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Children's hospital · Prosper, Texas · 69 beds · CMS certification number 453317

Cook Childrens Medical Center - Prosper

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 12, 2026. Three years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$128.3M
$128,324,461 · G-3 line 3
Operating expenses
$165.9M
$165,878,842 · G-3 line 4
Result from patient care
−$37.6M
−$37,554,381 · G-3 line 5
Margin on patient care
−29.3%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $97.0M in its first year on file (2024) to $128.3M in 2025.
  • Its result from patient care: −$32.5M (2024), −$37.6M (2025).
  • 1 of the 5 children's hospital peers below with a margin on file also reports a loss on patient care for fiscal year 2025.
  • COOK CHILDRENS HEALTHCARE SYSTEM holds 100% of it, on its Medicare enrollment.

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

Three years of filings

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

Net patient revenueOperating expenses
2023
settled
not filed
not filed
2024
settled
$97.0M
$129.4M
2025
as submitted
$128.3M
$165.9M

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
Cook Childrens Medical Center - Prosper69$128,324,461$165,878,842−29.3%
Driscoll Children's Hospital Rio Grande Valley, Edinburg119$423,197,463$386,312,7328.7%
El Paso Children's Hospital, El Paso148$235,962,603$222,108,0255.9%
Healthbridge Children's Hospital - Houston, LTD., Houston111$67,198,064$60,789,8719.5%
Nexus Childrens Hospital- Dallas, Dallas60$26,251,957$24,750,7575.7%
Texas Children's Hospital North Austin Campus, Austin60$172,182,993$262,883,043−52.7%

Patients and payers

Discharges
1,069
S-3 line 14, col 15
Inpatient days
3,435
S-3 line 14, col 8
Beds in use, on an average day
9.4
days ÷ days in year
Occupancy
27.3%
days ÷ bed days
Medicaid share of days
2.2%
S-3 cols 7 ÷ 8

Who owns it

  • COOK CHILDRENS HEALTHCARE SYSTEM100%

Related organizations on its own cost report: COOK CHILDRENS.

Other hospitals with the same owner: Cook Children's Medical Center (TX).

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

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 453317. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read March 12, 2026.