# IKEM procurement law violations

> Live situation record from CLSTR: https://clstr.news/situations/ikem-procurement-law-violations
> Updated: 2026-09-15T09:24:20.000Z. Sources: 11. Developments: 2.

The Supreme Audit Office (NKÚ) reported significant financial mismanagement and repeated violations of procurement laws at IKEM, the largest transplantation center in the Czech Republic. An audit of 102 financial transactions, totaling 905.3 million CZK, found that legal norms were breached in half of 30 reviewed contracts valued at over 380 million CZK.

Specific violations included awarding contracts to single suppliers without competition, splitting orders to bypass tender requirements, and failing to verify market rates for purchases such as IT services, cybersecurity, and surgical linen. Notable instances included a 59.5 million CZK payment to three suppliers without competitive bidding and the 72 million CZK purchase of an experimental MRI machine based on a single quote.

The audit also identified issues with asset disposal, noting that 77% of liquidated assets lacked proper documentation, and 17 cases of potential budgetary discipline violations worth over 182 million CZK. The NKÚ has recommended that the Ministry of Health implement more effective financial oversight. IKEM management has stated they view the findings as serious and have begun implementing corrective measures.

## Timeline

### 2026-09-15: ESM Skopje faces audit for major procurement irregularities

The State Audit Office found major irregularities in ESM Skopje's public procurement, including millions spent on unused goods and non-compliant contracts, amid investigations into director Vasko Kovachevski.

6 sources. https://clstr.news/cluster/state-audit-office-finds-procurement-flaws-at-esm-skopje

### 2026-09-14: IKEM found to have repeatedly violated procurement laws by Supreme Audit Office

The Czech Supreme Audit Office found that IKEM, the nation's largest transplant center, repeatedly violated procurement laws, mismanaging hundreds of millions of CZK through non-competitive contracts.

5 sources. https://clstr.news/cluster/ikem-found-to-have-repeatedly-violated-procurement-laws-by-supreme-audit-office

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Cite as: IKEM procurement law violations. CLSTR, https://clstr.news/situations/ikem-procurement-law-violations
