Astrelis
Children's hospital · Fort Worth, TX

COOK CHILDRENS MEDICAL CENTER

CCN 453300TARRANT CountyVoluntary non-profit - PrivateUrban (USDA RUCC)283 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Fort Worth, TX. It ran an operating surplus of 22.0% in FY25 on $2238.9M of operating revenue. It held 482 days of cash on hand (78th percentile among Children's hospitals on liquidity). Operating margin improved from 18.6% in FY20 to 22.0% in FY25.

Operating margin · FY25
+22.0%
1.3 pts vs FY24
vs Children's hospitals89th pctl of 38 (FY25)
Days cash on hand · FY25
482d
all sources
199.9 days vs FY24
vs Children's hospitals78th pctl of 37 (FY25)
Total operating revenue · FY25
$2.24B
164.4 $M vs FY24
vs Children's hospitals83rd pctl of 41 (FY25)
Total margin · incl. nonoperating · FY25
+23.2%
1.6 pts vs FY24
vs Children's hospitals84th pctl of 38 (FY25)
One point of operating margin at COOK CHILDRENS MEDICAL CENTER is about $22.4M per year (1% of FY25 total operating revenue).

Where COOK CHILDRENS MEDICAL sits among Children's hospitals

Operating margin · FY25 pool · n = 38 of 73 filed

Each point is one Children's hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Children's hospital median is +3.6%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Children's hospital median +3.6380552682669416%COOK CHILDRENS +22.01370106096373%-20%0%+20%Children's hospital median +3.6380552682669416%COOK CHILDRENS +22.01370106096373%
One children's hospitalCOOK CHILDRENSChildren's hospital median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.

Operating margin
+22.0% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+23.2% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
482d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
6.27× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
64% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
54d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue1,612,7741,868,3572,088,394
Other operating revenue193,495206,181150,542
Total operating revenue1,806,2692,074,5382,238,936
Total operating expenses1,449,8301,644,9841,746,063
Operating income356,438429,554492,873
Operating margin %+19.7%+20.7%+22.0%
Other non-operating, net31,05222,72934,098
Net income387,490452,283526,971
Net income %+21.1%+21.6%+23.2%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 283-bed hospital at 43% occupancy 44% of patient revenue is outpatient.

The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Scale and flow
Occupancy
43.1%
Verified fact2025
HCRIS WS S-3
Average daily census
122.29
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
283
Verified fact2025
HCRIS WS S-3
Annual discharges
10,307
Verified fact2025
HCRIS WS S-3
Average length of stay
4.3d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
43.8%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$129.6M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
+18.6%+21.9%+22.8%+19.7%+20.7%+22.0%FY20FY21FY22FY23FY24FY25
Days cash on hand
375 days345 days209 days202 days282 days482 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

TARRANT County, TX · metro, 1M+ population
Median household income
$81.9K
vs $82.1K US
Poverty rate
10.9%
vs 12.5% US
Uninsured
16.6%
vs 8.6% US
Age 65+
12.0%
vs 16.8% US
Fair or poor health
20.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.4% of county personal income is Medicare/Medicaid medical benefits; 13.8% arrives as government transfers (BEA, 2022).
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