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Children's hospital · Fort Worth, Texas · 452 beds · CMS certification number 453300

Cook Children's Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 6, 2026. 30 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$2.1B
$2,088,394,363 · G-3 line 3
Operating expenses
$1.7B
$1,746,063,314 · G-3 line 4
Result from patient care
$342.3M
$342,331,049 · G-3 line 5
Margin on patient care
16.4%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $112.7M in its first year on file (1996) to $2.1B in 2025.
  • Its result from patient care: $162.9M (2023), $223.4M (2024), $342.3M (2025).
  • 4 of the 5 children's hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 7.9% of its inpatient days and Medicare for 0.2%.

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
$112.7M
$114.2M
1997
settled
$114.9M
$126.1M
1998
settled
$124.4M
$144.4M
1999
settled
$134.6M
$153.2M
2000
settled with audit
$170.4M
$189.1M
2001
settled with audit
$196.5M
$211.6M
2002
reopened
$230.0M
$271.4M
2003
reopened
$272.1M
$311.3M
2004
reopened
$279.3M
$316.6M
2005
reopened
$308.5M
$301.8M
2006
reopened
$326.9M
$326.8M
2007
reopened
$377.2M
$355.5M
2008
reopened
$423.3M
$393.0M
2009
reopened
$510.1M
$466.1M
2010
reopened
$525.7M
$486.3M
2011
reopened
$603.6M
$526.0M
2012
reopened
$720.9M
$608.6M
2013
reopened
$729.4M
$649.6M
2014
reopened
$753.2M
$658.3M
2015
settled
$753.8M
$668.5M
2016
settled with audit
$841.6M
$739.9M
2017
settled
$853.4M
$829.9M
2018
reopened
$879.5M
$832.8M
2019
reopened
$967.5M
$888.4M
2020
reopened
$1.1B
$988.5M
2021
settled
$1.2B
$1.1B
2022
reopened
$1.5B
$1.3B
2023
settled with audit
$1.6B
$1.4B
2024
settled
$1.9B
$1.6B
2025
as submitted
$2.1B
$1.7B

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 Children's Medical Center452$2,088,394,363$1,746,063,31416.4%
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%
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%
Texas Childrens Hospital, Houston971$3,437,612,915$3,823,485,809−11.2%

Patients and payers

Discharges
10,307
S-3 line 14, col 15
Inpatient days
89,068
S-3 line 14, col 8
Beds in use, on an average day
244.7
days ÷ days in year
Occupancy
54.0%
days ÷ bed days
Medicare share of days
0.2%
S-3 cols 6 ÷ 8
Medicaid share of days
7.9%
S-3 cols 7 ÷ 8

Who owns it

Indirect owner: COOK CHILDRENS HEALTHCARE SYSTEM

Related organizations on its own cost report: COOK CHILDRENS, home office.

Other hospitals with the same owner: Cook Childrens Medical Center - Prosper (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 453300. 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 6, 2026.