Nephrocare faces ₹14.79 crore tax demand in Uzbekistan over audit discrepancy
- Nephrocare Health Services Central Asia LLC received a tax audit order from Uzbekistan authorities
- Net additional tax assessment is ₹11.50 crore with a penalty of ₹3.29 crore
- Total aggregate exposure stands at approximately ₹14.79 crore excluding interest
- Dispute arises from revenue data discrepancies affecting tax exemption eligibility
- Company expects no material impact and is evaluating legal remedies including appeal

*this image is generated using AI for illustrative purposes only.
Nephrocare Health Services disclosed that its wholly-owned overseas subsidiary, Nephrocare Health Services Central Asia LLC, received a tax audit order from the Tashkent City Tax Department on August 31, 2026. The order imposes a net additional tax assessment and penalty aggregating to approximately ₹14.79 crore.
The tax authority issued Decision No. 721.1 dated August 24, 2026, following an audit of the period from January 1, 2023 to December 31, 2025. The company stated the demand arose primarily from a discrepancy in revenue data used to determine eligibility for a corporate income tax exemption.
Breakdown of Tax Demand
The Tashkent City Tax Department initially assessed additional taxes of UZS 20,371,068,018 (approximately ₹16.50 crore). After allowing reductions of UZS 6,167,012,658 (approximately ₹4.99 crore), the net additional tax assessment stands at UZS 14,204,055,360 (approximately ₹11.50 crore).
| Component | Amount in UZS | Approximate Value in INR |
|---|---|---|
| Net additional tax assessment | 14,204,055,360 | ₹11.50 crore |
| Financial penalty | 4,064,086,532 | ₹3.29 crore |
| Aggregate exposure | 18,268,141,892 | ₹14.79 crore |
The financial penalty was imposed under Article 224 of the applicable tax law. The aggregate figure excludes applicable late-payment interest under Article 110.
Basis of Dispute
Under Uzbekistan’s tax framework, income from dialysis and related medical services is exempt from corporate income tax if such income constitutes more than 90% of total revenue. NCA operates exclusively in dialysis services, with the Ministry of Health as the primary payor.
The company noted that its audited revenue records show dialysis revenue exceeded the prescribed threshold. However, the revenue figures considered by the Tax Department appear to differ from the payment data provided by the Ministry of Health and NCA’s audited records. The company attributes the assessment to this data-reconciliation discrepancy rather than a failure to meet exemption criteria.
What the Numbers Show
The financial exposure of approximately ₹14.79 crore represents a specific, isolated regulatory risk in a foreign jurisdiction. The company’s preliminary assessment indicates that the core business model—exclusive provision of dialysis services—remains compliant with local tax exemption rules, suggesting the liability stems from administrative data alignment rather than operational non-compliance.
Next Steps
NCA is taking steps to reconcile the underlying revenue data with the tax department. The company is also evaluating legal remedies, including the right to appeal the order. No appeal or legal proceedings have been initiated as of the disclosure date.
The company opined that the order should be set aside or quashed and does not expect a material adverse impact on its financial position, operations, or business. The amounts assessed become effective one month after the order is presented to the taxpayer.
Historical Stock Returns for Nephrocare Health Services
| 1 Day | 5 Days | 1 Month | 6 Months | 1 Year | 5 Years |
|---|---|---|---|---|---|
| -1.36% | -1.61% | -0.99% | +15.01% | 0.0% | 0.0% |
What is the historical success rate of Nephrocare Health Services in appealing tax assessments in Uzbekistan, and how might this precedent influence the current case?
Could this data reconciliation dispute signal broader systemic issues with tax administration in Central Asia that might affect other Indian healthcare exporters?
If the appeal fails, what is the projected impact on Nephrocare's quarterly earnings per share and cash flow given the ₹14.79 crore aggregate exposure?


































