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PA Department of the Auditor General

Published November 20, 2025

About This Audit

Geisinger St. Luke’s Hospital’s eligibility for the 2026 Tobacco Settlement Payment is under review, following the Tobacco Settlement Act meant to compensate hospitals for uncompensated care. The review determined that all five extraordinary expense claims submitted by the hospital qualified, potentially making the facility eligible for payment under the extraordinary expense approach. The procedures also verified the accuracy of the hospital’s inpatient and Medical Assistance days data for fiscal year 2023. Adjustments were recommended for claims data, which must be reflected in the PHC4 database to ensure eligibility. Final payment eligibility will be confirmed once all potential claims and days data verifications are completed across facilities. DHS will decide on the subsidy calculation method to use if the hospital is eligible under both methods. 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