Astrelis
Urban PPS hospital · TX

ASCENSION SETON SMITHVILLE

CCN 450143BASTROP CountyVoluntary non-profit - Private8 bedsLatest FY 2025
Historical record. CMS lists this CCN as terminated (other - provider status change). The facility continued under CCN 671304see the current profile. The financials below are the historical results reported under this number and are excluded from current peer comparisons and state counts.
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Bastrop County, TX. It ran an operating surplus of 2.9% in FY25 on $23.4M of operating revenue. It held 0 days of cash on hand. Only a single comparable reporting year is available, so trend context is limited.

Operating margin · FY25
+2.9%
vs Urban PPS hospitals
Days cash on hand · FY25
0d
all sources
vs Urban PPS hospitals
Total operating revenue · FY25
$23.4M
vs Urban PPS hospitals
Total margin · incl. nonoperating · FY25
+4.5%
vs Urban PPS hospitals
One point of operating margin at ASCENSION SETON SMITHVILLE is about $234K per year (1% of FY25 total operating revenue).

Where ASCENSION SETON SMITHVILLE sits among Urban PPS hospitals

Operating margin · FY25 pool · n = 1,475 of 2,681 filed

Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%ASCENSION SETON +2.8956869841324036%-20%0%+20%Urban PPS hospital median +1.3311360264910879%ASCENSION SETON +2.8956869841324036%
One urban pps hospitalASCENSION SETONUrban PPS hospital median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.

Operating margin
+2.9% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+4.5% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
0d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
0.93× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
44% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
47d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue16,48722,74923,431
Total operating revenue16,48722,74923,431
Total operating expenses17,80820,29522,753
Operating income(1,321)2,454679
Operating margin %-8.0%+10.8%+2.9%
Other non-operating, net251441390
Net income(1,070)2,8951,069
Net income %-6.4%+12.5%+4.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24, FY25 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).

How it operates

quality & operational context · CMS public reporting

A 8-bed hospital at 34% occupancy 91% of patient revenue is outpatient.

The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Scale and flow
Occupancy
33.9%
Verified fact2025
HCRIS WS S-3
Average daily census
2.72
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
8
Verified fact2025
HCRIS WS S-3
Annual discharges
303
Verified fact2025
HCRIS WS S-3
Average length of stay
3.6d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
90.7%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
83.50
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
21.2%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
No public quality measures are reported for this facility in the current Care Compare refresh.

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-42.2%-24.9%-8.0%+10.8%+2.9%FY21FY22FY23FY24FY25
Days cash on hand
0 days0 days0 days0 days0 daysFY21FY22FY23FY24FY25

The county this hospital serves

BASTROP County, TX
Median household income
$82.7K
vs $82.1K US · $59.7K rural median
Poverty rate
12.4%
vs 12.5% US · 14.3% rural median
Uninsured
20.9%
vs 8.6% US · 8.4% rural median
Age 65+
15.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
23.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.2% of county personal income is Medicare/Medicaid medical benefits; 20.7% arrives as government transfers (BEA, 2022).

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