Velarion Records

Public registries, as they were filed.

Disproportionate share hospital · TX

ASCENSION SETON SMITHVILLE

$23,431,411Net patient revenueWhat the hospital took in for treating patients, after discounts.
2.9%Left after the cost of careWhat was left after their care was paid for; below zero means it cost more than it brought in.
15.7%Charity careCare given free or discounted, as a share of what patients brought in.
17.9%Uncompensated careCharity care plus bills that went unpaid, on the same basis.

From this hospital’s Medicare cost report for the year ended 10 August 2025. Every figure on this page names the cell it came from.

  • 0Registered locations
  • 1Associated locations
  • 1Contract pharmacies
  • 0With no end date
  • 1 April 2022In 340B since

Finances, as filed

From this hospital’s Medicare cost report for the year ended 10 August 2025.

FigureAs filedWhere it comes from
Net patient revenue$23,431,411CMS-2552-10 worksheet G300000 line 300 column 100
Total operating expenses$22,752,906CMS-2552-10 worksheet G300000 line 400 column 100
Income from service to patients$678,505CMS-2552-10 worksheet G300000 line 500 column 100
Charity care, at charges$20,499,927CMS-2552-10 worksheet S100001 line 2000 column 300
Charity care, at cost$3,674,155CMS-2552-10 worksheet S100001 line 2300 column 300
Bad debt expense$3,228,283CMS-2552-10 worksheet S100001 line 2600 column 100
Uncompensated care, at cost$4,188,556CMS-2552-10 worksheet S100001 line 3000 column 100
Total facility beds8CMS-2552-10 worksheet S300001 line 1400 column 200
Cost-to-charge ratio0.1584CMS-2552-10 worksheet S100001 line 100 column 100

Cost report filed under CMS certification number 450143 for 1 July 2024 to 10 August 2025, as submitted. The public file it was read from.

Where this hospital sits among its peers

Each figure’s position among disproportionate share hospitals in Texas that file a Medicare cost report. A position, not a score: the hospitals are counted, not ranked.

  • 83rdpercentile of 82 disproportionate share hospitals in TexasCharity care
  • 84thpercentile of 82 disproportionate share hospitals in TexasUncompensated care
  • 57thpercentile of 82 disproportionate share hospitals in TexasLeft after the cost of care
  • 26thpercentile of 82 disproportionate share hospitals in TexasContract pharmacies

Among hospitals of the same type in Texas

Every disproportionate share hospital in Texas that files a Medicare cost report carrying both figures — 82 hospitals, each at its own reporting year. Across the bottom: how much of what the hospital took in from patients went to charity care. Up the side: what it had left after the cost of serving them. Both come straight from the filings.

0.0%25.0%50.0%75.0%100%-300%-200%-100%0.0%100%AdventHealth Central Texas — charity care 7.6% of patient revenue, 1.3% left after the cost of careAscension Seton d/b/a Ascension Seton Medical Center Austin — charity care 10.4% of patient revenue, 7.5% left after the cost of careAscension Seton d/b/a Ascension Seton Northwest — charity care 22.2% of patient revenue, -0.1% left after the cost of careASCENSION SETON HAYS — charity care 14.4% of patient revenue, 10.0% left after the cost of careBAPTIST HOSPITALS OF SOUTHEAST TEXAS DBA BAPTIST BEAUMONT HOSPITAL — charity care 7.1% of patient revenue, 8.2% left after the cost of careBaylor Medical Center at Carrollton — charity care 21.7% of patient revenue, -9.5% left after the cost of careBAYLOR MEDICAL CENTER AT IRVING — charity care 12.0% of patient revenue, -5.9% left after the cost of careBAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH — charity care 3.8% of patient revenue, 7.3% left after the cost of careBAYLOR SCOTT & WHITE MC- LAKE POINTE — charity care 7.1% of patient revenue, 18.5% left after the cost of careBAYLOR UNIVERSITY MEDICAL CTR — charity care 5.6% of patient revenue, 5.8% left after the cost of careCHI ST LUKES HEALTH MEMORIAL LUFKIN DBA Memorial Medical Center of East Texas — charity care 4.2% of patient revenue, -10.8% left after the cost of careCHILDRESS REGIONAL MEDICAL CENTER — charity care 5.0% of patient revenue, 4.3% left after the cost of careCHRISTUS Health Mount Pleasant — charity care 5.3% of patient revenue, -16.8% left after the cost of careCHRISTUS HOSPITAL — charity care 9.8% of patient revenue, 0.8% left after the cost of careCHRISTUS JASPER MEMORIAL HOSPITAL — charity care 15.5% of patient revenue, 18.0% left after the cost of careCHRISTUS MOTHER FRANCES HOSP-TYLER — charity care 8.7% of patient revenue, -38.3% left after the cost of careCHRISTUS Mother Frances Hospital-Sulphur Springs - CHRISTUS Hopkins Health Alliance — charity care 9.6% of patient revenue, 8.8% left after the cost of careCHRISTUS Santa Rosa Hospital - San Marcos — charity care 9.4% of patient revenue, 4.8% left after the cost of careCHRISTUS SPOHN HOSPITAL ALICE — charity care 17.8% of patient revenue, 18.9% left after the cost of careCHRISTUS SPOHN HOSPITAL BEEVILLE — charity care 19.1% of patient revenue, 11.6% left after the cost of careCHRISTUS SPOHN HOSPITAL CORPUS CHRISTI SHORELINE — charity care 13.7% of patient revenue, 1.3% left after the cost of careCHRISTUS SPOHN HOSPITAL KLEBERG — charity care 16.9% of patient revenue, 8.8% left after the cost of careCHRISTUS ST MICHAEL — charity care 7.1% of patient revenue, 2.4% left after the cost of careDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH — charity care 62.1% of patient revenue, -140% left after the cost of careDEAF SMITH COUNTY HOSPITAL DISTRICT DBA HEREFORD REGIONAL MEDICAL CENTER — charity care 42.2% of patient revenue, -102% left after the cost of careDell Seton Medical Center at The University of Texas — charity care 25.6% of patient revenue, 1.3% left after the cost of careDEWITT MEDICAL DISTRICT DBA CUERO REGIONAL HOSPITAL — charity care 6.6% of patient revenue, -23.7% left after the cost of careEast Texas Medical Center Henderson — charity care 7.1% of patient revenue, 15.1% left after the cost of careETMC ATHENS — charity care 7.1% of patient revenue, 13.5% left after the cost of careETMC JACKSONVILLE — charity care 0.7% of patient revenue, 0.8% left after the cost of careFAITH COMMUNITY HOSPITAL — charity care 6.4% of patient revenue, -46.4% left after the cost of careGONZALES HEALTHCARE SYSTEMS — charity care 6.8% of patient revenue, -33.5% left after the cost of careGOOD SHEPHERD MEDICAL CENTER — charity care 8.7% of patient revenue, 2.5% left after the cost of careGUADALUPE REGIONAL MEDICAL CENTER — charity care 8.5% of patient revenue, -10.4% left after the cost of careHarris Health Ben Taub Hospital — charity care 98.5% of patient revenue, -220% left after the cost of careHENDRICK MEDICAL CENTER — charity care 3.1% of patient revenue, 7.3% left after the cost of careHENDRICK MEDICAL CENTER BROWNWOOD — charity care 4.6% of patient revenue, -7.7% left after the cost of careHILLCREST BAPTIST MEDICAL CENTER — charity care 5.0% of patient revenue, -1.9% left after the cost of careHouston Methodist Baytown Hospital — charity care 9.5% of patient revenue, 8.2% left after the cost of careHOUSTON METHODIST WEST HOSPITAL — charity care 6.4% of patient revenue, 17.0% left after the cost of careHOUSTON METHODIST WILLOWBROOK HOSPITAL — charity care 7.3% of patient revenue, 7.4% left after the cost of careHunt Regional Medical Center — charity care 4.7% of patient revenue, -40.8% left after the cost of careKNAPP MEDICAL CENTER — charity care 5.8% of patient revenue, 5.8% left after the cost of careMEDICAL CENTER HOSPITAL — charity care 8.5% of patient revenue, -34.5% left after the cost of careMEMORIAL HERMANN HOSPITAL SYSTEM — charity care 8.9% of patient revenue, 1.5% left after the cost of careMEMORIAL HERMANN MEMORIAL CITY MEDIC — charity care 6.6% of patient revenue, -2.1% left after the cost of careMEMORIAL HERMANN NORTHEAST HOSPITAL — charity care 8.7% of patient revenue, 9.0% left after the cost of careMemorial Hermann Sugar Land Hospital — charity care 4.5% of patient revenue, 11.8% left after the cost of careMemorial Hermann Texas Medical Center — charity care 5.1% of patient revenue, -4.5% left after the cost of careMemorial Medical Center-Livingston — charity care 6.6% of patient revenue, -2.5% left after the cost of careMETHODIST CHARLTON MEDICAL CENTER — charity care 12.3% of patient revenue, -2.4% left after the cost of careMETHODIST DALLAS MEDICAL CENTER — charity care 9.4% of patient revenue, -8.1% left after the cost of careMETHODIST HOSPITAL — charity care 6.1% of patient revenue, 20.3% left after the cost of careMethodist Hospital Levelland (DBA Covenant Hospital Levelland) — charity care 9.9% of patient revenue, -26.6% left after the cost of careMETHODIST HOSPITAL SOUTH — charity care 13.3% of patient revenue, 9.3% left after the cost of careMIDLAND MEMORIAL HOSPITAL — charity care 8.0% of patient revenue, -15.6% left after the cost of careMISSION HOSPITAL — charity care 6.7% of patient revenue, 3.2% left after the cost of careNacogdoches Memorial Hospital — charity care 30.2% of patient revenue, -55.3% left after the cost of careNORTH AUSTIN MEDICAL CENTER — charity care 5.2% of patient revenue, 30.4% left after the cost of careOAKBEND MEDICAL CENTER — charity care 7.1% of patient revenue, -10.2% left after the cost of carePalo Pinto General Hospital — charity care 16.0% of patient revenue, -89.9% left after the cost of careSANTA ROSA HEALTHCARE — charity care 9.1% of patient revenue, -13.5% left after the cost of careSCENIC MOUNTAIN MEDICAL CENTER — charity care 8.0% of patient revenue, 20.6% left after the cost of careSCOTT AND WHITE MEMORIAL HOSPITAL — charity care 3.1% of patient revenue, -10.6% left after the cost of careSHANNON MEDICAL CENTER — charity care 2.7% of patient revenue, 14.2% left after the cost of careST. DAVID'S HEALTHCARE PARTNERSHIP, L.P., LLP, DBA ST. DAVID'S MEDICAL CENTER — charity care 3.9% of patient revenue, 25.3% left after the cost of careST. LUKES SUGAR LAND HOSPITAL — charity care 5.7% of patient revenue, -10.5% left after the cost of careTarrant County Hospital District d/b/a JPS Health Network — charity care 42.7% of patient revenue, -85.1% left after the cost of careTEXAS HEALTH ARLINGTON MEMORIAL HOSP — charity care 8.8% of patient revenue, 0.3% left after the cost of careTEXAS HEALTH DALLAS — charity care 6.3% of patient revenue, 8.0% left after the cost of careTEXAS HEALTH H-E-B — charity care 5.9% of patient revenue, 7.5% left after the cost of careTEXAS HEALTH HARRIS METHODIST STEPHE — charity care 7.4% of patient revenue, 14.5% left after the cost of careTEXAS HEALTH SOUTHWEST — charity care 4.1% of patient revenue, 10.8% left after the cost of careTX HLTH HARRIS METHODIST HOSPITAL — charity care 6.0% of patient revenue, 5.9% left after the cost of careUNITED REGIONAL HEALTH CARE SYSTEM — charity care 5.0% of patient revenue, 16.8% left after the cost of careUNIVERSITY HEALTH SYSTEM — charity care 22.2% of patient revenue, -122% left after the cost of careUNIVERSITY MEDICAL CENTER — charity care 13.9% of patient revenue, -34.1% left after the cost of careUNIVERSITY MEDICAL CENTER OF EL PASO — charity care 27.5% of patient revenue, -80.7% left after the cost of careUNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER — charity care 1.3% of patient revenue, -161% left after the cost of careUNIVERSITY OF TEXAS MEDICAL BRANCH — charity care 4.8% of patient revenue, -23.0% left after the cost of careVal Verde Regional Medical Center — charity care 14.4% of patient revenue, -6.6% left after the cost of careASCENSION SETON SMITHVILLE — this hospitalThis hospitalCharity care, as a share of what patients brought inLeft after the cost of care

Identity never rests on color: this hospital is labelled on the plot and marked in the table. Hover a dot for the hospital’s name.

Hospitals plotted above, with the figures at full precision
HospitalWhereCharity care, share of patient revenueLeft after the cost of careYear ended
AdventHealth Central TexasKILLEEN, TX7.6%1.3%2024-09-30
Ascension Seton d/b/a Ascension Seton Medical Center AustinAUSTIN, TX10.4%7.5%2025-06-30
Ascension Seton d/b/a Ascension Seton NorthwestAUSTIN, TX22.2%-0.1%2025-06-30
ASCENSION SETON HAYSKYLE, TX14.4%10.0%2025-06-30
ASCENSION SETON SMITHVILLE — this hospitalSMITHVILLE, TX15.7%2.9%2025-08-10
BAPTIST HOSPITALS OF SOUTHEAST TEXAS DBA BAPTIST BEAUMONT HOSPITALBEAUMONT, TX7.1%8.2%2025-08-31
Baylor Medical Center at CarrolltonCarrollton, TX21.7%-9.5%2024-12-31
BAYLOR MEDICAL CENTER AT IRVINGIRVING, TX12.0%-5.9%2025-06-30
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTHFORT WORTH, TX3.8%7.3%2024-09-30
BAYLOR SCOTT & WHITE MC- LAKE POINTEROWLETT, TX7.1%18.5%2025-05-31
BAYLOR UNIVERSITY MEDICAL CTRDALLAS, TX5.6%5.8%2025-06-30
CHI ST LUKES HEALTH MEMORIAL LUFKIN DBA Memorial Medical Center of East TexasLUFKIN, TX4.2%-10.8%2025-06-30
CHILDRESS REGIONAL MEDICAL CENTERCHILDRESS, TX5.0%4.3%2024-09-30
CHRISTUS Health Mount PleasantMT. PLEASANT, TX5.3%-16.8%2024-09-30
CHRISTUS HOSPITALBEAUMONT, TX9.8%0.8%2025-06-30
CHRISTUS JASPER MEMORIAL HOSPITALJASPER, TX15.5%18.0%2025-06-30
CHRISTUS MOTHER FRANCES HOSP-TYLERTYLER, TX8.7%-38.3%2025-06-30
CHRISTUS Mother Frances Hospital-Sulphur Springs - CHRISTUS Hopkins Health AllianceSULPHUR SPRINGS, TX9.6%8.8%2025-06-30
CHRISTUS Santa Rosa Hospital - San MarcosSan Marcos, TX9.4%4.8%2025-06-30
CHRISTUS SPOHN HOSPITAL ALICEALICE, TX17.8%18.9%2025-06-30
CHRISTUS SPOHN HOSPITAL BEEVILLEBEEVILLE, TX19.1%11.6%2025-06-30
CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI SHORELINECORPUS CHRISTI, TX13.7%1.3%2025-06-30
CHRISTUS SPOHN HOSPITAL KLEBERGKINGSVILLE, TX16.9%8.8%2025-06-30
CHRISTUS ST MICHAELTEXARKANA, TX7.1%2.4%2025-06-30
DALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHDallas, TX62.1%-140%2024-09-30
DEAF SMITH COUNTY HOSPITAL DISTRICT DBA HEREFORD REGIONAL MEDICAL CENTERHEREFORD, TX42.2%-102%2024-09-30
Dell Seton Medical Center at The University of TexasAUSTIN, TX25.6%1.3%2025-06-30
DEWITT MEDICAL DISTRICT DBA CUERO REGIONAL HOSPITALCUERO, TX6.6%-23.7%2024-09-30
East Texas Medical Center HendersonHENDERSON, TX7.1%15.1%2024-09-30
ETMC ATHENSATHENS, TX7.1%13.5%2025-04-30
ETMC JACKSONVILLEJACKSONVILLE, TX0.7%0.8%2024-10-31
FAITH COMMUNITY HOSPITALJACKSBORO, TX6.4%-46.4%2025-05-31
GONZALES HEALTHCARE SYSTEMSGONZALES, TX6.8%-33.5%2025-06-30
GOOD SHEPHERD MEDICAL CENTERLONGVIEW, TX8.7%2.5%2025-06-30
GUADALUPE REGIONAL MEDICAL CENTERSEGUIN, TX8.5%-10.4%2024-09-30
Harris Health Ben Taub HospitalHOUSTON, TX98.5%-220%2024-09-30
HENDRICK MEDICAL CENTERABILENE, TX3.1%7.3%2025-08-31
HENDRICK MEDICAL CENTER BROWNWOODBROWNWOOD, TX4.6%-7.7%2025-08-31
HILLCREST BAPTIST MEDICAL CENTERWACO, TX5.0%-1.9%2025-08-31
Houston Methodist Baytown HospitalBAYTOWN, TX9.5%8.2%2024-12-31
HOUSTON METHODIST WEST HOSPITALHOUSTON, TX6.4%17.0%2024-12-31
HOUSTON METHODIST WILLOWBROOK HOSPITALHOUSTON, TX7.3%7.4%2024-12-31
Hunt Regional Medical CenterGreenville, TX4.7%-40.8%2024-09-30
KNAPP MEDICAL CENTERWESLACO, TX5.8%5.8%2024-12-31
MEDICAL CENTER HOSPITALODESSA, TX8.5%-34.5%2024-09-30
MEMORIAL HERMANN HOSPITAL SYSTEMHouston, TX8.9%1.5%2025-06-30
MEMORIAL HERMANN MEMORIAL CITY MEDICHOUSTON, TX6.6%-2.1%2025-06-30
MEMORIAL HERMANN NORTHEAST HOSPITALHumble, TX8.7%9.0%2024-12-31
Memorial Hermann Sugar Land HospitalSugar Land, TX4.5%11.8%2024-09-30
Memorial Hermann Texas Medical CenterHouston, TX5.1%-4.5%2025-06-30
Memorial Medical Center-LivingstonLivingston, TX6.6%-2.5%2025-06-30
METHODIST CHARLTON MEDICAL CENTERDALLAS, TX12.3%-2.4%2025-06-30
METHODIST DALLAS MEDICAL CENTERDALLAS, TX9.4%-8.1%2025-06-30
METHODIST HOSPITALSAN ANTONIO, TX6.1%20.3%2025-06-30
Methodist Hospital Levelland (DBA Covenant Hospital Levelland)LEVELLAND, TX9.9%-26.6%2025-06-30
METHODIST HOSPITAL SOUTHJOURDANTON, TX13.3%9.3%2025-06-30
MIDLAND MEMORIAL HOSPITALMIDLAND, TX8.0%-15.6%2024-09-30
MISSION HOSPITALMISSION, TX6.7%3.2%2024-12-31
Nacogdoches Memorial HospitalNACOGDOCHES, TX30.2%-55.3%2025-06-30
NORTH AUSTIN MEDICAL CENTERAustin, TX5.2%30.4%2025-06-30
OAKBEND MEDICAL CENTERRICHMOND, TX7.1%-10.2%2024-12-31
Palo Pinto General HospitalMineral Wells, TX16.0%-89.9%2024-09-30
SANTA ROSA HEALTHCARESan Antonio, TX9.1%-13.5%2025-06-30
SCENIC MOUNTAIN MEDICAL CENTERBIG SPRING, TX8.0%20.6%2024-10-16
SCOTT AND WHITE MEMORIAL HOSPITALTEMPLE, TX3.1%-10.6%2025-08-31
SHANNON MEDICAL CENTERSAN ANGELO, TX2.7%14.2%2024-09-30
ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P., LLP, DBA ST. DAVID'S MEDICAL CENTERAUSTIN, TX3.9%25.3%2024-12-31
ST. LUKES SUGAR LAND HOSPITALSUGAR LAND, TX5.7%-10.5%2025-06-30
Tarrant County Hospital District d/b/a JPS Health NetworkFORT WORTH, TX42.7%-85.1%2024-09-30
TEXAS HEALTH ARLINGTON MEMORIAL HOSPARLINGTON, TX8.8%0.3%2024-12-31
TEXAS HEALTH DALLASDALLAS, TX6.3%8.0%2024-12-31
TEXAS HEALTH H-E-BBEDFORD, TX5.9%7.5%2024-09-30
TEXAS HEALTH HARRIS METHODIST STEPHESTEPHENVILLE, TX7.4%14.5%2024-09-30
TEXAS HEALTH SOUTHWESTFORT WORTH, TX4.1%10.8%2024-09-30
TX HLTH HARRIS METHODIST HOSPITALFORT WORTH, TX6.0%5.9%2024-09-30
UNITED REGIONAL HEALTH CARE SYSTEMWICHITA FALLS, TX5.0%16.8%2024-12-31
UNIVERSITY HEALTH SYSTEMSAN ANTONIO, TX22.2%-122%2024-12-31
UNIVERSITY MEDICAL CENTERLUBBOCK, TX13.9%-34.1%2024-12-31
UNIVERSITY MEDICAL CENTER OF EL PASOEL PASO, TX27.5%-80.7%2024-09-30
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLERTYLER, TX1.3%-161%2025-08-31
UNIVERSITY OF TEXAS MEDICAL BRANCHGALVESTON, TX4.8%-23.0%2025-08-31
Val Verde Regional Medical CenterDel Rio, TX14.4%-6.6%2025-06-30

Earlier years

One cost report is on file for this hospital, for the year ended 10 August 2025. There is no earlier year to set beside it.

Changes recorded

Nothing on this record has moved since it was first read here on 6 September 2026.

Download this hospital’s data (CSV)
Cite this page

Velarion Records, “ASCENSION SETON SMITHVILLE” (340B ID DSH450143), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/DSH450143

Register detail and identifiers

Participation, as filed

Participating
FALSE
Participation start date
1 April 2022
Termination date
1 April 2025
Termination reason
DSH percentage below statutory minimum
Certification date
21 August 2024
Record last edited
25 June 2025

Identifiers

340B ID
DSH450143
Entity type as filed
DSH
CMS certification number
450143
NPI
1154612638 (TX)
Rural
No

1201 Hill Rd, SMITHVILLE TX 78957

Associated locations

OrganizationAddressWhere
ASCENSION SETON SMITHVILLE1201 Hill RdSMITHVILLE TX 78957

Pharmacy contracts

PharmacyWhereBeginsEnds
ASCENSION SETON CENTRAL OUTPATIENT PHARMAUSTIN, TX1 April 20231 April 2025

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.