31. In May 2011, the Pennsylvania Auditor General conducted a performance audit of the District. 32. In December 2010, the Pennsylvania Auditor General conducted a performance audit of the district. 33. In January 2011, the Pennsylvania Auditor General conducted a performance audit of the district. 34. In June 2010, the Pennsylvania Auditor General conducted a performance audit of the district. 35. The alleged wrongdoing occurred during annual Medicare performance audits in the late'80s and early'90s. 36. In December 2009, the Pennsylvania Auditor General conducted a performance audit of the district. 37. In September 2009, the Pennsylvania Auditor General conducted a performance audit of the District. 38. In January 2013, the Pennsylvania Auditor General conducted another performance audit of the District. 39. In November 2009, the Pennsylvania Auditor General conducted a performance audit of the district. 40. In September 2010, the Pennsylvania Auditor General conducted a performance audit of the district.