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PA Department of the Auditor General

Published June 23, 2025

About This Audit

Geisinger Bloomsburg Hospital participated in an evaluation under the Tobacco Settlement Act for potential reimbursement of uncompensated care for fiscal years ending 2023 and 2024. The assessment verified claims and days reported to determine eligibility for payments under the extraordinary expense approach, which applies when a hospital submits claims for uninsured patients whose costs exceed twice the average claim. The review substantiated two out of three extraordinary expense claims as eligible. The facility’s inpatient and Medical Assistance days data were also substantiated, with minor reporting errors noted. Adjustments must be made to the PHC4 claims database and MA-336 Cost Reports to ensure accuracy. DHS will decide eligibility for subsidy payments based on verified data, allowing qualified hospitals to choose between the extraordinary expense and uncompensated care approaches. Eligible facilities must finalize claim submissions by October 31, 2025, to be considered for the 2026 Tobacco Settlement Payment.

Audit Type:

Audit County:

Pennsylvania Department
of the Auditor General