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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 5

Nancy Smith

Compliance Inspection Supervisor/Health and Senior Services

2025 total comp
$37,593
Base pay
$0
Overtime
$0
Other pay
$37,593
Benefits
$0
Total compensation
$37,593

Nancy Smith holds the role of Compliance Inspection Supervisor at Health and Senior Services. In 2025, their total compensation was $37,593.

Anthony Wilson

Laboratory Support Assistant/Health and Senior Services

2025 total comp
$37,587
Base pay
$0
Overtime
$0
Other pay
$37,587
Benefits
$0
Total compensation
$37,587

Anthony Wilson works as a Laboratory Support Assistant for Health and Senior Services. Anthony earned $37,587 in 2025.

Sherri Ruppel

Social Services Assistant/Health and Senior Services

2025 total comp
$37,583
Base pay
$0
Overtime
$0
Other pay
$37,583
Benefits
$0
Total compensation
$37,583

At Health and Senior Services, Sherri Ruppel serves as a Social Services Assistant. Their 2025 pay totaled $37,583.

Donald Kinkhorst

Regulatory Auditor Supervisor/Health and Senior Services

2024 total comp
$37,502
Base pay
$0
Overtime
$0
Other pay
$37,502
Benefits
$0
Total compensation
$37,502

Donald Kinkhorst is a Regulatory Auditor Supervisor at Health and Senior Services. 2024 total compensation came to $37,502.

Lesley Turek

Regulatory Auditor Supervisor/Health and Senior Services

2024 total comp
$37,502
Base pay
$0
Overtime
$0
Other pay
$37,502
Benefits
$0
Total compensation
$37,502

Lesley Turek holds the role of Regulatory Auditor Supervisor at Health and Senior Services. In 2024, their total compensation was $37,502.

Ashley Griffith

Social Services Assistant/Health and Senior Services

2025 total comp
$37,499
Base pay
$0
Overtime
$0
Other pay
$37,499
Benefits
$0
Total compensation
$37,499

Ashley Griffith works as a Social Services Assistant for Health and Senior Services. Ashley earned $37,499 in 2025.

Qian Liu

Associate Epidemiologist/Health and Senior Services

2025 total comp
$37,499
Base pay
$0
Overtime
$0
Other pay
$37,499
Benefits
$0
Total compensation
$37,499

Qian Liu works as a Associate Epidemiologist for Health and Senior Services. Qian earned $37,499 in 2025.

Nichelle Marks

Social Services Assistant/Health and Senior Services

2025 total comp
$37,498
Base pay
$0
Overtime
$0
Other pay
$37,498
Benefits
$0
Total compensation
$37,498

Nichelle Marks is a Social Services Assistant at Health and Senior Services. 2025 total compensation came to $37,498.

Laraya Jackson

Social Services Assistant/Health and Senior Services

2025 total comp
$37,484
Base pay
$0
Overtime
$0
Other pay
$37,484
Benefits
$0
Total compensation
$37,484

Laraya Jackson works as a Social Services Assistant for Health and Senior Services. Laraya earned $37,484 in 2025.

Juanita Johnson

Social Services Specialist/Health and Senior Services

2025 total comp
$37,476
Base pay
$0
Overtime
$0
Other pay
$37,476
Benefits
$0
Total compensation
$37,476

At Health and Senior Services, Juanita Johnson serves as a Social Services Specialist. Their 2025 pay totaled $37,476.

Eileen Lubia

Administrative Support Assistant/Health and Senior Services

2025 total comp
$37,420
Base pay
$0
Overtime
$0
Other pay
$37,420
Benefits
$0
Total compensation
$37,420

Eileen Lubia works as a Administrative Support Assistant for Health and Senior Services. Eileen earned $37,420 in 2025.

Anna Ernst

Laboratory Support Assistant/Health and Senior Services

2025 total comp
$37,417
Base pay
$0
Overtime
$0
Other pay
$37,417
Benefits
$0
Total compensation
$37,417

Anna Ernst works as a Laboratory Support Assistant for Health and Senior Services. Anna earned $37,417 in 2025.