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Short-term acute care hospital · Smithville, Texas · 8 beds · CMS certification number 450143

Ascension Seton Smithville

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended August 10, 2025, as submitted, stamped by CMS December 22, 2025. 29 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$23.4M
$23,431,411 · G-3 line 3
Operating expenses
$22.8M
$22,752,906 · G-3 line 4
Result from patient care
$679K
$678,505 · G-3 line 5
Margin on patient care
2.9%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $8.1M in its first year on file (1997) to $23.4M in 2025.
  • Its result from patient care: −$1.3M (2023), $2.5M (2024), $679K (2025).
  • 2 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 20.9%.

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
settled
$8.1M
$8.5M
1998
settled
$10.0M
$9.9M
1999
settled
$12.2M
$12.9M
2000
settled
$12.0M
$13.4M
2001
settled with audit
$10.9M
$12.4M
2002
settled
$12.8M
$13.8M
2003
settled
$15.6M
$18.5M
2004
settled
$16.3M
$20.0M
2005
settled
$16.7M
$18.9M
2006
reopened
$16.3M
$20.0M
2007
reopened
$17.2M
$21.5M
2008
settled with audit
$12.8M
$21.5M
2009
reopened
$13.2M
$23.6M
2010
settled
$11.3M
$24.7M
2011
settled
$12.9M
$23.8M
2012
reopened
$21.5M
$24.1M
2013
reopened
$16.9M
$22.2M
2014
reopened
$14.3M
$21.5M
2015
reopened
$14.2M
$21.5M
2016
settled
$15.7M
$18.5M
2017
settled
$10.7M
$13.8M
2018
settled
$9.6M
$12.5M
2019
settled
$10.2M
$13.7M
2020
settled
$9.0M
$15.5M
2021
settled
$11.3M
$16.1M
2022
settled
$14.1M
$17.6M
2023
settled
$16.5M
$17.8M
2024
settled
$22.7M
$20.3M
2025
as submitted
$23.4M
$22.8M

Beside its peers

Short-term acute care hospitals in Texas with under 25 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Ascension Seton Smithville8$23,431,411$22,752,9062.9%
Amarillo North Texas Emergency Center, Amarillo8$3,946,682$6,392,900−62.0%
Memorial Hospital, Gonzales12$50,096,280$66,905,964−33.6%
Memorial Hermann Surgical Hospital Kingwood, Kingwood10$38,177,759$31,556,29917.3%
Northwest Hills Surgical Hospital, Austin8$2,570,315$33,758,400−1213.4%
West Chase Houston Hospital, Houston10$25,297,715$23,138,8468.5%

Patients and payers

Discharges
303
S-3 line 14, col 15
Inpatient days
1,101
S-3 line 14, col 8
Beds in use, on an average day
2.7
days ÷ days in year
Occupancy
33.9%
days ÷ bed days
Medicare share of days
20.9%
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; ASCENSION HEALT.

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

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 450143. 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 22, 2025.