Healthcare System Overview

An In-Depth Look into the Healthcare System

Pella Regional Health Center is a private, nonprofit critical access hospital based in Pella, Iowa, with five decades of continuous service to Marion County and the surrounding region. The hospital operates as the anchor of a broader health system that includes a main hospital campus, outpatient surgery and infusion services, eight medical clinics across central Iowa, home health and hospice programs, and specialty service lines covering most of what a regional population needs. The system is locally governed, Joint Commission accredited, and maintains 4-star CMS Hospital Compare and HCAHPS patient experience ratings.

Facility Snapshot

Facility Type Critical Access Hospital
OwnershipPrivate, nonprofit (voluntary)
Year Founded1960 (originally Pella Community Hospital; renamed Pella Regional Health Center in 1996 after merger with Pella Medical Clinic)
Licensed and Staffed Beds25
Total Facility Square Footage152,969
Employees613
Annual ER Visits9,456
Annual Discharges1,121
Average Length of Stay3.61 days
Case Mix Index1.41
AccreditationThe Joint Commission
EMRMEDITECH
Trauma DesignationLevel IV
Service AreaMarion County and surrounding central and southeast Iowa
MissionProviding healthcare and healing services with Christian compassion
Address404 Jefferson Street, Pella, IA 50219

Ownership and Governance

Pella Regional is locally owned and governed. A community-based board of directors led by Board President Randy Stravers oversees the system. The board includes three physician directors (Stephen Barnes, DO; Doug Kanis, DO; and Craig Wittenberg, MD), providing direct clinician input into strategy and governance. Senior leadership is anchored by Chief Executive Officer Bob Kroese and an executive team that includes finance, operations, medical affairs, and nursing leadership.

Service Lines

Pella Regional operates an unusually broad service portfolio for a 25-bed critical access hospital. In-house services include:

Category Services
Primary CareFamily Medicine, Internal Medicine, Pediatrics, Walk-in Clinics
Medical SpecialtiesRheumatology, Nephrology, Pulmonology, Pain Management, Sleep Medicine, Weight Management
Surgical SpecialtiesGeneral Surgery, Orthopedics, Gynecology, Urogynecology, Urology, Podiatry, Plastic and Reconstructive Surgery
Women’s HealthFamily Birthing Center, Gynecology, Genetic Testing and Counseling, Breast Care Program
Cancer CareMedical Oncology infusion, Breast Care Program, Cancer support services
Emergency and Acute24/7 Emergency Department, Inpatient Care, Critical Care
RehabilitationPhysical, Occupational, and Speech Therapy, Cardiac and Pulmonary Rehabilitation
DiagnosticsMedical Imaging and Radiology, Laboratory, Genetic Testing
AncillaryInfusion, Wound Care, Hyperbaric Oxygen Therapy, Pharmacy, Respiratory Care, Audiology, Diabetes Education, Nutrition
Extended CareHome Health, Hospice
Visiting Specialty ClinicAllergy and Immunology, Cardiology, Dermatology, ENT, Ophthalmology, Vascular Care

Clinic Network

The Pella Regional system operates clinics and locations in multiple central Iowa communities:

  • Pella (main hospital campus and multiple specialty clinics)
  • Knoxville
  • Monroe
  • Sully
  • Bussey
  • Ottumwa (Pella Regional Medical Clinic)
  • Newton (Occupational Health)

Technology and Innovation

Metric Value
Inpatient EHRMEDITECH
Annual IT Capital Budget$1.87 million
Technology BreadthStrong (per Definitive Healthcare)
ACO ParticipationYes (Wellmark - Pella Regional Health ACO; Main Street Rural Health Dogwood ACO)
Health Information ExchangeCarequality
GPO MembershipPremier Inc. (primary)

The system operates a patient portal that enables patients to access medical and prescription records, lab results, and secure messaging with providers.

Quality and Patient Experience

Pella Regional consistently performs at or above national benchmarks for critical access hospitals.

Metric Value
Hospital Compare Overall Rating4 stars
HCAHPS Patient Experience Rating4 stars
Readmission Rate (All-Cause)14.20%
Joint Commission AccreditationYes, current

Financial Profile

Pella Regional Health Center reports stable operating performance with a recent technology investment program that includes a planned $14 million-plus Cancer Infusion Center on the Pella campus. The system also recently announced a collaboration with Knoxville Hospital and Clinics to establish the South Central Iowa Radiation Center on the Pella campus, which expands regional cancer services and reduces patient travel for oncology care.

Metric Value
Net Patient Revenue$132.5 million
Total Patient Revenue$267.1 million
Total Assets$183.6 million
Cash on Hand$12.7 million

Payor Mix

Payor Net Patient Revenue Share
Private, Self-Pay, and Other$109.4 million82.5%
Medicare$13.9 million10.5%
Medicaid$9.2 million6.9%

The strong commercial payor mix is a meaningful financial advantage for a rural hospital of this size and supports sustained reinvestment in service lines and physician practices.

Service Area

Pella Regional draws patients from a wide geographic catchment that extends well beyond the immediate Pella community.

Patient Origination Share
Pella (ZIP 50219)61.6%
Knoxville15.9%
Ottumwa9.8%
Monroe5.4%
Oskaloosa3.8%

Specialty referrals reach Pella Regional from Burlington, the Iowa City corridor, northern Missouri, the Des Moines metro, and as far west as Omaha for select services.

Recent and Planned Investments

  • $14 million-plus Cancer Infusion Center on the Pella campus
  • South Central Iowa Radiation Center, in collaboration with Knoxville Hospital and Clinics
  • Continued expansion of the Family Birthing Center, including a dedicated state-of-the-art operating suite
  • Ongoing physician recruitment in rheumatology, urology, OBGYN, and radiation oncology

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