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NVONovo Nordisk A/S
$48.02$213.4B
Overview & Verdict
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HomeStocksNVOCash Flow

Novo Nordisk A/S (NVO) Cash Flow Statement

30Y historyFree accessUpdated daily

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.

NVO Cash Flow Statement

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly
MetricTTMDec'25Dec'24Dec'23Dec'22Dec'21Dec'20Dec'19Dec'18Dec'17Dec'16Dec'15Dec'14Dec'13Dec'12Dec'11Dec'10Dec'09Dec'08Dec'07Dec'06Dec'05Dec'04Dec'03Dec'02Dec'01Dec'00Dec'99Dec'98Dec'97Dec'96
Cash from Operations118.59B119.1B120.97B108.91B78.89B55B51.95B46.78B44.62B41.17B48.31B38.29B31.69B25.94B22.21B21.37B19.68B15.38B12.9B10B7.74B8.7B7.64B6.18B4.88B4.31B5.26B3.63B3.48B3.03B1.92B
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 Income121.96B102.43B100.99B83.68B55.52B47.76B42.14B38.95B38.63B38.13B37.92B34.86B26.48B25.18B21.43B17.1B14.4B10.77B9.67B8.54B6.45B5.86B5.05B4.87B4.09B3.85B3.09B2.41B2.41B2.22B1.8B
Depreciation & Amortization21.69B21.98B19.11B9.41B7.36B6.03B5.75B5.66B3.92B3.18B3.19B2.96B3.44B2.8B2.69B02.47B2.55B2.45B3.01B2.14B1.93B1.9B1.63B1.33B1.08B1.03B1.43B1.47B1.14B1.07B
Stock-Based Compensation002.29B2.15B1.54B1.04B823M363M414M292M368M442M371M409M308M0000000000000000
Deferred Taxes33.72B28.11B26.2B20.99B13.54B11.32B10.99B9.6B8.99B10.55B9.87B8.62B7.62B7.36B6.38B00000000000000-143.1M0
Other Non-Cash Items-45.71B-37.16B-30.21B4.92B6.46B-2.49B-3.4B-4.41B-3.97B-7.35B663M-6.44B-4.06B-9.54B-8.87B3.84B2.56B2.28B1.34B-521.63M175.17M1.3B581.71M951.94M169.86M835.4M224.59M-36.97M-165.59M51.35M-145.35M
Working Capital Changes-13.07B3.74B2.59B-12.24B-5.54B-8.66B-4.35B-3.39B-3.37B-3.63B-3.71B-2.16B-2.15B-265M274M434M254M-224M-561.67M-1.03B-1.03B-390.85M109.76M-1.27B-714.85M-1.45B914.42M-170.04M-236.29M-237.59M-802.98M
Change in Receivables00-14.31B-14.21B-10.82B-12.91B-2.82B-2.13B-2.62B69M-4.75B-2.44B-2.13B-1.27B-290M-849M-1.88B-740M0000000000000
Change in Inventory00-9.04B-7.42B-4.77B-1.08B-895M-1.3B-963M-1.03B-1.58B-1.4B-1.8B-9M-110M256M327M-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 Payables003.24B10.02B6.72B3.15B-641M-398M1.15B-401M1.08B-23M858M233M568M385M1.8B921M0000000000000
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 Revenue17.7%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%
Acquisitions1.05B1B-82.16B0-7.08B-18.28B-392M-100M368M1.02B1.2B2.3B00001.16B00-61.37M0-346.72M011.83M-445.89M100.25M00000
Investments-------------------------------
Other Investing-29.27B-29.97B-4.14B-13.09B-2.61B4M-16.23B24M32M-987M-1.17B15M39M31M53M-127M529M19M192.57M1.47B282.53M132.38M-170.12M183.29M14.16M-8.35M-176.47M66.54M-3.18M-685.39M55.99M
Cash from Financing-51.29B-28.41B8.73B-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-2.27B447.11M-1.24B
Debt Issued (Net)24.16B24.74B73.06B-1.47B-2.41B15.47B4.73B-741M94M00000-502M-507M00-155.13M-20.46M-22.6M-29M-65.85M455.28M-21.23M-41.77M8.02M2.25B636.9M726.47M-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-339.73M8.35M-2.28B-1.44B-1.94B00
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-4.4B0-2.8B-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-1.97B00
Other Financing-21.25B000000000000000005.35M14.65M-1.59M-8.82M-14.76M000810.14M-436.19M1.27M0-361.58M
Net Change in Cash-17.81B10.81B1.26B1.74B1.93B-1.51B-3.19B-218M-1.53B-1.3B2.61B2.17B3.16B-540M-2B1.1B926M2.31B4.12B1.64B502.9M-479.1M2.14B1.44B-1.05B-785.28M577.53M1.57B-938.16M208.83M-1.44B
Free Cash Flow31.03B28.99B69.66B70.01B64.13B47.62B29.87B35.55B32.21B32.52B40.05B31.88B27.36B22.3B18.59B18.04B15.78B12.31B10.85B7.57B4.42B4.8B4.48B3.67B927.18M375.93M2.9B1.7B1.34B421.78M-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 Share6.976.5215.6115.5814.1110.346.387.476.646.567.906.185.204.143.373.162.702.041.741.190.680.730.660.530.130.050.420.240.180.06-0.02
FCF Conversion (FCF/Net Income)0.25x1.16x1.20x1.30x1.42x1.15x1.23x1.20x1.16x1.08x1.27x1.10x1.20x1.03x1.04x1.25x1.37x1.43x1.33x1.17x1.20x1.49x1.51x1.27x1.19x1.12x1.70x1.50x1.44x1.37x1.07x
Interest Paid0000000000000000000000000000000
Taxes Paid0000000000000000000000000000000

Key Metrics

Growth RegimeAccelerating
ProfitabilityStrong
Balance SheetFortress
Cash FlowMixed
Top Statement Risk

Manufacturing capacity and regulatory

Earnings Quality and Cash Conversion

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.

Free Cash Flow Volatility Trends

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.

Capital Intensity and Infrastructure Scaling

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.

Working Capital and Inventory Dynamics

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.

Capital Allocation and Shareholder Returns

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.

NVO — Frequently Asked Questions

Quick answers to the most common questions about buying NVO stock.

How much cash does Novo Nordisk A/S (NVO) generate from operations?

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.

What is Novo Nordisk A/S's free cash flow?

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.

What is Novo Nordisk A/S's capital expenditure (CapEx)?

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.

How does Novo Nordisk A/S distribute cash to shareholders?

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.