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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 26

Nancy Koester

Administrative Support Assistant/Health and Senior Services

2025 total comp
$40,767
Base pay
$0
Overtime
$0
Other pay
$40,767
Benefits
$0
Total compensation
$40,767

Nancy Koester is a Administrative Support Assistant at Health and Senior Services. 2025 total compensation came to $40,767.

Zackery Lopresto

Administrative Support Assistant/Health and Senior Services

2025 total comp
$40,767
Base pay
$0
Overtime
$0
Other pay
$40,767
Benefits
$0
Total compensation
$40,767

At Health and Senior Services, Zackery Lopresto serves as a Administrative Support Assistant. Their 2025 pay totaled $40,767.

Nancy Silva

Administrative Support Assistant/Health and Senior Services

2025 total comp
$40,767
Base pay
$0
Overtime
$0
Other pay
$40,767
Benefits
$0
Total compensation
$40,767

Nancy Silva works as a Administrative Support Assistant for Health and Senior Services. Nancy earned $40,767 in 2025.

Cindy Robbins

Lead Administrative Support Assistant/Health and Senior Services

2025 total comp
$40,758
Base pay
$0
Overtime
$0
Other pay
$40,758
Benefits
$0
Total compensation
$40,758

Cindy Robbins is a Lead Administrative Support Assistant at Health and Senior Services. 2025 total compensation came to $40,758.

Anne Jamerson

Social Services Specialist/Health and Senior Services

2024 total comp
$40,736
Base pay
$0
Overtime
$0
Other pay
$40,736
Benefits
$0
Total compensation
$40,736

Anne Jamerson is a Social Services Specialist at Health and Senior Services. 2024 total compensation came to $40,736.

Susan Demsko

Lead Administrative Support Assistant/Health and Senior Services

2025 total comp
$40,725
Base pay
$0
Overtime
$0
Other pay
$40,725
Benefits
$0
Total compensation
$40,725

Susan Demsko holds the role of Lead Administrative Support Assistant at Health and Senior Services. In 2025, their total compensation was $40,725.

Madonna Turner

Senior Social Services Specialist/Health and Senior Services

2025 total comp
$40,715
Base pay
$0
Overtime
$0
Other pay
$40,715
Benefits
$0
Total compensation
$40,715

Madonna Turner is a Senior Social Services Specialist at Health and Senior Services. 2025 total compensation came to $40,715.

Rain Davis

Lead Administrative Support Assistant/Health and Senior Services

2025 total comp
$40,694
Base pay
$0
Overtime
$0
Other pay
$40,694
Benefits
$0
Total compensation
$40,694

Rain Davis holds the role of Lead Administrative Support Assistant at Health and Senior Services. In 2025, their total compensation was $40,694.

Aleesha Jones

Senior Public Health Program Specialist/Health and Senior Services

2024 total comp
$40,682
Base pay
$0
Overtime
$0
Other pay
$40,682
Benefits
$0
Total compensation
$40,682

Aleesha Jones works as a Senior Public Health Program Specialist for Health and Senior Services. Aleesha earned $40,682 in 2024.

Sherry Champney

Administrative Support Assistant/Health and Senior Services

2025 total comp
$40,649
Base pay
$0
Overtime
$0
Other pay
$40,649
Benefits
$0
Total compensation
$40,649

Sherry Champney works as a Administrative Support Assistant for Health and Senior Services. Sherry earned $40,649 in 2025.

Elizabeth Crist

Registered Nurse/Health and Senior Services

2025 total comp
$40,625
Base pay
$0
Overtime
$0
Other pay
$40,625
Benefits
$0
Total compensation
$40,625

Elizabeth Crist works as a Registered Nurse for Health and Senior Services. Elizabeth earned $40,625 in 2025.

Lesha Peterson

Public Health Program Specialist/Health and Senior Services

2023 total comp
$40,598
Base pay
$0
Overtime
$0
Other pay
$40,598
Benefits
$0
Total compensation
$40,598

Lesha Peterson is a Public Health Program Specialist at Health and Senior Services. 2023 total compensation came to $40,598.

Doug Smith

Social Services Unit Supervisor/Health and Senior Services

2025 total comp
$40,594
Base pay
$0
Overtime
$0
Other pay
$40,594
Benefits
$0
Total compensation
$40,594

Doug Smith works as a Social Services Unit Supervisor for Health and Senior Services. Doug earned $40,594 in 2025.

Evan Kay

Administrative Support Assistant/Health and Senior Services

2025 total comp
$40,583
Base pay
$0
Overtime
$0
Other pay
$40,583
Benefits
$0
Total compensation
$40,583

Evan Kay works as a Administrative Support Assistant for Health and Senior Services. Evan earned $40,583 in 2025.

Brooke Pyrtle

Administrative Support Assistant/Health and Senior Services

2025 total comp
$40,583
Base pay
$0
Overtime
$0
Other pay
$40,583
Benefits
$0
Total compensation
$40,583

Brooke Pyrtle is a Administrative Support Assistant at Health and Senior Services. 2025 total compensation came to $40,583.

Robert Caddell

Stores/Warehouse Associate/Health and Senior Services

2025 total comp
$40,572
Base pay
$0
Overtime
$0
Other pay
$40,572
Benefits
$0
Total compensation
$40,572

Robert Caddell holds the role of Stores/Warehouse Associate at Health and Senior Services. In 2025, their total compensation was $40,572.

Stacy Conover

Accountant/Health and Senior Services

2025 total comp
$40,569
Base pay
$0
Overtime
$0
Other pay
$40,569
Benefits
$0
Total compensation
$40,569

Stacy Conover holds the role of Accountant at Health and Senior Services. In 2025, their total compensation was $40,569.

Kelley Carver

Senior Regulatory Auditor/Health and Senior Services

2025 total comp
$40,550
Base pay
$0
Overtime
$0
Other pay
$40,550
Benefits
$0
Total compensation
$40,550

At Health and Senior Services, Kelley Carver serves as a Senior Regulatory Auditor. Their 2025 pay totaled $40,550.

Cynthia Murphy

Senior Nutritionist/Health and Senior Services

2025 total comp
$40,499
Base pay
$0
Overtime
$0
Other pay
$40,499
Benefits
$0
Total compensation
$40,499

Cynthia Murphy is a Senior Nutritionist at Health and Senior Services. 2025 total compensation came to $40,499.

Deniece Newman

Senior Non-Commission Investigator/Health and Senior Services

2023 total comp
$40,485
Base pay
$0
Overtime
$0
Other pay
$40,485
Benefits
$0
Total compensation
$40,485

Deniece Newman holds the role of Senior Non-Commission Investigator at Health and Senior Services. In 2023, their total compensation was $40,485.

Alicia Luebbering

Public Health Program Specialist/Health and Senior Services

2023 total comp
$40,452
Base pay
$0
Overtime
$0
Other pay
$40,452
Benefits
$0
Total compensation
$40,452

Alicia Luebbering works as a Public Health Program Specialist for Health and Senior Services. Alicia earned $40,452 in 2023.

Diamond Watson

Associate Social Services Specialist/Health and Senior Services

2025 total comp
$40,428
Base pay
$0
Overtime
$0
Other pay
$40,428
Benefits
$0
Total compensation
$40,428

Diamond Watson works as a Associate Social Services Specialist for Health and Senior Services. Diamond earned $40,428 in 2025.

John Whitaker

Senior Public Health Program Specialist/Health and Senior Services

2025 total comp
$40,411
Base pay
$0
Overtime
$0
Other pay
$40,411
Benefits
$0
Total compensation
$40,411

John Whitaker works as a Senior Public Health Program Specialist for Health and Senior Services. John earned $40,411 in 2025.

Jacob Hodgen

Administrative Support Assistant/Health and Senior Services

2025 total comp
$40,399
Base pay
$0
Overtime
$0
Other pay
$40,399
Benefits
$0
Total compensation
$40,399

Jacob Hodgen holds the role of Administrative Support Assistant at Health and Senior Services. In 2025, their total compensation was $40,399.

Michael Freeman

Administrative Support Assistant/Health and Senior Services

2025 total comp
$40,399
Base pay
$0
Overtime
$0
Other pay
$40,399
Benefits
$0
Total compensation
$40,399

Michael Freeman is a Administrative Support Assistant at Health and Senior Services. 2025 total compensation came to $40,399.

Jessica Rice

Administrative Support Assistant/Health and Senior Services

2025 total comp
$40,399
Base pay
$0
Overtime
$0
Other pay
$40,399
Benefits
$0
Total compensation
$40,399

Jessica Rice works as a Administrative Support Assistant for Health and Senior Services. Jessica earned $40,399 in 2025.

Timothy Williams

Lead Administrative Support Assistant/Health and Senior Services

2025 total comp
$40,392
Base pay
$0
Overtime
$0
Other pay
$40,392
Benefits
$0
Total compensation
$40,392

Timothy Williams works as a Lead Administrative Support Assistant for Health and Senior Services. Timothy earned $40,392 in 2025.

Sharlet Kroll

Administrative Manager/Health and Senior Services

2024 total comp
$40,381
Base pay
$0
Overtime
$0
Other pay
$40,381
Benefits
$0
Total compensation
$40,381

Sharlet Kroll works as a Administrative Manager for Health and Senior Services. Sharlet earned $40,381 in 2024.

Laura Kliethermes

Designated Principal Assistant Division/Health and Senior Services

2025 total comp
$40,365
Base pay
$0
Overtime
$0
Other pay
$40,365
Benefits
$0
Total compensation
$40,365

At Health and Senior Services, Laura Kliethermes serves as a Designated Principal Assistant Division. Their 2025 pay totaled $40,365.

Olivia Mitchell

Senior Public Health Program Specialist/Health and Senior Services

2024 total comp
$40,353
Base pay
$0
Overtime
$0
Other pay
$40,353
Benefits
$0
Total compensation
$40,353

At Health and Senior Services, Olivia Mitchell serves as a Senior Public Health Program Specialist. Their 2024 pay totaled $40,353.

Patti Church

Registered Nurse/Health and Senior Services

2025 total comp
$40,341
Base pay
$0
Overtime
$0
Other pay
$40,341
Benefits
$0
Total compensation
$40,341

Patti Church works as a Registered Nurse for Health and Senior Services. Patti earned $40,341 in 2025.

Sarah Pitts

Lead Administrative Support Assistant/Health and Senior Services

2025 total comp
$40,317
Base pay
$0
Overtime
$0
Other pay
$40,317
Benefits
$0
Total compensation
$40,317

Sarah Pitts works as a Lead Administrative Support Assistant for Health and Senior Services. Sarah earned $40,317 in 2025.

Jennifer Harrison

Senior Program Specialist/Health and Senior Services

2024 total comp
$40,291
Base pay
$0
Overtime
$0
Other pay
$40,291
Benefits
$0
Total compensation
$40,291

At Health and Senior Services, Jennifer Harrison serves as a Senior Program Specialist. Their 2024 pay totaled $40,291.

Jennifer Pratt

Senior Social Services Specialist/Health and Senior Services

2025 total comp
$40,269
Base pay
$0
Overtime
$0
Other pay
$40,269
Benefits
$0
Total compensation
$40,269

Jennifer Pratt is a Senior Social Services Specialist at Health and Senior Services. 2025 total compensation came to $40,269.

Jackie Lynn

Senior Non-Commission Investigator/Health and Senior Services

2025 total comp
$40,227
Base pay
$0
Overtime
$0
Other pay
$40,227
Benefits
$0
Total compensation
$40,227

At Health and Senior Services, Jackie Lynn serves as a Senior Non-Commission Investigator. Their 2025 pay totaled $40,227.

Lindsey Rutz

Program Coordinator/Health and Senior Services

2025 total comp
$40,207
Base pay
$0
Overtime
$0
Other pay
$40,207
Benefits
$0
Total compensation
$40,207

Lindsey Rutz holds the role of Program Coordinator at Health and Senior Services. In 2025, their total compensation was $40,207.

Kimberly Johnson

Human Resources Manager/Health and Senior Services

2024 total comp
$40,204
Base pay
$0
Overtime
$0
Other pay
$40,204
Benefits
$0
Total compensation
$40,204

Kimberly Johnson is a Human Resources Manager at Health and Senior Services. 2024 total compensation came to $40,204.

Deandre Davenport

Social Services Specialist/Health and Senior Services

2024 total comp
$40,192
Base pay
$0
Overtime
$0
Other pay
$40,192
Benefits
$0
Total compensation
$40,192

Deandre Davenport is a Social Services Specialist at Health and Senior Services. 2024 total compensation came to $40,192.

Kathy Stevenson

Senior Regulatory Auditor/Health and Senior Services

2023 total comp
$40,191
Base pay
$0
Overtime
$0
Other pay
$40,191
Benefits
$0
Total compensation
$40,191

Kathy Stevenson holds the role of Senior Regulatory Auditor at Health and Senior Services. In 2023, their total compensation was $40,191.

Penny Williams

Public Health Program Supervisor/Health and Senior Services

2023 total comp
$40,179
Base pay
$0
Overtime
$0
Other pay
$40,179
Benefits
$0
Total compensation
$40,179

Penny Williams holds the role of Public Health Program Supervisor at Health and Senior Services. In 2023, their total compensation was $40,179.