Built on the authoritative federal record
The primary sources, named on every page.
These are the federal agencies whose public datasets Fonteum ingests and attributes — the issuing authorities, not customers or partners. Every figure on the site links back to one of them.
See the full source registry, with license and refresh cadence for each →
Reproducible by design
Every figure traces to its federal source.
14-tuple provenance
Every rendered fact ties to a source URL, dataset ID, snapshot date, row key, and SHA-256 — the full chain-of-custody record.
Reproducible SQL
Each study ships the exact query behind its figures, run against the cited federal snapshot. Re-run it yourself.
Daily reconciliation
Published counts are reconciled against the upstream federal datasets on a daily cadence, with drift logged.
Named medical review
Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.
Two doors
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Query providers, facilities, sanctions, and quality scores — each field carrying its federal source. Self-serve, no call to start.
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Managed pilots, enterprise terms, and audit-ready, signed attestation packages for compliance, risk, and research teams.
The substrate, by the numbers
| CCN | Hospital | Op Margin | vs National |
|---|---|---|---|
| 430089 | SIOUXLAND SURGERY CENTER | +34.8% | +48.6% |
| 430090 | SIOUX FALLS SPECIALTY HOSPITAL | +27.0% | +40.8% |
| 430093 | SAME DAY SURGERY CENTER | +26.7% | +40.5% |
| 430091 | BLACK HILLS SURGICAL HOSPITAL LLP | +18.3% | +32.2% |
| 431324 | AVERA WESKOTA MEMORIAL MEDICAL CENTE | +16.4% | +30.3% |
| 431330 | AVERA ST. BENEDICT HEALTH CENTER | +13.7% | +27.6% |
| 430008 | BROOKINGS HEALTH SYSTEM |
| CCN | Hospital | Op Margin | Distress |
|---|---|---|---|
| 433300 | LIFESCAPE | — | — |
| 431383 | PHS HOSPITAL - EAGLE BUTTE | — | — |
| 430098 | PINE RIDGE HOSPITAL | — | — |
| 430084 | USPHS HOSPITAL - ROSEBUD | — | — |
| 430099 | REHAB & CRITICAL CARE HOSPITAL OF BL | -60.6% | Distress |
| 431317 | LANDMANN-JUNGMAN MEMORIAL HOSPITAL |
Fonteum does not independently rate or rank hospitals. This index reflects CMS-published self-reported financial data from HCRIS form 2552-10. Data is public domain per 17 U.S.C. § 105.
| +13.4% |
| +27.2% |
| 431332 | DE SMET MEMORIAL HOSPITAL | +12.3% | +26.1% |
| 431336 | SANFORD MEDICAL CENTER VERMILLION | +11.4% | +25.2% |
| 431311 | SANFORD HOSPITAL WEBSTER | +10.4% | +24.3% |
| -30.8% |
| Distress |
| 431334 | WINNER REGIONAL HEALTHCARE CENTER | -29.1% | Distress |
| 431327 | ST. MICHAELS HOSPITAL INC. | -22.4% | Distress |
| 431338 | AVERA GREGORY HOSPITAL | -18.1% | Distress |
| 431335 | HURON REGIONAL MEDICAL CENTER | -15.9% | Distress |