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PA Department of the Auditor General

Published September 29, 2025

About This Audit

The Tobacco Settlement Program provides payments to hospitals like St. Luke’s Hospital Anderson for uncompensated care. Under the program’s guidelines, facilities receive payments based on extraordinary expense claims or uncompensated care scores. The hospital’s eligibility for payments in the 2026 Tobacco Settlement Payment Year is based on verified claims for uncompensated care and accurate reporting of inpatient service days. In a recent audit, St. Luke’s reported seven potentially eligible extraordinary expense claims for the fiscal year ended June 30, 2024. Six claims were substantiated, qualifying the hospital for payment under the extraordinary expense method. The verification process showed all inpatient days and Medicaid days accurately reported for fiscal year 2023. St. Luke’s Hospital Anderson must adjust data in the PHC4 database to remain eligible. The Pennsylvania DHS will finalize the payment distribution schedule for qualifying hospitals, with options to choose the method of payment calculation. 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