Astrelis
Children's hospital · Prosper, TX

COOK CHILDRENS MEDICAL CENTER PROSPER

CCN 453317COLLIN CountyVoluntary non-profit - PrivateUrban (USDA RUCC)48 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Prosper, TX. It ran an operating loss of 21.5% in FY25 on $136.5M of operating revenue. Operating margin improved from -23.7% in FY24 to -21.5% in FY25.

Operating margin · FY25
-21.5%
vs Children's hospitals16th pctl of 38 (FY25)
Days cash on hand
Not available
all sources
vs Children's hospitals
Total operating revenue · FY25
$136.5M
vs Children's hospitals10th pctl of 41 (FY25)
Total margin · incl. nonoperating · FY25
-21.7%
vs Children's hospitals3rd pctl of 38 (FY25)
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 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 -21.50965095410761%-20%0%+20%Children's hospital median +3.6380552682669416%COOK CHILDRENS -21.50965095410761%
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
-21.5% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-21.7% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
Not reported in this filing
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY24FY25
Patient revenue96,984128,325
Other operating revenue7,6228,191
Total operating revenue104,605136,515
Total operating expenses129,436165,879
Operating income(24,830)(29,364)
Operating margin %-23.7%-21.5%
Other non-operating, net0(178)
Net income(24,830)(29,542)
Net income %-23.7%-21.7%
2 of 3 years available for this statement.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY24–FY25

How it operates

quality & operational context · CMS public reporting

A 48-bed hospital at 27% occupancy 66% 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
27.4%
Verified fact2025
HCRIS WS S-3
Average daily census
6.58
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
48
Verified fact2025
HCRIS WS S-3
Annual discharges
1,069
Verified fact2025
HCRIS WS S-3
Average length of stay
2.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
66.4%
Verified fact2025
HCRIS WS G-2 L28
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 · 2 reporting years
Operating margin
-23.7%-21.5%FY24FY25
Days cash on hand
Not available
FY25 days cash suppressed: out of display range.

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).
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