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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

Lori Buchanan

Public Relations Coordinator/Health and Senior Services

2024 total comp
$35,251
Base pay
$0
Overtime
$0
Other pay
$35,251
Benefits
$0
Total compensation
$35,251

At Health and Senior Services, Lori Buchanan serves as a Public Relations Coordinator. Their 2024 pay totaled $35,251.

Carissa Ware

Staff Development Training Specialist/Health and Senior Services

2024 total comp
$35,241
Base pay
$0
Overtime
$0
Other pay
$35,241
Benefits
$0
Total compensation
$35,241

At Health and Senior Services, Carissa Ware serves as a Staff Development Training Specialist. Their 2024 pay totaled $35,241.

Chris Westergaard

Administrative Support Assistant/Health and Senior Services

2025 total comp
$35,219
Base pay
$0
Overtime
$0
Other pay
$35,219
Benefits
$0
Total compensation
$35,219

At Health and Senior Services, Chris Westergaard serves as a Administrative Support Assistant. Their 2025 pay totaled $35,219.

Rebecca Bax

Special Assistant Professional/Health and Senior Services

2025 total comp
$35,215
Base pay
$0
Overtime
$0
Other pay
$35,215
Benefits
$0
Total compensation
$35,215

At Health and Senior Services, Rebecca Bax serves as a Special Assistant Professional. Their 2025 pay totaled $35,215.

Melissa Bernskoetter

Research/Data Analyst/Health and Senior Services

2024 total comp
$35,208
Base pay
$0
Overtime
$0
Other pay
$35,208
Benefits
$0
Total compensation
$35,208

Melissa Bernskoetter is a Research/Data Analyst at Health and Senior Services. 2024 total compensation came to $35,208.

Dan Mcgee

Social Services Specialist/Health and Senior Services

2025 total comp
$35,186
Base pay
$0
Overtime
$0
Other pay
$35,186
Benefits
$0
Total compensation
$35,186

Dan Mcgee works as a Social Services Specialist for Health and Senior Services. Dan earned $35,186 in 2025.

Susan Smith

Senior Regulatory Auditor/Health and Senior Services

2025 total comp
$35,165
Base pay
$0
Overtime
$0
Other pay
$35,165
Benefits
$0
Total compensation
$35,165

At Health and Senior Services, Susan Smith serves as a Senior Regulatory Auditor. Their 2025 pay totaled $35,165.

Deborah Barnes

Administrative Support Assistant/Health and Senior Services

2025 total comp
$35,160
Base pay
$0
Overtime
$0
Other pay
$35,160
Benefits
$0
Total compensation
$35,160

Deborah Barnes is a Administrative Support Assistant at Health and Senior Services. 2025 total compensation came to $35,160.

Trinity Lambert

Administrative Support Assistant/Health and Senior Services

2025 total comp
$35,160
Base pay
$0
Overtime
$0
Other pay
$35,160
Benefits
$0
Total compensation
$35,160

Trinity Lambert works as a Administrative Support Assistant for Health and Senior Services. Trinity earned $35,160 in 2025.

Lenora Shepard

Administrative Support Assistant/Health and Senior Services

2025 total comp
$35,160
Base pay
$0
Overtime
$0
Other pay
$35,160
Benefits
$0
Total compensation
$35,160

Lenora Shepard works as a Administrative Support Assistant for Health and Senior Services. Lenora earned $35,160 in 2025.

Michael Byrd

Administrative Support Assistant/Health and Senior Services

2025 total comp
$35,160
Base pay
$0
Overtime
$0
Other pay
$35,160
Benefits
$0
Total compensation
$35,160

At Health and Senior Services, Michael Byrd serves as a Administrative Support Assistant. Their 2025 pay totaled $35,160.

Tonia Ellers

Administrative Support Assistant/Health and Senior Services

2025 total comp
$35,160
Base pay
$0
Overtime
$0
Other pay
$35,160
Benefits
$0
Total compensation
$35,160

Tonia Ellers works as a Administrative Support Assistant for Health and Senior Services. Tonia earned $35,160 in 2025.

Kari Giesing

Administrative Support Assistant/Health and Senior Services

2025 total comp
$35,160
Base pay
$0
Overtime
$0
Other pay
$35,160
Benefits
$0
Total compensation
$35,160

Kari Giesing is a Administrative Support Assistant at Health and Senior Services. 2025 total compensation came to $35,160.

Rhonda Ingram

Administrative Support Assistant/Health and Senior Services

2025 total comp
$35,160
Base pay
$0
Overtime
$0
Other pay
$35,160
Benefits
$0
Total compensation
$35,160

At Health and Senior Services, Rhonda Ingram serves as a Administrative Support Assistant. Their 2025 pay totaled $35,160.

Robyn Kistler

Associate Social Services Specialist/Health and Senior Services

2024 total comp
$35,160
Base pay
$0
Overtime
$0
Other pay
$35,160
Benefits
$0
Total compensation
$35,160

Robyn Kistler is a Associate Social Services Specialist at Health and Senior Services. 2024 total compensation came to $35,160.

Lakeisha Davis

Public Health Program Specialist/Health and Senior Services

2025 total comp
$35,157
Base pay
$0
Overtime
$0
Other pay
$35,157
Benefits
$0
Total compensation
$35,157

Lakeisha Davis holds the role of Public Health Program Specialist at Health and Senior Services. In 2025, their total compensation was $35,157.

Melissa Brown

Accountant Supervisor/Health and Senior Services

2023 total comp
$35,145
Base pay
$0
Overtime
$0
Other pay
$35,145
Benefits
$0
Total compensation
$35,145

At Health and Senior Services, Melissa Brown serves as a Accountant Supervisor. Their 2023 pay totaled $35,145.

Amber Lenox

Accounts Assistant/Health and Senior Services

2025 total comp
$35,113
Base pay
$0
Overtime
$0
Other pay
$35,113
Benefits
$0
Total compensation
$35,113

Amber Lenox is a Accounts Assistant at Health and Senior Services. 2025 total compensation came to $35,113.

Austin Galbraith

Research/Data Analyst/Health and Senior Services

2023 total comp
$35,111
Base pay
$0
Overtime
$0
Other pay
$35,111
Benefits
$0
Total compensation
$35,111

Austin Galbraith works as a Research/Data Analyst for Health and Senior Services. Austin earned $35,111 in 2023.

Fatma Bayati

Research/Data Analyst/Health and Senior Services

2025 total comp
$35,091
Base pay
$0
Overtime
$0
Other pay
$35,091
Benefits
$0
Total compensation
$35,091

Fatma Bayati holds the role of Research/Data Analyst at Health and Senior Services. In 2025, their total compensation was $35,091.

Jane Epperson

Program Coordinator/Health and Senior Services

2024 total comp
$35,059
Base pay
$0
Overtime
$0
Other pay
$35,059
Benefits
$0
Total compensation
$35,059

Jane Epperson is a Program Coordinator at Health and Senior Services. 2024 total compensation came to $35,059.

Kody Renner

Administrative Support Professional/Health and Senior Services

2023 total comp
$35,053
Base pay
$0
Overtime
$0
Other pay
$35,053
Benefits
$0
Total compensation
$35,053

Kody Renner is a Administrative Support Professional at Health and Senior Services. 2023 total compensation came to $35,053.

Irene Patterson

Social Services Specialist/Health and Senior Services

2024 total comp
$35,042
Base pay
$0
Overtime
$0
Other pay
$35,042
Benefits
$0
Total compensation
$35,042

Irene Patterson holds the role of Social Services Specialist at Health and Senior Services. In 2024, their total compensation was $35,042.

Laurissa Kliethermes

Intermediate Accountant/Health and Senior Services

2025 total comp
$35,026
Base pay
$0
Overtime
$0
Other pay
$35,026
Benefits
$0
Total compensation
$35,026

Laurissa Kliethermes is a Intermediate Accountant at Health and Senior Services. 2025 total compensation came to $35,026.

Bonnie Ricks

Laboratory Supervisor/Health and Senior Services

2023 total comp
$35,010
Base pay
$0
Overtime
$0
Other pay
$35,010
Benefits
$0
Total compensation
$35,010

Bonnie Ricks holds the role of Laboratory Supervisor at Health and Senior Services. In 2023, their total compensation was $35,010.

Rani Hess

Administrative Support Assistant/Health and Senior Services

2025 total comp
$35,000
Base pay
$0
Overtime
$0
Other pay
$35,000
Benefits
$0
Total compensation
$35,000

Rani Hess is a Administrative Support Assistant at Health and Senior Services. 2025 total compensation came to $35,000.

Christina Sumner

Senior Non-Commission Investigator/Health and Senior Services

2023 total comp
$34,903
Base pay
$0
Overtime
$0
Other pay
$34,903
Benefits
$0
Total compensation
$34,903

Christina Sumner holds the role of Senior Non-Commission Investigator at Health and Senior Services. In 2023, their total compensation was $34,903.

Patricia Hanchett

Administrative Support Assistant/Health and Senior Services

2025 total comp
$34,899
Base pay
$0
Overtime
$0
Other pay
$34,899
Benefits
$0
Total compensation
$34,899

Patricia Hanchett holds the role of Administrative Support Assistant at Health and Senior Services. In 2025, their total compensation was $34,899.

David Thomas

Senior Regulatory Auditor/Health and Senior Services

2025 total comp
$34,882
Base pay
$0
Overtime
$0
Other pay
$34,882
Benefits
$0
Total compensation
$34,882

David Thomas is a Senior Regulatory Auditor at Health and Senior Services. 2025 total compensation came to $34,882.

Jesus Vela

Associate Research/Data Analyst/Health and Senior Services

2025 total comp
$34,868
Base pay
$0
Overtime
$0
Other pay
$34,868
Benefits
$0
Total compensation
$34,868

Jesus Vela works as a Associate Research/Data Analyst for Health and Senior Services. Jesus earned $34,868 in 2025.

Leigh Clifton

Administrative Support Assistant/Health and Senior Services

2025 total comp
$34,851
Base pay
$0
Overtime
$0
Other pay
$34,851
Benefits
$0
Total compensation
$34,851

Leigh Clifton holds the role of Administrative Support Assistant at Health and Senior Services. In 2025, their total compensation was $34,851.

Samuel Durham

Associate Epidemiologist/Health and Senior Services

2025 total comp
$34,835
Base pay
$0
Overtime
$0
Other pay
$34,835
Benefits
$0
Total compensation
$34,835

Samuel Durham holds the role of Associate Epidemiologist at Health and Senior Services. In 2025, their total compensation was $34,835.

Audrey Middaugh-Williams

Administrative Support Assistant/Health and Senior Services

2025 total comp
$34,763
Base pay
$0
Overtime
$0
Other pay
$34,763
Benefits
$0
Total compensation
$34,763

Audrey Middaugh-Williams is a Administrative Support Assistant at Health and Senior Services. 2025 total compensation came to $34,763.

Lauren Freeman

Senior Regulatory Auditor/Health and Senior Services

2025 total comp
$34,756
Base pay
$0
Overtime
$0
Other pay
$34,756
Benefits
$0
Total compensation
$34,756

Lauren Freeman holds the role of Senior Regulatory Auditor at Health and Senior Services. In 2025, their total compensation was $34,756.

Michael Childress

Social Services Specialist/Health and Senior Services

2024 total comp
$34,754
Base pay
$0
Overtime
$0
Other pay
$34,754
Benefits
$0
Total compensation
$34,754

At Health and Senior Services, Michael Childress serves as a Social Services Specialist. Their 2024 pay totaled $34,754.

Sarah Jones

Social Services Specialist/Health and Senior Services

2025 total comp
$34,751
Base pay
$0
Overtime
$0
Other pay
$34,751
Benefits
$0
Total compensation
$34,751

Sarah Jones is a Social Services Specialist at Health and Senior Services. 2025 total compensation came to $34,751.

Mariah Reinkemeyer

Administrative Support Assistant/Health and Senior Services

2025 total comp
$34,746
Base pay
$0
Overtime
$0
Other pay
$34,746
Benefits
$0
Total compensation
$34,746

At Health and Senior Services, Mariah Reinkemeyer serves as a Administrative Support Assistant. Their 2025 pay totaled $34,746.

Kim Reynolds

Social Services Specialist/Health and Senior Services

2023 total comp
$34,745
Base pay
$0
Overtime
$0
Other pay
$34,745
Benefits
$0
Total compensation
$34,745

Kim Reynolds holds the role of Social Services Specialist at Health and Senior Services. In 2023, their total compensation was $34,745.

Kathleen Gmoser

Administrative Support Assistant/Health and Senior Services

2025 total comp
$34,681
Base pay
$0
Overtime
$0
Other pay
$34,681
Benefits
$0
Total compensation
$34,681

Kathleen Gmoser holds the role of Administrative Support Assistant at Health and Senior Services. In 2025, their total compensation was $34,681.

Sonja Talley

Auditor/Health and Senior Services

2025 total comp
$34,659
Base pay
$0
Overtime
$0
Other pay
$34,659
Benefits
$0
Total compensation
$34,659

Sonja Talley works as a Auditor for Health and Senior Services. Sonja earned $34,659 in 2025.