Health · Spencer

Spencer, IA health

On most measures Spencer looks like Iowa as a whole. Where it trails the state most: more adults with heart disease (7.8% vs 6.6%) and more adults who have had a stroke (3.9% vs 3.3%).

CDC PLACES 2025 · adults 18+ · CDC's estimate for Spencer
TownTapestry Health GradeNew

Spencer’s Health Grade: B−

On seven CDC health estimates for adults, Spencer is healthier than 52% of U.S. towns, and than 79% of towns with similar incomes.

BSelf-rated healthBPhysical distressB+Mental distressBObesityB-DiabetesC+SmokingC+Exercise
All U.S. towns we grade (19,420)Healthier than 52%
Less healthyHealthier
Iowa towns we grade (281)Healthier than 46%
Towns with similar incomes, $45K–$75K (8,069)Healthier than 79%

Better than its income would suggest. Spencer is healthier than most towns with similar incomes, even though its overall grade is B−.

These are estimates. At the ends of CDC’s likely ranges, Spencer could be anywhere from C− to A−.
How the Health Grade works
  • Seven CDC estimates. Adults in fair or poor health, frequent physical distress, frequent mental distress, obesity, diabetes, smoking and no exercise (CDC PLACES, 2025 release). On each one a town earns the share of U.S. towns doing worse, and those shares are averaged. It’s the same score as our Healthiest towns in Iowa ranking.
  • Graded on a national curve. Every U.S. town with 1,000+ residents and all seven estimates (19,420 places) is lined up by score: A+ top 5%A next 10%A- next 10%B B+ to B−, next 30%C C+ to C−, next 30%D D and D−, bottom 15%
  • Not adjusted for income. Wealthier towns are usually healthier, and the grade shows that as it is. The similar-incomes bar compares Spencer with U.S. towns whose median household income is within 25% of its own.
  • Modeled, not measured. CDC combines national survey answers with each area’s age, sex, race and income mix. Spencer uses CDC’s own estimate for it. High blood pressure is left out because it tracks age more than anything else. The confidence line recomputes the grade with every estimate at the low, then the high, end of its range.
Report card

How Spencer compares with Iowa

Each theme counts how many of its measures are better, worse or too close to call against the state. Tap one to jump to it.

Chronic conditions

Out of every 100 Spencer adults…

37 of every 100 Spencer adults have high blood pressure
Iowa: 34 in 100 · too close to call · margin 33.1–41.4%

Bars show Spencer; the black tick is Iowa. Tap a condition to see it as people.

Habits

Everyday habits, side by side with the state

Spencer, betterSpencer, worseToo close to callIowa
Get no exerciseshare of adults 27.5% Spencer
IA 24.8%
Sleep under 7 hoursshare of adults 30.2% Spencer
IA 32.5%
Binge drinkshare of adults 18.8% Spencer
IA 20.5%
Smoke cigarettesshare of adults 15.6% Spencer
IA 14.5%
0%10%20%30%40%
Care & screenings

Keeping up with care

Share of Spencer adults getting routine care. The full ring is 100%; the dark tick marks Iowa.

78%
Yearly checkup
IA 78%
68%
Dentist visit
IA 67%
85%
Cholesterol check
IA 84%
67%
Colon screening
IA 67%
77%
Mammogram
IA 79%
80%
Taking BP meds
IA 78%
1 in 14
working-age adults has no health insurance
Spencer 7.2% · Iowa 1 in 14 (7.3%)
Mind & connection

How Spencer adults are doing

1 in 3Spencer adults feel lonely
31.2% · Iowa 32.3% · too close to call
1 in 5Spencer adults have been diagnosed with depression
20.1% · Iowa 20.7% · too close to call
1 in 4Spencer adults lack social or emotional support
23.1% · Iowa 23.3% · too close to call
1 in 6Spencer adults are in frequent mental distress
15.9% · Iowa 16.4% · too close to call
Everyday needs

Making ends meet

Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.

1 in 8
Spencer adults worry about having enough food
11.9% · IA 12% · about the same
1 in 11
Spencer adults worry about keeping their housing
9% · IA 9.4% · about the same
1 in 16
Spencer adults were threatened with a utility shut-off
6.4% · IA 6.4% · about the same
1 in 15
Spencer adults lack reliable transportation
6.7% · IA 6.8% · about the same

10.7% of Spencer adults receive SNAP (food stamps), compared with 10% across Iowa.

Disability

Living with a disability

30.4%

of Spencer adults live with a disability (Iowa 28.1%). Walking or climbing stairs is the most common.

Walking or climbing stairs15.1%
Thinking or memory13.6%
Hearing9%
Errands alone8.1%
Vision4.8%
Dressing or bathing3.8%

Black tick: Iowa. Shown without a better/worse judgment.

Getting care

Care in and near Spencer

1 hospital and 1 community health center in Spencer, plus the nearest just outside it.

HNearest ERSpencer Municipal HospitalSpencer · 0.5 miDirections →
★Best rated nearbyLakes Regional Healthcare★★★★★ · 18.8 miDirections →
+Low-cost careCommunity Health Center of Fort DodgeSpencer · 0.3 mi · sliding-scale feesDirections →
0.3 mi
Community Health Center of Fort Dodge
2 sites · nearest in Spencer
Sliding-scale feesIn Spencer
Directions to nearest
0.5 mi
Spencer Municipal Hospital
Spencer · ★★★★★
ERIn Spencer
18.8 mi
Lakes Regional Healthcare
Spirit Lake · ★★★★★
ER
23.4 mi
Palo Alto County Hospital
Emmetsburg · not rated
ERRural critical access
24.2 mi
Avera Holy Family Hospital
Estherville · ★★★★★
ERRural critical access
34.6 mi
United Community Health Center of Storm Lake - Replacement
Storm Lake · community health center
Sliding-scale fees
✓ Primary careSpencer is not a shortage area
! Dental careSpencer's county is a federal shortage area for some residents.Medicaid Eligible - Clay County · need score 6 of 25
! Mental healthSpencer's county is a federal shortage area.Spencer/ Spirit Lake Area · need score 15 of 25

Hospitals: Medicare overall star ratings, 1–5. Community health centers charge on a sliding scale by income. Distances are straight-line from the center of Spencer. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 40 measures for Spencer
MeasureSpencerMarginIowa
Chronic conditions
High blood pressure37.2%33.1–41.4%33.9%about the same
High cholesterol35.9%31.7–40.2%35.3%about the same
Obesity35.4%28.1–43.2%37.7%about the same
Arthritis29.9%26.6–33.3%27%about the same
Depression20.1%16.9–23.5%20.7%about the same
Lost all teeth (65+)10.8%8.6–13.2%11.6%about the same
Asthma10%8.8–11.3%9.9%about the same
Cancer (not skin)10.2%9.3–11.3%8.7%worse
Diabetes12.4%10.7–14.3%11.2%about the same
COPD8.1%7–9.2%6.9%worse
Heart disease7.8%6.9–8.7%6.6%worse
Stroke3.9%3.5–4.3%3.3%worse
Habits
Smoke cigarettes15.6%13.2–18.2%14.5%about the same
Binge drink18.8%15.7–22.2%20.5%about the same
Get no exercise27.5%23.1–32.4%24.8%about the same
Sleep under 7 hours30.2%24.3–36.3%32.5%about the same
Care & screenings
Yearly checkup78.3%74.7–81.4%77.5%about the same
Dentist visit67.6%64–71%66.8%about the same
Cholesterol check85.2%83.2–87%84.1%about the same
Colon screening67.2%62–71.8%66.6%about the same
Mammogram76.9%69.3–83.2%78.7%about the same
Taking BP meds80.1%77.5–82.6%77.8%about the same
No health insurance7.2%5.9–8.6%7.3%about the same
Mind & connection
Feel lonely31.2%26.4–36.1%32.3%about the same
Lack emotional support23.1%19.7–26.7%23.3%about the same
Frequent mental distress15.9%14.1–18%16.4%about the same
Fair or poor health18.9%16.2–21.6%17.8%about the same
Frequent physical distress13.8%12.1–15.7%12.7%about the same
Everyday needs
Food insecurity11.9%10–14.2%12%about the same
Housing insecurity9%7.5–10.6%9.4%about the same
Utility shut-off threat6.4%5.4–7.4%6.4%about the same
No reliable transportation6.7%5.8–7.7%6.8%about the same
Receive SNAP10.7%8.9–12.7%10%
Disability
Any disability30.4%26.3–34.8%28.1%
Walking or climbing stairs15.1%13–17.4%12.7%
Thinking or memory13.6%11.9–15.4%13.5%
Hearing9%7.9–10.1%7.4%
Vision4.8%4.2–5.4%4.3%
Dressing or bathing3.8%3.4–4.3%3.4%
Errands alone8.1%7–9.2%7.4%
About these numbers

How CDC estimates town health

They're modeled estimatesCDC combines a large national health survey with each area's age, sex, race and income mix to estimate local rates. Nobody surveyed Spencer door to door.
Close calls stay grayEvery figure has a margin of error. When the Iowa figure falls inside it, we don't call Spencer better or worse.
CDC's own town estimateCDC publishes Spencer directly, so these are its own figures.

CDC PLACES: Local Data for Better Health, 2025 release. The Iowa figure combines its counties, weighted by adult population.

Health estimates: CDC PLACES. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. Town boundaries: U.S. Census Bureau.

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