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PA Department of the Auditor General

Published July 29, 2026

About This Audit

Geisinger St. Luke’s Hospital participated in a review under the Tobacco Settlement Program to assess eligibility for payments covering uncompensated care. The program allows hospitals to receive payments based on uncompensated care or extraordinary expenses. For fiscal year 2025, Geisinger St. Luke’s reported two potentially eligible extraordinary expense claims. Upon review, one claim qualified. The hospital’s data on inpatient and Medical Assistance days, which determine eligibility, were verified with no discrepancies found. The Pennsylvania Department of Human Services (DHS) uses verified claims data to decide on facility payments for the 2027 Tobacco Settlement Payment Year. DHS will notify the hospital of any necessary adjustments to ensure accuracy in the PHC4 database. Completion of this process allows for the determination of subsidy eligibility, with payments to be distributed once all engagements are completed. 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