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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 4

Rose Sipakati

Public Health Program Supervisor/Health and Senior Services

2025 total comp
$75,431
Base pay
$0
Overtime
$0
Other pay
$75,431
Benefits
$0
Total compensation
$75,431

Rose Sipakati holds the role of Public Health Program Supervisor at Health and Senior Services. In 2025, their total compensation was $75,431.

Shyanne Joers

Registered Nurse/Health and Senior Services

2025 total comp
$75,417
Base pay
$0
Overtime
$0
Other pay
$75,417
Benefits
$0
Total compensation
$75,417

Shyanne Joers works as a Registered Nurse for Health and Senior Services. Shyanne earned $75,417 in 2025.

Nichole Bondy

Registered Nurse/Health and Senior Services

2025 total comp
$75,413
Base pay
$0
Overtime
$0
Other pay
$75,413
Benefits
$0
Total compensation
$75,413

Nichole Bondy works as a Registered Nurse for Health and Senior Services. Nichole earned $75,413 in 2025.

Zachary Jenkins

Non-Commssn Investigator Supervisor/Health and Senior Services

2025 total comp
$75,406
Base pay
$0
Overtime
$0
Other pay
$75,406
Benefits
$0
Total compensation
$75,406

Zachary Jenkins is a Non-Commssn Investigator Supervisor at Health and Senior Services. 2025 total compensation came to $75,406.

Jennifer Mcgee

Registered Nurse/Health and Senior Services

2025 total comp
$75,389
Base pay
$0
Overtime
$0
Other pay
$75,389
Benefits
$0
Total compensation
$75,389

Jennifer Mcgee is a Registered Nurse at Health and Senior Services. 2025 total compensation came to $75,389.

Kimberly Eftink

Registered Nurse/Health and Senior Services

2025 total comp
$75,377
Base pay
$0
Overtime
$0
Other pay
$75,377
Benefits
$0
Total compensation
$75,377

At Health and Senior Services, Kimberly Eftink serves as a Registered Nurse. Their 2025 pay totaled $75,377.

Martha Townsend

Senior Regulatory Auditor/Health and Senior Services

2025 total comp
$75,363
Base pay
$0
Overtime
$0
Other pay
$75,363
Benefits
$0
Total compensation
$75,363

Martha Townsend is a Senior Regulatory Auditor at Health and Senior Services. 2025 total compensation came to $75,363.

Karen Peak

Registered Nurse/Health and Senior Services

2025 total comp
$75,353
Base pay
$0
Overtime
$0
Other pay
$75,353
Benefits
$0
Total compensation
$75,353

Karen Peak holds the role of Registered Nurse at Health and Senior Services. In 2025, their total compensation was $75,353.

Margaret Burns

Registered Nurse/Health and Senior Services

2025 total comp
$75,349
Base pay
$0
Overtime
$0
Other pay
$75,349
Benefits
$0
Total compensation
$75,349

Margaret Burns is a Registered Nurse at Health and Senior Services. 2025 total compensation came to $75,349.

Sheila Hoffman

Registered Nurse/Health and Senior Services

2025 total comp
$75,344
Base pay
$0
Overtime
$0
Other pay
$75,344
Benefits
$0
Total compensation
$75,344

Sheila Hoffman works as a Registered Nurse for Health and Senior Services. Sheila earned $75,344 in 2025.

Nikki Allison

Registered Nurse/Health and Senior Services

2025 total comp
$75,344
Base pay
$0
Overtime
$0
Other pay
$75,344
Benefits
$0
Total compensation
$75,344

Nikki Allison works as a Registered Nurse for Health and Senior Services. Nikki earned $75,344 in 2025.

Sommar Spiniolas

Registered Nurse/Health and Senior Services

2025 total comp
$75,344
Base pay
$0
Overtime
$0
Other pay
$75,344
Benefits
$0
Total compensation
$75,344

Sommar Spiniolas works as a Registered Nurse for Health and Senior Services. Sommar earned $75,344 in 2025.

Karen Worthington

Social Services Area Supervisor/Health and Senior Services

2025 total comp
$75,303
Base pay
$0
Overtime
$0
Other pay
$75,303
Benefits
$0
Total compensation
$75,303

At Health and Senior Services, Karen Worthington serves as a Social Services Area Supervisor. Their 2025 pay totaled $75,303.

Jason Asher

Registered Nurse/Health and Senior Services

2025 total comp
$75,270
Base pay
$0
Overtime
$0
Other pay
$75,270
Benefits
$0
Total compensation
$75,270

Jason Asher is a Registered Nurse at Health and Senior Services. 2025 total compensation came to $75,270.

Cassandra Lewis

Social Services Area Supervisor/Health and Senior Services

2025 total comp
$75,256
Base pay
$0
Overtime
$0
Other pay
$75,256
Benefits
$0
Total compensation
$75,256

Cassandra Lewis works as a Social Services Area Supervisor for Health and Senior Services. Cassandra earned $75,256 in 2025.

Christine Arnold

Social Services Unit Supervisor/Health and Senior Services

2025 total comp
$75,199
Base pay
$0
Overtime
$0
Other pay
$75,199
Benefits
$0
Total compensation
$75,199

Christine Arnold works as a Social Services Unit Supervisor for Health and Senior Services. Christine earned $75,199 in 2025.

Jeffrey Wenzel

Environmental Program Manager/Health and Senior Services

2025 total comp
$75,185
Base pay
$0
Overtime
$0
Other pay
$75,185
Benefits
$0
Total compensation
$75,185

Jeffrey Wenzel is a Environmental Program Manager at Health and Senior Services. 2025 total compensation came to $75,185.

Debra Carmack

Registered Nurse/Health and Senior Services

2025 total comp
$75,127
Base pay
$0
Overtime
$0
Other pay
$75,127
Benefits
$0
Total compensation
$75,127

Debra Carmack is a Registered Nurse at Health and Senior Services. 2025 total compensation came to $75,127.

Anna Long

Public Health Program Supervisor/Health and Senior Services

2025 total comp
$75,119
Base pay
$0
Overtime
$0
Other pay
$75,119
Benefits
$0
Total compensation
$75,119

At Health and Senior Services, Anna Long serves as a Public Health Program Supervisor. Their 2025 pay totaled $75,119.

Misa Davis

Registered Nurse/Health and Senior Services

2025 total comp
$75,072
Base pay
$0
Overtime
$0
Other pay
$75,072
Benefits
$0
Total compensation
$75,072

Misa Davis holds the role of Registered Nurse at Health and Senior Services. In 2025, their total compensation was $75,072.

Julia Suntrup

Registered Nurse/Health and Senior Services

2025 total comp
$75,072
Base pay
$0
Overtime
$0
Other pay
$75,072
Benefits
$0
Total compensation
$75,072

Julia Suntrup is a Registered Nurse at Health and Senior Services. 2025 total compensation came to $75,072.

Tanya Harvey

Senior Public Health Program Specialist/Health and Senior Services

2025 total comp
$75,013
Base pay
$0
Overtime
$0
Other pay
$75,013
Benefits
$0
Total compensation
$75,013

Tanya Harvey works as a Senior Public Health Program Specialist for Health and Senior Services. Tanya earned $75,013 in 2025.

Lisa Bryan

Registered Nurse/Health and Senior Services

2025 total comp
$75,000
Base pay
$0
Overtime
$0
Other pay
$75,000
Benefits
$0
Total compensation
$75,000

Lisa Bryan is a Registered Nurse at Health and Senior Services. 2025 total compensation came to $75,000.

Kelly Vaugh

Registered Nurse/Health and Senior Services

2025 total comp
$75,000
Base pay
$0
Overtime
$0
Other pay
$75,000
Benefits
$0
Total compensation
$75,000

Kelly Vaugh is a Registered Nurse at Health and Senior Services. 2025 total compensation came to $75,000.

Molly Hayes

Public Health Program Supervisor/Health and Senior Services

2025 total comp
$74,943
Base pay
$0
Overtime
$0
Other pay
$74,943
Benefits
$0
Total compensation
$74,943

Molly Hayes works as a Public Health Program Supervisor for Health and Senior Services. Molly earned $74,943 in 2025.

Anjail Salik

Social Services Area Supervisor/Health and Senior Services

2024 total comp
$74,869
Base pay
$0
Overtime
$0
Other pay
$74,869
Benefits
$0
Total compensation
$74,869

At Health and Senior Services, Anjail Salik serves as a Social Services Area Supervisor. Their 2024 pay totaled $74,869.

Kelvin Potter

Social Services Area Supervisor/Health and Senior Services

2025 total comp
$74,849
Base pay
$0
Overtime
$0
Other pay
$74,849
Benefits
$0
Total compensation
$74,849

Kelvin Potter is a Social Services Area Supervisor at Health and Senior Services. 2025 total compensation came to $74,849.