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PA Department of the Auditor General

Published July 29, 2026

About This Audit

The Tobacco Settlement Act requires the Department of Human Services to pay hospitals for uncompensated care services via two approaches: uncompensated care or extraordinary expense. Geisinger Medical Center’s claims were reviewed for eligibility for the 2027 Tobacco Settlement Payment. The analysis focused on extraordinary expense claims for uninsured patients, ensuring claims weren’t compensated by third parties like Medicare or Medicaid. For the fiscal year ended June 30, 2025, Geisinger reported 72 potential claims; only nine met the criteria. The verified claims maintain eligibility for the extraordinary expense method. Consequently, Geisinger may receive payments per this method in the 2027 payment year. 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