The Office of Public Accountability has released a new audit of Guam Cancer Care—revealing significant concerns over how funds were managed.

The review focused on Fiscal Years 2023 and 2024 and found challenges in budget adherence, reporting accuracy, internal controls, and contract compliance.

Auditors say while Guam Cancer Care fully utilized its grant funding from the Guam Cancer Trust Fund and even reduced personnel costs there were issues with how money was tracked and documented.

Findings include improperly approved budget re-allocations, deficiencies in expenditure reporting, and an incorrectly reimbursed invoice.

The audit also highlights concerns with donation-funded activities—including missing documentation for salaries and incomplete donation logs.

Internal control gaps—like poor segregation of duties and lack of reconciliation—were also noted… raising the risk of errors or misuse of funds.

Additional red flags include missing timesheets, a questionable audit consultant contract and no formal investigation into allegations of misconduct.

Despite the findings, the OPA acknowledges GCTF's efforts in providing critical support to cancer patients on Guam.

Public Auditor B.J. Cruz says the audit underscores the need for stronger oversight—including legislation to allow audits of all nonprofits receiving government funds.