HCRIS

also known as: Healthcare Cost Report Information System · CMS Form 2552-10

HCRIS — the Healthcare Cost Report Information System — is CMS's repository of annual cost reports filed by every Medicare-certified hospital, skilled nursing facility, home health agency, hospice, end-stage renal disease facility, and federally qualified health center. For hospitals, the reporting form is Form CMS-2552-10. It includes ~120 worksheets covering balance sheet, income statement, patient revenue by category, inpatient days by payer, uncompensated care, wages and full-time-equivalents, graduate medical education residents, and dozens of other operational dimensions. CMS receives roughly 6,000 hospital cost reports annually, processes them through a multi-stage settlement process, and publishes the raw data quarterly. The dataset is the most complete operational view of the U.S. hospital industry that is publicly available — but the raw files are difficult to use (separate "report index" + "long-form numeric" + "long-form alphanumeric" CSVs, none of which is human-readable). hcris.io ingests the latest HCRIS releases, pivots the long-form data into hospital-level rows, and adds quality + community benefit cross-references from CMS Care Compare and IRS Form 990.

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