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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

Blaine Gotto

Public Health Environmental Supervisor/Health and Senior Services

2025 total comp
$63,792
Base pay
$0
Overtime
$0
Other pay
$63,792
Benefits
$0
Total compensation
$63,792

Blaine Gotto holds the role of Public Health Environmental Supervisor at Health and Senior Services. In 2025, their total compensation was $63,792.

Danielle Degraffenreid

Senior Regulatory Auditor/Health and Senior Services

2025 total comp
$63,782
Base pay
$0
Overtime
$0
Other pay
$63,782
Benefits
$0
Total compensation
$63,782

Danielle Degraffenreid is a Senior Regulatory Auditor at Health and Senior Services. 2025 total compensation came to $63,782.

Xarria Lewis

Senior Program Specialist/Health and Senior Services

2025 total comp
$63,775
Base pay
$0
Overtime
$0
Other pay
$63,775
Benefits
$0
Total compensation
$63,775

At Health and Senior Services, Xarria Lewis serves as a Senior Program Specialist. Their 2025 pay totaled $63,775.

Marcia Davis

Senior Emergency Management Officer/Health and Senior Services

2025 total comp
$63,738
Base pay
$0
Overtime
$0
Other pay
$63,738
Benefits
$0
Total compensation
$63,738

Marcia Davis holds the role of Senior Emergency Management Officer at Health and Senior Services. In 2025, their total compensation was $63,738.

Christy Inskip

Senior Public Health Program Specialist/Health and Senior Services

2025 total comp
$63,589
Base pay
$0
Overtime
$0
Other pay
$63,589
Benefits
$0
Total compensation
$63,589

At Health and Senior Services, Christy Inskip serves as a Senior Public Health Program Specialist. Their 2025 pay totaled $63,589.

Craig Fox

Public Health Environmental Specialist/Health and Senior Services

2025 total comp
$63,566
Base pay
$0
Overtime
$0
Other pay
$63,566
Benefits
$0
Total compensation
$63,566

Craig Fox is a Public Health Environmental Specialist at Health and Senior Services. 2025 total compensation came to $63,566.

Robert Ayres

Public Health Environmental Specialist/Health and Senior Services

2025 total comp
$63,535
Base pay
$0
Overtime
$0
Other pay
$63,535
Benefits
$0
Total compensation
$63,535

Robert Ayres is a Public Health Environmental Specialist at Health and Senior Services. 2025 total compensation came to $63,535.

Angela Easley

Public Health Program Specialist/Health and Senior Services

2025 total comp
$63,520
Base pay
$0
Overtime
$0
Other pay
$63,520
Benefits
$0
Total compensation
$63,520

At Health and Senior Services, Angela Easley serves as a Public Health Program Specialist. Their 2025 pay totaled $63,520.

Stowe Johnson

Environmental Program Analyst/Health and Senior Services

2025 total comp
$63,497
Base pay
$0
Overtime
$0
Other pay
$63,497
Benefits
$0
Total compensation
$63,497

Stowe Johnson holds the role of Environmental Program Analyst at Health and Senior Services. In 2025, their total compensation was $63,497.

Amber Sims

Regulatory Auditor Supervisor/Health and Senior Services

2025 total comp
$63,395
Base pay
$0
Overtime
$0
Other pay
$63,395
Benefits
$0
Total compensation
$63,395

Amber Sims holds the role of Regulatory Auditor Supervisor at Health and Senior Services. In 2025, their total compensation was $63,395.

Neann Wedgeworth

Senior Public Health Program Specialist/Health and Senior Services

2025 total comp
$63,347
Base pay
$0
Overtime
$0
Other pay
$63,347
Benefits
$0
Total compensation
$63,347

Neann Wedgeworth is a Senior Public Health Program Specialist at Health and Senior Services. 2025 total compensation came to $63,347.

Alayna Berhorst

Compliance Inspector/Health and Senior Services

2025 total comp
$63,327
Base pay
$0
Overtime
$0
Other pay
$63,327
Benefits
$0
Total compensation
$63,327

Alayna Berhorst works as a Compliance Inspector for Health and Senior Services. Alayna earned $63,327 in 2025.

Amanda Boertien

Public Health Environmental Specialist/Health and Senior Services

2025 total comp
$63,206
Base pay
$0
Overtime
$0
Other pay
$63,206
Benefits
$0
Total compensation
$63,206

Amanda Boertien holds the role of Public Health Environmental Specialist at Health and Senior Services. In 2025, their total compensation was $63,206.

Jamie Salas

Public Health Environmental Officer/Health and Senior Services

2025 total comp
$63,083
Base pay
$0
Overtime
$0
Other pay
$63,083
Benefits
$0
Total compensation
$63,083

At Health and Senior Services, Jamie Salas serves as a Public Health Environmental Officer. Their 2025 pay totaled $63,083.

Gwendolyn Sullentrup

Public Health Program Supervisor/Health and Senior Services

2025 total comp
$63,081
Base pay
$0
Overtime
$0
Other pay
$63,081
Benefits
$0
Total compensation
$63,081

Gwendolyn Sullentrup works as a Public Health Program Supervisor for Health and Senior Services. Gwendolyn earned $63,081 in 2025.

Anne Bloemke-Warren

Grants Supervisor/Health and Senior Services

2023 total comp
$63,047
Base pay
$0
Overtime
$0
Other pay
$63,047
Benefits
$0
Total compensation
$63,047

Anne Bloemke-Warren is a Grants Supervisor at Health and Senior Services. 2023 total compensation came to $63,047.

Ronnia Estes

Senior Public Health Program Specialist/Health and Senior Services

2025 total comp
$63,037
Base pay
$0
Overtime
$0
Other pay
$63,037
Benefits
$0
Total compensation
$63,037

Ronnia Estes holds the role of Senior Public Health Program Specialist at Health and Senior Services. In 2025, their total compensation was $63,037.

Katherine Riepe

Public Health Environmental Specialist/Health and Senior Services

2025 total comp
$62,866
Base pay
$0
Overtime
$0
Other pay
$62,866
Benefits
$0
Total compensation
$62,866

Katherine Riepe is a Public Health Environmental Specialist at Health and Senior Services. 2025 total compensation came to $62,866.

Stephanie Pruess

Senior Nutritionist/Health and Senior Services

2025 total comp
$62,768
Base pay
$0
Overtime
$0
Other pay
$62,768
Benefits
$0
Total compensation
$62,768

Stephanie Pruess holds the role of Senior Nutritionist at Health and Senior Services. In 2025, their total compensation was $62,768.

Mckenzie Bennett

Accountant/Health and Senior Services

2025 total comp
$62,700
Base pay
$0
Overtime
$0
Other pay
$62,700
Benefits
$0
Total compensation
$62,700

At Health and Senior Services, Mckenzie Bennett serves as a Accountant. Their 2025 pay totaled $62,700.

Amy Schneider

Accountant/Health and Senior Services

2025 total comp
$62,638
Base pay
$0
Overtime
$0
Other pay
$62,638
Benefits
$0
Total compensation
$62,638

Amy Schneider holds the role of Accountant at Health and Senior Services. In 2025, their total compensation was $62,638.

Heather Moser

Administrative Manager/Health and Senior Services

2025 total comp
$62,603
Base pay
$0
Overtime
$0
Other pay
$62,603
Benefits
$0
Total compensation
$62,603

Heather Moser works as a Administrative Manager for Health and Senior Services. Heather earned $62,603 in 2025.

Aaron Brown

Compliance Inspector/Health and Senior Services

2025 total comp
$62,534
Base pay
$0
Overtime
$0
Other pay
$62,534
Benefits
$0
Total compensation
$62,534

Aaron Brown works as a Compliance Inspector for Health and Senior Services. Aaron earned $62,534 in 2025.

Melissa Reynolds

Public Health Program Supervisor/Health and Senior Services

2024 total comp
$62,466
Base pay
$0
Overtime
$0
Other pay
$62,466
Benefits
$0
Total compensation
$62,466

Melissa Reynolds holds the role of Public Health Program Supervisor at Health and Senior Services. In 2024, their total compensation was $62,466.

Christina Marshall

Registered Nurse/Health and Senior Services

2023 total comp
$62,449
Base pay
$0
Overtime
$0
Other pay
$62,449
Benefits
$0
Total compensation
$62,449

Christina Marshall holds the role of Registered Nurse at Health and Senior Services. In 2023, their total compensation was $62,449.

Elissa Biggers

Accountant/Health and Senior Services

2025 total comp
$62,336
Base pay
$0
Overtime
$0
Other pay
$62,336
Benefits
$0
Total compensation
$62,336

Elissa Biggers is a Accountant at Health and Senior Services. 2025 total compensation came to $62,336.