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PA Department of the Auditor General

Published October 24, 2025

About This Audit

The report from the Pennsylvania Department of Human Services (DHS) outlines payment procedures to hospitals as part of the Tobacco Settlement Act for the provision of uncompensated care services. Penn State Health St. Joseph’s Medical Center, among others, may be eligible for payments based on either the uncompensated care or extraordinary expense approach. The report assessed the facility’s claims and verified data of inpatient days and Medicaid days for accuracy. The facility reported 14 potential extraordinary expense claims; however, only eight met the criteria for the 2026 Tobacco Settlement Payment Year. Adjustments were recommended to ensure the facility’s eligibility and continued accuracy of its records. DHS will determine eligible payments using hospitals’ verified data, and hospitals can choose the payment method if eligible under both approaches. 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