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PA Department of the Auditor General

Published October 23, 2025

About This Audit

The report details the evaluation of St. Clair Hospital’s eligibility for the 2026 Tobacco Settlement Payment under Pennsylvania’s Tobacco Settlement Act. The Act mandates payments to hospitals for uncompensated care, with St. Clair Hospital opting for the extraordinary expense approach. The hospital’s claims were assessed for eligibility, revealing 13 out of 15 met the criteria for extraordinary expense claims. Additional reporting of inpatient and Medical Assistance days was also verified. Any errors must be corrected to ensure accuracy in the Pennsylvania Health Care Cost Containment Council database. The findings will contribute to determining the hospital’s eligibility and potential subsidy under the settlement, with the option to choose between the extraordinary expense and uncompensated care methods. The facility may submit further eligible claims by October 31, 2025. 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