FOR · HEALTHCARE PE & IB ANALYSTS
Ownership networks. Federal source.
Map provider, facility, and owner relationships across 280,207 ownership records joined to cost report financials and quality outcomes.
CMS, HHS-OIG, and PECOS-derived. Public-domain. No proprietary overlays.
Ownership records
SNF All Owners PECOS-derived. Affiliated Entity ID keyed.
Certified facilities
CMS POS iQIES. CCN identity backbone for all cross-source joins.
Cost report rows
HCRIS facility-level cost report financials. Operating margin derivable.
Ownership graph · 280,207 records
Who owns what. Federal source. Chain-complete.
The CMS PECOS SNF All Owners dataset maps every CMS-certified skilled nursing facility to its ownership chain — individual owners, managing employees, and affiliated entities. 280,207 ownership records across facilities nationwide, with Affiliated Entity IDs enabling chain-level aggregation without proprietary graph overlays.
Chain size, concentration, and related-entity mapping are derivable from the federal record alone. The /ownership brand-hub surfaces the analysis; the underlying table is queryable via the API with CCN or Affiliated Entity ID.
Explore ownership analysis →Sample ownership record
Affiliated Entity ID : AE-0042187 Entity Name : REGIONAL SNF HOLDINGS LLC Role : Managing Employee + Owner CCN : 555210 Facility Name : SAMPLE CARE CENTER State : FL Ownership Type : For-profit, LLC Effective Date : 2019-08-01 Source : CMS PECOS SNF All Owners Methodology Version : snf-owners/v1 Snapshot Date : 2026-05-25
Sample cost report row
CCN : 555210 Provider Name : SAMPLE CARE CENTER State : FL Fiscal Year End : 2024-09-30 Total Revenue : $14,283,440 Total Expenses : $13,101,922 Operating Margin : 8.27% Medicare Days % : 38.4% Medicaid Days % : 49.1% Bed Count : 120 Source : CMS HCRIS Hospital Cost Reports Methodology Version : hcris-snf/v1 Snapshot Date : 2026-05-25
Cost report financials · 6,102 rows
Federal cost report data. No third-party resell required.
CMS HCRIS (Healthcare Cost Report Information System) contains facility-level financial statements filed annually by Medicare-participating providers. Fonteum's 6,102-row summary layer surfaces operating margin, revenue, Medicare/Medicaid payer mix, and bed count — all derivable from the public cost report without a Definitive Healthcare or Strata subscription.
CCN-keyed — any facility in the ownership graph cross-joins to its cost report history in a single query. Fiscal year end dates vary by provider; the methodology version pins the exact cost report period included.
CMS POS iQIES · 68,211 facilities
The CCN identity backbone for every cross-source join.
The CMS Provider of Services (POS) file is the quarterly canonical facility registry for all CMS-certified providers: SNFs, home health agencies, hospices, dialysis facilities, hospitals, and ASCs. 68,211 CCN-keyed facilities. Every other CMS dataset — Care Compare, HCRIS, penalties, deficiencies — joins on CCN. Fonteum maintains POS as the identity backbone so cross-dataset joins are point-and-click rather than a mapping exercise.
~15,500
Skilled Nursing Facilities
Staffing + deficiency + penalty joinable
~12,400
Home Health Agencies
Care Compare quality measures joinable
~6,900
Hospice Facilities
Care Compare quality measures joinable
~33,400
Hospitals + others
HCRIS cost report joinable
Natural-language query examples
Three questions PE diligence teams actually ask.
The Evidence Query API returns source-cited answers backed by federal records — not a vendor summary. Each answer carries the federal source URL, snapshot date, and methodology version.
Staffing-rule exposure by owner
“List SNF owners with ≥3 facilities below CMS staffing rule in Florida.”
Cross-joins PBJ staffing records, CMS minimum staffing thresholds, POS facility locations, and the SNF All Owners table. Returns owner entity, CCN list, RN hours/resident day, and delta to threshold — per facility, per quarter.
Financial × quality composite
“Cost report operating margin × deficiency count × ownership concentration.”
Joins HCRIS facility-level operating margins, NH deficiency citation counts (scope/severity weighted), and SNF ownership chain size. Returns an operator-level composite for portfolio screening.
OIG exclusion exposure at ownership chain level
“All owners whose entities employ excluded individuals (OIG federal registry).”
Cross-joins OIG LEIE exclusion records (NPI-keyed) to SNF ownership records (CCN-keyed). Surfaces any chain where at least one employed individual has an active federal exclusion — the liability a compliance team at an LP would ask for.
Data layers available
Six federal datasets. One join key.
| Source | Rows | Grain | Join key | Primary signal |
|---|---|---|---|---|
| SNF All Owners (PECOS-derived) | 280,207 | Per ownership record | Affiliated Entity ID + CCN | Chain size, ownership concentration, related entities |
| HCRIS Hospital / Facility Cost Reports | 6,102 | Per facility, per cost report period | CCN | Operating margin, total revenue, Medicare days ratio |
| CMS Provider of Services (POS) | 68,211 | Per certified facility | CCN identity backbone | Facility type, location, certification date, bed count |
| OIG LEIE exclusions | 68,055 | Per excluded individual / entity | NPI or entity name | Exclusion type, date, reinstatement status |
| NH Health Deficiencies | 418,148 | Per citation | CCN + Survey Event ID | Scope/severity (A–L), citation type, corrective action |
| NH Penalties | 16,832 | Per enforcement action | Survey Event ID | Penalty amount, payment denials, violation type |
Next step
30-minute discovery call. Live data export on the call.
We run a live cross-join on the target operator portfolio during the call. You see the ownership graph, penalty history, deficiency rate, and cost report margin side by side before any contract is signed.