▸ Cost Report · CCN 160112 · FY 2025
SPENCER MUNICIPAL HOSPITAL
SPENCER, IA 51301- · Fiscal year ending 2025-06-30
$128.5M
TOTAL REVENUES
$11.9M
NET INCOME
9.3%
OPERATING MARGIN
1,362
DISCHARGES
01 — FINANCIAL
Financial summary
- Total revenues
- $128.5M
- Total costs
- $127.0M
- Net income
- $11.9M
- Operating margin
- 9.3%
- Total charges
- $191.5M
- Medicare charges
- —
- Medicaid charges
- —
- Charity care charges
- $1.4M
- Uncompensated care
- $3.7M
- Bad debt
- $2.4M
- Total assets
- $173.0M
- Total liabilities
- $48.0M
- Fund balance
- $125.0M
02 — UTILIZATION
Utilization
- Total beds
- 49
- Bed days available
- 17,885
- Total inpatient days
- 5,308
- Medicare inpatient days
- 2,518
- Medicaid inpatient days
- 233
- Total outpatient visits
- —
- Total discharges
- 1,362
- Total FTEs
- —
- Inpatient residents
- —
- Outpatient residents
- —
03 — HISTORY
Latest filing
| Fiscal year | Discharges | Revenue | Net income | Margin |
|---|---|---|---|---|
| 2025-06-30 | 1,362 | $128.5M | $11.9M | 9.3% |
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03b — TREND CHART
Revenue, costs, and net income by fiscal year
Multi-year P&L chart — visualize revenue, costs, and net income side-by-side across every filing.See Solo · $499/yr →
DISTRESS RADAR
Risk signals detected
Auto-flagged from 3-year trend on margin, volume, and bad debt
This hospital tripped 1 distress signal. Upgrade to see which signals fired and the underlying numbers.See Solo · $499/yr →
04 — PEER BENCHMARK
Peer cohort — IA Acute Care Hospitals
19 hospitals filing FY2025
- Median operating margin
- 2.0%
- 25th percentile margin
- -4.0%
- 75th percentile margin
- 12.2%
- Median discharges
- 6,141
- Median net income
- $5.2M
- Median bed count
- 141
05 — QUALITY (CMS CARE COMPARE)
CMS Care Compare quality measures
Sourced from data.cms.gov · refreshed monthly. CMS publishes these — we surface them.
Overall rating
4 / 5
- Emergency services
- Yes
- Mortality vs national avg
- Same as the national average
- Safety vs national avg
- Same as the national average
- Readmissions vs national avg
- Below the national average
- Patient experience vs national avg
- —
- Timely & effective vs national avg
- —
07a — MS-DRG MIX
Top inpatient DRGs by volume
Per CMS Medicare Inpatient Hospitals dataset (PY2021)
| DRG | Description | Discharges | Avg payment |
|---|---|---|---|
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 75 | $15K |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWE… | 72 | $15K |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 64 | $16K |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 57 | $10K |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWE… | 53 | $15K |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 52 | $10K |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 33 | $11K |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 32 | $10K |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WIT… | 25 | $17K |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 23 | $14K |
07 — MARKET (HSAF)
Top patient-origin ZIPs
Catchment based on CMS Hospital Service Area File (PY2018)
| ZIP | Cases | Bed days |
|---|---|---|
| 51301 | 504 | 1925 |
| 51301 | 472 | 1858 |
| 51301 | 437 | 1669 |
| 51301 | 411 | 1539 |
| 51301 | 411 | 1694 |
| 51301 | 356 | 1493 |
| 51351 | 65 | 282 |
| 51351 | 59 | 217 |
| 51351 | 54 | 179 |
| 51358 | 51 | 178 |
CROSS-REFERENCE
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