Medicare Cost Report Data — Hospital, SNF & Home Health (HCRIS)

Official source. No API key. Pay per record.

This actor gives you the Centers for Medicare & Medicaid Services (CMS) Medicare cost reports as structured records — the annual financial and operating reports that every Medicare-certified hospital, skilled nursing facility (SNF) and home health agency (HHA) must file. Each record is one facility's cost report for one reporting period, with every column CMS publishes: beds, patient days and discharges by payer, staffing, costs and charges, charity care and bad debt, the full balance sheet, revenue and net income.

It reads CMS's own data API on data.cms.gov and resolves the yearly files from the CMS data catalogue on every run, so new years appear as soon as CMS publishes them. On 27 September 2026 CMS had published:

Facility type	CMS file years	Reports in the latest year	Columns
Hospitals	2011–2023	6,103 (2023)	117
Skilled nursing facilities	2011–2023	14,933 (2023)	122
Home health agencies	2020–2023	10,715 (2023)	201

Who buys this and for what job

• Healthcare investors, lenders and M&A teams screening hospitals, nursing homes and home health agencies on size, margins, payer mix and balance-sheet strength.
• Healthcare consultants and revenue-cycle firms benchmarking a client against peers by state, bed size or type of control.
• Medtech, pharma and healthcare-services sales teams sizing and prioritising accounts (beds, discharges, costs).
• Policy researchers and journalists studying charity care, uncompensated care, Medicare dependence and facility finances.
• Data teams who want HCRIS-derived figures without parsing CMS's raw cost report files.

Sample output

An abridged hospital record (the real record carries all 117 CMS columns):

{
  "record_id": "CMS-CR:hospital:2023:804917",
  "facility_type": "Hospital",
  "cms_file_year": 2023,
  "provider_ccn": "050454",
  "provider_name": "UCSF MEDICAL CENTER",
  "state_code": "CA",
  "fiscal_year_begin_date": "2023-07-01",
  "fiscal_year_end_date": "2024-06-30",
  "rpt_rec_num": "804917",
  "Provider CCN": "050454",
  "Hospital Name": "UCSF MEDICAL CENTER",
  "Street Address": "505 PARNASSUS",
  "City": "SAN FRANCISCO",
  "State Code": "CA",
  "CCN Facility Type": "STH",
  "Type of Control": "10",
  "FTE - Employees on Payroll": "13208",
  "Number of Beds": "887",
  "Cost of Charity Care": "78449295",
  "Total Costs": "4252897828",
  "Total Assets": "8159586236",
  "Net Patient Revenue": "6146359372",
  "Net Income": "414296965",
  "cms_dataset": "Hospital Provider Cost Report",
  "cms_file_version": "Hospital Provider Cost Report : 2023-12-04",
  "api_url": "https://data.cms.gov/data-api/v1/dataset/cb8d0018-1bbe-4559-91bf-9429ac344b48/data",
  "source": "Centers for Medicare & Medicaid Services — Hospital Provider Cost Report (https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report)",
  "licence": "US Government work (Centers for Medicare & Medicaid Services) — not subject to copyright in the US (17 U.S.C. § 105; https://www.usa.gov/government-works). The CMS data catalogue carried that licence link until its September 2026 restructure; its entries now carry no licence field.",
  "attribution": "Source: Centers for Medicare & Medicaid Services (CMS), data.cms.gov; reformatted by NexGen Signal.",
  "observed_at": "2026-09-27T16:56:34Z"
}

Pricing

Apify plan	Price per record
Free	$0.05
Bronze	$0.045
Silver	$0.04
Gold and above	$0.0335

You pay only for records delivered to your dataset — one record per cost report, whatever the number of columns. maxRecords caps what a run can cost: 500 records cost $25 on the Free plan. Filtering is free.

Input

Field	What it does	Default
facilityType	hospital, snf (skilled nursing facilities) or hha (home health agencies)	hospital
years	CMS file years to read, e.g. [2023, 2022]	the latest year CMS has published
states	Only facilities in these states, e.g. CA, TX	all
ccns	Only these CMS Certification Numbers (up to 20,000)	all
nameContains	Only facility names containing this text, e.g. MEMORIAL	none
maxRecords	Maximum records delivered and billed	10

Default changed on 30 Sep 2026: if you leave maxRecords out, a run now returns up to 10 records (it was 500). Set maxRecords yourself to get more — the maximum is unchanged.

Example — every Texas nursing facility in the latest year:

{"facilityType": "snf", "states": ["TX"], "maxRecords": 5000}

Example — two hospitals over two years:

{"facilityType": "hospital", "years": [2023, 2022], "ccns": ["110130", "050454"]}

(That returned four reports on 27 September 2026. A CCN with no report in the years read is listed in the run receipt.)

Output

Field	Meaning
record_id	CMS-CR:<type>:<CMS file year>:<rpt_rec_num> — unique per cost report
facility_type, cms_file_year	Hospital, Skilled nursing facility or Home health agency; the CMS annual file
provider_ccn, provider_name, state_code	Copies of CMS's CCN, name and state columns, under one name for all three types
fiscal_year_begin_date, fiscal_year_end_date	Copies of the reporting period columns
every CMS column	Under its CMS name (Total Costs, Net Income, Number of Beds, …) with its value exactly as CMS publishes it
cms_dataset, cms_file_version, api_url	Which CMS file the record came from
source, licence, attribution, observed_at	Provenance on every record

CMS publishes every value as text (for example "4252897828"), and blank cells as empty text; the actor keeps them that way rather than guessing types. Codes such as Type of Control and CCN Facility Type are CMS's; CMS's data dictionary explains them (linked in the run receipt).

Cost guidance

A state's hospitals for one year are typically tens to a few hundred records. The whole country's hospitals for one year are about 6,100 records ($204 on Gold); nursing facilities about 15,000 ($500); home health agencies about 10,700 ($359). A watch-list of CCNs costs only the reports found. Filter by state or CCN first, then widen.

Tips

• Start narrow: a state or a CCN list first, then widen to the country once you know which columns you need.
• Trends: pass several years ([2023, 2022, 2021]) with a CCN list to follow the same facilities over time; provider_ccn and fiscal_year_end_date line the periods up.
• Numbers as text: convert the columns you use to numbers in your own tool; blank means CMS published no value.
• Codes: Type of Control and similar codes are explained in CMS's data dictionary, linked from each dataset page.

How a run works

The actor reads data.cms.gov's robots.txt and honours its Crawl-delay of 10 seconds between requests. It reads the CMS data catalogue, finds the yearly API file for the chosen facility type (since September 2026 CMS lists one dataset per year, grouped under a named dataset series; the actor finds them by that series, not by display title, and still understands the older single-dataset layout), asks CMS how many rows that file holds, and reads it 5,000 rows at a time, filtering as it goes. Each year is checked against CMS's own row count, with one re-read if anything is missing; in testing every full read matched (for example 14,933 of 14,933 nursing-facility reports for 2023, 6,103 of 6,103 hospital reports). Records are pushed to your dataset first and charged only after they are delivered; if you set a maximum charge, the run stops cleanly when it is reached. Test runs that read a full year took 24–65 seconds. If you ask for a year CMS has not published, the run says so and charges nothing. If data.cms.gov cannot be reached after several retries, the run ends with a clear message and nothing is charged.

Honest limitations

• CMS's selected measures, not the full cost report. These files carry the measures CMS chose to publish (117–201 columns). Worksheet-level detail from the raw HCRIS files is not included.
• Annual files lag. The latest CMS file year on 27 September 2026 was 2023. CMS also re-issues past years' files (the hospital files for 2011–2022 were re-published in November 2025), so figures for a past year can change.
• File year is CMS's grouping. A report's actual period is in its fiscal year begin and end dates; some periods are short (Irwin County Hospital's report in the 2023 file covers two months, 1 December 2022 to 31 January 2023).
• Several reports per facility per year are possible (changes of ownership, short periods). Use rpt_rec_num to tell them apart.
• As filed. Cost reports are self-reported by providers; CMS publishes them as reported, and some values are blank or implausible.
• Facilities only. The files describe facilities; they contain no patient data.

Licence and attribution

These files are a US Government work (Centers for Medicare & Medicaid Services), not subject to copyright in the US (17 U.S.C. § 105; https://www.usa.gov/government-works). The CMS data catalogue carried that licence link until its September 2026 restructure; its entries now carry no licence field. Every record carries the credit Source: Centers for Medicare & Medicaid Services (CMS), data.cms.gov; reformatted by NexGen Signal. This actor is not affiliated with or endorsed by CMS.

Differentiation

malekh/hcris-hospital-cost-report looks up hospital cost and charge figures, and general CMS actors such as parseforge/cms-medicare-scraper expose data.cms.gov datasets generically. This actor is built for the three cost report datasets: it resolves every published year from the CMS catalogue, keeps every CMS column under its CMS name, covers hospitals, nursing facilities and home health agencies in one input, supports CCN watch-lists across years, and checks every full read against CMS's own row count.

The NexGen Signal family

Part of NexGen Signal — official-source data products, no API keys, pay per record. Related actors:

• US Hospital Ownership Records — CMS Owner Organizations
• Medicare Reimbursement by HCPCS & Locality — CMS
• CMS Part D Drug Spending — by Drug & Maker
• US IRS Exempt Organization Master File (EO BMF)
• FDA Device Clearance Records — 510(k) via openFDA