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CMS HCRIS HospitalsCMS HCRIS Hospital Cost Reports (form CMS-2552-10)
U.S. Centers for Medicare and Medicaid Services · Tier-2 · profile-enrichment (renders on matched profiles)
Annual financial + operational filings every Medicare-certified hospital submits to CMS under the Healthcare Cost Report Information System (HCRIS). Form CMS-2552-10 carries ~600 line items per facility; the Fonteum projection persists 14 headline financial + operational fields (net patient revenue, operating + total margin, bad debt, charity care, beds, occupancy, cost-to-charge ratio, days cash on hand) keyed on CCN.
How this source shows up on Fonteum.
Tier-2 profile-enrichment for Medicare-certified hospitals. Headline fields render on hospital profile pages with full provenance (source · vintage · fiscal-year boundary). Powers the brand-hub Hospital Margin Gap analysis (Tier 1 #23) and the FHIR Organization.contained financial extensions (queued separately).
What this source does NOT mean
Cost reports are self-reported financial filings under federal regulatory obligation. They are not audited statements (though CMS contractors review against benchmarks), not real-time, and not comparable across non-Medicare-certified facilities. A negative operating margin is a financial signal, not a quality measure or a recommendation against the facility.
Per-field display contract.
Every field below has a `display_allowed` flag in the §94 provenance schema. Write-locked fields are captured to provenance for audit but never rendered on profile pages.
Renders on profile
12 fieldsResearch-only — never on profiles
1 fieldWhat we can’t infer from this source.
- Annual, not real-time. The latest fiscal year published lags the calendar year by 9–14 months.
- Self-reported by the facility under federal regulatory obligation; CMS reviews against benchmarks but reports are not independently audited.
- Limited to Medicare-certified hospitals filing form 2552-10. Critical-access hospitals, SNF cost reports (2540-10), and home-health cost reports are filed under different forms and queue separately.
- Cross-facility comparability requires careful attention to fiscal-year boundaries (some hospitals use Jan-Dec, others July-June, etc.); the Fonteum projection preserves both fiscal_year_begin + fiscal_year_end.
- Cost-report fields are financial; they do not measure clinical quality. Margin and occupancy are operating-context signals only.
Authority, license, refresh cadence.
Authority
U.S. Centers for Medicare and Medicaid Services
Tier
Tier-2 · profile-enrichment (renders on matched profiles)
Refresh cadence
Annual — CMS publishes the final fiscal-year archive ~Q4 of the year following the FY end. Fonteum ingests post-CY-filing-deadline in November.
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}'. License ↗
Attribution requirement
Source: CMS HCRIS Hospital Cost Report · Fiscal Year {YYYY}
What the source allows.
U.S. government public-domain works (17 U.S.C. § 105). CMS publishes HCRIS as an annual ZIP archive at data.cms.gov with explicit redistribution rights. Fonteum mirrors the source bytes (SHA-256 attested) and publishes a per-snapshot manifest under data/hcris/.
What a single field looks like in the graph.
A worked example. Every field surfaced from this source carries this shape of provenance line — source · last checked · display rule · confidence (when applicable).
Field
Per-facility operating margin (profile)
Sample value
Operating margin: 2.4% · FY2024 (Oct 2023 – Sep 2024) · CCN 010001
Provenance line
Source: CMS HCRIS Hospital Cost Report · Fiscal Year 2024 · Methodology hcris-2552-10/v1 · Display rule: per-facility headline fields render on hospital profile pages with the fiscal-year boundary inline
Where this source already shows up.
Per-source methodology: /methodology/cms-hcris-hospital-cost-reports →
- /sources → The full source library — every dataset Fonteum cites.
- /data-provenance → The provider graph — pipeline diagram, source-family clusters, field-level provenance examples, display rules.
- /methodology → Network-wide sourcing, refresh cadence, and corrections policy.
- /editorial-policy → Independence, sourcing, conflicts, corrections, retractions.
Compliance posture
We don’t sell ranking and don’t accept payment to move a provider up the list. For final hire decisions, verify licensing, insurance, and references directly with the applicable licensing or credentialing body.
No bulk-licensing source family is currently ingested for this vertical. Hire-time checking still routes through the body named above.