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AuditsAudit Category: Tobacco Settlement Funds

April 21, 2026

Independence Health System Latrobe Hospital – Westmoreland County – Tobacco Settlement Payment Data Year 2027

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. […]

April 21, 2026

Independence Health System Frick Hospital – Westmoreland County – Tobacco Settlement Payment Data Year 2027

Independence Health System’s Frick Hospital was evaluated for eligibility for the 2027 settlement. The hospital reported three potentially eligible extraordinary expense claims for fiscal year ending June 30, 2025. All claims met the criteria for funding, suggesting eligibility for payment in 2027. The hospital’s inpatient and MA days reported for fiscal year ending June 30, […]

April 21, 2026

St. Luke’s Hospital Grandview Campus – Bucks County – Tobacco Settlement Payment Data Year 2027

An audit evaluated claims submitted by the hospital to verify their eligibility and authenticity. Out of 28 submitted claims for extraordinary expenses during the fiscal year ending June 30, 2025, only ten qualified. Insurance payments disqualified many claims, necessitating their removal from the self-pay list. The hospital’s reported inpatient days for the fiscal year 2024 […]

April 14, 2026

Kensington Hospital – Philadelphia County – Tobacco Settlement Payment Data Year 2027

Kensington Hospital underwent an audit to determine eligibility for the 2027 Tobacco Settlement Program payments, mandated by the Tobacco Settlement Act of 2001. The procedures assessed if the facility had any extraordinary expense claims for the fiscal year ending June 30, 2025, which qualifies for additional payment. However, no eligible extraordinary expense claims were found. […]

April 14, 2026

Bucktail Medical Center – Clinton County – Tobacco Settlement Payment Data Year 2027

The Tobacco Settlement Act requires the Department of Human Services (DHS) to compensate hospitals for uncompensated care by either an uncompensated care score or extraordinary expense method. Bucktail Medical Center’s eligibility for the 2027 Tobacco Settlement Payment was reviewed. No qualifying extraordinary expense claims were found, making the facility ineligible for payment unless additional claims […]

April 13, 2026

KidsPeace Hospital – Lehigh County – Tobacco Settlement Payment Data Year 2027

The Tobacco Settlement Act mandates payments for uncompensated care services provided by hospitals. These payments can be calculated using either the uncompensated care approach, based on a hospital’s care score derived from specific data elements, or the extraordinary expense approach, focusing on the costs of qualified claims which meet specific criteria. For the fiscal year […]

April 13, 2026

John Heinz Institute of Rehabilitation Medicine – Luzerne County – Tobacco Settlement Payment Data Year 2027

The John Heinz Institute of Rehabilitation Medicine was evaluated for eligibility under Pennsylvania’s Tobacco Settlement Act for payments related to uncompensated care services. Facilities can qualify for these payments through either an uncompensated care or extraordinary expense approach. The extraordinary expense approach requires claims for uninsured patients to exceed twice the average inpatient claim cost. […]

April 13, 2026

Independence Health System Clarion Hospital – Clarion County – Tobacco Settlement Payment Data Year 2027

The Independence Health System Clarion Hospital was audited in relation to the Tobacco Settlement Act, which compensates hospitals for uncompensated care. The Department of Human Services (DHS) determined eligibility based on claims data and day counts submitted by the hospital. The review focused on whether the hospital had extraordinary expense claims for the fiscal year […]

April 13, 2026

Good Shepherd Rehabilitation Hospital – Lehigh County – Tobacco Settlement Payment Data Year 2027

The Good Shepherd Rehabilitation Hospital underwent a review to verify claims and data related to potential eligibility for the 2027 Tobacco Settlement Payment. However, the facility did not have any eligible extraordinary expense claims for the fiscal year ending June 30, 2025. Therefore, without additional valid claims, it is ineligible for the extraordinary expense method. […]

April 13, 2026

Fulton County Medical Center – Tobacco Settlement Payment Data Year 2027

The Fulton County Medical Center’s (FCMC) eligibility for the Tobacco Settlement Payment in 2027 was evaluated based on claims for uncompensated care and extraordinary expenses. The Pennsylvania Department of Human Services (DHS) determined that FCMC did not have eligible extraordinary expense claims for the fiscal year ended June 30, 2025. However, FCMC can submit additional […]

AuditsAudit Category: Tobacco Settlement Funds

Pennsylvania Department of the Auditor General

Pennsylvania Department
of the Auditor General