Cash flow remains volatile due to heavy capital expenditure, which reached 11.7% of revenue in 2026Q1, alongside a significant $33.2B working capital outflow.
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 | Dec'04 | Dec'03 | Dec'02 | Dec'01 | Dec'00 | Dec'99 | Dec'98 | Dec'97 | Dec'96 |
|---|
| Cash from Operations | 118.59B | 119.1B | 120.97B | 108.91B | 78.89B | 55B | 51.95B | 46.78B | 44.62B | 41.17B | 48.31B | 38.29B | 31.69B | 25.94B | 22.21B | 21.37B | 19.68B | 15.38B | 12.9B | 10B | 7.74B | 8.7B | 7.64B | 6.18B | 4.88B | 4.31B | 5.26B | 3.63B | 3.48B | 3.03B | 1.92B |
| Operating CF Margin % | - | 38.54% | 41.66% | 46.89% | 44.58% | 39.06% | 40.92% | 38.34% | 39.9% | 36.86% | 43.22% | 35.47% | 35.69% | 31.04% | 28.47% | 32.22% | 32.38% | 30.11% | 28.24% | 23.87% | 19.98% | 25.8% | 26.15% | 23.22% | 19.39% | 18.18% | 25.28% | 22.08% | 25.46% | 17.85% | 12.89% |
| Operating CF Growth % | -54.22% | -1.54% | 11.07% | 38.06% | 43.43% | 5.87% | 11.05% | 4.85% | 8.38% | -14.79% | 26.19% | 20.81% | 22.16% | 16.78% | 3.93% | 8.61% | 27.97% | 19.24% | 29% | 29.15% | -11.01% | 13.8% | 23.72% | 26.7% | 13.13% | -18.08% | 44.96% | 4.44% | 14.64% | 57.77% | -24.04% |
| Net Income | 121.96B | 102.43B | 100.99B | 83.68B | 55.52B | 47.76B | 42.14B | 38.95B | 38.63B | 38.13B | 37.92B | 34.86B | 26.48B | 25.18B | 21.43B | 17.1B | 14.4B | 10.77B | 9.67B | 8.54B | 6.45B | 5.86B | 5.05B | 4.87B | 4.09B | 3.85B | 3.09B | 2.41B | 2.41B | 2.22B | 1.8B |
| Depreciation & Amortization | 21.69B | 21.98B | 19.11B | 9.41B | 7.36B | 6.03B | 5.75B | 5.66B | 3.92B | 3.18B | 3.19B | 2.96B | 3.44B | 2.8B | 2.69B | 0 | 2.47B | 2.55B | 2.45B | 3.01B | 2.14B | 1.93B | 1.9B | 1.63B | 1.33B | 1.08B | 1.03B | 1.43B | 1.47B | 1.14B | 1.07B |
| Stock-Based Compensation | 0 | 0 | 2.29B | 2.15B | 1.54B | 1.04B | 823M | 363M | 414M | 292M | 368M | 442M | 371M | 409M | 308M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Deferred Taxes | 33.72B | 28.11B | 26.2B | 20.99B | 13.54B | 11.32B | 10.99B | 9.6B | 8.99B | 10.55B | 9.87B | 8.62B | 7.62B | 7.36B | 6.38B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -143.1M | 0 |
| Other Non-Cash Items | -45.71B | -37.16B | -30.21B | 4.92B | 6.46B | -2.49B | -3.4B | -4.41B | -3.97B | -7.35B | 663M | -6.44B | -4.06B | -9.54B | -8.87B | 3.84B | 2.56B | 2.28B | 1.34B | -521.63M | 175.17M | 1.3B | 581.71M | 951.94M | 169.86M | 835.4M | 224.59M | -36.97M | -165.59M | 51.35M | -145.35M |
| Working Capital Changes | -13.07B | 3.74B | 2.59B | -12.24B | -5.54B | -8.66B | -4.35B | -3.39B | -3.37B | -3.63B | -3.71B | -2.16B | -2.15B | -265M | 274M | 434M | 254M | -224M | -561.67M | -1.03B | -1.03B | -390.85M | 109.76M | -1.27B | -714.85M | -1.45B | 914.42M | -170.04M | -236.29M | -237.59M | -802.98M |
| Change in Receivables | 0 | 0 | -14.31B | -14.21B | -10.82B | -12.91B | -2.82B | -2.13B | -2.62B | 69M | -4.75B | -2.44B | -2.13B | -1.27B | -290M | -849M | -1.88B | -740M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Change in Inventory | 0 | 0 | -9.04B | -7.42B | -4.77B | -1.08B | -895M | -1.3B | -963M | -1.03B | -1.58B | -1.4B | -1.8B | -9M | -110M | 256M | 327M | -405M | -652.6M | -618.79M | -683.72M | -617.79M | -625.61M | -573.53M | -1.13B | -843.76M | -377M | -192.22M | -154.77M | -115.71M | -229.34M |
| Change in Payables | 0 | 0 | 3.24B | 10.02B | 6.72B | 3.15B | -641M | -398M | 1.15B | -401M | 1.08B | -23M | 858M | 233M | 568M | 385M | 1.8B | 921M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Cash from Investing | -84.2B | -79.16B | -128.9B | -43.89B | -24.92B | -31.61B | -22.44B | -11.51B | -12.08B | -6.57B | -6.79B | -6.1B | -2.06B | -2.77B | -4.07B | -3.46B | -5.58B | -3.05B | -1.39B | -1.52B | -2.52B | -4.9B | -2.01B | -2.32B | -4.38B | -4.13B | -2.54B | -1.86B | -2.14B | -3.3B | -1.99B |
| Capital Expenditures | -58.03B | -60.14B | -47.16B | -25.81B | -12.15B | -7.38B | -22.08B | -11.23B | -12.41B | -8.65B | -8.27B | -6.41B | -4.33B | -3.64B | -3.62B | -3.33B | -3.9B | -3.06B | -2.04B | -2.43B | -3.32B | -3.9B | -3.16B | -2.51B | -3.95B | -3.93B | -2.37B | -1.93B | -2.14B | -2.61B | -2.05B |
| CapEx % of Revenue | 17.7% | 19.46% | 16.24% | 11.11% | 6.86% | 5.24% | 17.39% | 9.2% | 11.1% | 7.74% | 7.4% | 5.94% | 4.88% | 4.36% | 4.64% | 5.02% | 6.41% | 6% | 4.47% | 5.8% | 8.56% | 11.56% | 10.81% | 9.44% | 15.7% | 16.59% | 11.37% | 11.74% | 15.67% | 15.37% | 13.74% |
| Acquisitions | 1.05B | 1B | -82.16B | 0 | -7.08B | -18.28B | -392M | -100M | 368M | 1.02B | 1.2B | 2.3B | 0 | 0 | 0 | 0 | 1.16B | 0 | 0 | -61.37M | 0 | -346.72M | 0 | 11.83M | -445.89M | 100.25M | 0 | 0 | 0 | 0 | 0 |
| Investments | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Other Investing | -29.27B | -29.97B | -4.14B | -13.09B | -2.61B | 4M | -16.23B | 24M | 32M | -987M | -1.17B | 15M | 39M | 31M | 53M | -127M | 529M | 19M | 192.57M | 1.47B | 282.53M | 132.38M | -170.12M | 183.29M | 14.16M | -8.35M | -176.47M | 66.54M | -3.18M | -685.39M | 55.99M |
| Cash from Financing | -51.29B | -28.41B | 8.73B | -63.16B | -51.8B | -25.49B | -32.24B | -35.48B | -34.52B | -35.69B | -38.89B | -30.1B | -26.53B | -23.64B | -20.14B | -16.8B | -13.22B | -10.04B | -7.39B | -6.84B | -4.76B | -4.43B | -3.47B | -2.4B | -1.52B | -944M | -2.15B | -192.22M | -2.27B | 447.11M | -1.24B |
| Debt Issued (Net) | 24.16B | 24.74B | 73.06B | -1.47B | -2.41B | 15.47B | 4.73B | -741M | 94M | 0 | 0 | 0 | 0 | 0 | -502M | -507M | 0 | 0 | -155.13M | -20.46M | -22.6M | -29M | -65.85M | 455.28M | -21.23M | -41.77M | 8.02M | 2.25B | 636.9M | 726.47M | -693.37M |
| Equity Issued (Net) | -2.4B | -1.39B | -20.18B | -29.92B | -24.09B | -19.45B | -16.86B | -15.33B | -15.57B | -16.84B | -15.06B | -17.2B | -14.67B | -13.92B | -11.9B | -10.6B | -8.82B | -6.39B | -4.43B | -4.6B | -2.79B | -2.81B | -1.9B | -1.61B | -339.73M | 8.35M | -2.28B | -1.44B | -1.94B | 0 | 0 |
| Dividends Paid | -51.8B | -51.76B | -44.14B | -31.77B | -25.3B | -21.52B | -20.12B | -19.41B | -19.05B | -18.84B | -23.83B | -12.9B | -11.87B | -9.71B | -7.74B | -5.7B | -4.4B | 0 | -2.8B | -2.22B | -1.94B | -1.59B | -1.5B | -1.25B | -1.16B | -910.59M | -689.82M | -561.87M | -428M | -279.36M | -186.45M |
| Share Repurchases | -2.4B | -1.39B | -20.18B | -29.92B | -24.09B | -19.45B | -16.86B | -15.33B | -15.57B | -16.84B | -15.06B | -17.2B | -14.67B | -13.92B | -11.9B | -10.6B | -9.5B | -6.51B | -4.73B | -4.84B | -3B | -3.01B | -2B | -1.63B | -382.2M | -25.06M | -2.47B | -1.45B | -1.97B | 0 | 0 |
| Other Financing | -21.25B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5.35M | 14.65M | -1.59M | -8.82M | -14.76M | 0 | 0 | 0 | 810.14M | -436.19M | 1.27M | 0 | -361.58M |
| Net Change in Cash | -17.81B | 10.81B | 1.26B | 1.74B | 1.93B | -1.51B | -3.19B | -218M | -1.53B | -1.3B | 2.61B | 2.17B | 3.16B | -540M | -2B | 1.1B | 926M | 2.31B | 4.12B | 1.64B | 502.9M | -479.1M | 2.14B | 1.44B | -1.05B | -785.28M | 577.53M | 1.57B | -938.16M | 208.83M | -1.44B |
| Free Cash Flow | 31.03B | 28.99B | 69.66B | 70.01B | 64.13B | 47.62B | 29.87B | 35.55B | 32.21B | 32.52B | 40.05B | 31.88B | 27.36B | 22.3B | 18.59B | 18.04B | 15.78B | 12.31B | 10.85B | 7.57B | 4.42B | 4.8B | 4.48B | 3.67B | 927.18M | 375.93M | 2.9B | 1.7B | 1.34B | 421.78M | -126.28M |
| FCF Margin % | 9.47% | 9.38% | 23.99% | 30.14% | 36.24% | 33.82% | 23.53% | 29.14% | 28.8% | 29.11% | 35.83% | 29.54% | 30.81% | 26.68% | 23.83% | 27.19% | 25.97% | 24.11% | 23.77% | 18.07% | 11.42% | 14.25% | 15.34% | 13.77% | 3.69% | 1.59% | 13.91% | 10.34% | 9.79% | 2.48% | -0.85% |
| FCF Growth % | -58.27% | -58.38% | -0.5% | 9.17% | 34.69% | 59.41% | -15.98% | 10.39% | -0.97% | -18.8% | 25.61% | 16.54% | 22.69% | 19.93% | 3.05% | 14.32% | 28.17% | 13.45% | 43.4% | 71.07% | -7.89% | 7.14% | 22.3% | 295.38% | 146.64% | -87.02% | 70.29% | 27.19% | 216.96% | 433.99% | -112.23% |
| FCF per Share | 6.97 | 6.52 | 15.61 | 15.58 | 14.11 | 10.34 | 6.38 | 7.47 | 6.64 | 6.56 | 7.90 | 6.18 | 5.20 | 4.14 | 3.37 | 3.16 | 2.70 | 2.04 | 1.74 | 1.19 | 0.68 | 0.73 | 0.66 | 0.53 | 0.13 | 0.05 | 0.42 | 0.24 | 0.18 | 0.06 | -0.02 |
| FCF Conversion (FCF/Net Income) | 0.25x | 1.16x | 1.20x | 1.30x | 1.42x | 1.15x | 1.23x | 1.20x | 1.16x | 1.08x | 1.27x | 1.10x | 1.20x | 1.03x | 1.04x | 1.25x | 1.37x | 1.43x | 1.33x | 1.17x | 1.20x | 1.49x | 1.51x | 1.27x | 1.19x | 1.12x | 1.70x | 1.50x | 1.44x | 1.37x | 1.07x |
| Interest Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Taxes Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Manufacturing capacity and regulatory
Based on reported financial statements, NVO's operating cash flow to net income ratio has exhibited significant volatility, ranging from a low of 0.28 in 2025Q4 to a high of 2.52 in 2024Q2, suggesting that accounting earnings frequently diverge from realized cash generation on a quarterly basis.
The inconsistent relationship between net income and operating cash flow implies that accrual-based accounting measures may not fully capture the timing of cash inflows from the company's high-growth metabolic portfolio. Investors should monitor whether this divergence is a structural byproduct of complex rebate accounting or merely a reflection of lumpy working capital cycles.
As indicated by the company's quarterly filings, free cash flow margins have fluctuated wildly between -45.8% and 54.8% over the last ten quarters, reflecting the massive capital intensity required to scale production capacity for the company's flagship GLP-1 products in a highly competitive global market.
The negative free cash flow observed in several periods suggests that the company is prioritizing long-term infrastructure expansion over immediate cash preservation. This aggressive reinvestment strategy appears necessary to maintain market share, though it introduces significant sensitivity to any potential delays in manufacturing facility commissioning.
According to recent SEC filings, NVO's capital expenditure as a percentage of revenue has remained elevated, peaking at 23.3% in 2025Q4, which underscores the substantial financial commitment required to build out the proprietary fill-finish infrastructure necessary to meet global demand for semaglutide-based therapies.
This high level of capital intensity suggests that the company is in a heavy investment phase, likely aimed at securing a durable competitive moat through vertical integration. While this spending is essential for growth, it may continue to suppress free cash flow margins until these new facilities reach full operational capacity.
Based on the provided cash flow data, working capital changes have been highly erratic, with a significant outflow of $33.2B in 2026Q1, indicating that the company's cash conversion cycle is currently being impacted by substantial inventory build-ups or shifts in accounts receivable management.
The sharp swings in working capital suggest that the company is managing significant supply chain pressures, potentially stocking up on raw materials to avoid production bottlenecks. Analysts should investigate whether these outflows represent a strategic buffer against supply volatility or an accumulation of unsold inventory in the distribution channel.
As reported in financial statements, NVO has maintained a consistent pattern of returning capital to shareholders through dividends and buybacks, even while simultaneously funding massive capital expenditures, which highlights the company's strong underlying cash-generating capability despite the volatility in its quarterly free cash flow metrics.
The ability to sustain dividend payments while aggressively investing in manufacturing assets suggests a management team that is confident in the long-term durability of its metabolic franchise. However, the recent acquisition of Catalent assets warrants close monitoring, as it represents a shift toward more complex, capital-intensive integration efforts.
Quick answers to the most common questions about buying NVO stock.
Novo Nordisk A/S (NVO) generated $119.10B in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.
Novo Nordisk A/S (NVO) generated $28.99B in free cash flow in 2025. Free cash flow is the cash left over after capital expenditures, which can be used to pay dividends, repurchase shares, or pay down debt.
Novo Nordisk A/S (NVO) spent $60.14B on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.
In 2025, Novo Nordisk A/S (NVO) returned $51.76B to shareholders via cash dividends and spent $1.39B on share repurchases. This shows the company's commitment to returning capital to its equity investors.