Mo. Rev. Stat. § 189.045
Other than for the year for which the chief fiscal officer first renders a report hereunder, and notwithstanding the provisions of sections 189.030 and 189.035, no payment shall be made to any city, county, corporation, or district for any fiscal year in which its total gross expenditures for operation of a hospital or hospitals were less than the total of:
(L. 1974 H.B. 1686 § 8, A.L. 1980 S.B. 847)