A hospital in Prosper, TX. It ran an operating loss of 21.5% in FY25 on $136.5M of operating revenue. It held -780 days of cash on hand — an Astrelis calculation outside expected range, shown at the chart boundary and ranked in its pool (0th percentile of 36 Children's hospitals on liquidity, FY25 pool). Operating margin improved from -23.7% in FY24 to -21.5% in FY25.
Operating margin · FY25
-21.5%
Astrelis calculation · as-filed inputs
vs Children's hospitals16th pctl of 38 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
-780d
all sources
Astrelis calculation · as-filed inputs
vs Children's hospitals0th pctl of 36 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$136.5M
Astrelis calculation · as-filed inputs
vs Children's hospitals10th pctl of 41 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY25
-21.7%
Astrelis calculation · as-filed inputs
vs Children's hospitals3rd pctl of 38 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at COOK CHILDRENS MEDICAL CENTER PROSPER is about $1.4M 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 FY25 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 FY25 median is +3.6%. Descriptive context only, not a ranking.
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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Display states.FY25 · Days cash on hand: -780 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)FY24 · Days cash on hand: -897 days — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (out of display range)
How it operates
quality & operational context · CMS public reporting
A 48-bed children's hospital running at 27% occupancy, where operating cost runs $155,172 per discharge (unadjusted), and 66% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
27.4%
Reported value2025
HCRIS WS S-3
Average daily census
6.58
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
48
Reported value2025
HCRIS WS S-3
Annual discharges
1,069
Reported value2025
HCRIS WS S-3
Average length of stay
2 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$69,232
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$155,172
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
66.4%
Reported value2025
HCRIS WS G-2 L28
How the care measures up
C. difficile infection (SIR)
Not reported in source (note 1)
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
Not reported in source (note 1)
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Not reported in source (note 1)
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
Not reported in source (note 1)
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Note 1: CMS does not publish these measures for this provider subtype (it does not participate in the acute-care IQR/OQR reporting programs, which do not apply here).
Trajectory
Cost-report basis · 2 reporting years
Operating margin
Days cash on hand
FY25 days cash on hand is an Astrelis calculation outside expected range: charted at the boundary arrow, shown at its actual value in the tiles, and included in peer statistics.
The county this hospital serves
COLLIN County, TX
Median household income
$117.6K
vs $82.1K US
Poverty rate
6.3%
vs 12.5% US
Uninsured
9.9%
vs 8.6% US
Age 65+
11.4%
vs 16.8% US
Fair or poor health
14.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 2.5% of county personal income is Medicare/Medicaid medical benefits; 7.6% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Collin County
Illustrative estimate · FY25 cost report
Direct annual spending
$165.9M
total operating expense · Reported value, not a local-capture estimate
Economic activity
$381.5M
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY25Astrelis calculation
Operating margin vs its peer pool: FY25 pool · n = 38.
Performance Benchmark Report: FY25 peer pool · n = 38 · conservative low band; acuity limits stated in the report.
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