Missouri

BJC HealthCare and Saint Luke's Health System signed a letter of intent to form an integrated not-for-profit Missouri-based health system.

The county began exploring a new facility eight years ago. Studies concluded the current facility was ill-equipped to deal with overcrowding, in poor physical condition and its design fell short of current standards.

The Missouri House approved legislation to strip St. Louis of its earnings tax on remote work; Wisconsin lawmakers unveiled a plan to raise revenue sharing.

Missouri Republican Sam Graves, a professional pilot, has said he hopes to achieve a bipartisan reauthorization of the federal aviation budget, a key item for the committee this year.

Balance sheet damage from labor costs, the pandemic and a cybersecurity breach triggered covenant violations for Capital Region Medical Center.

St. Louis will receive $250 million and St. Louis County gets $169 million under a deal to distribute the $790 million legal settlement with the National Football League Rams over its 2016 move to California.

The borrowing arm of the Missouri Department of Transportation will take competitive bids on $489 million of new money debt Tuesday.

The zoo's parent received double-A-level ratings with the bonds rated one to two notches lower as a result of appropriation risks.

Decisions by three organizations to drop Moody's ratings underscore an industry-wide trend as the sector struggles with rising costs and narrowing margins.

Maryland Heights, Missouri, believes the fiscal strains from the St. Louis Blues practice facility will fade as activity picks up without pandemic restrictions.