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Short-term acute care hospital · Spencer, Iowa · 49 beds · CMS certification number 160112

Spencer Municipal Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS August 7, 2026. 29 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$128.5M
$128,489,098 · G-3 line 3
Operating expenses
$127.0M
$126,956,968 · G-3 line 4
Result from patient care
$1.5M
$1,532,130 · G-3 line 5
Margin on patient care
1.2%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $21.1M in its first year on file (1997) to $128.5M in 2025.
  • Its result from patient care: −$11.2M (2023), −$3.8M (2024), $1.5M (2025).
  • 3 of the 5 short-term acute care hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 4.4% of its inpatient days and Medicare for 47.4%.
  • CITY OF SPENCER IOWA holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

29 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1997
reopened
$21.1M
$21.4M
1998
reopened
$24.6M
$24.5M
1999
settled
$27.1M
$26.5M
2000
settled
$28.9M
$27.1M
2001
reopened
$30.8M
$29.6M
2002
reopened
$34.0M
$33.5M
2003
reopened
$34.0M
$36.7M
2004
reopened
$38.3M
$41.2M
2005
reopened
$42.9M
$42.0M
2006
settled
$46.3M
$46.5M
2007
reopened
$52.4M
$53.1M
2008
reopened
$56.9M
$55.6M
2009
settled
$62.6M
$57.2M
2010
settled with audit
$67.1M
$61.3M
2011
settled
$67.7M
$62.9M
2012
reopened
$68.2M
$61.3M
2013
reopened
$65.9M
$62.5M
2014
reopened
$66.1M
$62.3M
2015
settled
$73.0M
$64.1M
2016
settled
$85.9M
$79.7M
2017
settled
$87.1M
$86.8M
2018
settled
$92.5M
$88.6M
2019
settled
$98.7M
$94.1M
2020
settled
$93.6M
$95.3M
2021
reopened
$103.3M
$109.5M
2022
reopened
$108.4M
$112.5M
2023
settled
$108.7M
$119.9M
2024
settled
$117.9M
$121.6M
2025
as submitted
$128.5M
$127.0M

Beside its peers

Hospitals of the same type (short-term acute care hospital), nearest in size, from Iowa first; each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Spencer Municipal Hospital49$128,489,098$126,956,9681.2%
Lakes Regional Healthcare, Spirit Lake44$68,833,914$68,701,5680.2%
Mercyone Cedar Falls Medical Center, Cedar Falls35$43,240,727$38,274,95911.5%
Mercyone Newton Medical Center, Newton48$30,858,814$33,099,976−7.3%
Finley Hospital, Dubuque66$168,562,483$151,987,4269.8%
Trinity Regional Medical Center, Fort Dodge49$193,932,852$199,858,427−3.1%

Patients and payers

Discharges
1,362
S-3 line 14, col 15
Inpatient days
5,308
S-3 line 14, col 8
Beds in use, on an average day
14.6
days ÷ days in year
Occupancy
29.7%
days ÷ bed days
Medicare share of days
47.4%
S-3 cols 6 ÷ 8
Medicaid share of days
4.4%
S-3 cols 7 ÷ 8

Who owns it

  • CITY OF SPENCER IOWA100%

Type of control on its cost report: governmental, city-county.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 160112. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read August 7, 2026.