Published September 9, 2026
About This Audit
The Tobacco Settlement Act of 2001 allows St. Clair Hospital to receive payments for uncompensated care services provided to uninsured patients. For the fiscal year ending June 30, 2025, St. Clair reported 11 extraordinary expense claims; 10 were verified as eligible, potentially qualifying the hospital for payment under the extraordinary expense method for 2027. The eligibility for these payments depends on specific criteria, including uninsured patient status. DHS will determine payment eligibility based on revised claims and inpatient days reported. St. Clair must adjust any claims not meeting criteria in the PHC4 database, or face ineligibility for payments. The hospital can submit additional claims believed to qualify by October 31, 2026. DHS will use the verified database to calculate potential subsidies, allowing hospitals to choose between the extraordinary expense and uncompensated care methods. The report detailing eligibility will be shared with concerned officials and is publicly available for further scrutiny. This is an automated summary. Please rely on the contents included in the released audit report.
