Skip to content
PA Department of the Auditor General

Published September 22, 2025

About This Audit

The Chester County Hospital’s report details their involvement in the Tobacco Settlement Program, initiated by the Tobacco Settlement Act, which provides payments to hospitals for uncompensated care. Evaluations of submitted claims showed that out of 23 extraordinary expense claims filed for FY 2024, 11 met the criteria for qualification. The report outlines necessary adjustments and identifies any errors in claim submissions. Additionally, the accuracy of total inpatient and Medical Assistance (MA) days was assessed, noting discrepancies such as reporting errors in FFS and OOS days. Facilities eligible for payments under the tobacco settlement can choose between the extraordinary expense and uncompensated care methods for subsidy calculation. Chester County Hospital must make specified corrections to avoid disqualification and can submit additional claims by October 31, 2025. The detailed report is for use by the Department of Human Services to determine the hospital’s eligibility for a 2026 subsidy. This is an automated summary. Please rely on the contents included in the released audit report.

Audit Type:

Audit County:

Pennsylvania Department
of the Auditor General