Cook Childrens Medical Center - Prosper
Public records show a registered, tax-exempt organization in good standing.
Points to look into
- It owes more than it owns.
These come from the organization's own tax return. There may be a good explanation; ask the charity.
What it says it does
KNOWING THAT EVERY CHILD'S LIFE IS SACRED, OUR PROMISE IS TO IMPROVE THE HEALTH OF EVERY CHILD IN OUR REGION THROUGH THE PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND INJURY.
- Income
- $137.0 million
- Spending
- $165.9 million
- Spent on programs
- 80%
- Reserves
- -24.3 months of spending
- Largest source of income
- fees for its services, 100%
- Employees
- 505
- Volunteers
- 68
- Highest pay
- $3.6 million, ceo
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Weak: 30 out of 100. Higher than 3% of charities in its peer group (health care, over $100m).
Reserves
0 of 35Spendable reserves are negative: it owes or has committed more than it holds.
Debt
0 of 20It owes 143% of what it owns.
Living within its means
0 of 15Spending exceeded income by 21% of income.
Income trend
15 of 15Income rose 31% on the year before.
Spending floor
15 of 1580% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 100 out of 100. Higher than 53% of charities in its peer group (health care, over $100m).
Independent board
25 of 2513 of 13 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $133.2 million spent. COOK CHILDREN'S PRESENCE IN PROSPER BEGAN IN 2019 WITH THE OPENING OF AN URGENT CARE CENTER AND SEVERAL PRIMARY CARE OFFICES. AS POPULATION GROWTH ACCELERATED ACROSS THE NORTHERN SECTOR OF THE METROPLEX, COOK CHILDREN'S MOVED QUICKLY TO BRING WORLD-CLASS, COMPREHENSIVE PEDIATRIC CARE CLOSER TO HOME FOR THE FAMILIES IN THIS RAPIDLY EXPANDING COMMUNITY. IN 2020, THE SYSTEM EXPANDED FURTHER WITH THE OPENING OF A MEDICAL OFFICE BUILDING AND OUTPATIENT SURGERY CENTER. THAT GROWTH CONTINUED IN 2023 WITH THE OPENING OF COOK CHILDREN'S MEDICAL CENTER - PROSPER, WHICH ADDED AN EMERGENCY DEPARTMENT, SURGICAL AND PROCEDURAL FLOOR, INFUSION CENTER, OUTPATIENT IMAGING CENTER, PEDIATRIC RETAIL PHARMACY, PEDIATRIC OUTPATIENT DRAW STATION FOR LABS, PEDIATRIC ICU, A MEDICAL/SURGICAL UNIT AND TWO FLOORS OF FUTURE SHELL SPACE. (CONTINUED ON SCHEDULE O) THE COOK CHILDREN'S PHYSICIAN NETWORK INCLUDES APPROXIMATELY 40 PEDIATRIC SUBSPECIALISTS PRACTICING ONSITE 24/7 AT COOK CHILDREN'S PEDIATRIC SPECIALTIES - PROSPER AND COOK CHILDREN'S MEDICAL CENTER - PROSPER. MEDICAL SERVICES AT THE PROSPER LOCATION INCLUDE EMERGENCY CARE, NEONATAL INTENSIVE CARE, PEDIATRIC INTENSIVE CARE, MEDICAL/SURGICAL CARE, A SLEEP CENTER AND RADIOLOGY. THESE SERVICES ARE SUPPORTED BY SUBSPECIALTIES INCLUDING CARDIOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, HEMATOLOGY, ONCOLOGY, NEPHROLOGY, UROLOGY, PULMONOLOGY, PSYCHOLOGY, PEDIATRIC SURGERY, NEUROLOGY, NEUROSURGERY, ORTHOPEDIC SPORTS MEDICINE, ORTHOPEDIC SURGERY, PLASTIC SURGERY, EAR, NOSE AND THROAT (ENT) AND WOUND CARE. TOGETHER, THESE SERVICES SUPPORT THE LARGEST PEDIATRIC PRIMARY CARE NETWORK IN THE REGION. MILESTONES AND GROWTH COOK CHILDREN'S MEDICAL CENTER - PROSPER CELEBRATED ITS SECOND "ANNIVERSARY" ON JAN. 9, 2025. THOUSANDS OF BABIES, CHILDREN AND TEENS FROM ACROSS NORTH TEXAS AND BEYOND WERE ABLE TO STAY CLOSER TO HOME WHILE RECEIVING THE SAME HIGH-QUALITY CARE THAT COOK CHILDREN'S HAS LONG PROVIDED AT OUR FORT WORTH MEDICAL CENTER. THE COOK CHILDREN'S SYSTEMWIDE CULTURE PLATFORM - THE VALUES OF RESPECT, SAFETY, GENEROSITY, COLLABORATION, IMAGINATION AND KINDNESS - SET THE TONE FOR THE SECOND YEAR. COOK CHILDREN'S - PROSPER OPENED A NEW OPERATING ROOM IN FY25 TO SUPPORT THE LEVEL III TRAUMA PROGRAM, WHICH IS "IN PURSUIT" OF DESIGNATION IN FY26. IN APRIL 2025, THE COOK CHILDREN'S - PROSPER ADOLESCENT BARIATRIC SURGERY PROGRAM MARKED ITS FIRST ANNIVERSARY OF HELPING TEENS WITH SEVERE OBESITY TO LOSE WEIGHT, MAKE HEALTHIER FOOD CHOICES AND GAIN SELF-CONFIDENCE. THE BARIATRIC PROGRAM IN ITS DEBUT YEAR TREATED 158 TEENS WHO STRUGGLE WITH THE COMPLEX AND CHRONIC DISEASE OF OBESITY WHICH AFFECTS AN ESTIMATED 14.4 MILLION CHILDREN AND TEENS IN THE UNITED STATES. A BOARD-CERTIFIED PEDIATRIC SURGEON, BOARD-CERTIFIED OBESITY MEDICINE DIRECTOR, PEDIATRIC PSYCHOLOGIST, CLINICAL DIETITIAN AND OTHER TEAM MEMBERS BRING SPECIALIZED KNOWLEDGE AND SENSITIVITY TO ADDRESS THE PHYSICAL AND MENTAL HARM CAUSED BY OBESITY. PATIENTS QUALIFY BASED ON THEIR BODY MASS INDEX (BMI). THE PROGRAM AIMS TO REDUCE THEIR BMI BY PRESENTING HEALTHY STRATEGIES FOR NUTRITION AND BEHAVIOR. IT ALSO HELPS MANAGE ASSOCIATED CONDITIONS SUCH AS DIABETES AND HIGH BLOOD PRESSURE. AFTER SIX VISITS OVER SIX MONTHS, PARTICIPANTS MAY CHOOSE TO UNDERGO LAPAROSCOPIC GASTRIC SLEEVE SURGERY. PATIENTS RETURN TO THE CLINIC FOR PERIODIC CHECKUPS AND RESOURCES FOLLOWING THE WEIGHT LOSS PROCEDURE. INNOVATIVELY EMPOWERING FAMILIES THE DESIGN OF THE FACILITY INTEGRATES TECHNOLOGY TO MAKE THE HEALTH CARE JOURNEY EASIER AT EVERY TURN - FROM THE DIGITAL DISPLAY IN THE ATRIUM, TO TOOLS IN THE OPERATING ROOM FOR REAL-TIME REMOTE VIEWING AND PHYSICIAN COLLABORATION. EACH INPATIENT ROOM INCLUDES A 65-INCH TELEVISION THAT SYNCS WITH PERSONAL DEVICES FOR ORDERING FOOD AND FOR ENTERTAINMENT AS WELL AS MEDICAL CONSULTATIONS. HEALTH TECHNOLOGY ADVOCATES AT THE PEAKS TECH ZONE ARE ON HAND TO ASSIST WITH SETTING UP MEDICAL DEVICES AND MYCOOKCHILDREN'S ACCOUNTS. FAMILIES CAN DOWNLOAD AN APP DURING THEIR HOSPITAL STAY THAT ALLOWS THEM TO VIEW AND INTERACT WITH MUCH OF THE WORKFLOW INVOLVED IN THEIR CHILD'S CARE. COMMUNICATION PORTALS IN EACH PATIENT ROOM ARE FULLY DIGITIZED AND POPULATED WITH INFORMATION IN REAL TIME. AS PART OF AN INTEGRATED HEALTH CARE SYSTEM, DOCTORS IN PROSPER HAVE THE CAPABILITY TO VIDEO CONFERENCE WITH THEIR COLLEAGUES AT COOK CHILDREN'S MEDICAL CENTER - FORT WORTH. ONE EXAMPLE OF THAT COLLABORATION CAN BE SEEN IN A DIAGNOSTIC SERVICE FOR SEIZURE DISORDERS. THE TEST, CALLED CONTINUOUS ELECTROENCEPHALOGRAM (EEG) MONITORING, READS ELECTRICAL ACTIVITY IN THE BRAIN. EEGS PERFORMED AT COOK CHILDREN'S - PROSPER CAN BE LIVESTREAMED TO NEUROLOGISTS AT THE EPILEPSY MONITORING UNIT IN FORT WORTH FOR OBSERVATION AND READING. RESPONDING TO NEEDS IN FY25, PROSPER OFFICIALLY OPENED ITS STATE-OF-THE-ART LEVEL I NEONATAL INTENSIVE CARE UNIT (NICU). PURPOSE-BUILT TO MEET THE URGENT NEEDS OF A RAPIDLY GROWING COMMUNITY, THE COOK CHILDREN'S - PROSPER NICU IS THE FIRST TO BE HOUSED WITHIN A CHILDREN'S HOSPITAL IN THE REGION. THE NICU INCLUDES 10 ROOMS, INCLUDING A ROOM FOR TWINS (11 BEDS TOTAL), SINGLE ROOMS WITH BATHROOMS, BREAST PUMPS, MILK WARMERS AND REFRIGERATORS, A DEDICATED NUTRITION LAB AND FORMULA MIXING AND BEDSIDE CAMERA SYSTEMS SO PARENTS CAN SEE THEIR BABIES VIA AN APP WHEN THEY ARE AWAY. COOK CHILDREN'S - PROSPER'S NICU IS MANAGED BY THE SAME BOARD-CERTIFIED NEONATOLOGISTS AND BOARD-CERTIFIED NEONATAL ADVANCED PRACTICE PROVIDERS WHO SUPPORT OUR LEVEL IV NICU AT COOK CHILDREN'S MEDICAL CENTER - FORT WORTH, AND COULD BE QUICKLY TRANSFERRED BY TEDDY BEAR TRANSPORT, IF NECESSARY. EMBRACED BY THE COMMUNITY DURING THE 2024 THANKSGIVING SEASON, COOK CHILDREN'S - PROSPER WAS DEEPLY TOUCHED BY THE GENEROSITY OF CHRIS AND SAM DAVIS, THE FOUNDERS OF SAM'S SEARCH FOR A CURE. AS FIREFIGHTERS AND PARAMEDICS SERVING THE PROSPER AND AUBREY COMMUNITIES, THEY TRANSPORT CHILDREN TO COOK CHILDREN'S - PROSPER AND DESIRE TO MAKE A DIFFERENCE IN PATIENTS' LIVES.
Source: Form 990 for the year ending September 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending September 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since March 2021.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.
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