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Short-term acute care hospital · Waco, Texas · 224 beds · CMS certification number 450042

Ascension Providence

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 10, 2025. 29 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$347.4M
$347,385,720 · G-3 line 3
Operating expenses
$321.9M
$321,879,265 · G-3 line 4
Result from patient care
$25.5M
$25,506,455 · G-3 line 5
Margin on patient care
7.3%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $78.0M in its first year on file (1997) to $347.4M in 2025.
  • Its result from patient care: −$24.6M (2023), −$22.7M (2024), $25.5M (2025).
  • 4 of the 5 short-term acute care hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 0.4% of its inpatient days and Medicare for 21.1%.

Every statement is drawn from figures on this page; nothing is estimated.

29 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1997
reopened
$78.0M
$78.1M
1998
reopened
$75.5M
$86.1M
1999
reopened
$89.9M
$93.7M
2000
reopened
$95.3M
$101.3M
2001
reopened
$128.0M
$107.1M
2002
reopened
$109.8M
$116.1M
2003
reopened
$113.8M
$124.0M
2004
reopened
$130.7M
$143.4M
2005
reopened
$149.6M
$163.0M
2006
reopened
$159.2M
$170.8M
2007
reopened
$174.5M
$184.9M
2008
settled with audit
$188.0M
$214.5M
2009
reopened
$199.3M
$233.6M
2010
reopened
$205.1M
$241.6M
2011
reopened
$290.6M
$286.6M
2012
reopened
$278.2M
$265.8M
2013
reopened
$267.4M
$268.8M
2014
reopened
$277.8M
$271.4M
2015
reopened
$277.8M
$297.5M
2016
reopened
$324.3M
$312.5M
2017
reopened
$276.4M
$301.8M
2018
settled with audit
$272.4M
$304.9M
2019
reopened
$307.3M
$299.2M
2020
settled
$246.9M
$247.6M
2021
settled
$282.9M
$270.9M
2022
settled
$295.1M
$304.4M
2023
settled
$297.5M
$322.1M
2024
settled
$290.5M
$313.2M
2025
as submitted
$347.4M
$321.9M

Beside its peers

Short-term acute care hospitals in Texas with 200 to 399 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Ascension Providence224$347,385,720$321,879,2657.3%
HCA Houston Healthcare West, Houston223$255,412,819$240,770,3575.7%
Baylor Scott & White Medical Center - Hillcrest, Waco236$563,530,352$574,493,156−1.9%
Medical City Fort Worth, Fort Worth223$456,732,020$351,590,66923.0%
VHS Brownsville Hospital Company, Brownsville240$221,967,208$183,006,70117.5%
The Woman's Hospital of Texas, Houston235$472,404,621$69,494,21585.3%

Patients and payers

Discharges
12,957
S-3 line 14, col 15
Inpatient days
56,495
S-3 line 14, col 8
Beds in use, on an average day
155.2
days ÷ days in year
Occupancy
66.2%
days ÷ bed days
Medicare share of days
21.1%
S-3 cols 6 ÷ 8
Medicaid share of days
0.4%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: ASCENSION TEXAS (100%); ASCENSION HEALT (100%).

Type of control on its cost report: voluntary nonprofit, church.

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by ASCENSION PROVIDENCE (employer identification number 741109636) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$8,745,329IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$7,326,135IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$0IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$7,326,135IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$1,419,194IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0271IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202441359349310174. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 450042. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 10, 2025.