WINTER 2026 Give yourself a holiday break Step away from social media Exercise and pregnancy How to keep moving safely CMH Foundation Impact Report See what we did for our community last year
2 VITALITY Winter 2026 Citizens Memorial Hospital Citizens Memorial Health Care Foundation 1500 N. Oakland Ave. Bolivar, MO 65613 417-326-6000 CEO/Executive Director Michael Calhoun Marketing and Community Relations Director Tamera Heitz-Peek Marketing and Community Relations Department Tessa Arnold Braden Rothdiener Katie Duncan Jennifer Stegner Charlotte Marsch Aaron Tallant Vicki Peterson Adaline Verren Mission Providing compassionate care for all generations by leading physicians and an exceptional healthcare team. Vision Be the first choice for healthcare by delivering the safest, highest quality and best experience for the communities we serve. Values I am Safe, Engaged, Respectful, Valued and Empowered. Together, we make a difference by serving others. For permission to reprint any portion of this magazine, call 417-328-7245. If you wish to be removed from the mailing list, please email theitz@citizensmemorial.com or call 417-328-7245. VITALITY is published as a community service for the friends and patrons of CITIZENS MEMORIAL HOSPITAL. Information in VITALITY comes from a wide range of medical experts. If you have any concerns or questions about specific content that may affect your health, please contact your healthcare provider. Models may be used in photos and illustrations. 2026 © Coffey Communications, Inc. All rights reserved. Citizens Memorial Hospital complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. CMH has arranged for language assistance services free of charge. Call 417-326-6000. (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 417-326-6000. (Chinese) 417-326-6000. We’d love to hear from you on social media facebook.com/citizensmemorial x.com/cmhbolivar instagram.com/cmhbolivar linkedin.com/company/citizens-memorial-healthcare Michael Calhoun, CEO/Executive Director Citizens Memorial Hospital and Citizens Memorial Health Care Foundation Excellence close to home At Citizens Memorial Hospital, our mission has always been simple: provide exceptional care close to home. As you’ll see throughout this issue of Vitality, that commitment continues to guide everything we do. This year, CMH has received several recognitions that reflect the dedication of our physicians, nurses and healthcare teams. Honors for stroke care, maternal health and transparency demonstrate our ongoing focus on quality, safety and delivering the best possible outcomes for patients. While awards are never our end goal, they are meaningful reminders that the care available here in our communities stands among the best. At the same time, we are focused on improving the future of rural healthcare. Through initiatives such as the Rural Health Transformation Program and our participation in the Show-Me High Value Network, we are working to strengthen access, improve care coordination and ensure our communities continue to have the services they need for generations to come. None of this happens without the support of the people we serve. I am grateful to the donors, volunteers, patients and community partners whose generosity helps make our mission possible. In this issue, you’ll find our Foundation Impact Report, which highlights the many ways community support is helping improve healthcare close to home. You’ll also discover practical health information on topics ranging from stress management and pregnancy wellness to heart and vascular health, nutrition and healthy living. Thank you for trusting CMH with your care. It is a privilege to serve you and your family.
citizensmemorial.com 3 CMH to lead fivecounty Rural Health Transformation Hub Citizens Memorial Hospital was selected as the hub anchor for Transformation of Rural Community Health (ToRCH) Care Hub 7, which includes Cedar, Dade, Dallas, Hickory and Polk counties. The local community hubs will form the backbone of Missouri’s Rural Health Transformation Program (RHTP), a five-year effort to strengthen rural healthcare through locally led partnerships and investments. The RHTP represents a $50 billion federal investment over five years in rural healthcare across the United States. Missouri received $216.3 million for the first year and is implementing its plan through the ToRCH Care model. CMH Foundation appoints new board members Citizens Memorial Health Care Foundation appointed three new members to its Board of Directors: STRENGTHENING CARE CLOSE TO HOME CMH joins Show-Me High Value Network Citizens Memorial Hospital is one of 23 independent Missouri hospitals forming the Show-Me High Value Network, a statewide collaboration focused on improving healthcare quality, affordability and value while allowing participating hospitals to remain independent and locally governed. A clinically integrated network provides a framework for hospitals, physicians and advanced practice providers to collaborate on quality improvement, care coordination, data sharing and value-based care. The network will also establish a committee of operational leaders to share best practices, discuss common challenges and identify strategies to improve efficiency across member organizations. For more information about the Show-Me High Value Network, visit ShowMeHVN.org. Louis Harris, M.D., is a board certified family medicine physician at Bolivar Family Care Center and is chief medical information officer for CMH. Drew Legan is vice president and commercial lender at OakStar Bank in Bolivar. Craig Lehman owns the Craig Lehman Agency/Shelter Insurance in Bolivar. Other members of the Citizens Memorial Health Care Foundation Board of Directors are Janieca Hancock, president; Donald J. Babb; Trina Banner; Gary Fulbright; D. Michelle Meents, M.D.; and Michael Calhoun, ex officio. Learn more at dss.mo.gov/mhd/rural-health. About Rural Health Transformation Program funding This program is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award authorized under H.R. 1, with 100% of the total program costs funded by CMS/ HHS and no non-governmental funding. The contents of this presentation are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, CMS/HHS or the U.S. Government.
4 VITALITY Winter 2026 Transparency in patient care Citizens Memorial Hospital earned the Leapfrog Full Transparency Badge, recognizing the hospital’s commitment to publicly reporting patient safety and quality information through the annual Leapfrog Hospital Survey. The Leapfrog Group awards the Full Transparency badge to hospitals that complete, affirm and submit all sections of the Leapfrog Hospital Survey, a national voluntary reporting program focused on patient safety, quality and transparency. “Transparency is part of earning the trust of the people we serve,” says Michael Calhoun, CEO and executive director of Citizens Memorial Hospital and Citizens Memorial Health Care Foundation. “Completing the Leapfrog Hospital Survey is one way we show our commitment to being open about our performance, learning from the results and continuing to strengthen the safety and quality of care for our patients and communities.” The Leapfrog Full Transparency badge appears on Leapfrog’s public ratings website at ratings.leapfroggroup.org and identifies hospitals that have committed to publicly sharing information about their performance. CMH recognized for maternal health excellence Citizens Memorial Hospital has earned the 2026 MOPQC Star designation for its work to improve the recognition and treatment of severe hypertension in pregnant and postpartum patients. The Missouri Perinatal Quality Collaborative, in partnership with the Missouri Hospital Association, recognized CMH for its participation in the Severe Hypertension in Pregnancy Quality Improvement Collaborative. The initiative helps hospitals implement evidence-based practices designed to improve maternal safety and reduce complications associated with severe hypertension. Severe hypertension during pregnancy and the postpartum period can lead to serious complications if it is not recognized and treated quickly. Through the collaborative, CMH works to strengthen standardized practices that help clinical teams identify severe hypertension and provide timely, evidencebased care. CMH earns national stroke care honors Citizens Memorial Hospital received two American Heart Association Get With The Guidelines achievement awards. The hospital demonstrated a commitment to following upto-date, research-based guidelines for the treatment of strokes, helping save lives, support recovery and reduce hospital readmissions. CMH received the following awards: ● Get With The Guidelines Rural Stroke Gold ● Get With The Guidelines Stroke Gold Plus with Target: Stroke Honor Roll Elite and Target: Type 2 Diabetes Honor Roll This is the first year CMH has received the Stroke Gold Plus award. It previously received the Silver award in 2025.
citizensmemorial.com 5 Citizens Memorial Health Care Foundation and several of its long-term care facilities, residents and employees received statewide recognition at the Missouri Health Care Association Convention. They earned honors for resident engagement, employee service, facility activities and leadership within the long-term care profession. Legacy Pageant queen: Lavern Fry, a Lake Stockton Healthcare Facility resident, was crowned queen of the MHCA Legacy Pageant. The pageant celebrates the life stories and experiences of longterm care residents across Missouri. Contestants are judged primarily on their interaction and engagement with the audience. Facility Involvement Contest winners: Activity directors showcased residents’ activities from the past year in a newspaper format, with entries judged in color and black-and-white categories. Citizens Memorial Healthcare Facility in Bolivar won first place in the color category, and Colonial Springs Healthcare Center in Buffalo won second place. District 4 Employee of the Year: John Goddard, a floor finisher and environmental services employee at Ash Grove Healthcare Facility, was named the MHCA District 4 Employee of the Year. The award recognizes outstanding non-nursing employees who provide exceptional service in long-term care. MHCA leadership: Chris McBratney, Lake Stockton Healthcare Facility administrator, completed his term as MHCA president and will serve on the Executive Committee for the next two years as immediate past president. Roy Pace, administrator of Colonial Springs Healthcare Center, was reelected as a member at large on the MHCA Board of Directors. Tim Francka, administrative director of long-term care, was reelected as Missouri’s delegate to the American Health Care Association Council of States. Francka serves in an executive-level position on the MHCA Board as the official voting representative for all skilled nursing facilities in Missouri. MHCA CONVENTION HIGHLIGHTS Service worth celebrating Left photo: Lavern Fry, MHCA Legacy Pageant queen. Right photo: Chris McBratney, left, and John Goddard, MHCA District 4 Employee of the Year
6 VITALITY Winter 2026 CMH Behavioral Health Provider Directory Feeling frazzled? Try these stress-busters Good mental health helps you live and feel your best. But too much stress can put your emotional well-being at risk. Consider taking steps like these to reduce and manage your stress. Calm your mind. You might try closing your eyes and taking a few deep breaths while focusing only on the present moment. Or how about progressive muscle relaxation? It involves tensing and then relaxing different muscle groups for 10 seconds at a time. Make time each day for things you enjoy. Maybe that’s a hobby or a leisure activity like reading a book. Get enough shut-eye. Too little sleep can worsen stress. Engage your senses. Did you know you can use your senses to soothe stress? You might: ● Listen to your favorite song. ● Savor a piece of chocolate. ● Touch the leaves of a plant. ● Take a walk in nature. Manage workplace stress. Most jobs are stressful sometimes. Along with setting healthy work-life boundaries, some things that may help reduce work stress include: ● Prioritizing your tasks. What must be completed today? What can wait? ● Checking in with your supervisor or co-workers. Asking for help isn’t complaining. In fact, it can make you more productive. Tackle big projects in small steps. Often, this makes work more manageable. Take a play break—you’re never too old. Play with a pet, share a laugh with a co-worker or toss a football around with a friend. The endorphins your body makes during these upbeat moments can help relieve stress. Talk to someone you trust. They may not have the answers, but it helps to be heard. Sources: American Heart Association; American Psychological Association; HelpGuide Need to see a behavioral health specialist for yourself or your child, but don’t know where to start? Ask your primary care provider for a referral, or search CMH’s Behavioral Health Provider Directory at cmhbolivar.info/ BHDirectory. CMH’s behavioral health team includes psychiatrists, psychologists, counselors and licensed clinical social workers. You can search for providers based on: ● Location. ● Age range treated. ● Specific services they provide. For more information about behavioral health services at CMH, go to cmhbolivar.info/BehavioralHealth. Check in with your doctor too If your stress feels overwhelming, talk to your doctor. They can offer more advice to help you manage stress.
citizensmemorial.com 7 TAKE CARE OF YOURSELF. Do your best to eat well, rest and exercise. 6 1 SHARE YOUR FEELINGS. Call or meet up with a trusted listener. EXPRESS YOURSELF. Write in a journal, paint a picture or bake something. Art can be healing. 2 BE REALISTIC. How many holiday events can you really handle? Saying yes to every request is exhausting. 3 4 CHECK IN WITH YOURSELF. You don’t have to be merry. But if you’re overwhelmed, talk to your doctor. RELAX AND RECHARGE. Watch a favorite movie, take a soothing bath or practice some deep breathing. 5 6 Stress and grief can make the holidays a difficult and lonely time. If you’re struggling, try these tips. HOLIDAY BLUES? Sources: National Coalition on Aging; Substance Abuse and Mental Health Services Administration SOCIAL MEDIA AND THE HOLIDAYS Healthy habits for a happy holiday season Social media is a great way to stay connected, network with colleagues, raise awareness about important issues and share holiday cheer. On the other hand, studies show that heavy social media use raises your risk for depression, anxiety and loneliness. Plus, it can distract you from dealing directly with negative emotions. This may be especially true during the holidays, when stress, grief and other negative emotions are often high. The good news? Healthy social media habits may help you avoid the downsides. Get started with these tips. Focus on healthy relationships Spending time with friends and family who make you feel good is a powerful way to relieve stress and improve your sense of wellbeing. Video chat with a loved one who lives far away. Meet a friend for coffee, a meal, a workout or some holiday shopping. In addition: ● Say hello to or smile at people when you’re out and about. You can improve how you feel and boost others’ spirits. ● Follow only positive people online. Keep a questioning attitude to avoid falling prey to misinformation, conspiracy theories and negativity. Use your time wisely Creating social connections with others is a great way to use social media and avoid doomscrolling. In addition, set some limits: ● Cut down how often you check for updates. Time-limiting apps can help. ● Turn off notifications. ● Ban phones at the dinner table or before bed. ● Turn off devices when not in use. ● Don’t compare yourself or your life to people online. What you see on social media isn’t reality. ● Practice mindfulness, gratitude and engaging with the real world to improve your overall well-being. ● Take a break from social media. Harness the holiday spirit While it’s true that the holidays can be bittersweet, research suggests that reminiscing in a positive—and not excessive— way can counteract despair and hopelessness. In other words, embracing that nostalgic feeling can help reduce loneliness and strengthen social connections. So this holiday season, skip the social media trap and take time to recreate old traditions—or make new ones—with family and friends. And take your healthy media habits with you into the new year. Sources: American Academy of Pediatrics; American Psychiatric Association; American Psychological Association; Boys and Girls Clubs of America; HelpGuide; National Institutes of Health
8 VITALITY Winter 2026 How’s your CKM health? Steps to protect your heart, kidneys and metabolic system Your heart, kidneys and metabolic health are more connected than you might realize. These organs and systems work together to keep you healthy. For example, ● Your heart and vascular system circulate blood. ● Your kidneys filter waste. ● Your metabolic system creates and uses energy from food. If a problem develops in one of these systems, it can strain the others and lead to CKM (cardiovascular-kidney-metabolic) syndrome. What is CKM syndrome? CKM syndrome itself isn’t a disease. It’s a cluster of interconnected issues, including obesity, diabetes, and heart or kidney disease. These conditions often happen together and make each other worse. Excess weight, for example, can often trigger other risk factors for CKM syndrome, including: ● High blood pressure. ● Abnormal cholesterol levels. ● High blood sugar. ● Decreased kidney function. As CKM syndrome progresses, it can lead to heart failure, kidney failure, stroke, atrial fibrillation (abnormal heartbeats) and peripheral artery disease (poor circulation in the legs and feet). Regular checkups and tests can help find CKM health problems. Ask your doctor about how often you should be seen and screened. One small change can make a difference If you do have risk factors or CKM syndrome, you can take action. When you make even one lifestyle change, it can help many areas of your CKM health. For example: Get moving. Try starting with 10-minute walks. You can increase the duration over time. If you smoke, commit to quitting. Ask your doctor about medicines and support. Eat well. Include a colorful variety of fruits and vegetables; whole grains; lean proteins (like skinless chicken); plant protein (like beans); and fewer salty, fatty and sugary foods. Get a good night’s rest— at least seven to nine hours of nightly sleep. Watch your numbers. Ask your doctor what a healthy weight is for you. And learn your blood pressure, blood sugar and cholesterol numbers. If they’re not where they should be, talk to your doctor about how to manage them. Try making even just one of these changes today for a healthier tomorrow! Source: American Heart Association Start with a checkup Ask your doctor about your CKM risk factors and the screenings you may need. To find a physician or advanced practice provider, visit citizensmemorial.com.
IMPACT REPORT CITIZENS MEMORIAL HEALTH CARE FOUNDATION June 1, 2025, to May 31, 2026 CMH Dialysis Center Finding hope through For nearly four years, every step became harder for Donna Barsness. She struggled to breathe, walk and even put on her shoes as swelling spread throughout her body. She visited multiple hospitals, but no one could explain why she kept getting worse. Doctors treated her for pneumonia, COPD and other conditions. Still, her health continued to decline. Then she met nephrologist Russell Davis, D.O., at Citizens Memorial Hospital. “He was the first person who realized something else was wrong,” Barsness says. “I had been telling people for years that something wasn’t right.” Dr. Davis diagnosed Barsness with kidney disease and quickly connected her with the CMH Dialysis Center. After her first dialysis treatment, she noticed a difference. “I could feel a surge of energy,” she says. “I just knew I was going to survive.” Just days earlier, she believed she was preparing for the end of her life. “The last time I came home from the hospital, I was planning my own funeral,” she says. “I was worn out physically, mentally and emotionally.” Now, more than six months later, her life looks very different. Barsness is breathing easier, walking again and enjoying time outside with her granddaughter. The swelling that once affected her entire body has decreased so much that, within two weeks of starting dialysis, she could wear her own shoes instead of the largest men’s slides she could find. —Continued on next page Donna Barsness and Sarah Matlock, RN, director of dialysis operations at the CMH Dialysis Center, share a laugh during a dialysis treatment. Barsness receives regular treatments each week at the center, which opened in late 2025.
INSPIRE “You notice the little changes every time,” she says. “Those little changes are amazing.” ‘The smiles are always there’ Barsness credits more than the dialysis treatments for the improvements she has experienced. She says the entire CMH team has made the difference. From financial counselors who helped her secure insurance coverage to a dietitian, a social worker and the dialysis staff, Barsness says everyone works together to support patients. “If they don’t have an answer, they will find one,” she says. “It’s like having your own team.” She also appreciates receiving care close to home and the support she receives each time she visits the center. “If something ever goes wrong, I know I can call my team,” she says. “Each time I come in to the center, it’s a warm welcome. It can be a bad day or good day—the smiles are always there.” Sharing a message of hope Looking back, Barsness is grateful for the care that gave her hope when she had almost lost it. “Don’t ever give up,” she says. “Come meet my team. See how great they are. They believe in you, and you will believe in yourself.” Today, she describes herself as living proof of the difference compassionate care can make. “I really think I owe my life to CMH Dialysis Center,” she says. “They saved my life.” —Continued from previous page 2026 CMH Foundation Soirée raises more than $100,000 The third annual Citizens Memorial Health Care Foundation Soirée raised more than $100,000. This year’s event benefits the CMH Dialysis Center and CMH Nephrology Clinic. The Citizens Memorial Health Care Foundation is establishing a patient assistance fund to help patients receiving dialysis and nephrology care with needs associated with treatment, including transportation and nutritional supplements. The Soirée is the Foundation’s premier annual fundraising event, bringing the community together to support patient care and healthcare services at CMH. The 2027 CMH Foundation Soirée is scheduled for Saturday, Sept. 25, at the estate of John and Maria Kallenbach. Making a difference for dialysis patients The CMH Dialysis Center and Nephrology Clinic Patient Assistance Fund helps support patients receiving care at the CMH Dialysis Center who may face financial challenges related to their treatment. “We do see a lot of patients who are very restricted with their income because they are no longer able to work,” says Meleah Howard, CMH social worker. “That not only puts a strain on our patients but also on their families. This fund helps by filling in those gaps so they can focus on their medical care.” Donations help provide assistance with essential needs such as transportation, meals and approved dietary supplements, allowing patients to focus on their health and continuing the care they need. Every gift makes a meaningful difference for local patients and their families. “It really truly is a joy to see the relief that can come off of the patients when I say we have a resource for that,” Howard says. Donate now Learn more about donating to the CMH Foundation at cmhbolivar.info/giving. You can designate gifts for the Dialysis Center. Or contact Jennifer Stegner at development@citizensmemorial.com or 417-328-6318. Find support close to home The CMH Dialysis Center is here to provide the care, resources and support you need. Call 417-328-7373 to learn more about our services.
IMPACT CMH FOUNDATION IMPACT REPORT Changing lives through generosity Your generosity made a remarkable difference this year. Together, we celebrated the opening of CMH’s hospital expansion in April, a milestone that will benefit our communities for years to come. Thanks to the support of donors like you, the Campaign for CMH has raised more than $5 million to help purchase equipment for the new facility, ensuring patients have access to advanced care close to home. Your gifts also continue to meet important needs every day through direct patient and family assistance, scholarships for healthcare careers and more. Every contribution represents a message of hope, compassion and commitment to the health and well-being of our communities. Thank you for supporting the Citizens Memorial Health Care Foundation and for making a lasting difference in the lives of others. Michael Calhoun, CEO/ Executive Director Citizens Memorial Hospital and Citizens Memorial Health Care Foundation What is Club 1982? Club 1982 is the employee giving program at Citizens Memorial. Club 1982 helps support our staff both personally and professionally and invites them to be part of our culture of philanthropy. Club 1982 funds are managed by an employee oversight committee. The program has four areas of support: employee crisis care, scholarships, patient/resident compassion and special projects. 2025–2026 Club 1982 Scholarship recipients Ty Ahlers Chloe Akins Kamron Allison Makayla Altic Madison Anderson Ruella Aparece Sarah Bowes Olivia Bradshaw Kaitlyn Brooks Tucker Calvert Wyatt Camden Abbigail Carsten Katie Clark Arralyn Cline Bryce Coffman Chayse Coose Caley Dalton Jaycee Dampier Laynie DeGraffenreid Aiden J. “AJ” Duryee Levi George Preston George Montana Gregor Aubrey Hanak Rebekah Harless Andrew Harley Delainie Hedger Bryce HembreeHaldiman Raelyn Henderson Jessica Hunholz Jett Johnson Abygail Kaufmann Kenzie Keith Shekinah Lentz Macie Letterman Tessa Ludden Logan MacLaughlin Kori Miles Jacob Morgan Kenna Munhollon Audrey Nelson Jocelyn Norton Ellie Pettit Kelsey Phillips Alexandria Pickney Michael Poterbin Hannah Scalley Lillie Scott Ilandria Shuler Mya Vernon Silas R. Vernon Charlotte Ward Logan Welch Carly WentzSmith Logan Whitlock 2025–2026 Medical Excellence Scholarship new recipients Keegan Coffey Hannah Grant Chloe Hicks DaVigha Holt Madalyn McCoy Evelyn Michael Haydin Miller Kaylynn Morehead Morgan Nikodim Macy Pearson Tymber Pinon Bradley Richter Laurynn Sinclair Abigail Strait Theodore Trowbridge Molly West How you made a difference in 2025–2026 3,587 complimentary lunches for cancer patients 1,305 uncompensated patient and family visits by social workers and dietitians at the CJBCC* 341 free cases of nutritional supplements at the CJBCC* 302 family members receiving hospice bereavement support 290 new free memberships at the CMH Senior Fitness Center 521 lodging nights at the Tremain Family Hospitality House 84 hygiene kits for cancer patients 34 employees assisted through Club 1982 50 patients assisted through Club 1982 56 Club 1982 Scholarship recipients 34 Medical Excellence Scholarship recipients (17 high school students and 17 college students) *Carrie J. Babb Cancer Center
Leading donors Joannah Albright Dr. Garrett Alderfer Mark & Rebecca Alderfer Heather Allen Sheela Anderson Jerald & Giana Andrews Amanda Appel James & Lora Ashworth Donald J. & Carrie Babb Dwain & Trina Banner Ramona Bassett Dave Berry Julie Bird Michelle Boehne Amy Bowes Christina Bravata Allen & Laurie Brotherton Michael Bruce Kent & Deeva Brummell John & Judy Bryant Dr. Mark & Margaret Bult Kimberly Butterfield Chad Cahow Michael & Karaley Calhoun Patricia Campbell Chad & Ash Carrel Gary Christopher Jamie Cromer Scott & Tasha Crouch Tony Danko Eran Dawson Eric & Beverly Derrickson Dr. William and Suzanne Donnell Kimberly Doolin K. Patrick & Gelin Douglas Dr. Craig & Jenna Dunseth Lonnie & Sharon Elwood Tim & Nancy Erickson Jessica Evans Dr. Ron & Suzie Evans Steve Farris Jarrett & Heather Finnell Joseph Follis Janice Franklin Gary & Jolene Fulbright Jennifer Gambriel Julia Garretson Tregg Geren Todd Grant Dr. Jonathan Gray Roger & Pamela Grider Denise Hall Justin Hamlet Sarah Hanak Prentice & Rebecca Hancock Dr. Louis & Shelly Harris Dwight & Verna Haun DeAnna Hedger Tamera Heitz-Peek Kelly & Rodney Hendrickson Mel & Eileen Hendrickson Marilyn HendricksonBamber Matt & LeAnn Henenberg Sara Hennessy Kristen Hensley Stephanie Hensley Dr. Mariah Hollabaugh Dr. Jana Horner & Family Eileen Howell Penny Hruby Rae Hubbert Paulette Ivey Tyler Johnsen Glen Johnson Dr. Neale & Frances Johnson Dr. Don & Carolyn Jump John & Maria Kallenbach Christie Kirby Scott Kirchhoff Dr. Ashley Lane Briana Lascon Tom Liberty Nicholas Locke Angela Long Paul & Brenda Long Claudia Lower Charles & Shirley MacLaughlin Jeremy MacLaughlin Jeremy Maggard David & Charlotte Marsch Sarah Matlock Chuck & Lisha Mauck Greg McCarter Debra McCaslin Patrick McClure Claire McCormack Steve & Dr. Shelly Meents Rebecca Melton Clay & Renee Meyer Christopher Miller Jeffrey Miller Bill & Terri Monday Tom & Sherry Montileone Tonya Moore Dr. Troy Morrison Stephanie Nimmo Steven & Glenda Olive Dr. Malcolm & Mary Oliver Amanda Parks Savanah Pope Maria Price Steve Retherford Amber Robbins Dr. Kristin Robidou Scott & Dr. Staci Rogers Wendy Rothdiener Jamie Ruggles Amany Salib Shane Severns Donna Shelby Jody & Robin Shelenhamer Dr. Juris Simanis Morgan Simpson Joylyn Smith Dr. Ron & Barbara Smith Wendy Smith Ken & Lorrie Stephens Michael & Nancy Stephens Jay Stevens Susan Stewart Lacey Stokes Vanessa Swartz Shelly Swearengin Sarah Swearingin Neal Taylor Dr. Jeffrey & Loree Tedrow Sandra Tooley Richard & Debra Vastine RD Vestal Mary Volkmar Diane Walker James & Judith Walker Dr. Mark & April Walterskirchen Ralph Weeks Catherine Williams Cammie Wine Kelly Winfiel Dr. Wayne Wolf Tim Wolters Donald & Joan Woods INVEST Business donors Aegis Fire Protection All Creatures Animal Clinic APAC The Bank of Missouri BDH2 Holdings LLC Bill Grant Ford Bolivar R-1 Schools Bolivar Technical College Capital One CMH Auxiliary Commerce Bank Community Foundation of the Ozarks CoxHealth DCBC LLC DD Properties & Investments LLC Don Toño Taqueria Dugan’s Paint & Flooring Ellis, Ellis, Hammons & Johnson Fast n’ Friendly Forvis Mazars Goody’s Resort Grand Missouri Bank Harry Cooper Supply Co. Healthcare Services Group Hickory County MAFIA Team Hickory County Title Co. LLC HSG Charitable Foundation Humansville R-IV School District The Infinite Kitchen JE Dunn Construction Liberty Utilities Service Corp. Mainline Fire Protection Mid-Missouri Bank Mike Wood Electric LLC Missouri Beef Days Mud Movers Inc. Nabholz Construction Nobile Hill Ranch OakStar Bank O’Bannon Bank Ozarks Coca-Cola/ Dr Pepper Bottling Co. Ozarks Community Health Center Pitts Chapel Polk County Title Co LLC Roberta Hollada & Gayla Derosa Senior Fitness Center members SGC Foodservice Shelter Insurance- Craig Lehman Southwest Electric Cooperative St. Peter’s Church Women’s Council Star Wholesale Supply Stifel Nicolaus Strategic Capital Consulting Strategic Healthcare Advisors Triumph Medical United Women in Faith Warwick Electric LLC Wheeler Livestock Auction WHT Draggon Sales LLC Zion Lutheran Church CMH FOUNDATION IMPACT REPORT Learn more about giving to Citizens Memorial Visit our website at cmhbolivar.info/giving or contact: ● Community Relations & Development at 417-328-6318 or development@citizensmemorial.com. ● Jerald Andrews, campaign adviser, at 417-839-9805 or jerald.andrews@citizensmemorial.com. This listing recognizes our top donors. All donors are listed on our website at cmhbolivar.info/ImpactReport. We are deeply grateful to every donor—your generosity strengthens healthcare in our community.
citizensmemorial.com 9 A closer look at aneurysms Like hoses under pressure, arteries carry blood from your heart to the rest of your body. If a weak spot forms in any of those arteries, it can balloon out, a serious condition called an aneurysm. Aneurysms can form in any artery, but they often form in the abdomen (abdominal aortic aneurysm), brain (cerebral aneurysm) and chest (thoracic aortic aneurysm). Sometimes the cause of an aneurysm may be unknown. But factors like high blood pressure, smoking, a family history of aneurysms and hardening of the arteries can all increase your risk. “The best time to find an aneurysm is before it causes a problem,” says David J. Lemons, D.O., FSCAI, a board certified interventional cardiologist with the CMH Heart Institute. “Early detection gives us the chance to monitor it or treat it before it becomes a lifethreatening emergency.” It can be tricky to catch an aneurysm, since many cause no symptoms until they expand, leak or rupture. Luckily, one common type of aneurysm, an abdominal aortic aneurysm, can be found with an ultrasound screening test. Men are most at risk for this type of aneurysm. So if you’re a man, age 65 to 75, who has ever smoked, ask your doctor about this test. “Many men who qualify for screening feel perfectly healthy, which is exactly why the test is so important,” Dr. Lemons says. “It can uncover a problem that might otherwise go unnoticed until it’s too late.” Know the signs According to the American Heart Association, an aneurysm that grows quickly or ruptures might cause the following symptoms, depending on the aneurysm’s location and size: ● Severe headache. ● Pain in the abdomen, chest or back. ● A pulsating mass in the belly, like a heartbeat. ● Dizziness. ● Vision changes. ● Confusion. A ruptured aneurysm—which can cause severe back or belly pain—is an emergency. If you notice these symptoms, call 911. Treatment If you have an unruptured aneurysm, your doctor may monitor it with imaging tests and prescribe medications to reduce stress on the artery. Some aneurysms may need surgery or catheter-based procedures to prevent them from rupturing. Your doctor can tell you more about your risk of an aneurysm. Sources: American Heart Association; Merck Manuals Online Medical Library Know your risk. Protect your health. Aneurysms often develop without warning. If you have concerns about your heart or vascular health, talk with your doctor or schedule an appointment with a cardiologist at the CMH Heart Institute Clinic. Call 417-328-6040.
10 VITALITY Winter 2026 Ankle sprains: What you need to know If you’ve ever rolled your ankle, you know how painful and frustrating a sprain can be. You’re far from alone—around 25,000 people sprain an ankle every day, according to the American Orthopaedic Foot & Ankle Society. A sprain occurs when an ankle ligament—the tissue that connects bone to bone—is stretched too far or torn. This may be extremely painful, and it can leave your ankle weak and unstable. A painful plot twist Sprains usually happen when the ankle twists. Most sprains affect the outside of the ankle, but they can happen in other areas too. Sports that involve jumping, cutting or other quick direction changes are common culprits. But you can also sprain an ankle while walking on uneven ground or going down the stairs. People with high arches, weak ankle muscles or loose ligaments are more prone to injury. And once you’ve had a sprain, you’re more likely to get another. Is it a sprain? A sprained ankle often hurts right away and may swell, bruise and feel tender, usually on the outside. Depending on the severity, putting weight on it can be difficult. “A lot of people think they can just walk off an ankle sprain, but that’s not always the case,” says Lee A. Lane, DPM, a podiatrist at the CMH Podiatry Clinic. “The ankle can become unstable and more prone to future injuries. The sooner you have it evaluated and treated properly, the better your chances of healing fully and getting back to the activities you enjoy.” When you seek medical care, your doctor will likely do a physical exam of your injury to confirm the sprain. They may also order an X-ray to rule out broken bones. They’ll also check for a high ankle sprain, which is less common but often more serious. This type of sprain affects ligaments above the ankle that connect the two shin bones and help keep them stable when you walk or run. Treatment depends on the severity of the sprain: ● Grade 1 (mild) usually improves within a few days with rest, ice, compression and elevation. Sometimes a brace may be used to increase stability. ● Grade 2 (moderate) needs more time to heal— sometimes weeks—and may require a splint. ● Grade 3 (severe) often requires a boot or cast for up to six weeks or more. Surgery is rarely “The sooner you have it evaluated and treated properly, the better your chances of healing fully and getting back to the activities you enjoy.” —Lee A. Lane, DPM
citizensmemorial.com 11 Watch out for these 7 common foot problems Every day, your feet take you where you need to go. Plus, they may dance for joy, run for miles and even look cute in sandals. So, when a foot problem occurs, it can really limit how you live your life. Luckily, a foot specialist, known as a podiatrist, can help you find relief for these common foot conditions and more: 1 Achilles tendinopathy. This causes acute and chronic pain and stiffness in the Achilles tendon at the back of the lower leg and ankle. Poorly fitting or worn-out shoes, incorrect running form, or being overweight are typical culprits. 2 Bunions. Too-tight shoes can cause a painful, bony bump at the base of your big toe joint. Eventually, arthritis can develop. Wearing wider shoes can help ease pain. In severe cases, surgery may be needed. 3 Hammer toe. Usually affecting the second toe—or sometimes the third or fourth—this condition is characterized by a Z-shaped bend in the toe that cannot be easily straightened. Injuries, badly fitting shoes, rheumatoid arthritis or genetics can cause it. Surgery may be needed to straighten the toe joint. 4 Corns. These hard bumps on top of your toe joints often hurt and are the result of pressure and friction from poorly fitting shoes. Topical treatments can soften corns, or a podiatrist can remove them. 5 Neuropathy. Diabetes is the most common cause of this condition, which involves loss of sensation due to nerve damage. Treatment may help slow the disease’s progression and ease any pain. 6 Gout. Uric acid buildup can cause severe, sudden joint pain; redness; and swelling in the feet. Family history, excessive alcohol use and being overweight are risk factors. Gout can go away on its own, but medicine can bring relief sooner. 7 Plantar fasciitis. This is a common cause of heel pain, triggered by strain or injury to the band of tissue that connects your heel to the ball of your foot. It’s usually worse in the morning and after resting. A podiatrist can diagnose it and recommend effective treatments. Get back on your feet Call the CMH Podiatry Clinic at 417-328-7000 to make an appointment with a podiatrist. Healthy feet start here Don’t let foot or ankle pain slow you down. Whether you’re dealing with a sprain, heel pain, numbness or another foot concern, early treatment can help you heal faster and stay active. Call 417-328-7000 to make an appointment with a podiatrist at the CMH Podiatry Clinic and take the first step toward healthier feet. needed, but it may be considered if the ankle stays unstable. Recovery usually happens in three phases: Phase 1: Rest, reduce swelling and protect the ankle. Phase 2: Regain motion and strength. Physical therapy can help rebuild ankle strength and decrease the risk of another sprain. Phase 3: Gradually return to activity—starting slow and progressing to sport-specific exercises. Prevention You can’t prevent every sprain, but certain practices may help lower your risk: Warm up before activity, strengthen your ankle muscles, watch your step on uneven surfaces and wear supportive shoes. Additional sources: American Academy of Emergency Physicians; American Academy of Orthopaedic Surgeons; Merck Manuals Online Medical Library Sources: American Podiatric Medical Association; Merck Manuals Online Medical Library; UpToDate Brad Jones, DPM Lee A. Lane, DPM Creighton Woolsey, DPM
12 VITALITY Winter 2026 Exercise and pregnancy Exercise is good for your physical and mental health—even while you’re pregnant. Although you may need to take some precautions, it’s generally safe to exercise while you’re pregnant. As long as you’re healthy, exercise can benefit both you and your baby. For instance, exercising can: ● Help ease pregnancy discomforts like back pain and constipation. ● Reduce your risk of some pregnancy complications, like gestational diabetes. ● Help you have a healthy pregnancy weight. Staying active after your baby is born may help reduce your risk of postpartum depression. “Exercise looks a little different during pregnancy, but staying active can make a big difference in how you feel,” says Briana Gomez, M.D., an obstetrician and gynecologist at the CMH OB/GYN Clinic. “The goal isn’t to train harder. It’s to keep your body moving in a way that feels good and is safe for you and your baby.” How to exercise safely Check with your doctor first. Make sure there aren’t any medical reasons why you shouldn’t exercise at this time. For example, having certain types of lung or heart disease, carrying twins, or having preeclampsia (high blood pressure during pregnancy) could make exercise unsafe for you. Once your doctor gives you the green light to start or continue exercise, these tips can help you get going safely and comfortably: Choose activities you enjoy. Many activities are safe to do during pregnancy, including brisk walking; swimming or water aerobics; stationary cycling (you’re less likely to fall than if you ride a regular bike); and modified yoga or Pilates poses. If you were already doing more vigorous workouts, like running, ask your doctor if you should keep doing them while you’re pregnant. Avoid risky activities. This includes activities that involve lying on your back and those that could cause you to fall. You should also avoid contact sports, like soccer or basketball. Make it a habit. An ideal exercise plan includes 150 minutes of moderately intense aerobic activity each week. But any amount of exercise is better than none. Drink plenty of water. If it’s hot out, move your workout indoors. Sources: American College of Obstetricians and Gynecologists; Centers for Disease Control and Prevention Care for you and your baby Looking for prenatal care? Making an appointment is easy. Call the CMH OB/GYN Clinic at 417-777-8131.
citizensmemorial.com 13 Smart ways to stick to your health goals 5 stick-to-it strategies 1 Rethink your goal. Still right for you? Adjust it if it’s not a good fit. Make it small and achievable, and don’t overthink it. For example, if your original goal was a healthier diet, commit to adding one serving of vegetables per day. 2 Create an action plan. What steps will you need to take to stay on track? Write them down. Include how you will cope when you’re feeling challenged. 3 Focus on the process, not the result. Visualize your success, but don’t let it distract you. Zeroing in on daily actions can help you feel more present and in control while striving toward your goal. 4 Remove barriers. Set up your yoga mat before you go to bed, or put your walking shoes and jacket by the front door. 5 Stack habits. Add your new habit to an existing one. If your goal is to move more, for instance, park farther away from your office building and take the stairs. Or do some squats or pushups while your coffee is brewing. Micro-habits add up! Sources: American College of Sports Medicine; American Heart Association; Child Mind Institute; Children and Adults with AttentionDeficit/Hyperactivity Disorder; HelpGuide It’s easy to get excited about setting goals to improve your health. At first, you feel strongly motivated, but it often doesn’t take long for that motivation to wear off. This may be especially true if you have attentiondeficit/hyperactivity disorder (ADHD) or other executive function deficits. You may have extra trouble prioritizing things, getting started and maintaining focus, which can make following through with a goal overwhelming. Even if you don’t have ADHD, you may still need a boost of motivation now and then to stay on track. These research-backed ideas can help you succeed. Be patient and kind to yourself. Health goals can be hard, but you can reach them if you stick with it.
14 VITALITY Winter 2026 Meal planning: Level up your healthy eating pattern A healthy eating pattern does more than help you feel good day-to-day—it can help reduce your risk for serious health conditions like heart disease, diabetes and high blood pressure. But making healthy choices consistently isn’t always easy. After a long workday, the task of cooking a fresh meal from scratch can feel overwhelming. That’s why meal planning is so important. The more you prepare in advance, the easier it becomes to stick to your goals. “Having a plan is essential in life and especially when we are trying to make changes to our meals to promote our health,” says CMH outpatient dietitian Mary Cochran, RDN, L.D. “The key is to start with small changes. Focus on balancing lean animal proteins or plantbased proteins, complex carbohydrates and unsaturated fats. Planning meals every week helps ensure that you have the needed ingredients. You can switch it up if you need to during the week. Having nutrient-dense foods on hand helps save time and money and will help prevent chronic diseases.” These simple strategies can help make meal planning easier, even for busy people. 1 Look at your schedule. Think through your week before you plan your meals. Are there nights when you’ll need something fast? Are you packing lunches that need to stay cold all day? Factoring in daily routines makes healthy eating more manageable. “Sometimes life gets in the way of our plans, and that’s OK,” Cochran says. “What’s important is that we keep trying.” 2 Consider dietary preferences. If you or your family members follow specific nutrition guidelines or have food allergies or preferences, be sure to build your meal plan around them. This increases the chances that everyone will enjoy and stick to the menu. 3Make a menu. Start by choosing a week’s worth of recipes that fit your cooking skills and the kitchen tools you have. Use up what’s already in your kitchen, take advantage of store sales and aim for variety. Don’t forget to include all meals—breakfast, lunch and dinner—as well as snacks. 4Plan for leftovers. Save time and reduce food waste by building leftovers into your plan. You can serve them again later in the week or freeze them for a future meal. Always make sure to follow food safety guidelines. 5Shop smart. Keep a running grocery list where it’s easy to access—on paper or in a smartphone app. Add ingredients as you run out, and check what you already have before shopping to avoid buying duplicates or wasting food. 6Stock up on staples. Fill your pantry and freezer with essentials from all five food groups. Grains, like pasta and oats; proteins, such as canned beans and tuna; frozen vegetables; dried fruit; and low-fat dairy items can help you pull meals together quickly. Sources: American Heart Association; Academy of Nutrition and Dietetics; National Council on Aging; National Institute on Aging Still need help getting started? Talk to your healthcare provider. They can refer you to a registered dietitian at CMH who can tailor a plan to your needs. To find a provider, visit citizensmemorial.com.
citizensmemorial.com 15 Three-bean chili with chunky tomatoes Welcome to our new providers Olivia Martin, FNP-C Pediatric Family Nurse Practitioner C MH Pediatric Clinic Education: Master’s degree in family nurse practitioner, Chamberlain University, Downers Grove, Illinois Credentials: Certified by the American Academy of Nurse Practitioners Appointments: 417-777-2121 Kayla Simmons, FNP-C Oncology Family Nurse Practitioner C arrie J. Babb Cancer Center Education: Master of Science in nursing–Family Nurse Practitioner, Arkansas State University, Jonesboro, Arkansas Credentials: Certified by the American Academy of Nurse Practitioners Information: 417-326-7200 See our new physicians on the next page. Directions ● In an 8-quart soup or pasta pot, heat the oil over medium heat until hot but not smoking. ● Add onion. Cook and stir until onion starts to soften, about 5 minutes. ● Add celery and green pepper. Cook and stir another 5 minutes, until all vegetables soften. ● Add drained and rinsed beans to pot. ● Stir in tomatoes, cumin and chili powder. ● Bring to a boil. Cover, reduce heat and simmer 10 to 20 minutes to blend flavors. ● Serve immediately. If you can’t find beans labeled “low sodium,” compare the Nutrition Facts panels to find the beans with the lowest amount of sodium. Rinsing can help further reduce the sodium level. Nutrition information Serving size: 2 cups. Amount per serving: 443 calories, 8g total fat (0g saturated fat), 0mg cholesterol, 73g carbohydrates, 22g protein, 16g dietary fiber, 331mg sodium. Source: National Heart, Lung, and Blood Institute Makes 4 servings. Ingredients 2 tablespoons canola oil 1 cup onion, coarsely chopped ½ cup celery, rinsed and chopped 1 cup green bell pepper, rinsed and diced 1 can (15½ ounces) lowsodium black beans, drained and rinsed 1 can (15½ ounces) lowsodium red kidney beans, drained and rinsed 1 can (15½ ounces) lowsodium pinto beans, drained and rinsed 2 cans (14½ ounces each) no-salt-added diced tomatoes with basil, garlic and oregano 1 tablespoon ground cumin 1 tablespoon chili powder
Goals gone off track? Try these simple strategies for sticking to your health goals. See page 13. Nonprofit Org. U.S. Postage PAID Walla Walla, WA Permit No. 44 Citizens Memorial Hospital District 1500 N. Oakland Ave. Bolivar, MO 65613 Welcome to our new physicians Daniel Becak, D.O. Emergency Medicine Physician C itizens Memorial Hospital Medical school: Alabama College of Osteopathic Medicine, Dothan, Alabama Residency: East Carolina University/Vidant Medical Center, Greenville, North Carolina Fellowship: East Carolina University/ ECU Health Medical Center Credentials: Certified by the American Board of Emergency Medicine Information: 417-326-6000 Elshami Elamin, M.D. Oncologist/Hematologist C arrie J. Babb Cancer Center Medical school: University of Khartoum, Sudan Residency: New York Methodist Hospital, Brooklyn, New York Fellowship: New York Methodist Hospital (affiliated with Weill Cornell Medical Center) Credentials: Certified in medical oncology by the American Board of Internal Medicine Information: 417-326-7200 Kyle Szarzynski, M.D. Hospitalist Citizens Memorial Hospital Medical school: The University of Queensland Medical School-Ochsner Clinical School, Brisbane, Queensland, Australia, and New Orleans, Louisiana Residency: Franciscan Health Internal Medicine Residency Program, Olympia Fields, Illinois Information: 417-326-6000 Christoffer Weber, M.D. Physical Medicine Physician C MH Orthopedic & Spine Center Medical school: University of Oklahoma College of Medicine, Oklahoma City, Oklahoma Residency: Siskin Hospital for Rehabilitation and Erlanger Medical Center at the University of Tennessee at Chattanooga, Chattanooga, Tennessee Appointments: 417-777-2663 Need a checkup? Visit citizensmemorial.com to find a doctor, location information and more! —Continued from page 15
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