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PA Department of the Auditor General

Published October 24, 2025

About This Audit

The Tobacco Settlement Act mandates the Department of Human Services to compensate hospitals for uncompensated care, using either an uncompensated care or extraordinary expense approach. Thomas Jefferson University Hospital typically uses the uncompensated care method but reported 31 extraordinary expense claims worth $12 million for the fiscal year 2024. Due to the hospital’s choice not to submit required documentation for these claims, DHS concluded the facility is ineligible for payment under the extraordinary expense method. Reporting and data verification highlighted several errors in inpatient and Medicaid-related data. Consequently, any data adjustments should be reported to maintain accuracy in DHS and PHC4 records. 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