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CMSHospital financialsUpdated 2026-05-01

Hospital Cost Reports

Facility-level financial performance data from CMS cost report filings. Source: Centers for Medicare & Medicaid Services · 2026-05-01

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6,541
annual cost reports
As of 2026-05-01
CMS · 2026-05-01
2023–2026
Temporal coverage
Refreshed annual
CMS · 2026-05-01
Organization
FHIR resource
FHIR R4 · hcris/v1
Fonteum methodology

FHIR Organization · Sample record

What a record looks like in the API response.

Sample record
{
  "resourceType": "Organization",
  "id": "hcris-050001",
  "_source": "cms-hcris",
  "_methodology": "hcris/v1",
  "name": "Example Regional Medical Center",
  "extension": [{ "url": "totalRevenue", "valueDecimal": 412500000 }]
}

Every record carries _source, _methodology, a snapshot date, and a confidence tier. All fourteen provenance fields survive export and API delivery.

cURL
curl -H "Authorization: Bearer $FONTEUM_KEY" \
  "https://api.fonteum.com/fhir/r4/Organization?_source=hospital-costs" \
  | jq '._source, ._methodology, .meta.tag'

Dataset facts

Dataset facts for Hospital Cost Reports
FieldValue
AgencyCenters for Medicare & Medicaid ServicesCMS · 2026-05-01
CategoryHospital financials
Records6,541 annual cost reportsCMS · 2026-05-01
Temporal coverage2023–2026
Refresh cadenceAnnual
Freshness SLAWithin 48h of annual CMS release
Last synced2026-05-01Updated 2026-05-01
FHIR resourceOrganization
Methodologyhcris/v1
MeasuredTotal patient revenue, operating costs, net income, and operating margin per hospital per year
Upstream sourcewww.cms.gov →

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How to reach this dataset.

API access is operator-approved during the pilot. Reviewed within one business day. No charge during the pilot period.

Request access →Download CMS CSV →View methodology

Citations

  1. Centers for Medicare & Medicaid Services — Hospital Cost Reports (upstream source)
  2. Fonteum methodology (hcris/v1)
  3. Editorial & licensing policy
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Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

© 2026 Fonteum, Inc. All rights reserved.

The U.S. healthcare graph AI can cite — every fact carries its source.

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