The Creighton University Mid-America Business Conditions Index, a leading economic indicator for the nine-state region stretching from Minnesota to Arkansas, moved above the 50.0 growth neutral threshold for a fourth straight month. The April reading declined to a solid 53.3 from March’s stronger 56.7. The bad news is that the April employment index tumbled to 44.9, its lowest level since November, and down from 67.6 in March.