Markets / Iowa / Clay County / Spencer Municipal Hospital

Hospital · Short-term acute hospital

Who owns Spencer Municipal Hospital?

1200 1st Avenue East · Spencer, IA · 51301

Overview

Beds63
Discharges1,362cost report 2025
Occupancy23%inpatient days ÷ bed days
Employees (FTE)395

Spencer Municipal Hospital is a short-term acute hospital in Spencer, Iowa, operated by Spencer Municipal Hospital. Clay County has 1 hospitals, 2 nursing homes and 1 urgent care centers.

Ownership

Spencer Municipal Hospital is operated by Spencer Municipal Hospital, part of City Of Spencer Iowa.

Operator
Spencer Municipal Hospital
Owner group
City Of Spencer Iowa
Ownership type
Local
Source

Ownership history

Every dated change of operator and owner for Spencer Municipal Hospital, with the source for each.

Request the history

Full ownership tree of City Of Spencer Iowa

Every entity between this facility and its ultimate owner, with ownership percentages and dates.

See the owner report

Finances

From the hospital's Medicare cost report, fiscal year ending 2025.

Net patient revenue$128.5M
Operating expenses$127.0M
Net income$11.9M
Net income as a share of net patient revenue9.3%
Uncompensated care cost$1.4M
Charity care cost$720K
Medicaid net revenue$6.1M
Medicare disproportionate share percentage3.0%

Payer mix by inpatient days (2025)

  • Commercial and other 48.2%
  • Medicare 47.4%
  • Medicaid 4.4%

Services

Top inpatient services, Medicare (2024)

ServiceDischargesAverage total payment
Septicemia or severe sepsis without MV >96 hours with MCC · 87164$16K
Major hip and knee joint replacement or reattachment of lower extremity without MCC · 47053$15K
Heart failure and shock with MCC · 29152$10K
Simple pneumonia and pleurisy with MCC · 19333$11K
Respiratory infections and inflammations with MCC · 17723$14K

Top outpatient services, Medicare (2024)

ServiceServices
Level 1 Intraocular Procedures · 5491514
Level 4 Urology and Related Services · 5374189
Level 5 Musculoskeletal Procedures · 5115189
Comprehensive Observation Services · 8011137
Level 5 Urology and Related Services · 5375120

Medicare fee-for-service only. Small counts are suppressed by CMS.

Location and market

Address
1200 1st Avenue East · Spencer, IA · 51301
County
Clay County
State
Iowa
Hospitals in the county1
Nursing homes2
Urgent care centers1

1 off-site locations

Campuses, off-site emergency departments and outpatient departments under this hospital's certification.

Request the site list

Nearby hospitals

NameCityDistance
Lakes Regional HealthcareSpirit Lake18.6 mi
Palo Alto County HospitalEmmetsburg23.0 mi
Avera Holy Family HospitalEstherville23.8 mi

Sources and identifiers

  • Operator: CMS Hospital Enrollments and All Owners (PECOS): hospital ownership graph
  • Finances and payer mix: CMS hospital cost reports (HCRIS), fiscal year 2025
  • Services: CMS Medicare inpatient and outpatient utilization
  • Ownership type and beds: CMS Provider of Services file
  • Location: CMS and Census Bureau geography
CMS certification number
160112
NPI
1255328621
Last confirmed
2026-10-23

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