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    Home EUROPE North Macedonia

    Chaos at the Institute of Public Health — auditors found problems with debt collection, disputed payments, medical equipment not being used

    The Analyst by The Analyst
    June 3, 2026
    in North Macedonia
    Chaos at the Institute of Public Health — auditors found problems with debt collection, disputed payments, medical equipment not being used


    From there, they request that the Institute perform a complete inventory of all spent medical materials per patient and referral and accurately record them in the report, as well as timely collect claims.

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    The auditors found a series of weaknesses in the financial statements of the Institute of Public Health. The audit was carried out on the account for funds from health care programs, the insured persons’ own participation in the price of health services and other own incomes.

    From there, they request that the Institute perform a complete inventory of all spent medical materials per patient and referral and accurately record them in the report, as well as timely collect claims.

    The auditors found several weaknesses in the operation of the institution, including incomplete records of the receipt and consumption of medical materials, as well as non-recording of the receipt and consumption of vaccines in the business books.

    In addition, it was established that no collection actions were taken for claims worth over 18 million denars, older than three years.

    “We expressed an unfavorable opinion regarding the truthfulness and objectivity of the financial statements and the compliance of the financial transactions with the relevant legislation for 2024. When performing an inventory of the claims, the basis for their occurrence and full and correct recording in the accounting records should be determined and whether measures have been taken to collect the same and full, accurate and timely collection of the claims”, it says in the auditors’ report.

    The audit also determined weaknesses in some of the procedures for public procurement, irregularities related to persons hired under a work contract, inconsistencies in leasing office space, as well as cases of inappropriate payments of salaries and allowances.

    Among the remarks, it is stated that some of the medical equipment has not been put into use.

    The SAO reminds that an unfavorable opinion about the work of the Institute was also expressed in a previous audit. During the inspection of the implementation of the recommendations from the previous report, it was determined that some of them remained unimplemented or only partially implemented.

    The Institute is required to provide the consent of the Ministry of Finance for all persons engaged with work contracts and their payment to be made on the basis of proof/report of the work performed.

    “Sloboden Pechat” learns: A major inspection at the Institute of Public Health, due to administrators who did not pass the exam

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    Therefore, in order to continue our work, we ask for the support of our community of readers by financially supporting the Free Press.

    Become a member of Sloboden Pechat to help the facilities that will enable us to deliver long-term and quality information and TOGETHER let’s ensure a free and independent voice that will ALWAYS BE ON THE PEOPLE’S SIDE.

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