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PA Department of the Auditor General

UPMC Washington – Washington County – Tobacco Settlement Payment Data Year 2027

The Tobacco Settlement Program letter outlines the procedures and evaluation of claims related to the Tobacco Settlement Act payments for UPMC Washington. The Department of Human Services (DHS) mandates payments to hospitals for uncompensated care, with procedures developed to assess eligibility and accuracy of claims data. UPMC Washington submitted 14 extraordinary expense claims for fiscal […]

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UPMC Greene – Greene County – Tobacco Settlement Payment Data Year 2027

UPMC Greene’s eligibility for the 2027 Tobacco Settlement Payment was assessed under the Tobacco Settlement Act, which provides payments for uncompensated care services at qualifying hospitals. The hospital was reviewed for its eligibility under extraordinary expense claims and uncompensated care methods. During the audit, UPMC Greene had no potentially eligible extraordinary expense claims for the […]

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St. Luke’s Hospital Easton – Northumberland County – Tobacco Settlement Payment Data Year 2027

St. Luke’s Hospital Easton participated in the Pennsylvania Tobacco Settlement Program, which supports hospitals providing uncompensated care. The hospital could receive payments if they qualify based on uncompensated care or extraordinary expenses for uninsured patients whose claims exceed twice the average inpatient cost. An evaluation was conducted for the fiscal year ending June 30, 2025, […]

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St. Christopher’s Hospital for Children – Philadelphia County – Tobacco Settlement Payment Data Year 2027

The Tobacco Settlement Program, established under the Tobacco Settlement Act of 2001, mandates the Department of Human Services (DHS) to compensate hospitals for uncompensated care services. This report focuses on St. Christopher’s Hospital for Children, assessing their fiscal eligibility for 2027 payments based on uncompensated care or extraordinary expenses. The uncompensated care score relies on […]

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Southwood Psychiatric Hospital – Allegheny County – Tobacco Settlement Payment Data Year 2027

The Southwood Psychiatric Hospital underwent evaluation as part of the Tobacco Settlement Program for potential payments related to uncompensated care. According to the PHC4 claims database for the fiscal year ending June 30, 2025, the facility had no eligible extraordinary expenses, disqualifying it from 2027 payments unless new claims are submitted and verified. The process […]

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Reading Hospital and Medical Center – Berks County – Tobacco Settlement Payment Data Year 2027

The Tobacco Settlement Act entitles hospitals, like Reading Hospital and Medical Center, to receive payments for uncompensated care services based on claims data and specific criteria set by the Department of Human Services (DHS). For the fiscal year ending June 30, 2025, Reading Hospital reported 68 extraordinary expense claims; upon review, 47 qualified under the […]

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Phoenixville Hospital – Chester County – Tobacco Settlement Payment Data Year 2027

Phoenixville Hospital participated in the Tobacco Settlement Program, which compensates hospitals for uncompensated care services. The hospital may qualify for payments using either the uncompensated care approach, which involves multiple data elements, or the extraordinary expense approach, reserved for claims greatly exceeding average costs. Procedures were established to verify the eligibility and accuracy of claims […]

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Penn State Health Lancaster Medical Center – Lancaster County – Tobacco Settlement Payment Data Year 2027

The report details the procedures and results for Penn State Health Lancaster Medical Center’s eligibility for the 2027 Tobacco Settlement Payment. The Tobacco Settlement Act mandates payments to hospitals for uncompensated care, with eligibility determined either by an uncompensated care score or extraordinary expense approach. The facility reported two potentially eligible extraordinary expense claims for […]

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Penn Highlands Elk – Elk County – Tobacco Settlement Payment Data Year 2027

The Tobacco Settlement Program under the Department of Human Services (DHS) involves payments to hospitals for uncompensated care services, determined by uncompensated care scores or extraordinary expense approaches. For fiscal year 2025, Penn Highlands Elk had no eligible extraordinary expenses, so it won’t receive the extraordinary expense method payment for 2027 unless additional claims are […]

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Mount Nittany Medical Center – Centre County – Tobacco Settlement Payment Data Year 2027

The Tobacco Settlement Program, established by the Tobacco Settlement Act of 2001, involves the Department of Human Services (DHS) paying hospitals like Mount Nittany Medical Center for uncompensated care services. Payments can be made via the uncompensated care or extraordinary expense approach, the latter requiring claims to exceed double the average inpatient claim cost. For […]

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