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PA Department of the Auditor General

Published June 23, 2025

About This Audit

Geisinger Lewistown Hospital underwent a review for the 2026 Tobacco Settlement Payment eligibility, based on the Tobacco Settlement Act, which allocates funds for uncompensated care. The review assessed extraordinary expense claims and total inpatient days reported by the hospital. Geisinger reported one extraordinary expense claim for the fiscal year ending June 30, 2024, which did not qualify due to patient payment. The hospital’s total inpatient days were accurately reported, except for a discrepancy in FFS days due to a reporting error. The hospital must remove non-qualifying claims from their PHC4 self-pay listing to remain eligible for potential payments. DHS will finalize eligibility based on confirmed reports and hospitals can choose between compensation methods if eligible. Results of engagements, including potential eligibility for subsidies, will be detailed in a report. The hospital is advised to submit any additional claims by October 31, 2025, for consideration.

Audit Type:

Audit County:

Pennsylvania Department
of the Auditor General