The report explains that this qualified opinion is related to the overstatement of unpaid liabilities, the overstatement of receivables, the misclassification of expenditures by economic categories, as well as the inaccurate presentation of contingent liabilities in the financial statements.

The auditors also assessed that part of the Municipality’s processes and transactions were not carried out in accordance with the legislation in force. According to the findings, delays were identified in implementing decisions related to taxpayers’ complaints, inaccuracies in calculating fees for the impact of increased infrastructure density, shortcomings in the supervision of the project implemented with UNDP, as well as violations in procurement procedures and in the management of capital investments.

The report also underscores that the Municipality entered into contractual obligations for capital projects without having sufficient funds available, opened procurement procedures without first securing the necessary permits, delayed the payment of invoices beyond the legal deadline in 42 cases worth more than 8.1 million euros, and made payments for capital investments of more than 10.1 million euros by taking funds from other projects without the prior approval of the Municipal Assembly.

According to the KAO, the audit also noted weaknesses in internal control and financial management. These include inaccuracies in the recording and presentation of assets, in their inventorying, in debt collection, and in the monitoring of capital projects. The municipality also faced financial difficulties as a result of high payments made on the basis of court decisions, which by December 31, 2025 had reached 45.69 million euros.

The KAO states that a total of 25 recommendations emerged from this report. Of these, 14 are repeated recommendations, eight are new, three are found to have been partially implemented, while two were addressed during the audit process itself. The institution announced that the implementation of these recommendations will be monitored in the next audit.

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In a statement, the MoH emphasized that the report confirms the institution received an unmodified opinion on its Annual Financial Statements, meaning they present a fair view in all material respects and comply with the applicable standards and legislation. According to the same statement, the National Audit Office also assessed that, with the exception of the issues identified in the report, the transactions carried out during the execution of the Ministry of Health’s budget were conducted, in all material respects, in accordance with the criteria established by the legislation in force.

The Ministry also responded to interpretations which, according to it, were partially presented during the day in media reports, underlining that the official report of the National Audit Office confirms the unmodified opinion on its Annual Financial Statements. The report also includes recommendations aimed at further advancing control, monitoring, and documentation processes in certain areas of financial and administrative management.

According to the MoH, the report highlights several areas where further improvements are needed in the management, monitoring, and documentation of certain administrative and operational processes. The Ministry stressed that all of the auditor’s findings and recommendations are being treated as a priority and that action will be taken to address them within the set deadlines.

The statement also emphasizes that during the 2025 audit it was found that all three recommendations issued by the National Audit Office for the previous year were fully implemented by the Ministry of Health, demonstrating the institution’s commitment to strengthening internal control, increasing transparency, and advancing accountability.

The Ministry of Health says it remains committed to the continuous improvement of financial and administrative management processes, with the aim of providing the highest quality services possible to citizens and ensuring the most responsible use possible of public funds.

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