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Missouri / Health and Senior Services

Agency file

Health and Senior Services

Source file: Missouri Accountability Portal — State Employee Pay / ingested Jun 18, 2026

The Health and Senior Services oversees public health and medical services — disease prevention, clinics and hospitals, and health licensing and regulation.

In 2025, this agency had 2,425 employees with median total compensation of $46,326; the highest distinct record was $228,766.

Year
2025
Total payroll
$113.1M
Employees
2,425
Median total
$46,326
Highest record
$228,766

What the records show

Compensation analytics

These summaries compare pay within the agency before listing individual records.

Salary distribution

How 2025 total compensation is spread across the 2,425 employees. Each bar is a pay range; taller bars mean more people earn in that range. The amber line marks the median ($46,326) — half earn less, half more. The far-right bar collects the highest earners.

Average pay composition

  • Base$0 (0%)
  • Overtime$0 (0%)
  • Other$46,654 (100%)
  • Benefits$0 (0%)

What an average paycheck here is made of — base salary versus overtime, other pay (bonuses, allowances), and benefits. A large overtime or other-pay share means take-home often exceeds base salary.

Pay percentiles

10th
25th
Median
75th
90th
$9,994
$25,641
$46,326
$66,196
$78,695

The pay ladder for this department. Someone at the 90th percentile earns $78,695 — more than 90% of the department; the 10th percentile earns $9,994. The shaded band is the middle half of employees (25th–75th percentile).

Largest job titles

The most common job titles in this department by headcount, with the median total compensation for each. Click a title to see everyone who holds it.

Trend

Year over year

How this department's total payroll, headcount, and median pay changed across the 3 published years.

YearTotal payrollEmployeesMedian pay
2023
$96.1M
2,405
$41,617
2024
$107.2M
11.6%
2,407
0.1%
$44,488
6.9%
2025
$113.1M
5.6%
2,425
0.7%
$46,326
4.1%

Compare

Similar departments

Departments elsewhere with the most similar mix of roles — a proxy for the same kind of agency, matched by workforce composition rather than name. Pay is not cost-of-living adjusted.

Record list

Employees

Page 3

Karen Siegel

Social Services Unit Supervisor/Health and Senior Services

2023 total comp
$30,757
Base pay
$0
Overtime
$0
Other pay
$30,757
Benefits
$0
Total compensation
$30,757

Karen Siegel is a Social Services Unit Supervisor at Health and Senior Services. 2023 total compensation came to $30,757.

Jill Hulett

Public Health Program Associate/Health and Senior Services

2025 total comp
$30,743
Base pay
$0
Overtime
$0
Other pay
$30,743
Benefits
$0
Total compensation
$30,743

At Health and Senior Services, Jill Hulett serves as a Public Health Program Associate. Their 2025 pay totaled $30,743.

Paula Reynolds

Registered Nurse/Health and Senior Services

2023 total comp
$30,698
Base pay
$0
Overtime
$0
Other pay
$30,698
Benefits
$0
Total compensation
$30,698

Paula Reynolds is a Registered Nurse at Health and Senior Services. 2023 total compensation came to $30,698.

Jeffrey Prosser

Senior Non-Commission Investigator/Health and Senior Services

2023 total comp
$30,698
Base pay
$0
Overtime
$0
Other pay
$30,698
Benefits
$0
Total compensation
$30,698

Jeffrey Prosser works as a Senior Non-Commission Investigator for Health and Senior Services. Jeffrey earned $30,698 in 2023.

Cindy Blair

Research/Data Analyst/Health and Senior Services

2025 total comp
$30,660
Base pay
$0
Overtime
$0
Other pay
$30,660
Benefits
$0
Total compensation
$30,660

Cindy Blair works as a Research/Data Analyst for Health and Senior Services. Cindy earned $30,660 in 2025.

Donald Johnston

Compliance Inspector/Health and Senior Services

2025 total comp
$30,644
Base pay
$0
Overtime
$0
Other pay
$30,644
Benefits
$0
Total compensation
$30,644

Donald Johnston is a Compliance Inspector at Health and Senior Services. 2025 total compensation came to $30,644.

Justina Salarano

Administrative Support Assistant/Health and Senior Services

2025 total comp
$30,641
Base pay
$0
Overtime
$0
Other pay
$30,641
Benefits
$0
Total compensation
$30,641

Justina Salarano holds the role of Administrative Support Assistant at Health and Senior Services. In 2025, their total compensation was $30,641.

Kimberly Melvin

Lead Administrative Support Assistant/Health and Senior Services

2023 total comp
$30,618
Base pay
$0
Overtime
$0
Other pay
$30,618
Benefits
$0
Total compensation
$30,618

Kimberly Melvin holds the role of Lead Administrative Support Assistant at Health and Senior Services. In 2023, their total compensation was $30,618.

Jennifer Bratton

Social Services Assistant/Health and Senior Services

2024 total comp
$30,601
Base pay
$0
Overtime
$0
Other pay
$30,601
Benefits
$0
Total compensation
$30,601

Jennifer Bratton works as a Social Services Assistant for Health and Senior Services. Jennifer earned $30,601 in 2024.

Angela Reimund

Administrative Support Assistant/Health and Senior Services

2025 total comp
$30,566
Base pay
$0
Overtime
$0
Other pay
$30,566
Benefits
$0
Total compensation
$30,566

At Health and Senior Services, Angela Reimund serves as a Administrative Support Assistant. Their 2025 pay totaled $30,566.

Candice Roark

Administrative Support Assistant/Health and Senior Services

2024 total comp
$30,428
Base pay
$0
Overtime
$0
Other pay
$30,428
Benefits
$0
Total compensation
$30,428

Candice Roark is a Administrative Support Assistant at Health and Senior Services. 2024 total compensation came to $30,428.

Mariah Matheis

Administrative Support Assistant/Health and Senior Services

2023 total comp
$30,422
Base pay
$0
Overtime
$0
Other pay
$30,422
Benefits
$0
Total compensation
$30,422

Mariah Matheis is a Administrative Support Assistant at Health and Senior Services. 2023 total compensation came to $30,422.

Tatum Husong

Senior Accounts Assistant/Health and Senior Services

2023 total comp
$30,412
Base pay
$0
Overtime
$0
Other pay
$30,412
Benefits
$0
Total compensation
$30,412

At Health and Senior Services, Tatum Husong serves as a Senior Accounts Assistant. Their 2023 pay totaled $30,412.

Abigail Lakin

Compliance Inspector/Health and Senior Services

2023 total comp
$30,379
Base pay
$0
Overtime
$0
Other pay
$30,379
Benefits
$0
Total compensation
$30,379

Abigail Lakin is a Compliance Inspector at Health and Senior Services. 2023 total compensation came to $30,379.

Helen Sheridan

Senior Public Health Program Specialist/Health and Senior Services

2024 total comp
$30,265
Base pay
$0
Overtime
$0
Other pay
$30,265
Benefits
$0
Total compensation
$30,265

Helen Sheridan is a Senior Public Health Program Specialist at Health and Senior Services. 2024 total compensation came to $30,265.

Sara Pierce

Public Health Program Specialist/Health and Senior Services

2024 total comp
$30,238
Base pay
$0
Overtime
$0
Other pay
$30,238
Benefits
$0
Total compensation
$30,238

At Health and Senior Services, Sara Pierce serves as a Public Health Program Specialist. Their 2024 pay totaled $30,238.

Krista Cupp

Associate Social Services Specialist/Health and Senior Services

2025 total comp
$30,205
Base pay
$0
Overtime
$0
Other pay
$30,205
Benefits
$0
Total compensation
$30,205

Krista Cupp holds the role of Associate Social Services Specialist at Health and Senior Services. In 2025, their total compensation was $30,205.

Jennifer Crawford

Social Services Unit Supervisor/Health and Senior Services

2025 total comp
$30,190
Base pay
$0
Overtime
$0
Other pay
$30,190
Benefits
$0
Total compensation
$30,190

Jennifer Crawford is a Social Services Unit Supervisor at Health and Senior Services. 2025 total compensation came to $30,190.

Victoria Jamison

Intermediate Accountant/Health and Senior Services

2025 total comp
$30,179
Base pay
$0
Overtime
$0
Other pay
$30,179
Benefits
$0
Total compensation
$30,179

Victoria Jamison is a Intermediate Accountant at Health and Senior Services. 2025 total compensation came to $30,179.

Kari Moore

Public Health Program Supervisor/Health and Senior Services

2023 total comp
$30,113
Base pay
$0
Overtime
$0
Other pay
$30,113
Benefits
$0
Total compensation
$30,113

Kari Moore works as a Public Health Program Supervisor for Health and Senior Services. Kari earned $30,113 in 2023.

Hope Koepke

Senior Accounts Assistant/Health and Senior Services

2025 total comp
$30,100
Base pay
$0
Overtime
$0
Other pay
$30,100
Benefits
$0
Total compensation
$30,100

At Health and Senior Services, Hope Koepke serves as a Senior Accounts Assistant. Their 2025 pay totaled $30,100.

Janice Schanbacher

Program Assistant/Health and Senior Services

2025 total comp
$30,062
Base pay
$0
Overtime
$0
Other pay
$30,062
Benefits
$0
Total compensation
$30,062

Janice Schanbacher is a Program Assistant at Health and Senior Services. 2025 total compensation came to $30,062.

Leticia Rivera

Social Services Specialist/Health and Senior Services

2023 total comp
$29,992
Base pay
$0
Overtime
$0
Other pay
$29,992
Benefits
$0
Total compensation
$29,992

At Health and Senior Services, Leticia Rivera serves as a Social Services Specialist. Their 2023 pay totaled $29,992.

Darcee Espinales

Grants Officer/Health and Senior Services

2025 total comp
$29,977
Base pay
$0
Overtime
$0
Other pay
$29,977
Benefits
$0
Total compensation
$29,977

Darcee Espinales is a Grants Officer at Health and Senior Services. 2025 total compensation came to $29,977.

Nicole Cooper

Public Health Program Associate/Health and Senior Services

2023 total comp
$29,946
Base pay
$0
Overtime
$0
Other pay
$29,946
Benefits
$0
Total compensation
$29,946

Nicole Cooper holds the role of Public Health Program Associate at Health and Senior Services. In 2023, their total compensation was $29,946.

Eric Endsley

Designated Principal Assistant Division/Health and Senior Services

2025 total comp
$29,942
Base pay
$0
Overtime
$0
Other pay
$29,942
Benefits
$0
Total compensation
$29,942

Eric Endsley is a Designated Principal Assistant Division at Health and Senior Services. 2025 total compensation came to $29,942.

Elmer Jackson

Regulatory Auditor Supervisor/Health and Senior Services

2023 total comp
$29,939
Base pay
$0
Overtime
$0
Other pay
$29,939
Benefits
$0
Total compensation
$29,939

At Health and Senior Services, Elmer Jackson serves as a Regulatory Auditor Supervisor. Their 2023 pay totaled $29,939.

Sonya Byrd

Administrative Support Assistant/Health and Senior Services

2024 total comp
$29,936
Base pay
$0
Overtime
$0
Other pay
$29,936
Benefits
$0
Total compensation
$29,936

Sonya Byrd holds the role of Administrative Support Assistant at Health and Senior Services. In 2024, their total compensation was $29,936.

Sarah Jarvis

Research/Data Analyst/Health and Senior Services

2025 total comp
$29,928
Base pay
$0
Overtime
$0
Other pay
$29,928
Benefits
$0
Total compensation
$29,928

Sarah Jarvis holds the role of Research/Data Analyst at Health and Senior Services. In 2025, their total compensation was $29,928.

Russell Klouzek

Senior Social Services Specialist/Health and Senior Services

2025 total comp
$29,910
Base pay
$0
Overtime
$0
Other pay
$29,910
Benefits
$0
Total compensation
$29,910

At Health and Senior Services, Russell Klouzek serves as a Senior Social Services Specialist. Their 2025 pay totaled $29,910.

Tyler Renkemeyer

Program Assistant/Health and Senior Services

2024 total comp
$29,872
Base pay
$0
Overtime
$0
Other pay
$29,872
Benefits
$0
Total compensation
$29,872

Tyler Renkemeyer is a Program Assistant at Health and Senior Services. 2024 total compensation came to $29,872.

Alicia Snitker

Lead Administrative Support Assistant/Health and Senior Services

2024 total comp
$29,799
Base pay
$0
Overtime
$0
Other pay
$29,799
Benefits
$0
Total compensation
$29,799

Alicia Snitker holds the role of Lead Administrative Support Assistant at Health and Senior Services. In 2024, their total compensation was $29,799.

Jolie Brooke

Social Services Specialist/Health and Senior Services

2023 total comp
$29,747
Base pay
$0
Overtime
$0
Other pay
$29,747
Benefits
$0
Total compensation
$29,747

At Health and Senior Services, Jolie Brooke serves as a Social Services Specialist. Their 2023 pay totaled $29,747.

Julie Gauthier

Laboratory Scientist/Health and Senior Services

2024 total comp
$29,732
Base pay
$0
Overtime
$0
Other pay
$29,732
Benefits
$0
Total compensation
$29,732

Julie Gauthier works as a Laboratory Scientist for Health and Senior Services. Julie earned $29,732 in 2024.

Ann Hoffman

Project Specialist/Health and Senior Services

2024 total comp
$29,724
Base pay
$0
Overtime
$0
Other pay
$29,724
Benefits
$0
Total compensation
$29,724

Ann Hoffman is a Project Specialist at Health and Senior Services. 2024 total compensation came to $29,724.

Jeffrey Bellamy

Project Specialist/Health and Senior Services

2024 total comp
$29,720
Base pay
$0
Overtime
$0
Other pay
$29,720
Benefits
$0
Total compensation
$29,720

At Health and Senior Services, Jeffrey Bellamy serves as a Project Specialist. Their 2024 pay totaled $29,720.

Tammy Hoback-Reichl

Accountant Manager/Health and Senior Services

2025 total comp
$29,713
Base pay
$0
Overtime
$0
Other pay
$29,713
Benefits
$0
Total compensation
$29,713

Tammy Hoback-Reichl is a Accountant Manager at Health and Senior Services. 2025 total compensation came to $29,713.

Emma Yannizzi

Social Services Specialist/Health and Senior Services

2024 total comp
$29,664
Base pay
$0
Overtime
$0
Other pay
$29,664
Benefits
$0
Total compensation
$29,664

Emma Yannizzi holds the role of Social Services Specialist at Health and Senior Services. In 2024, their total compensation was $29,664.

Lynette Betts

Social Services Specialist/Health and Senior Services

2024 total comp
$29,634
Base pay
$0
Overtime
$0
Other pay
$29,634
Benefits
$0
Total compensation
$29,634

Lynette Betts is a Social Services Specialist at Health and Senior Services. 2024 total compensation came to $29,634.

Timi Barnes

Administrative Support Assistant/Health and Senior Services

2025 total comp
$29,627
Base pay
$0
Overtime
$0
Other pay
$29,627
Benefits
$0
Total compensation
$29,627

Timi Barnes holds the role of Administrative Support Assistant at Health and Senior Services. In 2025, their total compensation was $29,627.