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Results for the year
12 Months Ended
Dec. 31, 2019
Analysis of income and expense [abstract]  
Results for the year
Results for the year
Net sales and rebates


Accounting policies
Revenue from sale of goods is recognised when Novo Nordisk has transferred control of products sold to the buyer and it is probable that Novo Nordisk will collect the consideration to which it is entitled for transferring the products. Control of the products is transferred at a point in time, typically on delivery.

The amount of sales to be recognised is based on the consideration Novo Nordisk expects to receive in exchange for its goods. 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, by assessing the expected value of the sales deductions (variable consideration). Where contracts contain customer acceptance criteria, Novo Nordisk recognises sales when the acceptance criteria are satisfied.

In some markets, Novo Nordisk sells products on a sale-or-return basis.
Where there is historical experience or a reasonably accurate estimate of future returns, estimated product returns are recorded as a reduction in sales.
Where shipments of new products are made on a sale-or-return basis, without sufficient historical experience for estimating sales returns, revenue is recorded based on estimated demand and acceptance rates for well-established products with similar market characteristics. If similar market characteristics do not exist, revenue is recorded when there is evidence of consumption or when the right of return has expired.

Key accounting estimates of sales deductions and provisions for sales rebates
Sales deductions are estimated and provided for at the time the related sales are recorded. These estimates of unsettled rebate, discount and product return obligations require use of significant judgement, as not all conditions are known at the time of sale, for example total sales volume to a given customer.

The 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 defined by the contracts with the various customer groups. Provisions for sales rebates are adjusted to actual amounts as rebates, discounts and returns are processed.

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.

Gross-to-net sales reconciliation
DKK million
 
2019

 
2018

2017

 
 
 
 
 
 
Gross sales
 
270,431

 
230,701

216,174

 
 
 
 
 
 
US Managed Care and Medicare
 
(84,202
)
 
(65,207
)
(53,077
)
US wholesaler charge-backs
 
(33,772
)
 
(29,469
)
(28,324
)
US Medicaid rebates
 
(14,365
)
 
(11,950
)
(12,491
)
Other US discounts and sales returns
 
(8,280
)
 
(6,606
)
(5,771
)
Non-US rebates, discounts and sales returns
 
(7,791
)
 
(5,638
)
(4,815
)
 
 
 
 
 
 
Total gross-to-net sales adjustments
 
(148,410
)
 
(118,870
)
(104,478
)
 
 
 
 
 
 
Net sales
 
122,021

 
111,831

111,696

 
 
 
 
 
 


Sales discounts and sales rebates are predominantly issued in the US. As such, rebates amount to 71% of gross sales in the US (68% in 2018 and 64% in 2017). Novo Nordisk sales are impacted by exchange rate changes. For developments in key currencies refer to note 4.3.

Pricing mechanisms in the US market
In the US, sales rebates are paid in connection with public healthcare insurance programmes, namely Medicare and Medicaid, as well as rebates to pharmacy benefit managers (PBMs) and managed healthcare plans. Key customers in the US include private payers, PBMs and government payers. PBMs and managed healthcare plans play a role in negotiating price concessions with drug manufacturers for both the commercial and government channels, and determine which drugs are covered on their formularies (or 'preferred drug lists').

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 thresholds. Rebates are estimated according to the specific terms in each agreement, historical experience, anticipated channel mix, growth rates and market share information. Novo Nordisk adjusts the provision periodically to reflect actual sales performance. Managed Care and Medicare rebates are generally settled around 100 days from the transaction date.

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 rebates
Medicaid is a government insurance programme. Medicaid rebates have been estimated using a combination of historical experience, product and population growth, price increases, and the impact of contracting strategies. The calculation also involves interpretation of relevant regulations that are subject to changes in interpretative guidance from government authorities. Novo Nordisk adjusts the provision periodically to reflect actual sales performance. Medicaid rebates are generally settled around 150 days from the transaction date.

Other US discounts and sales returns
Other discounts are provided to wholesalers, hospitals, pharmacies, etc. They 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 predefined targets.


Provisions for sales rebates
DKK million
 
2019

 
2018

2017

 
 
 
 
 
 
At the beginning of the year
 
25,760

 
20,374

20,063

Additional provisions, including increases to existing provisions
 
102,782

 
82,631

63,880

Amount paid during the year
 
(98,655
)
 
(78,647
)
(61,059
)
Adjustments, including unused amounts reversed during the year
 
381

 
386

(117
)
Effect of exchange rate adjustment
 
610

 
1,016

(2,393
)
 
 
 
 
 
 
At the end of the year
 
30,878

 
25,760

20,374

 
 
 
 
 
 


Unsettled rebates are recognised as Provisions when the timing or amount is uncertain (note 3.7). Where absolute amounts are known, the rebates are recognised as other liabilities. Wholesaler charge-backs are netted against trade receivable balances. Provisions for sales rebates thus includes US Managed Care, Medicare, Medicaid and other minor US rebate types, as well as rebates in a number of European countries and Canada.
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 significant decisions regarding business development and direction are taken in this forum.

Business segments
Novo Nordisk operates in two business segments based on therapies: Diabetes and Obesity care and Biopharm, representing the entirety of the Group's operations.

The segments include research, development, manufacturing and marketing of products within the following areas:
- Diabetes and Obesity care: insulin, GLP-1 and related delivery systems, oral antidiabetic products (OAD), obesity and other serious chronic diseases.
- Biopharm: haemophilia, growth disorders and hormone replacement therapy.


Segment performance is evaluated on the basis of operating profit consistent with the Consolidated financial statements. Financial income and expenses and income taxes are managed at Group level and are not allocated to business segments.

There are no sales or other transactions between the business segments. Costs have been split between business segments according to a specific allocation. In addition, a small number of corporate overhead costs are 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, inventories, trade receivables and other receivables and prepayments.

Business segments
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
DKK million
 
2019

 
2018

2017

 
2019

 
2018

2017

 
2019

 
2018

2017

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Segment sales
 
Diabetes and Obesity care
 
Biopharm
 
Total
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Long-acting insulin
 
20,776

 
20,844

22,174

 
 
 
 
 
 
 
 
 
 
- of which Tresiba®
 
9,259

 
8,035

7,327

 
 
 
 
 
 
 
 
 
 
- of which Xultophy®
 
2,210

 
1,614

729

 
 
 
 
 
 
 
 
 
 
- of which Levemir®
 
9,307

 
11,195

14,118

 
 
 
 
 
 
 
 
 
 
Premix insulin
 
10,578

 
10,194

10,749

 
 
 
 
 
 
 
 
 
 
- of which Ryzodeg®
 
993

 
714

492

 
 
 
 
 
 
 
 
 
 
- of which NovoMix®/NovoLog Mix®
 
9,585

 
9,480

10,257

 
 
 
 
 
 
 
 
 
 
Fast-acting insulin
 
19,303

 
19,353

20,124

 
 
 
 
 
 
 
 
 
 
- of which Fiasp®
 
1,243

 
590

99

 
 
 
 
 
 
 
 
 
 
- of which NovoRapid®/NovoLog®
 
18,060

 
18,763

20,025

 
 
 
 
 
 
 
 
 
 
Human insulin
 
9,036

 
9,265

9,793

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total insulin
 
59,693

 
59,656

62,840

 
 
 
 
 
 
 
 
 
 
Victoza®
 
21,934

 
24,333

23,173

 
 
 
 
 
 
 
 
 
 
Ozempic®
 
11,237

 
1,796


 
 
 
 
 
 
 
 
 
 
Rybelsus®
 
50

 


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total GLP-1
 
33,221

 
26,129

23,173

 
 
 
 
 
 
 
 
 
 
Other Diabetes care
 
4,247

 
4,250

4,302

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total Diabetes care
 
97,161

 
90,035

90,315

 
 
 
 
 
 
 
 
 
 
Obesity care (Saxenda®)
 
5,679

 
3,869

2,562

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Diabetes and Obesity care total sales
 
102,840

 
93,904

92,877

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Haemophilia
 
 
 
 
 
 
10,281

 
9,576

10,469

 
 
 
 
 
- of which NovoSeven®
 
 
 
 
 
 
8,119

 
7,881

9,206

 
 
 
 
 
- of which NovoEight®
 
 
 
 
 
 
1,525

 
1,354

1,103

 
 
 
 
 
Growth disorders (Norditropin®)
 
 
 
 
 
 
7,275

 
6,834

6,655

 
 
 
 
 
Other Biopharm
 
 
 
 
 
 
1,625

 
1,517

1,695

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Biopharm total sales
 
 
 
 
 
 
19,181

 
17,927

18,819

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Segment key figures
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total net sales
 
102,840

 
93,904

92,877

 
19,181

 
17,927

18,819

 
122,021

 
111,831

111,696

Cost of goods sold
 
16,309

 
14,716

15,014

 
3,779

 
2,901

2,618

 
20,088

 
17,617

17,632

Sales and distribution costs
 
28,729

 
26,396

25,475

 
3,094

 
3,001

2,865

 
31,823

 
29,397

28,340

Research and development costs
 
12,128

 
12,222

11,358

 
2,092

 
2,583

2,656

 
14,220

 
14,805

14,014

Administrative costs
 
3,346

 
3,266

3,143

 
661

 
650

641

 
4,007

 
3,916

3,784

Other operating income, net
 
309

 
538

466

 
291

 
614

575

 
600

 
1,152

1,041

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Operating profit
 
42,637

 
37,842

38,353

 
9,846

 
9,406

10,614

 
52,483

 
47,248

48,967

Operating margin
 
41.5
%
 
40.3
%
41.3
%
 
51.3
%
 
52.5
%
56.4
%
 
43.0
%
 
42.2
%
43.8
%
Depreciation, amortisation and impairment losses expensed
 
3,916

 
3,210

2,536

 
1,745

 
715

646

 
5,661

 
3,925

3,182

Additions to Intangible assets and Property, plant and equipment
 
9,644

 
9,219

7,565

 
1,518

 
3,107

2,226

 
11,162

 
12,326

9,791

Assets allocated to business segments
 
86,700

 
71,706

61,542

 
16,514

 
17,542

14,994

 
103,214

 
89,248

76,536

Non-allocated assets1
 
 
 
 
 
 
 
 
 
 
 
22,398

 
21,521

25,819

Total assets
 
 
 
 
 
 
 
 
 
 
 
125,612

 
110,769

102,355

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

1.
The part of total assets that remains unallocated to either of the two business segments includes investments in associated companies, deferred income tax assets, other financial assets, tax receivables, derivative financial instruments and cash at bank.
2.2 Segment information (continued)


Geographical areas
Novo Nordisk operates in two main commercial units:
    
International Operations
Region Europe: the EU, EFTA, Albania, Bosnia-Herzegovina, Macedonia, Serbia, Montenegro and Kosovo
Region AAMEO: countries in Africa, Asia, Middle East & Oceania
Region China: Mainland China, Taiwan and Hong Kong
Region Japan & Korea: Japan and South Korea
Region Latin America: countries in South America, Central America and Mexico
North America Operations (the US and Canada)

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. 99.7% of total sales are realised outside Denmark. Of total property, plant and equipment, DKK 25,175 million is located in Denmark, where the Group's main production, filling, packaging, moulding and assembly facilities are located.

Net sales disclosures
Sales to external customers attributed to the US are collectively the most material to the Group. The US and Mainland China are the only territories where sales contribute 10% or more of total net sales.

In 2019, Novo Nordisk had three major wholesalers distributing products, representing 19%, 14% and 12% respectively of total net sales (20%, 13% and 13% in 2018 and 21%, 13% and 12% in 2017). Sales to these three wholesalers are within both Diabetes and Obesity care and Biopharm.

Net sales to be recognised from fulfilling existing customer contracts containing fixed or minimum sales volumes, with an original term greater than 12 months, is expected to be DKK 544 million within 12 months (2018: DKK 767 million) and DKK 32 million thereafter (2018: DKK 742 million).

Net sales will be impacted by exchange rate fluctuations. Novo Nordisk has an accounting policy to recognise the income statement impact of foreign currency hedging within financial items. Please refer to notes 4.3, 4.4 and 4.9 for more details on hedging.


Geographical areas
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2019

 
2018

2017

 
2019

 
2018

2017

 
2019

 
2018

2017

 
2019

 
2018

2017

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
International Operations
 
 
 
 
 
 
 
 
DKK million
 
Total International Operations
Region Europe
 
Region AAMEO
 
Region China
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Sales by business segment:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Long-acting insulin
 
9,035

 
7,942

7,416

 
4,720

 
4,282

3,895

 
1,526

 
1,281

1,229

 
1,059

 
814

694

- of which Tresiba®
 
3,477

 
2,764

2,345

 
1,685

 
1,246

966

 
406

 
337

261

 
87

 
16

2

- of which Xultophy®
 
1,493

 
1,085

567

 
1,266

 
1,007

560

 
146

 
58

7

 

 


- of which Levemir®
 
4,065

 
4,093

4,504

 
1,769

 
2,029

2,369

 
974

 
886

961

 
972

 
798

692

Premix insulin
 
9,707

 
8,862

8,959

 
1,595

 
1,701

1,878

 
2,961

 
2,606

2,686

 
4,306

 
3,783

3,555

- of which Ryzodeg®
 
993

 
714

492

 
68

 
56

26

 
429

 
275

183

 
4

 


- of which NovoMix®/NovoLog Mix®
 
8,714

 
8,148

8,467

 
1,527

 
1,645

1,852

 
2,532

 
2,331

2,503

 
4,302

 
3,783

3,555

Fast-acting insulin
 
10,304

 
9,332

9,156

 
4,732

 
4,558

4,366

 
2,622

 
2,194

2,261

 
1,753

 
1,450

1,253

- of which Fiasp®
 
617

 
357

91

 
585

 
357

91

 
27

 


 

 


- of which NovoRapid®/NovoLog®
 
9,687

 
8,975

9,065

 
4,147

 
4,201

4,275

 
2,595

 
2,194

2,261

 
1,753

 
1,450

1,253

Human insulin
 
7,361

 
7,348

7,856

 
1,380

 
1,580

1,770

 
2,230

 
2,065

1,922

 
2,847

 
2,821

3,096

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total insulin
 
36,407

 
33,484

33,387

 
12,427

 
12,121

11,909

 
9,339

 
8,146

8,098

 
9,965

 
8,868

8,598

Victoza®
 
7,249

 
6,240

5,708

 
3,967

 
3,720

3,451

 
1,005

 
841

858

 
898

 
521

309

Ozempic®
 
1,143

 
39


 
965

 
39


 
4

 


 

 


Rybelsus®
 

 


 

 


 

 


 

 


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total GLP-1
 
8,392

 
6,279

5,708

 
4,932

 
3,759

3,451

 
1,009

 
841

858

 
898

 
521

309

Other Diabetes care
 
3,389

 
3,360

3,359

 
562

 
579

605

 
691

 
675

754

 
1,647

 
1,672

1,566

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total Diabetes care
 
48,188

 
43,123

42,454

 
17,921

 
16,459

15,965

 
11,039

 
9,662

9,710

 
12,510

 
11,061

10,473

Obesity care (Saxenda®)
 
2,083

 
1,211

569

 
334

 
207

102

 
802

 
418

190

 
9

 
1


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Diabetes and Obesity care total
 
50,271

 
44,334

43,023

 
18,255

 
16,666

16,067

 
11,841

 
10,080

9,900

 
12,519

 
11,062

10,473

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Haemophilia
 
5,946

 
5,572

5,446

 
2,762

 
2,781

2,828

 
1,305

 
1,177

1,163

 
284

 
199

216

- of which NovoSeven®
 
4,502

 
4,424

4,597

 
1,767

 
1,944

2,245

 
1,130

 
1,049

1,097

 
269

 
194

215

- of which NovoEight®
 
1,143

 
1,046

788

 
790

 
776

551

 
146

 
109

52

 
15

 
5

1

Growth disorders
 
4,225

 
4,000

4,105

 
1,466

 
1,511

1,572

 
691

 
680

676

 
36

 
20

15

Other Biopharm
 
1,122

 
1,017

1,113

 
779

 
721

722

 
252

 
216

279

 
5

 
4

5

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Biopharm total
 
11,293

 
10,589

10,664

 
5,007

 
5,013

5,122

 
2,248

 
2,073

2,118

 
325

 
223

236

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total sales by business and geographical segment
 
61,564

 
54,923

53,687

 
23,262

 
21,679

21,189

 
14,089

 
12,153

12,018

 
12,844

 
11,285

10,709

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total sales growth as reported
 
12.1
%
 
2.3
%
2.2
%
 
7.3
%
 
2.3
%
2.5
%
 
15.9
%
 
1.1
%
3.8
%
 
13.8
%
 
5.4
%
2.4
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Property, plant and equipment
 
30,972

 
28,851

27,929

 
26,730

 
25,500

24,665

 
1,003

 
723

566

 
2,101

 
1,812

1,884

Trade receivables, net
 
10,508

 
9,884

9,423

 
3,611

 
3,388

3,273

 
3,595

 
3,237

3,468

 
1,760

 
1,841

1,541

Allowance for doubtful trade receivables
 
(1,471
)
 
(1,358
)
(1,262
)
 
(196
)
 
(241
)
(223
)
 
(967
)
 
(866
)
(823
)
 

 


Total assets
 
85,541

 
80,420

81,743

 
67,007

 
64,327

65,600

 
6,729

 
5,635

5,876

 
6,820

 
6,003

5,927

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Geographical areas (continued)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2019

 
2018

2017

 
2019

 
2018

2017

 
2019

 
2018

2017

 
2019

 
2018

2017

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
International Operations (continued)
 
North America Operations
 
 
 
 
 
 
 
 
DKK million
 
Region Japan & Korea
Region Latin America
 
Total
 
Of which the US
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Sales by business segment:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Long-acting insulin
 
930

 
857

872

 
800

 
708

726

 
11,741

 
12,902

14,758

 
11,271

 
12,600

14,466

- of which Tresiba®
 
821

 
751

739

 
478

 
414

377

 
5,782

 
5,271

4,982

 
5,500

 
5,192

4,970

- of which Xultophy®
 
11

 


 
70

 
20


 
717

 
529

162

 
708

 
528

162

- of which Levemir®
 
98

 
106

133

 
252

 
274

349

 
5,242

 
7,102

9,614

 
5,063

 
6,880

9,334

Premix insulin
 
722

 
650

697

 
123

 
122

143

 
871

 
1,332

1,790

 
839

 
1,294

1,743

- of which Ryzodeg®
 
457

 
351

253

 
35

 
32

30

 

 


 

 


- of which NovoMix®/NovoLog Mix®
 
265

 
299

444

 
88

 
90

113

 
871

 
1,332

1,790

 
839

 
1,294

1,743

Fast-acting insulin
 
790

 
779

941

 
407

 
351

335

 
8,999

 
10,021

10,968

 
8,592

 
9,634

10,574

- of which Fiasp®
 
5

 


 

 


 
626

 
233

8

 
597

 
211


- of which NovoRapid®/NovoLog®
 
785

 
779

941

 
407

 
351

335

 
8,373

 
9,788

10,960

 
7,995

 
9,423

10,574

Human insulin
 
170

 
187

232

 
734

 
695

836

 
1,675

 
1,917

1,937

 
1,552

 
1,778

1,766

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total insulin
 
2,612

 
2,473

2,742

 
2,064

 
1,876

2,040

 
23,286

 
26,172

29,453

 
22,254

 
25,306

28,549

Victoza®
 
748

 
614

590

 
631

 
544

500

 
14,685

 
18,093

17,465

 
14,217

 
17,561

16,929

Ozempic®
 

 


 
174

 


 
10,094

 
1,757


 
9,599

 
1,634


Rybelsus®
 

 


 

 


 
50

 


 
50

 


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total GLP-1
 
748

 
614

590

 
805

 
544

500

 
24,829

 
19,850

17,465

 
23,866

 
19,195

16,929

Other Diabetes care
 
421

 
368

376

 
68

 
66

58

 
858

 
890

943

 
705

 
733

782

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total Diabetes care
 
3,781

 
3,455

3,708

 
2,937

 
2,486

2,598

 
48,973

 
46,912

47,861

 
46,825

 
45,234

46,260

Obesity care (Saxenda®)
 
282

 
175


 
656

 
410

277

 
3,596

 
2,658

1,993

 
3,348

 
2,446

1,828

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Diabetes and Obesity care total
 
4,063

 
3,630

3,708

 
3,593

 
2,896

2,875

 
52,569

 
49,570

49,854

 
50,173

 
47,680

48,088

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Haemophilia
 
560

 
557

681

 
1,035

 
858

558

 
4,335

 
4,004

5,023

 
4,031

 
3,723

4,852

- of which NovoSeven®
 
377

 
400

497

 
959

 
837

543

 
3,617

 
3,457

4,609

 
3,454

 
3,278

4,451

- of which NovoEight®
 
116

 
135

169

 
76

 
21

15

 
382

 
308

315

 
358

 
291

315

Growth disorders
 
1,746

 
1,538

1,579

 
286

 
251

263

 
3,050

 
2,834

2,550

 
3,035

 
2,823

2,543

Other Biopharm
 
84

 
72

104

 
2

 
4

3

 
503

 
500

582

 
247

 
262

348

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Biopharm total
 
2,390

 
2,167

2,364

 
1,323

 
1,113

824

 
7,888

 
7,338

8,155

 
7,313

 
6,808

7,743

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total sales by business and geographical segment
 
6,453

 
5,797

6,072

 
4,916

 
4,009

3,699

 
60,457

 
56,908

58,009

 
57,486

 
54,488

55,831

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total sales growth as reported
 
11.3
%
 
(4.5
%)
(2.5
%)
 
22.6
%
 
8.4
%
3.0
%
 
6.2
%
 
(1.9
%)
(2.1
%)
 
5.5
%
 
(2.4
%)
(2.4
%)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Property, plant and equipment
 
436

 
201

146

 
702

 
615

668

 
19,579

 
13,040

7,318

 
19,531

 
13,023

7,298

Trade receivables, net
 
495

 
504

279

 
1,047

 
914

862

 
14,404

 
12,902

10,742

 
13,999

 
12,643

10,517

Allowance for doubtful trade receivables
 
(7
)
 
(5
)
(5
)
 
(301
)
 
(246
)
(211
)
 
(13
)
 
(12
)
(32
)
 
(13
)
 
(12
)
(32
)
Total assets
 
1,543

 
1,503

1,304

 
3,442

 
2,952

3,036

 
40,071

 
30,349

20,612

 
39,460

 
29,732

20,180

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Research and development costs


Accounting policies
Novo Nordisk’s research and development is mainly focused on:

Insulins, GLP-1s and other therapeutic new antidiabetic drugs for diabetes treatment.
GLP-1s, combinations and new modes of action for Obesity care.
Blood-clotting factors and new modes of action for haemophilia treatment.
Human growth hormone for treatment of growth disorders.
New modes of action including GLP-1 and stem cells for treatment of NASH, cardiovascular disease, chronic kidney disease and Parkinson's disease, among others.

The research activities mainly utilise biotechnological methods based on advanced protein chemistry and protein engineering. These methods have played a key role in the development of the production technology used to manufacture insulin, GLP-1, recombinant blood-clotting factors and human growth hormone.

Novo Nordisk expenses all research costs. In line with industry practice, internal and subcontracted development costs are also expensed as they are incurred, due to significant regulatory uncertainties and other uncertainties inherent in the development of new products. This means that they do not qualify for capitalisation as intangible assets until marketing approval by a regulatory authority is obtained or considered highly probable. Costs for post-approval activities that are required by authorities as a condition for obtaining regulatory approval are recognised as research and development costs.

Research and development activities are carried out by Novo Nordisk’s research and development centres, mainly in Denmark, the US, the UK and China. Research and development trials are carried out all over the world. Novo Nordisk also enters into partnerships and licence agreements.

Research and development costs primarily comprise employee costs, and internal and external costs related to execution of studies, including manufacturing costs and facility costs of the research centres. The costs also comprise amortisation, depreciation and impairment losses related to software and property, plant and equipment used in the research and development activities. Impairment losses recognised on intangible assets not yet available for use related to research and development projects are presented in research and development costs.


2.3 Research and development costs (continued)


Certain research and development activities are recognised outside research and development costs:

Royalty expenses paid to partners after regulatory approval are expensed as cost of goods sold.
Royalty income received from partners 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 5.2.

Research and development costs by business segment (note 2.2)
DKK million
 
2019

 
2018

2017

 
 
 
 
 
 
Diabetes and Obesity care
 
12,128

 
12,222

11,358

Biopharm
 
2,092

 
2,583

2,656

 
 
 
 
 
 
Total
 
14,220

 
14,805

14,014

 
 
 
 
 
 


Research and development costs
DKK million
 
2019

 
2018

2017

 
 
 
 
 
 
Employee costs (note 2.4)
 
5,968

 
6,288

5,848

Amortisation and impairment losses, intangible assets (note 3.1)
 
522

 
769

211

Depreciation and impairment losses, property, plant and equipment
 
783

 
468

525

(note 3.2)
 
 
 
 
 
Other research and development costs
 
6,947

 
7,280

7,430

 
 
 
 
 
 
Total research and development costs
 
14,220

 
14,805

14,014

 
 
 
 
 
 
As percentage of net sales
 
11.7
%
 
13.2
%
12.5
%
 
 
 
 
 
 



Employee costs


Accounting policies
Wages, salaries, social security contributions, annual leave and sick leave, bonuses and non-monetary benefits are recognised in the year in which the associated services are rendered by employees of Novo Nordisk. Where Novo Nordisk provides long-term employee benefits, the costs are accrued to match the rendering of the services by the employees concerned.

Employee costs
DKK million
 
2019

 
2018

2017

 
 
 
 
 
 
Wages and salaries
 
25,335

 
25,259

23,869

Share-based payment costs (note 5.1)
 
363

 
414

292

Pensions – defined contribution plans
 
1,910

 
1,791

1,800

Pensions – defined benefit plans (note 3.6)
 
151

 
73

165

Other social security contributions
 
1,963

 
1,901

1,910

Other employee costs
 
2,203

 
2,087

2,102

 
 
 
 
 
 
Total employee costs for the year
 
31,925

 
31,525

30,138

Employee costs capitalised as intangible assets and property, plant and equipment
 
(1,314
)
 
(1,500
)
(1,435
)
Change in employee costs capitalised as inventories
 
(139
)
 
(105
)
(91
)
 
 
 
 
 
 
Total employee costs
in the income statement
 
30,472

 
29,920

28,612

 
 
 
 
 
 
Included in the income statement:
 
 
 
 
 
Cost of goods sold
 
8,134

 
8,164

7,854

Sales and distribution costs
 
13,463

 
12,214

11,994

Research and development costs
 
5,968

 
6,288

5,848

Administrative costs
 
2,679

 
2,755

2,505

Other operating income, net
 
228

 
499

411

 
 
 
 
 
 
Total employee costs
in the income statement
 
30,472

 
29,920

28,612

 
 
 
 
 
 

 
 
 
 
 
 
 
 
 
 
 
 
Average number of full-time employees
 
42,218

 
42,881

41,665

Year-end number of full-time employees
 
42,703

 
42,672

42,076

Employees (total)
 
43,258

 
43,202

42,682

 
 
 
 
 
 

Remuneration to Executive Management and Board of Directors
DKK million
 
2019

 
2018

2017

 
 
 
 
 
 
Salary and short-term incentive
 
120

 
102

74

Pension
 
26

 
22

18

Benefits
 
14

 
4

6

Long-term incentive3
 
40

 
22

7

Severance payments
 

 
28


 
 
 
 
 
 
Executive Management in total1,2
 
200

 
178

105

 
 
 
 
 
 
Fee to Board of Directors2
 
19

 
17

16

 
 
 
 
 
 
Total
 
219

 
195

121

 
 
 
 
 
 
1.
Jesper Brandgaard retired from Novo Nordisk in April 2019. Until April 2020 Jesper Brandgaard will continue to provide certain services for Novo Nordisk. Remuneration of Jesper Brandgaard from January to April 2019 is included in the above table. A severance payment of DKK 27.7 million is included in the 2018 amounts.
2.
Total remuneration for registered members of Executive Management amounts to DKK 135 million (DKK 142 million in 2018 and DKK 74 million in 2017). All members of the Board of Directors are registered.
3.
Please refer to note 5.1 for further information.
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 from royalties on future net sales is recognised as the underlying customers' sale occurs and from sales milestones once the contingent sale milestone is achieved in accordance with the terms of the relevant agreement. Income from the transfer of the right to use intellectual property may contain development or regulatory milestones (variable consideration) on which the income is recognised when the significant uncertainties in achieving the milestones are resolved, due to the significant uncertainties inherent in the development of pharmaceutical products.

Operating profit from the wholly owned subsidiary NNE A/S, not related to Novo Nordisk’s main activities, is recognised as other operating income. Other operating income also includes income from sale of intellectual property rights.
Income taxes and deferred income taxes


Income taxes

Accounting policies
The tax expense for the period comprises current and deferred tax as well as interest on tax cases ongoing or settled during the year. It also includes adjustments to previous years and changes in provisions for uncertain tax positions. Tax is recognised in the income statement except to the extent that it relates to items recognised in equity or other comprehensive income.

Provisions for ongoing tax disputes are included as part of deferred tax assets, tax receivables and tax payables.

Management judgement regarding recognition of deferred income tax assets and provisions for uncertain tax positions
Novo Nordisk is subject to income taxes around the world. Significant judgement and estimates are required in determining the worldwide accrual for income taxes, deferred income tax assets and liabilities and provisions for uncertain tax positions.

Novo Nordisk recognises deferred income tax assets if it is probable that sufficient taxable income will be available in the future, against which the temporary differences and unused tax losses can be utilised.

Management has considered future taxable income and applied its judgement in assessing whether deferred income tax assets should be recognised.

In the course of conducting business globally, tax and transfer pricing disputes with tax authorities may occur. Management judgement is applied to assess the possible outcome of such disputes. The 'most probable outcome' method is applied when making provisions for uncertain tax positions, and Novo Nordisk considers the provisions made to be adequate. However, the actual obligation may deviate and depends on the result of litigation and settlements with the relevant tax authorities.

Swiss tax reform
In 2019, a tax reform was passed in Switzerland. The tax reform has a minor positive impact on the effective tax rate in 2019, driven by a non-recurring increase to deferred tax assets.

Income taxes expensed
DKK million
 
2019

 
2018

2017

 
 
 
 
 
 
Current tax on profit for the year
 
11,275

 
10,469

10,562

Deferred tax on profit for the year
 
(1,559
)
 
(1,007
)
182

 
 
 
 
 
 
Tax on profit for the year
 
9,716

 
9,462

10,744

Current tax adjustments recognised for
prior years
 
(191
)
 
(522
)
(425
)
Deferred tax adjustments recognised for prior years
 
77

 
47

231

 
 
 
 
 
 
Income taxes in the
income statement
 
9,602

 
8,987

10,550

 
 
 
 
 
 
Tax on other comprehensive income for the year, (income)/expense
 
231

 
(755
)
1,041

 
 
 
 
 
 


DKK million
 
2019

 
2018

2017

 
 
 
 
 
 
Computation of effective tax rate:
 
 
 
 
 
Statutory corporate income tax rate
in Denmark
 
22.0
%
 
22.0
%
22.0
%
Deviation in foreign subsidiaries’
tax rates compared to the Danish
tax rate (net)
 
(2.1
%)
 
(1.9
%)
0.0
%
Non-taxable income less non-tax-deductible expenses (net)
 
0.1
%
 
(0.2
%)
0.1
%
Others, including adjustment of
prior years
 
(0.2
%)
 
(1.0
%)
(0.4
%)
 
 
 
 
 
 
Effective tax rate
 
19.8
%
 
18.9
%
21.7
%
 
 
 
 
 
 


The impact of the deviation in foreign subsidiaries’ tax rates compared to the Danish tax rate is mainly driven by Swiss business activities.

Income taxes paid
DKK million
 
2019

 
2018

2017

 
 
 
 
 
 
Income taxes paid in Denmark for current year
 
7,774

 
6,640

6,798

Income taxes paid outside Denmark for current year
 
2,258

 
2,376

2,639

Income taxes paid/repayments relating to prior years
 
904

 
598

(336
)
 
 
 
 
 
 
Total income taxes paid
 
10,936

 
9,614

9,101

 
 
 
 
 
 

2.6 Income taxes and deferred income taxes (continued)


Deferred income taxes

Accounting policies
Deferred income taxes arise from temporary differences between the accounting and tax values of the individual consolidated companies and from realisable tax loss carry-forwards. The tax value of tax loss carry-forwards is included in deferred tax assets to the extent that these 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 assumed in the year in which the assets are expected to be utilised.

In general, the Danish tax rules related to dividends from group companies provide exemption from tax for most repatriated profits. A provision for withholding tax is only recognised if a concrete distribution of dividends is planned. The unrecognised potential withholding tax amounts to DKK 315 million for 2019 (DKK 367 million in 2018).

The value of future tax deductions in relation to share programmes is recognised as deferred tax, until the shares are paid out to the employees. Any estimated excess tax deduction compared to the costs realised in the income statement is charged to equity.

Development in deferred income tax assets and liabilities
 
 
 
 
 
 
 
 
 
DKK million
Property,
plant and
equipment

 Intangible
assets

Inventories

Liabilities

Other

Offset
within
countries

 
Total

 
 
 
 
 
 
 
 
 
 
 
2019
 
 
 
 
 
 
 
 
 
Net deferred tax asset/(liability) at 1 January
(703
)
(564
)
973

2,402

667


 
2,775

 
Change in accounting policy, leases
(865
)


865


 
 

 
Income/(charge) to the income statement
(5
)
(155
)
820

133

689


 
1,482

 
Income/(charge) to other comprehensive income


18

47

(296
)

 
(231
)
 
Income/(charge) to equity




18


 
18

 
Disposal of subsidiaries



(18
)

 
 
(18
)
 
Effect of exchange rate adjustment
(18
)
1


23

9


 
15

 
 
 
 
 
 
 
 
 
 
 
Net deferred tax asset/(liability) at 31 December
(1,591
)
(718
)
1,811

3,452

1,087


 
4,041

 
 
 
 
 
 
 
 
 
 
 
Classified as follows:
 
 
 
 
 
 
 
 
 
Deferred tax asset at 31 December
769

58

3,428

3,580

1,843

(5,557
)
 
4,121

 
Deferred tax liability at 31 December
(2,360
)
(776
)
(1,617
)
(128
)
(756
)
5,557

 
(80
)
 
 
 
 
 
 
 
 
 
 
 

 
2018
 
 
 
 
 
 
 
 
 
Net deferred tax asset/(liability) at 1 January
(868
)
(500
)
833

1,658

(28
)

 
1,095

 
Income/(charge) to the income statement
199

(67
)
177

763

(112
)
 
 
960

 
Income/(charge) to other comprehensive income


(37
)
(22
)
814

 
 
755

 
Income/(charge) to equity




(15
)
 
 
(15
)
 
Effect of exchange rate adjustment
(34
)
3


3

8

 
 
(20
)
 
 
 
 
 
 
 
 
 
 
 
Net deferred tax asset/(liability) at 31 December
(703
)
(564
)
973

2,402

667


 
2,775

 
 
 
 
 
 
 
 
 
 
 
Classified as follows:
 
 
 
 
 
 
 
 
 
Deferred tax asset at 31 December
694

52

2,490

2,403

833

(3,579
)
 
2,893

 
Deferred tax liability at 31 December
(1,397
)
(616
)
(1,517
)
(1
)
(166
)
3,579

 
(118
)
 
 
 
 
 
 
 
 
 
 
 

The total tax value of unrecognised tax loss carry-forwards amounts to DKK 144 million in 2019 (DKK 90 million in 2018).