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Children's hospital · Houston, Texas · 971 beds · CMS certification number 453304

Texas Childrens Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, amended, stamped by CMS July 15, 2026. 30 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$3.4B
$3,437,612,915 · G-3 line 3
Operating expenses
$3.8B
$3,823,485,809 · G-3 line 4
Result from patient care
−$385.9M
−$385,872,894 · G-3 line 5
Margin on patient care
−11.2%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $249.4M in its first year on file (1996) to $3.4B in 2025.
  • Its result from patient care: −$795.9M (2023), −$648.8M (2024), −$385.9M (2025).
  • None of the 5 children's hospital peers below with a margin on file reports a loss on patient care for fiscal year 2025.
  • Medicaid paid for 6.4% of its inpatient days and Medicare for 0.3%.

Every statement is drawn from figures on this page; nothing is estimated.

30 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1996
settled with audit
$249.4M
$259.0M
1997
reopened
$247.9M
$267.6M
1998
settled
$269.2M
$297.8M
1999
settled
$291.5M
$326.2M
2000
settled
$343.6M
$371.9M
2001
settled
$432.7M
$485.8M
2002
settled
$490.4M
$564.3M
2003
reopened
$529.6M
$571.9M
2004
reopened
$595.2M
$599.0M
2005
reopened
$611.7M
$637.6M
2006
settled
$639.1M
$666.5M
2007
settled
$695.3M
$737.8M
2008
reopened
$775.6M
$802.6M
2009
reopened
$845.9M
$944.9M
2010
reopened
$857.1M
$958.1M
2011
settled
$948.9M
$1.0B
2012
reopened
$1.1B
$1.2B
2013
settled with audit
$1.2B
$1.3B
2014
settled
$1.4B
$1.4B
2015
reopened
$1.5B
$1.6B
2016
settled
$1.7B
$1.8B
2017
settled
$1.8B
$1.9B
2018
settled
$1.9B
$2.2B
2019
reopened
$2.2B
$2.4B
2020
reopened
$2.0B
$2.5B
2021
reopened
$2.2B
$2.7B
2022
reopened
$2.5B
$3.2B
2023
settled
$2.8B
$3.6B
2024
amended
$3.0B
$3.7B
2025
amended
$3.4B
$3.8B

Beside its peers

Hospitals of the same type (children's hospital), nearest in size, from Texas first; each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Texas Childrens Hospital971$3,437,612,915$3,823,485,809−11.2%
Childrens Medical Center of Dallas, Dallas406$2,294,785,974$1,918,573,81216.4%
Children's Medical Center Plano, Plano224$508,702,710$472,007,4097.2%
Cook Children's Medical Center, Fort Worth452$2,088,394,363$1,746,063,31416.4%
Dell Children's Medical Center, Austin334$970,607,315$811,884,32916.4%
Driscoll Childrens Hospital, Corpus Christi243$975,265,105$723,850,25425.8%

Patients and payers

Discharges
31,845
S-3 line 14, col 15
Inpatient days
245,506
S-3 line 14, col 8
Beds in use, on an average day
674.5
days ÷ days in year
Occupancy
72.3%
days ÷ bed days
Medicare share of days
0.3%
S-3 cols 6 ÷ 8
Medicaid share of days
6.4%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: TEXAS CHILDRENS, healthcare.

Type of control on its cost report: voluntary nonprofit, other.

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by TEXAS CHILDREN'S HOSPITAL (employer identification number 741100555) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$589,882,074IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$41,239,064IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$372,479,719IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$430,987,876IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$158,894,198IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.1618IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202422279349302592. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 453304. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read July 15, 2026.