02Is Ascension Seton Smithville Regional Hospital a public or private airport?Ascension Seton Smithville Regional Hospital (TX54) is a private-use airport, so prior permission from the owner is required before landing. 04Does Ascension Seton Smithville Regional Hospital have an instrument approach?No, Ascension Seton Smithville Regional Hospital has no published instrument approach procedures; it is used under visual flight rules.