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PA Department of the Auditor General

Published December 9, 2025

About This Audit

The Tobacco Settlement Act requires the Department of Human Services (DHS) to make payments to hospitals, like UPMC St. Margaret, for uncompensated care. Hospitals can qualify for payments through an uncompensated care or extraordinary expense approach, evaluated using a set of criteria. For the fiscal year ending June 2024, UPMC St. Margaret submitted four potential extraordinary claims, of which two qualified. The report verifies claims and days data submitted by the facility; correctness is essential for eligibility. Facilities must adjust any ineligible claims to maintain database accuracy. Once all reviews are complete, DHS will determine each facility’s eligibility for the 2026 Tobacco Settlement subsidy. The report advises UPMC St. Margaret to submit qualifying self-pay claims by October 31, 2025, and urges prompt adjustments to maintain eligibility. 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