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PA Department of the Auditor General

Published April 21, 2026

About This Audit

The report pertains to the Independence Health System Latrobe Hospital’s compliance with the Tobacco Settlement Act’s requirements for receiving payments for uncompensated care services. This engagement specifically verifies the eligibility for extraordinary expense claims and the accuracy of inpatient and Medical Assistance days data for the facility’s submissions for fiscal years ending June 30, 2025. A potentially qualifying extraordinary expense claim was identified, and minor discrepancies in days data were noted. The results may impact the facility’s eligibility for a 2027 Tobacco Settlement subsidy payment. The hospital is advised to correct any reporting errors with PHC4 and the iPACRs system. The ongoing engagements will inform a comprehensive report for DHS, determining subsidy entitlements through extraordinary expense or uncompensated care methods, offering facilities a choice if eligible under both. This detailed process aids Independence Health System in meeting DHS requirements for potential financial relief under the Tobacco Settlement Program. 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