DEFERRED INCOME TAXES (CONTINUED)

DEVELOPMENT IN DEFERRED INCOME TAX ASSETS AND LIABILITIES

CONSOLIDATED FINANCIAL STATEMENTS

71

DKK million 

2015
Net deferred tax asset/(liability) at 1 January 
Income/(charge) to the Income statement 
Income/(charge) to Other comprehensive income 
Tax credit related to restricted stock units1 
Exchange rate adjustment 

Net deferred tax asset/(liability) at 31 December 

Classifi ed as follows:
Deferred tax asset at 31 December 
Deferred tax liability at 31 December 

Property, 
plant and 
equipment 

Intangible 
assets 

Inventories 

Provisions 
and 
accrued 
expenses 

Other, 
including 
tax loss 
carry- 
forwards 

Offset 
within 
countries 

– 

Total

5,392
1,028
(87)
356
111

(715) 
(18) 
– 
– 
(32) 

(765) 

219 
(984) 

15 
(368) 
– 
– 
16 

2,668 
689 
236 
– 
– 

2,053 
362 
8 
– 
136 

1,371 
363 
(331) 
356 
(9) 

(337) 

3,593 

2,559 

1,750 

– 

6,800

186 
(523) 

4,650 
(1,057) 

2,566 
(7) 

1,897 
(147) 

(2,712) 
2,712 

6,806
(6)

1. In addition, DKK 10 million is recorded related to current tax on restricted stock units charged to equity.

2014
Net deferred tax asset/(liability) at 1 January 
Income/(charge) to the Income statement 
Income/(charge) to Other comprehensive income 
Tax credit related to restricted stock units 
Exchange rate adjustment 

Net deferred tax asset/(liability) at 31 December  

Classifi ed as follows:
Deferred tax asset at 31 December 
Deferred tax liability at 31 December 

(853) 
163 
– 
– 
(25) 

(715) 

229 
(944) 

64 
(57) 
– 
– 
8 

15 

1,761 
733 
174 
– 
– 

1,656 
168 
69 
– 
160 

931 
(373) 
833 
– 
(20) 

2,668 

2,053 

1,371 

– 

– 

3,559
634
1,076
–
123

5,392

286 
(271) 

3,665 
(997) 

2,057 
(4) 

1,435 
(64) 

(2,273) 
2,273 

5,399
(7)

SPECIFICATION OF TAX LOSS CARRY-FORWARDS AT 31 DECEMBER

DKK million 

Recognised deferred tax loss carry-forwards 

Unrecognised tax loss carry-forwards 

Classifi ed as follows:
Expiry within one year 
Expiry within two to fi ve years 
Expiry after more than fi ve years 

2015 

2014

34 

243 

0 
7 
236 

32

215

0
8
207

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
72 CONSOLIDATED FINANCIAL STATEMENTS 

SECTION 3  OPERATING ASSETS AND LIABILITIES

Basis of preparation

Results for the year

Operating assets
and liabilities

Capital structure and 
financing items

Other disclosures

This  section  presents  details  on  the  operating  assets  that  form  the  basis 
for  the  activities  of  Novo  Nordisk,  and  related  liabilities.  These  net  assets 
impact Novo Nordisk’s long-term target for ‘Operating profi t after tax to net 
operating assets (OPAT/NOA)’.

For 2015, OPAT/NOA amounts to 148.7%, representing an increase of more 
than 70 percentage points over the last fi ve years and refl ecting the growth 
in Operating profi t after tax generated on a stable base of net operating 
assets.

This  is  driven  by  Novo  Nordisk’s  organic  growth  strategy  with  limited 
 acquisition of intangible assets or businesses in general. It also refl ects the 
fact  that,  in  line  with  industry  practice,  Novo  Nordisk  does  not  capitalise 
internal development costs. 

The overall approach to managing operating assets is to retain assets for 
research, development and production activities under the company’s own 
control, and generally to lease non-core assets related to administration and 
distribution. This is a key factor in maintaining high quality in the company’s 
products.  Furthermore,  being  able  at  all  times  to  deliver  products  to 
customers  is  a  key  priority;  consequently  the  total  production  capacity 
refl ects this priority, and the inventory level includes a level of safety stock. 

IMPACT OF US REBATES
A  signifi cant  factor  in  net  operating  assets  also  relates  to  the  movement 
in the provision for sales rebates in the US, presented as provisions under 
current liabilities in the Balance sheet. The movement in 2015 refl ects growth 
in US sales, national expansion of the Medicaid programme and changes in 
product and rebate programme mix. This is countered by the effect of faster 
collection from pharmacy benefi t managers and authorities. The increase in 
inventory level partly refl ects additional safety stock and new products. Trade 
receivables and fi xed assets have developed in line with net sales.

3.1  INTANGIBLE ASSETS

Accounting policies

Patents and licences, including acquired patents and licences for in-process 
research  and  development  projects,  are  carried  at  historical  cost  less 
 accumulated amortisation and any impairment loss. Amortisation is based on 
the straight-line method over the estimated useful life, which is the shorter 
of the legal duration and the economic useful life, not exceeding 10 years. 
The amortisation of patents and licences begins after regulatory approval has 
been obtained.

Internal development of computer software and other directly attributable 
development costs related to major IT projects for internal use are recognised 
as  intangible  assets  if  the  recognition  criteria  are  met,  ie  a  signifi cant 
business system where the expenditure leads to the creation of a durable 
asset. Amortisation is based on the straight-line method over the estimated 
useful life of 3–10 years. The amortisation begins when the asset is in the 
location  and  condition  necessary  for  it  to  be  capable  of  operating  in  the 
manner intended by Management.

Research and development projects
Internal  research  costs  are  fully  charged  to  the  consolidated  income 
statement in the period in which they are incurred, consistent with industry 
practice; please refer to note 2.3.

NOVO NORDISK ANNUAL REPORT 2015

148.7% OPERATING PROFIT
149%

AFTER TAX TO NET 
OPERATING ASSETS 

OPERATING PROFIT AFTER TAX  
TO NET OPERATING ASSETS 

MAIN MOVEMENTS IN NET OPERATING ASSETS

Net operating assets

Fixed assets

Inventories

MAIN MOVEMENTS IN NET OPERATING ASSETS

Receivables

Provisions and liabilities

(cid:81) Net operating assets  (cid:81) Fixed assets  (cid:81) Inventories
(cid:81) Receivables  (cid:81) Provisions and liabilities
DKK billion

40
DKK billion

40
30

30
20

20
10

10
0

0

2014

2014

2015

2015

For acquired in-process research and development projects, the probability 
effect is refl ected in the cost of the asset, and the probability recognition 
criteria  are  therefore  always  considered  satisfi ed.  As  the  cost  of  acquired 
in-process  research  and  development  projects  can  often  be  measured 
reliably,  these  projects  fulfi l  the  capitalisation  criteria  as  intangible  assets 
on acquisition. However, further internal development costs subsequent to 
acquisition are treated in the same way as other internal development costs.

Impairment of assets 
Intangible assets with an indefi nite useful life and intangible assets not yet 
available for use are not subject to amortisation but are tested annually for 
impairment, irrespective of whether there is any indication that they may be 
impaired. 

Assets  that  are  subject  to  amortisation,  such  as  intangible  assets  in  use 
or with defi nite useful life, and other non-current assets are reviewed for 
 impairment whenever events or changes in circumstances indicate that the 
carrying amount may not be recoverable. Factors considered material that 
could trigger an impairment test include the following:

•  Development of a competing drug
•  Changes in the legal framework covering patents, rights and licences
•  Advances in medicine and/or technology that affect the medical 

treatments

•  Lower-than-predicted sales
•  Adverse impact on reputation and/or brand names
•  Changes in the economic lives of similar assets
•  Relationship with other intangible assets or property, plant and 

equipment

•  Changes or anticipated changes in participation rates or reimbursement 

policies. 

3.1  INTANGIBLE ASSETS (CONTINUED)

3.2  PROPERTY, PLANT AND EQUIPMENT

CONSOLIDATED FINANCIAL STATEMENTS

73

If the carrying amount of intangible assets exceeds the recoverable amount 
based on the existence of one or more of the above indicators of impairment, 
any  impairment  is  measured  based  on  discounted  projected  cash  fl ows. 
Impairments are reviewed at each reporting date for possible reversal.

INTANGIBLE ASSETS

DKK million 

Patents and licences 
In-process and developed software 

Total 

2015 

2014

1,139 
1,019 

454
924

2,158 

1,378

In 2015, an impairment loss of DKK 243 million (DKK 423 million in 2014) 
related to patents and licences was recognised. 

Intangible  assets  not  yet  in  use  amount  to  DKK 1,261  million  (DKK  656 
million in 2014), primarily patents and licences in relation to research and 
development  projects.  Impairment  tests  in  2015  and  2014  of  patents 
and  licences  not  yet  in  use  are  based  on  Management’s  projections  and 
anticipated  net  present  value  of  estimated  future  cash  flows  from 
marketable products. Management has used a pre-tax discount rate (WACC) 
of 8% based on the risk inherent in the related activity’s current business 
model  and  industry  comparisons.  Terminal  values  used  are  based  on  the 
expected  life  of  products,  forecasted  life  cycle  and  cash  fl ow  over  that 
period, and the useful life of the underlying assets. 

AMORTISATION AND IMPAIRMENT LOSSES

DKK million 

2015 

2014

Cost of goods sold 
Sales and distribution costs 
Research and development costs 
Other operating income, net 

Total amortisation and impairment losses 

127 
11 
247 
7 

392 

105
28
425
8

566

For further information regarding 2014 impairment of infl ammation projects, 
please refer to note 2.3.

Accounting policies

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 and indirectly attributable to the construction 
of the assets. Subsequent cost is included in the asset’s carrying amount or 
recognised as a separate asset only when it is probable that future economic 
benefi ts  associated  with  the  item  will  fl ow  to  Novo  Nordisk  and  the  cost 
of  the  item  can  be  measured  reliably.  In  general,  construction  of  major 
 investments is self-fi nanced and thus no interest on loans is capitalised as 
part of the cost. Depreciation is based on the straight-line method over the 
estimated useful lives of the assets: 

•  Buildings: 12 – 50 years
•  Plant and machinery: 5 –16 years
•  Other equipment: 3 –10 years
•  Land: not depreciated.

The depreciation commences when the asset is available for use, ie when it 
is in the location and condition necessary for it to be capable of operating in 
the manner intended by Management.

The  assets’ residual  values  and  useful  lives  are  reviewed  and  adjusted,  if 
appropriate,  at  the  end  of  each  reporting  period.  If  the  asset’s  carrying 
amount is higher than its estimated recoverable amount, it is written down 
to  the  recoverable  amount;  please  refer  to  note  3.1 for  a  description  of 
impairment  of  assets.  Gains  and  losses  on  disposals  are  determined  by 
comparing the proceeds with the carrying amount and are recognised in the 
Income statement.

Plant and equipment with no alternative use developed as part of a research 
and development project is expensed. However, plant and equipment with 
an alternative use or used for general research and development purposes 
is capitalised and depreciated over its estimated useful life as research and 
 development costs. 

NOVO NORDISK ANNUAL REPORT 2015

 
74 CONSOLIDATED FINANCIAL STATEMENTS 

3.2  PROPERTY, PLANT AND EQUIPMENT (CONTINUED)

PROPERTY, PLANT AND EQUIPMENT

DKK million 

2015
Cost at the beginning of the year 
Additions during the year 
Disposals during the year 
Disposals related to partial divestment of NNIT A/S 
Transfer from/(to) other items 
Effect of exchange rate adjustment 

Land and 
buildings 

Plant and 
machinery 

Other 
equipment 

Assets in 
course of 
construction 

17,391 
334 
(159) 
(188) 
658 
(33) 

20,410 
456 
(366) 
(2) 
1,565 
(28) 

3,882 
222 
(228) 
(657) 
264 
33 

5,801 
4,212 
– 
– 
(2,487) 
90 

Total

47,484
5,224
(753)
(847)
0
62

Cost at the end of the year 

18,003 

22,035 

3,516 

7,616 

51,170

Depreciation and impairment losses at the beginning of the year 
Depreciation for the year 
Impairment losses for the year 
Depreciation and impairment losses reversed on disposals during the year 
Depreciation reversed related to partial divestment of NNIT A/S 
Effect of exchange rate adjustment 

6,933 
761 
8 
(140) 
(61) 
(53) 

14,910 
1,381 
65 
(332) 
(2) 
(122) 

2,505 
328 
24 
(215) 
(387) 
22 

Depreciation and impairment losses at the end of the year 

7,448 

15,900 

2,277 

– 
– 
– 
– 
– 
– 

– 

24,348
2,470
97
(687)
(450)
(153)

25,625

Carrying amount at the end of the year 

10,555 

6,135 

1,239 

7,616 

25,545

2014
Cost at the beginning of the year 
Additions during the year 
Disposals during the year 
Transfer from/(to) other items 
Effect of exchange rate adjustment 

Cost at the end of the year 

16,184 
234 
(392) 
1,156 
209 

18,964 
459 
(324) 
1,168 
143 

3,457 
384 
(279) 
250 
70 

5,432 
2,913 
– 
(2,574) 
30 

44,037
3,990
(995)
0
452

17,391 

20,410 

3,882 

5,801 

47,484

Depreciation and impairment losses at the beginning of the year 
Depreciation for the year 
Impairment losses for the year 
Depreciation and impairment losses reversed on disposals during the year 
Effect of exchange rate adjustment 

6,267 
855 
94 
(297) 
14 

13,614 
1,436 
42 
(265) 
83 

2,274 
362 
80 
(260) 
49 

Depreciation and impairment losses at the end of the year 

6,933 

14,910 

2,505 

– 
– 
– 
– 
– 

– 

22,155
2,653
216
(822)
146

24,348

Carrying amount at the end of the year 

10,458 

5,500 

1,377 

5,801 

23,136

DEPRECIATION AND IMPAIRMENT LOSSES

DKK million 

Cost of goods sold 
Sales and distribution costs 
Research and development costs 
Administrative costs 
Other operating income, net 

Total depreciation and impairment losses 

2015 

2,008 
54 
425 
53 
27 

2,567 

2014

2,141
36
491
83
118

2,869

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
3.3  INVENTORIES

Accounting policies

Inventories  are  stated  at  the  lower  of  cost  and  net  realisable  value.  Cost 
is   determined  using  the  fi rst-in,  fi rst-out  method.  Cost  comprises  direct 
 production costs such as raw materials, consumables and labour as well as 
indirect production costs. Production costs for work in progress and fi nished 
goods include indirect production costs such as employee costs, deprecia-
tion, maintenance etc.

If the expected sales price less completion costs to execute sales (net realis-
able 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.

Inventory manufactured prior to regulatory approval (pre-launch inventory) 
is capitalised but immediately provided for, until there is a high probability 
of  regulatory  approval  of  the  product.  Before  that  point,  a  provision  is 
made against the carrying amount of inventory to its recoverable amount 
and  recorded as research and development costs. At the point when a high 
 probability  of  regulatory  approval  is  obtained,  the  provision  recorded  is 
 reversed, up to no more than the original cost.

Key accounting estimate – Indirect production costs

Indirect  production  costs  account  for  50%  of  the  net  inventory  value, 
refl ecting  a  lengthy  production  process  compared  with  low  direct  raw 
material  cost.  The  production  of  both  diabetes  and  obesity  care  and 
Biopharmaceutical  products  is  highly  complex  from  fermentation  to 
purifi cation  and  formulation,  including  quality  control  of  all  production 
processes.  Furthermore,  the  process  is  very  sensitive  to  manufacturing 
conditions. These factors all  infl uence the parameters for capitalisation of 
indirect  production  costs  in  Novo  Nordisk  and  full  cost  of  the  products. 
Indirect production costs are measured using a standard cost method, which 
is  reviewed  regularly  to  ensure  relevant  measures  of  capacity  utilisation, 
production lead time, cost base and other relevant factors, hence inventory 
is valued at actual cost. When calculating total inventory, Management must 
make certain judgements about cost of production, standard cost variances 
and idle capacity in estimating indirect production costs for capitalisation. 
Changes in the parameters for calculation of indirect production costs could 
have an impact on the gross margin and the overall valuation of inventories. 

CONSOLIDATED FINANCIAL STATEMENTS

75

3.4  TRADE RECEIVABLES 

Accounting policies

Trade  receivables  are  recognised  initially  at  fair  value  and  subsequently 
measured  at  amortised  cost  using  the  effective  interest  method,  less 
 allowance for doubtful trade receivables. 

The allowance is deducted from the carrying amount of Trade receivables 
and the amount of the loss is recognised in the Income statement under 
Sales and distribution costs. Subsequent recoveries of amounts previously 
written off are credited against Sales and distribution costs.

Key accounting estimate – 

Allowance for doubtful trade receivables
The customer base of Novo Nordisk comprises government agencies, whole-
salers, retail pharmacies, managed care and other customers. Management 
makes allowance for doubtful trade receivables in anticipation of estimated 
losses resulting from the subsequent inability of customers to make required 
payments. If the fi nancial circumstances of customers were to deteriorate, 
resulting in an impairment of their ability to make payments, an additional 
allowance  could  be  required  in  future  periods.  When  evaluating  the 
adequacy  of  the  allowance  for  doubtful  trade  receivables,  Management 
analyses  trade  receivables  and  examines  historical  bad  debt,  customer 
 concentrations,  customer  creditworthiness  and  payment  history,  current 
 economic trends and changes in customer payment terms. Please refer to 
note 4.2 for a general description of credit risk.

As a result of the signifi cant sales to countries within Region International 
Operations, and the fact that many of these countries have low credit ratings, 
the  relative  impact  of  countries  within  Region  International  Operations 
on the allowance for doubtful trade receivables is increasing. The political 
climate in Russia and Argentina is impacted by instability and sharp currency 
depreciation.  Novo  Nordisk  is  monitoring  developments  closely.  Payment 
history as well as current economic conditions and indicators are taken into 
account in the valuation of trade receivables. 

Please  refer  to  note  2.2  for  a  geographical  split  of  trade  receivables  and 
 allowance for doubtful trade receivables.

INVENTORIES

DKK million 

Raw materials 
Work in progress 
Finished goods 

Total inventories (gross) 

Inventory write-downs at year-end 

Total inventories (net) 

Indirect production costs included in 
work in progress and fi nished goods 
Share of total inventories (net) 

TRADE RECEIVABLES

DKK million 

Trade receivables (gross) 
Allowance for doubtful trade receivables  

Trade receivables (net) 

Trade receivables (net) equals a credit period 
of 52 days (54 days in 2014).

Age analysis of trade receivables 
Non-impaired trade receivables
– Not yet due 
– Overdue by between 1 and 179 days 
– Overdue by between 180 and 360 days 

2015 

2014

2,020 
8,549 
3,608 

1,723
7,539
3,260

14,177 

12,522

1,419 

1,165

12,758 

11,357

6,436 
50% 

5,759
51%

2015 

2014

16,651 
1,166 

14,036
995

15,485 

13,041

14,605 
880 
0 

12,664
337
40

MOVEMENTS IN INVENTORY 
WRITE-DOWNS
Inventory write-downs at the beginning of the year 
Inventory write-downs during the year 
Utilisation of inventory write-downs 
Reversal of inventory write-downs 

1,165 
698 
(192) 
(252) 

960
467
(123)
(139)

Inventory write-downs at the end of the year 

1,419 

1,165

There is no inventory carried at net realisable value at 31 December for either 
2014 or 2015, except for the fully impaired inventory disclosed in the table. 

Trade receivables with credit risk exposure 

15,485 

13,041

MOVEMENTS IN ALLOWANCE FOR 
DOUBTFUL TRADE RECEIVABLES
Carrying amount at the beginning of the year 
Confi rmed losses 
Reversal of allowance for confi rmed losses 
Allowance for possible losses during the year 
Effect of exchange rate adjustment 

Allowance at the end of the year 

995 
(28) 
(26) 
257 
(32) 

1,166 

989
(13)
(11)
57
(27)

995

NOVO NORDISK ANNUAL REPORT 2015

 
76 CONSOLIDATED FINANCIAL STATEMENTS 

3.5  RETIREMENT BENEFIT OBLIGATIONS

Accounting policies

Novo Nordisk operates a number of defi ned contribution plans throughout 
the world. Novo Nordisk’s contributions to the defi ned contribution plans 
are charged to the Income statement in the year to which they relate. In a 
few countries, Novo Nordisk still operates defi ned benefi t plans. The defi ned 
benefi t plans for Germany cover all employees employed before November 
2003. Obligations relating to employees employed after 2003 are covered by 
a defi ned contribution plan. In Switzerland the employee pension scheme 
is  set  up  as  a  combined  defi ned  benefi t  and  defi ned  contribution  plan, 
and is mandatory. The plan in Japan covers all employees and is set up as a 
combined defi ned benefi t and defi ned contribution plan. The plan in the US 
is structured as a post-retirement healthcare plan covering all employees. 
From 2012 this plan was changed into a defi ned contribution plan covering 
all US employees.

The costs for the year for defi ned benefi t plans are determined using the 
projected unit credit method. This refl ects services rendered by employees to 
the valuation dates and is based on actuarial assumptions primarily regarding 
discount  rates  used  in  determining  the  present  value  of  benefi ts  and 
 projected rates of remuneration growth. Discount rates are based on the 
market yields of high-rated corporate bonds in the country concerned. 

Actuarial gains and losses arising from experience adjustments and changes 
in actuarial assumptions are charged or credited to Other comprehensive 
income in the period in which they arise. Past service costs are recognised 
immediately in the Income statement.

Pension plan assets are only recognised to the extent that Novo Nordisk is 
able to derive future economic benefi ts such as refunds from the plan or 
reductions of future contributions. Novo Nordisk manages the allocation and 
investment of pension plan assets with the purpose of meeting the long- 
term objectives. The main objectives are to meet present and future benefi t 
obligations, provide suffi cient liquidity to meet such payment requirements 
and provide a total return that maximises the ratio of the plan assets to the 
plan liabilities by maximising return on the assets at an appropriate level of 
risk.

The Group’s defi ned benefi t plans are pension plans and medical plans and 
are usually funded by payments from Group companies and by employees 
to funds independent of Novo Nordisk. Where a plan is unfunded, a liability 
for the retirement benefi t obligation is recognised in the Balance sheet. Costs 
 recognised for retirement benefi ts are included in Cost of goods sold, Sales 
and distribution costs, Research and development costs, and Administrative 
costs.

The net obligation recognised in the Balance sheet is reported as non-current 
liabilities.

RETIREMENT BENEFIT OBLIGATIONS

DKK million 

Germany 

Switzerland 

Japan 

At the beginning of the year 
Current service costs 
Past service costs and settlements 
Interest costs 
Remeasurement (gains)/losses1 
Plan participant contributions etc 
Benefi ts paid to employees 
Exchange rate adjustment 

At the end of the year 

FAIR VALUE OF PLAN ASSETS

At the beginning of the year 
Interest income 
Settlements 
Remeasurement gains/(losses) 
Employer contributions 
Plan participant contributions etc 
Benefi ts paid to employees 
Exchange rate adjustment 

At the end of the year 

Net retirement benefi t obligations 
at the end of the year 

710 
28 
– 
18 
10 
– 
(5) 
2 

763 

441 
12 
– 
1 
22 
– 
(5) 
1 

472 

246 
31 
(11) 
4 
39 
11 
(4) 
28 

344 

169 
3 
– 
– 
24 
11 
(4) 
20 

223 

318 
31 
– 
3 
1 
– 
(17) 
34 

370 

250 
2 
– 
6 
28 
– 
(17) 
27 

296 

US 

381 
26 
– 
15 
(24) 
– 
(9) 
44 

433 

– 
– 
– 
– 
9 
– 
(9) 
– 

– 

Other 

320 
32 
(35) 
7 
18 
14 
1 
1 

358 

84 
3 
(22) 
– 
13 
11 
1 
1 

91 

2015 
Total  

1,975 
148 
(46) 
47 
44 
25 
(34) 
109 

2014
Total

1,544
121
(2)
49
250
15
(41)
39

2,2682 

1,9752

944 
20 
(22) 
7 
96 
22 
(34) 
49 

1,082 

856
24
–
3
85
17
(41)
–

944

291 

121 

74 

433 

267 

1,186 

1,031

1.  Remeasurement relates primarily to changes in fi nancial assumptions.
2. Present value of partly funded retirement benefi t obligations amounts to DKK 1,711 million (DKK 1,478 million in 2014). Present value of unfunded retirement benefi t obligations 

amounts to DKK 557 million (DKK 497 million in 2014).

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
3.5  RETIREMENT BENEFIT OBLIGATIONS 
(CONTINUED)

3.6  PROVISIONS AND CONTINGENT 
LIABILITIES

NET RETIREMENT BENEFIT OBLIGATIONS

Accounting policies

CONSOLIDATED FINANCIAL STATEMENTS

77

DKK million 

2015 

2014

At the beginning of the year 
Costs recognised in the Income statement1 
Remeasurements recognised in 
Other comprehensive income 
Employer contributions 
Exchange rate adjustment2 

1,031 
154 

37 
(96) 
60 

688
142

247
(85)
39

At the end of the year 

1,186 

1,031

1. Employee costs comprising service costs, net interest, settlements and plan participant 

contributions etc. Please refer to note 2.4.

2. As  part  of  exchange  rate  adjustments  in  subsidiaries  recognised  in  Other  com-

prehensive income. 

Please refer to note 5.3 for a maturity analysis of the net retirement benefi t 
obligation.

Novo Nordisk does not expect the contributions over the next fi ve years to 
differ signifi cantly from current contributions.

WEIGHTED AVERAGE ASSET ALLOCATION OF FUNDED 
RETIREMENT OBLIGATIONS

2015 

2014

DKK 
million 

695 
244 
91 
36 
16 

% 

64% 
23% 
8% 
3% 
2% 

DKK 
million 

632 
204 
76 
21 
11 

%

67%
22%
8%
2%
1%

Coverage insurance1 
Bonds 
Equities 
Cash at bank 
Property 

Total 

1,082 

100% 

944 

100%

1. Novo  Nordisk’s  defi ned  benefi t  plans,  mainly  in  Germany  and  Switzerland,  are 
reimbursed  by  the  international  insurer  Allianz  regardless  of  the  value  of  the  plan 
assets. The risk related to the plan assets in these countries is therefore counterparty 
risk against Allianz.

KEY ASSUMPTIONS USED FOR VALUATION

Discount rate 
Projected future remuneration increases 

2015 

2014

Weighted  Weighted
average

average 

2% 
2% 

2%
2%

Actuarial  valuations  are  performed  annually  for  all  major  defi ned  benefi t 
plans. Assumptions regarding future mortality are based on actuarial advice 
in accordance with published statistics and experience in each country. Other 
assumptions such as medical cost trend rate and infl ation are also considered 
in the calculation.

Signifi cant  actuarial  assumptions  for  the  determination  of  the  retirement 
benefi t  obligation  are  discount  rate  and  expected  future  remuneration 
 increases.  The  sensitivity  analysis  below  has  been  determined  based  on 
 reasonably likely changes in the assumptions occurring at the end of the 
period.

DKK million 

Discount rate 
Future remuneration 

1 %-point 
increase 

1 %-point
decrease

(323) 
94 

414
(84)

The  sensitivities  above  consider  the  single  change  shown  with  the  other 
assumptions  assumed  to  be  unchanged.  In  practice,  changes  in  one 
assumption may be accompanied by offsetting changes in another assump-
tion (although this is not always the case). 

Provisions for sales rebates and discounts granted to government agencies, 
wholesalers,  retail  pharmacies,  managed  care  and  other  customers  are 
 recorded at the time the related revenues are recorded or when the  incentives 
are offered. Provisions are calculated based on historical experience and the 
specifi c terms in the individual agreements. 

Provisions  for  legal  disputes  are  recognised  where  a  legal  or  constructive 
obligation has been incurred as a result of past events and it is probable that 
there will be an outfl ow of resources that can be reliably estimated. In this 
case, Novo Nordisk arrives at an estimate based on an evaluation of the most 
likely  outcome.  Disputes  for  which  no  reliable  estimate  can  be  made  are 
disclosed as contingent liabilities.

Novo  Nordisk  issues  credit  notes  for  expired  goods  as  a  part  of  normal 
 business.  Where  there  is  historical  experience  or  a  reasonably  accurate 
 estimate of expected future returns can otherwise be made, a provision for 
estimated product returns is recorded. The provision is measured at gross 
sales value.

Provisions are measured at the present value of the anticipated expenditure 
for settlement of the legal or constructive obligation using a pre-tax discount 
rate that refl ects current market assessments of the time value of money and 
the risks specifi c to the obligation. The increase in the provision due to the 
passage of time is recognised as a fi nancial expense.

Key accounting estimate – Provisions for sales rebates
Novo Nordisk records provisions for expected sales rebates, including Medicaid 
and Medicare in the US. Expected rebates are recognised as Provisions when 
timing  or  amount  is  uncertain.  Where  absolute  amounts  are  known,  the 
rebates are recognised as Other liabilities.

Such estimates are based on analyses of existing contractual obligations and 
historical experience. Provisions are calculated on the basis of a percentage 
of  sales  for  each  product  as  defi ned  by  the  contracts  with  the  various 
 customer groups.

Provisions  for  sales  rebates  are  adjusted  to  actual  amounts  as  rebates, 
 discounts  and  returns  are  processed.  Please  refer  to  note  2.1 for  further 
 information on sales rebates and provisions.

Novo  Nordisk  considers  the  provisions  established  for  sales  rebates  to  be 
 reasonable  and  appropriate  based  on  currently  available  information. 
However, the actual amount of rebates and discounts may differ from the 
amounts estimated by Management as more detailed information becomes 
available.

Key accounting estimate – Provisions for legal disputes
Provisions for legal disputes consist of various types of provision linked to 
ongoing legal disputes. Management makes judgements about provisions 
and contingencies, including the probability of pending and potential future 
litigation outcomes, which, by their very nature, are dependent on inherently 
uncertain future events. When determining likely outcomes of litigations etc, 
Management considers the input of external counsels on each case, as well 
as known outcomes in case law. 

Although  Management  believes  that  the  total  provisions  for  legal 
 pro ceedings are adequate based on currently available information, there 
can be no assurance that there will not be any changes in facts or matters, 
or that any future lawsuits, claims, proceedings or investigations will not be 
material.

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
 
 
 
 
78 CONSOLIDATED FINANCIAL STATEMENTS 

3.6  PROVISIONS AND CONTINGENT LIABILITIES (CONTINUED)

PROVISIONS

DKK million 

Provisions 
for sales 
rebates 

Provisions 
for legal 
disputes 

Provisions 
for product 
returns 

Other 
provisions1 

At the beginning of the year 
Additional provisions, including increases to existing provisions 
Amount used during the year 
Adjustments, including unused amounts reversed during the year 
Effect of exchange rate adjustment  

11,002 
45,190 
(40,958) 
– 
1,274 

936 
602 
(126) 
(52) 
37 

At the end of the year 

Non-current liabilities 
Current liabilities 

16,508 

1,397 

– 
16,508 

1,397 
– 

797 
319 
(313) 
– 
– 

803 

482 
321 

2015 
Total  

13,631 
46,618 
(41,721) 
(56) 
1,352 

2014
Total

10,493
27,208
(24,754)
(462)
1,146

896 
507 
(324) 
(4) 
41 

1,116 

19,824 

13,631

886 
230 

2,765 
17,059 

2,041
11,590

1. Other provisions consist of various types of provision, including employee benefi ts such as jubilee benefi ts, company-owned life insurance etc. Assets related to company-owned 

life insurance are presented as part of Other fi nancial assets.

For non-current liabilities, provisions for product returns will be utilised in 2017 and 2018 and other provisions will be utilised in 2017. For provisions for legal 
disputes, the time of settlement cannot be determined. 

PROVISIONS FOR SALES REBATES

(cid:81)(cid:3)2014   (cid:81)(cid:3)2015

DKK million

7500

6000

4500

3000

1500

0

US Medicaid

US Medicare

US Managed 
Care

Other Sales 
Rebates

On 21 January 2016, the Centers for Medicare & Medicaid Services (CMS) 
in the US published its fi nal rule implementing Affordable Care Act changes 
to  the  Medicaid  Drug  Rebate  Program  and  Medicaid  reimbursement  for 
covered  outpatient  drugs.  The  rule  creates  a  regulatory  defi nition  for 
Average Manufacturer Price, the key metric for determining manufacturer 
rebates  and  pharmacy  reimbursement  under  the  Medicaid  programme, 
including Norditropin®. Management has reviewed the implications of the 
fi nal  rule  and  assessed  that  the  rule  does  not  have  a  material  impact  on 
Novo Nordisk’s fi nancial position, operating profi t or cash fl ow for the period 
ended 31 December 2015.

Contingent liabilities
Novo Nordisk is currently involved in pending litigations, claims and investiga-
tions arising out of the normal conduct of its business. While provisions that 
Management deems to be reasonable and appropriate have been made for 
probable  losses,  there  are  uncertainties  connected  with  these  estimates. 
Novo Nordisk does not expect the pending litigations, claims and investiga-
tions, individually and in the aggregate, to have a material impact on Novo 
Nordisk’s fi nancial position, operating profi t or cash fl ow in addition to the 
amounts accrued as provision for legal disputes.

Pending litigation against Novo Nordisk
In the US, a number of claims alleging pancreatic cancer and pancreatitis 
have  been  fi led  against  various  incretin-based  product  manufacturers, 
including Novo Nordisk. As of 1 February 2016, Novo Nordisk was named 
by 194  plaintiffs  in  product  liability  cases  related  to  Victoza®  and  other 
GLP-1/DPP-IV products, predominantly alleging pancreatic cancer. 134 of the 
Novo Nordisk plaintiffs have also named other defendants in their lawsuits. 

NOVO NORDISK ANNUAL REPORT 2015

Judgement of dismissal has been entered in Novo Nordisk’s favour in the 
vast  majority  of  cases  naming  the  company  as  a  defendant.  A  notice  of 
appeal has been fi led in both state and federal cases. Currently, Novo Nordisk 
does not have any individual trials scheduled in 2016. Novo Nordisk does 
not expect the pending claims to have a material impact on Novo Nordisk’s 
fi nancial position, operating profi t or cash fl ow. 

Pending claims against Novo Nordisk and investigations 
involving Novo Nordisk
In February 2011, the offi ce of the US Attorney for the District of Massa-
chusetts served Novo Nordisk with a subpoena calling for the production 
of documents regarding potential civil and criminal offences relating to the 
company’s marketing and promotional practices for the following products: 
NovoLog®, Levemir® and Victoza®. This matter is being conducted by the US 
Attorney for the District of Columbia. Novo Nordisk continues to cooperate 
with the US Attorney in this investigation. Novo Nordisk does not expect the 
investigation to have a material impact on Novo Nordisk’s fi nancial position, 
operating profi t or cash fl ow.

Following the launch of NovoEight® (‘N8’) in April 2015, Baxter (now Baxalta) 
fi led a complaint regarding patent infringement with the US International 
Trade Commission (‘ITC’). The Baxalta patents, which expire in June 2018, 
all relate to manufacturing therapeutic protein products, such as Factor VIII. 
A parallel lawsuit is pending in the US District Court for the District of New 
Jersey but has been stayed pending resolution of the matter in the ITC. Novo 
Nordisk does not expect these matters to have a material impact on Novo 
Nordisk’s fi nancial position, operating profi t or cash fl ow.

In  addition  to  the  above,  the  Novo  Nordisk  Group  is  engaged  in  certain 
litigation  proceedings  and  various  ongoing  audits  and  investigations.  In 
the  opinion  of  Management,  neither  settlement  or  continuation  of  such 
proceedings nor such pending audits and investigations are expected to have 
a  material  effect  on  Novo  Nordisk’s  fi nancial  position,  operating  profi t  or 
cash fl ow.

3.7  OTHER LIABILITIES

OTHER LIABILITIES

DKK million 

Employee costs payable 
Accruals 
Accrued rebates 
VAT and duties payable 
Research and development clinical trials 
Amount owed to associated company 
Other payables  

2015 

2014

4,545 
4,285 
1,555 
896 
532 
259 
583 

4,454
3,684
912
744
763
–
494

Total other liabilities 

12,655 

11,051

 
 
 
 
SECTION 4  CAPITAL STRUCTURE AND FINANCING ITEMS

Basis of preparation

Results for the year

Operating assets
and liabilities

Capital structure and 
financing items

Other disclosures

CONSOLIDATED FINANCIAL STATEMENTS

79

The  notes  in  this  section  provide  an  insight  into  Novo  Nordisk’s  capital 
structure, earnings per share, free cash fl ow and fi nancing items. The free 
cash  fl ow  impacts  Novo  Nordisk’s  long-term  target  for ‘Cash  to  earnings 
(three-year  average)’.  Cash  to  earnings  is  defi ned  as ‘free  cash  fl ow  as  a 
percentage of net profi t’. Free cash fl ow is the cash amount generated that 
is  available  for  further  investments  in  Novo  Nordisk  and  distribution  to 
shareholders without consuming prior years’ cash creation retained in the 
company.

Novo  Nordisk  has  a  low  debt-to-equity  ratio  refl ecting  growth  based  on 
limited  debt  fi nancing.  Further  information  on  the  company’s  capital 
structure can be found in ´Shares and capital structure’ on pp 44 – 45. 

The main fi nancial risk is foreign exchange exposure, where Novo Nordisk 
aims to reduce the short-term impact from movements in key currencies by 
hedging future cash fl ows. Notes 4.2 and 4.3 include more information in 
this respect.

Net cash distribution to shareholders
In 2015, the net cash distribution to shareholders in the form of dividends 
and  share  repurchases  amounts  to  DKK  30.1 billion  compared  with  free 
cash fl ow of DKK 34.2 billion in line with the guiding principle of paying 
out excess capital to investors after funding organic growth and potential 
acquisitions. 

NET PROFIT AND FREE CASH FLOW
NET PROFIT AND FREE CASH FLOW

(cid:81) Net profit  (cid:81)(cid:3)Free cash flow

Net profit

Free cash flow

DKK billion
DKK billion

40
40

30
30

20
20

10
10

0
0

2014

2014

2015

2015

88%
88% NET CASH DISTRIBUTED 

TO SHAREHOLDERS IN 
PERCENT OF FREE CASH FLOW

NET CASH DISTRIBUTED TO SHAREHOLDERS  
IN PERCENT OF FREE CASH FLOW

4.1  SHARE CAPITAL, DISTRIBUTION TO SHAREHOLDERS AND EARNINGS PER SHARE

SHARE CAPITAL

DKK million 

Development in share capital:
Share capital 2011 
Cancelled in 2012 
Cancelled in 2013 
Cancelled in 2014 

Share capital at the beginning of the year 

Cancelled in 2015 

Share capital at the end of the year 

A share 
capital 

B share 
capital 

Total share
capital

107 
– 
– 
– 

107 

– 

107 

473 
(20) 
(10) 
(20) 

423 

(10) 

413 

580
(20)
(10)
(20)

530

(10)

520

At the end of 2015, the share capital amounted to DKK 107 million in A share capital and DKK 413 million in B share capital (equal to 2,063 million B shares 
of DKK 0.20). 

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
 
 
 
 
 
80 CONSOLIDATED FINANCIAL STATEMENTS 

4.1  SHARE CAPITAL, DISTRIBUTION TO SHAREHOLDERS AND EARNINGS PER SHARE 
(CONTINUED)

TREASURY SHARES

Accounting policies

Treasury shares are deducted from the share capital on cancellation at their nominal value of DKK 0.20 per share. Differences between this amount and the 
amount paid to acquire or received for disposing of treasury shares are deducted directly in equity.

Holding at the beginning of the year 
Cancellation of treasury shares 

Holding of treasury shares, adjusted for cancellation 
Transfer regarding options and restricted stock units 
Purchase during the year 
Sale during the year 
Value adjustment 

Holding at the end of the year 

Market value 
DKK million 

As % of share 
capital before 
cancellation 

As % of share 
capital after 
cancellation 

2.1% 
(1.8%) 

0.3% 

14,787 
(13,015) 

1,772 
(242) 
17,229 
(33) 
2,136 

20,862 

0.3% 
0.0% 
1.8% 
(0.1%) 
– 

2.0% 

2015 
Number of 
B shares 
of DKK 0.20 
(million) 

2014

Number of
B shares
of DKK 0.20
(million)

57 
(50) 

7 
(1) 
48 
(2) 
– 

52 

103
(100)

3
(2)
59
(3)
–

57

Treasury shares are primarily acquired to reduce the company’s share capital. In addition, a limited part is used to fi nance Novo Nordisk’s long-term share-based 
incentive programme (restricted stock units) and restricted stock units to employees. 

Novo Nordisk’s guiding principle is that any excess capital, after the funding of organic growth opportunities and potential acquisitions, should be returned 
to investors. Novo Nordisk applies a pharmaceutical industry payout ratio to dividend payments, which are complemented by share repurchase programmes. 

The purchase of treasury shares during the year relates to the remaining part of the 2014 share repurchase programme totalling DKK 1.0 billion and the DKK 
17.5 billion share repurchase programme of Novo Nordisk B shares for 2015, of which DKK 1.6 billion remains at year-end. The programme ends on 1 February 
2016. Transfer of treasury shares relates to exercised share options, long-term share-based incentive programme and restricted stock units to employees. 

The holding of treasury shares amounts to 52,168,703 shares of DKK 0.20 at year-end, corresponding to DKK 10 million of the share capital (56,807,153 shares 
and DKK 11 million of the share capital in 2014). At year-end, 7.2 million shares of the holding of treasury B shares are regarded as hedges for the long-term 
share-based incentive programme and restricted stock units to employees.

NET CASH DISTRIBUTION TO SHAREHOLDERS

DKK million 

Dividends 
Share repurchases 

Total 

2015 

2014 

2013

12,905 
17,196 

11,866 
14,667 

9,715
13,924

30,101 

26,533 

23,639

At the end of 2015, proposed dividends (not yet declared) of DKK 16,230 million (DKK 6.40 per share) are included in Retained earnings. The declared dividend 
included in Retained earnings was DKK 12,905 million (DKK 5.0 per share) in 2014 and DKK 11,866 million (DKK 4.50 per share) in 2013. No dividend is 
declared on treasury shares.

EARNINGS PER SHARE

Accounting policies

Earnings per share is presented as both basic and diluted earnings per share. Basic earnings per share is calculated as net profi t divided by the average number 
of shares outstanding. Diluted earnings per share is calculated as net profi t divided by the sum of average number of shares outstanding, including the dilutive 
effect of the outstanding share bonus pool and options ‘in the money’. Please refer to ‘Financial defi nitions’ on p 94 for a description of the calculation of the 
dilutive effect.

DKK million 

Net profi t for the year 

2015 

2014 

2013

34,860 

26,481 

25,184

Average number of shares outstanding 
Dilutive effect of outstanding share bonus pool and options ‘in the money’1 

in 1,000 shares 
in 1,000 shares 

2,571,219 
6,479 

2,621,226 
8,992 

2,679,362
14,263

Average number of shares outstanding, including dilutive effect of options ‘in the money’  

in 1,000 shares 

2,577,698 

2,630,218 

2,693,625

Basic earnings per share 
Diluted earnings per share 

DKK 
DKK 

13.56 
13.52 

10.10 
10.07 

9.40
9.35

1. The dilutive effect has been reduced as the exercise period for options related to the 2006 programme has matured. For further information on the outstanding share bonus pool and 

options, please refer to note 5.1.

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
4.2  FINANCIAL RISKS

The fi nancial contracts existing at year-end cover the expected future cash 
fl ow for the following number of months:

CONSOLIDATED FINANCIAL STATEMENTS

81

Novo Nordisk has centralised management of the Group’s fi nancial risks. The 
overall objectives and policies for the company’s fi nancial risk management 
are outlined in an internal 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 permitted fi nancial 
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 
fi nancial 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 fi nancial risk for Novo Nordisk and as 
such has a signifi cant impact on the Income statement, Other  comprehensive 
income, Balance sheet and Statement of cash fl ows.

The overall objective of foreign exchange risk management is to reduce the 
short-term negative impact of exchange rate fl uctuations on earnings and 
cash fl ow, thereby increasing the predictability of the fi nancial results.

The majority of Novo Nordisk’s sales are in USD, EUR, CNY, JPY, GBP and 
CAD. Consequently, Novo Nordisk’s foreign exchange risk is most signifi cant 
in USD, CNY and JPY, while the EUR exchange rate risk is regarded as low 
due to Denmark’s fi xed-rate policy towards EUR.

Novo Nordisk hedges existing assets and liabilities in key currencies as well 
as  future  expected  cash  fl ows  up  to  a  maximum  of  24  months  forward. 
Hedge accounting is applied to match the impact of the hedged item and the 
hedging instrument in the consolidated income statement. Management has 
chosen to classify the result of hedging activities as part of fi nancial items.

During 2015, the hedging horizon varied between 10 and 13 months for 
USD, CNY, JPY, GBP and CAD. Currency hedging is based upon expectations 
of future exchange rates and mainly uses foreign exchange forwards and 
foreign  exchange  options  matching  the  due  dates  of  the  hedged  items. 
Expected  cash  fl ows  are  continually  assessed  using  historical  infl ows, 
budgets and monthly sales forecasts. Hedge effectiveness is assessed on a 
regular basis. 

KEY CURRENCIES

Exchange rate DKK per 100 

2015 

2014 

2013

USD 
CNY1 
JPY 
GBP 
CAD 

2015 

2014

11 months 
11 months 
12 months 
12 months 
11 months 

11 months
11 months
13 months
11 months
11 months

1. USD and Chinese yuan traded offshore (CNH) are used as proxies when hedging Novo 

Nordisk’s CNY currency exposure.

Foreign exchange sensitivity analysis:
A  5%  increase/decrease  in  the  following  currencies  would  impact  Novo 
Nordisk’s operating profi t as outlined in the table below:

DKK million 

USD 
CNY 
JPY 
GBP 
CAD 

Estimated for 
2016 

2,000 
300 
150 
85 
70 

2015

1,600
260
115
80
60

At year-end a 5% increase/decrease in all other currencies versus EUR and 
DKK would affect the hedging instruments’ impact on Other comprehensive 
income and the Income statement as outlined in the table below: 

DKK million 

2015
Other comprehensive income 
Income statement 

Total 

2014
Other comprehensive income 
Income statement 

Total 

5% increase 
in all other 
currencies against 
DKK and EUR 

5% decrease
in all other
currencies against
DKK and EUR

(2,135) 
74 

(2,061) 

(1,724) 
124 

(1,600) 

2,250
(96)

2,154

1,729
(107)

1,622

USD
Average 
Year-end 
Year-end change 

CNY
Average 
Year-end 
Year-end change 

JPY
Average 
Year-end 
Year-end change 

GBP
Average 
Year-end 
Year-end change 

CAD
Average 
Year-end 
Year-end change 

673 
683 
11.6% 

562 
612 
13.1% 

562
541
(4.4%)

107 
105 
6.1% 

91 
99 
11.2% 

91
89

(2.2%) 

5.56 
5.67 
10.7%  

5.32 
5.12 
(0.4%) 

5.77
5.14
(21.8%)

The  foreign  exchange  sensitivity  analysis  estimated  for  2016  comprises 
effects from the Group’s Cash, Trade receivables and Trade payables, Current 
and non-current loans, Current and non-current fi nancial investments, and 
Foreign exchange forwards and Foreign exchange options at year-end 2015. 
Anticipated currency transactions, investments and non-current assets are 
not included. 

Interest rate risk
Changes in interest rates affect Novo Nordisk’s fi nancial instruments. At the 
end of 2015, a 1 percentage point increase in the interest rate level would, 
all else being equal, result in a decrease in the fair value of Novo Nordisk’s 
fi nancial instruments of DKK 22 million (a decrease in the fair value of DKK 
3 million in 2014).

1,028 
1,011 
6.2% 

925 
952 
6.7% 

878
892
(2.3%) 

The  fi nancial  instruments  included  in  the  sensitivity  analysis  consist  of 
marketable securities and non-current loans. Foreign exchange forwards and 
foreign exchange options are not included due to the limited effect that a 
parallel shift in interest rates in all currencies has on these instruments.

527 
492 
(6.6%) 

509 
527 
4.4% 

545
505
(11.2%)

Liquidity risk
Novo  Nordisk  ensures  the  availability  of  the  required  liquidity  through  a 
 com bination of cash management, highly liquid investment portfolios and 
uncommitted as well as committed facilities. Novo Nordisk uses cash pools 
for optimisation and centralisation of cash management.

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
82 CONSOLIDATED FINANCIAL STATEMENTS 

4.2  FINANCIAL RISKS (CONTINUED)

Credit risk
Credit risk arises from the possibility that transactional counterparties may 
default on their obligations, causing fi nancial losses for the Group. Novo 
Nordisk considers its maximum credit risk on fi nancial counterparties to be 
DKK 20,769 million (2014: DKK 15,935 million). In addition, Novo Nordisk 
considers its maximum credit risk on Trade receivables, Other receivables less 
prepayments  and  Other  fi nancial  assets  to  be  DKK 18,202  million  (2014: 
DKK 15,425 million). Please refer to note 4.7 for details of the Group’s total 
fi nancial assets. 

To manage credit risk on fi nancial counterparties, Novo Nordisk only enters 
into derivative fi nancial contracts and money market deposits with fi nancial 
counterparties  possessing  a  satisfactory  long-term  credit  rating  from  two 
out  of  the  three  selected  ratings  agencies:  Standard  and  Poor’s,  Moody’s 
and Fitch. Furthermore, maximum credit lines defi ned for each counterparty 
diversify the overall counterparty risk. The credit risk on bonds is limited as 
 investments are made in highly liquid bonds with solid credit ratings. The 
table  below  shows  Novo  Nordisk’s  credit  exposure  on  cash,  fi xed-income 
marketable securities and fi nancial derivatives.

Credit exposure on Cash at bank and on hand, Marketable securities and 
Derivative fi nancial instruments (market value)

DKK million 

2015
AAA-range 
AA-range 
A-range 
BBB-range 
Not rated or 
below BBB-range 

Cash at 
bank and 
on hand 

Marketable 
securities1 

Derivative 
fi nancial 
instruments 

6,797 
9,959 
101 

66 

1,027 
2,513 

2 

133 
171 

Total

1,027
9,443
10,130
101

68

Total 

16,923 

3,542 

304 

20,769

2014
AAA-range 
AA-range 
A-range 
BBB-range 
Not rated or 
below BBB-range 

6,501 
7,641 
183 

71 

1,004 
502 

3 

20 
10 

1,004
7,023
7,651
183

74

Total 

14,396 

1,509 

30 

15,935

1. Net yield on the bond portfolio is – 0.10% (+0.35% in 2014).

Novo  Nordisk  has  no  signifi cant  concentration  of  credit  risk  related  to 
Trade receivables or Other receivables and prepayments, as the exposure is 
spread over a large number of counterparties and customers. Novo Nordisk 
continues to monitor the credit exposure in Region International Operations 
due to the increasing sales and low credit ratings of many countries in this 
region.

Trade receivable programme
Novo  Nordisk’s  Japanese  and  US  subsidiaries  employ  trade  receivable 
programmes where trade receivables are sold on a full non-recourse term 
to optimise working capital.

At  year-end,  the  Group  had  derecognised  receivables  without  recourse 
having due dates after 31 December amounting to: 

DKK million 

Japan 
US 

2015 

2014 

2013

1,899 
945 

1,669 
0 

1,685
0

In  December  2015  Novo  Nordisk  initiated  the  programme  in  the  US. The 
programme is expected to grow in size over the coming year, when a full year 
of trade receivables will be covered.

NOVO NORDISK ANNUAL REPORT 2015

In  addition,  full  non-recourse  off-balance  sheet  factoring  arrangement 
programmes are occasionally applied by Novo Nordisk affi liates around the 
world with limited impact on the Group’s trade receivables.

Please refer to note 2.2 for the split of allowance for trade receivables by 
 geographical segment.

4.3  DERIVATIVE FINANCIAL INSTRUMENTS

Accounting policies

Use of derivative fi nancial instruments
The  derivative  fi nancial  instruments  are  used  to  manage  the  exposure  to 
market risk. None of the derivatives are held for trading.

Novo  Nordisk  uses  forward  exchange  contracts  and  currency  options  to 
hedge forecast transactions, assets and liabilities. Currently, net investments 
in foreign subsidiaries are not hedged.

Initial recognition and measurement
On  initiation  of  the  contract,  Novo  Nordisk  designates  each  derivative 
 fi nancial contract that qualifi es for hedge accounting as one of:

•  hedges of the fair value of a recognised asset or liability (fair value hedge)
•  hedges of the fair value of a forecast fi nancial transaction (cash fl ow 

hedge).

All  contracts  are  initially  recognised  at  fair  value  and  subsequently 
remeasured at fair value at the end of the reporting period. 

Gains and losses on currency options that do not meet the criteria for hedge 
accounting are recognised directly in the Income statement under Financial 
income or Financial expenses.

Fair value hedges
Value  adjustments  of  fair  value  hedges  are  recognised  in  the  Income 
 statement along with any value adjustments of the hedged asset or liability 
that are attributable to the hedged risk. 

Cash fl ow hedges
Value adjustments of the effective part of cash fl ow hedges are recognised 
directly in Other comprehensive income. The cumulative value adjustment 
of these contracts is transferred from Other comprehensive income to the 
Income statement under Financial income or Financial expenses when the 
hedged transaction is recognised in the Income statement. For options, this 
cumulative value adjustment is refl ected in the value of the option.

Discontinuance of cash fl ow hedging
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 forecast transaction is no longer expected to occur, the cumulative gain 
or loss that was reported in equity is immediately transferred to the Income 
statement under Financial income or Financial expenses.

Fair value determination
The fair value of derivative fi nancial instruments is measured on the basis of 
quoted market prices of fi nancial instruments traded in active markets. If an 
active market exists, the fair value is based on the most recently observed 
market price at the end of the reporting period.

If  a  fi nancial  instrument  is  quoted  in  a  market  that  is  not  active,  Novo   
Nordisk 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  fi nancial  instruments  assumed  to  be 
motivated by normal business considerations.

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

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CONSOLIDATED FINANCIAL STATEMENTS

83

4.3  DERIVATIVE FINANCIAL INSTRUMENTS (CONTINUED)

HEDGING ACTIVITIES 

DKK million 

Forward contracts, cash fl ow hedges 
Currency options, cash fl ow hedges1 
Forward contracts, fair value hedges 

Total hedging activities 

Total fair value adjustments recognised in the 
Income statement 
Total fair value adjustments recognised in Other 
comprehensive income2 

Presented in the Balance sheet as:
Derivative fi nancial instruments (current assets) 
Derivative fi nancial instruments (current liabilities) 
Cash at bank 

Contract 
amount 
at year-end 

41,630 
5,533 
2,753 

49,916 

2015 

Positive 
fair value 
at year-end 

202 
66 
59 

327 

102 

225 

304 

23 

Negative 
fair value 
at year-end 

911 
– 
471 

Contract 
amount 
at year-end 

32,095 
2,429 
3,490 

1,382 

38,014 

471 

911 

1,382 

2014 

Positive 
fair value 
at year-end 

Negative
fair value
at year-end

10 
29 
– 

39 

8 

31 

30 

9 

2,252
–
355

2,607

355

2,252

2,607

1. Includes expired currency options of DKK 23 million deferred for realisation in 2016.
2. Realisation in 2015 of previously deferred loss amounts to DKK 2,216 million as the remaining DKK 5 million was not realised until 2016. Furthermore, an additional loss of DKK 

681 million per 31 December 2015 is deferred for realisation in 2016. 

HEDGING OF FORECAST TRANSACTIONS (CASH FLOW HEDGE)

DKK million 

Hedging of forecast transactions qualifying 
for hedge accounting

USD 
CNH, JPY, GBP and other currencies 

Total forward contracts (forecast cash fl ow) 

USD 
JPY 

Total currency options (forecast cash fl ow) 

Total cash fl ow hedges for which hedge 
accounting is applied 

Other forecast transaction hedges for which 
hedge accounting is not applied

Currency options for which hedge 
accounting is not applied 

Total contracts for forecast transactions 

Contract 
amount 
at year-end 

2015 

Positive 
fair value 
at year-end 

Negative 
fair value 
at year-end 

Contract 
amount 
at year-end 

2014 

Positive 
fair value 
at year-end 

Negative
fair value
at year-end

34,279 
7,351 

41,630 

5,285 
248 

5,533 

85 
117 

202 

20 
3 

23 

819 
92 

911 

– 
– 

– 

26,540 
5,555 

32,095 

2,051 
378 

2,429 

– 
10 

10 

– 
21 

21 

2,252
–

2,252

–
–

–

47,163 

225 

911 

34,524 

31 

2,252

– 

47,163 

43 

268 

– 

911 

– 

34,524 

8 

39 

–

2,252

The above fi nancial contracts are expected to impact the Income statement within the periods shown below. The split is based on an estimate of when the cash 
fl ow hedges are expected to be reclassifi ed to fair value hedges, and the fair value thereby transferred to Financial income or Financial expenses.

DKK million 

Expected timing of Income statement impact

0 –12 months 
More than 12 months 

Total cash fl ow hedges for which hedge accounting is applied 

2015 

Positive 
fair value 
at year-end 

Negative 
fair value 
at year-end 

2014 

Positive 
fair value 
at year-end 

Negative
fair value
at year-end

225 
– 

225 

907 
4 

911 

28 
3 

31 

2,251
1

2,252

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
84 CONSOLIDATED FINANCIAL STATEMENTS 

4.3  DERIVATIVE FINANCIAL INSTRUMENTS (CONTINUED)

HEDGING OF ASSETS AND LIABILITIES (FAIR VALUE HEDGE)

DKK million 

USD 
JPY, GBP and other currencies 

Total fair value contracts 

Contract 
amount 
at year-end 

1,891 
862 

2,753 

2015 

Positive 
fair value 
at year-end 

42 
17 

59 

Negative 
fair value 
at year-end 

Contract 
amount 
at year-end 

400 
71 

471 

2,367 
1,123 

3,490 

2014 

Positive 
fair value 
at year-end 

– 
– 

– 

Negative
fair value
at year-end

333
22

355

The table above shows the fair value of fair value-hedging activities for 2015 and 2014. Value adjustments of fair value hedges are recognised in Financial 
income and Financial expenses along with any value adjustments to the hedged asset or liability that are attributable to the hedged risk. The changes in fair 
values recognised in the Income statement amount to a net loss of DKK 412 million in 2015 (a net loss of DKK 355 million in 2014).

The portfolio of fair value hedges also includes the recycled fair value of cash fl ow hedges as the hedged transactions are recognised as assets or liabilities at 
year-end. 

The fi nancial contracts existing at year-end hedge the currency exposure on assets and liabilities in the Group’s major currencies excluding DKK and EUR. The 
contract amounts of other currencies at year-end are JPY at DKK 91 million (DKK 310 million in 2014), GBP at DKK 329 million (DKK 313 million in 2014), and 
‘other’ comprising CAD at DKK 190 million (DKK 444 million in 2014) and AUD at DKK 252 million (DKK 56 million in 2014).

4.4  CASH AND CASH EQUIVALENTS, 
FINANCIAL RESOURCES AND FREE CASH 
FLOW

Accounting policies

The Statement of cash fl ows shows how income and changes in balance 
sheet items affect cash and cash equivalents, ie the cash generated or used 
in the period. 

Cash from operating activities converts income statement items from the 
accrual basis of accounting to cash basis. As such, starting with net profi t, 
non-cash items are reversed and actual payments included. Further, change 
in  working  capital  is  taken  into  account  as  this  shows  the  development 
in  money  tied  up  in  the  balance  sheet.  Cash  from  investing  activities 
shows payments related to the purchase and sale of Novo Nordisk’s long-
term  investments.  This  includes  fi xed  assets  such  as  construction  of  new 
production sites, intangible assets such as patents and licences, and fi nancial 
assets.  Cash  from  fi nancing  activities  reports  purchase  and  sale  of  Novo 
Nordisk’s own shares and payment of dividends. 

Cash and cash equivalents consist of cash offset by short-term bank loans. 
Financial resources consist of cash and cash equivalents, marketable securities 
with original maturity of less than three months and undrawn committed 
credit  facilities  expiring  after  more  than  one  year.  The  Statement  of  cash 
fl ows is presented in accordance with the indirect method commencing with 
Net profi t for the year. Cash fl ows in foreign currencies are translated to DKK 
at the average exchange rate for the respective month.

DKK million 

2015 

2014 

2013

CASH AND CASH EQUIVALENTS

Cash at bank and on hand (note 4.2) 
Current debt (bank overdrafts)  

16,923 
(1,073) 

14,396 
(720) 

10,728
(215)

FREE CASH FLOW

DKK million 

2015 

2014 

2013

Net cash generated from 
operating activities 
Net cash used in investing activities  
Net purchase of marketable securities 

38,287 
(6,098) 
2,033 

31,692 
(2,064) 
(2,232) 

25,942
(2,773)
(811)

Free cash fl ow2 

34,222 

27,396 

22,358

2. Additional non-IFRS measure; please refer to p 94 for defi nitions.

4.5  CHANGE IN WORKING CAPITAL

Accounting policies

Working  capital  is  defi ned  as  current  assets  less  current  liabilities  and 
 measures the liquid assets Novo Nordisk has available for the business. 

CHANGE IN WORKING CAPITAL

DKK million 

2015 

2014 

2013

Inventories 
Trade receivables  
Other receivables and prepayments 
Trade payables 
Other liabilities 
Adjustment for the partial divestment 
of NNIT A/S 

Change in working capital before 
exchange rate adjustments 

(1,401) 
(2,444) 
493 
(23) 
1,604 

(1,805) 
(2,134) 
(296) 
858 
1,665 

(9)
(1,268)
251
233
404

(207) 

– 

–

(1,978) 

(1,712) 

(389)

Cash and cash equivalents 
at the end of the year 

FINANCIAL RESOURCES

15,850 

13,676 

10,513

Cash fl ow change in working capital 

(2,157) 

(2,148) 

(265)

Exchange rate adjustments 

(179) 

(436) 

124

Cash and cash equivalents 
Marketable securities (note 4.2) 
Undrawn committed credit facility1 

15,850 
3,542 
8,209 

13,676 
1,509 
8,188 

10,513
3,741
4,849

Total fi nancial resources 

27,601 

23,373 

19,103

1. The undrawn committed credit facility in 2015 is a EUR 1,100 million facility (EUR 1,100 
million in 2014 and EUR 650 million in 2013) committed by a portfolio of international 
banks. The facility matures in 2019.

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
4.6  OTHER NON-CASH ITEMS

For the purpose of presenting the Statement of cash fl ows, non-cash items with effect on the Income statement must be reversed to identify the actual cash fl ow 
effect from the Income statement. The adjustments are specifi ed as follows:

CONSOLIDATED FINANCIAL STATEMENTS

85

OTHER NON-CASH ITEMS

DKK million 

Reversals of non-cash income statement items
Interest income and interest expenses, net (note 4.9) 
Share-based payment costs (note 5.1) 

Changes in non-cash balance sheet items
Increase/(decrease) in provisions (note 3.6) 
Increase/(decrease) in retirement benefi t obligations (note 3.5) 
Remeasurements of retirement benefi t obligations (note 3.5) 

Other adjustments
(Gains)/losses from sale of property, plant and equipment 
Result of associated company (note 4.8) 
Exchange rate adjustments on working capital 
Other, primarily exchange rate adjustment of provisions etc 

2015 

2014 

2013

11 
442 

6,193 
155 
(37) 

(2) 
(14) 
179 
(1,019) 

(62) 
371 

3,138 
343 
(247) 

1 
– 
436 
183 

(1)
409

930
(72)
54

(1)
(17)
(124)
(594)

584

Total other non-cash items 

5,908 

4,163 

4.7  FINANCIAL ASSETS AND LIABILITIES

Accounting policies

Depending on the purpose of each investment, Novo Nordisk classifi es these 
into the following categories:

•  Available-for-sale fi nancial assets 
•  Loans and receivables
•  Financial assets at fair value through the Income statement (derivatives).

Management  determines  the  classifi cation  of  its  investments  on  initial 
 recognition and re-evaluates this at the end of every reporting period to the 
extent that such a classifi cation is permitted and required.

Recognition and measurement
Purchases and sales of investments are recognised on the settlement date. 
Investments are initially recognised at fair value. 

Available-for-sale  fi nancial  assets  and  fi nancial  assets  at  fair  value  are 
 subsequently  carried  at  fair  value.  Loans  and  receivables  are  carried  at 
 amortised cost based on the effective interest method. 

Fair  value  disclosures  are  made  separately  for  each  class  of  fi nancial 
 instruments at the end of the reporting period.

Disposal of investments
Investments are removed from the balance sheet when the rights to receive 
cash  fl ows  from  the  investments  have  expired  or  have  been  transferred, 
and Novo Nordisk has transferred substantially all the risks and rewards of 
ownership.

Available-for-sale fi nancial assets
Available-for-sale fi nancial assets consist of equity investments and market-
able  securities.  Equity  investments  are  included  in  Other  fi nancial  assets 
 unless Management intends to dispose of the investment within 12 months 
of the end of the reporting period. If that is the case, the current part is 
 included in Other receivables and prepayments.

Unrealised gains and losses arising from changes in the fair value of  fi nancial 
assets classifi ed as available for sale are recognised in Other  comprehensive 
income.  When  fi nancial  assets  classifi ed  as  available  for  sale  are  sold  or 
 impaired, the accumulated fair value adjustments are included in the Income 
statement.

The fair values of quoted investments (including marketable securities) are 
based  on  current  bid  prices  at  the  end  of  the  reporting  period.  Financial 
 assets for which no active market exists are carried at fair value based on 
a valuation methodology  or  at cost if no  reliable valuation model can be 
applied. 

Loans and receivables
Loans  and  receivables  are  non-derivative  fi nancial  assets  with  fi xed  or 
 deter minable payments that are not quoted in an active market. If  collection 
is expected within one year (or in the normal operating cycle of the business 
if longer), they are classifi ed as Current assets. If not, they are presented as 
Non-current assets.

Trade receivables and Other receivables are recognised initially at fair value 
and subsequently measured at amortised cost using the effective interest 
method, less provision for allowance. Provision for allowance is made for 
Trade receivables when there is objective evidence that Novo Nordisk will 
not be able to collect all amounts due according to the original terms of the 
receivables.

The provision for allowance is deducted from the carrying amount of Trade 
receivables,  and  the  amount  of  the  loss  is  recognised  in  the  Income 
statement  under  Sales  and  distribution  costs.  When  a  trade  receivable  is 
uncollectible,  it  is  written  off  against  the  allowance  account  for  trade 
receivables.  Sub sequent  recoveries  of  amounts  previously  written  off  are 
credited against Sales and distribution costs in the Income statement.

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
86 CONSOLIDATED FINANCIAL STATEMENTS 

4.7  FINANCIAL ASSETS AND LIABILITIES (CONTINUED)

FINANCIAL ASSETS BY CATEGORY 

DKK million 

2015
Other fi nancial assets 
Trade receivables (note 3.4) 
Other receivables 
– less prepayments 
Marketable securities (bonds) (note 4.2) 
Derivative fi nancial instruments (note 4.3) 
Cash at bank and on hand (note 4.4) 

Available- 
for-sale 
fi nancial 
assets at 
fair value 

737 

3,542 

Financial 
assets 
measured at 
fair value 
through the 
Income 
statement 

Loans 
and 
receivables 

Cash 
and cash 
equivalents 

602 
15,485 
2,257 
(879) 

304 

16,923 

Total

1,339
15,485
2,257
(879)
3,542
304
16,923

Total fi nancial assets at the end of the year by category1 

4,279 

304 

17,465 

16,923 

38,971

Total fi nancial assets at the end of the year by category, 2014 

1,875 

30 

15,029 

14,396 

31,360

FINANCIAL LIABILITIES BY CATEGORY 

DKK million 

2015
Current debt (note 4.4) 
Trade payables 
Other liabilities (note 3.7) 
– less VAT and duties payable (note 3.7) 
Derivative fi nancial instruments (note 4.3) 

Financial 
liabilities 
measured at 
fair value 
through the 
Income 
statement 

Financial  
liabilities 
measured at 
fair value 
through Other 
comprehensive 
income 

Financial 
liabilities 
measured at 
amortised 
cost 

1,073 
4,927 
12,655 
(896) 

1,382 

Total

1,073
4,927
12,655
(896)
1,382

Total fi nancial liabilities at the end of the year by category1 

1,382 

17,759 

– 

19,141

2014
Current debt (note 4.4) 
Trade payables 
Other liabilities (note 3.7) 
– less VAT and duties payable (note 3.7) 
Derivative fi nancial instruments (note 4.3) 

720 
4,950 
11,051 
(744) 

2,607 

720
4,950
11,051
(744)
2,607

Total fi nancial liabilities at the end of the year by category1 

2,607 

15,977 

– 

18,584

1. All fi nancial assets and liabilities are due within one year.

For a description of the credit quality of fi nancial assets such as Trade receivables, Cash at bank and on hand, Marketable securities, Current debt and Derivative 
fi nancial instruments, refer to notes 4.2 and 4.3.

FAIR VALUE MEASUREMENT HIERARCHY

DKK million 

Active market data  
Directly or indirectly observable market data 
Not based on observable market data 

Total fi nancial assets at fair value 

Active market data  
Directly or indirectly observable market data 
Not based on observable market data 

Total fi nancial liabilities at fair value 

2015 

4,279 
304 
– 

4,583 

– 
1,382 
– 

1,382 

2014

1,870
30
5

1,905

–
2,607
–

2,607

Financial assets and liabilities measured at fair value can be categorised using the fair value measurement hierarchy above. There have not been any transfers 
between the categories ’Active market data’ and ’Directly or indirectly observable market data’ during 2015 or 2014. There are no intangible assets or items of 
property, plant and equipment measured at fair value.

NOVO NORDISK ANNUAL REPORT 2015

 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
4.8  INVESTMENT IN ASSOCIATED 
COMPANY

Accounting policies

Investments in associated companies
An associated company is an entity in which Novo Nordisk has signifi cant 
infl uence, but not control, which in general will be when holding 20% to 
50% of the voting rights. Such investment is accounted for using the equity 
method of accounting. The investment is adjusted by Novo Nordisk’s share 
of the results after tax of the associated company.

Novo Nordisk’s share of the results is recognised in the Income statement 
as  fi nancial  items  i.e.  outside  operating  profi t.  The  share  of  results  will 
be  recognised  based  on  the  associated  company’s  full-year  outlook,  with 
adjustment for actual full-year result in the fi rst quarter of the following year.

Disposal of subsidiaries
When  Novo  Nordisk  ceases  to  have  control  over  a  subsidiary,  the  assets 
and  liabilities  of  the  subsidiary  are  removed  from  the  Balance  sheet.  Any 
retained  equity  interest  in  the  entity  is  revalued  at  fair  value  on  the  date 
when control is lost with the revaluation gain or loss being recognised in the 
Income statement. 

The fair value revaluation is allocated to the entity’s identifi able assets and 
liabilities,  and  any  excess  value  is  recognised  as  goodwill.  The  identifi ed 
assets are amortised over their estimated useful life, and goodwill is subject 
to impairment testing.

INVESTMENT IN ASSOCIATED COMPANY

DKK million 

Carrying amount of investment at the beginning of the period 
Additions during the period 
Share of profi t/(loss), recognised in the Income statement 
Amortisation of intangible assets  

Carrying amount of investment at the end of the year 

2015

–
797
48
(34)

811

As a result of Novo Nordisk A/S’s divestment of 74.5% of the shares in NNIT 
A/S on 6 March 2015, NNIT A/S has changed status from a subsidiary to an 
associated company of Novo Nordisk A/S. At the time of the disposal, the 
retained investment of 25.5% was revalued at fair value based on an active 
market price of DKK 125 per share. The revaluation value was allocated to 
identifi able assets such as order backlog and customer relationships, and the 
remaining part is classifi ed as goodwill.

INITIAL FAIR VALUE OF RETAINED INVESTMENT 
IN NNIT A/S

DKK million 

Carrying amount of 25.5% of net assets in NNIT A/S 
Fair value revaluation of retained investment 

Initial fair value of investment in associated company 

2015

153
644

797

The  market  value  at  31  December  2015  of  shareholdings  in  NNIT  A/S 
amounts to DKK 1,202 million, based on a list price of DKK 189.  

CONSOLIDATED FINANCIAL STATEMENTS

87

4.9  FINANCIAL INCOME AND EXPENSES

Accounting policies

As  described  in  note  4.2,  Management  has  chosen  to  classify  the  result 
of  hedging  activities  as  part  of  fi nancial  items  in  the  Income  statement. 
Financial items are primarily related to foreign exchange elements and are 
mainly impacted by the cumulative value adjustment of cash fl ow hedges 
transferred  from  Other  comprehensive  income  to  the  Income  statement 
when the hedged transaction is recognised in the Income statement. Further, 
value adjustments of fair value hedges are recognised in Financial income 
and Financial expenses along with any value adjustments of the hedged asset 
or liability that are attributable to the hedged risk. Finally, value adjustments 
of assets and liabilities in non-hedged currencies will impact Financial income 
and Financial expenses.

FINANCIAL INCOME

DKK million 

2015 

2014 

2013

Interest income  
Financial gain from forward 
contracts (net) 
Financial gain from currency 
options (net) 
Capital gain on investments etc 
Financial gain/(loss) from other 
fi nancial assets 
Result of associated company 

Total fi nancial income 

FINANCIAL EXPENSES

56 

– 

– 
15 

– 
14 

85 

101 

56

– 

1,631

32 
34 

– 

–
–

15

167 

1,702

DKK million 

2015 

2014 

2013

Interest expenses  
Foreign exchange loss (net)1 
Financial loss from forward 
contracts (net) 
Financial loss from currency 
options (net) 
Capital loss on investments etc 
Other fi nancial expenses 

Total fi nancial expenses 

67 
504 

5,232 

162 
– 
81 

6,046 

39 
288 

125 

– 
– 
111 

563 

55
435

–

50
20
96

656

1. Primarily related to trade receivables, other receivables and trade payables. 

FINANCIAL IMPACT FROM FORWARD CONTRACTS 
AND CURRENCY OPTIONS, SPECIFIED

DKK million 

2015 

2014 

2013

Forward contracts
Transferred from Other comprehensive 
income  
Value adjustment of transferred 
contracts 
Foreign exchange gain/loss on forward 
contracts 

Financial income/(expense) from 
forward contracts 

Currency options
Transferred from Other comprehensive 
income  
Value adjustment of transferred options 
Foreign exchange gain/loss on currency 
options 

(2,237) 

1,104 

(3,212) 

(1,160) 

217 

(69) 

809

678

144

(5,232) 

(125) 

1,631

21 
(12) 

125 
(12) 

–
25

(171) 

(81) 

(75)

Financial income/(expense) from 
currency options 

(162) 

32 

(50)

NOVO NORDISK ANNUAL REPORT 2015

 
 
88 CONSOLIDATED FINANCIAL STATEMENTS 

SECTION 5  OTHER DISCLOSURES

Basis of preparation

Results for the year

Operating assets
and liabilities

Capital structure and 
financing items

Other disclosures

This section provides details on notes that are statutory or by their nature 
of  secondary  importance  for  understanding  the  fi nancial  performance  of 

Novo Nordisk. A list of subsidiaries in the Novo Nordisk Group is also included 
here.

Long-term share-based incentive programme
For  a  description  of  the  programme,  please  refer  to  ‘Remuneration’  in 
 ‘Governance, leadership and shares’, pp 49 –51.

Senior Management Board
On 2 February 2016, the Board of Directors approved the establishment, of a 
joint pool for the fi nancial year 2015 by allocating a total of 378,943 Novo 
Nordisk B shares. This allocation amounts on average to 12 months’ fi xed 
base  salary  plus  pension  contribution  for  the  CEO,  9  months’ fi xed  base 
salary plus pension contribution per member of Executive Management as 
per 1 March 2015 and 8 months’ fi xed base salary for Senior Vice Presidents, 
corresponding to a value at launch of the programme of DKK 108 million. 
This amount was expensed in 2015. The share price used for the conversion 
was  the  average  share  price  (DKK  285)  for  Novo  Nordisk  B  shares  on 
NASDAQ  Copenhagen  in  the  period  30  January  –  13  February  2015. 
Based  on  the  split  of  participants  when  the  joint  pool  was  established, 
approximately 50% of the pool will be allocated to members of Executive 
Management and 50% to other members of the Senior Management Board. 

The  shares  allocated  to  the  joint  pool  for  2012  were  released  to  the 
individual  participants  subsequent  to  the  approval  of  the  Annual  Report 
2015 by the Board of Directors and after the announcement of the 2015 full-
year fi nancial results on 3 February 2016. The shares allocated correspond to 
a value at launch of the programme of DKK 73 million, expensed in 2012.

Management group below Senior Management Board
The  management  group  below  the  Senior  Management  Board  has  a 
share-based  incentive  programme  with  similar  performance  criteria.  For 
2015, a total of 879,988  shares were allocated to the pool for this group 
corresponding to a value at launch of the programme of DKK 251 million. 

The shares allocated to the pool for 2012 were released to the individual 
participants  subsequent  to  the  approval  of  the  Annual  Report  2015  by 
the Board of Directors and after the announcement of the 2015 full-year 
fi nancial results on 3 February 2016. The shares allocated correspond to a 
value at launch of the programme of DKK 234 million amortised over the 
period  2012–2015.  The  number  of  shares  to  be  transferred  (1,355,153 
shares) is lower than the original number of shares allocated to the share 
pool as some participants had left the company before the release conditions 
of the programme were met. 

5.1  SHARE-BASED PAYMENT SCHEMES

Accounting policies

Share-based compensation
Novo Nordisk 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 fi xed at the 
grant  date.  Non-market  vesting  conditions  are  included  in  assumptions 
about  the  number  of  options  or  shares  that  are  expected  to  vest.  At  the 
end  of  each  reporting  period,  Novo  Nordisk  revises  its  estimates  of  the 
number of shares expected to vest. Novo Nordisk recognises the impact of the 
revision of the original estimates, if any, in the Income statement and in a 
corresponding 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. 

SHARE-BASED PAYMENT

Expensed in the Income statement

DKK million 

2015 

2014 

2013

Restricted stock units to employees 
Long-term share-based incentive 
programme (Senior Management 
Board)1 
Long-term share-based incentive 
programme (management group below 
Senior Management Board)2 

135 

141 

188

108 

66 

51

199 

164 

170

Share-based payment expensed 
in the Income statement 

442 

371 

409

1. Expense for the year refl ects the full value at launch of the programme for the year.
2. Expense  for  the  year  refl ects  the  value  at  launch  of  the  last  four  programmes, 

amortised over four years.

Restricted stock units to employees
Following the 90th anniversary in 2013, all employees in the company (excl 
NNE Pharmaplan) were offered 100 restricted stock units. A restricted stock 
unit gives the right to receive one Novo Nordisk B share free of charge on 
1 April 2016 subject to continued employment and average sales growth of 
at least 5% per year measured in DKK in the period 2012–2015. The cost 
of the DKK 440 million programme is amortised over the period 2013–2016 
at  an  annual  amount  of  DKK 135  million.  As  the  sales  growth  has  been 
achieved, the shares will be granted to the employees on 1 April 2016.

NOVO NORDISK ANNUAL REPORT 2015

CONSOLIDATED FINANCIAL STATEMENTS

89

5.1  SHARE-BASED PAYMENT SCHEMES (CONTINUED)

OUTSTANDING RESTRICTED 
STOCK UNITS 

2015 

2014

EXERCISABLE SHARE OPTIONS 

2015 

2014

Exercisable at the beginning of the year 

955,570 

2,801,920

Outstanding at the beginning of the year 

7,960,080 

10,528,372

Released restricted stock units to employees 
Released shares from 2011 
Management pools1 
Released shares from 2012–2014 
management pools2 
Cancelled shares from Management pool1 
Shares allocated to Management pools 

0 

(24,500)

Exercised  
Cancelled  

(930,570)1 
(25,000) 

(1,787,350)
(59,000)

(1,787,640) 

(3,341,692)

Exercisable at the end of the year 

0 

955,5702

(120,638) 
(152,097) 
1,258,931 

(178,872)
976,772

1. For exercised share options, the average market price of Novo Nordisk B shares for the 

trading period 30 January to 13 February 2015 was DKK 285 per share.

2. Average  exercise  price  per  option  (excluding  restricted  stock  units)  amounted  to 
DKK 35 in 2014, and calculated fair value per option amounted to DKK 225 in 2014.

Outstanding at the end of the year 

7,158,636 

7,960,080

1. Includes 10,000 shares released and 2,190 shares cancelled related to Management 

pools from previous years.

2. Realised 2012–2014 programme following the partial divestment of NNIT A/S.

OUTSTANDING RESTRICTED  
STOCK UNITS 

Issued1 

Released2 

Cancelled 
(accumulated) 

Outstanding 

Value at
launch date 
DKK million 

Restricted stock units to employees
2013 Restricted stock units 

Outstanding restricted stock units to 
employees at the end of 2015 

Shares allocated to joint pools 
for Senior Management Board
2011 Shares allocated to joint pool 
2012 Shares allocated to joint pool  
2013 Shares allocated to joint pool 
2014 Shares allocated to joint pool 
2015 Shares allocated to joint pool3 

Outstanding shares in joint pool for 
Senior Management Board 

Shares allocated to pools 
for management group below 
Senior Management Board
2011 Shares allocated to pool 
2012 Shares allocated to pool  
2013 Shares allocated to pool 
2014 Shares allocated to pool 
2015 Shares allocated to pool3 

2,370,000 

2,370,000 

– 

– 

448,560 
487,730 
254,513 
293,044 
378,943 

(448,560) 
(10,435) 
(8,993) 
(9,369) 

– 

– 

– 
– 
– 
– 

2,370,000 

2,370,000 

0 
477,295 
245,520 
283,675 
378,943 

1,862,790 

(477,357) 

– 

1,385,433 

1,485,665 
1,559,235 
622,190 
683,728 
879,988 

(1,329,080) 
(35,160) 
(22,620) 
(34,061) 
– 

(156,585) 
(168,922) 
(54,701) 
(26,474) 
– 

0 
1,355,153 
544,869 
623,193 
879,988 

Outstanding shares in pool for management 
group below Senior Management Board 

5,230,806 

(1,420,921) 

(406,682) 

3,403,203 

Outstanding at the end of 2015 

9,463,596 

(1,898,278) 

(406,682) 

7,158,636 

57 
73 
51 
66 
108 

188 
234 
126 
155 
251 

Vesting date

1/04/16

Q1 2015
Q1 2016
Q1 2017
Q1 2018
Q1 2019

Q1 2015
Q1 2016
Q1 2017
Q1 2018
Q1 2019

1. All restricted stock units and shares allocated to Management pools are hedged by treasury shares.
2. Released shares from 2012 to 2014 Management pools relates to NNIT A/S employees following the Initial Public Offering of NNIT A/S.
3. 2015 programme released subsequent to approval of the Annual Report 2015 on 2 February 2016. The programme includes former members of Senior Management Board with a 

total value of DKK 16.2 million.

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
90 CONSOLIDATED FINANCIAL STATEMENTS 

5.2  MANAGEMENT’S HOLDINGS OF NOVO NORDISK SHARES

The internal rules for trading in Novo Nordisk securities by board members, executives and certain employees only permit trading in the 15-calendar-day period 
following each quarterly announcement. 

MANAGEMENT’S HOLDING OF SHARES 

At the beginning 
of the year1 

Additions 
 during the year 

Sold/transferred  
during the year 

At the end 
of the year 

Market value2
DKK million

Göran Ando 
Bruno Angelici 
Jeppe Christiansen 
Liz Hewitt 
Liselotte Hyveled 
Thomas Paul Koestler 
Anne Marie Kverneland 
Sylvie Grégoire 
Søren Thuesen Pedersen 
Eivind Kolding 
Stig Strøbæk 
Mary Szela 

Board of Directors in total 

Lars Rebien Sørensen 
Jesper Brandgaard 
Maziar Mike Doustdar 
Lars Fruergaard Jørgensen 
Jerzy Gruhn 
Jesper Høiland 
Jakob Riis 
Mads Krogsgaard Thomsen 
Henrik Wulff 

13,000 
2,500 
– 
2,725 
3,855 
16,000 
11,099 
– 
1,615 
– 
1,950 
– 

3,529 

2,030 
2,000 

875 

3,850 

935 

(937) 

(628) 

13,000 
2,500 
3,529 
2,725 
4,948 
18,000 
10,471 
875 
1,615 
3,850 
1,950 
935 

5.2
1.0
1.4
1.1
2.0
7.2
4.2
0.3
0.6
1.5
0.8
0.4

52,744 

13,219 

(1,565) 

64,398 

25.7

354,850 
186,205 
13,815 
95,855 
2,600 
60,015 
72,145 
279,135 
64,105 

37,515 
25,010 
4,065 
12,505 
47,505 
12,505 
12,505 
26,830 
12,505 

(25,010) 

(7,000) 
(4,500) 

(25,610) 
(2,800) 

392,365 
186,205 
17,880 
101,360 
45,605 
72,520 
84,650 
280,355 
73,810 

156.9
74.5
7.2
40.5
18.2
29.0
33.9
112.1
29.5

501.8

280.4

Executive Management in total 

1,128,725 

190,945 

(64,920) 

1,254,750 

Other members of the Senior Management Board 

554,337 

242,570 

(95,690) 

701,217 

Joint pool for Executive Management and 
other members of the Senior Management Board3 

1,110,309 

329,309 

(347,898) 

1,091,7204 

436.6

Total 

2,846,115 

776,043 

(510,073) 

3,112,085 

1,244.5

1.  Following the change in the Board of Directors and the retirement of members of Executive Management and the Senior Management Board, the holding of shares at the beginning 

of the year has been updated compared with the Annual Report 2014.

2. Calculation of the market value is based on the quoted share price of DKK 399.90 at the end of the year.
3. 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 when the joint pool was established, approximately 50% of the pool will be allocated to the members of Executive Management and approximately 50% to other 
members of the Senior Management Board. In the lock-up period, the joint pool may potentially be reduced in the event of lower-than-planned value creation in subsequent years.
4. Joint pool includes the 2012 programme released on 2 February 2016 and excludes 293,713 shares assigned to retired Executive Management and Senior Management Board 

members.

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
5.3  COMMITMENTS

Commitments
Total  contractual  obligations  and  recognised  non-current  debt  can  be 
specifi ed as follows (payments due by period):

2015 

DKK million 

Within 
1 year 

1–3 
years 

3 –5 
years 

More 
than 
5 years 

Total

71 

134 

118 

863 

1,186

71 

134 

118 

863 

1,186

CONSOLIDATED FINANCIAL STATEMENTS

91

The  operating  lease  commitments  are  related  to  non-cancellable 
operating leases primarily for premises, company cars and offi ce equipment. 
Approximately  78%  of  the  commitments  are  related  to  leases  outside 
Denmark. The lease costs for 2015 and 2014 were DKK 1,293 million and 
DKK 1,310 million respectively.

The purchase obligations primarily relate to purchase agreements regarding 
medical  equipment  and  consumer  goods.  Novo  Nordisk  expects  to  fund 
these commitments with existing cash and cash fl ow from operations.

Research and development obligations entail uncertainties in relation to the 
period in which payments are due because a proportion of the  obligations 
are  dependent  on  milestone  achievements.  The  due  periods  disclosed 
are based on Management’s best estimate. Novo Nordisk has engaged in 
 research and development projects with a number of external enterprises. 
Most of these obligations relate to the cardiovascular outcomes study for 
Tresiba®, the DEVOTE programme.  

1,084 
4,421 

1,631 
1,769 

1,248 
795 

2,390 
112 

6,353
7,097

DKK million 

1,586 

691 

180 

– 

2,457

7,091 

4,091 

2,223 

2,502 

15,907

7,162 

4,225 

2,341 

3,365 

17,093

Other guarantees 
Other guarantees primarily relate to guarantees 
issued by Novo Nordisk in relation to rented 
property

Security for debt 
Land, buildings and equipment etc at carrying 
amount

2015 

2014

748 

960

78 

237

Retirement benefi t 
obligations 

Total non-current 
liabilities recognised 
in the Balance sheet 

Operating leases1 
Purchase obligations 
Research and develop-
ment obligations 

Total obligations 
not recognised in the 
Balance sheet 

Total contractual 
obligations 

2014 

DKK million 

Within 
1 year 

1–3 
years 

3 –5 
years 

More 
than 
5 years 

Total

Retirement benefi t 
obligations  

Total non-current 
liabilities recognised 
in the Balance sheet 

Operating leases1 
Purchase obligations 
Research and develop-
ment obligations 

Total obligations 
not recognised in the 
Balance sheet 

Total contractual 
obligations 

52 

98 

88 

793 

1,031

52 

98 

88 

793 

1,031

1,060 
2,175 

1,613 
1,551 

1,260 
1,061 

2,356 
– 

6,289
4,787

1,896 

1,490 

305 

– 

3,691

5,131 

4,654 

2,626 

2,356 

14,767

5,183 

4,752 

2,714 

3,149 

15,798

1. No material fi nance lease obligations exist in 2015 and 2014.

World Diabetes Foundation (WDF)
At  the  Annual  General  Meeting  in  2008,  a  new  donation  was  agreed  to 
by the shareholders. According to this agreement, Novo Nordisk is obliged 
to make annual donations to the Foundation in the period 2011–2017 of 
0.125% of the net insulin sales of the Group in the preceding fi nancial year.

The annual donation in the period 2012–2017 will not exceed the lower of 
DKK 80 million or 15% of the taxable income of Novo Nordisk A/S in the 
fi nancial year in question. 

In 2015, the donation amounts to DKK 78 million (DKK 66 million in 2014 
and DKK 64 million in 2013), which is recognised in Administrative costs in 
the Income statement. 

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  disclosure  of  information  that  may  be  of  interest  to  the  market  and 
 potential takeover bidders, in particular in relation to disclosure of change 
of control provisions. 

The company’s A shares are not listed and are held by Novo A/S, a Danish 
public  limited  liability  company  wholly  owned  by  the  Novo  Nordisk 
Foundation. According to the Articles of Association of the Foundation, the 
A shares cannot be divested. For information on the ownership structure of 
Novo Nordisk, please refer to ‘Shares and capital structure’ on pp 44– 45. 
For information on change of control clauses in share option programmes, 
please refer to note 5.1, ‘Share-based payment schemes’, and in relation to 
employee contracts for Executive Management of Novo Nordisk, please refer 
to ‘Remuneration’ on pp 49 –51.

In  addition,  Novo  Nordisk  discloses  that  the  Group  does  not  have  any 
signifi cant  agreements  to  which  the  Group  is  a  party  and  which  take 
effect, alter or terminate upon a change of control of the Group following 
implementation of a takeover bid.

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
 
 
 
92 CONSOLIDATED FINANCIAL STATEMENTS 

5.4  RELATED PARTY TRANSACTIONS

5.5  FEE TO STATUTORY AUDITORS

DKK million 

2015 

2014 

2013

Statutory audit  
Audit-related services 
Tax advisory services 
Other services 

Total fee to statutory auditors 

24 
4 
8 
7 

43 

24 
4 
8 
11 

47 

24
4
11
5

44

Novo Nordisk A/S is controlled by Novo A/S (incorporated in Denmark), which 
owns 27.0% of the share capital in Novo Nordisk A/S, representing 75.0% 
of  the  total  number  of  votes,  excluding  treasury  shares. 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.

Being an associated company of Novo Nordisk A/S, NNIT A/S is considered 
a related party. Other related parties are considered to be the Novozymes 
Group  and  Xellia  Pharmaceuticals  due  to  joint  ownership,  associated 
companies and Management of Novo Nordisk A/S. 

Novo Nordisk A/S did not acquire new B shares from Novo A/S in 2014 or 
2015.

In 2013, Novo Nordisk A/S acquired 12,750,000 B shares, worth DKK 2.5 
billion,  from  Novo  A/S  as  part  of  the  DKK 14.0  billion  share  repurchase 
 programme.  The  transaction  price  was  DKK  196.4  per  share  and  was 
 calculated as the average market price from 1 May to 3 May 2013 in the 
open window following the announcement of the fi nancial results for the 
fi rst quarter of 2013.

The Group has had the following material transactions with related parties, 
(income)/expense:

DKK million 

2015 

2014 

2013

Novo Nordisk Foundation
Donations to Steno Diabetes 
Center A/S via Novo Nordisk  
Services provided by Novo Nordisk 

Novo A/S
Services provided by Novo Nordisk  
Purchase of Novo Nordisk B shares 
Sale of NNIT A/S B shares  

NNIT A/S1
Services provided by Novo Nordisk 
Services provided by NNIT A/S 

Novozymes
Services provided by Novo Nordisk 
Services provided by Novozymes 

Xellia Pharmaceuticals
Services provided by Novo Nordisk 

(69) 
(3) 

(51) 
– 

(45)
–

(3) 
– 
(797) 

(32) 
1,316 

(5) 
– 
– 

– 
– 

(4)
2,504
–

–
–

(185) 
165 

(189) 
142 

(214)
109

(11) 

(28) 

–

1. Amounts stated for 2015 regard services provided during the entire year. Before the 
partial divestment of NNIT A/S in March 2015 NNIT A/S was consolidated as a fully 
owned subsidiary.

There  have  not  been  any  transactions  with  the  Board  of  Directors  or 
Executive Management of NNIT A/S, Novo Nordisk A/S, Novozymes A/S, Novo 
A/S, the Novo Nordisk Foundation, Xellia Pharmaceuticals ApS or associated 
companies. For information on remuneration to the Management of Novo 
Nordisk, please refer to ‘Remuneration’ on pp 49 –51 and note 2.4, ‘Employee 
costs’. There have not been and are no loans to the Board of Directors or 
Executive Management in 2015, 2014 or 2013.

There are no material unsettled transactions with related parties at the end 
of the year.

NOVO NORDISK ANNUAL REPORT 2015

5.6  COMPANIES IN THE NOVO NORDISK GROUP

Activity:   • Sales and marketing   • Production   • Research and development   • Services/investments

CONSOLIDATED FINANCIAL STATEMENTS

93

Percentage of 
shares owned  Activity

  Company and country 

Percentage of 
shares owned  Activity

 International Operations

–  •  •  •  •

  Aldaph SpA, Algeria 

  Company and country 

 Parent company

  Novo Nordisk A/S, Denmark 

 Subsidiaries by region

 Europe

  Novo Nordisk Pharma GmbH, Austria 

  S.A. Novo Nordisk Pharma N.V., Belgium 

  Novo Nordisk Pharma d.o.o., Bosnia-Hercegovina 

  Novo Nordisk Pharma EAD, Bulgaria 

  Novo Nordisk Hrvatska d.o.o., Croatia 

  Novo Nordisk s.r.o., Czech Republic 

  Novo Nordisk Pharmatech A/S, Denmark 

  Novo Nordisk Region Europe A/S, Denmark 

100  •
100  •
100  •
100  •
100  •
100  •
100  •  •
100 

  •
  •  •

  •

  Novo Nordisk, France  

  Novo Nordisk S.P.A., Italy 

  Novo Nordisk Limited, Ireland 

  Novo Nordisk B.V., Netherlands 

  Novo Nordisk Farma OY, Finland 

  Novo Nordisk Hellas Epe., Greece 

  Steno Diabetes Center A/S, Denmark 

  UAB Novo Nordisk Pharma, Lithuania 

  Novo Nordisk Production SAS, France 

  Novo Nordisk Hungária Kft., Hungary 

  Novo Nordisk Scandinavia AS, Norway 

  Novo Nordisk Farma dooel, Macedonia 

  Novo Nordisk Pharma GmbH, Germany 

100 
100  •
100  •
100 
100  •
100  •
100  •
100  •
100  •
100  •
100  •
100  •
100  •
100  •
  Novo Nordisk Pharmaceutical Services Sp. z.o.o., Poland 
  Novo Nordisk Comércio Produtos Farmace˜ uticos Lda., Portugal  100  •
100  •
  Novo Nordisk Farma S.R.L., Romania 
100  •
100  •
100  •
100  •
100  •
100  •   
100  •
100 
100  •

  Novo Nordisk Pharma d.o.o. Belgrade (Serbia), Serbia 

  Novo Nordisk Holding Limited, United Kingdom 

  Novo Nordisk Health Care AG, Switzerland 

  Novo Nordisk Limited, United Kingdom 

  Novo Nordisk Scandinavia AB, Sweden 

  Novo Nordisk Pharma AG, Switzerland 

  Novo Nordisk Slovakia s.r.o., Slovakia 

  Novo Nordisk Pharma S.A., Spain 

  Novo Nordisk, d.o.o., Slovenia 

 North America

  Novo Nordisk Canada Inc., Canada 

  Novo Nordisk Invest 3 A/S, Denmark 

  Novo Nordisk US Bio Production, Inc., United States 

  Novo Nordisk US Holdings Inc., United States 

  Novo Nordisk Pharmaceutical Industries Inc., United States 

  Novo Nordisk Inc., United States 

100  •
100 

  •

100 

100 

  •

100 
100  •

  •

  •

  •

  •

  Novo Nordisk Pharma Argentina S.A., Argentina 

  Novo Nordisk Pharmaceuticals Pty. Ltd., Australia 

  Novo Nordisk Pharma (Private) Limited, Bangladesh 

  Novo Nordisk Produção Farmacêutica do Brasil Ltda., Brazil 

  Novo Nordisk Farmacêutica do Brasil Ltda., Brazil 

  Novo Nordisk Farmacêutica Limitada, Chile 

  Novo Nordisk Colombia SAS, Colombia 

  Novo Nordisk Pharma Operations A/S, Denmark 

  Novo Nordisk Region International Operations A/S, Denmark 

  Novo Nordisk Egypt LLC, Egypt 

  Novo Nordisk India Private Limited, India 

  Novo Nordisk Service Centre (India) Pvt. Ltd., India 

  PT. Novo Nordisk Indonesia, Indonesia 

  Novo Nordisk Pars, Iran 

  Novo Nordisk Ltd, Israel 

  Novo Nordisk Pharma SARL, Lebanon 

  Novo Nordisk Pharma (Malaysia) Sdn Bhd, Malaysia 

  Novo Nordisk Pharma Operations (BASEA) Sdn Bhd, Malaysia 

  Novo Nordisk Mexico S.A. de C.V., Mexico 

  Novo Nordisk Servicios Profesionales S.A. de C.V., Mexico  

  Novo Nordisk Farmacéutica S.A. de C.V., Mexico  

  Novo Nordisk Pharma SAS, Morocco 

  Novo Nordisk Pharmaceuticals Ltd., New Zealand 

  Novo Nordisk Pharma Limited, Nigeria 

  Novo Nordisk Pharma (Private) Limited, Pakistan 

  Novo Nordisk Pharmaceuticals (Philippines) Inc., Philippines 

  Novo Nordisk Limited Liability Company, Russia 

  Novo Nordisk Production Support LLC, Russia 

  Novo Investment Pte Limited, Singapore 

  Novo Nordisk Pharma (Singapore) Pte Ltd., Singapore 

  Novo Nordisk (Pty) Limited, South Africa 

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  •

  •
  •

  •

  •

  •
  •

  •

  •

  Novo Nordisk Region International Operations AG, Switzerland  100 

  Novo Nordisk Tunisie SARL, Tunisia 

  Novo Nordisk Pharma (Thailand) Ltd., Thailand 

  Novo Nordisk Saglik Ürünleri Tic. Ltd. Sti., Turkey  

49  •
100  •
100  •
100  •
  Novo Nordisk Pharma Gulf FZ-LLC, United Arab Emirates 
  Novo Nordisk Venezuela Casa de Representación C.A., Venezuela  100  •

 Region China

  Novo Nordisk (China) Pharmaceuticals Co., Ltd., China 

100  •  •

  Beijing Novo Nordisk Pharmaceuticals Science & Technology Co.,   100 
  Ltd., China

  Novo Nordisk Region China A/S, Denmark 

  Novo Nordisk Hong Kong Limited, Hong Kong 

  Novo Nordisk Pharma (Taiwan) Ltd., Taiwan 

100 
100  •
100  •

  •

  •

  Novo Nordisk Research Center Indianapolis, Inc., United States  100 

    •

 Japan & Korea

  Novo Nordisk Region Japan & Korea A/S, Denmark 

  Novo Nordisk Pharma Ltd., Japan 

  Novo Nordisk Pharma Korea Ltd., South Korea 

100 
100  •  •
100  •

 Other subsidiaries and associated companies

  NNIT A/S, Denmark 

  •

  NNE Pharmaplan A/S1, Denmark 

25.5 

100 

  •
  •

  1. In addition to the companies listed above, NNE Pharmaplan A/S has its own 
    subsidiaries.

NOVO NORDISK ANNUAL REPORT 2015

 
   
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
94 CONSOLIDATED FINANCIAL STATEMENTS 

5.7  FINANCIAL DEFINITIONS

ADR
An American Depositary Receipt (or ADR) represents ownership in the shares 
of a non-US company and trades in US fi nancial markets.

Basic earnings per share (EPS) 
Net profi t divided by the average number of shares outstanding.

Diluted earnings per share 
Net profi t divided by average number of shares outstanding, including the 
dilutive effect of the outstanding restricted stock units.

Effective tax rate 
Income taxes as a percentage of profi t before income taxes.

Equity ratio 
Total equity at year-end as a percentage of total assets at year-end.

Gross margin 
Gross profi t as a percentage of sales.

Net profi t margin 
Net profi t as a percentage of sales.

Number of shares outstanding 
The total number of shares, excluding the holding of treasury shares.

Operating margin 
Operating profi t as a percentage of sales.

Other comprehensive income (OCI)
Other comprehensive income comprises all items recognised in Equity for the 
year other than those related to transactions with owners of the  com pany. 
Examples of items that are required to be presented in OCI are:

•  Exchange rate adjustments of investments in subsidiaries
•  Remeasurements of defi ned benefi t plans
•  Changes in fair value of fi nancial instruments in a cash fl ow hedge.

Payout ratio 
Total dividends for the year as a percentage of net profi t.

Return on equity (ROE)
Net profi t for the year as a percentage of shareholders’ equity (average).

Non-IFRS fi nancial measures
In the Annual Report, Novo Nordisk discloses certain fi nancial measures of 
the  Group’s  fi nancial  performance,  fi nancial  position  and  cash  fl ows  that 
 refl ect adjustments to the most directly comparable measures calculated and 
presented in accordance with IFRS. These non-IFRS fi nancial measures may 
not be defi ned and calculated by other companies in the same manner, and 
may thus not be comparable with such measures.

The non-IFRS fi nancial measures presented in the Annual Report are:

•  Cash to earnings
•  Financial resources at the end of the year
•  Free cash fl ow
•  Operating profi t after tax to net operating assets
•  Underlying sales growth in local currencies.

Cash to earnings
Cash to earnings is defi ned as ‘free cash fl ow as a percentage of net profi t’.

Financial resources at the end of the year
Financial resources at the end of the year is defi ned as the sum of cash and 
cash equivalents at the end of the year, bonds with original term to maturity 
exceeding three months and undrawn committed credit facilities.

Free cash fl ow
Novo Nordisk defi nes free cash fl ow as ‘net cash generated from operating 
activities’ less ‘net cash used in investing activities’ excluding ‘net change in 
marketable securities’.

Net asset value per share
Defi ned as the company value per share, calculated by dividing the total 
net asset value of Novo Nordisk A/S by the number of shares outstanding.

Operating profi t after tax to net operating assets 
(OPAT/NOA)
Operating profi t after tax to net operating assets is defi ned as ‘operating 
profi t  after  tax  (using  the  effective  tax  rate)  as  a  percentage  of  average 
 inventories, receivables, property, plant and equipment, intangible assets and 
deferred tax assets less non-interest-bearing liabilities including  provisions 
and deferred tax liabilities (where average is the sum of the above assets and 
liabilities at the beginning of the year and at year-end divided by two)’. 

Underlying sales growth in local currencies
Underlying sales growth in local currencies is defi ned as sales for the year 
measured at prior-year average exchange rates compared with sales for the 
prior year measured at prior-year average exchange rates.

NOVO NORDISK ANNUAL REPORT 2015

Part of Management’s review 

QUARTERLY FINANCIAL FIGURES 2014 AND 2015

95

QUARTERLY FINANCIAL FIGURES 2014 AND 2015

DKK million 

Net sales 

Sales by business segment:
    New-generation insulin 
    Modern insulin (insulin analogues) 
    Human insulin 
    Victoza® 
    Other diabetes and obesity care 

2014 

2015

Q1 

Q2 

Q3 

Q4 

Q1 

Q2 

Q3 

Q4

20,343 

21,629 

22,249 

24,585 

25,200 

27,059 

26,792 

28,876

80 
9,377 
2,573 
2,916 
1,013 

141 
10,351 
2,475 
3,059 
1,031 

175 
10,641 
2,478 
3,441 
953 

262 
11,168 
2,772 
4,010 
1,064 

271 
11,498 
2,897 
3,957 
1,195 

330 
12,604 
2,784 
4,486 
1,075 

376 
12,500 
2,772 
4,680 
1,223 

461
13,562
2,778
4,904
1,237

    Diabetes and obesity care total 

15,959 

17,057 

17,688 

19,276 

19,818 

21,279 

21,551 

22,942

    Haemophilia  
    Norditropin® 
    Other biopharmaceuticals 

    Biopharmaceuticals total 

Sales by geographical segment:
    North America 
    Europe  
    International Operations  
    Region China 
    Japan & Korea 

Gross profi t 
Sales and distribution costs 
Research and development costs 
Hereof costs related to discontinuation of activities within 
infl ammatory disorders 
Administrative costs 
Other operating income, net 
Non-recurring income from the partial divestment of NNIT A/S 
Operating profi t 
Net fi nancials 
Profi t before income taxes 
Income taxes 

2,255 
1,500 
629 

2,327 
1,509 
736 

2,112 
1,686 
763 

2,610 
1,811 
888 

2,734 
1,830 
818 

2,757 
2,083 
940 

2,371 
1,842 
1,028 

2,785
2,065
1,084

4,384 

4,572 

4,561 

5,309 

5,382 

5,780 

5,241 

5,934

9,265 
4,703 
3,032 
2,171 
1,172 

16,877 
5,086 
3,168 

– 
805 
215 
– 
8,033 
268 
8,301 
1,843 

10,561 
4,989 
2,968 
1,947 
1,164 

17,958 
5,559 
3,075 

– 
795 
204 
– 
8,733 
256 
8,989 
1,995 

11,133 
5,045 
2,938 
1,881 
1,252 

18,823 
5,899 
3,654 

600 
870 
169 
– 
8,569 
(115) 
8,454 
1,954 

12,164 
5,413 
3,602 
2,089 
1,317 

20,586 
6,679 
3,865 

– 
1,067 
182 
– 
9,157 
(805) 
8,352 
1,823 

12,455 
4,977 
3,684 
2,847 
1,237 

21,326 
6,147 
3,250 

– 
854 
2,782 
2,376 
13,857 
(1,372) 
12,485 
2,609 

14,325 
5,222 
3,884 
2,284 
1,344 

23,200 
7,175 
3,035 

– 
887 
379 
– 
12,482 
(1,934) 
10,548 
2,205 

14,415 
5,200 
3,406 
2,415 
1,356 

22,945 
6,951 
3,289 

– 
952 
227 
– 
11,980 
(1,844) 
10,136 
1,753 

15,662
5,399
3,992
2,325
1,498

24,268
8,039
4,034

–
1,164
94
–
11,125
(811)
10,314
2,056

Net profi t 

6,458 

6,994 

6,500 

6,529 

9,876 

8,343 

8,383 

8,258

Depreciation, amortisation and impairment losses 

657 

667 

1,183 

928 

663 

648 

633 

1,015

Total assets 
Total equity 

FINANCIAL RATIOS

As percentage of sales
    Sales and distribution costs 
    Research and development costs 
    Administrative costs  
Gross margin1 
Operating margin1 
Equity ratio1 

SHARE RATIOS

63,241 
33,583 

63,681 
36,661 

71,283 
37,967 

77,062 
40,294 

77,457 
32,108 

81,313 
39,111 

85,195 
43,109 

91,799
46,969

25.0% 
15.6% 
4.0% 
83.0% 
39.5% 
53.1% 

25.7% 
14.2% 
3.7% 
83.0% 
40.4% 
57.6% 

26.5% 
16.4% 
3.9% 
84.6% 
38.5% 
53.3% 

27.2% 
15.7% 
4.3% 
83.7% 
37.2% 
52.3% 

24.4% 
12.9% 
3.4% 
84.6% 
55.0% 
41.5% 

26.5% 
11.2% 
3.3% 
85.7% 
46.1% 
48.1% 

25.9% 
12.3% 
3.6% 
85.6% 
44.7% 
50.6% 

27.8%
14.0%
4.0%
84.0%
38.5%
51.2%

Basic earnings per share/ADR (in DKK)1 
Diluted earnings per share/ADR (in DKK) 

2.44 
2.43 

2.66 
2.66 

2.49 
2.47 

2.51 
2.51 

3.80 
3.79 

3.24 
3.23 

3.27 
3.26 

3.25
3.24

Average number of shares outstanding (million) – basic 
Average number of shares outstanding (million) – diluted  

2,642 
2,653 

2,629 
2,637 

2,614 
2,622 

2,600 
2,608 

2,597 
2,604 

2,578 
2,584 

2,566 
2,572 

2,553
2,560

EMPLOYEES

Number of full-time employees at the end of the period 

39,579 

40,226 

40,700 

40,957 

39,062 

39,658 

40,261 

40,638

1. For defi nitions, please refer to p 94.

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
96 CONSOLIDATED SOCIAL STATEMENT 

Supplementary information

STATEMENT OF SOCIAL PERFORMANCE
FOR THE YEAR ENDED 31 DECEMBER

PATIENTS

Patients reached with Novo Nordisk diabetes care products (estimate in million) 
Least developed countries where Novo Nordisk sells insulin according 
to the differential pricing policy 
Donations (DKK million) 
Animals purchased for research  
New patent families (fi rst fi lings) 

EMPLOYEES

Employees (total) 
Employee turnover 
Working the Novo Nordisk Way (scale 1– 5) 
Gender in Management (men/women)  
Frequency of occupational accidents (number/million working hours) 

ASSURANCE

Relevant employees trained in business ethics 
Business ethics reviews 
Fulfi lment of action points from facilitations of the Novo Nordisk Way 
Supplier audits 
Product recalls 
Failed inspections 
Company reputation (scale 0–100) 

1. 2015 data exclude employees in NNIT A/S, which was divested in 2015.
2. Data for people with diabetes and employees are not included due to lack of availability.

Note 

2015 

2014 

2013

2.1 

2.2 
2.3 
2.4 
2.5 

3.1 
3.1 

3.1 
3.2 

4.1 
4.2 
4.3 
4.4 
4.5 

26.8 

24.4 

24.3

23 
97 
67,240 
77 

32 
84 
64,533 
93 

35
83
72,662
77

41,1221 
9.2% 
4.3 
59%/41% 
3.0 

41,450 
9.0% 
4.3 
60%/40% 
3.2 

38,436
8.1%
4.4
61%/39%
3.5

98% 
49 
94% 
240 
2 
0 
82.4 

98% 
42 
95% 
224 
2 
0 
80.8 

97%
45
96%
221
6
0
82.92

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
Supplementary information 

CONSOLIDATED SOCIAL STATEMENT

97

NOTES  PATIENTS, EMPLOYEES AND ASSURANCE  

Basis of preparation

Patients

Employees

Assurance

In  the  Consolidated  social  statement,  Novo  Nordisk  reports  on  three 
dimensions of performance: patients, employees and assurance. Progress is 
reported on two long-term targets: reach more patients with diabetes care 
products and ensure that the organisation is working the Novo Nordisk Way. 

To support the long-term targets the social statement contains additional 
performance information of strategic importance, such as least developed 
countries buying insulin according to the differential pricing policy, employee 
turnover, gender diversity, training of employees in business ethics, supplier 
audits and product quality. 

Access to quality care
Novo Nordisk’s long-term target to reach 40 million people in 2020 with its 
diabetes care products is intended to enhance access to quality care. 

This commitment is pursued through a focus on product innovation and a 
promise to always provide affordable insulin. The graph on the right shows 
the expanded reach of Novo Nordisk’s products: an estimated 26.8 million 
patients with diabetes worldwide, compared with 24.4 million in 2014. This 
growth refl ects increased sales of human insulin in low- and middle-income 
countries and modern and new-generation insulins globally. 

Differential pricing policy
Novo  Nordisk  sold  human  insulin  according  to  the  company’s  differential 
pricing policy in 23 of the world’s 48 poorest countries, compared with 32 
countries in 2014. The decline is attributed to fewer insulin tenders in 2015, 
and lack of response to the offer. 

SECTION 1  BASIS OF PREPARATION

PATIENTS REACHED WITH DIABETES CARE PRODUCTS

Million

30

24

18

12

6

0

2014

2015

23

LDC COUNTRIES, DOWN FROM 32 IN 2014

General reporting standards and principles
The Consolidated social statement has been prepared in accordance with the 
Danish Financial Statements Act (FSA), sections 99a and 99b. Section 99a 
requires  Novo  Nordisk  to  account  for  the  company’s  activities  relating  to 
social responsibility, reporting on business strategies, and activities in the 
areas of human rights, labour standards, environment, anti-corruption and 
climate. Section 99b requires Novo Nordisk to account for the gender diversity 
at Board level by reporting on targets and policies ensuring increased gender 
diversity over time. Companies that subscribe to the UN Global Compact 
and annually submit their Communication on Progress will be in compliance 
with the FSA, provided that the annual report includes a reference to where 
the  information  has  been  made  publicly  available.  Read  Novo  Nordisk’s 
Communication on Progress 2015 at novonordisk.com/annualreport and on 
the UN Global Compact’s website at unglobalcompact.org/COP. 

Novo Nordisk adheres to the following internationally recognised voluntary 
reporting standards and principles (for overview, read more on p 113):

•  UN Global Compact. As a signatory to the UN Global Compact, a strategic 
policy  initiative  for  businesses  that  are  committed  to  aligning  their 
 operations  and  strategies with 10 universally accepted principles in  the 
 areas  of  human  rights,  labour,  environment  and  anti-corruption,  Novo 
 Nordisk reports on progress during 2015 in its Communication on Progress, 
which can be found at novonordisk.com/annualreport. As a member of 
UN  Global  Compact  LEAD,  a  platform  for  a  select  group  of  companies 
to drive leadership to the next generation of sustainability performance, 
Novo Nordisk demonstrates its sustainability governance and management 
processes through the Blueprint for Corporate Sustainability Leadership, 
which is also part of the Communication on Progress.

•  AA1000 framework for accountability. The framework (AA1000APS(2008) 
and  AA1000AS(2008))  states  that  reporting  must  provide  a  complete, 
 accurate, relevant and balanced picture of the organisation’s approach to 
and impact on society.

To Novo Nordisk, AA1000APS(2008) is a component in creating a generally 
applicable  approach  to  assessing  and  strengthening  the  credibility  of  the 
Group’s  public  reporting  of  social  and  environmental  information.  Novo 
 Nordisk’s assurance process has been designed to ensure that the qualitative 
and quantitative information that documents the social and environmental 
dimensions of performance as well as the systems that underpin the data 
and performance are assured. The principles outlined in AA1000APS(2008) 
have been applied as described below.

Inclusivity
As a pharmaceutical business with global reach, Novo Nordisk is committed 
to  being  accountable  to  those  stakeholders  who  are  impacted  by  the 
 organisation. Novo Nordisk maps its stakeholders and has processes in place 
to ensure inclusion of stakeholder concerns and expectations. In addition, 
Novo  Nordisk  continuously  develops  its  stakeholder  engagement  and 
sustainability capacity at corporate and affi liate levels. 

Materiality
Key  issues  are  identifi ed  through  ongoing  stakeholder  engagement  and 
trendspotting, and are addressed by programmes or action plans with clear 
and measurable targets. Long-term targets are set to guide performance in 
strategic areas. The issues presented in the annual report are deemed to have 
a signifi cant impact on the Group’s future business performance and may 
support stakeholders in their decision-making.

NOVO NORDISK ANNUAL REPORT 2015

98 CONSOLIDATED SOCIAL STATEMENT 

Supplementary information

Changes to accounting policies and disclosures
The following disclosure changes have been made to align with Management 
priorities:

•  ‘Diverse senior management teams’ is replaced by ‘Gender in Management 
(men/women)’  to  refl ect  the  updated  policy  focus  on  all  managerial 
levels.  External  reporting  on  diversity  in  terms  of  nationality  has  been 
discontinued as it is not legal in the US to record employees’ nationality. 
Ensuring a diverse workforce remains a focus area for Novo Nordisk.

•  ‘Warning Letters and re-inspections’ is replaced by ‘Failed inspections’ for 

consistency with conformance indicators.

•  ‘Company reputation’ is reported using a new methodology covering more 

stakeholders.

OTHER ACCOUNTING POLICIES

Working the Novo Nordisk Way
Working the Novo Nordisk Way is an employee assessment measured on a 
scale of 1– 5, with 5 being the best, and is a simple average of respondents’ 
answers to all mandatory questions in the annual employee survey, eVoice, 
covering  the  Novo  Nordisk  Way.  For  2015,  the  eVoice  response  rate  was 
91%, compared with 94% in 2014.

Relevant employees trained in business ethics
The  mandatory  business  ethics  training  is  based  on  globally  applicable 
e-learning, standard operating procedures (SOPs) and related tests released 
annually by the Novo Nordisk Business Ethics Compliance Offi ce. The target 
groups for the individual SOPs vary in size and are defi ned by Novo Nordisk in 
each SOP. The target groups are all employees in Novo Nordisk at the end of 
the reporting period except employees on leave,  student assistants, PhDs and 
post docs. The percentage of employees  completing the training is calculated 
as  the  percentage  of  completion  of  both  the  SOPs  and  the  related  tests, 
based on internal registrations.

Business ethics reviews
The  number  of  business  ethics  reviews  is  recorded  as  the  number  of 
conducted  business  ethics  reviews  performed  by  Group  Internal  Audit  in 
affi liates, production sites and headquarter areas. Furthermore, the number 
includes other business ethics assurance activities such as trend reports and 
third-party reviews. 

2.2  LEAST DEVELOPED COUNTRIES 
WHERE NOVO NORDISK SELLS INSULIN 
ACCORDING TO THE DIFFERENTIAL 
PRICING POLICY

Accounting policies

Novo  Nordisk  has  formulated  a  differential  pricing  policy  for  the  least 
 developed countries (LDCs) as defi ned by the UN. The differential pricing 
policy  is  part  of  Novo  Nordisk’s  global  initiative  to  promote  access  to 
healthcare for all LDCs. The purpose of the policy is to offer human insulin in 
vials to all LDCs at or below a market price of 20% of the average prices for 
human insulin in vials in the western world. The western world is defi ned as 
Europe (the EU, Switzerland and Norway), the US, Canada and Japan. The 
number of LDCs where Novo Nordisk sells human insulin in vials according 
to the differential pricing policy is measured by direct or indirect sales by 
Novo Nordisk via government tender or private market sales to wholesalers, 
distributors or non-governmental organisations.

Responsiveness
The  report  reaches  out  to  a  wide  range  of  stakeholders,  each  with  their 
 specifi c  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 refl ects how the company is managing operations 
in ways that respond to and consider stakeholder concerns and interests.

In addition, Novo Nordisk uses the content elements and guiding principles 
of the International Integrated Reporting Framework, , developed by the 
International Integrated Reporting Council to guide the reporting. 

Applying materiality
It is Novo Nordisk’s responsibility to ensure that Management priorities and 
those areas in which the Group has signifi cant impact are addressed. Issues 
with respect to social and environmental reporting are prioritised, and the 
issues considered most material are included in the annual report.

In assessing which information to include in the annual report, legal require-
ments and disclosure commitments made by Novo Nordisk are considered. 
Furthermore, it is assessed whether information is tied directly or indirectly to 
Novo Nordisk’s ability to create value. Short- and long-term value creation is 
taken into consideration.

The  outcomes  of  formal  reviews,  research,  stakeholder  engagement  and 
 internal  materiality  discussions  are  presented  as  a  proposal  for  annual 
 reporting content to Executive Management and the Board of Directors. 

The  conclusion  from  the  external  assurance  provider  is  available  in  the 
 Independent assurance report on p 111.

Principles of consolidation
The Consolidated social statement and disclosures cover the Novo Nordisk 
Group comprising Novo Nordisk A/S and entities controlled by Novo Nordisk 
A/S.

SOCIAL ACCOUNTING POLICIES

The accounting policies set out below and in the notes have been applied 
consistently in the preparation of the Consolidated social statement for all 
the years presented with the following exceptions. 

SECTION 2  PATIENTS

2.1  PATIENTS REACHED WITH NOVO 
NORDISK DIABETES CARE PRODUCTS 
(ESTIMATE)

Accounting policies

The number of full-year patients reached with Novo Nordisk diabetes care 
products,  except  devices  and  PrandiMet ®,  is  estimated  by  dividing  Novo 
Nordisk’s annual sales volume by the annual usage dose per patient for each 
product  class  as  defi ned  by  the  WHO.  PrandiMet ®  is  not  included  as  no 
WHO-defi ned dosage exists.

The WHO-defi ned daily dosage has not changed since 1982 and it may not 
refl ect the recommended or prescribed daily dose precisely. Actual doses are 
based on individual characteristics (eg age and weight) and pharmacokinetic 
considerations. Despite this uncertainty, it is Novo Nordisk’s assessment that 
this is the most consistent way of reporting.

Development
The  estimated  number  of  full-year  patients  reached  with  Novo  Nordisk’s 
diabetes care products increased from 24.4 million in 2014 to 26.8 million in 
2015. The development refl ects an overall increase in the number of people 
treated  with  Novo  Nordisk’s  insulin  products  and  was  mainly  driven  by 
human insulin (1.2 million people) and modern and new-generation insulins 
(0.9 million people).

NOVO NORDISK ANNUAL REPORT 2015

Supplementary information 

CONSOLIDATED SOCIAL STATEMENT

99

2.4  ANIMALS PURCHASED FOR RESEARCH

Accounting policies

Animals  purchased  for  research  is  recorded  as  the  number  of  animals 
 purchased for all research undertaken by Novo Nordisk either in-house or 
by  external  contractors.  The  number  of  animals  purchased  is  based  on 
 internal registration of purchased animals and yearly reports from external 
contractors.

ANIMALS PURCHASED 

2015 

2014 

2013

Mice, rats and other rodents 
Pigs 
Rabbits 
Dogs 
Non-human primates 
Other vertebrates 

65,335 
939 
443 
214 
302 
7 

62,423 
818 
574 
374 
344 
0 

69,883
1,177
1,124
238
240
0

Total 

67,240 

64,533 

72,662

The  number  of  animals  purchased  for  research  in  2015  increased  by  4% 
compared with 2014 due to an increase in early-phase research. In all, 97% 
of the animals purchased were rodents, and the variation in the purchase of 
large animals from year to year refl ects the different development phases the 
research projects have reached.

2.5  NEW PATENT FAMILIES (FIRST FILINGS)

Accounting policies

New patent families (fi rst fi lings) is recorded as the number of new patent 
applications that were fi led during the year. 

Development
A total of 77 new patent families were established in 2015, a decrease of 
17% compared with fi ling activity in 2014, when 93 patent families were 
established. The decrease was due to lower patent-fi ling activity in Global 
Research. 

The patent expiry dates for the product portfolio are shown in the table on 
the next page. The dates provided are for expiry in the US, Germany, China 
and Japan of patents on the active ingredient, unless otherwise indicated, 
and include extensions of patent term (including for paediatric extension, 
where applicable). For several products, in addition to the compound patent, 
Novo Nordisk holds other patents on manufacturing processes, formulations 
or  uses  that  may  be  relevant  for  exclusivity  beyond  the  expiration  of  the 
active ingredient patent. Furthermore, regulatory data protection may apply.

2.2  LEAST DEVELOPED COUNTRIES 
WHERE NOVO NORDISK SELLS INSULIN 
ACCORDING TO THE DIFFERENTIAL 
PRICING POLICY (CONTINUED)

NUMBER OF LDCs 

2015 

2014 

2013

Total LDCs 
LDCs not buying according 
to pricing policy 
LDCs with no sales 

Total LDCs buying insulin 
according to pricing policy 

48 

3 
22 

23 

48 

2 
14 

32 

49

3
11

35

Novo  Nordisk  sold  human  insulin  according  to  the  company’s  differential 
pricing policy in 23 of the world’s 48 poorest countries, compared with 32 
countries in 2014. The decline is attributed to fewer insulin tenders in 2015, 
and lack of response to the offer from governments or private wholesalers 
and  other  partners  to  Novo  Nordisk’s  offer.  The  total  number  of  patients 
treated with insulin sold at or below the differential pricing policy price was 
approximately 411,000 in 2015, which is a slight decrease compared with 
approximately 431,000 in 2014. 

In 2015, an estimated 5.5 million patients were treated with insulin for less 
than USD 0.19 per day, compared with 4.3 million patients in 2014. 

Novo Nordisk operated in Haiti, Kiribati and Myanmar, but did not sell insulin 
at  the  differential  price  here.  The  governments  in  those  countries  were 
offered the opportunity to buy insulin at the differential price, but the insulin 
sold there in 2015 was sold to the private market. 

Novo Nordisk is unable to guarantee that the price at which the company 
sells the insulin will be refl ected in the fi nal price to the consumer. Printing 
the price on the actual product has been one initiative tried to avoid mark-
ups on price. 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. 

2.3  DONATIONS

Accounting policies

Donations by Novo Nordisk to the World Diabetes Foundation and the Novo 
Nordisk  Haemophilia  Foundation  are  recognised  as  an  expense  when  the 
 donation  is  paid  out  or  when  an  unconditional  commitment  to  donate 
has been made. For additional information regarding the World Diabetes 
 Foundation,  please  refer  to  note  5.3  in  the  Consolidated  fi nancial  state-
ments.

DONATIONS IN DKK MILLION 

2015 

2014 

2013

World Diabetes Foundation 
Novo Nordisk Haemophilia Foundation 

Total donations 

78 
19 

97 

66 
18 

84 

64
19

83

NOVO NORDISK ANNUAL REPORT 2015

100 CONSOLIDATED SOCIAL STATEMENT 

Supplementary information

2.5  NEW PATENT FAMILIES (FIRST FILINGS) (CONTINUED)

MARKETED PRODUCTS IN KEY MARKETS (ACTIVE INGREDIENTS) 

US 

Germany 

China 

Japan

Diabetes care:
NovoRapid ® (NovoLog ®) 
NovoMix ® 30 (NovoLog ® Mix 70/30) 
Levemir ® 
NovoNorm® (Prandin®) 
Victoza® 
Tresiba® 
Ryzodeg ® 
Xultophy ® 

Obesity:
Saxenda® 

Biopharmaceuticals:
Norditropin® (Norditropin® SimpleXx ®) 
NovoSeven® 
NovoEight ® 
NovoThirteen® (TRETTEN ®) 
Vagifem® 10 mcg 

Expired1 
Expired1 
2019 
Expired 
2022 
20292 
20292 
20292 

Expired1 
Expired 
2019 
Expired 
2022 
2028 
2028 
2028 

Expired1 
Expired 
Expired 
Expired 
2017 
2024 
2024 
2024 

Expired1
Expired
2019
2016
2022
2027
2027
2027

2022 

2022 

2017 

2017

20173 
Expired4 
N/A5 
20216 
20228, 9 

20173 
Expired4 
N/A5 
Expired7 
20218 

20173 
Expired4 
N/A5 
N/A7 
N/A 

20173
Expired4
N/A5
Expired7
20218

1. Formulation patent until 2017. 
2. Current estimate.
3. Formulation patent providing exclusivity to the composition of excipients used in the 

drug products.

4. Room temperature-stable formulation patent until 2023. 

5. Process patents until 2028 in China, Germany and Japan and until 2030 in the US.
6. Data protection runs until 2025.
7. Formulation patent expiring in 2016.
8. Patent covers low-dose treatment regimen.
9. Licensed to three generic manufacturers beginning in October 2016. 

SECTION 3  EMPLOYEES

3.1  EMPLOYEES 

Accounting policies

The  number  of  employees  is  recorded  as  all  employees  except  externals, 
employees on unpaid leave, interns, bachelor and master thesis employees, 
and substitutes at year-end. 

The rate of turnover is measured as the number of employees, excluding 
temporary employees, who left the Group during the fi nancial year compared 
with the average number of employees, excluding temporary employees.

Diversity in Novo Nordisk is reported as the percentage split by gender in 
all  managerial  positions  and  for  newly  appointed  managers.  Managerial 
positions  are  defi ned  as  all  managers  in  Novo  Nordisk  (global  job  level 
incl  CEO,  EVP,  SVP,  CVP,  VP,  Director,  Manager  and  Team  Leader).  New 
managers are defi ned as all employees who have moved to a managerial 
position within the last 12 months – both promoted and externally hired.

EMPLOYEES 

2015 

2014 

2013

North America 
Europe 
– of which in Denmark 
International Operations 
Japan & Korea 
Region China 

6,439 
21,871 
17,398 
7,304 
1,119 
4,389 

6,465 
22,136 
17,664 
6,666 
1,086 
5,097 

6,162
20,286
16,027
6,054
1,084
4,850

Total employees 

41,122 

41,450 

38,436

Employees (FTEs) 

40,638 

40,957 

37,978

Employee turnover 

9.2% 

9.0% 

8.1%

Increase in employees 

(1%) 

8% 

11%

Gender in Management 
(men/women) 

Share of women among newly 
appointed managers 

59%/41%  60%/40%  61%/39%

44% 

42% 

41%

NOVO NORDISK ANNUAL REPORT 2015

The  slight  decrease  in  the  total  headcount  is  due  to  the  divestment  of 
NNIT A/S in 2015. The underlying growth (5%) is in line with expectations 
and  is  primarily  driven  by  expansion  within  the  sales  region  International 
Operations  and  in  the  research  &  development  and  production  organisa-
tions, primarily in Denmark. Employee turnover increased slightly, primarily 
driven by Region China. 

Among employees as a whole, the gender split was 50/50 in 2015, which is 
the same as in 2014.

3.2  FREQUENCY OF OCCUPATIONAL 
ACCIDENTS

Accounting policies

The frequency of occupational accidents with absence is measured as the 
internally reported number of accidents for all employees (FTEs), excluding 
externals,  employees  on  unpaid  leave,  interns,  bachelor  and  master 
thesis employees, and substitutes, per million nominal working hours. An 
occupational  accident  with  absence  is  any  work-related  accident  causing 
at least one day of absence in addition to the day of the accident. 

Development
In 2015, a sales representative in India died in a traffi c accident while on 
duty.  Prior  to  this  tragic  accident,  Novo  Nordisk  had  not  had  any  fatal 
occupational accidents since 2011. The number of occupational accidents 
with  absence  decreased  by  7%  compared  with  2014.  The  frequency  of 
occupational  accidents  decreased  from  3.2  per  million  working  hours  in 
2014 to 3.0 per million working hours in 2015. Novo Nordisk is working 
with a zero-injury mindset and the long-term commitment is to continuously 
improve  performance.  Focus  is  on  strengthening  risk  awareness  and 
preventing occupational accidents for all employees.

Supplementary information 

CONSOLIDATED SOCIAL STATEMENT

101

SECTION 4  ASSURANCE

4.1  FULFILMENT OF ACTION POINTS 
FROM FACILITATIONS OF THE NOVO 
NORDISK WAY

Accounting policies

Facilitation is the internal audit process for assessing compliance with the 
Novo Nordisk Way. The assessment is based on review of documentation 
followed  by  an  on-site  visit  where  randomly  selected  employees  and 
Management  are  interviewed.  Any  gaps  between  the  Novo  Nordisk  Way 
and performance of the processes are identifi ed and presented to Manage-
ment as fi ndings. The facilitator and Management agree on an action plan 
to close the fi ndings. The percentage of fulfi lment of action points arising 
from  facilitations  of  the  Novo  Nordisk  Way  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 the basis for the 
calculation is that action lead times typically vary from a couple of months 
to more than a year. 

FACILITATIONS AND FINDINGS 

2015 

2014 

2013

Fulfi lment of action points from 
facilitations of the Novo Nordisk Way 

Facilitations 
Findings 

94% 

95% 

96%

65 
257 

69 
213 

75
178

A total of 65 units were facilitated covering approximately 18,500 employees, 
15%  of  whom  were  interviewed.  Overall,  the  facilitations  in  2015  show 
a ’high level’ of compliance with the Novo Nordisk Way. Corrective actions 
and corresponding deadlines have been agreed with local management for 
all  fi ndings.  The  main  areas  of  improvement  identifi ed,  covering  60%  of 
the  fi ndings,  concerned  Essential  2  (’We  set  ambitious  goals  and  strive 
for  excellence’),  Essential  7  (’We  focus  on  personal  performance  and 
development’) and Essential 9 (’We optimise the way we work and strive 
for  simplicity’).  The  Essentials,  of  which  there  are  10,  are  the  basis  for 
implementation of the Novo Nordisk Way.

4.2  SUPPLIER AUDITS

Accounting policies

The number of supplier audits concluded by Novo Nordisk’s Supplier Audit 
department includes the number of responsible sourcing audits and quality 
audits conducted in the areas of direct and indirect spend on materials.

BY TYPE OF AUDIT 

2015 

2014 

2013

Responsible sourcing audits 
Quality audits 

Total supplier audits 

28 
212 

240 

25 
199 

224 

25
196

221

The level of audits concluded in 2015 increased by 7% compared with 2014, 
which  was  mainly  due  to  Management’s  decision  to  build  new  factories. 
One critical fi nding was issued in connection with a quality audit in 2015. A 
continuous improvement and engagement programme has been initiated 
with the supplier in order to address the issue.

4.3  PRODUCT RECALLS

Accounting policies

The  number  of  product  recalls  is  recorded  as  the  number  of  times  Novo 
 Nordisk has instituted a recall and includes recalls in connection with clinical 
trials. A recall can affect various countries but only counts as one recall.

Development
In 2015, Novo Nordisk had two instances of product recalls, which is at the 
same  level  as  in  2014.  Both  recalls  were  related  to  incorrect  labelling  of 
products. Local health authorities were informed in both instances to ensure 
that  distributors,  pharmacies,  doctors  and  patients  received  appropriate 
information. 

4.4  FAILED INSPECTIONS

Accounting policies

The  number  of  failed  inspections  is  measured  in  relation  to  the  US  Food 
& Drug Administration, European Medicines Agency (EMA), the Japanese 
Pharmaceuticals & Medical Devices Agency (PMDA), Lloyd’s Register Quality 
Assurance (LRQA) and domestic authorities for strategic manufacturing sites. 
Failed inspections are defi ned as inspections where Warning Letters or EMA 
non-compliance letters related to GMP inspections are received, GMP/ISO 
certifi cates for strategic sites are lost, pre-approval inspections result in a 
Warning Letter, study conclusions are changed due to GCP/GLP inspection 
issues, or marketing or import authorisations are withdrawn due to inspection 
issues. Strategic sites are defi ned as the manufacturing sites in Brazil, China, 
Denmark, France and the US.

Development
In 2015, as in 2014, there were no failed inspections among those resolved 
at year-end. A total of 82 inspections were conducted, and at year-end 57 
were passed and 25 were unresolved as fi nal inspection reports had not been 
received at year-end or the fi nal authority acceptance was pending, which 
is normal. 

4.5  COMPANY REPUTATION

Accounting policies

Company reputation is measured annually using the RepTrak® methodology 
developed  by  Reputation  Institute.  The  total  score  is  measured  as  the 
mean  company  reputation  score  among  people  with  diabetes,  general 
practitioners,  diabetes  specialists  and  employees  across 15  key  markets. 
Reputation  is  measured  on  a  scale  of  0 –100,  with 100  being  the  best 
possible score. A score above 80 is considered excellent. 

The  data  for  external  stakeholders  are  collected  through  annual  surveys 
carried out by external consultancy fi rms. The employee data are collected 
from the yearly employee survey. For a few of the markets, historical data 
are not available for all the external stakeholder groups included. This has 
been assessed as having no material impact on the numbers reported and 
development trends. 

COMPANY REPUTATION 
BY STAKEHOLDER GROUP 

People with diabetes 
Employees 
General practitioners 
Diabetes specialists 

Total score 

2015 

2014 

2013

73.9 
83.8 
85.4 
86.4 

82.4 

71.9 
84.0 
82.2 
85.1 

80.8 

N/A
N/A
81.9
83.9

82.9

NOVO NORDISK ANNUAL REPORT 2015

102 CONSOLIDATED SOCIAL STATEMENT 

Supplementary information

STATEMENT OF ENVIRONMENTAL 
PERFORMANCE
FOR THE YEAR ENDED 31 DECEMBER

RESOURCES

Energy consumption (1,000 GJ) 
Water consumption (1,000 m3) 

EMISSIONS, ORGANIC RESIDUES AND WASTE

CO2 emissions from energy consumption (1,000 tons) 
CO2 emissions from transport (1,000 tons) 
Organic residues (tons) 
Waste (tons) 
Non-hazardous waste (ratio) 
Breaches of regulatory limit values 

Note 

2015 

2014 

2013

2.1 
2.2 

3.1 
3.1 
3.2 
3.3 
3.3 
3.4 

2,778 
3,131 

2,556 
2,959 

2,572
2,685

107 
43 
124,049 
34,715 
42% 
28 

120 
57 
110,095 
30,720 
50% 
9 

125
59
110,228
20,387
63%
14

NOTES  RESOURCES, EMISSIONS, ORGANIC RESIDUES AND WASTE

Basis of preparation

Resources

Emissions, organic residues and waste

In  the  Consolidated  environmental  statement,  Novo  Nordisk  reports  on 
performance in terms of inputs of resources and outputs with fi gures for 
emissions, organic residues and waste. Progress is reported against the long-
term targets to continuously reduce environmental impacts. 

To support the two long-term targets, the environmental statement contains 
additional performance information of strategic importance such as organic 
residue, waste and breaches of regulatory limit values. 

Challenges in meeting targets on water and energy 
Energy  consumption  increased  by  9%  and  water  consumption  by  6% 
compared with last year, while sales, measured in local currencies, increased  
by  8%.  This  development  in  performance  is  primarily  due  to  increased 
production to meet market demands and furthermore, a new insulin-fi lling 
plant in Russia became fully operational in 2015.

Signifi cant reduction in CO2 emissions
In 2015 Novo Nordisk signifi cantly reduced CO2 emissions from production 
and product distribution by a total of 27,000 tons despite the increase in 
sales. CO2 emissions from energy consumption decreased by 11% due to 
an  increased  share  of  renewable  energy,  which  is  a  strategic  priority  for 
Novo Nordisk. At the production site in Tianjin, China, Novo Nordisk started 
sourcing ‘Gold Power’ renewable energy certifi cates, and in Denmark 31% 
of the natural gas was replaced by bio-natural gas, which is biogas upgraded 
to the quality of natural gas and distributed via the natural gas system. It is 
the ambition that all production sites are run on renewable power by 2020.

NOVO NORDISK ANNUAL REPORT 2015

DEVELOPMENT IN ENERGY AND 
DEVELOPMENT IN ENERGY AND 
WATER CONSUMPTION VERSUS SALES
WATER CONSUMPTION VERSUS SALES

(cid:81) Energy  (cid:81) Water  (cid:81) Sales in local currencies

Sales in local currencies

Energy

Water

%
%

15
15

12
12

9
9

6
6

3
3

0
0

2014
2014

2015
2015

27,000

27,000

TONS REDUCTION OF CO2 EMISSIONS

TONS 
REDUCTION 
OF CO2 EMISSIONS

 
Supplementary information 

CONSOLIDATED ENVIRONMENTAL STATEMENT

103

SECTION 1  BASIS OF PREPARATION

General reporting standards and principles
The Consolidated environmental statement has been prepared in accordance 
with  the  same  standards  as  those  for  the  Consolidated  social  statement. 
Read  more  in  section 1 ‘Basis  of  preparation’ of  the  Consolidated  social 
statement on p 97.

ENVIRONMENTAL ACCOUNTING POLICIES

The  accounting  policies  set  out  below  have  been  consistently  applied  in 
preparation of the Consolidated environmental statement for all the years 
presented.

Principles of consolidation
The  Consolidated  environmental  statement  covers  the  production  sites 
including offi ce buildings, except for CO2 emissions from transport, which 
includes external forwarders used to distribute Novo Nordisk products.

Changes to accounting policies and disclosures
The following disclosure change has been made to align with Management 
priorities:

•  ‘CO2 emissions from refrigerants’ has been omitted as it is not used as 

Management information.

SECTION 2  RESOURCES

2.1  ENERGY CONSUMPTION

2.2  WATER CONSUMPTION

Accounting policies

Accounting policies

Energy consumption is measured as both direct supply of energy (internally 
produced  energy),  which  is  energy  Novo  Nordisk  produces  from  mainly 
 natural  gas  and  wood,  and  indirect  supply  of  external  energy  (externally 
 produced energy), which is electricity, steam and district heat. The consump-
tion of fuel (internally produced energy) and externally produced energy is 
based on meter readings and invoices.

ENERGY CONSUMPTION 
IN 1,000 GJ 

Diabetes and obesity care 
Biopharmaceuticals 
Not allocated1 

2015 

2014 

2013

2,006 
322 
450 

1,816 
316 
424 

1,762
362
448

Total energy consumption 

2,778 

2,556 

2,572

Water consumption is measured based on meter readings and invoices. It 
includes drinking water, industrial water and steam.

WATER CONSUMPTION 
IN 1,000 M3 

Diabetes and obesity care 
Biopharmaceuticals 
Not allocated1 

2015 

2014 

2013

2,753 
213 
165 

2,568 
209 
182 

2,261
244
180

Total water consumption 

3,131 

2,959 

2,685

1. Not allocated consists of consumption that cannot be directly linked to the production 
of  either  Diabetes  and  obesity  care  or  Biopharmaceuticals,  ie  offi ce  buildings  and 
research activities.

1. Not allocated consists of consumption that cannot be directly linked to the production 
of  either  Diabetes  and  obesity  care  or  Biopharmaceuticals,  ie  offi ce  buildings  and 
research activities.

In 2015, energy consumption increased by 9% compared with 2014 due 
to increased production volume and increased production capacity, as the 
site in Russia is now fully operational and hence included in the corporate 
reporting for the fi rst time. 

In  2015,  water  consumption  increased  by  6%  compared  with  2014  due 
to  increased  production  in  all  business  areas  to  meet  market  demands. 
Optimisations  of  water  purifi cation  at  the  fi lling  plant  in  Clayton,  US, 
reduced water consumption at this site by 27%. 75% of the water is used 
in Denmark. In 2015, 14% of the water was used at locations classifi ed as 
water-scarce compared with last year when 70% of the water used was at 
locations classifi ed as water-scarce. Since then, Kalundborg in Denmark has 
been reclassifi ed and is no longer considered a water-scarce area.

SECTION 3  EMISSIONS, ORGANIC RESIDUES AND WASTE

3.1  CO2 EMISSIONS

Accounting policies

CO2 emissions from energy consumption
The amount of CO2 emissions from energy consumption covers consumption 
related to production measured in metric tons. CO2 emissions from energy 
consumption is calculated according to the Greenhouse Gas (GHG) Protocol 
and based on emission factors from the previous year. 

CO2 emissions from transport (product distribution)
CO2  emissions  from  product  distribution  is  calculated  by  external  trans-
portation suppliers as the estimated emissions from product distribution in 
metric tons. It is calculated as the worldwide distribution of semi-fi nished 
and  fi nished  products,  raw  materials  and  components  by  air,  sea  and 
road  between  production  sites  and  from  production  sites  to  affi liates, 
direct  customers  and  importing  distributors.  CO2  emissions  from  product 
distribution from affi liates to pharmacies, hospitals and wholesalers are not 
included.

NOVO NORDISK ANNUAL REPORT 2015

104 CONSOLIDATED ENVIRONMENTAL STATEMENT 

Supplementary information

3.1  CO2 EMISSIONS (CONTINUED)

3.3  WASTE

CO2 EMISSIONS IN 1,000 TONS 

2015 

2014 

2013

Accounting policies

– Diabetes and obesity care 
– Biopharmaceuticals 
– Not allocated1 
CO2 emissions from energy consumption 
CO2 emissions from transport 

Total CO2 emissions 

88 
6 
13 
107 
43 

150 

94 
10 
16 
120 
57 

177 

96
11
18
125
59

184

1. Not allocated consists of consumption that cannot be directly linked to the production 
of  either  Diabetes  and  obesity  care  or  Biopharmaceuticals,  ie  offi ce  buildings  and 
research activities.

CO2 emissions from energy consumption decreased by 11% in 2015 despite 
increased  energy  consumption.  The  decrease  is  a  result  of  the  continued 
priority of increasing the share of renewable energy. In 2015, the fi lling plant 
in  Tianjin,  China,  started  to  source  renewable  energy  certifi cates  from  a 
windfarm, and about one-third of the natural gas in Denmark was replaced 
by bio-natural gas. This is biogas upgraded to the quality of natural gas. 

CO2 emissions from transport (product distribution) decreased signifi cantly, 
by  25%,  compared  with  2014.  This  is  mainly  due  to  an  increase  in  the 
volume of products being distributed via sea from 72% in 2014 to 83% in 
2015. In 2015, CO2 emissions from sea freight accounted for 16%, transport 
via trucks 5% and air transport 79% of total emissions. Distributing as many 
products as possible by sea is a priority for Novo Nordisk, as it reduces both 
CO2 emissions and costs.

3.2  ORGANIC RESIDUES

Accounting policies

Organic  residues  consist  of  recycled  biomass  and  ethanol  from  the 
production  of  the  active  ingredients.  The  biomass  is  measured  in  m3  and 
converted to tons. The amount of ethanol is calculated based on volume and 
concentration and then converted to tons. The residues are primarily used in 
biogas plants where energy is recovered. The biomass is used as fertilizers on 
local farmland after the biogas production. 

ORGANIC RESIDUES (TONS) 

2015 

2014 

2013

Biomass 
Ethanol 

113,453 
10,596 

101,729 
8,366 

104,324
5,904

Total organic residues 

124,049 

110,095 

110,228

Biomass increased by 12% and recycled ethanol by 27% in 2015 compared 
with 2014 due to increased production activities in the Diabetes and obesity 
care business. The relatively high increase in recyclable ethanol is due to less 
internal re-use following start-up of new production lines and challenges 
with impurities. 

Waste  is  measured  as  the  sum  of  non-hazardous  and  hazardous  waste 
 disposed of based on weight receipts. 

Non-hazardous  waste  (ratio)  is  calculated  as  a  percentage  of  the  total 
amount of waste disposed of. 

TONS OF WASTE 

Non-hazardous waste 
Hazardous waste 

2015 

2014 

2013

14,500 
20,215 

15,492 
15,228 

12,813
7,574

Total waste 

34,715 

30,720 

20,387

Non-hazardous waste (ratio) 

42% 

50% 

63%

WASTE
(cid:81)(cid:3)Recycling   (cid:81)(cid:3)Incineration with energy recovery 
(cid:81)(cid:3)Incineration without energy recovery   (cid:81)(cid:3)Special treatment   (cid:81)(cid:3)Landfilling

%

100

80

60

40

20

0

2013

2014

2015

Waste  increased  by 13%  from  2014  to  2015,  primarily  due  to  increased 
production  of  diabetes  and  obesity  care  products,  which  led  to  a  33% 
increase  in  the  amount  of  hazardous  waste  of  which  the  majority  was 
non-recyclable ethanol. This ethanol is disposed of in special incineration 
plants with energy recovery. Non-hazardous waste decreased by 6% which 
was mainly due to re-classifi cation of urea from waste to fertilizer.

3.4  BREACHES OF REGULATORY LIMIT 
VALUES

Accounting policies

Breaches  of  regulatory  limit  values  covers  all  breaches  reported  to  the 
 environmental authorities.

Development
Breaches of regulatory limit values increased from 9 in 2014 to 28 in 2015. 
All breaches have been reported to the authorities. 24 breaches are related 
to  wastewater  with  only  minor  impact  on  the  environment.  The  large 
increase is due to a change of cleaning agent at one fi lling plant. This change 
was  a  requirement  from  the  local  authorities  and  corrective  actions  are 
being taken. 

NOVO NORDISK ANNUAL REPORT 2015

FINANCIAL STATEMENTS OF
THE PARENT COMPANY 2015

FINANCIAL STATEMENTS OF THE PARENT COMPANY

105

The  following  pages  comprise  the  fi nancial  statements  of  the  parent 
company, being the legal entity Novo Nordisk A/S. Apart from ownership of 
the subsidiaries in the Novo Nordisk Group, the activity within the parent 

company  mainly  comprises  sales,  research  and  development,  production, 
corporate activities and support functions.

INCOME STATEMENT
FOR THE YEAR ENDED 31 DECEMBER

BALANCE SHEET
AT 31 DECEMBER

DKK million 

Note 

2015 

2014

DKK million 

Note 

2015 

2014

Sales  
Cost of goods sold 

Gross profi t 

Sales and distribution costs 
Research and development costs 
Administrative costs 
Other operating income, net 
Non-recurring income from the partial 
divestment of NNIT A/S 

2 
3 

3 
3 
3 

65,911 
11,974 

55,739
12,260

53,937 

43,479

14,528 
11,265 
1,686 
3,644 

10,715
11,737
1,627
932

10 

1,732 

–

Raw materials 
Work in progress 
Finished goods 

ASSETS

Intangible assets 
Property, plant and equipment 
Financial assets 

7 
8 
10, 11 

1,918 
17,797 
16,057 

1,124
15,686
18,939

Total non-current assets 

35,772 

35,749

Operating profi t 

30,102 

20,332

Inventories 

Profi t in subsidiaries, net of tax 
Financial income 
Financial expenses 

11 
4 
4 

14,800 
554 
6,099 

10,963
160
788

Profi t before income taxes 

39,357 

30,667

Trade receivables 
Amounts owed by affi liated companies 
Tax receivables  
Other receivables 

Income taxes 

5 

4,734 

4,254

Receivables 

Net profi t for the year 

34,623 

26,413

Proposed appropriation of net profi t:
Dividends 
Net revaluation reserve according to 
the equity method 
Retained earnings 

16,230 

12,905

(3,050) 
21,443 

(1,856)
15,364

34,623 

26,413

Deferred income tax assets 
Marketable securities  
Derivative fi nancial instruments 
Cash at bank and on hand 

Total current assets 

Total assets 

EQUITY AND LIABILITIES

Share capital 
Net revaluation reserve according to 
the equity method 
Retained earnings 

6 

1,541 
6,503 
1,524 

1,327
5,828
1,254

9,568 

8,409

1,729 
10,752 
3,708 
624 

1,950
10,272
3,053
780

16,813 

16,055

1,668 
3,539 
304 
15,493 

1,484
1,505
30
13,268

47,385 

40,751

83,157 

76,500

520 

530

4,977 
40,861 

8,696
31,068

Total equity 

9 

46,358 

40,294

Deferred income tax liabilities 
Other provisions 

Total provisions 

Current debt 
Derivative fi nancial instruments 
Trade payables 
Amounts owed to affi liated companies 
Tax payable 
Other liabilities 

Current liabilities 

Total liabilities 

6 
12 

12 

15 
717 

732 

778 
1,382 
2,288 
26,380 
188 
5,051 

–
565

565

462
2,607
2,231
25,404
186
4,751

36,067 

35,641

36,067 

35,641

Total equity and liabilities 

83,157 

76,500

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
  
Fair value adjustments of fi nancial assets categorised as ‘Available for sale’ 
are recognised in the Income statement.

Total fi nancial income 

SUPPLEMENTARY ACCOUNTING POLICIES FOR 
THE PARENT COMPANY

Average number of full-time 
employees in Novo Nordisk A/S 

106 FINANCIAL STATEMENTS OF THE PARENT COMPANY 

NOTES

1  ACCOUNTING POLICIES

The  fi nancial  statements  of  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 Copenhagen. 

The accounting policies for the fi nancial statements of the parent company 
are  unchanged  from  the  last  fi nancial  year,  with  the  exception  of  the 
accounting  policy  regarding  associated  companies.  The  accounting 
policies are the same as for the Consolidated fi nancial statements with the 
adjustments described below. For a description of the accounting policies of 
the Group, please refer to the Consolidated fi nancial statements, pp 61– 62.

No  separate  statement  of  cash  fl ows  has  been  prepared  for  the  parent 
 company; please refer to the Statement of cash fl ows for the Group on p 58.

Financial assets
In the fi nancial statements of the parent company, investments in subsidiaries 
are recorded under the equity method, using the respective share of the net 
asset values in subsidiaries. Net profi t of subsidiaries less unrealised intra-
Group profi ts is recorded in the Income statement of the parent company.

To the extent net profi t exceeds declared dividends from such companies, 
net revaluation of investments in subsidiaries is transferred to Net revaluation 
reserve under Equity according to the equity method. Profi ts in subsidiaries 
are disclosed as profi t after tax.

For  the  accounting  policy  regarding  investments  in  associated  companies 
please refer to note 10.

Tax
For  Danish  tax  purposes,  the  parent  company  is  assessed  jointly  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 companies. 
Novo Nordisk A/S and its Danish subsidiaries are included in the joint taxation 
of the parent company, Novo A/S.

2  SALES

DKK million 

Sales by business segment
Diabetes and obesity care 
Biopharmaceuticals 

Total sales 

Sales by geographical segment
North America 
Europe 
International Operations 
Japan & Korea 
Region China 

Total sales 

2015 

2014

65,665 
246 

55,476
263

65,911 

55,739

33,491 
13,861 
9,825 
2,418 
6,316 

23,961
13,764
8,985
2,472
6,557

65,911 

55,739

Sales  are  attributed  to  geographical  segment  based  on  location  of  the 
 customer.  For  defi nitions  of  segments,  please  refer  to  note  2.2  to  the 
 Consolidated fi nancial statements.

NOVO NORDISK ANNUAL REPORT 2015

3  EMPLOYEE COSTS

DKK million 

Wages and salaries 
Share-based payment costs 
Pensions 
Other social security contributions  
Other employee costs 

Total employee costs 

2015 

2014

10,012 
246 
902 
216 
335 

9,080
172
829
219
313

11,711 

10,613

Change in employee costs included in inventories 

145 

157

For  information  regarding  remuneration  to  the  Board  of  Directors  and 
 Executive  Management,  please  refer to ‘Remuneration’ on pp 49 –51 and 
note 2.4 to the Consolidated fi nancial statements. 

4  FINANCIAL INCOME AND 
FINANCIAL EXPENSES

DKK million 

2015 

2014

2015 

2014

15,437 

14,821

88 
47 
419 

554 

16 
648 
5,435 

6,099 

64
–
96

160

18
540
230

788

Interest income relating to subsidiaries  
Income from associated company 
Other fi nancial income 

Interest expenses relating to subsidiaries  
Foreign exchange loss (net)  
Other fi nancial expenses 

Total fi nancial expenses 

5  INCOME TAXES

Uncertain tax positions are presented individually as part of Tax receivables/
Tax payables. 

Novo Nordisk A/S and its Danish subsidiaries’ tax contribution to the joint 
taxation in 2015 amounts to DKK 4,958 million (DKK 5,082 million in 2014). 
In 2015, Novo Nordisk A/S paid income taxes of DKK 5,883 million related to 
the current year (DKK 5,520 million in 2014) and received DKK 437 million 
in  taxes  regarding  prior  years  (DKK  603  million  in  2014).  Furthermore, 
income taxes of DKK 23 million have been paid in income taxes by Danish 
subsidiaries (DKK 19 million in 2014).

6  DEFERRED INCOME TAX 
ASSETS/(LIABILITIES)

DKK million 

2015 

2014

The deferred tax assets/liabilities are allocated 
to the various balance sheet items as follows:
Property, plant and equipment 
Indirect production costs 
Unrealised internal profi t 
Other 

(646) 
(1,057) 
3,197 
159 

(690)
(1,007)
2,760
421

Total income tax assets/(liabilities) 

1,653 

1,484

The Danish corporate tax rate was 23.5% in 2015 (24.5% in 2014). Deferred 
tax  has  been  calculated  based  on  expected  realisation,  refl ecting  the 
reduction in the Danish corporate tax rate (down to 22% in 2016). The effect 
of the change, DKK 102 million (DKK 119 million in 2014), is included in total 
deferred income tax.

 
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 and impairment losses reversed on disposals during the year 

Amortisation at the end of the year 

Carrying amount at the end of the year 

FINANCIAL STATEMENTS OF THE PARENT COMPANY

107

2015 

2014

2,205 
1,158 
– 

3,363 

1,081 
121 
243 
– 

1,445 

2,351
317
(463)

2,205

1,052
98
394
(463)

1,081

1,918 

1,124

Intangible assets primarily relate to patents and licences, internally developed software, and costs related to major IT projects.

8  PROPERTY, PLANT AND EQUIPMENT

DKK million 

Cost at the beginning of the year 
Additions during the year 
Disposals during the year 
Transfer from/(to) other items 

Land and 
buildings 

Plant and 
machinery 

Other 
equipment 

Payments 
on account 
and assets 
in course of 
construction 

2015 

2014

12,351 
189 
(62) 
327 

16,093 
172 
(258) 
631 

2,215 
115 
(152) 
125 

3,912 
3,380 
– 
(1,083) 

34,571 
3,856 
(472) 
– 

32,664
2,547
(640)
–

Cost at the end of the year 

12,805 

16,638 

2,303 

6,209 

37,955 

34,571

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 

5,235 
524 
– 
(44) 

12,119 
951 
34 
(233) 

1,531 
178 
14 
(151) 

18,885 
1,653 
48 
(428) 

17,443
1,847
84
(489)

Depreciation and impairment losses at the end of the year 

5,715 

12,871 

1,572 

– 

20,158 

18,885

Carrying amount at the end of the year 

7,090 

3,767 

731 

6,209 

17,797 

15,686

9  STATEMENT OF CHANGES IN EQUITY

DKK million 

Balance at the beginning of the year 
Appropriated from Net profi t for the year 
Proposed dividends 
Appropriated from Net profi t for the year to Net revaluation reserve  
Effect of hedged forecast transactions transferred to the Income statement 
Fair value adjustments of cash fl ow hedges for the year  
Dividends paid 
Share-based payments (note 3) 
Tax credit related to share option scheme 
Purchase of treasury shares 
Sale of treasury shares 
Reduction of the B share capital 
Exchange rate adjustments of investments in subsidiaries  
Other adjustments 

Share 
capital 

Net 
revaluation 
reserve 

530 

8,696 

(3,050) 

(10) 

(669) 

Retained 
earnings 

31,068 
21,443 
16,230 

2,162 
(614) 
(12,905) 
246 
9 
(17,229) 
33 
10 
– 
408 

2015 

2014

40,294 
21,443 
16,230 
(3,050) 
2,162 
(614) 
(12,905) 
246 
9 
(17,229) 
33 
– 
(669) 
408 

42,569
15,364
12,905
(1,856)
(1,201)
(2,162)
(11,866)
172
54
(14,728)
61
–
(35)
1,017

Balance at the end of the year 

520 

4,977 

40,861 

46,358 

40,294

Please refer to note 4.1 to the Consolidated fi nancial statements regarding average number of shares, treasury shares and total number of A and B shares in 
Novo Nordisk A/S. 

10  INVESTMENT IN ASSOCIATED COMPANY

On divestment of 74.5% of the shares in NNIT A/S on 6 March 2015, the remaining interest became an associated company of Novo Nordisk A/S. Net gain on 
the divestment is determined as the difference between the sales proceeds and the carrying amount of net assets. The remaining interest is measured at the 
carrying amount of net assets at the date when control is lost with no revaluation to fair value. The investment is adjusted by Novo Nordisk’s share of results after 
tax of the associated company.

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
108 FINANCIAL STATEMENTS OF THE PARENT COMPANY 

11  FINANCIAL ASSETS

DKK million 

Cost at the beginning of the year 
Investments during the year 
Divestments during the year 

Cost at the end of the year 

Value adjustments at the beginning of the year 
Profi t/(loss) before tax 
Share of result after tax in associated companies 
Income taxes on profi t for the year 
Amortisation and impairment 
Market value adjustment 
Dividends received 
Divestments during the year 
Effect of exchange rate adjustment 
Other adjustments 

Investments 
in subsidiaries 

Amounts 
owed by 
affi liates 

Investment 
in associated 
company 

Other 
securities 
and 
investments 

2015 

2014

8,736 
44 
(1) 

1,139 
1,116 
(788) 

8,779 

1,467 

28,641 
20,719 

(3,882) 

(17,408) 
(595) 
81 
153 

4 

(110) 

153 

153 

47 

482 
41 
(156) 

10,357 
1,354 
(945) 

9,603
1,139
(385)

367 

10,766 

10,357

(118) 

351 

123 
17 

28,527 
20,719 
47 
(3,882) 
– 
351 
(17,408) 
(472) 
(12) 
153 

26,000
17,077
–
(3,339)
(3)
–
(11,154)
(551)
832
(335)

Value adjustments at the end of the year 

27,709 

(106) 

47 

373 

28,023 

28,527

Unrealised internal profi t at the beginning of the year 
Change for the year – charged to Income statement 
Change for the year – charged to Equity 
Effect of exchange rate adjustment 

(19,945) 
(2,037) 

(750) 

(19,945) 
(2,037) 
– 
(750) 

(15,755)
(2,775)
(706)
(709)

Unrealised internal profi t at the end of the year 

(22,732) 

– 

Carrying amount at the end of the year 

13,756 

1,361 

– 

200 

– 

(22,732) 

(19,945)

740 

16,057 

18,939

Carrying amount of investments in subsidiaries does not include capitalised goodwill at the end of the year. A list of companies in the Novo Nordisk Group is 
found in note 5.6 to the Consolidated fi nancial statements. 

12  OTHER PROVISIONS

15  COMMITMENTS AND CONTINGENCIES

2015 

2014

DKK million 

2015 

2014

DKK million 

Non-current 
Current 

Total other provisions 

717 
277 

994 

565
332

897

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 product return statistics.

For  information  on  pending  litigations,  please  refer  to  note  3.6  to  the 
 Consolidated fi nancial statements.

13  RELATED PARTY TRANSACTIONS

For information on transactions with related parties, please refer to note 5.4 
to the Consolidated fi nancial statements.

14  FEE TO STATUTORY AUDITORS

DKK million 

Statutory audit  
Audit-related services 
Tax advisory services 
Other services 

2015 

2014

8 
2 
3 
2 

7
6
4
3

Total fee to statutory auditors 

15 

20

NOVO NORDISK ANNUAL REPORT 2015

Commitments
Lease commitments 
Contractual obligations relating to 
investments in property, plant and equipment 
Guarantees given for subsidiaries 
Obligations relating to research and 
development projects 
Other guarantees and commitments 

Lease commitments expiring 
within the following periods 
from the balance sheet date
Within one year 
Between one and fi ve years 
After fi ve years 

Total lease commitments 

The lease costs for 2015 and 2014 were 
DKK 293 million and DKK 285 million respectively.

Security for debt
Land, buildings and equipment etc 
at carrying amount 

1,255 

1,525

893 
6,418 

2,457 
4,523 

244
4,529

3,691
3,879

209 
642 
404 

217
681
627

1,255 

1,525

74 

80

Novo  Nordisk  A/S  and  its  Danish  subsidiaries  are  jointly  taxed  with  the 
Danish  companies  in  the  Novo  A/S  Group.  The  joint  taxation  also  covers 
wit holding taxes in the form of dividend tax, royalty tax and interest tax. The 
Danish companies are jointly and individually liable for the joint taxation. Any 
 subsequent adjustments to income taxes and withholding taxes may lead to 
a larger liability. The tax for the individual companies is allocated in full on 
the basis of the expected taxable income. 

For information on pending litigation and other contingencies, please refer 
to notes 3.6 and 5.3 to the Consolidated fi nancial statements.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Management statement 

CONSOLIDATED FINANCIAL STATEMENTS

109

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 2015. 

The Consolidated fi nancial statements have been prepared in accordance 
with International Financial Reporting Standards as issued by the International 
Accounting Standards Board (IASB), and International Financial Reporting 
Standards as endorsed by the EU. The Financial statements of the parent 
company,  Novo  Nordisk  A/S,  have  been  prepared  in  accordance  with  the 
Danish Financial Statements Act. 

Further,  the  Consolidated  fi nancial  statements,  the  Financial  statements 
of the parent company and Management’s Review have been prepared in 
accordance  with  additional  Danish  disclosure  requirements  for  listed 
companies. 

fi nancial  position  at  31 December  2015,  the  results  of  the  Group’s  and 
parent  company’s operations, and consolidated cash fl ows for the fi nancial 
year 2015. Furthermore, in our opinion, Management’s Review includes a 
true and fair account of the development in the operations and fi nancial 
circumstances, of the results for the year, and of the fi nancial position of 
the  Group  and  the  parent  company  as  well  as  a  description  of  the  most 
 signifi cant risks and elements of uncertainty facing the Group and the parent 
company. 

Novo  Nordisk’s  Consolidated  social  and  environmental  statements  have 
been  prepared  in  accordance  with  the  reporting  principles  of  materiality, 
inclusivity and responsiveness of AA1000APS(2008). They give a balanced 
and reasonable presentation of the organisation’s social and environmental 
performance.

In  our  opinion,  the  Consolidated  fi nancial  statements  and  the  Financial 
statements  of  the  parent  company  give  a  true  and  fair  view  of  the 

We recommend that the Annual Report be adopted at the Annual General 
Meeting.

Bagsværd, 2 February 2016

Executive Management 

Lars Rebien Sørensen 
President and CEO 

Jesper Brandgaard 
CFO

Lars Fruergaard Jørgensen

Jakob Riis 

Mads Krogsgaard Thomsen

Board of Directors 

Göran Ando 
Chairman 

Jeppe Christiansen 
Vice chairman

Bruno Angelici

Sylvie Grégoire 

Liz Hewitt 

Liselotte Hyveled

Thomas Paul Koestler 

Eivind Kolding 

Anne Marie Kverneland

Søren Thuesen Pedersen 

Stig Strøbæk 

Mary Szela

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
 
110

INDEPENDENT AUDITOR’S REPORT 

INDEPENDENT AUDITOR’S REPORTS

To the Shareholders of Novo Nordisk A/S 

REPORT ON CONSOLIDATED FINANCIAL STATEMENTS AND 
FINANCIAL STATEMENTS OF THE PARENT COMPANY

We have audited the Consolidated fi nancial statements and the Financial 
statements of Novo Nordisk A/S for the fi nancial year 2015, pp 55 – 94 and 
pp 105 –108, which comprise Income Statement, Balance Sheet, Statement 
of Changes in Equity and Notes including accounting policies for the Group 
as well as for the Parent Company and Statement of Comprehensive Income 
and Cash Flow Statement for the Group. 

The  Consolidated  fi nancial  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, 
both  the  Consolidated  fi nancial  statements  and  the  Financial  statements 
of the Parent Company are prepared in accordance with additional Danish 
disclosure requirements for listed companies.

Management’s Responsibility for the Consolidated 
fi nancial statements and the Financial statements of the 
Parent Company 
The  Management  is  responsible  for  the  preparation  of  the  Consolidated 
fi nancial statements and the Financial statements of the Parent Company 
that  give  a  true  and  fair  view  in  accordance  with  the  above  legislation 
and  accounting  standards,  and  for  such  internal  control  as  Management 
 determines  is  necessary  to  enable  preparation  of  Consolidated  fi nancial 
statements and Financial statements of the Parent Company that are free 
from material misstatement, whether due to fraud or error. 

Auditor’s Responsibility
Our  responsibility  is  to  express  an  opinion  on  the  Consolidated  fi nancial 
statements  and  the  Financial  statements  of  the  Parent  Company  based 
on  our  audit.  We  conducted  our  audit  in  accordance  with  International 
standards  on  Auditing  and  additional  requirements  under  Danish  Audit 
 regulation. This requires that we comply with ethical requirements and plan 
and perform the audit to obtain reasonable assurance about whether the 
Consolidated fi nancial statements and the Financial statements of the Parent 
Company are free from material misstatement.

An  audit  involves  performing  procedures  to  obtain  audit  evidence  about 
the amounts and disclosures in the Consolidated fi nancial statements and 
the Financial statements of the Parent Company. The procedures selected 
depend on the auditor’s judgement, including the assessment of the risks 
of  material  misstatement  of  the  Consolidated  fi nancial  statements  and 
the  Financial  statements  of  the  Parent  Company,  whether  due  to  fraud 
or  error.  In  making  those  risk  assessments,  the  auditor  considers  internal 
control  relevant  to  the  Company’s  preparation  of  Consolidated  fi nancial 
statements and Financial statements of the Parent Company that give a true 
and  fair  view  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 the Management, as well as evaluating the overall presentation of 
the Consolidated fi nancial statements and the Financial statements of the 
Parent Company. 

We  believe  that  the  audit  evidence  we  have  obtained  is  suffi cient  and 
 appropriate to provide a basis for our audit opinion.

Our audit has not resulted in any qualifi cation.

Opinion
In our opinion, the Consolidated fi nancial statements give a true and fair 
view of the fi nancial position at 31 December 2015 of the Group and of 
the results of the Group’s operations and consolidated cash fl ows for the 
fi nancial  year  2015  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  and 
 additional Danish disclosure requirements for listed companies. Moreover, in 
our opinion the Financial statements of the Parent Company give a true and 
fair view of the fi nancial position at 31 December 2015 and of the results of 
the Parent Company’s operations for the fi nancial year 2015 in accordance 
with the Danish Financial Statements Act and additional Danish disclosure 
requirements for listed companies. 

STATEMENT ON MANAGEMENT’S REVIEW

We have read Management’s Review, pp 1– 54 and p 95 in accordance with 
the Danish Financial Statements Act. 

On this basis, it is our opinion that the information provided in the Manage-
ment’s Review is consistent with the Consolidated fi nancial statements and 
the Financial statements of the Parent Company.

Bagsværd, 2 February 2016

PricewaterhouseCoopers
Statsautoriseret Revisionspartnerselskab (CVR no 3377 1231)

Torben Jensen 
State Authorised Public Accountant 

NOVO NORDISK ANNUAL REPORT 2015

INDEPENDENT LIMITED ASSURANCE REPORT ON THE SOCIAL 
AND ENVIRONMENTAL REPORTING FOR 2015

INDEPENDENT ASSURANCE REPORT

111

To the Stakeholders of Novo Nordisk A/S

We have undertaken a limited assurance engagement of the consolidated 
social  and  environmental  information  of  the  Annual  Report  (the  report) 
of  Novo  Nordisk  A/S  for  2015  which  comprises  Management’s  Review 
and  the  Consolidated  social  and  environmental  statements  on  pp 1– 54 
and 96 –104. The assurance engagement has also covered the nature and 
extent of Novo Nordisk’s adherence to the AA1000 AccountAbility Principles 
Standard  (AA1000APS  (2008))  principles  (inclusivity,  materiality  and 
responsiveness) with respect to stakeholder dialogue. 

Novo Nordisk’s responsibility for the consolidated social 
and environmental information
Novo Nordisk’s management is responsible for adherence to the AA1000AS 
(2008) Standard, preparation of the consolidated social and environmental 
information  (the  information)  in  accordance  with  the  accounting  policies 
described  on  pages  97–104  and  the  Novo  Nordisk  approach  towards 
adherence  to  AA1000APS  (2008).  This  responsibility  includes  design, 
implementation and maintenance of internal controls relevant to ensure that 
data are free from material misstatement, whether due to fraud or error. 

Our independence and quality control
We  have  complied  with  the  Code  of  Ethics  for  Professional  Accountants 
issued by the International Ethics Standards Board for Accountants, which 
includes  independence  and  other  ethical  requirements  founded  on 
fundamental  principles  of  integrity,  objectivity,  professional  competence 
and  due  care,  confi dentiality  and  professional  behavior.  We  also  qualify 
as  independent  as  defined  by  the  AA1000  Assurance  Standard 
(AA1000AS(2008)).  The  fi rm  applies  International  Standard  on  Quality 
Control 1 and  accordingly  maintains  a  comprehensive  system  of  quality 
control including documented policies and procedures regarding compliance 
with ethical requirements, professional standards and applicable legal and 
regulatory  requirements.  Our  work  was  carried  out  by  an  independent 
multidisciplinary  team  with  experience  in  sustainability  reporting  and 
assurance. 

Our responsibility
Our  responsibility  is  to  express  a  limited  assurance  conclusion  on  the 
information  in  the  report  based  on  the  procedures  we  have  performed 
and the evidence we have obtained. Furthermore, our responsibility is, by 
applying the AA1000AS (2008), to express a moderate assurance conclusion 
and  make  recommendations for the nature and extent of  Novo Nordisk’s 
adherence to the AA1000APS (2008) principles.

We  conducted  our  limited  assurance  engagement  in  accordance  with 
International  Standard  on  Assurance  Engagements  3000,  ‘Assurance 
Engagements  other  than  Audits  or  Reviews  of  Historical  Financial 
Information’, issued by the International Auditing and Assurance Standards 
Board.  ISAE  3000  requires  that  we  plan  and  perform  this  engagement 
to obtain limited assurance about whether the information are free from 
material misstatement.

A limited assurance engagement undertaken in accordance with ISAE 3000 
involves assessing the suitability of Novo Nordisk’s use of stated accounting 
policies as the basis for the preparation of the information. Furthermore, 
it involves assessing the risks of material misstatement of the information 
whether due to fraud or error, responding to the assessed risks as necessary 
in  the  circumstances,  and  evaluating  the  overall  presentation  of  the 
information. A limited assurance engagement is substantially less in scope 
than  a  reasonable  assurance  engagement  in  relation  to  both  the  risk 
assessment procedures, including an understanding of internal control, and 
the procedures performed in response to the assessed risks.

Moreover, we have planned our work based on the AA1000AS (2008) to 
perform a Type 2 engagement and to obtain moderate assurance regarding 
the  nature  and  extent  of  Novo  Nordisk’s  adherence  to  the  principles  of 
inclusivity, materiality and responsiveness.

The  procedures  we  performed  were  based  on  our  professional  judgment 
and  included  inquiries,  observation  of  processes  performed,  inspection 
of  documents,  analytical  procedures,  evaluating  the  appropriateness  of 
quantifi cation methods and reporting policies, and agreeing or reconciling 
with underlying records.

We  conducted  interviews  with  members  of  the  Executive  Management, 
Corporate  Sustainability,  Commercial  Planning,  Global  Development,  and 
Investor  Relations.  Also  interviews  with  Management  of  the  affi liate  in 
Mexico and an external stakeholder regarding Novo Nordisk’s commitment 
and adherence to the principles of inclusivity, materiality and responsiveness 
and  the  existence  of  systems  and  procedures  to  support  Novo  Nordisk’s 
Triple Bottom Line governance and stakeholder relationships. Our work in 
particular  focused  on  the  Changing  Diabetes  program,  Cities  Changing 
Diabetes and the Novo Nordisk’s 40by20 goal.

The procedures performed in a limited assurance engagement vary in nature 
and  timing  from,  and  are  less  in  extent  than  for,  a  reasonable  assurance 
engagement.  Consequently,  the  level  of  assurance  obtained  in  a  limited 
assurance engagement is substantially lower than the assurance that would 
have  been  obtained  had  we  performed  a  reasonable  assurance  engage-
ment. Accordingly, we do not express a reasonable assurance opinion about 
whether Novo Nordisk’s consolidated social and environmental information 
have been prepared, in all material respects, in accordance with the social 
and environmental accounting policies applied and stated on pages 97–104.

Limited assurance conclusion
Based  on  the  procedures  we  have  performed  and  the  evidence  we  have 
obtained, nothing has come to our attention that causes us to believe that 
the consolidated social and environmental information presented in Novo 
Nordisk’s 2015 annual report are not prepared, in all material respects, in 
accordance with the  social and environmental accounting policies as stated 
on pages 97–104. 

Furthermore, nothing has come to our attention causing us to believe that 
Novo Nordisk does not adhere to the AA1000APS (2008) principles.

Observations and recommendations
According  to  AA1000AS  (2008),  we  are  required  to  include  observations 
and  recommendations  for  improvements  in  relation  to  adherence  to  the 
AA1000APS  (2008)  principles.  We  have  no  signifi cant  recommendations 
regarding inclusivity, materiality and responsiveness.

Regarding inclusivity
Novo  Nordisk  continues  to  demonstrate  a  strong  commitment  to 
accountability with systems and processes in place to support stakeholder 
engagement  around  sustainability  issues  at  corporate  and  affi liate  levels. 
Stakeholder  inclusivity  is  integrated  across  the  business  and  in  new 
initiatives. In 2015, Novo Nordisk has been highly engaged in the rollout 
of the Cities Changing Diabetes initiative which has included a formalised 
approach to stakeholder engagement and input.

Regarding materiality
Novo Nordisk continues to discuss, evaluate and determine the materiality 
of sustainability issues on an ongoing basis through a number of relevant 
governance bodies and core business processes, involving senior manage-
ment  input  from  across  the  business.  The  Social  and  Environmental 
Committee with a direct responsibility for Executive Management further 
strengthens the Triple Bottom Line management within the business.

Regarding responsiveness
Novo Nordisk’s commitment to being responsive to stakeholder needs and 
concerns is evident from Senior Management’s increasing engagement in 
dialogue, at both international and country level, on care and prevention 
of diabetes and other chronic diseases. In 2015, a stronger focus has been 
introduced in the Changing Diabetes program to better respond to patients 
needs and to further increase Novo Nordisk’s impact on ‘the rule of halves’. 

Bagsværd, 2 February 2016

PricewaterhouseCoopers
Statsautoriseret Revisionspartnerselskab (CVR no 3377 1231)

Torben Jensen
State Authorised Public Accountant

NOVO NORDISK ANNUAL REPORT 2015

 
112 ADDITIONAL INFORMATION

PRODUCT
OVERVIEW

DIABETES CARE 

NEW-GENERATION INSULINS
•  Tresiba®, insulin degludec
•  Ryzodeg®, insulin degludec/insulin aspart
•  Xultophy®, insulin degludec/liraglutide

GLUCAGON-LIKE PEPTIDE-1
•  Victoza®, liraglutide

MODERN INSULINS
•  Levemir®, insulin detemir
•  NovoRapid®, insulin aspart
•  NovoRapid® PumpCart®, pre-filled insulin pump cartridge
•  NovoMix® 30, biphasic insulin aspart
•  NovoMix® 50, biphasic insulin aspart
•  NovoMix® 70, biphasic insulin aspart

HUMAN INSULINS
•  Insulatard®, isophane (NPH) insulin
•  Actrapid®, regular human insulin
•  Mixtard® 30, biphasic human insulin
•  Mixtard® 40, biphasic human insulin
•  Mixtard® 50, biphasic human insulin

DIABETES DEVICES
Pre-filled insulin delivery systems
•  FlexTouch®, U100, U200
•  FlexPen®
•  InnoLet®

OBESITY

•  Saxenda®, GLP-1 analogue for weight management

BIOPHARMACEUTICALS 

HAEMOSTASIS
•   NovoSeven®, recombinant factor VIIa, also available with pre-filled 

syringe in an increasing number of countries

•  NovoThirteen®, recombinant factor XIII
•  NovoEight®, recombinant factor VIII

HUMAN GROWTH HORMONE
•  Norditropin®, somatropin (rDNA origin)
•  Norditropin® FlexPro®, pre-filled multi-dose delivery system
•  Norditropin® NordiFlex®, pre-filled multi-dose delivery system
•  Norditropin® NordiLet®, pre-filled multi-dose delivery system
•  Norditropin® SimpleXx®, durable multi-dose delivery system
•  NordiPen®
•  PenMate®, automatic needle inserter, (for NordiPen®  

and NordiFlex®) 

A selection of 
Novo Nordisk injection devices. 

OTHER INSULIN DELIVERY SYSTEMS
•  PumpCart®, NovoRapid® cartridge to be used in pump
•  Cartridge
•  Vial

INSULIN PENS
•  NovoPen® 5
•  NovoPen® 4
•  NovoPen® 3 
•  NovoPen Echo®, with memory function

NEEDLES
•  NovoFine® Plus
•  NovoFine® 
•  NovoTwist® 
•  NovoFine® AutoCover 

ORAL ANTIDIABETIC AGENTS
•  NovoNorm®, repaglinide

GLUCAGON
•  GlucaGen®, glucagon for diagnostic use
•  GlucaGen® Hypokit, glucagon emergency kit for severe 

hypoglycaemia

HORMONE REPLACEMENT THERAPY
•  Vagifem®, estradiol hemihydrate
•  Activelle®, estradiol/norethisterone acetate
•  Kliogest®, estradiol/norethisterone acetate
•  Novofem®, estradiol/norethisterone acetate
•  Trisequens®, estradiol/norethisterone acetate
•  Estrofem®, estradiol

 
ADDITIONAL INFORMATION

113

MORE INFORMATION AND REFERENCES

FINANCIAL CALENDAR 2016

DIVIDEND

ANNOUNCEMENT OF FINANCIAL RESULTS

18
MARCH 
2016

Annual 
general 
meeting

21
MARCH 
2016

22
MARCH 
2016

23
MARCH 
2016

30
MARCH 
2016

Ex-dividend

Record 
date

Payment,  
B shares

Payment,  
ADRs

29
APRIL 
2016

First  
three 
months

05
AUGUST 
2016

28
OCTOBER 
2016

02
FEBRUARY 
2017

Half 
year

First nine 
months

Full 
year

NEWS AND UPDATES

ADDITIONAL REPORTING

FOR MORE NEWS FROM NOVO NORDISK, VISIT
novonordisk.com/investors
novonordisk.com/press
novonordisk.com/sustainability

FOLLOW NOVO NORDISK ON SOCIAL MEDIA

facebook.com/novonordisk 

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youtube.com/novonordisk

In addition to the Annual Report, Novo Nordisk provides disclosure in 
separate reports to satisfy specific legal requirements and stakeholder 
interests. Additional reports can be downloaded from novonordisk.
com/annualreport.

FORM 20-F
Annual  reporting  requirement  by  the  US  Securities  and  Exchange 
Commission (SEC) for foreign private issuers with equity shares listed 
on exchanges in the United States. Form 20-F is filed using a stan-
dardised reporting form so that investors can evaluate the company 
alongside US domestic equities.

CORPORATE GOVERNANCE REPORT
Requirement  according  to  the  Danish  Financial  Statements  Act. 
Reporting of compliance with Danish Corporate Governance Recom-
mendations.

UNITED NATIONS GLOBAL COMPACT
Voluntary Communication on Progress reporting in the form of the 
United  Nations  and  its  10  principles  in  the  areas  of  human  rights, 
labour rights, environment and anti-corruption. As a LEAD member, 
Novo  Nordisk  provides  additional  progress  reporting  on  corporate 
sustainability leadership and UN goals. This reporting also fulfils the 
requirements  of  the  Danish  Financial  Statements  Act,  sections  99a 
and  99b,  on  policies  and  actions  for  corporate  responsibility  and 
progress against targets for diversity in management.

Design and production: ADtomic Communications. Accounts and notes: Team2Graphics. Printing: Bording PRO as, February 2016. Photography: Rasmus Daniel Taun, Jesper Westley Jørgensen, 
Ulrik Jantzen, Ludmilla Aud Timsdottir, Martin Juul, Anders Bøggild, Jesper Edvardsen, Søren Svendsen, Jens Lindhe.

References: 1. International Diabetes Federation. IDF Diabetes Atlas, 7th edn. Brussels, Belgium: International Diabetes Federation 2015. 2. World Health Organization: Obesity and overweight. Fact sheet 
N° 311. World Health Organization, January 2015. 3. World Federation of Hemophilia. About Bleeding Disorders, Hemophilia. World Federation of Haemophilia, May 2012. 4. Efpia, European Federation 
of Pharmaceutical Industries and Associations. http://www.efpia.eu/diseases/68/59/Growth-Problems. 5. EvaluatePharma, January 2016. Data on file. 6. UK Prospective Diabetes Study (UKPDS) Group. 
UK prospective diabetes study VIII. Study design, progress and performance. Diabetologia 1991; 34:877–890. 7. Hart JT. Rule of Halves: implications of increasing diagnosis and reducing dropout for future 
workload and prescribing costs in primary care. Br J Gen Pract 1992; 42(356):116–119 and Smith WCS, Lee AJ, Crombie IK & Tunstall-Pedoe H. Control of blood pressure in Scotland: the rule of halves. BMJ 
1990; 300:981–983. 8. International Diabetes Federation, idf.org/about-diabetes/risk-factors 9. Gray A, et al: Cost effectiveness of an intensive blood glucose control policy in patients with type 2 diabetes: 
economic analysis alongside randomised controlled trial (UKPDS 41). BMJ 2000; 320:1373–8. 10. Li R, et al: Cost-effectiveness of interventions to prevent and control diabetes mellitus: a systematic review. 
Diabetes Care 2010; 33:1872–94. 11. Gray A, Raikou M, McGuire A, et al. Cost-effectiveness of an intensive blood glucose control policy in patients with type 2 diabetes: economic analysis alongside 
randomised controlled trial (UKPDS 41). BMJ 2000; 320:1373–8. 12. Novo Nordisk A/S. Economic simulations based on the CORE diabetes model 2011. 13. American Diabetes Association. Approaches to 
Glycemic Treatment. Diabetes Care 2015; 38(Supplement 1):S41–S48. 14. McCullough AJ. Epidemiology of the metabolic syndrome in the USA. Journal of Digestive Diseases 2011; 12:333–340. 15. Ogden 
CL, Carroll MD, Kit BK & Flegal KM. Prevalence of Childhood and Adult Obesity in the United States 2011–2012. The Journal of the American Medical Association 2014; 311(8):806–814. 16. United Nations 
Department of Economic and Social Affairs. World Urbanization Prospects, The 2014 Revision, Highlights 2014. 17. Stonebraker JS, Bolton-Maggs PHB, Soucie JM, Walker I & Brooker M. A study of variations 
in the reported haemophilia A prevalence around the world. Haemophilia 2010; 16:20–32. 18. Stonebraker JS, Bolton-Maggs PHB, Michael Soucie JM, Walker I & Brooker M. A study of variations in the 
reported haemophilia B prevalence around the world. Haemophilia 2012; 18(3):e91–4.

Market data on pp 16, 17, 36 and 37 are from IMS Health 2015. Market data on p 35 are from IMS Health – Market Prognosis Global, January 20 2016 (data on file for list of countries included in regions).   

NOVO NORDISK ANNUAL REPORT 2015

 
 
 
 
 
Aerial view of Shanghai, China. More than 23 million people 
live in Shanghai, which is one of the partner cities in the Cities 
Changing Diabetes programme. It is estimated that 8.3% of 
the city’s population has type 2 diabetes. If action is not taken, 
this number is projected to grow to 15.5% by 2040. Read more 
about Cities Changing Diabetes on page 30.

Headquarters
Novo Nordisk A/S
Novo Allé
2880 Bagsværd
Denmark
Tel +45 4444 8888
CVR number 24 25 67 90
novonordisk.com

Investor Service
Enquiries and feedback on the Annual 
Report should be addressed to:
annualreport@novonordisk.com

Shareholders’ enquiries concerning 
dividend payments and shareholder 
accounts should be addressed to:
shareholder@novonordisk.com

ADR holders’ enquiries concerning dividend 
payments, transfer of ADR certificates, 
consolidation of accounts and tracking 
of ADRs should be addressed to:

JP Morgan Chase Bank, N.A.
PO Box 64504
4 New York Plaza, Floor 12
New York, NY 1004
Attention: Depositary Receipts Group
Tel +1 800 990 1135
Tel +1 651 453 2128 
(From outside the United States)
jpmorgan.adr@wellsfargo.com