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FBR moves against private-practice doctors over tax non-filing, discrepancies | The Express Tribune

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FBR moves against private-practice doctors over tax non-filing, discrepancies  | The Express Tribune


As per data, 31,524 doctors declared zero income but collectively filed tax refund claims amounting to Rs1.3b

A policeman walks past the Federal Board of Revenue (FBR) office building in Islamabad on August 29, 2018. Photo: REUTERS

The Federal Board of Revenue has decided to tighten the noose around private-practice doctors, clinics and private hospitals allegedly involved in tax evasion amounting to billions of rupees.

The decision has been taken in light of the latest statistics obtained during FBR’s data analysis, which revealed large-scale alleged tax evasion by doctors across the country. Despite having taxable income, more than 73,000 registered doctors were found to have not filed income tax returns.

According to FBR officials, the latest data shows that there are 130,243 registered doctors nationwide. However, during the current year, only 56,287 registered doctors filed income tax returns, while over 73,000 medical professionals did not submit any returns at all—despite being engaged in one of the country’s highest-earning professions.

The findings highlight stark discrepancies between the visible scale of private medical practices and the income declared to the FBR. The data shows that in 2025, as many as 31,870 doctors declared zero income from private practice, while 307 doctors reported losses, even though their clinics in major cities remain consistently crowded with patients. Only 24,137 doctors declared business income.

Even among those doctors who do file tax returns, the tax paid is disproportionately low compared to their potential earnings. Some 17,442 doctors earning more than Rs1 million annually paid an average of only Rs1,894 per day in tax.
Meanwhile, 10,922 doctors with annual incomes between Rs1 million and Rs5 million paid just Rs1,094 per day. Around 3,312 doctors earning between Rs5 million and Rs10 million annually paid an average daily tax of Rs1,594.

In contrast, many doctors reportedly charge fees ranging from Rs2,000 to Rs10,000 per patient, yet fail to declare even the equivalent of a single patient’s daily fee as tax. The highest-earning group—3,327 doctors with annual incomes exceeding Rs10 million—paid only about Rs5,500 per day in tax.

Additionally, 38,761 doctors declared incomes of less than Rs1 million and paid an average daily tax of only Rs791. Alarmingly, 31,524 doctors who declared zero income collectively filed tax refund claims amounting to Rs1.3 billion.

The figures sharply contradict ground realities, where private clinics across the country are packed with patients every evening and consultation fees remain significantly high.

In comparison, a Grade-17 or Grade-18 government officer pays far more tax on a monthly basis than many doctors pay over an entire quarter, despite government employees having little to no opportunity to conceal income.

The situation raises a fundamental question: can the country rely on taxes from sectors whose incomes cannot be concealed, while high-income professions either underreport or completely hide their earnings?

The growing compliance gap underscores the urgent need for effective enforcement measures to restore fairness in the tax system. Compliance among high-income professions, the FBR believes, is no longer optional but has become essential for national economic stability.



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West Asia war takes toll on highway builders as prices start to bite – The Times of India

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West Asia war takes toll on highway builders as prices start to bite – The Times of India


NEW DELHI: Senior executives of some of the highway construction companies told TOI that the increase has started impacting the road construction cost as bitumen and fuel expenses are around 30% of the project cost. “Since the commercial diesel price is revised from time to time, we are worried whether there will be another round of hike in the next fortnight since there is no sign of any end to the Iran-Israel-US war,” said one of the executives.He added that the discount offered prior to the war has been nullified on bitumen which was in the range of Rs 2,000 to Rs 5,000 per tonne.Recently, the National Highway Builders Federation (NHBF) had flagged the issues at a meeting with NHAI. “Sharp escalation in fuel costs is impacting operation of plants at sites…We have no option but to seek govt intervention as the overall cost escalation due to these factors is beyond the normal contractual provisions,” said a representative of NHBF.



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Nissan’s new hybrid is a U.S.-first that mixes EV driving with a gas engine

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Nissan’s new hybrid is a U.S.-first that mixes EV driving with a gas engine


Nissan’s logo is illuminated on a prototype of its new all-electric Ariya crossover. Nissan’s Z Proto performance car is reflected in the vehicle’s grille, while a redesigned Nissan Pathfinder SUV sits in the background.

Michael Wayland / CNBC

Nissan Motor plans to introduce a new type of hybrid to the U.S. market that drives like an all-electric vehicle but is powered — not driven — by a traditional gas-powered engine. 

The new Nissan “e-Power” is called a series hybrid. It uses the engine as a generator to power the vehicle’s electric motors that then propel the vehicle. It operates like emerging extended-range electric vehicles, or EREVs, but has a smaller battery and doesn’t require a plug. 

It’s also different from a traditional hybrid, such as the Toyota Prius, because the gas engine in those vehicles is used to propel the vehicle. The series hybrid’s engine just keeps the battery charged to power the electric motors in the vehicles.

The e-Power hybrid system for Nissan is planned to launch domestically later this year in a new version of its popular Rogue compact SUV. 

Timing for such a vehicle could be ideal for Nissan with climbing gas prices, slower-than-planned adoption of EVs and an expected surge in hybrid sales amid new entries, according to officials.

After losing billions of dollars on EVs, automakers such as Nissan are turning to hybrid vehicles to meet customer expectations for fuel economy and to help with driving performance.

S&P Global Mobility expects hybrids in the U.S. this year to increase to 18.4% of new vehicle sales, up from 12.6% last year and 7.3% in 2023. It’s forecasting pure EVs, meanwhile, will be 7.1% of new vehicle sales, down from 8% last year.

“This is a unique powertrain for the for the U.S.,” Kurt Rosolowsky, Nissan North America vehicle evaluation and test engineer, said during a media briefing. “This is an electrically driven vehicle, as far as what is powering the wheels, but it doesn’t have a plug, and you fill it up with gas like you do with a normal car.”

Series hybrids

Nissan and other automakers have used series hybrids elsewhere, particularly in Asia, but companies have been reluctant to bring the vehicles to the U.S. because of consumer expectations for driving dynamics and power. 

To address those concerns, Nissan said it has developed a more powerful 1.5-liter, three-cylinder turbocharged engine specifically for the e-Power system, in addition to new packaging and other upgrades, to appease American buyers.

“The turbo is only there to serve efficiency at higher speeds for the gas engine to deliver energy,” Rosolowsky said.

The e-Power for the U.S. market is Nissan’s third generation of the series hybrid since it debuted in Japan in 2016. Since then, Nissan said it has sold more than 1.6 million vehicles globally with e-Power in nearly 70 countries.

“I think it’s going to be a really good system. I think it’s going to be very popular for Nissan in the new Rogue when it arrives later this year,” said Sam Abuelsamid, vice president of market research at communications and consulting firm Telemetry.

Abuelsamid said the only real drawback to the series hybrid is that it’s less efficient at higher speeds, which Nissan is trying to overcome with the new engine as well as battery size.

Driving e-Power

Driving a European version of the Nissan Rogue Sport sold with the ePower system around suburban Detroit, the vehicle’s driving dynamics — specifically fast acceleration and regenerative braking — are formidable.

They come with the familiar sound of an engine revving but without the shifting or sputtering of transmission gears and far less noise, vibration and harshness, or NVH, as the industry commonly refers to it. 

“The driving experience really is what makes it different with those fewer components. You have less noise and less vibration,” Rosolowsky said.

Nissan e-Power logo

Courtesy Nissan

Unlike traditional gas-powered vehicles, the e-Power system also does not require a traditional transmission to shift gears or a driveshaft that transfers torque from the transmission to the differential, powering the wheels.

While the Rogue Sport is a smaller vehicle and only forward-wheel-drive, it’s easy to see how the system will translate to a larger vehicle with all-wheel-drive, which the new Rogue with e-Power will be. 

The lack of a plug, some engine noise and slight vibration also might be more familiar for drivers who have been reluctant to adopt all-electric vehicles. 

While Nissan is not releasing specifics such as pricing or fuel economy for the upcoming Rogue with e-Power, the Rogue Sport was achieving more than 40 miles per gallon during heavy city driving, according to the vehicle’s MPG system.

The current Nissan Rogue, depending on the model, can achieve more than 30 MPG, according to U.S. Department of Energy and the U.S. Environmental Protection Agency.

Nissan’s vehicles historically been less fuel efficient than those from its larger Japanese rivals. Honda Motor and Toyota Motor, the latter of which pioneered traditional hybrids with the Prius and continues to dominate the sector in the U.S.

Nissan declined to discuss the possibility of expanding the e-Power system to other vehicles in the U.S., but confirmed the new system is modular and capable of working with many different engines.

“If we were to expand this to other vehicles, you can theoretically bolt this onto another gasoline engine of a different size and have more options for an e-Power system,” Rosolowsky said.

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GLP-1 drugs are changing how Americans eat. Food companies are racing to catch up

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GLP-1 drugs are changing how Americans eat. Food companies are racing to catch up


A mini burger, mini fries and mini beer, Clinton Hall’s “Teeny Weeny Mini Meal”, is pictured next to a regular-sized combo on Dec. 8, 2025 in New York City. Approximately one in eight American adults are currently taking drugs from the class of GLP-1 agonists that are now popular for weight loss, according to a November poll by the non-profit health policy tracker KFF. Some in the restaurant industry are taking note.

Angela Weiss | AFP | Getty Images

The cost of GLP-1 drugs is falling, and pill versions are hitting the U.S. market. For restaurant chains and snacking giants, higher adoption of weight loss and diabetes treatments poses a threat to their sales — or an opportunity.

GLP-1 drugs slow digestion, suppress users’ appetites and increase satiety. For many restaurants and packaged food manufacturers, those reactions will likely mean weaker sales. Adults who use GLP-1s consume 21% fewer calories and spend nearly a third less on grocery bills on average, according to KPMG. JPMorgan estimates the growing use of the medications could wipe out $30 billion to $55 billion in annual sales for the food and beverage industry as soon as 2030.

About one in every eight U.S. adults is currently taking a GLP-1 drug like Ozempic or Zepbound, according to the KFF Health Tracking Poll conducted from Oct. 27 to Nov. 2. That number doesn’t include consumers who have discontinued their use of the drugs; 18% of respondents said that they have taken a GLP-1 medication at some point.

Those numbers are expected to keep climbing, especially after Novo Nordisk launched its Wegovy pill in January and Eli Lilly prepares to roll out its own oral drug this year. By 2030, more than 30 million Americans could be on a GLP-1 treatment, up from 10 million in 2026, based on J.P. Morgan estimates.

Michael Siluk | UCG | Universal Images Group | Getty Images

But the shift also presents an opportunity for restaurants and food and beverage companies.

With new protein- and fiber-rich options, many businesses are hoping to win over GLP-1 consumers and mollify investors’ concerns about how the treatments will affect their bottom lines.

“Whether it is labeling as GLP-1 friendly, decreasing the serving size, emphasizing protein content, or even when you shift over to the beverage world, because hydration is certainly a concern, there are a number of players that are starting to react to this,” said Don K. Johnson, principal of strategy and execution for EY-Parthenon.

Skipping snacks and breakfast

About half of GLP-1 users report consuming fewer calories while taking the medications, according to UBS Evidence Lab. But the effects aren’t even across the industry, and “certain categories are more impacted than others,” Johnson said.

Snacking, once one of the fastest-growing grocery segments, has taken the biggest hit. About 70% of GLP-1 users who report consuming fewer calories said that they are snacking less, according to a survey conducted by EY-Parthenon last spring.

“I think it is about the specific type of snack, but I do think they’re also snacking less … Having said that, we do see that there is a shift to healthier foods, and that certainly will include healthier snacking,” Johnson said.

Think more yogurt, nuts or fruit, and fewer chips or pretzels.

Since GLP-1 drugs lead patients to lower their caloric intake, every calorie consumed means more. Protein intake is more important to prevent muscle loss. So, too, is fiber to support gut health and digestion. And staying hydrated helps mitigate some of the drugs’ side effects, like nausea and headaches.

The effects of eating less extend to restaurants. About 60% of those respondents to the EY-Parthenon survey said that they are dining out less frequently.

The shift could also hit full-service restaurants where diners order a drink with their meals. Roughly 45% of survey respondents who are eating and drinking less said that they are drinking less alcohol.

Surveys conducted by Bernstein indicate that the frequency of restaurant visits among GLP-1 users can fall by as much as 45%, depending on the category of food and the nature of the occasion, analyst Danilo Gargiulo of Bernstein wrote in a research note published on Tuesday.

The pullback in restaurant visits isn’t spread evenly across times of day, according to Dana Baggett, executive director of restaurant client strategy at RRD, which works with more than 200 restaurant brands.

Lunch, so far, hasn’t been impacted, she said. But breakfast has taken a hit, particularly from high-income GLP-1 users, who represent a bigger percentage of current patients, she said. In practice, that means fewer sugary coffee drinks and doughnuts, although options like Starbucks‘ protein cold foam could encourage those consumers to return.

A commercial for GLP-1 drugs during the Super Bowl LX broadcast on television screens at a bar in Los Angeles, California, US, on Sunday, Feb. 8, 2026.

Jill Connelly | Bloomberg | Getty Images

Dinner, especially at fast-food restaurants, has taken the brunt of the damage so far.

Dinner traffic has fallen 6% among consumers who have been taking the medication regularly, according to Baggett; in other words, overall restaurant sales during dinner hours have declined about 0.4% due to GLP-1 use, she said. But as the number of consumers who use the drug consistently grows, so too will the pressure on restaurant traffic.

And snacking isn’t confined to grocery store aisles. For limited-service restaurants, like McDonald’s or Taco Bell, snacking accounts for 12% of spending, according to Bank of America Global Research.

Even so, threats to those large restaurants chains may only be gradual, which gives them time to adapt.

“I think there shouldn’t be this panic out there in the marketplace, but this is a trend that’s not going away,” Baggett said. “This is an amazing opportunity for brands to start repositioning themselves and focusing on what consumers want: less sugar, higher protein and that focus on fiber.”

How Big Food is evolving

If recent earnings conference calls are any example, restaurant and food executives also think that it isn’t time to panic just yet. For some companies, the trend offers a chance to reach new customers through healthier options.

“I think there are more opportunities than threats, but there are both,” PepsiCo CEO Ramon Laguarta told Wall Street analysts on the company’s earnings conference call in early February.

In recent months, Pepsi has released protein-packed Doritos, relaunched Gatorade and unveiled fiber-rich varieties of SunChips and Smartfood popcorn. Those moves are part of the company’s broader strategy to modernize its portfolio and boost sales by appealing to health-conscious consumers, but they also align with Laguarta’s assumption that GLP-1 medications will be adopted more broadly.

Domino’s Pizza CEO Russell Weiner sounded unshaken when he told analysts last month that the pizza chain hasn’t seen GLP-1 drugs affect its sales yet.

“Dinner, for us, is a sharing occasion, so perhaps that’s why we’re not seeing any impact, but we’re going to continue to watch it,” he said. “But if there needs to be menu innovation around that, we will do that.”

RRD’s Baggett told CNBC that she thinks portions and snack sizing will be key for restaurants to attract consumers who are on GLP-1 treatments.

When asked about the drugs on McDonald’s earnings conference call last month, CEO Chris Kempczinski touted the burger chain’s existing protein options. But he added that the preferences of GLP-1 users are also being considered as the chain creates new menu items.

“We’re also seeing changes around maybe less snacking, changes in some of the beverages that they drink, less sugary drinks, and so all of those things are factoring into some of what we’re out there experimenting with and testing with,” he said.

Other restaurant chains have already launched options that appeal to diners on GLP-1 drugs, even if the medications weren’t the key impetus. For example, Chipotle launched grab-and-go protein cups in December, aiming to cash in on the protein and snacking crazes as its restaurant sales struggled.

And Olive Garden, owned by Darden Restaurants, released a Lighter Portions menu last year, downsizing a handful of its classic entrees at a lower price. Darden CEO Rick Cardenas said that the chain introduced the new menu to give all of its customers more options.

“It just so happens to benefit the consumers that might want smaller portions that are on GLP-1 medications, and we have a lot of options like that in all of our menus,” Cardenas said on the company’s earnings conference call in December.

Marketing to GLP-1 users

Other companies have explicitly appealed to GLP-1 users, particularly when it comes to innovation.

In 2024, Nestle led the pack when it launched Virtual Pursuit, a frozen-food brand targeting GLP-1 users. While the packaging initially didn’t call out that it was “GLP-1 friendly,” the food company updated it later to include it prominently, boosting sales.

“It’s a big initiative for Nestle,” Nestle USA CEO Marty Thompson told CNBC at a media event earlier in March. “There will be those things that are designed for GLP-1, and there will be those things that will be sort of a companion to GLP-1, clearly calling out protein and fiber, but not necessarily designed portion-size wise or whatever for GLP-1.”

Nestle’s focus will extend beyond food, too. Thompson said that the company plans to expand into beverages and listed protein shakes as one potential way to appeal to GLP-1 customers.

Even food companies without much exposure to GLP-1 users are broadening their portfolios to reach them.

Close-up view of Dippin’ Dots ice cream cup in a person’s hand, Santa Cruz, California, June 22, 2024.

Smith Collection | Gado | Archive Photos | Getty Images

For example, Dippin’ Dots and Icee owner J&J Snack Foods makes most of its sales in stadiums, theme parks and malls. Because of its “experiential” focus, CEO Dan Fachner told CNBC that he thinks that J&J is more insulated from the effect of GLP-1 drugs compared with its snacking peers.

“I still think that in most cases, even people on GLP-1 drugs will still use those occasions for snacking,” he said.

Even still, more than a year ago, Fachner presented employees with a challenge for the company’s grocery business, which accounts for 13.5% of annual sales.

“Take the core products — pretzels and churros and Icees and Dippin’ Dots and frozen novelties — tell me how we can make them more GLP-1 friendly as it continues to grow,” he said.

This year, J&J has a number of new products hitting the freezer aisle. Protein has been added to its soft pretzels, now available in a smaller portion size. And Luigi’s Italian Ice, traditionally sold in a cup, will come in a “mini pop size,” with a formula that includes more antioxidants or helps hydration, according to Fachner. If the new products succeed in grocery stores, then J&J plans to take them to the company’s food service customers, as well.

J&J’s new products also have the benefit of appealing to a wider audience than just consumers who are on GLP-1 medication. For example, Fachner expects the new Luigi’s mini pops will appeal to health-conscious moms as a snack for their kids.

Uptake could change strategies

For restaurants and food suppliers, current data on the eating and drinking habits of GLP-1 users are informing their efforts to appeal to those consumers. But that behavior can still fluctuate.

About 5% of users lapse in taking the medications, due to cost, side effects or hitting their weight goal. After quitting, they tend to maintain the same eating habits for a couple of months before eventually returning to a higher caloric intake.

“I think that we don’t spend enough time talking about the fact that there may be sort of a cycle of behaviors — people going on and off of the drugs — that will have sort of an interesting impact on manufacturers of food because there’s no ‘before’ and ‘after,'” EY’s Johnson said. “It’s a process.”

And a whole new group of consumers could soon be taking daily pill versions of GLP-1 medications. It’s too soon to tell if oral GLP-1 drugs will result in more consistent usage or higher quit rates and to know who exactly is trying the pill version over the injectable.

“I don’t have a crystal ball, but my guess is from our survey that the folks using the oral version of the drug will be a new set of people, because one of the barriers to trial was — as can be expected — a lot of people don’t like to take shots of injections,” Johnson said.

There is one prediction that is widely accepted: the pill version will mean much higher adoption of GLP-1 drugs.

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