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Research bureau

The federal record, studied.

Reproducible healthcare-provider studies built on frozen federal-data snapshots. Every figure ties back to a dated, public federal source — sourced, attested, and free to cite.

Latest snapshot MAY 2026 · 3 published studies
22Federal source familiesPublic U.S. federal publishers the bureau draws on
26Registered sourcesCatalogued on the sources page
13Dataset pagesLive dataset records at /data
3Published studiesReproducible, citation-ready

All studies

Newest first. Each study links to its full text, frozen-snapshot provenance, and reproducible SQL.

Featured · MAY 2026

Why 14% of skilled nursing facilities had a quality drop in Q1

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 changed ownership in the prior twelve months accounted for a disproportionate share of the slide.
Read the study →
Fonteum Research studies, newest first, with issue number, publication date, editorial desk, and the federal sources each study cites.
IssuePublishedStudyDeskSources cited
047May 12, 2026Why 14% of skilled nursing facilities had a quality drop in Q1Care qualityNPPES, CMS Care Compare
046May 5, 2026Provider exclusions are rising — and clustering around distressed operatorsFinancial distressOIG LEIE, CMS PECOS
045April 28, 2026A March spike in Medicare enrollment deactivations thinned provider supply in shortage areasAccessCMS PECOS, HRSA HPSA

Browse by desk

Desks group studies by the kind of question they answer, not by the source dataset.

Desk

Care quality

Provider performance, patient outcomes, and accreditation — how care is delivered and where it slips.
1 study

Desk

Financial distress

Hospital closures, bankruptcies, and debt cycles — the balance-sheet signals that precede a facility going dark.
1 study

Desk

Access

Geographic deserts, provider shortages, and the supply of care — who can reach a clinician, and who cannot.
1 study

Desk

Workforce

Wages, training pipelines, and retention — the labor economics underneath every clinical encounter.
0 studies

Sources behind the studies

The federal source families cited across the published corpus. Each names a real federal publisher; row counts refresh with every monthly snapshot.

  • NPPES
  • CMS Care Compare
  • OIG LEIE
  • CMS PECOS
  • HRSA HPSA

CMS — National Plan & Provider Enumeration System

NPPES

Cited in 1 study.
8.9M rows · updated May 2026

CMS — Provider Data Catalog (Care Compare)

CMS Care Compare

Cited in 1 study.
15,400 facilities · updated May 2026

HHS OIG — List of Excluded Individuals/Entities

OIG LEIE

Cited in 1 study.
68,055 rows · updated May 2026

CMS — Provider Enrollment, Chain & Ownership System

CMS PECOS

Cited in 2 studies.
2.6M rows · updated May 2026

HRSA — Health Professional Shortage Areas

HRSA HPSA

Cited in 1 study.
30,900 designations · updated May 2026

Trust standards

How to read these studies

Dataset scope

Snapshot dated May 8, 2026.

  • Includes: the healthcare-provider records this study covers. Every figure traces to a dated public-record source named in the study's citation footer — federal registries (CMS NPPES, CMS Care Compare, HRSA, BLS, U.S. Census) or, where a study states it, indexed public business-profile data.
  • Does not include: providers outside the source named for this study, records without a usable practice address, or any data not present in that source at the snapshot date.
  • Counts describe this Fonteum healthcare-provider dataset — not a representative census of the U.S. healthcare workforce.
Every indexed provider dataset behind these studies is sourced, dated, and free to cite. We report the federal record and its limitations — we do not certify providers or assert facts a public source cannot support. Read the methodology, browse the full data catalog, or review every registered source.
Source: 22 federal source families·Snapshot: MAY 2026 snapshot·Method: Frozen monthly snapshots · methodology v1

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Specialist Access Maps — planned across Healthcare access, Care quality.

  1. [1]Fonteum Research methodology — snapshot, join, and reproducibility standards.
  2. [2]Fonteum source library — 26 registered federal sources.
  3. [3]Fonteum editorial policy and citation licence.

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Methodology · Corrections log · Editorial policy

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