Published October 27, 2026
About This Audit
Thomas Jefferson University Hospital participated in an engagement concerning payments under the Tobacco Settlement Program. The program compensates hospitals for uncompensated care services via two methods: uncompensated care scores or extraordinary expense claims. The hospital reported 38 extraordinary expense claims, totaling $19,540,709.90, but chose not to submit necessary documentation, rendering them ineligible for compensation under this method. The engagement also involved verifying total inpatient and Medical Assistance days for fiscal year 2024, which mostly matched submitted figures with minor errors. The facility must update its database to reflect accurate extraordinary claims to qualify for future payments. Failure to adhere to this process will result in denied subsidies. The Auditor General’s report will inform the Department of Human Services for potential subsidy eligibility under the uncompensated care method. This facility’s non-submission of claims documentation also affects potential qualification of any additional claims that exceed the specified threshold. This is an automated summary. Please rely on the contents included in the released audit report.
