Our evaluation of the Commonwealth of the Northern Mariana Islands' (CNMI) Saipan Public Health Facility Project (Project) raises serious concerns about the quality of oversight exercised by your office over CNMI capital improvement projects (CIP) in general and this Project in particular. Our objective was to evaluate CNMI's management of the Project and to identify opportunities for improvement. Because of serious management deficiencies, however, we also evaluated your office's oversight of the Project.