Numerous homes, businesses, and medical buildings were flattened in this area, with concrete walls collapsed and crushed into the foundations.

A large steel-reinforced step and floor structure leading to a completely destroyed medical building was "deflected upward several inches and cracked".

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Damage became remarkably widespread and catastrophic at and around the nearby St.

John's Regional Medical Center, which lost many windows, interior walls, ceilings, and part of its roof; its life flight helicopter was also blown away and destroyed.

Overall, the tornado killed 158 people (with an additional three indirect deaths), injured some 1,150 others, and caused damages amounting to a total of $2.8 billion.

It was the deadliest tornado to strike the United States since the 1947 Glazier–Higgins–Woodward tornadoes, and the seventh-deadliest overall. In a preliminary estimate, the insurance payout was expected to be .2 billion; the highest insurance payout in Missouri history, higher than the previous record of billion in the April 10, 2001 hail storm, which is considered the costliest hail storm in history as it swept along the I-70 corridor from Kansas to Illinois.

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Several 300-pound concrete parking stops anchored with rebar were torn from a parking lot in this area and were thrown up to 60 yards away.

Iowa State University wind engineer Parka Sarkar was able to calculate the force needed to remove the parking stops and found that winds exceeding 200 mph were needed to tear them from the parking lot.

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