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Short-term acute care hospital · Round Rock, Texas · 181 beds · CMS certification number 670041

Ascension Seton Williamson

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 3, 2025. Eighteen years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$280.7M
$280,670,410 · G-3 line 3
Operating expenses
$253.1M
$253,085,729 · G-3 line 4
Result from patient care
$27.6M
$27,584,681 · G-3 line 5
Margin on patient care
9.8%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $13.6M in its first year on file (2008) to $280.7M in 2025.
  • Its result from patient care: $23.1M (2023), $27.3M (2024), $27.6M (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 0.7% of its inpatient days and Medicare for 22.3%.
  • ASCENSION SETON holds 100% of it, on its Medicare enrollment.

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

Eighteen years of filings

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

Net patient revenueOperating expenses
2008
settled with audit
$13.6M
$27.6M
2009
reopened
$68.9M
$76.8M
2010
reopened
$98.8M
$116.3M
2011
reopened
$133.2M
$137.3M
2012
reopened
$158.1M
$171.4M
2013
reopened
$160.9M
$179.7M
2014
reopened
$165.7M
$171.3M
2015
settled
$156.4M
$157.6M
2016
settled
$187.8M
$168.7M
2017
reopened
$183.1M
$182.2M
2018
settled
$140.0M
$136.8M
2019
settled with audit
$152.9M
$142.9M
2020
settled
$165.2M
$162.4M
2021
settled
$187.4M
$168.7M
2022
reopened
$245.5M
$214.8M
2023
settled
$251.9M
$228.8M
2024
settled
$270.3M
$243.0M
2025
as submitted
$280.7M
$253.1M

Beside its peers

Short-term acute care hospitals in Texas with 100 to 199 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Ascension Seton Williamson181$280,670,410$253,085,7299.8%
Baylor Scott & White Medical Center - McKinney, Mckinney192$356,328,503$300,625,03915.6%
Doctors Hospital of Laredo, Laredo183$233,837,373$207,285,34811.3%
NCHD Memorial Hospital, Nacogdoches192$41,513,299$64,477,352−55.3%
Baylor Scott & White Medical Center - Round Rock, Round Rock180$749,541,966$758,597,339−1.2%
Texas Health Arlington Memorial, Arlington180$332,563,240$335,502,469−0.9%

Patients and payers

Discharges
9,788
S-3 line 14, col 15
Inpatient days
52,663
S-3 line 14, col 8
Beds in use, on an average day
144.7
days ÷ days in year
Occupancy
79.7%
days ÷ bed days
Medicare share of days
22.3%
S-3 cols 6 ÷ 8
Medicaid share of days
0.7%
S-3 cols 7 ÷ 8

Who owns it

  • ASCENSION SETON100%

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

Other hospitals with the same owner: Ascension Seton Medical Center Austin (TX), Dell Seton Medical Center at the University of Texas (TX), Northwest Hills Surgical Hospital (TX), Ascension Seton Southwest (TX), Ascension Seton Northwest (TX), Ascension Seton Highland Lakes (TX), Ascension Seton Edgar B. Davis (TX), Dell Children's Medical Center (TX), Cross Creek Hospital (TX), Ascension Seton Cedar Park (TX).

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

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 HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 670041. 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 HOSP10FY2024.ZIP, read December 3, 2025.