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Slovak spa services are not given sufficient attention directly following the support and sustainable development. The paper focuses on the evaluation of the overall development and current level of efficiency of the Slovak spas in 2013–2018, through the application of DEA models. Input variables (total number of beds, employees, medical staff) and output variables (use of bed capacity, number of treated clients) within the structure of DEA models analyzed (CCR-I, CCR-O, BCC-I, BCC-O) are determined by results of the correlation analysis. The data were obtained from the annual reports of the spa enterprises. By the results, the average efficiency score for all enterprises reached 0.7527, i.e., the average spa enterprise would need only 75.27% of currently used inputs for a given output production to move to the efficiency frontier. The development of the average efficiency score confirmed a positive growing trend until 2015; however, the efficiency decreased by 1.84% in a year-to-year comparison in 2016–2018. In each year of the analyzed period, the number of inefficient enterprises (66.67%) exceeded that of the efficient ones (33.33%). Through research carried out in spa facilities, the authors contributed to expanding the application of the DEA method in another tourism sector.
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