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History of CMH

The very existence of Citizens Memorial Hospital is unique.

Introduction

CMH is one of only a few rural hospitals to be established in 1982. This timing was the beginning of prospective pay and the end of cost-based reimbursement for hospital care. In the first decade of CMH’s existence, more than 300 rural hospitals across the nation closed.

The hospital district was formed by a vote of residents in 1978 in a community that desperately needed health care services. With a population of 18,822, the county had only five physicians. The closest emergency room was nearly an hour away. Local ambulance services were staffed with untrained personnel.

Even with the 1978 vote of residents, the completion and success of the hospital was not easy. Experts predicted the hospital would not succeed. The Certificate of Need committee approved the application only after local legislators passed a bill changing the state’s regulations. Funding beyond general obligation bonds was required. There was no experienced hospital administrator. The community lacked not only physicians, but also trained professionals such as nurses, therapists and technologists.

Again, the community came through. Local donors pledged $550,000, and $5.6 million was financed largely with tax-exempt bonds and a Farmers Home Administration loan (FMHA). Donald J. Babb was hired and architects were employed. The building was complete and ready for operation in September 1982. More than 5,000 community members attended the grand opening celebration.

That challenging beginning started a long tradition of achieving extraordinary results for our community. Leaders saw challenges as opportunities to succeed, not accepting “it can’t be done that way” as the answer.

The name Citizens Memorial Hospital was chosen to recognize that the hospital was because, of and for the district's citizens.

Much of the area CMH serves was classified as medically underserved and economically depressed. Bolivar is the home of CMH and the county seat of Polk County. It is the largest community in CMH’s service area with more than 10,000 residents.

From the Beginning

In 1976, concerned citizens and business leaders formed a committee to study the possibility of a community hospital. At that time, Bolivar had a population of about 5,500. In 1978, the community approved and organized the public hospital district, including the formation of the district’s board of directors. Representing six geographical districts, the members’ diverse backgrounds and management skills were the strength and backbone of the monumental project.

Board members included:

  • Kerry D. Douglas, Bolivar attorney and board chairman
  • Wayne Wilson, Bolivar insurance agent and vice chairman
  • Joe Shelton, Southwest Baptist University professor and board secretary
  • Ferrol Wainscott, Polk County area farmer
  • Norman Presley, a salesman for Sears
  • Charles Pence, pastor of the Bolivar United Methodist Church

The CMH Board of Directors chose Donald J. Babb to serve as the administrator of the new facility. He had a background in hospital administration and experience in the construction of other hospitals. All, however, shared the common goal of providing the finest in medical care for the area’s citizens.

Opening in 1982, more than $6.9 million was spent to build and equip the facility. CMH began as a 53-bed acute healthcare facility serving Polk, Dallas, Cedar, Hickory and southern Benton Counties in southwest Missouri. Services included emergency care, intensive care, obstetrics, surgery and recovery, medical-surgical care, laboratory, radiology, physical therapy and respiratory care. Even before the hospital opened on September 28, 1982, the hospital added a four-bed ICU unit.

Before CMH, the nearest hospital to Bolivar was nearly an hour away. For many other communities in the hours, the nearest hospital was as much as two hours away.

group of people cutting a ribbon

Ribbon-cutting ceremony when Citizens Memorial Hospital opened on September 28, 1982.

Governance

Hospital

Citizens Memorial Hospital organized in 1978 as a district governmental entity under Missouri law. The Hospital is governed by a six-member board of directors. As a not-for-profit public district hospital, the vision of the board of directors was to continue growing without asking the community for additional tax dollars to expand the hospital. Two years into operation, the hospital suspended its original tax levy in 1984. The not-for-profit organization was already self-sustaining.

Foundation

Citizens Memorial Health Care Foundation was established in 1986 as a not-for-profit 501(c)3 entity. The Foundation was organized to assist the hospital in the community health system. The Foundation was a necessary part of the planned growth of the hospital. The hospital was formed under Chapter 206 of public laws regulating hospital districts. Therefore, it could not own allied health facilities under the district hospital laws.

The Foundation is governed by a nine-member board. One member is affiliated with the hospital board of directors, and eight are independent board members.

CMH board members are elected officials who are accountable to the Hospital District by standing for re-election every six years.

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