Health care · Small-town market · Iowa
Chiropractors in the Spirit Lake, IA area
Competitor counts, household spending and official business counts for chiropractors in the Spirit Lake, IA area, set against other small-town markets and the U.S.
Groundwork market score · out of 100
Score 32 out of 100: Lower middle
Ranked #369 of 426 scored small-town markets
#7 of 15 scored small-town markets based in Iowa
- Listings
- 13
- 0 chain locations (0%)
- Official establishments
- 12
- Businesses with payroll, 2023
- Household spending a year
- $12.8M
- On medical and dental services · $1,442 a household
- Spending per listing
- $981K
- 59% below the U.S.
- Listings per 10k households
- 14.7
- 2.7 times the U.S.
- Population, 2025
- 18,077
- +1.7% since 2020
See the chiropractors around any address in the Spirit Lake area
The site report maps the chiropractors on map listings near the address, by name and distance, and sizes the households and spending around it. Or open the report at the center of the Spirit Lake area. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardSurvey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure
What this means
For chiropractors, the Spirit Lake area has a Groundwork market score of 32 (lower middle): #369 of 426 scored small-town markets and #7 of 15 scored small-town markets based in Iowa. That puts it in the bottom quarter of small-town markets.
Households in the Spirit Lake area spend about $12.8M a year on medical and dental services, or $1,442 per household, 12% above the U.S. average. Spread across 13 chiropractors, that is $981K per practice, 59% below the U.S. figure of $2.4M. The spending figure covers all medical and dental services, not only chiropractors.
The Spirit Lake area has 13 chiropractors on map listings as of September 2026. None of them are chain locations, against 8% across the U.S. That is 14.7 per 10,000 households, 2.7 times the U.S. rate of 5.4.
In 2023, official counts showed 12 businesses with payroll in the Spirit Lake area classed as offices of chiropractors. That is one for every 737 households, against one for every 3,237 across the U.S. Population estimates show the Spirit Lake area grew 1.7% from 2020 to 2025, slower than the U.S. (+3.1%).
How the Spirit Lake area compares
The same measures for Iowa and the whole U.S. Spending per listing divides a year of household spending on all medical and dental services by the chiropractors counted, so it measures the demand for each competitor, not any business’s revenue. Households per establishment does the same with the official count.
| Measure | Spirit Lake area | Iowa | U.S. |
|---|---|---|---|
| Listings per 10k households | 14.7 | 10.5 | 5.4 |
| Spending per listing | $981K | $1.3M | $2.4M |
| Households per official establishment | 737 | 1,509 | 3,237 |
| Official establishment growth, 2019–2023 | n/a | −0.6% | +0.8% |
| Population growth, 2020–2025 | +1.7% | +1.5% | +3.1% |
| Spending per household on medical and dental services | $1,442 | $1,412 | $1,288 |
| Median household income | $75,432 | $75,059 | $80,734 |
| Groundwork market score | 32 | 24 |
Official counts and lending
Businesses
- Official establishments, 2019 to 2023
- 12
- Employees, 2023
- 27
- Annual payroll, 2023
- $1M
- One-person businesses, 2023
- Not publishedNot published for this business type
- Map listings, September 2026
- 130 chain locations
- Listings at the U.S. rate for this spending
- 5The U.S. ratio of listings to household spending, applied here
SBA-backed loans since fiscal 2022
- Loans
- 0
- Amount
- $0
SBA-backed loans to businesses classed as offices of chiropractors in the Spirit Lake area, through June 2026, placed by the borrower’s ZIP code. Official establishments are businesses with payroll; the official counts leave out places with fewer than 3.
Population and households in the Spirit Lake area
- Population, 2025 estimate
- 18,077+1.7% since 2020
- Households
- 8,845
- Median age
- 48.9
- Homes lived in by their owners
- 77%
- Vehicles per household
- 2.0
- Land area
- 381 sq. mi.
- People per square mile
- 47
- Median household income
- $75,432+25.8% vs. 2015–2019, before inflation
- Average household income
- $102,164
- Median home value
- $270,700
- Jobs located here
- 10,412
- Daytime population
- 20,071Residents who don’t work, plus everyone whose job is here
Looking at a specific site in the Spirit Lake area?
These figures cover the whole small-town market. A site report draws rings around one address and counts what’s inside them: households, spending, jobs, and the chiropractors on map listings by name and distance.
Or open the report at the center of the Spirit Lake area. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardChiropractors across Iowa
Every Iowa market ranked →The highest-scoring small-town markets in Iowa for chiropractors, numbered among those based in Iowa, with the Spirit Lake area marked.
Top small-town markets in Iowa
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth | U.S. rank |
|---|---|---|---|---|---|---|
| 1Fort Dodge, IA | 50 | 8 | 5.2 | $2.5M | −0.4% | #215 of 426 |
| 2Marshalltown, IA | 49 | 10 | 6.5 | $2.1M | −0.5% | #223 of 426 |
| 3Fort Madison, IA | 45 | 7 | 4.9 | $2.6M | −3.6% | #244 of 426 |
| 4Le Mars, IA | 35 | 9 | 8.7 | $1.7M | 0.0% | #333 of 426 |
| 5Pella, IA | 35 | 16 | 12.0 | $1.2M | +2.3% | #336 of 426 |
| 6Mason City, IA | 34 | 17 | 7.5 | $1.8M | −1.5% | #340 of 426 |
| 7Spirit Lake, IA | 32 | 13 | 14.7 | $981K | +1.7% | #369 of 426 |
| 8Burlington, IA-IL | 31 | 16 | 8.0 | $1.6M | −2.5% | #373 of 426 |
| 9Ottumwa, IA | 29 | 12 | 8.6 | $1.5M | −0.3% | #390 of 426 |
| 10Oskaloosa, IA | 27 | 9 | 10.3 | $1.3M | −1.2% | #393 of 426 |
Other business types in the Spirit Lake area
Each with its Groundwork market score here, out of 100, where it has one.
Food and drink
Groceries and convenience
Auto
Beauty and personal care
Fitness and classes
Health care
Child care
Clothing and laundry
Home services
Real estate
Funeral services
Questions
How many chiropractors are in the Spirit Lake, IA area?
Map listings as of September 2026 show 13 chiropractors in the Spirit Lake area. None of them are chain locations. The listings count chiropractors. Official counts show 12 businesses with payroll classed as offices of chiropractors in 2023.
How much do households in the Spirit Lake, IA area spend on medical and dental services?
About $12.8M a year, or $1,442 per household. That is 12% above the U.S. average (an index of 112, where 100 is the U.S. average). Spread across the 13 chiropractors on map listings, it comes to $981K per practice. That spending covers all medical and dental services, which chiropractors share with other businesses in the trade. It is estimated from the incomes of the 8,845 households in the Spirit Lake area and national spending patterns by income.
How does the Spirit Lake, IA area compare with the U.S. for chiropractors?
The Spirit Lake area has 14.7 chiropractors per 10,000 households, 2.7 times the U.S. rate of 5.4. Spending per practice is $981K, 59% below the U.S. figure of $2.4M. At the U.S. ratio of chiropractors to household spending, the Spirit Lake area would have about 5, against 13 on map listings. There is one business with payroll in the industry for every 737 households, against one for every 3,237 across the U.S.
How fast is the Spirit Lake, IA area growing?
Population estimates put the Spirit Lake area at 18,077 people in 2025, up 1.7% since 2020, slower than the U.S. (+3.1%). It has 8,845 households. The median household income in the Spirit Lake area is $75,432 a year, 7% below the U.S. median of $80,734. That rose 25.8% from the 2015–2019 survey, before inflation.
What is the Groundwork market score?
The Groundwork market score runs from 0 to 100 and compares a market with others of its kind for one business type: states with states, metro areas with metro areas, small-town markets and counties with their own. A small-town market is a town of 10,000 to 50,000 people and the county or counties tied to it by commuting. It weighs household spending per competitor (35%), households per business with payroll (25%), population growth (20%) and spending power (20%), each ranked against those peers. A higher score means that, taken together, the market has more household spending and more households for each business already there, faster population growth and more spending per household than similar markets. It describes a market, not any one site or deal. The Spirit Lake area scores 32 for chiropractors (lower middle), #369 of 426 scored small-town markets.
How can I see the market around a specific site?
Run a Groundwork site report on an address in the Spirit Lake area. It maps the chiropractors on map listings near the site and sizes the households and spending within the distance you choose. New accounts get 10 actions over 3 days, no card.
How the score works · Top markets for chiropractors · All 56 business types in the Spirit Lake area
Screening a site or an acquisition in the Spirit Lake area?
A site report maps the competitors on map listings near an address and sizes the households and spending around it.
The button opens the report at the center of the Spirit Lake area. Signed out, you see a blurred preview; on an account, each report is one action.
This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.
Figures are estimates for research only. Not investment or real estate advice.