The audit found that Cardinal Innovations Healthcare Solutions (Cardinal) spent money to explore strategic opportunities outside of its core mission, paid approximately $1.2 million in CEO salaries without proper authorization, and incurred extravagant and unreasonable expenses which could erode public trust. Details about each item are provided in the Audit Findings, Recommendations, and Responses section of the report. Cardinal disagreed with many of the details in the report. As a result, the report includes a State Auditor's Response to ensure that readers have complete and accurate information and are not misled.

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