Groundwork

Health care · Small-town market · Iowa

Primary care and pediatric clinics in the Spirit Lake, IA area

The primary care and pediatric clinics in the Spirit Lake, IA area, the household spending behind them and how the market ranks against other small-town markets.

Groundwork market score · out of 100

Score 76 out of 100: High

Ranked #45 of 458 scored small-town markets
#2 of 10 scored small-town markets based in Iowa

Listings
6
1 chain location (17%)
Official establishments
6
Businesses with payroll, 2023
Household spending a year
$12.8M
On medical and dental services · $1,442 a household
Spending per listing
$2.1M
19% above the U.S.
Listings per 10k households
6.8
6% below the U.S.
Population, 2025
18,077
+1.7% since 2020

See the primary care and pediatric clinics around any address in the Spirit Lake area

The site report maps the primary care and pediatric clinics 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.

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Survey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure

What this means

For primary care and pediatric clinics, the Spirit Lake area has a Groundwork market score of 76 (high): #45 of 458 scored small-town markets and #2 of 10 scored small-town markets based in Iowa. That puts it in the top 10% of small-town markets for primary care and pediatric clinics.

As of September 2026, map listings count 6 primary care and pediatric clinics in the Spirit Lake area. One of them (17%) is a chain location, against 9% across the U.S. That comes to 6.8 for every 10,000 households, 6% below the U.S. rate of 7.2.

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. That works out to $2.1M per clinic, 19% above the U.S. figure of $1.8M. That spending covers all medical and dental services, which primary care and pediatric clinics share with other businesses in the trade.

Official counts show 6 businesses with payroll classed as offices of physicians in the Spirit Lake area in 2023. That is one for every 1,474 households, against one for every 593 across the U.S. Population estimates put the population change in the Spirit Lake area from 2020 to 2025 at +1.7%, 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 primary care and pediatric clinics counted, so it measures the demand for each competitor, not any business’s revenue. Households per establishment does the same with the official count.

Primary care and pediatrics in Spirit Lake, IA area compared with Iowa and the U.S.
MeasureSpirit Lake areaIowaU.S.
Listings per 10k households6.86.27.2
Spending per listing$2.1M$2.3M$1.8M
Households per official establishment1,4741,197593
Official establishment growth, 2019–2023n/a−5.8%−2.2%
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 score7675

Official counts and lending

Businesses

Official establishments, 2019 to 2023
6
Employees, 2023
85
Annual payroll, 2023
$9M
One-person businesses, 2023
16Businesses with no payroll
Map listings, September 2026
61 chain location
Listings at the U.S. rate for this spending
7The 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 physicians 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 primary care and pediatric clinics 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.

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Primary care and pediatrics across Iowa

Every Iowa market ranked →

The highest-scoring small-town markets in Iowa for primary care and pediatric clinics, numbered among those based in Iowa, with the Spirit Lake area marked.

Top small-town markets in Iowa

Small-town markets in Iowa ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Pella, IA8453.8$3.8M+2.3%#14 of 458
2Spirit Lake, IA7666.8$2.1M+1.7%#45 of 458
3Marshalltown, IA7153.2$4.2M−0.5%#68 of 458
4Clinton, IA69126.2$2.2M−0.9%#87 of 458
5Burlington, IA-IL5552.5$5.1M−2.5%#191 of 458
6Fort Madison, IA5564.2$3M−3.6%#193 of 458
7Ottumwa, IA551410.0$1.3M−0.3%#203 of 458
8Fort Dodge, IA51149.1$1.4M−0.4%#230 of 458
9Mason City, IA463515.4$882K−1.5%#270 of 458
10Spencer, IA371013.7$962K−0.8%#336 of 458

Other business types in the Spirit Lake area

Each with its Groundwork market score here, out of 100, where it has one.

Funeral services

Questions

How many primary care and pediatric clinics are in the Spirit Lake, IA area?

The Spirit Lake area has 6 primary care and pediatric clinics on map listings as of September 2026. One of them (17%) is a chain location. The listings count primary care, family medicine and pediatric clinics. Official counts show 6 businesses with payroll classed as offices of physicians in 2023. Another 16 one-person businesses have no payroll, by official counts.

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 6 primary care and pediatric clinics on map listings, it comes to $2.1M per clinic. The spending figure covers all medical and dental services, not only primary care and pediatric clinics. 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 primary care and pediatric clinics?

The Spirit Lake area has 6.8 primary care and pediatric clinics per 10,000 households, 6% below the U.S. rate of 7.2. Spending per clinic is $2.1M, 19% above the U.S. figure of $1.8M. At the national ratio of primary care and pediatric clinics to household spending, the Spirit Lake area would have about 7, against 6 on map listings. There is one business with payroll in the industry for every 1,474 households, against one for every 593 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 76 for primary care and pediatric clinics (high), #45 of 458 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 primary care and pediatric clinics 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 primary care and pediatric clinics · 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.

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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.