1200 1st Avenue East, Spencer, IA, 51301 · (712) 264-6198
Beds
49
FY 2025
Star rating
4 of 5
Patient survey: 4 of 5
Net patient revenue
$128.5M
FY 2025
Net income
$11.9M
Patient care margin 1.2%
Discharges
1,362
Occupancy 29.7%
Clinicians
243
From the hospital's yearly cost reports (fiscal years as the hospital reports them)
Locations are shown at the center of the ZIP code.
US dollars as reported. Patient care margin = net patient revenue minus operating expenses, before other income such as grants, donations and investments.
| Fiscal year | Net patient revenue | Operating expenses | Patient care margin | Net income | Discharges | Uncompensated care | Medicare days | Medicaid days |
|---|---|---|---|---|---|---|---|---|
| 2025 | $128.5M | $127.0M | 1.2% | $11.9M | 1,362 | $1.4M | 47.4% | 4.4% |
Official hospital quality measures with the national median across hospitals. For ratios, 1.00 means as many cases as expected.
| Death rate for COPD patients | 9% | US median 8.5% |
| Death rate for heart failure patients | 12.5% | US median 11% |
| Hospital-wide death rate within 30 days | 4.5% | US median 3.9% |
| Death rate for pneumonia patients | 16.6% | US median 15.2% |
| Death rate for stroke patients | 13% | US median 11.6% |
| Readmission rate for COPD | 19.7% |
Medicare clinicians who list this hospital, by specialty
Inpatient stays by diagnosis related group (DRG), 2024
Official US government data: hospital records, ownership records, yearly cost reports and quality measures, linked by the hospital's CCN and NPI. Financials are for fiscal years as reported by the hospital.
Medicare clinicians who work here
| 2024 | $117.9M | $121.6M | -3.2% | $5.8M | 1,441 | $1.3M | 51.1% | 3.7% |
| 2023 | $108.7M | $119.9M | -10.3% | -$2.2M | 1,446 | $1.2M | 52.4% | 4.1% |
| 2022 | $108.4M | $112.5M | -3.8% | $20K | 1,308 | $718K | 55.6% | 6.0% |
| 2021 | $103.3M | $109.5M | -6.1% | $6.1M | 1,386 | $743K | 62.2% | 4.0% |
| 2020 | $93.6M | $95.3M | -1.8% | $4.6M | 1,662 | $925K | 58.4% | 0.3% |
| US median 19.8% |
| Readmission rate for heart failure | 20.9% | US median 21.3% |
| Readmission rate after hip or knee replacement | 5.5% | US median 5.8% |
| Readmission rate for pneumonia | 16.9% | US median 17.2% |
| Complications after hip or knee replacement | 4.5% | US median 4.1% |
| Serious complications (patient safety composite) | 1.13 | US median 0.96 |
| C. diff intestinal infections (ratio to expected) | 0.00 | US median 0.28 |
| Doctors always communicated well | 82% | US median 79% |
| Nurses always communicated well | 82% | US median 80% |
| Patient survey summary star rating | 4 of 5 | US median 3 of 5 |
| Area around the room always quiet at night | 72% | US median 59% |
| Patients who rated the hospital 9 or 10 out of 10 | 84% | US median 72% |
| Room and bathroom always clean | 77% | US median 73% |
| Patients who would definitely recommend the hospital | 81% | US median 71% |
| Patients who left the emergency department before being seen | 0% | US median 1% |
| Median time in the emergency department before leaving (minutes) | 128 min | US median 148 min |
| Patients prescribed 2 or more opioids or opioids with benzodiazepines at discharge | 14% | US median 15% |
| Patients who got appropriate care for severe sepsis and septic shock | 92% | US median 65% |
| Healthcare workers given the flu vaccine | 35% | US median 79% |
| DRG 291 HEART FAILURE AND SHOCK WITH MCC | 52 | $18,121.12 | $9,204.17 | $10,022.34 |
| DRG 193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 33 | $17,529.94 | $9,466.33 | $9,867.73 |
| DRG 177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 23 | $23,456.57 | $11,856.61 | $12,667.88 |
| DRG 481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 23 | $38,769.30 | $15,273.48 | $15,801.33 |
| DRG 872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 17 | $14,697.29 | $7,299.18 | $7,681.44 |
| DRG 690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 15 | $12,300.27 | $5,244.87 | $5,985.69 |
| DRG 189 PULMONARY EDEMA AND RESPIRATORY FAILURE | 14 | $26,554.64 | $8,857.71 | $9,973.97 |
| DRG 522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 14 | $40,926.36 | $15,801.00 | $15,768.13 |
| DRG 330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 13 | $32,675.46 | $18,357.31 | $18,026.21 |
| DRG 308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 12 | $22,120.00 | $8,580.92 | $9,138.57 |
| DRG 392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 12 | $12,690.08 | $5,100.50 | $5,662.18 |
| DRG 683 RENAL FAILURE WITH CC | 11 | $13,479.82 | $6,328.82 | $6,629.69 |
| DRG 853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 11 | $39,471.36 | $38,611.27 | $40,556.82 |
Hospital outpatient services by payment group (APC), 2024
| Service group | Services | Patients | Medicare pays per service | All hospitals |
|---|---|---|---|---|
| APC 5491 Level 1 Intraocular Procedures | 514 | 311 | $1,577.80 | $1,751.67 |
| APC 5115 Level 5 Musculoskeletal Procedures | 189 | 178 | $9,511.41 | $10,771.69 |
| APC 5374 Level 4 Urology and Related Services | 189 | 144 | $2,374.73 | $2,629.24 |
| APC 8011 Comprehensive Observation Services | 137 | 125 | $1,865.55 | $2,090.36 |
| APC 5375 Level 5 Urology and Related Services | 120 | 111 | $3,497.20 | $3,917.51 |
| APC 5373 Level 3 Urology and Related Services | 73 | 59 | $1,387.15 | $1,516.28 |
| APC 5114 Level 4 Musculoskeletal Procedures | 71 | 69 | $4,738.52 | $5,338.75 |
| APC 5372 Level 2 Urology and Related Services | 68 | 52 | $460.82 | $502.15 |
| APC 5431 Level 1 Nerve Procedures | 64 | 57 | $1,314.62 | $1,406.61 |
| APC 5361 Level 1 Laparoscopy and Related Services | 59 | 58 | $3,936.71 | $4,357.80 |
| APC 5072 Level 2 Excision/ Biopsy/ Incision and Drainage | 58 | 55 | $1,104.99 | $1,219.56 |
| APC 5116 Level 6 Musculoskeletal Procedures | 55 | 54 | $14,277.45 | $15,762.73 |
Official US government data on Original Medicare hospital stays and outpatient services; groups with fewer than 11 cases are not published. Payments are those drug and device companies must report.
Spencer Municipal Hospital is a government-owned short-term acute care hospital in Spencer, IA with 49 beds and a 4-star overall rating.
Spencer Municipal Hospital in Spencer, IA has 49 beds (fiscal year 2025 cost report); 93 beds are certified for Medicare. It discharged 1,362 inpatients that year, with 29.7% of its beds in use on average.
In fiscal year 2025 (ending 2025-06-30), Spencer Municipal Hospital reported net patient revenue of $128.5M and operating expenses of $127.0M, a margin on patient care of 1.2%. After other income and expenses its net income was $11.9M (8.6% of revenue), so it made a profit that year.
Spencer Municipal Hospital is not part of a multi-hospital health system in the official ownership records. It is a government-owned hospital (Government (local)).
Spencer Municipal Hospital has an overall rating of 4 out of 5 stars in the official hospital quality ratings. Patients rate it 4 out of 5 stars in the patient survey.
Yes, Spencer Municipal Hospital provides emergency services.
243 Medicare clinicians list Spencer Municipal Hospital as a hospital they work at, most often in Nurse Practitioner, Family Practice, Internal Medicine.
In 2024, Spencer Municipal Hospital had 378 Medicare inpatient stays in 16 diagnosis groups. The most common was DRG 871 (septicemia or severe sepsis without mv >96 hours with mcc) with 64 stays; Medicare paid $14,968.05 per stay on average, compared with $15,524.21 across all hospitals.