Auditor finds $12 billion unrecovered from medical leaves in Tarapacá

Chile's Comptroller General (CGR) found the Tarapacá Health Service failed to collect over $12 billion for 17,390 staff medical leaves from January 2023 to March 2025. It ordered immediate collection processes and a disciplinary procedure. The audit exposed serious management and internal control failures.

The CGR audit, stemming from the 2025 Consolidated Circularized Information (CIC) No. 9, reviewed 33,736 medical leaves at the Tarapacá Health Service (SST). It found the service failed to timely record amounts approved by Compin, Fonasa, and Isapres, excluding significant pending collections from accounting.

Irregularities included 86% of recovered subsidies lacking clear links to specific leaves. There was also a discrepancy exceeding $507 million between accounting records and collection auxiliaries, plus inconsistencies in over 18,000 folios reported by the Social Security Superintendency (SUSESO).

The CGR directed the SST to start collection of the full owed amount within 60 days, strengthen internal controls, and improve subsidy accounting. It further ordered a disciplinary procedure to determine administrative responsibilities, including cases of staff traveling abroad during rest periods.

These deficiencies in incapacity subsidy management were detailed in the final report No. 597 of 2026.

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