Dataset · CMS
Hospital Cost Reports
Facility-level financial performance data from CMS cost report filings.
Source: CMS · Refreshed annual · Freshness SLA: Within 48h of annual CMS release · FHIR Organization
6,541annual cost reportsAs of 2026-05-01
2023–2026temporal coverageRefreshed annual
Source: CMS — Hospital Cost Reports·Snapshot: 2026-05-01·Method: hcris/v1·ID: hospital-costs
FHIR Organization
What a record looks like in the API response.
{
"resourceType": "Organization",
"id": "hcris-050001",
"_source": "cms-hcris",
"_methodology": "hcris/v1",
"name": "Example Regional Medical Center",
"extension": [{ "url": "totalRevenue", "valueDecimal": 412500000 }]
}Every record carries _source, _methodology, a snapshot date, and a confidence tier. These provenance fields survive export and API delivery — each fact stays chained to the federal release it came from.
Sample query
One request returns a provenance-tracked record.
curl -H "Authorization: Bearer $FONTEUM_KEY" \ "https://api.fonteum.com/fhir/r4/Organization?_source=hospital-costs" \ | jq '._source, ._methodology, .meta.tag'
The response includes the FHIR resource body plus Fonteum provenance metadata on every record.
Dataset facts
The record, in full.
| Field | Value |
|---|---|
| Agency | Centers for Medicare & Medicaid Services |
| Category | Hospital financials |
| Records | 6,541 annual cost reports |
| Temporal coverage | 2023–2026 |
| Refresh cadence | Annual |
| Freshness SLA | Within 48h of annual CMS release |
| Last synced | 2026-05-01 |
| FHIR resource | Organization |
| Methodology | hcris/v1 |
| Measured | Total patient revenue, operating costs, net income, and operating margin per hospital per year |
| Upstream source | www.cms.gov → |
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