# Fonteum

> Fonteum is a public-records evidence platform covering US, UK & Australia public records, plus global sanctions and entity identifiers, spanning healthcare, federal procurement, sanctions and watchlists, federal enforcement, intellectual property, securities filings, and global open-data corporate registers. Source, observation-date, provenance, and retained-history fields are nullable and source-specific.
> Public records only; no PHI; no consumer-reporting dossiers. Hosted MCP permits anonymous, rate-limited access.
> For REST routes that require credentials, use an issued key:
> Authorization: Bearer $FONTEUM_API_KEY. Hosted MCP endpoint:
> https://fonteum.com/api/mcp; discovery: https://fonteum.com/.well-known/mcp.json.

Fonteum provides structured, machine-readable access to public records otherwise fragmented
across healthcare, federal procurement, sanctions and watchlists, federal enforcement, intellectual property, securities filings, and global open-data corporate registers. Source, observation-date,
provenance, and retained-history fields are nullable and source-specific. Hash and signature
availability must be inspected on the returned record; a stored source-file hash does not imply
claim-level signature linkage. A FHIR R4
(US Core 6.1.0) API exposes the provider identity layer; the source catalog below is generated
from the canonical source registries and version-locked under methodology v2026.05.0.

**Methodology version:** v2026.05.0
**Catalog schema date:** 2026-05-26
**Generated:** 2026-10-06T00:01:10.004Z
**Legal entity:** Fonteum LLC — Delaware limited liability company
**Platform verticals (7): healthcare, federal procurement, sanctions and watchlists, federal enforcement, intellectual property, securities filings, global open-data corporate registers**
**Platform coverage as of October 4, 2026:**
**Sources integrated:** 111
**Sources with data:** 90
**Fresh source observations (latest positive-data snapshot within 45 days):** 11
**Sources complete:** not reported as a platform-wide count. No platform-wide source-completeness count is published. Completeness is source-specific and must be evaluated against the named source's expected scope.
**State Medicaid jurisdictions represented:** 13
Integrated, data-bearing, fresh-observation, and source-specific completeness are separate grains. State Medicaid jurisdiction coverage is a separate measure. Snapshot recency does not prove a content change, serving state, or public display rights.
The generated catalog below is a separate documented subset.
**FHIR server:** https://fonteum.com/api/fhir/metadata
**MCP package:** @fonteum/mcp 0.5.0 source (not published; npm currently serves 0.4.0)
**MCP server:** hosted 1.1.0 at https://fonteum.com/api/mcp — nine read-only tools across healthcare, federal procurement, sanctions and watchlists, federal enforcement, intellectual property, securities filings, and global open-data corporate registers. Discovery at https://fonteum.com/.well-known/mcp.json.

**Hosted MCP tools:**
- `fonteum_lookup_npi` — arguments: `npi`. Look up a US healthcare provider by 10-digit NPI in CMS NPPES and return the available provider record plus exclusion and program-integrity context. Returns dated source context; source_file and snapshot_digest are nullable when no single retained snapshot represents the response. Use for NPI lookup, provider identity, taxonomy, practice-location, or provider due-diligence questions.
- `fonteum_lookup_contractor` — arguments: `uei? or cage?`. Look up a US federal contractor by UEI or CAGE in available SAM.gov, USASpending, FAPIIS, and FAR 4.18 records. Returns dated source context; source_file and snapshot_digest are nullable when no single retained snapshot represents the response. Use for contractor identity, registration, award, responsibility, or ownership due diligence.
- `fonteum_search_providers` — arguments: `vertical, state, county?, limit?`. Search US healthcare providers in loaded CMS NPPES specialty caches by vertical and state, with optional county context. Returns dated source context and up to 100 records; source_file and snapshot_digest may be null. Use for provider discovery by specialty and geography.
- `fonteum_check_exclusion` — arguments: `npi`. Check whether a US healthcare provider by NPI appears in available exclusion or integrity sources: OIG LEIE, SAM.gov exclusions, available state Medicaid lists, OIG Corporate Integrity Agreements, and CMS Civil Money Penalties. Returns dated source context and fail-closed coverage; source_file and snapshot_digest may be null for the multi-source result. Use for exclusion screening, provider or vendor due diligence, or any ‘is this NPI excluded?’ question.
- `fonteum_search_sanctions` — arguments: `name`. Search a person or organization name across available sanctions and watchlist data from OFAC, the EU, the UK, and the UN, plus named exclusion sources held by Fonteum. Returns dated matches with source context; source_file and snapshot_digest may be null for the multi-source result. Use for sanctions screening, entity due diligence, or any ‘is this entity sanctioned?’ question.
- `fonteum_lookup_contractor_history` — arguments: `as_of, uei? or cage?`. Look up a US federal contractor record as of a requested date using UEI or CAGE. Retained history is currently limited to USASpending award rows; other fields may be current, absent, or nullable. Returns dated source context. Use for historical award research or contractor change questions.
- `fonteum_recheck_snapshot` — arguments: `snapshot_id?`. Recheck a Fonteum snapshot by snapshot id and return its as_of_date, snapshot_digest, public verifiable_url, and source_file only when explicit retained-artifact metadata is available. Without an id, returns chain status without treating the chain head as a snapshot digest. Use for snapshot integrity checks, citation support, or reproducing a retained source file.
- `fonteum_list_sources` — arguments: `none`. List Fonteum’s public-record source catalog with available authority, vertical, cadence, official URL, and separately dated platform coverage. Catalog presence does not prove loaded, fresh, or complete coverage. Use for source discovery, coverage questions, or choosing a dataset before a lookup.
- `fonteum_get_dataset_info` — arguments: `none`. Get Fonteum API and MCP methodology, provenance-field definitions, generated source catalog, and separately dated platform coverage. Field population varies by source and response. Use for interpreting Fonteum outputs, citation fields, dataset limitations, or integration planning.

**MCP response contract:**
Every success and error returns JSON text plus matching MCP `structuredContent`.
All four top-level response keys are always present:

- `source_file: string | null` — exact retained source filename only when one file represents the response.
- `as_of_date: string | null` — source publish or snapshot date; missing source dates stay null.
- `snapshot_digest: string | null` — digest of an identified retained snapshot object; never a per-fact signature or live-chain-head substitute.
- `verifiable_url: string` — public source, methodology, or snapshot re-check URL appropriate to the response.

Composite results and errors use null when one source file, date, or digest does not honestly represent the response. Every tool is annotated `readOnlyHint: true`.

NPI lookup availability: only an explicit zero-result response from CMS NPPES is a not-found result. If NPPES cannot answer reliably or returns an invalid payload, the REST bridge returns `503 nppes_unavailable` and the MCP error identifies the lookup as indeterminate. Do not interpret that error as provider absence.

## Source Catalog

The catalog below is generated from the canonical source registry, cadence enrollment,
cron-source registry, and Source-Ingestion Factory descriptors. It is a documented
catalog, not proof of current loaded coverage or a complete copy of the production registry.

### Care quality sources

- **CMS Care Compare** (cms-care-compare): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain works. Attribution required: 'Source: CMS Care Compare · Last checked {date}'.. Attribution: Source: CMS Care Compare ({Provider Data Catalog dataset name + id}) · Last checked {YYYY-MM-DD} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-care-compare. Source: https://data.cms.gov/provider-data/
- **CMS Care Compare — ASC Quality Measures (Facility)** (cms-care-compare-asc): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS Care Compare · ASC Quality Measures - Facility (4jcv-atw7) · Reporting Year {YYYY} · Snapshot {YYYY-MM-DD}'.. Attribution: Source: CMS Care Compare · ASC Quality Measures - Facility (4jcv-atw7) · Reporting Year {YYYY} · Last checked {YYYY-MM-DD} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-care-compare-asc. Source: https://data.cms.gov/provider-data/dataset/4jcv-atw7
- **CMS Care Compare — Dialysis Facility** (cms-care-compare-dialysis): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS Care Compare · Dialysis Facility (23ew-n7w9) · Snapshot {YYYY-MM-DD}'.. Attribution: Source: CMS Care Compare · Dialysis Facility (23ew-n7w9) · Last checked {YYYY-MM-DD} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-care-compare-dialysis. Source: https://data.cms.gov/provider-data/dataset/23ew-n7w9
- **CMS Care Compare — Home Health Care Agencies** (cms-care-compare-hh): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS Care Compare · Home Health Care Agencies (6jpm-sxkc) · Snapshot {YYYY-MM-DD}'.. Attribution: Source: CMS Care Compare · Home Health Care Agencies (6jpm-sxkc) · Last checked {YYYY-MM-DD} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-care-compare-hh. Source: https://data.cms.gov/provider-data/dataset/6jpm-sxkc
- **CMS Care Compare — Hospice General Information** (cms-care-compare-hospice): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS Care Compare · Hospice General Information (yc9t-dgbk) · Snapshot {YYYY-MM-DD}'.. Attribution: Source: CMS Care Compare · Hospice General Information (yc9t-dgbk) · Last checked {YYYY-MM-DD} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-care-compare-hospice. Source: https://data.cms.gov/provider-data/dataset/yc9t-dgbk
- **CMS Care Compare — Hospital General Information (data-only)** (cms-care-compare-hospitals): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Attribution: 'Source: CMS Care Compare · Hospital General Information (xubh-q36u) · Snapshot {YYYY-MM-DD}'.. Attribution: Source: CMS Care Compare · Hospital General Information (xubh-q36u) · Last checked {YYYY-MM-DD} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-care-compare-hospitals. Source: https://data.cms.gov/provider-data/dataset/xubh-q36u
- **CMS Care Compare — IRF General Information (data-only)** (cms-care-compare-irf): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Attribution: 'Source: CMS Care Compare · IRF General Information (7t8x-u3ir) · Snapshot {YYYY-MM-DD}'.. Attribution: Source: CMS Care Compare · IRF General Information (7t8x-u3ir) · Last checked {YYYY-MM-DD} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-care-compare-irf. Source: https://data.cms.gov/provider-data/dataset/7t8x-u3ir
- **CMS Care Compare — LTACH General Information (data-only)** (cms-care-compare-ltach): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Attribution: 'Source: CMS Care Compare · LTACH General Information (azum-44iv) · Snapshot {YYYY-MM-DD}'.. Attribution: Source: CMS Care Compare · LTACH General Information (azum-44iv) · Last checked {YYYY-MM-DD} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-care-compare-ltach. Source: https://data.cms.gov/provider-data/dataset/azum-44iv
- **CMS HCRIS Hospital Cost Reports (form CMS-2552-10)** (cms-hcris-hospital-2552-10): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Federal public record. Attribution required: 'Source: CMS HCRIS Hospital Cost Report · Fiscal Year {YYYY}'.. Attribution: Source: CMS HCRIS Hospital Cost Report · Fiscal Year {YYYY} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-hcris-hospital-2552-10. Source: https://www.cms.gov/data-research/statistics-trends-and-reports/cost-reports
- **CMS Medicare Shared Savings Program ACO Participants** (cms-mssp-aco): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: annual. Not evidence of the latest loaded source date. License: U.S. government public-domain data. Free to use with attribution.. Attribution: Source: Centers for Medicare & Medicaid Services (CMS), Medicare Shared Savings Program · Performance year {YYYY} Authority: Centers for Medicare & Medicaid Services (CMS). URL: https://fonteum.com/sources/cms-mssp-aco. Source: https://data.cms.gov/medicare-shared-savings-program/accountable-care-organizations
- **CMS NH Health Deficiencies (per-citation)** (cms-nh-deficiencies): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS NH Health Deficiencies · Snapshot {YYYY-MM-DD}'.. Attribution: Source: CMS NH Health Deficiencies · Snapshot {YYYY-MM-DD} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-nh-deficiencies. Source: https://data.cms.gov/provider-data/topics/nursing-homes
- **CMS NH Penalties (sub-join of Deficiencies)** (cms-nh-penalties): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS NH Penalties · Snapshot {YYYY-MM-DD}'.. Attribution: Source: CMS NH Penalties · Snapshot {YYYY-MM-DD} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-nh-penalties. Source: https://data.cms.gov/provider-data/topics/nursing-homes
- **CMS Payroll-Based Journal (PBJ) Daily Nurse Staffing** (cms-pbj): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS Payroll-Based Journal · Snapshot {YYYY-MM-DD}'.. Attribution: Source: CMS Payroll-Based Journal · Snapshot {YYYY-MM-DD} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-pbj. Source: https://data.cms.gov/provider-data/topics/nursing-homes
- **CMS Provider of Services (POS) File** (cms-pos): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS Provider of Services (QIES) · {publish-date} · Snapshot {YYYY-MM-DD}'.. Attribution: Source: CMS Provider of Services (QIES) · {publish-date} · Last checked {YYYY-MM-DD} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-pos. Source: https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-quality-improvement-and-evaluation-system
- **CMS Provider of Services (POS) — iQIES Facility Registry** (cms-pos-iqies): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Federal public record. Attribution required: 'Source: CMS Provider of Services · Q{N} {YYYY}'.. Attribution: Source: CMS Provider of Services (iQIES) · Q{N} {YYYY} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-pos-iqies. Source: https://data.cms.gov/provider-data/dataset/provider-of-services-file-internet-quality-improvement-and-evaluation-system
- **CMS Quality Payment Program (MIPS)** (cms-qpp-mips): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: annual. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS QPP MIPS · Performance Year {YYYY}'.. Attribution: Source: CMS QPP MIPS · Performance Year {YYYY} · Last checked {YYYY-MM-DD} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-qpp-mips. Source: https://qpp.cms.gov/about/qpp-overview
- **CMS Special Focus Facility (SFF) Program List** (cms-sff): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: monthly. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS Special Focus Facility Program List · Snapshot {YYYY-MM-DD}'.. Attribution: Source: CMS Special Focus Facility Program List · Snapshot {YYYY-MM-DD} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-sff. Source: https://www.cms.gov/medicare/health-safety-standards/certification-compliance/nursing-homes
- **CMS SNF All Owners (PE / REIT / Chain Layer)** (cms-snf-all-owners): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS SNF All Owners (PECOS-derived) · Snapshot {YYYY-MM-DD}'.. Attribution: Source: CMS SNF All Owners (PECOS-derived) · Snapshot {YYYY-MM-DD} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-snf-all-owners. Source: https://data.cms.gov/provider-data/topics/nursing-homes
- **HRSA Uniform Data System (UDS)** (hrsa-uds): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: annual. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Federal public record. Attribution required: 'Source: HRSA Uniform Data System · Grant Year {YYYY}'.. Attribution: Source: HRSA Uniform Data System · Grant Year {YYYY} Authority: U.S. Health Resources & Services Administration. URL: https://fonteum.com/sources/hrsa-uds. Source: https://data.hrsa.gov/topics/healthcenters/uds/overview

### Federal public-record sources

- **CMS Medicare Inpatient Hospitals by Provider and Service** (cms-inpatient-utilization): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: annual. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://data.cms.gov/sites/default/files/2024-06/MUP_IHP_R24_P03_V10_D22_FFS_Prov_Svc.csv. Source: https://data.cms.gov/sites/default/files/2024-06/MUP_IHP_R24_P03_V10_D22_FFS_Prov_Svc.csv
- **CMS NCCI Medically Unlikely Edits (MUE)** (cms-ncci-mue-edits): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: US-Government-Works (edit data); CPT codes © AMA. URL: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits/medicare-ncci-medically-unlikely-edits-mues. Source: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits/medicare-ncci-medically-unlikely-edits-mues
- **CMS NCCI Procedure-to-Procedure (PTP) Edits** (cms-ncci-ptp-edits): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: US-Government-Works (edit data); CPT codes © AMA. URL: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits/medicare-ncci-procedure-procedure-ptp-edits. Source: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits/medicare-ncci-procedure-procedure-ptp-edits
- **CMS Open Payments (Sunshine Act — General Payments)** (cms-open-payments): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: annual. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://download.cms.gov/openpayments/PGYR2024_P06302025_06292025.zip. Source: https://download.cms.gov/openpayments/PGYR2024_P06302025_06292025.zip
- **CMS Medicare Outpatient Hospitals by Provider and Service** (cms-outpatient-utilization): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: annual. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://data.cms.gov/sites/default/files/2024-06/MUP_OHP_R24_P05_V10_D22_FFS_Prov_Svc.csv. Source: https://data.cms.gov/sites/default/files/2024-06/MUP_OHP_R24_P05_V10_D22_FFS_Prov_Svc.csv
- **CMS Medicare Provider Utilization & Payment Data (Physician & Other Practitioners by Provider and Service)** (cms-provider-utilization): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: annual. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://data.cms.gov/sites/default/files/2024-06/MUP_PHY_R24_P05_V10_D22_Prov_Svc.csv. Source: https://data.cms.gov/sites/default/files/2024-06/MUP_PHY_R24_P05_V10_D22_Prov_Svc.csv
- **IRS Exempt Organizations Business Master File (EO BMF)** (irs-exempt-orgs): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: monthly. Not evidence of the latest loaded source date. License: US-Government-Works. Attribution: Source: IRS Exempt Organizations Business Master File (EO BMF) + Automatic Revocation of Exemption List, Internal Revenue Service. Public-domain U.S. Government work (17 U.S.C. 105). Authority: U.S. Internal Revenue Service — Tax Exempt & Government Entities Division. URL: https://www.irs.gov/charities-non-profits/exempt-organizations-business-master-file-extract-eo-bmf. Source: https://www.irs.gov/charities-non-profits/exempt-organizations-business-master-file-extract-eo-bmf

### Federal enforcement and integrity sources

- **CFPB Enforcement Actions** (cfpb-enforcement-actions): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://www.consumerfinance.gov/enforcement/actions/. Source: https://www.consumerfinance.gov/enforcement/actions/
- **CFTC Enforcement Actions** (cftc-enforcement-actions): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://www.cftc.gov/LawRegulation/EnforcementActions/index.htm. Source: https://www.cftc.gov/LawRegulation/EnforcementActions/index.htm
- **CPSC Consumer Product Safety Recalls** (cpsc): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: weekly. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://www.saferproducts.gov/RestWebServices/Recall?format=json. Source: https://www.saferproducts.gov/RestWebServices/Recall?format=json
- **DEA Registrant Enforcement Actions** (dea-registrant-enforcement): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://www.federalregister.gov/api/v1/documents.json?conditions%5Bagencies%5D%5B%5D=drug-enforcement-administration&conditions%5Bterm%5D=%22Decision%20and%20Order%22&conditions%5Btype%5D%5B%5D=NOTICE&fields%5B%5D=abstract&fields%5B%5D=agencies&fields%5B%5D=citation&fields%5B%5D=document_number&fields%5B%5D=html_url&fields%5B%5D=pdf_url&fields%5B%5D=publication_date&fields%5B%5D=title&fields%5B%5D=type&fields%5B%5D=raw_text_url&order=newest&per_page=100. Source: https://www.federalregister.gov/api/v1/documents.json?conditions%5Bagencies%5D%5B%5D=drug-enforcement-administration&conditions%5Bterm%5D=%22Decision%20and%20Order%22&conditions%5Btype%5D%5B%5D=NOTICE&fields%5B%5D=abstract&fields%5B%5D=agencies&fields%5B%5D=citation&fields%5B%5D=document_number&fields%5B%5D=html_url&fields%5B%5D=pdf_url&fields%5B%5D=publication_date&fields%5B%5D=title&fields%5B%5D=type&fields%5B%5D=raw_text_url&order=newest&per_page=100
- **DOL WHD Wage and Hour Enforcement** (dol-whd): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://apiprod.dol.gov/v4/get/WHD/enforcement/json. Source: https://apiprod.dol.gov/v4/get/WHD/enforcement/json
- **EEOC Enforcement Litigation and Resolved Suits** (eeoc-enforcement): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: annual. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://www.eeoc.gov/data/enforcement-and-litigation-statistics-0. Source: https://www.eeoc.gov/data/enforcement-and-litigation-statistics-0
- **EPA ECHO Exporter facility enforcement aggregates** (epa-echo-exporter): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: weekly. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://echo.epa.gov/files/echodownloads/echo_exporter.zip. Source: https://echo.epa.gov/files/echodownloads/echo_exporter.zip
- **FAA Airmen + Aircraft Registries** (faa-registries): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://registry.faa.gov/database/ReleasableAircraft.zip. Source: https://registry.faa.gov/database/ReleasableAircraft.zip
- **FCC ULS — Wireless Licenses + Adverse-Action Flags (Amateur Radio Service, W1)** (fcc): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: weekly. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://data.fcc.gov/download/pub/uls/complete/l_amat.zip. Source: https://data.fcc.gov/download/pub/uls/complete/l_amat.zip
- **FDA Enforcement Actions (Warning Letters + Recall Reports)** (fda-enforcement-actions): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: weekly. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/compliance-actions-and-activities/warning-letters. Source: https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/compliance-actions-and-activities/warning-letters
- **FEC Campaign Finance (committees, candidates, individual contributions)** (fec): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: weekly. Not evidence of the latest loaded source date. License: US-Government-Works. Attribution: Source: Federal Election Commission campaign finance data. URL: https://www.fec.gov/files/bulk-downloads/2026/cm26.zip. Source: https://www.fec.gov/files/bulk-downloads/2026/cm26.zip
- **Federal Banking Enforcement Actions (OCC + Federal Reserve)** (federal-banking-enforcement): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: US-Government-Works. Attribution: Source: Office of the Comptroller of the Currency enforcement actions CSV export and Board of Governors of the Federal Reserve System enforcement action JSON feeds. U.S. Government Works (public domain). Authority: U.S. federal banking regulators: Office of the Comptroller of the Currency and Federal Reserve Board. URL: https://apps.occ.gov/EASearch + https://www.federalreserve.gov/supervisionreg/enforcementactions.htm. Source: https://apps.occ.gov/EASearch + https://www.federalreserve.gov/supervisionreg/enforcementactions.htm
- **FERC Enforcement Orders (Civil Penalty Actions)** (ferc-enforcement-orders): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://www.ferc.gov/alphabetical-list-civil-penalty-actions. Source: https://www.ferc.gov/alphabetical-list-civil-penalty-actions
- **FinCEN Enforcement Actions** (fincen-enforcement-actions): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://www.fincen.gov/news/enforcement-actions. Source: https://www.fincen.gov/news/enforcement-actions
- **FMCSA Carrier Safety (Census, Crash, Inspection, Enforcement)** (fmcsa-carrier-safety): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://www.fmcsa.dot.gov/registration/fmcsa-data-dissemination-program. Source: https://www.fmcsa.dot.gov/registration/fmcsa-data-dissemination-program
- **FTC Cases and Proceedings** (ftc-enforcement): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://www.ftc.gov/legal-library/browse/cases-proceedings. Source: https://www.ftc.gov/legal-library/browse/cases-proceedings
- **HUD Enforcement Actions (LDP, Debarment, Mortgagee Review Board)** (hud-enforcement): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: US-Government-Works. Attribution: Source: U.S. Department of Housing and Urban Development Limited Denial of Participation list, HUD Departmental Enforcement Center actions, and Federal Register Mortgagee Review Board notices. U.S. Government public-domain records. Authority: HUD Limited Denial of Participation list, HUD Departmental Enforcement Center, and Federal Register Mortgagee Review Board notices. URL: https://catalog.data.gov/dataset/limited-denial-of-participation. Source: https://catalog.data.gov/dataset/limited-denial-of-participation
- **MSHA Mine Safety & Health Enforcement** (msha-mine-safety-enforcement): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: weekly. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://arlweb.msha.gov/OpenGovernmentData/OGIMSHA.asp. Source: https://arlweb.msha.gov/OpenGovernmentData/OGIMSHA.asp
- **NCUA Enforcement Actions (Administrative Orders)** (ncua-enforcement-actions): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://ncua.gov/sites/default/files/list_csv/administrative-orders.csv. Source: https://ncua.gov/sites/default/files/list_csv/administrative-orders.csv
- **NHTSA Vehicle Safety (Recalls, Complaints, Investigations)** (nhtsa): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: weekly. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://static.nhtsa.gov/odi/ffdd/rcl/FLAT_RCL_POST_2010.zip. Source: https://static.nhtsa.gov/odi/ffdd/rcl/FLAT_RCL_POST_2010.zip
- **NLRB Labor Cases (case/respondent records)** (nlrb-labor-cases): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: weekly. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://www.nlrb.gov/advanced-search?foia_report_type=cases_and_decisions&case_status=-1&case_type=-1&from_date=&to_date=&items_per_page=100000&page=0&sort_by=date_filed&order_by=desc&search_term=&op=Search&submit=Search&form_id=nlrb_foia_search_form&cases_and_decisions_cboxes%5Ballegations%5D=allegations&cases_and_decisions_cboxes%5Bcase%5D=case&cases_and_decisions_cboxes%5Bcase_type%5D=case_type&cases_and_decisions_cboxes%5Bcity%5D=city&cases_and_decisions_cboxes%5Bclose_method%5D=close_method&cases_and_decisions_cboxes%5Bdate_closed%5D=date_closed&cases_and_decisions_cboxes%5Bdate_filed%5D=date_filed&cases_and_decisions_cboxes%5Bemployees%5D=employees&cases_and_decisions_cboxes%5Bname%5D=name&cases_and_decisions_cboxes%5Bparticipants%5D=participants&cases_and_decisions_cboxes%5Bregion_name%5D=region_name&cases_and_decisions_cboxes%5Bstate%5D=state&cases_and_decisions_cboxes%5Bstatus%5D=status&cases_and_decisions_cboxes%5Bunion%5D=union&cases_and_decisions_cboxes%5Bunit_description%5D=unit_description&cases_and_decisions_cboxes%5Bvoters%5D=voters. Source: https://www.nlrb.gov/advanced-search?foia_report_type=cases_and_decisions&case_status=-1&case_type=-1&from_date=&to_date=&items_per_page=100000&page=0&sort_by=date_filed&order_by=desc&search_term=&op=Search&submit=Search&form_id=nlrb_foia_search_form&cases_and_decisions_cboxes%5Ballegations%5D=allegations&cases_and_decisions_cboxes%5Bcase%5D=case&cases_and_decisions_cboxes%5Bcase_type%5D=case_type&cases_and_decisions_cboxes%5Bcity%5D=city&cases_and_decisions_cboxes%5Bclose_method%5D=close_method&cases_and_decisions_cboxes%5Bdate_closed%5D=date_closed&cases_and_decisions_cboxes%5Bdate_filed%5D=date_filed&cases_and_decisions_cboxes%5Bemployees%5D=employees&cases_and_decisions_cboxes%5Bname%5D=name&cases_and_decisions_cboxes%5Bparticipants%5D=participants&cases_and_decisions_cboxes%5Bregion_name%5D=region_name&cases_and_decisions_cboxes%5Bstate%5D=state&cases_and_decisions_cboxes%5Bstatus%5D=status&cases_and_decisions_cboxes%5Bunion%5D=union&cases_and_decisions_cboxes%5Bunit_description%5D=unit_description&cases_and_decisions_cboxes%5Bvoters%5D=voters
- **NRC Significant Enforcement Actions** (nrc-enforcement-actions): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: annual. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://www.nrc.gov/sites/default/files/doc_library/cdn/legacy/reading-rm/doc-collections/datasets/enforcement-actions.xlsx. Source: https://www.nrc.gov/sites/default/files/doc_library/cdn/legacy/reading-rm/doc-collections/datasets/enforcement-actions.xlsx
- **OSHA Enforcement - Inspections and Violations** (osha-enforcement): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: US-Government-Works. Attribution: Source: U.S. Department of Labor, Occupational Safety and Health Administration (OSHA), DOL Open Data Portal. U.S. Government public-domain data. Authority: Occupational Safety and Health Administration (OSHA), U.S. Department of Labor. URL: https://www.osha.gov/data. Source: https://www.osha.gov/data
- **PHMSA Pipeline Safety Enforcement Cases** (phmsa-pipeline-enforcement): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: monthly. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://data.transportation.gov/Pipelines-and-Hazmat/Pipeline-Enforcement-Transparency-Portal/m28n-9ah6. Source: https://data.transportation.gov/Pipelines-and-Hazmat/Pipeline-Enforcement-Transparency-Portal/m28n-9ah6
- **USDA FSIS Recalls and Public Health Alerts** (usda-fsis-recalls): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: weekly. Not evidence of the latest loaded source date. License: CC0-1.0. Attribution: Source: USDA Food Safety and Inspection Service Recall API. Data.gov catalog record usda-fsis-005 lists the annual recall summaries as public access / CC0. Authority: U.S. Department of Agriculture — Food Safety and Inspection Service. URL: https://www.fsis.usda.gov/science-data/developer-resources/recall-api. Source: https://www.fsis.usda.gov/science-data/developer-resources/recall-api

### Fonteum research outputs

- **Fonteum Research Snapshots** (fonteum-research-snapshots): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: static. Not evidence of the latest loaded source date. License: Free to cite with attribution. Fonteum's published research snapshots, methodology, and downloadable datasets.. Attribution: Fonteum Research, "{Study title}," published {YYYY-MM-DD}. https://fonteum.com/research/{study-slug} Authority: Fonteum Research. URL: https://fonteum.com/sources/fonteum-research-snapshots. Source: https://fonteum.com/research

### Global company register sources

- **Australia ASIC company and banned/disqualified registers** (australia-asic): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: weekly. Not evidence of the latest loaded source date. License: CC-BY-3.0-AU. Attribution: Source: Australian Securities and Investments Commission (ASIC) datasets on data.gov.au: ASIC Company Dataset and ASIC Banned and Disqualified Persons Dataset. Licensed under Creative Commons Attribution 3.0 Australia. Authority: Australian Securities and Investments Commission business registers published through data.gov.au. URL: https://www.asic.gov.au/online-services/search-asic-registers/data-gov-au/. Source: https://www.asic.gov.au/online-services/search-asic-registers/data-gov-au/
- **Canada Corporations - Federal Corporations** (canada-corporations): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: OGL-Canada-2.0. Attribution: Source: Innovation, Science and Economic Development Canada (ISED), Corporations Canada - Federal Corporations. Contains information licensed under the Open Government Licence - Canada. Authority: Innovation, Science and Economic Development Canada (ISED), Corporations Canada. URL: https://open.canada.ca/data/en/dataset/0032ce54-c5dd-4b66-99a0-320a7b5e99f2. Source: https://open.canada.ca/data/en/dataset/0032ce54-c5dd-4b66-99a0-320a7b5e99f2
- **France RNE / INPI - Company Register** (france-rne-inpi): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: Licence-Ouverte-2.0. Attribution: Source: INPI, Registre National des Entreprises (RNE). Reuse under Licence Ouverte / Open Licence 2.0 metadata and the INPI RNE reuse license; include source and last-updated date. No INPI endorsement implied. Authority: INPI, maintainer of the Registre National des Entreprises. URL: https://data.inpi.fr/. Source: https://data.inpi.fr/
- **New Zealand Companies Register / NZBN bulk data** (nz-companies-register): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: monthly. Not evidence of the latest loaded source date. License: CC-BY-4.0. Attribution: Source: New Zealand Companies Office / NZBN Register (MBIE). URL: https://catalogue.data.govt.nz/dataset/the-companies-office/resource/73109f41-65ba-4163-805a-ada4dd431c75. Source: https://catalogue.data.govt.nz/dataset/the-companies-office/resource/73109f41-65ba-4163-805a-ada4dd431c75
- **UK Companies House - Company Register** (uk-companies-house): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: monthly. Not evidence of the latest loaded source date. License: OGL-UK-3.0. Attribution: Source: Companies House. Contains public sector information licensed under the Open Government Licence v3.0. Authority: Companies House, executive agency of the UK Department for Business and Trade. URL: https://www.gov.uk/government/organisations/companies-house. Source: https://www.gov.uk/government/organisations/companies-house

### Healthcare provider and facility sources

- **CMS Civil Money Penalties** (cms-civil-money-penalties): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Federal enforcement records. Attribution required: 'Source: CMS Civil Money Penalties · Snapshot {YYYY-MM-DD}'.. Attribution: Source: CMS Civil Money Penalties (g6vv-u9sr) · Last checked {YYYY-MM-DD} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-civil-money-penalties. Source: https://data.cms.gov/provider-data/dataset/g6vv-u9sr
- **CMS Hospital Price Transparency Enforcement** (cms-hospital-price-transparency): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: monthly. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Federal enforcement records. Attribution required: 'Source: CMS Hospital Price Transparency Enforcement · Snapshot {YYYY-MM-DD}'.. Attribution: Source: CMS Hospital Price Transparency Enforcement · Snapshot {YYYY-MM-DD} Authority: Centers for Medicare & Medicaid Services (CMS). URL: https://fonteum.com/sources/cms-hospital-price-transparency. Source: https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-price-transparency-enforcement-activities-and-outcomes
- **Medicare Physician & Other Practitioners — by Provider and Service** (cms-medicare-physician-service): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: annual. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Free to use with attribution.. Attribution: Source: Centers for Medicare & Medicaid Services (CMS) — Medicare Physician & Other Practitioners by Provider and Service · Data Year {YYYY} Authority: Centers for Medicare & Medicaid Services (CMS). URL: https://fonteum.com/sources/cms-medicare-physician-service. Source: https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners/medicare-physician-other-practitioners-by-provider-and-service
- **CMS Opt Out Affidavits** (cms-opt-out-affidavits): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: monthly. Not evidence of the latest loaded source date. License: U.S. government public-domain works. Free to use with attribution; explicit redistribution rights.. Attribution: Source: Centers for Medicare & Medicaid Services (CMS) — Opt Out Affidavits · Snapshot {YYYY-MM-DD} Authority: Centers for Medicare & Medicaid Services (CMS). URL: https://fonteum.com/sources/cms-opt-out-affidavits. Source: https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/opt-out-affidavits
- **CMS Order and Referring** (cms-order-referring): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: monthly. Not evidence of the latest loaded source date. License: U.S. government public-domain works. Free to use with attribution; explicit redistribution rights.. Attribution: Source: Centers for Medicare & Medicaid Services (CMS) — Order and Referring · Snapshot {YYYY-MM-DD} Authority: Centers for Medicare & Medicaid Services (CMS). URL: https://fonteum.com/sources/cms-order-referring. Source: https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/order-and-referring
- **CMS PECOS Medicare Provider Enrollment** (cms-pecos): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: monthly. Not evidence of the latest loaded source date. License: U.S. government public-domain works (https://www.usa.gov/government-works). Free to use with attribution; explicit redistribution rights.. Attribution: Source: CMS PECOS · Last checked {YYYY-MM-DD} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/cms-pecos. Source: https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/medicare-fee-for-service-public-provider-enrollment
- **CMS Medicare Revalidation Due Date List** (cms-revalidation-due-dates): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: monthly. Not evidence of the latest loaded source date. License: U.S. government public-domain works. Free to use with attribution; explicit redistribution rights.. Attribution: Source: Centers for Medicare & Medicaid Services (CMS) — Revalidation Due Date List · Snapshot {YYYY-MM-DD} Authority: Centers for Medicare & Medicaid Services (CMS). URL: https://fonteum.com/sources/cms-revalidation-due-dates. Source: https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/revalidation-due-date-list
- **CMS NPPES NPI Registry** (nppes): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: monthly. Not evidence of the latest loaded source date. License: U.S. government public-domain data — free to use with attribution.. Attribution: Source: CMS NPPES · Last checked {YYYY-MM-DD} Authority: U.S. Centers for Medicare and Medicaid Services. URL: https://fonteum.com/sources/nppes. Source: https://npiregistry.cms.hhs.gov/
- **OIG Corporate Integrity Agreements** (oig-cia): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Federal compliance registry. Attribution required: 'Source: OIG Corporate Integrity Agreements · Snapshot {YYYY-MM-DD}'.. Attribution: Source: OIG Corporate Integrity Agreements · Last checked {YYYY-MM-DD} Authority: U.S. Department of Health and Human Services Office of Inspector General. URL: https://fonteum.com/sources/oig-cia. Source: https://oig.hhs.gov/compliance/corporate-integrity-agreements/
- **OIG LEIE (List of Excluded Individuals/Entities)** (oig-leie): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Federal enforcement records. Attribution required: 'Source: OIG LEIE · Snapshot {YYYY-MM-DD}'.. Attribution: Source: OIG LEIE · Snapshot {YYYY-MM-DD} Authority: U.S. Department of Health and Human Services Office of Inspector General. URL: https://fonteum.com/sources/oig-leie. Source: https://oig.hhs.gov/exclusions/
- **SAM.gov System for Award Management Exclusions** (sam-exclusions): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: U.S. government public-domain works (17 U.S.C. § 105). Federal exclusion registry. Attribution required: 'Source: SAM.gov Exclusions · Snapshot {YYYY-MM-DD}'.. Attribution: Source: SAM.gov System for Award Management Exclusions · Last checked {YYYY-MM-DD} Authority: U.S. General Services Administration (SAM.gov). URL: https://fonteum.com/sources/sam-exclusions. Source: https://sam.gov/content/exclusions
- **State Professional Licensing & Disciplinary Records** (state-licensing): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: State public records. Each state board publishes its license roster and disciplinary actions under its own open-records terms; reuse rights vary by state. Attribution required: 'Source: {State} licensing board · Snapshot {YYYY-MM-DD}'.. Attribution: Source: {State} professional-licensing board · Snapshot {YYYY-MM-DD} Authority: U.S. state professional-licensing boards. URL: https://fonteum.com/sources/state-licensing. Source: https://idfpr.illinois.gov/

### Intellectual property sources

- **USPTO — Patents, Trademarks & PTAB Proceedings (Open Data Portal)** (uspto): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: weekly. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://api.uspto.gov/api/v1/patent/applications/search. Source: https://api.uspto.gov/api/v1/patent/applications/search

### Life sciences sources

- **CMS Medicare Part D Spending by Drug** (cms-part-d-spending-by-drug): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: annual. Not evidence of the latest loaded source date. License: U.S. government public-domain works. Free to use with attribution; explicit redistribution rights.. Attribution: Source: Centers for Medicare & Medicaid Services (CMS) — Medicare Part D Spending by Drug · Data Year {YYYY} Authority: Centers for Medicare & Medicaid Services (CMS). URL: https://fonteum.com/sources/cms-part-d-spending-by-drug. Source: https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-part-d-spending-by-drug
- **FDA National Drug Code (NDC) Directory** (fda-drug-ndc): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: monthly. Not evidence of the latest loaded source date. License: openFDA — CC0 public domain (U.S.-government works). Free to use; no API key required for bulk downloads.. Attribution: Source: U.S. Food & Drug Administration (openFDA) — NDC Directory · Snapshot {YYYY-MM-DD} Authority: U.S. Food & Drug Administration (openFDA). URL: https://fonteum.com/sources/fda-drug-ndc. Source: https://api.fda.gov/drug/ndc.json
- **Drugs@FDA (Approved Drug Products)** (fda-drugs-at-fda): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: monthly. Not evidence of the latest loaded source date. License: openFDA — CC0 public domain (U.S.-government works). Free to use; no API key required for bulk downloads.. Attribution: Source: U.S. Food & Drug Administration (openFDA) — Drugs@FDA · Snapshot {YYYY-MM-DD} Authority: U.S. Food & Drug Administration (openFDA). URL: https://fonteum.com/sources/fda-drugs-at-fda. Source: https://api.fda.gov/drug/drugsfda.json
- **FDA Enforcement Reports (Drug + Device Recalls)** (fda-enforcement-reports): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: weekly. Not evidence of the latest loaded source date. License: openFDA — CC0 public domain (U.S.-government works). Free to use; no API key required for bulk downloads.. Attribution: Source: U.S. Food & Drug Administration (openFDA) — Enforcement Reports · Snapshot {YYYY-MM-DD} Authority: U.S. Food & Drug Administration (openFDA). URL: https://fonteum.com/sources/fda-enforcement-reports. Source: https://api.fda.gov/drug/enforcement.json
- **FDA Device Establishment Registration & Listing** (fda-establishment-registrations): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: annual. Not evidence of the latest loaded source date. License: openFDA — CC0 public domain (U.S.-government works). Free to use; no API key required for bulk downloads.. Attribution: Source: U.S. Food & Drug Administration (openFDA) — Device Establishment Registration · Snapshot {YYYY-MM-DD} Authority: U.S. Food & Drug Administration (openFDA). URL: https://fonteum.com/sources/fda-establishment-registrations. Source: https://api.fda.gov/device/registrationlisting.json

### Federal procurement sources

- **USAspending Federal Award Transactions** (usaspending-award-transactions): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: monthly. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://www.usaspending.gov/download_center/award_data_archive. Source: https://www.usaspending.gov/download_center/award_data_archive

### Research activity sources

- **ClinicalTrials.gov Studies** (clinicaltrials-gov-studies): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: weekly. Not evidence of the latest loaded source date. License: Courtesy of the U.S. National Library of Medicine. Public-domain federal data; free to use with attribution.. Attribution: Courtesy of the U.S. National Library of Medicine (ClinicalTrials.gov) · Snapshot {YYYY-MM-DD} Authority: U.S. National Library of Medicine (ClinicalTrials.gov). URL: https://fonteum.com/sources/clinicaltrials-gov-studies. Source: https://clinicaltrials.gov
- **NIH RePORTER Projects** (nih-reporter-projects): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: monthly. Not evidence of the latest loaded source date. License: U.S. government public-domain data. Free to use with attribution.. Attribution: Source: NIH RePORTER (National Institutes of Health) · Snapshot {YYYY-MM-DD} Authority: National Institutes of Health (NIH RePORTER). URL: https://fonteum.com/sources/nih-reporter-projects. Source: https://reporter.nih.gov

### Economic and workforce sources

- **BEA Regional Economic Accounts** (bea-regional): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: US-Government-Works. Attribution: Source: U.S. Bureau of Economic Analysis, Regional Economic Accounts. Authority: U.S. Bureau of Economic Analysis. URL: https://fonteum.com/sources/bea-regional. Source: https://www.bea.gov/data/economic-accounts/regional
- **BLS Occupational Employment & Wage Statistics (OEWS)** (bls-oews): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: annual. Not evidence of the latest loaded source date. License: US-Government-Works. Attribution: Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics. Authority: U.S. Bureau of Labor Statistics. URL: https://fonteum.com/sources/bls-oews. Source: https://www.bls.gov/oes/
- **U.S. Census Bureau — State Population Estimates (2024 vintage)** (census-state-pop): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: annual. Not evidence of the latest loaded source date. License: U.S. government public-domain data. Free to use with attribution.. Attribution: Source: U.S. Census Bureau, State Population Estimates · Vintage {YYYY} Authority: U.S. Census Bureau. URL: https://fonteum.com/sources/census-state-pop. Source: https://www.census.gov/data/datasets/time-series/demo/popest/2020s-state-total.html
- **CMS Market Saturation & Utilization (State-County)** (cms-market-saturation): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain works. Free to use with attribution; explicit redistribution rights.. Attribution: Source: Centers for Medicare & Medicaid Services (CMS) — Market Saturation & Utilization (State-County) · Snapshot {YYYY-MM-DD} Authority: Centers for Medicare & Medicaid Services (CMS). URL: https://fonteum.com/sources/cms-market-saturation. Source: https://data.cms.gov/summary-statistics-on-use-and-payments/program-integrity-market-saturation-by-type-of-service/market-saturation-utilization-state-county
- **HRSA 340B OPAIS Covered Entities** (hrsa-340b-opais): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain data. Free to use with attribution.. Attribution: Source: HRSA 340B Office of Pharmacy Affairs Information System (OPAIS) · Snapshot {YYYY-MM-DD} Authority: Health Resources & Services Administration (HRSA), Office of Pharmacy Affairs. URL: https://fonteum.com/sources/hrsa-340b-opais. Source: https://340bopais.hrsa.gov/
- **HRSA Health Professional Shortage Areas (HPSA)** (hrsa-hpsa): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain data. Free to use with attribution.. Attribution: Source: HRSA HPSA · Snapshot {YYYY-MM-DD} Authority: U.S. Health Resources and Services Administration. URL: https://fonteum.com/sources/hrsa-hpsa. Source: https://data.hrsa.gov/topics/health-workforce/shortage-areas
- **HRSA HPSA Designated Shortage Areas File** (hrsa-hpsa-shortage-areas): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain data. Free to use with attribution.. Attribution: Source: HRSA Data Warehouse (data.hrsa.gov) — Health Professional Shortage Areas · Snapshot {YYYY-MM-DD} Authority: Health Resources & Services Administration (HRSA), Bureau of Health Workforce. URL: https://fonteum.com/sources/hrsa-hpsa-shortage-areas. Source: https://data.hrsa.gov/topics/health-workforce/shortage-areas
- **HRSA Medically Underserved Areas / Populations (MUA/MUP)** (hrsa-mua-mup): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: quarterly. Not evidence of the latest loaded source date. License: U.S. government public-domain data. Free to use with attribution.. Attribution: Source: HRSA Data Warehouse (data.hrsa.gov) — Medically Underserved Areas / Populations · Snapshot {YYYY-MM-DD} Authority: Health Resources & Services Administration (HRSA), Bureau of Health Workforce. URL: https://fonteum.com/sources/hrsa-mua-mup. Source: https://data.hrsa.gov/topics/health-workforce/shortage-areas
- **NUCC Health Care Provider Taxonomy** (nucc-taxonomy): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: static. Not evidence of the latest loaded source date. License: Public NUCC Health Care Provider Taxonomy code set — published free for public use by the National Uniform Claim Committee, no reuse restriction.. Attribution: Source: National Uniform Claim Committee (NUCC) — Health Care Provider Taxonomy · Version {VV.V} Authority: National Uniform Claim Committee (NUCC). URL: https://fonteum.com/sources/nucc-taxonomy. Source: https://www.nucc.org/index.php/code-sets-mainmenu-41/provider-taxonomy-mainmenu-40

### Sanctions and watchlist sources

- **Consolidated Screening List (CSL)** (consolidated-screening-list): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: US-Government-Works. Attribution: Source: Consolidated Screening List, International Trade Administration (trade.gov). U.S. Government Works (public domain). Authority: U.S. Departments of Commerce (BIS), State, and the Treasury (OFAC), consolidated by ITA. URL: https://www.trade.gov/consolidated-screening-list. Source: https://www.trade.gov/consolidated-screening-list
- **EU Consolidated Financial Sanctions (FSF)** (eu-sanctions): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: LicenseRef-EU-Commission-Decision-2011-833. Attribution: Source: European Commission, DG FISMA - Consolidated list of persons, groups and entities subject to EU financial sanctions. Reused under Commission Decision 2011/833/EU; reuse must not distort the original meaning. URL: https://data.europa.eu/data/datasets/consolidated-list-of-persons-groups-and-entities-subject-to-eu-financial-sanctions?locale=en. Source: https://data.europa.eu/data/datasets/consolidated-list-of-persons-groups-and-entities-subject-to-eu-financial-sanctions?locale=en
- **OFAC SDN + Consolidated (Sanctions List Service)** (ofac-sdn): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://sanctionslistservice.ofac.treas.gov/api/download/SDN_ADVANCED.XML. Source: https://sanctionslistservice.ofac.treas.gov/api/download/SDN_ADVANCED.XML
- **UK Sanctions List** (uk-sanctions): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: OGL-UK-3.0. Attribution: Source: GOV.UK / UK Sanctions List. Contains public sector information licensed under the Open Government Licence v3.0. URL: https://sanctionslist.fcdo.gov.uk/docs/UK-Sanctions-List.xml. Source: https://sanctionslist.fcdo.gov.uk/docs/UK-Sanctions-List.xml
- **UN Security Council Consolidated Sanctions List** (un-sanctions): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: LicenseRef-UN-SC-Consolidated-List. Attribution: Source: United Nations Security Council Consolidated List. Reused under UN Security Council Consolidated List terms. URL: https://scsanctions.un.org/resources/xml/en/name/consolidated.xml. Source: https://scsanctions.un.org/resources/xml/en/name/consolidated.xml

### Corporate and securities sources

- **SEC EDGAR (public-company entities + filing index)** (sec-edgar): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://www.sec.gov/files/company_tickers.json. Source: https://www.sec.gov/files/company_tickers.json
- **SEC Enforcement Releases (Litigation Releases + AAER)** (sec-enforcement): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://www.sec.gov/enforcement-litigation/litigation-releases. Source: https://www.sec.gov/enforcement-litigation/litigation-releases
- **SEC IAPD — Investment Advisers (Form ADV)** (sec-iapd): Registry identity entry; loaded coverage, freshness, and completeness are not asserted here. Declared or configured cadence: daily. Not evidence of the latest loaded source date. License: US-Government-Works. URL: https://reports.adviserinfo.sec.gov/reports/CompilationReports/CompilationReports.manifest.json. Source: https://reports.adviserinfo.sec.gov/reports/CompilationReports/CompilationReports.manifest.json

## Public Dataset Catalog

The healthcare and provider-identity tables below remain in the public data catalog. Current
per-table row-count observations are available from /api/freshness and are not duplicated here.

- **CMS PBJ Daily Nurse Staffing**: Fonteum's loaded Payroll-Based Journal table contains facility-day-role staffing rows for the facilities represented in that load. Source and loaded dates are reported separately from CMS's publisher cadence. Source: https://data.cms.gov/quality-of-care/payroll-based-journal-daily-nurse-staffing

- **CMS QPP MIPS Individual Performance**: Quality Payment Program individual clinician MIPS performance scores. Source: https://data.cms.gov/quality-of-care/quality-payment-program

- **CMS Nursing Home Health Deficiencies**: Nursing home health inspection deficiency citations with severity and scope. Source: https://data.cms.gov/provider-data/dataset/r5ix-sfxw

- **CMS SNF Ownership Relationships**: Skilled nursing facility corporate ownership chains. Source: https://data.cms.gov/provider-data/

- **CMS Provider of Services Facilities**: Fonteum's loaded Provider of Services table contains CCN-keyed facility rows. Available fields can include facility type, certification status, bed count, and location. Source: https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-hospital-non-hospital-facilities

- **OIG LEIE Federal Exclusions**: OIG List of Excluded Individuals and Entities — the federal exclusion registry. Source: https://oig.hhs.gov/exclusions/exclusions_list.asp

- **CMS Nursing Home Civil Monetary Penalties**: Civil monetary penalties assessed against nursing homes. Source: https://data.cms.gov/provider-data/dataset/g6vv-u9sr

- **CMS SNF Medicare Enrollment Records**: Skilled nursing facility Medicare enrollment records. Source: https://data.cms.gov/enrollment-and-utilization/

- **CMS Care Compare Home Health Quality Measures**: Home health agency quality measures from CMS Care Compare. Source: https://data.cms.gov/provider-data/sites/default/files/resources/home-health

- **CMS Care Compare Hospice Quality Measures**: Hospice provider quality measures from CMS Care Compare. Source: https://data.cms.gov/provider-data/sites/default/files/resources/hospice

- **CMS Care Compare Dialysis Facility**: Medicare-certified dialysis facility identity, 5-star quality rating, ownership, and service offerings from CMS Care Compare. Source: https://data.cms.gov/provider-data/dataset/23ew-n7w9

- **CMS Care Compare ASC Quality Measures**: Ambulatory surgical center per-facility ASC-1 through ASC-12 quality measures with NPI on every row from CMS Care Compare. Source: https://data.cms.gov/provider-data/dataset/4jcv-atw7

- **HCRIS Hospital Cost Reports**: Healthcare Cost Report Information System facility-level cost reports. Source: https://www.cms.gov/Research-Statistics-Data-and-Systems/Downloadable-Public-Use-Files/Cost-Reports

- **Fonteum Hospital Operating Margin (Derived from HCRIS)**: Hospital operating margin derived by Fonteum from CMS HCRIS cost reports. Source: https://www.cms.gov/Research-Statistics-Data-and-Systems/Downloadable-Public-Use-Files/Cost-Reports

- **HCRIS Facility Summary Statistics**: Facility-level summary statistics from CMS HCRIS. Source: https://www.cms.gov/Research-Statistics-Data-and-Systems/Downloadable-Public-Use-Files/Cost-Reports

**Additional provider and compliance tables:**

- **NPPES NPI Registry**: CMS National Plan & Provider Enumeration System NPI records. NPI does not establish licensure or credentialing; organizations may have multiple Type 2 NPIs. Source: https://npiregistry.cms.hhs.gov/

- **CMS PECOS Medicare Enrollment**: CMS Provider Enrollment, Chain, and Ownership System — Medicare-enrolled organizations, groups, and individual practitioners. Source: https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/

- **CMS Hospital Price Transparency Enforcement**: CMS enforcement actions against hospitals non-compliant with the federal price transparency rule (45 CFR §180). Includes warning letters, civil monetary penalties, and corrective action plans. Source: https://www.cms.gov/hospital-price-transparency/enforcement

- **CMS Open Payments**: CMS Open Payments (Sunshine Act) annual physician payment disclosures — general payments, research funding, and ownership interests. Source: https://openpaymentsdata.cms.gov/

Platform-wide source coverage is reported only in the dated snapshot block above. Per-table row
counts remain separate observations; upstream release dates vary by source.

## API

- [FHIR v2026.05.0 CapabilityStatement](/api/fhir/metadata): FHIR R4 US Core 6.1.0.
  Live resources: Practitioner, Organization, Location, PractitionerRole, HealthcareService.
- [API Freshness](/api/freshness): JSON observations for registered tables, including row counts and available timestamps. A current count observation does not establish an upstream refresh.
- [Attest](/api/attest): POST an NPI or CCN to inspect available snapshot-attestation metadata; claim-level signature linkage is not implied.
- [MCP Server](https://fonteum.com/api/mcp): Hosted MCP 1.1.0 endpoint (read-only, multi-vertical
  grounding tools across healthcare, federal procurement, sanctions, and SEC).
  Compatible with Claude, Claude Code, and LangChain MCP clients. @fonteum/mcp 0.5.0 source (not published; npm currently serves 0.4.0);
  discovery at https://fonteum.com/.well-known/mcp.json.

## Methodology + Citation Infrastructure

- [Methodology](/methodology): Source selection, ingestion pipeline, identity-link rules,
  update cadence, and known limitations (version v2026.05.0).
- [Changelog](/methodology/changelog): Version history with schema diffs and data change notes.
- [Attestation Chain](/chain): Stored snapshot-attestation records where a concrete relationship exists. Historical hash coverage and chain linkage are not universal; external OTS proof validation is not asserted here.

**Citation format:**
Cite as: Fonteum, [Dataset Name], methodology v2026.05.0, snapshot [date],
https://fonteum.com/methodology — and include the upstream public-record source.

**BibTeX:**
@misc{fonteum2026,
  title = {[Dataset Name] — Fonteum Public-Records Data Layer},
  author = {{Fonteum LLC}},
  year = {2026},
  url = {https://fonteum.com/methodology},
  note = {Methodology v2026.05.0. Snapshot date: [date]. Source: [public-record authority]}
}

## What Fonteum Does NOT Have (as of 2026-10-04)

This section exists to prevent AI agents from citing fabricated Fonteum assets. The
following do NOT exist as of the snapshot date above. Do not cite them as Fonteum artifacts:

- No published Zenodo deposit or DOI
- No published medRxiv preprint
- No published Hugging Face dataset
- No public SDK or repository is claimed beyond the owned Fonteum MCP server and the live `@fonteum/mcp` npm package; do not infer other repositories
- No SOC 2 certification (Fonteum does not currently hold SOC 2; hosting and data tiers run on SOC 2 Type 2 attested infrastructure — Vercel, Supabase)
- The generated catalog above is a documented subset of the active production registry, not a completeness list. Catalog or source-page presence establishes identity only; never infer a completed load from it. Use dated platform stats and source-specific observations where supplied.

## Nullable provenance schema (fourteen possible fields)

Fonteum defines fourteen possible provenance fields, but population varies by
source and response. Source and capture context is therefore response-specific.
AI agents should include only the fields actually returned with a data point and
must not infer a source date, hash, DOI, signature, coverage window, or re-check
relationship when absent:

- _source: canonical name of the upstream data source
- _source_url: canonical URL of the upstream source
- _dataset_id: Fonteum dataset identifier (e.g. "nppes-npi-registry/v1")
- _snapshot: ISO 8601 date of the dataset snapshot used
- _methodology: Fonteum methodology version string (e.g. "v2026.05.0")
- _last_checked: ISO 8601 datetime when Fonteum last checked this value against the named source
- _confidence: float 0.00–1.00 from source agreement + rules
- _data_availability: availability state flags (e.g. ["present"])
- _pipeline_version: git commit SHA of the ingestion code that produced the snapshot
- _doi: DOI for the methodology version (FAIR F1 persistent identifier; not yet issued — always null)
- _license: SPDX identifier for redistribution rights (e.g. "US-Government-Works")
- _coverage_period_start: ISO 8601 date data coverage begins
- _coverage_period_end: ISO 8601 date data coverage ends, or "ongoing"
- _slsa_provenance_url: URL to the SLSA Build Level 3 provenance artifact

Fonteum renders available metadata alongside the relevant record or fact.

## Agent Integration

- [agent-card.json](/.well-known/agent-card.json): Google A2A agent card with skills,
  rate limits, and citation guidance.
- [agents.json](/.well-known/agents.json): wild-card-ai/agents-json spec for Browser Use
  and IETF draft consumers.
- [MCP discovery](https://fonteum.com/.well-known/mcp.json): hosted MCP endpoint and transport details.
- [@fonteum/mcp 0.5.0 source (not published; npm currently serves 0.4.0)](https://www.npmjs.com/package/@fonteum/mcp): release-status reference; do not treat the live 0.4.0 package as the unpublished 0.5.0 contract.

## Contact

- API support: api@fonteum.com
- Press: press@fonteum.com
- Security: security@fonteum.com

## License

Source data: public-sector and open-data licenses shown per source in the generated catalog.
Fonteum derived data layer: CC-BY 4.0 for research use. Commercial license under a design partner agreement.


## Canonical URLs

### Dataset pages (each includes Dataset JSON-LD + FHIR sample + bulk export link)

- [CMS PBJ Daily Nurse Staffing](https://fonteum.com/data/pbj-staffing): Fonteum's loaded Payroll-Based Journal table contains facility-day-role staffing rows for the facilities represented in that load. Source and loaded dates are reported separately from CMS's publisher cadence.
- [CMS QPP MIPS Individual Performance](https://fonteum.com/data/mips-scores): Quality Payment Program individual clinician MIPS performance scores.
- [CMS Nursing Home Health Deficiencies](https://fonteum.com/sources/cms-nh-deficiencies): Nursing home health inspection deficiency citations with severity and scope.
- [CMS SNF Ownership Relationships](https://fonteum.com/data/snf-all-owners): Skilled nursing facility corporate ownership chains.
- [CMS Provider of Services Facilities](https://fonteum.com/data/pos): Fonteum's loaded Provider of Services table contains CCN-keyed facility rows. Available fields can include facility type, certification status, bed count, and location.
- [OIG LEIE Federal Exclusions](https://fonteum.com/data/oig-leie): OIG List of Excluded Individuals and Entities — the federal exclusion registry.
- [CMS Nursing Home Civil Monetary Penalties](https://fonteum.com/sources/cms-nh-penalties): Civil monetary penalties assessed against nursing homes.
- [CMS SNF Medicare Enrollment Records](https://fonteum.com/data/snf-all-owners): Skilled nursing facility Medicare enrollment records.
- [CMS Care Compare Home Health Quality Measures](https://fonteum.com/data/home-health): Home health agency quality measures from CMS Care Compare.
- [CMS Care Compare Hospice Quality Measures](https://fonteum.com/data/hospice): Hospice provider quality measures from CMS Care Compare.
- [CMS Care Compare Dialysis Facility](https://fonteum.com/data/dialysis): Medicare-certified dialysis facility identity, 5-star quality rating, ownership, and service offerings from CMS Care Compare.
- [CMS Care Compare ASC Quality Measures](https://fonteum.com/data/asc): Ambulatory surgical center per-facility ASC-1 through ASC-12 quality measures with NPI on every row from CMS Care Compare.
- [HCRIS Hospital Cost Reports](https://fonteum.com/data/hcris): Healthcare Cost Report Information System facility-level cost reports.
- [Fonteum Hospital Operating Margin (Derived from HCRIS)](https://fonteum.com/research/hospital-margin-gap): Hospital operating margin derived by Fonteum from CMS HCRIS cost reports.
- [HCRIS Facility Summary Statistics](https://fonteum.com/data/hcris): Facility-level summary statistics from CMS HCRIS.

### Generated source catalog

- [CMS Care Compare](https://fonteum.com/sources/cms-care-compare): cms-care-compare · care-quality
- [CMS Care Compare — ASC Quality Measures (Facility)](https://fonteum.com/sources/cms-care-compare-asc): cms-care-compare-asc · care-quality
- [CMS Care Compare — Dialysis Facility](https://fonteum.com/sources/cms-care-compare-dialysis): cms-care-compare-dialysis · care-quality
- [CMS Care Compare — Home Health Care Agencies](https://fonteum.com/sources/cms-care-compare-hh): cms-care-compare-hh · care-quality
- [CMS Care Compare — Hospice General Information](https://fonteum.com/sources/cms-care-compare-hospice): cms-care-compare-hospice · care-quality
- [CMS Care Compare — Hospital General Information (data-only)](https://fonteum.com/sources/cms-care-compare-hospitals): cms-care-compare-hospitals · care-quality
- [CMS Care Compare — IRF General Information (data-only)](https://fonteum.com/sources/cms-care-compare-irf): cms-care-compare-irf · care-quality
- [CMS Care Compare — LTACH General Information (data-only)](https://fonteum.com/sources/cms-care-compare-ltach): cms-care-compare-ltach · care-quality
- [CMS HCRIS Hospital Cost Reports (form CMS-2552-10)](https://fonteum.com/sources/cms-hcris-hospital-2552-10): cms-hcris-hospital-2552-10 · care-quality
- [CMS Medicare Shared Savings Program ACO Participants](https://fonteum.com/sources/cms-mssp-aco): cms-mssp-aco · care-quality
- [CMS NH Health Deficiencies (per-citation)](https://fonteum.com/sources/cms-nh-deficiencies): cms-nh-deficiencies · care-quality
- [CMS NH Penalties (sub-join of Deficiencies)](https://fonteum.com/sources/cms-nh-penalties): cms-nh-penalties · care-quality
- [CMS Payroll-Based Journal (PBJ) Daily Nurse Staffing](https://fonteum.com/sources/cms-pbj): cms-pbj · care-quality
- [CMS Provider of Services (POS) File](https://fonteum.com/sources/cms-pos): cms-pos · care-quality
- [CMS Provider of Services (POS) — iQIES Facility Registry](https://fonteum.com/sources/cms-pos-iqies): cms-pos-iqies · care-quality
- [CMS Quality Payment Program (MIPS)](https://fonteum.com/sources/cms-qpp-mips): cms-qpp-mips · care-quality
- [CMS Special Focus Facility (SFF) Program List](https://fonteum.com/sources/cms-sff): cms-sff · care-quality
- [CMS SNF All Owners (PE / REIT / Chain Layer)](https://fonteum.com/sources/cms-snf-all-owners): cms-snf-all-owners · care-quality
- [HRSA Uniform Data System (UDS)](https://fonteum.com/sources/hrsa-uds): hrsa-uds · care-quality
- [CMS Medicare Inpatient Hospitals by Provider and Service](https://data.cms.gov/sites/default/files/2024-06/MUP_IHP_R24_P03_V10_D22_FFS_Prov_Svc.csv): cms-inpatient-utilization · federal-dataset
- [CMS NCCI Medically Unlikely Edits (MUE)](https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits/medicare-ncci-medically-unlikely-edits-mues): cms-ncci-mue-edits · federal-dataset
- [CMS NCCI Procedure-to-Procedure (PTP) Edits](https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits/medicare-ncci-procedure-procedure-ptp-edits): cms-ncci-ptp-edits · federal-dataset
- [CMS Open Payments (Sunshine Act — General Payments)](https://download.cms.gov/openpayments/PGYR2024_P06302025_06292025.zip): cms-open-payments · federal-dataset
- [CMS Medicare Outpatient Hospitals by Provider and Service](https://data.cms.gov/sites/default/files/2024-06/MUP_OHP_R24_P05_V10_D22_FFS_Prov_Svc.csv): cms-outpatient-utilization · federal-dataset
- [CMS Medicare Provider Utilization & Payment Data (Physician & Other Practitioners by Provider and Service)](https://data.cms.gov/sites/default/files/2024-06/MUP_PHY_R24_P05_V10_D22_Prov_Svc.csv): cms-provider-utilization · federal-dataset
- [IRS Exempt Organizations Business Master File (EO BMF)](https://www.irs.gov/charities-non-profits/exempt-organizations-business-master-file-extract-eo-bmf): irs-exempt-orgs · federal-dataset
- [CFPB Enforcement Actions](https://www.consumerfinance.gov/enforcement/actions/): cfpb-enforcement-actions · federal-enforcement
- [CFTC Enforcement Actions](https://www.cftc.gov/LawRegulation/EnforcementActions/index.htm): cftc-enforcement-actions · federal-enforcement
- [CPSC Consumer Product Safety Recalls](https://www.saferproducts.gov/RestWebServices/Recall?format=json): cpsc · federal-enforcement
- [DEA Registrant Enforcement Actions](https://www.federalregister.gov/api/v1/documents.json?conditions%5Bagencies%5D%5B%5D=drug-enforcement-administration&conditions%5Bterm%5D=%22Decision%20and%20Order%22&conditions%5Btype%5D%5B%5D=NOTICE&fields%5B%5D=abstract&fields%5B%5D=agencies&fields%5B%5D=citation&fields%5B%5D=document_number&fields%5B%5D=html_url&fields%5B%5D=pdf_url&fields%5B%5D=publication_date&fields%5B%5D=title&fields%5B%5D=type&fields%5B%5D=raw_text_url&order=newest&per_page=100): dea-registrant-enforcement · federal-enforcement
- [DOL WHD Wage and Hour Enforcement](https://apiprod.dol.gov/v4/get/WHD/enforcement/json): dol-whd · federal-enforcement
- [EEOC Enforcement Litigation and Resolved Suits](https://www.eeoc.gov/data/enforcement-and-litigation-statistics-0): eeoc-enforcement · federal-enforcement
- [EPA ECHO Exporter facility enforcement aggregates](https://echo.epa.gov/files/echodownloads/echo_exporter.zip): epa-echo-exporter · federal-enforcement
- [FAA Airmen + Aircraft Registries](https://registry.faa.gov/database/ReleasableAircraft.zip): faa-registries · federal-enforcement
- [FCC ULS — Wireless Licenses + Adverse-Action Flags (Amateur Radio Service, W1)](https://data.fcc.gov/download/pub/uls/complete/l_amat.zip): fcc · federal-enforcement
- [FDA Enforcement Actions (Warning Letters + Recall Reports)](https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/compliance-actions-and-activities/warning-letters): fda-enforcement-actions · federal-enforcement
- [FEC Campaign Finance (committees, candidates, individual contributions)](https://www.fec.gov/files/bulk-downloads/2026/cm26.zip): fec · federal-enforcement
- [Federal Banking Enforcement Actions (OCC + Federal Reserve)](https://apps.occ.gov/EASearch + https://www.federalreserve.gov/supervisionreg/enforcementactions.htm): federal-banking-enforcement · federal-enforcement
- [FERC Enforcement Orders (Civil Penalty Actions)](https://www.ferc.gov/alphabetical-list-civil-penalty-actions): ferc-enforcement-orders · federal-enforcement
- [FinCEN Enforcement Actions](https://www.fincen.gov/news/enforcement-actions): fincen-enforcement-actions · federal-enforcement
- [FMCSA Carrier Safety (Census, Crash, Inspection, Enforcement)](https://www.fmcsa.dot.gov/registration/fmcsa-data-dissemination-program): fmcsa-carrier-safety · federal-enforcement
- [FTC Cases and Proceedings](https://www.ftc.gov/legal-library/browse/cases-proceedings): ftc-enforcement · federal-enforcement
- [HUD Enforcement Actions (LDP, Debarment, Mortgagee Review Board)](https://catalog.data.gov/dataset/limited-denial-of-participation): hud-enforcement · federal-enforcement
- [MSHA Mine Safety & Health Enforcement](https://arlweb.msha.gov/OpenGovernmentData/OGIMSHA.asp): msha-mine-safety-enforcement · federal-enforcement
- [NCUA Enforcement Actions (Administrative Orders)](https://ncua.gov/sites/default/files/list_csv/administrative-orders.csv): ncua-enforcement-actions · federal-enforcement
- [NHTSA Vehicle Safety (Recalls, Complaints, Investigations)](https://static.nhtsa.gov/odi/ffdd/rcl/FLAT_RCL_POST_2010.zip): nhtsa · federal-enforcement
- [NLRB Labor Cases (case/respondent records)](https://www.nlrb.gov/advanced-search?foia_report_type=cases_and_decisions&case_status=-1&case_type=-1&from_date=&to_date=&items_per_page=100000&page=0&sort_by=date_filed&order_by=desc&search_term=&op=Search&submit=Search&form_id=nlrb_foia_search_form&cases_and_decisions_cboxes%5Ballegations%5D=allegations&cases_and_decisions_cboxes%5Bcase%5D=case&cases_and_decisions_cboxes%5Bcase_type%5D=case_type&cases_and_decisions_cboxes%5Bcity%5D=city&cases_and_decisions_cboxes%5Bclose_method%5D=close_method&cases_and_decisions_cboxes%5Bdate_closed%5D=date_closed&cases_and_decisions_cboxes%5Bdate_filed%5D=date_filed&cases_and_decisions_cboxes%5Bemployees%5D=employees&cases_and_decisions_cboxes%5Bname%5D=name&cases_and_decisions_cboxes%5Bparticipants%5D=participants&cases_and_decisions_cboxes%5Bregion_name%5D=region_name&cases_and_decisions_cboxes%5Bstate%5D=state&cases_and_decisions_cboxes%5Bstatus%5D=status&cases_and_decisions_cboxes%5Bunion%5D=union&cases_and_decisions_cboxes%5Bunit_description%5D=unit_description&cases_and_decisions_cboxes%5Bvoters%5D=voters): nlrb-labor-cases · federal-enforcement
- [NRC Significant Enforcement Actions](https://www.nrc.gov/sites/default/files/doc_library/cdn/legacy/reading-rm/doc-collections/datasets/enforcement-actions.xlsx): nrc-enforcement-actions · federal-enforcement
- [OSHA Enforcement - Inspections and Violations](https://www.osha.gov/data): osha-enforcement · federal-enforcement
- [PHMSA Pipeline Safety Enforcement Cases](https://data.transportation.gov/Pipelines-and-Hazmat/Pipeline-Enforcement-Transparency-Portal/m28n-9ah6): phmsa-pipeline-enforcement · federal-enforcement
- [USDA FSIS Recalls and Public Health Alerts](https://www.fsis.usda.gov/science-data/developer-resources/recall-api): usda-fsis-recalls · federal-enforcement
- [Fonteum Research Snapshots](https://fonteum.com/sources/fonteum-research-snapshots): fonteum-research-snapshots · first-party-research
- [Australia ASIC company and banned/disqualified registers](https://www.asic.gov.au/online-services/search-asic-registers/data-gov-au/): australia-asic · global-company-registers
- [Canada Corporations - Federal Corporations](https://open.canada.ca/data/en/dataset/0032ce54-c5dd-4b66-99a0-320a7b5e99f2): canada-corporations · global-company-registers
- [France RNE / INPI - Company Register](https://data.inpi.fr/): france-rne-inpi · global-company-registers
- [New Zealand Companies Register / NZBN bulk data](https://catalogue.data.govt.nz/dataset/the-companies-office/resource/73109f41-65ba-4163-805a-ada4dd431c75): nz-companies-register · global-company-registers
- [UK Companies House - Company Register](https://www.gov.uk/government/organisations/companies-house): uk-companies-house · global-company-registers
- [CMS Civil Money Penalties](https://fonteum.com/sources/cms-civil-money-penalties): cms-civil-money-penalties · healthcare
- [CMS Hospital Price Transparency Enforcement](https://fonteum.com/sources/cms-hospital-price-transparency): cms-hospital-price-transparency · healthcare
- [Medicare Physician & Other Practitioners — by Provider and Service](https://fonteum.com/sources/cms-medicare-physician-service): cms-medicare-physician-service · healthcare
- [CMS Opt Out Affidavits](https://fonteum.com/sources/cms-opt-out-affidavits): cms-opt-out-affidavits · healthcare
- [CMS Order and Referring](https://fonteum.com/sources/cms-order-referring): cms-order-referring · healthcare
- [CMS PECOS Medicare Provider Enrollment](https://fonteum.com/sources/cms-pecos): cms-pecos · healthcare
- [CMS Medicare Revalidation Due Date List](https://fonteum.com/sources/cms-revalidation-due-dates): cms-revalidation-due-dates · healthcare
- [CMS NPPES NPI Registry](https://fonteum.com/sources/nppes): nppes · healthcare
- [OIG Corporate Integrity Agreements](https://fonteum.com/sources/oig-cia): oig-cia · healthcare
- [OIG LEIE (List of Excluded Individuals/Entities)](https://fonteum.com/sources/oig-leie): oig-leie · healthcare
- [SAM.gov System for Award Management Exclusions](https://fonteum.com/sources/sam-exclusions): sam-exclusions · healthcare
- [State Professional Licensing & Disciplinary Records](https://fonteum.com/sources/state-licensing): state-licensing · healthcare
- [USPTO — Patents, Trademarks & PTAB Proceedings (Open Data Portal)](https://api.uspto.gov/api/v1/patent/applications/search): uspto · intellectual-property
- [CMS Medicare Part D Spending by Drug](https://fonteum.com/sources/cms-part-d-spending-by-drug): cms-part-d-spending-by-drug · life-sciences
- [FDA National Drug Code (NDC) Directory](https://fonteum.com/sources/fda-drug-ndc): fda-drug-ndc · life-sciences
- [Drugs@FDA (Approved Drug Products)](https://fonteum.com/sources/fda-drugs-at-fda): fda-drugs-at-fda · life-sciences
- [FDA Enforcement Reports (Drug + Device Recalls)](https://fonteum.com/sources/fda-enforcement-reports): fda-enforcement-reports · life-sciences
- [FDA Device Establishment Registration & Listing](https://fonteum.com/sources/fda-establishment-registrations): fda-establishment-registrations · life-sciences
- [USAspending Federal Award Transactions](https://www.usaspending.gov/download_center/award_data_archive): usaspending-award-transactions · procurement
- [ClinicalTrials.gov Studies](https://fonteum.com/sources/clinicaltrials-gov-studies): clinicaltrials-gov-studies · research-activity
- [NIH RePORTER Projects](https://fonteum.com/sources/nih-reporter-projects): nih-reporter-projects · research-activity
- [BEA Regional Economic Accounts](https://fonteum.com/sources/bea-regional): bea-regional · research-economic-workforce
- [BLS Occupational Employment & Wage Statistics (OEWS)](https://fonteum.com/sources/bls-oews): bls-oews · research-economic-workforce
- [U.S. Census Bureau — State Population Estimates (2024 vintage)](https://fonteum.com/sources/census-state-pop): census-state-pop · research-economic-workforce
- [CMS Market Saturation & Utilization (State-County)](https://fonteum.com/sources/cms-market-saturation): cms-market-saturation · research-economic-workforce
- [HRSA 340B OPAIS Covered Entities](https://fonteum.com/sources/hrsa-340b-opais): hrsa-340b-opais · research-economic-workforce
- [HRSA Health Professional Shortage Areas (HPSA)](https://fonteum.com/sources/hrsa-hpsa): hrsa-hpsa · research-economic-workforce
- [HRSA HPSA Designated Shortage Areas File](https://fonteum.com/sources/hrsa-hpsa-shortage-areas): hrsa-hpsa-shortage-areas · research-economic-workforce
- [HRSA Medically Underserved Areas / Populations (MUA/MUP)](https://fonteum.com/sources/hrsa-mua-mup): hrsa-mua-mup · research-economic-workforce
- [NUCC Health Care Provider Taxonomy](https://fonteum.com/sources/nucc-taxonomy): nucc-taxonomy · research-economic-workforce
- [Consolidated Screening List (CSL)](https://www.trade.gov/consolidated-screening-list): consolidated-screening-list · sanctions
- [EU Consolidated Financial Sanctions (FSF)](https://data.europa.eu/data/datasets/consolidated-list-of-persons-groups-and-entities-subject-to-eu-financial-sanctions?locale=en): eu-sanctions · sanctions
- [OFAC SDN + Consolidated (Sanctions List Service)](https://sanctionslistservice.ofac.treas.gov/api/download/SDN_ADVANCED.XML): ofac-sdn · sanctions
- [UK Sanctions List](https://sanctionslist.fcdo.gov.uk/docs/UK-Sanctions-List.xml): uk-sanctions · sanctions
- [UN Security Council Consolidated Sanctions List](https://scsanctions.un.org/resources/xml/en/name/consolidated.xml): un-sanctions · sanctions
- [SEC EDGAR (public-company entities + filing index)](https://www.sec.gov/files/company_tickers.json): sec-edgar · securities
- [SEC Enforcement Releases (Litigation Releases + AAER)](https://www.sec.gov/enforcement-litigation/litigation-releases): sec-enforcement · securities
- [SEC IAPD — Investment Advisers (Form ADV)](https://reports.adviserinfo.sec.gov/reports/CompilationReports/CompilationReports.manifest.json): sec-iapd · securities

### Core research and infrastructure

- [Data Catalog](https://fonteum.com/data): documented dataset grid with available row-count observations and declared FHIR resource types
- [Methodology](https://fonteum.com/methodology): source selection, ingestion pipeline, identity-link rules, limitations (v2026.05.0)
- [Sources](https://fonteum.com/sources): per-source family tier, ToS, refresh cadence, display policy
- [Attestation Chain](https://fonteum.com/chain): stored snapshot-attestation metadata where a concrete relationship exists; not claim-level signatures
- [FHIR CapabilityStatement](https://fonteum.com/api/fhir/metadata): live server capabilities (US Core 6.1.0)
- [MCP Server Discovery](https://fonteum.com/.well-known/mcp.json): hosted MCP 1.1.0 endpoint for MCP-compatible agents; @fonteum/mcp 0.5.0 source (not published; npm currently serves 0.4.0)
- [Agent Card](https://fonteum.com/.well-known/agent.json): A2A agent card + skills inventory (Google ADK, LangGraph, BeeAI)
- [RAG export](https://fonteum.com/api/export): supported studies, datasets, and key pages represented by the export registry as structured JSON or concatenated markdown with per-item metadata. Params: ?format=json (default) | ?format=markdown; ?type=studies|datasets|pages|all.
- [Citable surfaces discovery](https://fonteum.com/ai-summary.json): machine-readable index of the citable surfaces represented by that registry (studies, datasets, key pages). Lightweight JSON, 1h cache.

### Product and navigation

- [Platform](https://fonteum.com/platform): how the provenance, identity-resolution, and attestation layers fit together
- [Solutions](https://fonteum.com/solutions): use-case entry points for compliance, data, and AI teams
  - [Exclusion screening](https://fonteum.com/solutions/exclusion-screening): multi-source, NPI-resolved OIG/SAM/state exclusion checks with match provenance
  - [Credentialing](https://fonteum.com/solutions/credentialing): license, enrollment, and sanction signals for provider credentialing workflows
  - [Audit evidence](https://fonteum.com/solutions/audit-evidence): dated, snapshot-pinned reports; a report signature does not sign each contained source fact
- [Developers](https://fonteum.com/developers): API, FHIR, MCP, and bulk-export entry points for builders
- [Compare](https://fonteum.com/compare): 12-dimension procurement comparison vs commercial provider-data platforms
- [Glossary](https://fonteum.com/glossary): authoritative definitions for public-record data, identifiers, and standards


## Published endpoint inventory (as of 2026-05-26)

Follow each route's documented access policy. For REST routes that require credentials, use an
issued key in the Authorization header: Authorization: Bearer $FONTEUM_API_KEY.

### FHIR R4 Provider Identity Layer (healthcare subset)

| Endpoint | Method | Input | Output | Description |
|---|---|---|---|---|
| /api/fhir/Practitioner | GET | ?identifier={NPI} | FHIR Practitioner | Provider by NPI |
| /api/fhir/Organization | GET | ?identifier={CCN} | FHIR Organization | Facility/hospital by CCN |
| /api/fhir/Location | GET | ?identifier={CCN} | FHIR Location | Facility location by CCN |
| /api/fhir/PractitionerRole | GET | ?practitioner.identifier={NPI} | FHIR PractitionerRole | Provider specialty + location |
| /api/fhir/HealthcareService | GET | ?organization.identifier={NPI} | FHIR HealthcareService | Services by provider NPI |
| /api/fhir/metadata | GET | — | FHIR CapabilityStatement | FHIR server capabilities |

### Data Infrastructure

| Endpoint | Method | Input | Output | Description |
|---|---|---|---|---|
| /api/freshness | GET | — | JSON array | Row-count observations and available dates for tables registered with this endpoint; not the complete active source registry |
| /api/attest | POST | {npi} or {ccn} | JSON | Existence check + available snapshot-attestation metadata; not a claim-level signature |
| /api/mcp | GET/POST | MCP protocol | MCP protocol | Model Context Protocol server (Claude/LangChain) |
| /.well-known/mcp.json | GET | — | JSON | MCP discovery document |
| /.well-known/agent.json | GET | — | JSON | A2A agent card + skills inventory (Google ADK, LangGraph, BeeAI) |
| /api/fhir/.well-known/smart-configuration | GET | — | JSON | SMART Backend Services config |

### Hosted MCP tool inventory

Hosted version: 1.1.0
Endpoint: https://fonteum.com/api/mcp
Future stdio package: @fonteum/mcp 0.5.0 source (not published; npm currently serves 0.4.0)

- `fonteum_lookup_npi` — arguments: `npi`. Look up a US healthcare provider by 10-digit NPI in CMS NPPES and return the available provider record plus exclusion and program-integrity context. Returns dated source context; source_file and snapshot_digest are nullable when no single retained snapshot represents the response. Use for NPI lookup, provider identity, taxonomy, practice-location, or provider due-diligence questions.
- `fonteum_lookup_contractor` — arguments: `uei? or cage?`. Look up a US federal contractor by UEI or CAGE in available SAM.gov, USASpending, FAPIIS, and FAR 4.18 records. Returns dated source context; source_file and snapshot_digest are nullable when no single retained snapshot represents the response. Use for contractor identity, registration, award, responsibility, or ownership due diligence.
- `fonteum_search_providers` — arguments: `vertical, state, county?, limit?`. Search US healthcare providers in loaded CMS NPPES specialty caches by vertical and state, with optional county context. Returns dated source context and up to 100 records; source_file and snapshot_digest may be null. Use for provider discovery by specialty and geography.
- `fonteum_check_exclusion` — arguments: `npi`. Check whether a US healthcare provider by NPI appears in available exclusion or integrity sources: OIG LEIE, SAM.gov exclusions, available state Medicaid lists, OIG Corporate Integrity Agreements, and CMS Civil Money Penalties. Returns dated source context and fail-closed coverage; source_file and snapshot_digest may be null for the multi-source result. Use for exclusion screening, provider or vendor due diligence, or any ‘is this NPI excluded?’ question.
- `fonteum_search_sanctions` — arguments: `name`. Search a person or organization name across available sanctions and watchlist data from OFAC, the EU, the UK, and the UN, plus named exclusion sources held by Fonteum. Returns dated matches with source context; source_file and snapshot_digest may be null for the multi-source result. Use for sanctions screening, entity due diligence, or any ‘is this entity sanctioned?’ question.
- `fonteum_lookup_contractor_history` — arguments: `as_of, uei? or cage?`. Look up a US federal contractor record as of a requested date using UEI or CAGE. Retained history is currently limited to USASpending award rows; other fields may be current, absent, or nullable. Returns dated source context. Use for historical award research or contractor change questions.
- `fonteum_recheck_snapshot` — arguments: `snapshot_id?`. Recheck a Fonteum snapshot by snapshot id and return its as_of_date, snapshot_digest, public verifiable_url, and source_file only when explicit retained-artifact metadata is available. Without an id, returns chain status without treating the chain head as a snapshot digest. Use for snapshot integrity checks, citation support, or reproducing a retained source file.
- `fonteum_list_sources` — arguments: `none`. List Fonteum’s public-record source catalog with available authority, vertical, cadence, official URL, and separately dated platform coverage. Catalog presence does not prove loaded, fresh, or complete coverage. Use for source discovery, coverage questions, or choosing a dataset before a lookup.
- `fonteum_get_dataset_info` — arguments: `none`. Get Fonteum API and MCP methodology, provenance-field definitions, generated source catalog, and separately dated platform coverage. Field population varies by source and response. Use for interpreting Fonteum outputs, citation fields, dataset limitations, or integration planning.

Every success and error returns JSON text plus matching MCP `structuredContent`.
All four top-level response keys are always present:

- `source_file: string | null` — exact retained source filename only when one file represents the response.
- `as_of_date: string | null` — source publish or snapshot date; missing source dates stay null.
- `snapshot_digest: string | null` — digest of an identified retained snapshot object; never a per-fact signature or live-chain-head substitute.
- `verifiable_url: string` — public source, methodology, or snapshot re-check URL appropriate to the response.

Composite results and errors use null when one source file, date, or digest does not honestly represent the response. Every tool is annotated `readOnlyHint: true`.

NPI lookup availability: only an explicit zero-result response from CMS NPPES is a not-found result. If NPPES cannot answer reliably or returns an invalid payload, the REST bridge returns `503 nppes_unavailable` and the MCP error identifies the lookup as indeterminate. Do not interpret that error as provider absence.

### MCP package REST bridges

The source-only `@fonteum/mcp 0.5.0` package is pending operator publication.
npm currently serves `0.4.0`. After publication, its read-only tools call the
following deployed REST routes beneath `https://fonteum.com/api`:

| Tool | REST bridge |
|---|---|
| fonteum_lookup_npi | GET /api/v1/npi/{npi} |
| fonteum_lookup_contractor | GET /api/v1/procurement/screen?uei={uei} or GET /api/v1/procurement/screen?cage={cage} |
| fonteum_search_providers | GET /api/v1/mcp/search-records?vertical={slug}&state={USPS}&county={optional}&limit={1..100} |
| fonteum_check_exclusion | GET /api/v1/exclusions/{npi} |
| fonteum_search_sanctions | GET /api/sanctions/screen?q={name} |
| fonteum_lookup_contractor_history | GET /api/v1/procurement/screen?as_of={YYYY-MM-DD}&uei={uei} or GET /api/v1/procurement/screen?as_of={YYYY-MM-DD}&cage={cage} |
| fonteum_recheck_snapshot | GET /api/v1/mcp/recheck?snapshot_id={optional-positive-integer} |
| fonteum_list_sources | GET /api/v1/sources |
| fonteum_get_dataset_info | GET /api/v1/mcp/dataset-info |

### Entity Graph + Search

| Endpoint | Method | Input | Output | Description |
|---|---|---|---|---|
| /terminal | GET | ?q={query} | HTML | Keyboard-driven search over resolved entities — NPI, CCN, name, PECOS enrollment ID |
| /api/v1/search | GET | ?q={query} | JSON | Search over supported record types; additive `entities` key carries available resolved-entity hits (backward-compatible) |
| /api/v1/entity/resolve | GET | ?scheme={scheme}&value={value} | JSON | Resolve any identifier (npi/ccn/ccn_asc/pecos_enrlmt_id/pac_id) to a canonical entity_id |
| /api/v1/entity/[entity_id] | GET | path param | JSON | Entity card with available identifiers, edges, current provenance claims, and retained versions when present |

### Bitemporal History

| Endpoint | Method | Input | Output | Description |
|---|---|---|---|---|
| /api/v1/history/[subject_type]/[subject_id] | GET | ?at=&recorded_at= | JSON | Retained claims for a captured coordinate; may have no prior version |
| /api/v1/history/[subject_type]/[subject_id]/diff | GET | ?from=&to=&recorded_at= | JSON | Differences between two retained claim slices when both exist |

### Bulk Export

| Endpoint | Method | Notes |
|---|---|---|
| /api/v1/bulk/manifest.json | GET | Authoritative manifest of available bulk exports, including format and CSV columns |
| /api/v1/bulk/cms-pos-facilities/latest.csv.gz | GET | Current CMS Provider of Services gzip CSV; inspect the manifest before downloading |

### Rate Limits

- See the API and MCP discovery documents for current limits and access policy.
- Never use demo or sample credentials; use an issued key where a route requires authentication.


## Research

Open-access study links. Inspect each study for the source, observation date, method, and limitations it actually supplies.

- [Home Health Agency Statistics 2026: 12,392 CMS Records](https://fonteum.com/research/home-health-agency-statistics-2026): The May 7, 2026 CMS Care Compare snapshot contains 12,392 home-health agency records across 55 state or territory codes. Of those records, 7,961 carry a CMS rat…
- [Nursing Home Statistics by State 2026: 14,699 CMS Records](https://fonteum.com/research/nursing-home-statistics-2026): The May 7, 2026 CMS Care Compare snapshot contains 14,699 nursing-home facility records across 53 state or territory codes. Of those records, 14,572 carry a CMS…
- [Two federal exclusion lists, and they don't match: the OIG LEIE–SAM.gov overlap](https://fonteum.com/research/federal-exclusion-list-overlap-2026): Only 47.9% of NPI-identified providers under an active federal exclusion — 3,747 of 7,827 — appear on both U.S. federal exclusion lists, the HHS-OIG LEIE and GS…
- [The agency-staffing line: how much of US nursing-home nurse care now comes from temp staff](https://fonteum.com/research/nursing-home-agency-staffing-share-2025): 5.98% of all nurse-staffing hours in US nursing homes came from contract or agency staff in CMS's 2025 Q2 Payroll-Based Journal — 25.3 million of 423.7 million …
- [Barred, but still listed: excluded providers stay active in the provider directory](https://fonteum.com/research/excluded-providers-active-in-nppes-2026): Of 6,150 providers barred from federal health programs by the OIG who appear in NPPES — the national provider identity registry — 6,123 (99.6%) are still listed…
- [Medicaid Exclusion List Blind Spots: State Bars the Feds Miss](https://fonteum.com/research/state-exclusion-federal-blind-spot-2026): Of 4,949 providers with an active state Medicaid exclusion across the 13 state programs Fonteum ingests, 3,188 — 64.4% — have no record on the federal OIG LEIE.…
- [Who runs the clinical trials: academia, not pharma, 2026](https://fonteum.com/research/clinical-trial-sponsor-concentration-2026): Of the 589,453 studies registered on ClinicalTrials.gov, 71.4% are run by academic and hospital sponsors and only 22.1% by industry — the registry of medical re…
- [The 1% penalty: which hospitals lose Medicare pay for hospital-acquired conditions, FY2026](https://fonteum.com/research/hospital-acquired-condition-penalties-2026): In CMS's FY2026 Hospital-Acquired Condition Reduction Program, 719 of 3,055 hospitals — the worst-performing quartile by total HAC score — lose 1% of every Medi…
- [Who Owns Hospitals? Every Ownership Change, Tracked (2026)](https://fonteum.com/research/hospital-ownership-changes-2026): Across the 755 hospital ownership-change transactions on CMS's published file, 2016–2025, the ten most active buyers account for just 11.5% of them and 59.9% of…
- [Who owns the medical industry: the Open Payments file nobody opens](https://fonteum.com/research/open-payments-physician-ownership-concentration-2024): CMS's Open Payments ownership file lists 4,591 stakes that 3,965 physicians held in medical companies in 2024, worth $1.34 billion. The median stake is $19,440,…
- [Where clinical trials stop: the Phase 2 valley, 2026](https://fonteum.com/research/clinical-trial-discontinuation-2026): Of the 373,998 clinical trials on ClinicalTrials.gov that have reached a final outcome, 51,959 — about 1 in 7 — ended in discontinuation rather than completion.…
- [The price-transparency enforcement funnel: 11,440 actions, 28 fines](https://fonteum.com/research/hospital-price-transparency-enforcement-2026): Since January 2021, CMS has taken 11,440 hospital price-transparency enforcement actions against 4,975 hospitals. Almost none end in a fine: just 28 reached a c…
- [Medically Underserved Areas: A Map Drawn Last Century](https://fonteum.com/research/medically-underserved-areas-designation-age-2026): HRSA's map of America's medically underserved areas is old: of the 4,148 active MUA/MUP designations, 72.1% were made before 2000, the median dates to 1994, and…
- [The few drugs that drive most of Medicare's Part D bill, 2023](https://fonteum.com/research/medicare-part-d-spending-concentration-2023): Medicare Part D paid $275.9 billion for 3,598 drugs in 2023. The 100 costliest — just 2.8% of the list — account for $176.2 billion, 63.8% of the bill. Ten drug…
- [What Medicare actually uses: service penetration and caseload, 2025](https://fonteum.com/research/medicare-utilization-penetration-2026): Across 24 Medicare service categories, only one — preventive health — reaches more than half of fee-for-service beneficiaries (53.6%); the median reaches under …
- [Medicare's largest value-based program is a long tail with a heavy head](https://fonteum.com/research/mssp-aco-participation-concentration-2026): The Medicare Shared Savings Program looks broad — 511 accountable care organizations for 2026, holding 15,329 participant organizations. But its weight sits in …
- [Where NIH research money goes: a concentration story, 2026](https://fonteum.com/research/nih-research-funding-concentration-2026): Of the 2,682 institutions that won NIH research dollars in fiscal year 2025, the top 100 — 3.7% of awardees — captured 73.3% of the $41.4 billion awarded. The s…
- [Nursing Home Fines Are Getting Bigger: A Three-Year Trend](https://fonteum.com/research/nursing-home-fine-size-trend-2026): Across three years of CMS nursing-home enforcement — 13,764 fines totaling $459.3M — the size of the typical penalty more than doubled. The median fine rose fro…
- [Private Equity Nursing Homes: Who Owns America's Facilities](https://fonteum.com/research/nursing-home-ownership-concentration-2026): Of the 14,425 U.S. skilled nursing facilities in CMS's PECOS ownership file, only 28.1% are independent — owned by individuals or a single-facility entity. The …
- [Where nursing-home penalties concentrate: a repeat-citation story, 2026](https://fonteum.com/research/nursing-home-penalty-concentration-2026): Between May 2023 and April 2026, CMS imposed $459.3M in civil money penalties and 2,513 payment denials on 6,884 nursing facilities. Enforcement concentrates: t…
- [Corporate Integrity Agreement Tracker: Who Is Under One (2026)](https://fonteum.com/research/oig-corporate-integrity-agreements-2026): Half of America's active federal health-care integrity agreements — 50.0% — sit in just five states. Of the 335 agreements in HHS-OIG's published registry, 114 …
- [The $8.5 billion nobody counts: research is most of industry's money](https://fonteum.com/research/open-payments-research-concentration-2024): Every Open Payments study reads the same $3.31 billion general slice. But the largest kind of industry payment is research: $8.49 billion in 2024, 71% of all in…
- [Most U.S. health-care shortage areas are a single facility, not a community](https://fonteum.com/research/shortage-areas-are-facilities-2026): Only 2,300 of America's 21,133 designated Health Professional Shortage Areas — 10.9% — are whole geographies. The rest are facilities and populations: 14,538 (6…
- [OIG Exclusion Check: The 2026 Excluded-Provider Landscape](https://fonteum.com/research/excluded-providers-landscape-2026): At the July 14, 2026 audit cutoff, the OIG LEIE, SAM.gov, and 13 state Medicaid programs contained 10,824 NPI-identified providers barred from a public health p…
- [Barred but order-eligible: excluded providers still cleared to order and refer in Medicare](https://fonteum.com/research/excluded-providers-ordering-referring-2026): In the June 15, 2026 study snapshot, 170 of 2,008,019 providers cleared to order and refer in Medicare carried an active exclusion or sanction, matched on NPI. …
- [State Medicaid Exclusion Lists vs the Federal LEIE: The Gap](https://fonteum.com/research/federal-state-exclusion-gap-2026): In the July 14, 2026 production observation, 3,188 of 4,949 NPI-identified providers excluded across 13 state Medicaid programs — 64.4% — carried no record on t…
- [Where the uninsured land: coverage at America's community health centers, 2024](https://fonteum.com/research/community-health-center-safety-net-2024): 66.2% of the 32.4 million patients at America's community health centers were uninsured or on Medicaid in 2024. But the mix flips by state: Texas centers report…
- [Where Medicare providers cluster: home health and DME market saturation, 2025](https://fonteum.com/research/medicare-market-saturation-2026): In Los Angeles County, 1,847 home health agencies serve Medicare's fee-for-service population — the most of any U.S. county, at 2.12 per 1,000 beneficiaries, ne…
- [The Medicare Opt Out List Is Mostly Behavioral Health](https://fonteum.com/research/medicare-opt-out-behavioral-health-2026): Of the 56,117 clinicians on CMS's Medicare opt-out list, 60.9% belong to five behavioral-health specialties — psychologists, social workers, mental health couns…
- [Medicare Revalidation: The Backlog of Past-Due Deadlines](https://fonteum.com/research/medicare-revalidation-backlog-2026): Of the 261,878 Medicare enrollments CMS has assigned a revalidation deadline in its May 2026 Revalidation Due Date List, 217,968 — 83.2% — carry a due date alre…
- [Barred but billable: excluded providers still enrolled in Medicare](https://fonteum.com/research/excluded-providers-still-enrolled-2026): 19 providers barred from all federal health programs by the OIG still hold an active Medicare enrollment record in PECOS — out of 6,880 in-force NPI-identified …
- [The FDA Drug Recall List, Analyzed: 2026 Trends by Severity](https://fonteum.com/research/fda-drug-device-recalls-2026): Of 56,777 FDA drug and device recalls on file, 5,237 — 9.2%, about one in eleven — carry Class I, the agency's most serious tier, signaling a reasonable probabi…
- [Healthcare Deserts: Where Care Disappears in America (2026)](https://fonteum.com/research/healthcare-deserts-2026): Two-thirds of America's active health-care shortage areas are rural: 13,999 of the 21,133 designated Health Professional Shortage Areas — 66.2% — sit in rural c…
- [Industry payments to providers on the OIG exclusion list](https://fonteum.com/research/industry-payments-to-excluded-providers-2026): In program year 2024, drug and device manufacturers reported $3.84 million in Open Payments to 294 physicians and other providers who now sit on the federal OIG…
- [DRG Code List with Medicare Payments and Volumes (2026)](https://fonteum.com/research/medicare-drg-code-list-2026): Across all 540 MS-DRGs in the 2024 Medicare inpatient file, hospitals were paid an average of $15,166 per stay against $92,408 in billed charges — a 6.1× gap. S…
- [Same DRG, wildly different price: hospital charge variation, 2024](https://fonteum.com/research/medicare-inpatient-drg-charge-variation-2026): For the same Medicare DRG, hospitals bill wildly different amounts: across 219 high-volume codes in 2024, the 90th-percentile hospital charged a median of 3.8× …
- [Same procedure, different price: Medicare Part B charge variation, 2024](https://fonteum.com/research/medicare-part-b-procedure-price-variation-2026): For the same Medicare Part B procedure, in the same care setting, providers bill wildly different amounts: across 997 high-volume procedure-and-setting groups i…
- [The 5% of prescribers behind half of Medicare's drug bill](https://fonteum.com/research/medicare-part-d-prescriber-concentration-2024): In 2024 the top 5% of Medicare Part D prescribers — 56,973 of 1.14 million — accounted for 53.5% of the program's $226.7 billion drug bill, while the bottom hal…
- [The 1% of doctors who get two-thirds of industry money](https://fonteum.com/research/open-payments-recipient-concentration-2024): In 2024 the top 1% of physicians — 9,792 of the 979,136 who received any industry money — captured 66% of every general-payment dollar tied to a recipient, $1.7…
- [GLP-1 makers paid 120,237 Medicare prescribers $32.8 million in 2024 — and the prescribers they paid wrote far more](https://fonteum.com/research/glp1-pharma-payments-to-prescribers-2024): In 2024, the makers of Ozempic and Mounjaro paid $32.8 million to 120,237 Medicare prescribers for meals, talks, and travel tied to GLP-1 drugs. Prescribers who…
- [GLP-1 drugs now cost Medicare Part D $24.57 billion a year](https://fonteum.com/research/medicare-part-d-glp1-spending): GLP-1 drugs cost Medicare Part D $24.57 billion in 2024 — 10.8% of the entire program's drug spending on just 1.3% of its prescriptions. Ozempic alone, at $12.3…
- [Who prescribes Medicare's drug spending? Nurse practitioners now lead](https://fonteum.com/research/medicare-part-d-prescribing-by-specialty): Nurse practitioners drove $37.48 billion of Medicare Part D drug cost in 2024 — more than any other specialty, including internal medicine and cardiology. But t…
- [Medicare Part D drug spending by state: where the dollars concentrate](https://fonteum.com/research/medicare-part-d-prescribing-by-state): California prescribers drove $21.26 billion of Medicare Part D drug cost in 2024, the most of any state — followed by New York at $18.17 billion, Florida ($16.8…
- [The Most Expensive Prescription Drugs in Medicare Part D](https://fonteum.com/research/most-expensive-medicare-part-d-drugs): Eliquis cost Medicare Part D $19.88 billion in 2024 — the single costliest drug in the program, yet only its 12th most-prescribed. That inversion defines Part D…
- [Industry payments to physicians by state: where the money lands](https://fonteum.com/research/open-payments-by-state-2024): Industry's $3.31 billion in 2024 general payments to physicians spread across 59 U.S. jurisdictions, but not in proportion to population. California led at $334…
- [Which companies pay U.S. doctors the most? Device makers, not pharma](https://fonteum.com/research/open-payments-top-manufacturers-2024): In 2024, drug and device companies disclosed $3.31 billion in general payments to U.S. physicians under the Sunshine Act — and the largest payers are device mak…
- [Which medical specialties take the most industry money?](https://fonteum.com/research/open-payments-top-paid-specialties-2024): In 2024, U.S. orthopedic surgeons received $381.4 million in general industry payments — more than any other specialty and over three times the second-place fie…
- [What pharma actually buys: food, travel, consulting and royalties](https://fonteum.com/research/open-payments-types-of-payments-2024): Industry made 15.4 million general payments to U.S. physicians in 2024, worth $3.31 billion — but the two halves barely overlap. Royalties, speaking and consult…
- [The Open Payments Database, 2024: $11.96B in Industry Payments](https://fonteum.com/research/open-payments): The Open Payments database — the federal Sunshine Act disclosure file — recorded $11.96B in industry payments to US clinicians and teaching hospitals in 2024, a…
- [The Most Prescribed Drugs in Medicare Part D (2024)](https://fonteum.com/research/part-d-prescribing): $226.7 billion bought 1.48 billion prescriptions in Medicare Part D in 2024. The most-prescribed drugs are almost all cheap generics, yet 90% of the dollars wen…
- [What Hospitals Charge for the Same Procedure (2024)](https://fonteum.com/research/hospital-charges-by-drg): Across 4.95M Medicare inpatient stays at 2,906 hospitals in 2024, hospitals billed an average of $92,408 in covered charges but were paid about $18,360 — a roug…
- [Hospital charity care, by the numbers: who actually gives the most free care](https://fonteum.com/research/hospital-charity-care): Nonprofit hospitals — tax-exempt in exchange for community benefit — deliver charity care worth just 1.53% of their patient revenue, the lowest share of any own…
- [Rural hospital closures, by the numbers: which hospitals are most at risk](https://fonteum.com/research/hospital-distress-rural-access-2024): Rural Critical Access Hospitals — the small facilities at the center of the closure crisis — run a 50.4% financial-distress rate, against 39.2% for urban hospit…
- [For Profit vs Nonprofit Hospitals: Who Owns Them, Who Profits](https://fonteum.com/research/hospital-ownership-margins): Across 6,019 US hospitals in the federal HCRIS cost reports, for-profit facilities are the only ownership class earning a positive average operating margin — +0…
- [The OIG exclusion list, explained: who gets barred from Medicare, and why](https://fonteum.com/research/oig-exclusion-patterns): The OIG List of Excluded Individuals and Entities (LEIE) holds 68,055 active exclusions spanning 1977–2026. The most common reason to be barred from Medicare is…
- [PECOS Lookup: Who Is Enrolled in Medicare? (2026 Data)](https://fonteum.com/research/pecos-enrollment): 413,539 nurse practitioner enrollments make NPs the single most common clinician type in Medicare's provider-enrollment file — 13.9% of all 2.98 million PECOS r…
- [Hospice Provider Availability by State: 6,943 Medicare-Certified Providers, 69% For-Profit](https://fonteum.com/research/hospice-provider-availability-by-state-2026): 6,943 Medicare-certified hospice providers operate across 51 U.S. jurisdictions; 69% are for-profit. California alone holds 31% of all national certifications w…
- [Hospital Price Transparency Enforcement: 11,440 CMS Actions Since 2021](https://fonteum.com/research/hospital-price-transparency-compliance-2026): 28 civil monetary penalties, 2,993 warning notices, and a complete 5-year federal enforcement record — every action CMS has taken against non-compliant hospital…
- [HAC Reduction Program: 719 Hospitals Penalized in FY2026](https://fonteum.com/research/hac-reduction-program-penalties): 719 hospitals — 23.9% of 3,012 eligible — were penalized under the CMS Hospital-Acquired Condition (HAC) Reduction Program in FY2026, losing 1% of every Medicar…
- [Hospitals at Risk of Closing? The Days-Cash-on-Hand Signal](https://fonteum.com/research/hospitals-at-risk-of-closing): Federal HCRIS cost reports let us compute days cash on hand for 5,459 hospitals, but facility-level figures are distorted by system-level cash pooling — so the …
- [Nursing Home Survey Results: How Fast Deficiencies Get Fixed](https://fonteum.com/research/nursing-home-deficiency-correction-time): Across 410,723 corrected CMS nursing home health deficiencies, the mean time from survey to documented correction is 32.4 days — but the harm-level citations, S…
- [Zero-RN days: how often US nursing homes ran a day with no registered nurse on the floor](https://fonteum.com/research/nursing-home-zero-rn-days): In the CMS Payroll-Based Journal's 2025 Q2 snapshot, 5.86% of nursing-home facility-days with residents present recorded zero registered-nurse direct-care hours…
- [DaVita vs Fresenius: The Two Chains Running 74% of US Dialysis](https://fonteum.com/research/dialysis-chains-vs-independents): DaVita and Fresenius Medical Care together operate 73.7% of the 7,557 Medicare-certified dialysis facilities in the United States. Chain-owned centers average 2…
- [Nursing Homes Banned From New Medicare Admissions: The DPNA List](https://fonteum.com/research/nursing-homes-banned-medicare-admissions): 1,950 US nursing homes have been barred from accepting new Medicare admissions under the Denial of Payment for New Admissions (DPNA) penalty (42 CFR §488.417), …
- [How to Check Nursing Home Violations the Star Ratings Miss](https://fonteum.com/research/nursing-home-stars-vs-actual-harm): A current-production CCN join finds that 1,464 of 5,832 four- and five-star nursing homes (25.10%) had at least one CMS severity-G-or-higher citation in a liter…
- [County-Level Nursing-Home RN Staffing Deserts](https://fonteum.com/research/nursing-home-staffing-deserts-by-county): Across 1,362 U.S. counties with at least three reporting nursing homes, 550 (40%) staff registered nurses below the 0.55 federal hours-per-resident-day floor. A…
- [Hospital Profit Margins: The Gap Between Systems](https://fonteum.com/research/hospital-margin-gap): Hospital profit margins vary enormously between systems: operating-margin data for 6,000+ U.S. hospitals, computed from CMS HCRIS cost reports (form 2552-10) an…
- [Why 14% of skilled nursing facilities had a quality drop in Q1](https://fonteum.com/research/14-percent-snf-quality-drop): Across 5,148 SNFs in Q1 2026, the composite quality score declined by an average of 0.06 points — but the decline was not evenly distributed. Facilities that ch…
- [A March spike in Medicare enrollment deactivations thinned provider supply in shortage areas](https://fonteum.com/research/medicare-deactivation-spike): Medicare enrollment deactivations in PECOS ran 28% above the trailing-twelve-month average in March 2026 — and the spike was not uniform. Deactivations in HRSA-…

## Sources cited

- [CMS Care Compare](https://fonteum.com/sources/cms-care-compare): cms-care-compare · care-quality · license: U.S. government public-domain works. Attribution required: 'Source: CMS Care Compare · Last checked {date}'. · attribution: Source: CMS Care Compare ({Provider Data Catalog dataset name + id}) · Last checked {YYYY-MM-DD}
- [CMS Care Compare — ASC Quality Measures (Facility)](https://fonteum.com/sources/cms-care-compare-asc): cms-care-compare-asc · care-quality · license: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS Care Compare · ASC Quality Measures - Facility (4jcv-atw7) · Reporting Year {YYYY} · Snapshot {YYYY-MM-DD}'. · attribution: Source: CMS Care Compare · ASC Quality Measures - Facility (4jcv-atw7) · Reporting Year {YYYY} · Last checked {YYYY-MM-DD}
- [CMS Care Compare — Dialysis Facility](https://fonteum.com/sources/cms-care-compare-dialysis): cms-care-compare-dialysis · care-quality · license: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS Care Compare · Dialysis Facility (23ew-n7w9) · Snapshot {YYYY-MM-DD}'. · attribution: Source: CMS Care Compare · Dialysis Facility (23ew-n7w9) · Last checked {YYYY-MM-DD}
- [CMS Care Compare — Home Health Care Agencies](https://fonteum.com/sources/cms-care-compare-hh): cms-care-compare-hh · care-quality · license: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS Care Compare · Home Health Care Agencies (6jpm-sxkc) · Snapshot {YYYY-MM-DD}'. · attribution: Source: CMS Care Compare · Home Health Care Agencies (6jpm-sxkc) · Last checked {YYYY-MM-DD}
- [CMS Care Compare — Hospice General Information](https://fonteum.com/sources/cms-care-compare-hospice): cms-care-compare-hospice · care-quality · license: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS Care Compare · Hospice General Information (yc9t-dgbk) · Snapshot {YYYY-MM-DD}'. · attribution: Source: CMS Care Compare · Hospice General Information (yc9t-dgbk) · Last checked {YYYY-MM-DD}
- [CMS Care Compare — Hospital General Information (data-only)](https://fonteum.com/sources/cms-care-compare-hospitals): cms-care-compare-hospitals · care-quality · license: U.S. government public-domain works (17 U.S.C. § 105). Attribution: 'Source: CMS Care Compare · Hospital General Information (xubh-q36u) · Snapshot {YYYY-MM-DD}'. · attribution: Source: CMS Care Compare · Hospital General Information (xubh-q36u) · Last checked {YYYY-MM-DD}
- [CMS Care Compare — IRF General Information (data-only)](https://fonteum.com/sources/cms-care-compare-irf): cms-care-compare-irf · care-quality · license: U.S. government public-domain works (17 U.S.C. § 105). Attribution: 'Source: CMS Care Compare · IRF General Information (7t8x-u3ir) · Snapshot {YYYY-MM-DD}'. · attribution: Source: CMS Care Compare · IRF General Information (7t8x-u3ir) · Last checked {YYYY-MM-DD}
- [CMS Care Compare — LTACH General Information (data-only)](https://fonteum.com/sources/cms-care-compare-ltach): cms-care-compare-ltach · care-quality · license: U.S. government public-domain works (17 U.S.C. § 105). Attribution: 'Source: CMS Care Compare · LTACH General Information (azum-44iv) · Snapshot {YYYY-MM-DD}'. · attribution: Source: CMS Care Compare · LTACH General Information (azum-44iv) · Last checked {YYYY-MM-DD}
- [CMS HCRIS Hospital Cost Reports (form CMS-2552-10)](https://fonteum.com/sources/cms-hcris-hospital-2552-10): cms-hcris-hospital-2552-10 · care-quality · license: U.S. government public-domain works (17 U.S.C. § 105). Federal public record. Attribution required: 'Source: CMS HCRIS Hospital Cost Report · Fiscal Year {YYYY}'. · attribution: Source: CMS HCRIS Hospital Cost Report · Fiscal Year {YYYY}
- [CMS Medicare Shared Savings Program ACO Participants](https://fonteum.com/sources/cms-mssp-aco): cms-mssp-aco · care-quality · license: U.S. government public-domain data. Free to use with attribution. · attribution: Source: Centers for Medicare & Medicaid Services (CMS), Medicare Shared Savings Program · Performance year {YYYY}
- [CMS NH Health Deficiencies (per-citation)](https://fonteum.com/sources/cms-nh-deficiencies): cms-nh-deficiencies · care-quality · license: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS NH Health Deficiencies · Snapshot {YYYY-MM-DD}'. · attribution: Source: CMS NH Health Deficiencies · Snapshot {YYYY-MM-DD}
- [CMS NH Penalties (sub-join of Deficiencies)](https://fonteum.com/sources/cms-nh-penalties): cms-nh-penalties · care-quality · license: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS NH Penalties · Snapshot {YYYY-MM-DD}'. · attribution: Source: CMS NH Penalties · Snapshot {YYYY-MM-DD}
- [CMS Payroll-Based Journal (PBJ) Daily Nurse Staffing](https://fonteum.com/sources/cms-pbj): cms-pbj · care-quality · license: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS Payroll-Based Journal · Snapshot {YYYY-MM-DD}'. · attribution: Source: CMS Payroll-Based Journal · Snapshot {YYYY-MM-DD}
- [CMS Provider of Services (POS) File](https://fonteum.com/sources/cms-pos): cms-pos · care-quality · license: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS Provider of Services (QIES) · {publish-date} · Snapshot {YYYY-MM-DD}'. · attribution: Source: CMS Provider of Services (QIES) · {publish-date} · Last checked {YYYY-MM-DD}
- [CMS Provider of Services (POS) — iQIES Facility Registry](https://fonteum.com/sources/cms-pos-iqies): cms-pos-iqies · care-quality · license: U.S. government public-domain works (17 U.S.C. § 105). Federal public record. Attribution required: 'Source: CMS Provider of Services · Q{N} {YYYY}'. · attribution: Source: CMS Provider of Services (iQIES) · Q{N} {YYYY}
- [CMS Quality Payment Program (MIPS)](https://fonteum.com/sources/cms-qpp-mips): cms-qpp-mips · care-quality · license: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS QPP MIPS · Performance Year {YYYY}'. · attribution: Source: CMS QPP MIPS · Performance Year {YYYY} · Last checked {YYYY-MM-DD}
- [CMS Special Focus Facility (SFF) Program List](https://fonteum.com/sources/cms-sff): cms-sff · care-quality · license: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS Special Focus Facility Program List · Snapshot {YYYY-MM-DD}'. · attribution: Source: CMS Special Focus Facility Program List · Snapshot {YYYY-MM-DD}
- [CMS SNF All Owners (PE / REIT / Chain Layer)](https://fonteum.com/sources/cms-snf-all-owners): cms-snf-all-owners · care-quality · license: U.S. government public-domain works (17 U.S.C. § 105). Attribution required: 'Source: CMS SNF All Owners (PECOS-derived) · Snapshot {YYYY-MM-DD}'. · attribution: Source: CMS SNF All Owners (PECOS-derived) · Snapshot {YYYY-MM-DD}
- [HRSA Uniform Data System (UDS)](https://fonteum.com/sources/hrsa-uds): hrsa-uds · care-quality · license: U.S. government public-domain works (17 U.S.C. § 105). Federal public record. Attribution required: 'Source: HRSA Uniform Data System · Grant Year {YYYY}'. · attribution: Source: HRSA Uniform Data System · Grant Year {YYYY}
- [CMS Medicare Inpatient Hospitals by Provider and Service](https://data.cms.gov/sites/default/files/2024-06/MUP_IHP_R24_P03_V10_D22_FFS_Prov_Svc.csv): cms-inpatient-utilization · federal-dataset · license: US-Government-Works
- [CMS NCCI Medically Unlikely Edits (MUE)](https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits/medicare-ncci-medically-unlikely-edits-mues): cms-ncci-mue-edits · federal-dataset · license: US-Government-Works (edit data); CPT codes © AMA
- [CMS NCCI Procedure-to-Procedure (PTP) Edits](https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits/medicare-ncci-procedure-procedure-ptp-edits): cms-ncci-ptp-edits · federal-dataset · license: US-Government-Works (edit data); CPT codes © AMA
- [CMS Open Payments (Sunshine Act — General Payments)](https://download.cms.gov/openpayments/PGYR2024_P06302025_06292025.zip): cms-open-payments · federal-dataset · license: US-Government-Works
- [CMS Medicare Outpatient Hospitals by Provider and Service](https://data.cms.gov/sites/default/files/2024-06/MUP_OHP_R24_P05_V10_D22_FFS_Prov_Svc.csv): cms-outpatient-utilization · federal-dataset · license: US-Government-Works
- [CMS Medicare Provider Utilization & Payment Data (Physician & Other Practitioners by Provider and Service)](https://data.cms.gov/sites/default/files/2024-06/MUP_PHY_R24_P05_V10_D22_Prov_Svc.csv): cms-provider-utilization · federal-dataset · license: US-Government-Works
- [IRS Exempt Organizations Business Master File (EO BMF)](https://www.irs.gov/charities-non-profits/exempt-organizations-business-master-file-extract-eo-bmf): irs-exempt-orgs · federal-dataset · license: US-Government-Works · attribution: Source: IRS Exempt Organizations Business Master File (EO BMF) + Automatic Revocation of Exemption List, Internal Revenue Service. Public-domain U.S. Government work (17 U.S.C. 105).
- [CFPB Enforcement Actions](https://www.consumerfinance.gov/enforcement/actions/): cfpb-enforcement-actions · federal-enforcement · license: US-Government-Works
- [CFTC Enforcement Actions](https://www.cftc.gov/LawRegulation/EnforcementActions/index.htm): cftc-enforcement-actions · federal-enforcement · license: US-Government-Works
- [CPSC Consumer Product Safety Recalls](https://www.saferproducts.gov/RestWebServices/Recall?format=json): cpsc · federal-enforcement · license: US-Government-Works
- [DEA Registrant Enforcement Actions](https://www.federalregister.gov/api/v1/documents.json?conditions%5Bagencies%5D%5B%5D=drug-enforcement-administration&conditions%5Bterm%5D=%22Decision%20and%20Order%22&conditions%5Btype%5D%5B%5D=NOTICE&fields%5B%5D=abstract&fields%5B%5D=agencies&fields%5B%5D=citation&fields%5B%5D=document_number&fields%5B%5D=html_url&fields%5B%5D=pdf_url&fields%5B%5D=publication_date&fields%5B%5D=title&fields%5B%5D=type&fields%5B%5D=raw_text_url&order=newest&per_page=100): dea-registrant-enforcement · federal-enforcement · license: US-Government-Works
- [DOL WHD Wage and Hour Enforcement](https://apiprod.dol.gov/v4/get/WHD/enforcement/json): dol-whd · federal-enforcement · license: US-Government-Works
- [EEOC Enforcement Litigation and Resolved Suits](https://www.eeoc.gov/data/enforcement-and-litigation-statistics-0): eeoc-enforcement · federal-enforcement · license: US-Government-Works
- [EPA ECHO Exporter facility enforcement aggregates](https://echo.epa.gov/files/echodownloads/echo_exporter.zip): epa-echo-exporter · federal-enforcement · license: US-Government-Works
- [FAA Airmen + Aircraft Registries](https://registry.faa.gov/database/ReleasableAircraft.zip): faa-registries · federal-enforcement · license: US-Government-Works
- [FCC ULS — Wireless Licenses + Adverse-Action Flags (Amateur Radio Service, W1)](https://data.fcc.gov/download/pub/uls/complete/l_amat.zip): fcc · federal-enforcement · license: US-Government-Works
- [FDA Enforcement Actions (Warning Letters + Recall Reports)](https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/compliance-actions-and-activities/warning-letters): fda-enforcement-actions · federal-enforcement · license: US-Government-Works
- [FEC Campaign Finance (committees, candidates, individual contributions)](https://www.fec.gov/files/bulk-downloads/2026/cm26.zip): fec · federal-enforcement · license: US-Government-Works · attribution: Source: Federal Election Commission campaign finance data.
- [Federal Banking Enforcement Actions (OCC + Federal Reserve)](https://apps.occ.gov/EASearch + https://www.federalreserve.gov/supervisionreg/enforcementactions.htm): federal-banking-enforcement · federal-enforcement · license: US-Government-Works · attribution: Source: Office of the Comptroller of the Currency enforcement actions CSV export and Board of Governors of the Federal Reserve System enforcement action JSON feeds. U.S. Government Works (public domain).
- [FERC Enforcement Orders (Civil Penalty Actions)](https://www.ferc.gov/alphabetical-list-civil-penalty-actions): ferc-enforcement-orders · federal-enforcement · license: US-Government-Works
- [FinCEN Enforcement Actions](https://www.fincen.gov/news/enforcement-actions): fincen-enforcement-actions · federal-enforcement · license: US-Government-Works
- [FMCSA Carrier Safety (Census, Crash, Inspection, Enforcement)](https://www.fmcsa.dot.gov/registration/fmcsa-data-dissemination-program): fmcsa-carrier-safety · federal-enforcement · license: US-Government-Works
- [FTC Cases and Proceedings](https://www.ftc.gov/legal-library/browse/cases-proceedings): ftc-enforcement · federal-enforcement · license: US-Government-Works
- [HUD Enforcement Actions (LDP, Debarment, Mortgagee Review Board)](https://catalog.data.gov/dataset/limited-denial-of-participation): hud-enforcement · federal-enforcement · license: US-Government-Works · attribution: Source: U.S. Department of Housing and Urban Development Limited Denial of Participation list, HUD Departmental Enforcement Center actions, and Federal Register Mortgagee Review Board notices. U.S. Government public-domain records.
- [MSHA Mine Safety & Health Enforcement](https://arlweb.msha.gov/OpenGovernmentData/OGIMSHA.asp): msha-mine-safety-enforcement · federal-enforcement · license: US-Government-Works
- [NCUA Enforcement Actions (Administrative Orders)](https://ncua.gov/sites/default/files/list_csv/administrative-orders.csv): ncua-enforcement-actions · federal-enforcement · license: US-Government-Works
- [NHTSA Vehicle Safety (Recalls, Complaints, Investigations)](https://static.nhtsa.gov/odi/ffdd/rcl/FLAT_RCL_POST_2010.zip): nhtsa · federal-enforcement · license: US-Government-Works
- [NLRB Labor Cases (case/respondent records)](https://www.nlrb.gov/advanced-search?foia_report_type=cases_and_decisions&case_status=-1&case_type=-1&from_date=&to_date=&items_per_page=100000&page=0&sort_by=date_filed&order_by=desc&search_term=&op=Search&submit=Search&form_id=nlrb_foia_search_form&cases_and_decisions_cboxes%5Ballegations%5D=allegations&cases_and_decisions_cboxes%5Bcase%5D=case&cases_and_decisions_cboxes%5Bcase_type%5D=case_type&cases_and_decisions_cboxes%5Bcity%5D=city&cases_and_decisions_cboxes%5Bclose_method%5D=close_method&cases_and_decisions_cboxes%5Bdate_closed%5D=date_closed&cases_and_decisions_cboxes%5Bdate_filed%5D=date_filed&cases_and_decisions_cboxes%5Bemployees%5D=employees&cases_and_decisions_cboxes%5Bname%5D=name&cases_and_decisions_cboxes%5Bparticipants%5D=participants&cases_and_decisions_cboxes%5Bregion_name%5D=region_name&cases_and_decisions_cboxes%5Bstate%5D=state&cases_and_decisions_cboxes%5Bstatus%5D=status&cases_and_decisions_cboxes%5Bunion%5D=union&cases_and_decisions_cboxes%5Bunit_description%5D=unit_description&cases_and_decisions_cboxes%5Bvoters%5D=voters): nlrb-labor-cases · federal-enforcement · license: US-Government-Works
- [NRC Significant Enforcement Actions](https://www.nrc.gov/sites/default/files/doc_library/cdn/legacy/reading-rm/doc-collections/datasets/enforcement-actions.xlsx): nrc-enforcement-actions · federal-enforcement · license: US-Government-Works
- [OSHA Enforcement - Inspections and Violations](https://www.osha.gov/data): osha-enforcement · federal-enforcement · license: US-Government-Works · attribution: Source: U.S. Department of Labor, Occupational Safety and Health Administration (OSHA), DOL Open Data Portal. U.S. Government public-domain data.
- [PHMSA Pipeline Safety Enforcement Cases](https://data.transportation.gov/Pipelines-and-Hazmat/Pipeline-Enforcement-Transparency-Portal/m28n-9ah6): phmsa-pipeline-enforcement · federal-enforcement · license: US-Government-Works
- [USDA FSIS Recalls and Public Health Alerts](https://www.fsis.usda.gov/science-data/developer-resources/recall-api): usda-fsis-recalls · federal-enforcement · license: CC0-1.0 · attribution: Source: USDA Food Safety and Inspection Service Recall API. Data.gov catalog record usda-fsis-005 lists the annual recall summaries as public access / CC0.
- [Fonteum Research Snapshots](https://fonteum.com/sources/fonteum-research-snapshots): fonteum-research-snapshots · first-party-research · license: Free to cite with attribution. Fonteum's published research snapshots, methodology, and downloadable datasets. · attribution: Fonteum Research, "{Study title}," published {YYYY-MM-DD}. https://fonteum.com/research/{study-slug}
- [Australia ASIC company and banned/disqualified registers](https://www.asic.gov.au/online-services/search-asic-registers/data-gov-au/): australia-asic · global-company-registers · license: CC-BY-3.0-AU · attribution: Source: Australian Securities and Investments Commission (ASIC) datasets on data.gov.au: ASIC Company Dataset and ASIC Banned and Disqualified Persons Dataset. Licensed under Creative Commons Attribution 3.0 Australia.
- [Canada Corporations - Federal Corporations](https://open.canada.ca/data/en/dataset/0032ce54-c5dd-4b66-99a0-320a7b5e99f2): canada-corporations · global-company-registers · license: OGL-Canada-2.0 · attribution: Source: Innovation, Science and Economic Development Canada (ISED), Corporations Canada - Federal Corporations. Contains information licensed under the Open Government Licence - Canada.
- [France RNE / INPI - Company Register](https://data.inpi.fr/): france-rne-inpi · global-company-registers · license: Licence-Ouverte-2.0 · attribution: Source: INPI, Registre National des Entreprises (RNE). Reuse under Licence Ouverte / Open Licence 2.0 metadata and the INPI RNE reuse license; include source and last-updated date. No INPI endorsement implied.
- [New Zealand Companies Register / NZBN bulk data](https://catalogue.data.govt.nz/dataset/the-companies-office/resource/73109f41-65ba-4163-805a-ada4dd431c75): nz-companies-register · global-company-registers · license: CC-BY-4.0 · attribution: Source: New Zealand Companies Office / NZBN Register (MBIE).
- [UK Companies House - Company Register](https://www.gov.uk/government/organisations/companies-house): uk-companies-house · global-company-registers · license: OGL-UK-3.0 · attribution: Source: Companies House. Contains public sector information licensed under the Open Government Licence v3.0.
- [CMS Civil Money Penalties](https://fonteum.com/sources/cms-civil-money-penalties): cms-civil-money-penalties · healthcare · license: U.S. government public-domain works (17 U.S.C. § 105). Federal enforcement records. Attribution required: 'Source: CMS Civil Money Penalties · Snapshot {YYYY-MM-DD}'. · attribution: Source: CMS Civil Money Penalties (g6vv-u9sr) · Last checked {YYYY-MM-DD}
- [CMS Hospital Price Transparency Enforcement](https://fonteum.com/sources/cms-hospital-price-transparency): cms-hospital-price-transparency · healthcare · license: U.S. government public-domain works (17 U.S.C. § 105). Federal enforcement records. Attribution required: 'Source: CMS Hospital Price Transparency Enforcement · Snapshot {YYYY-MM-DD}'. · attribution: Source: CMS Hospital Price Transparency Enforcement · Snapshot {YYYY-MM-DD}
- [Medicare Physician & Other Practitioners — by Provider and Service](https://fonteum.com/sources/cms-medicare-physician-service): cms-medicare-physician-service · healthcare · license: U.S. government public-domain works (17 U.S.C. § 105). Free to use with attribution. · attribution: Source: Centers for Medicare & Medicaid Services (CMS) — Medicare Physician & Other Practitioners by Provider and Service · Data Year {YYYY}
- [CMS Opt Out Affidavits](https://fonteum.com/sources/cms-opt-out-affidavits): cms-opt-out-affidavits · healthcare · license: U.S. government public-domain works. Free to use with attribution; explicit redistribution rights. · attribution: Source: Centers for Medicare & Medicaid Services (CMS) — Opt Out Affidavits · Snapshot {YYYY-MM-DD}
- [CMS Order and Referring](https://fonteum.com/sources/cms-order-referring): cms-order-referring · healthcare · license: U.S. government public-domain works. Free to use with attribution; explicit redistribution rights. · attribution: Source: Centers for Medicare & Medicaid Services (CMS) — Order and Referring · Snapshot {YYYY-MM-DD}
- [CMS PECOS Medicare Provider Enrollment](https://fonteum.com/sources/cms-pecos): cms-pecos · healthcare · license: U.S. government public-domain works (https://www.usa.gov/government-works). Free to use with attribution; explicit redistribution rights. · attribution: Source: CMS PECOS · Last checked {YYYY-MM-DD}
- [CMS Medicare Revalidation Due Date List](https://fonteum.com/sources/cms-revalidation-due-dates): cms-revalidation-due-dates · healthcare · license: U.S. government public-domain works. Free to use with attribution; explicit redistribution rights. · attribution: Source: Centers for Medicare & Medicaid Services (CMS) — Revalidation Due Date List · Snapshot {YYYY-MM-DD}
- [CMS NPPES NPI Registry](https://fonteum.com/sources/nppes): nppes · healthcare · license: U.S. government public-domain data — free to use with attribution. · attribution: Source: CMS NPPES · Last checked {YYYY-MM-DD}
- [OIG Corporate Integrity Agreements](https://fonteum.com/sources/oig-cia): oig-cia · healthcare · license: U.S. government public-domain works (17 U.S.C. § 105). Federal compliance registry. Attribution required: 'Source: OIG Corporate Integrity Agreements · Snapshot {YYYY-MM-DD}'. · attribution: Source: OIG Corporate Integrity Agreements · Last checked {YYYY-MM-DD}
- [OIG LEIE (List of Excluded Individuals/Entities)](https://fonteum.com/sources/oig-leie): oig-leie · healthcare · license: U.S. government public-domain works (17 U.S.C. § 105). Federal enforcement records. Attribution required: 'Source: OIG LEIE · Snapshot {YYYY-MM-DD}'. · attribution: Source: OIG LEIE · Snapshot {YYYY-MM-DD}
- [SAM.gov System for Award Management Exclusions](https://fonteum.com/sources/sam-exclusions): sam-exclusions · healthcare · license: U.S. government public-domain works (17 U.S.C. § 105). Federal exclusion registry. Attribution required: 'Source: SAM.gov Exclusions · Snapshot {YYYY-MM-DD}'. · attribution: Source: SAM.gov System for Award Management Exclusions · Last checked {YYYY-MM-DD}
- [State Professional Licensing & Disciplinary Records](https://fonteum.com/sources/state-licensing): state-licensing · healthcare · license: State public records. Each state board publishes its license roster and disciplinary actions under its own open-records terms; reuse rights vary by state. Attribution required: 'Source: {State} licensing board · Snapshot {YYYY-MM-DD}'. · attribution: Source: {State} professional-licensing board · Snapshot {YYYY-MM-DD}
- [USPTO — Patents, Trademarks & PTAB Proceedings (Open Data Portal)](https://api.uspto.gov/api/v1/patent/applications/search): uspto · intellectual-property · license: US-Government-Works
- [CMS Medicare Part D Spending by Drug](https://fonteum.com/sources/cms-part-d-spending-by-drug): cms-part-d-spending-by-drug · life-sciences · license: U.S. government public-domain works. Free to use with attribution; explicit redistribution rights. · attribution: Source: Centers for Medicare & Medicaid Services (CMS) — Medicare Part D Spending by Drug · Data Year {YYYY}
- [FDA National Drug Code (NDC) Directory](https://fonteum.com/sources/fda-drug-ndc): fda-drug-ndc · life-sciences · license: openFDA — CC0 public domain (U.S.-government works). Free to use; no API key required for bulk downloads. · attribution: Source: U.S. Food & Drug Administration (openFDA) — NDC Directory · Snapshot {YYYY-MM-DD}
- [Drugs@FDA (Approved Drug Products)](https://fonteum.com/sources/fda-drugs-at-fda): fda-drugs-at-fda · life-sciences · license: openFDA — CC0 public domain (U.S.-government works). Free to use; no API key required for bulk downloads. · attribution: Source: U.S. Food & Drug Administration (openFDA) — Drugs@FDA · Snapshot {YYYY-MM-DD}
- [FDA Enforcement Reports (Drug + Device Recalls)](https://fonteum.com/sources/fda-enforcement-reports): fda-enforcement-reports · life-sciences · license: openFDA — CC0 public domain (U.S.-government works). Free to use; no API key required for bulk downloads. · attribution: Source: U.S. Food & Drug Administration (openFDA) — Enforcement Reports · Snapshot {YYYY-MM-DD}
- [FDA Device Establishment Registration & Listing](https://fonteum.com/sources/fda-establishment-registrations): fda-establishment-registrations · life-sciences · license: openFDA — CC0 public domain (U.S.-government works). Free to use; no API key required for bulk downloads. · attribution: Source: U.S. Food & Drug Administration (openFDA) — Device Establishment Registration · Snapshot {YYYY-MM-DD}
- [USAspending Federal Award Transactions](https://www.usaspending.gov/download_center/award_data_archive): usaspending-award-transactions · procurement · license: US-Government-Works
- [ClinicalTrials.gov Studies](https://fonteum.com/sources/clinicaltrials-gov-studies): clinicaltrials-gov-studies · research-activity · license: Courtesy of the U.S. National Library of Medicine. Public-domain federal data; free to use with attribution. · attribution: Courtesy of the U.S. National Library of Medicine (ClinicalTrials.gov) · Snapshot {YYYY-MM-DD}
- [NIH RePORTER Projects](https://fonteum.com/sources/nih-reporter-projects): nih-reporter-projects · research-activity · license: U.S. government public-domain data. Free to use with attribution. · attribution: Source: NIH RePORTER (National Institutes of Health) · Snapshot {YYYY-MM-DD}
- [BEA Regional Economic Accounts](https://fonteum.com/sources/bea-regional): bea-regional · research-economic-workforce · license: US-Government-Works · attribution: Source: U.S. Bureau of Economic Analysis, Regional Economic Accounts.
- [BLS Occupational Employment & Wage Statistics (OEWS)](https://fonteum.com/sources/bls-oews): bls-oews · research-economic-workforce · license: US-Government-Works · attribution: Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics.
- [U.S. Census Bureau — State Population Estimates (2024 vintage)](https://fonteum.com/sources/census-state-pop): census-state-pop · research-economic-workforce · license: U.S. government public-domain data. Free to use with attribution. · attribution: Source: U.S. Census Bureau, State Population Estimates · Vintage {YYYY}
- [CMS Market Saturation & Utilization (State-County)](https://fonteum.com/sources/cms-market-saturation): cms-market-saturation · research-economic-workforce · license: U.S. government public-domain works. Free to use with attribution; explicit redistribution rights. · attribution: Source: Centers for Medicare & Medicaid Services (CMS) — Market Saturation & Utilization (State-County) · Snapshot {YYYY-MM-DD}
- [HRSA 340B OPAIS Covered Entities](https://fonteum.com/sources/hrsa-340b-opais): hrsa-340b-opais · research-economic-workforce · license: U.S. government public-domain data. Free to use with attribution. · attribution: Source: HRSA 340B Office of Pharmacy Affairs Information System (OPAIS) · Snapshot {YYYY-MM-DD}
- [HRSA Health Professional Shortage Areas (HPSA)](https://fonteum.com/sources/hrsa-hpsa): hrsa-hpsa · research-economic-workforce · license: U.S. government public-domain data. Free to use with attribution. · attribution: Source: HRSA HPSA · Snapshot {YYYY-MM-DD}
- [HRSA HPSA Designated Shortage Areas File](https://fonteum.com/sources/hrsa-hpsa-shortage-areas): hrsa-hpsa-shortage-areas · research-economic-workforce · license: U.S. government public-domain data. Free to use with attribution. · attribution: Source: HRSA Data Warehouse (data.hrsa.gov) — Health Professional Shortage Areas · Snapshot {YYYY-MM-DD}
- [HRSA Medically Underserved Areas / Populations (MUA/MUP)](https://fonteum.com/sources/hrsa-mua-mup): hrsa-mua-mup · research-economic-workforce · license: U.S. government public-domain data. Free to use with attribution. · attribution: Source: HRSA Data Warehouse (data.hrsa.gov) — Medically Underserved Areas / Populations · Snapshot {YYYY-MM-DD}
- [NUCC Health Care Provider Taxonomy](https://fonteum.com/sources/nucc-taxonomy): nucc-taxonomy · research-economic-workforce · license: Public NUCC Health Care Provider Taxonomy code set — published free for public use by the National Uniform Claim Committee, no reuse restriction. · attribution: Source: National Uniform Claim Committee (NUCC) — Health Care Provider Taxonomy · Version {VV.V}
- [Consolidated Screening List (CSL)](https://www.trade.gov/consolidated-screening-list): consolidated-screening-list · sanctions · license: US-Government-Works · attribution: Source: Consolidated Screening List, International Trade Administration (trade.gov). U.S. Government Works (public domain).
- [EU Consolidated Financial Sanctions (FSF)](https://data.europa.eu/data/datasets/consolidated-list-of-persons-groups-and-entities-subject-to-eu-financial-sanctions?locale=en): eu-sanctions · sanctions · license: LicenseRef-EU-Commission-Decision-2011-833 · attribution: Source: European Commission, DG FISMA - Consolidated list of persons, groups and entities subject to EU financial sanctions. Reused under Commission Decision 2011/833/EU; reuse must not distort the original meaning.
- [OFAC SDN + Consolidated (Sanctions List Service)](https://sanctionslistservice.ofac.treas.gov/api/download/SDN_ADVANCED.XML): ofac-sdn · sanctions · license: US-Government-Works
- [UK Sanctions List](https://sanctionslist.fcdo.gov.uk/docs/UK-Sanctions-List.xml): uk-sanctions · sanctions · license: OGL-UK-3.0 · attribution: Source: GOV.UK / UK Sanctions List. Contains public sector information licensed under the Open Government Licence v3.0.
- [UN Security Council Consolidated Sanctions List](https://scsanctions.un.org/resources/xml/en/name/consolidated.xml): un-sanctions · sanctions · license: LicenseRef-UN-SC-Consolidated-List · attribution: Source: United Nations Security Council Consolidated List. Reused under UN Security Council Consolidated List terms.
- [SEC EDGAR (public-company entities + filing index)](https://www.sec.gov/files/company_tickers.json): sec-edgar · securities · license: US-Government-Works
- [SEC Enforcement Releases (Litigation Releases + AAER)](https://www.sec.gov/enforcement-litigation/litigation-releases): sec-enforcement · securities · license: US-Government-Works
- [SEC IAPD — Investment Advisers (Form ADV)](https://reports.adviserinfo.sec.gov/reports/CompilationReports/CompilationReports.manifest.json): sec-iapd · securities · license: US-Government-Works

## Sitemap

Sitemap: https://fonteum.com/sitemap.xml

- [Sitemap](https://fonteum.com/sitemap.xml): published crawl index; not a completeness claim
- [Dataset catalog](https://fonteum.com/data): supported public dataset pages
- [CMS PBJ Daily Nurse Staffing](https://fonteum.com/data/pbj-staffing)
- [CMS QPP MIPS Individual Performance](https://fonteum.com/data/mips-scores)
- [CMS Nursing Home Health Deficiencies](https://fonteum.com/sources/cms-nh-deficiencies)
- [CMS SNF Ownership Relationships](https://fonteum.com/data/snf-all-owners)
- [CMS Provider of Services Facilities](https://fonteum.com/data/pos)
- [OIG LEIE Federal Exclusions](https://fonteum.com/data/oig-leie)
- [CMS Nursing Home Civil Monetary Penalties](https://fonteum.com/sources/cms-nh-penalties)
- [CMS SNF Medicare Enrollment Records](https://fonteum.com/data/snf-all-owners)
- [CMS Care Compare Home Health Quality Measures](https://fonteum.com/data/home-health)
- [CMS Care Compare Hospice Quality Measures](https://fonteum.com/data/hospice)
- [CMS Care Compare Dialysis Facility](https://fonteum.com/data/dialysis)
- [CMS Care Compare ASC Quality Measures](https://fonteum.com/data/asc)
- [HCRIS Hospital Cost Reports](https://fonteum.com/data/hcris)
- [Fonteum Hospital Operating Margin (Derived from HCRIS)](https://fonteum.com/research/hospital-margin-gap)
- [HCRIS Facility Summary Statistics](https://fonteum.com/data/hcris)