Audit & Assurance
Statutory and group audit engagements for hospitals, clinics and integrated healthcare groups.
/ 08 — Industry focus
Healthcare & medical operators.
Compliance, reporting, audit and advisory solutions for hospitals, clinics, laboratories, healthcare operators and medical institutions — calibrated for highly regulated environments.
/ 02 — Overview
Calibrated for care.
/ Context
Healthcare organisations operate in highly regulated environments requiring strong governance, operational efficiency and financial transparency. We assist healthcare providers with audit, compliance, risk management, taxation and process improvement solutions designed to support sustainable operations and effective financial management.
Our professionals understand the operational and reporting requirements of healthcare institutions and provide solutions aligned with industry regulations and business objectives.
/ How we support
Efficient, resilient healthcare systems.
We help healthcare operators improve financial oversight, strengthen internal controls, optimise reporting systems and manage operational risks. From operational reviews to compliance support and financial advisory, we assist organisations in building efficient and resilient healthcare systems.
/ 03 — Capabilities
Our services for healthcare.
Comprehensive solutions
Internal Audit & Risk Advisory
Risk-based internal audit across clinical, financial and operational functions.
Financial Reporting
IFRS and management reporting tailored to multi-facility healthcare operations.
Tax Advisory & Compliance
Direct, indirect and sector-specific tax structuring for healthcare entities.
ERP & Systems Advisory
Selection and implementation of HIMS, EMR and finance ERP platforms.
Process Improvement
Re-engineering revenue cycle, procurement and back-office workflows.
HR & Payroll Advisory
Payroll, benefits and HR compliance for high-headcount clinical operations.
Regulatory Compliance
Sector-specific regulatory reviews and ongoing compliance support.
Business Valuation
Valuation services for transactions, restructurings and partnership exits.
Operational Reviews
End-to-end reviews of facility, department and programme performance.
/ 04 — Regulatory framework
Healthcare audit in Pakistan, in practice.
A statutory audit of a Pakistani hospital or clinical operator covers IFRS-based financial reporting, internal controls over the revenue cycle, pharmacy and medical-supply inventory, payroll, and regulatory compliance under the relevant provincial healthcare commission — delivered by an SBP Category A and ICAP QCR-rated firm calibrated for multi-facility operations.
FederalSECP under the Companies Act 2017; FBR for income tax under the Income Tax Ordinance 2001, withholding obligations under section 165, and federal levies on services.
ProvincialSindh Healthcare Commission (Act 2013), Punjab Healthcare Commission (Act 2010), KP Healthcare Commission (Act 2015) and Islamabad Healthcare Regulatory Authority (2018) — each with its own licensing, clinical-governance and inspection regime.
Reporting standardsIFRS as adopted in Pakistan, ISA for the audit, ICAP technical releases for sector-specific guidance, and DRAP requirements where in-house pharmacy operations are present.
Common audit findings
Where healthcare operators trip.
- 01Mis-classification of pharmacy revenue under provincial sales tax regimes.
- 02Inadequate expected credit loss provisioning on insurance and corporate-panel receivables.
- 03Weak controls around drug inventory reconciliation across pharmacy, wards and OT.
- 04Section 165 withholding mis-statements on consultant payouts.
/ 05 — Frequently asked
Questions we hear from healthcare clients.
/ 01
What does a healthcare audit in Pakistan typically cover?
A statutory healthcare audit in Pakistan covers IFRS-based financial statements, internal controls over the revenue cycle (admissions to claims to collection), pharmacy and medical-supply inventory, payroll for clinical and non-clinical staff, regulatory compliance under the relevant provincial healthcare commission, and tax positions under the Income Tax Ordinance 2001 and provincial sales tax laws.
/ 02
Which regulators apply to private hospitals and clinics?
Private hospitals and clinics in Pakistan operate under the Sindh Healthcare Commission Act 2013, the Punjab Healthcare Commission Act 2010, the KP Healthcare Commission Act 2015, and the Islamabad Healthcare Regulatory Authority Act 2018, depending on jurisdiction. Federal oversight comes from SECP for incorporated entities, FBR for direct and indirect taxes, and DRAP for any in-house pharmacy operations.
/ 03
Are hospital services exempt from sales tax in Pakistan?
Services rendered by hospitals and diagnostic labs are generally exempt under provincial sales tax laws administered by SRB, PRA, KPRA and BRA, but ancillary services and medicines sold through in-house pharmacies are not. Exemption boundaries are determined by the specific SROs notified by each provincial revenue authority and require careful classification.
/ 04
How does revenue recognition work for healthcare in Pakistan?
Hospitals follow IFRS 15 as adopted in Pakistan. Inpatient revenue is typically recognised over time as services are delivered; diagnostic and outpatient revenue is recognised at the point of service. Insurance and corporate-panel receivables require estimation of contractual adjustments and expected credit losses under IFRS 9.
/ 05
What is the typical timeline for a hospital statutory audit?
Most private hospital audits in Pakistan run six to ten weeks from kick-off to signed financial statements, depending on facility count, ERP maturity and provincial filings. Pre-audit planning, controls testing, and an interim review typically begin two to three months before year-end.