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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 1

Karen Cross

Registered Nurse Spec/Spv/Health and Senior Services

2025 total comp
$82,998
Base pay
$0
Overtime
$0
Other pay
$82,998
Benefits
$0
Total compensation
$82,998

Karen Cross is a Registered Nurse Spec/Spv at Health and Senior Services. 2025 total compensation came to $82,998.

Mary Ehrenreich

Regulatory Auditor Supervisor/Health and Senior Services

2025 total comp
$82,892
Base pay
$0
Overtime
$0
Other pay
$82,892
Benefits
$0
Total compensation
$82,892

At Health and Senior Services, Mary Ehrenreich serves as a Regulatory Auditor Supervisor. Their 2025 pay totaled $82,892.

Angela Verslues

Registered Nurse Spec/Spv/Health and Senior Services

2025 total comp
$82,690
Base pay
$0
Overtime
$0
Other pay
$82,690
Benefits
$0
Total compensation
$82,690

Angela Verslues works as a Registered Nurse Spec/Spv for Health and Senior Services. Angela earned $82,690 in 2025.

Jeffery Oster

Registered Nurse/Health and Senior Services

2025 total comp
$82,688
Base pay
$0
Overtime
$0
Other pay
$82,688
Benefits
$0
Total compensation
$82,688

Jeffery Oster holds the role of Registered Nurse at Health and Senior Services. In 2025, their total compensation was $82,688.

Bobbi Garber

Social Services Administrator/Health and Senior Services

2025 total comp
$82,668
Base pay
$0
Overtime
$0
Other pay
$82,668
Benefits
$0
Total compensation
$82,668

Bobbi Garber works as a Social Services Administrator for Health and Senior Services. Bobbi earned $82,668 in 2025.

Angela David

Registered Nurse Spec/Spv/Health and Senior Services

2025 total comp
$82,551
Base pay
$0
Overtime
$0
Other pay
$82,551
Benefits
$0
Total compensation
$82,551

Angela David works as a Registered Nurse Spec/Spv for Health and Senior Services. Angela earned $82,551 in 2025.

Tracy Peters

Registered Nurse Spec/Spv/Health and Senior Services

2025 total comp
$82,469
Base pay
$0
Overtime
$0
Other pay
$82,469
Benefits
$0
Total compensation
$82,469

Tracy Peters is a Registered Nurse Spec/Spv at Health and Senior Services. 2025 total compensation came to $82,469.

Jean Morris

Registered Nurse Spec/Spv/Health and Senior Services

2025 total comp
$82,375
Base pay
$0
Overtime
$0
Other pay
$82,375
Benefits
$0
Total compensation
$82,375

At Health and Senior Services, Jean Morris serves as a Registered Nurse Spec/Spv. Their 2025 pay totaled $82,375.

Mary Grahlman

Registered Nurse/Health and Senior Services

2025 total comp
$82,356
Base pay
$0
Overtime
$0
Other pay
$82,356
Benefits
$0
Total compensation
$82,356

Mary Grahlman works as a Registered Nurse for Health and Senior Services. Mary earned $82,356 in 2025.

Teresa Wortmann

Registered Nurse Spec/Spv/Health and Senior Services

2025 total comp
$82,345
Base pay
$0
Overtime
$0
Other pay
$82,345
Benefits
$0
Total compensation
$82,345

Teresa Wortmann is a Registered Nurse Spec/Spv at Health and Senior Services. 2025 total compensation came to $82,345.

Heather Vanhorn

Registered Nurse Spec/Spv/Health and Senior Services

2025 total comp
$82,317
Base pay
$0
Overtime
$0
Other pay
$82,317
Benefits
$0
Total compensation
$82,317

Heather Vanhorn holds the role of Registered Nurse Spec/Spv at Health and Senior Services. In 2025, their total compensation was $82,317.

Shelby Weaver

Registered Nurse/Health and Senior Services

2025 total comp
$82,250
Base pay
$0
Overtime
$0
Other pay
$82,250
Benefits
$0
Total compensation
$82,250

Shelby Weaver holds the role of Registered Nurse at Health and Senior Services. In 2025, their total compensation was $82,250.

Meghan Marsch

Registered Nurse Spec/Spv/Health and Senior Services

2025 total comp
$82,200
Base pay
$0
Overtime
$0
Other pay
$82,200
Benefits
$0
Total compensation
$82,200

At Health and Senior Services, Meghan Marsch serves as a Registered Nurse Spec/Spv. Their 2025 pay totaled $82,200.

Heather Ballance

Registered Nurse/Health and Senior Services

2025 total comp
$82,081
Base pay
$0
Overtime
$0
Other pay
$82,081
Benefits
$0
Total compensation
$82,081

Heather Ballance holds the role of Registered Nurse at Health and Senior Services. In 2025, their total compensation was $82,081.

Crystal Anderson

Registered Nurse Spec/Spv/Health and Senior Services

2025 total comp
$82,072
Base pay
$0
Overtime
$0
Other pay
$82,072
Benefits
$0
Total compensation
$82,072

At Health and Senior Services, Crystal Anderson serves as a Registered Nurse Spec/Spv. Their 2025 pay totaled $82,072.

Janice Jamison

Public Health Program Manager/Health and Senior Services

2025 total comp
$82,007
Base pay
$0
Overtime
$0
Other pay
$82,007
Benefits
$0
Total compensation
$82,007

At Health and Senior Services, Janice Jamison serves as a Public Health Program Manager. Their 2025 pay totaled $82,007.

Mark Jenkerson

Environmental Program Supervisor/Health and Senior Services

2025 total comp
$81,962
Base pay
$0
Overtime
$0
Other pay
$81,962
Benefits
$0
Total compensation
$81,962

Mark Jenkerson holds the role of Environmental Program Supervisor at Health and Senior Services. In 2025, their total compensation was $81,962.

Tracy Neese

Registered Nurse/Health and Senior Services

2025 total comp
$81,951
Base pay
$0
Overtime
$0
Other pay
$81,951
Benefits
$0
Total compensation
$81,951

Tracy Neese works as a Registered Nurse for Health and Senior Services. Tracy earned $81,951 in 2025.

Paul Harden

Regulatory Auditor Supervisor/Health and Senior Services

2025 total comp
$81,833
Base pay
$0
Overtime
$0
Other pay
$81,833
Benefits
$0
Total compensation
$81,833

At Health and Senior Services, Paul Harden serves as a Regulatory Auditor Supervisor. Their 2025 pay totaled $81,833.

Lori Swartz

Registered Nurse Spec/Spv/Health and Senior Services

2025 total comp
$81,833
Base pay
$0
Overtime
$0
Other pay
$81,833
Benefits
$0
Total compensation
$81,833

Lori Swartz holds the role of Registered Nurse Spec/Spv at Health and Senior Services. In 2025, their total compensation was $81,833.

Jacquelyn Witte

Registered Nurse Spec/Spv/Health and Senior Services

2025 total comp
$81,833
Base pay
$0
Overtime
$0
Other pay
$81,833
Benefits
$0
Total compensation
$81,833

Jacquelyn Witte holds the role of Registered Nurse Spec/Spv at Health and Senior Services. In 2025, their total compensation was $81,833.

Michael Rothermich

Administrative Manager/Health and Senior Services

2025 total comp
$81,692
Base pay
$0
Overtime
$0
Other pay
$81,692
Benefits
$0
Total compensation
$81,692

Michael Rothermich holds the role of Administrative Manager at Health and Senior Services. In 2025, their total compensation was $81,692.

Julie Boeckman

Public Health Program Manager/Health and Senior Services

2025 total comp
$81,640
Base pay
$0
Overtime
$0
Other pay
$81,640
Benefits
$0
Total compensation
$81,640

Julie Boeckman is a Public Health Program Manager at Health and Senior Services. 2025 total compensation came to $81,640.

Kimberly Calvert

Accountant Supervisor/Health and Senior Services

2025 total comp
$81,558
Base pay
$0
Overtime
$0
Other pay
$81,558
Benefits
$0
Total compensation
$81,558

Kimberly Calvert is a Accountant Supervisor at Health and Senior Services. 2025 total compensation came to $81,558.

Danielle Sipi

Registered Nurse Spec/Spv/Health and Senior Services

2025 total comp
$81,515
Base pay
$0
Overtime
$0
Other pay
$81,515
Benefits
$0
Total compensation
$81,515

Danielle Sipi holds the role of Registered Nurse Spec/Spv at Health and Senior Services. In 2025, their total compensation was $81,515.

Jessica Ronkoski

Registered Nurse Spec/Spv/Health and Senior Services

2025 total comp
$81,467
Base pay
$0
Overtime
$0
Other pay
$81,467
Benefits
$0
Total compensation
$81,467

Jessica Ronkoski is a Registered Nurse Spec/Spv at Health and Senior Services. 2025 total compensation came to $81,467.

Jeffrey Prosser

Regulatory Auditor Supervisor/Health and Senior Services

2025 total comp
$81,467
Base pay
$0
Overtime
$0
Other pay
$81,467
Benefits
$0
Total compensation
$81,467

Jeffrey Prosser works as a Regulatory Auditor Supervisor for Health and Senior Services. Jeffrey earned $81,467 in 2025.

Tammy Merchant

Registered Nurse/Health and Senior Services

2025 total comp
$81,240
Base pay
$0
Overtime
$0
Other pay
$81,240
Benefits
$0
Total compensation
$81,240

At Health and Senior Services, Tammy Merchant serves as a Registered Nurse. Their 2025 pay totaled $81,240.

Deborah Linton-Redel

Registered Nurse/Health and Senior Services

2025 total comp
$81,228
Base pay
$0
Overtime
$0
Other pay
$81,228
Benefits
$0
Total compensation
$81,228

Deborah Linton-Redel works as a Registered Nurse for Health and Senior Services. Deborah earned $81,228 in 2025.

Sara Gorman

Registered Nurse Spec/Spv/Health and Senior Services

2025 total comp
$81,100
Base pay
$0
Overtime
$0
Other pay
$81,100
Benefits
$0
Total compensation
$81,100

Sara Gorman is a Registered Nurse Spec/Spv at Health and Senior Services. 2025 total compensation came to $81,100.

Shawnee Kellison

Registered Nurse/Health and Senior Services

2025 total comp
$81,029
Base pay
$0
Overtime
$0
Other pay
$81,029
Benefits
$0
Total compensation
$81,029

Shawnee Kellison works as a Registered Nurse for Health and Senior Services. Shawnee earned $81,029 in 2025.

Linda Henson

Registered Nurse/Health and Senior Services

2025 total comp
$80,765
Base pay
$0
Overtime
$0
Other pay
$80,765
Benefits
$0
Total compensation
$80,765

Linda Henson holds the role of Registered Nurse at Health and Senior Services. In 2025, their total compensation was $80,765.

Jason Hollandsworth

Registered Nurse/Health and Senior Services

2025 total comp
$80,706
Base pay
$0
Overtime
$0
Other pay
$80,706
Benefits
$0
Total compensation
$80,706

At Health and Senior Services, Jason Hollandsworth serves as a Registered Nurse. Their 2025 pay totaled $80,706.

Shannon Knowles

Registered Nurse/Health and Senior Services

2025 total comp
$80,679
Base pay
$0
Overtime
$0
Other pay
$80,679
Benefits
$0
Total compensation
$80,679

Shannon Knowles holds the role of Registered Nurse at Health and Senior Services. In 2025, their total compensation was $80,679.

Kellie Schaefer

Registered Nurse/Health and Senior Services

2025 total comp
$80,671
Base pay
$0
Overtime
$0
Other pay
$80,671
Benefits
$0
Total compensation
$80,671

At Health and Senior Services, Kellie Schaefer serves as a Registered Nurse. Their 2025 pay totaled $80,671.

Breanna Werdehausen

Regulatory Auditor Supervisor/Health and Senior Services

2025 total comp
$80,596
Base pay
$0
Overtime
$0
Other pay
$80,596
Benefits
$0
Total compensation
$80,596

Breanna Werdehausen works as a Regulatory Auditor Supervisor for Health and Senior Services. Breanna earned $80,596 in 2025.

Teresa Menolascino

Regulatory Auditor Supervisor/Health and Senior Services

2025 total comp
$80,501
Base pay
$0
Overtime
$0
Other pay
$80,501
Benefits
$0
Total compensation
$80,501

At Health and Senior Services, Teresa Menolascino serves as a Regulatory Auditor Supervisor. Their 2025 pay totaled $80,501.

Abigail Anderson

Staff Development Training Manager/Health and Senior Services

2025 total comp
$80,500
Base pay
$0
Overtime
$0
Other pay
$80,500
Benefits
$0
Total compensation
$80,500

Abigail Anderson works as a Staff Development Training Manager for Health and Senior Services. Abigail earned $80,500 in 2025.

Elizabeth Blau

Public Health Program Supervisor/Health and Senior Services

2025 total comp
$80,406
Base pay
$0
Overtime
$0
Other pay
$80,406
Benefits
$0
Total compensation
$80,406

Elizabeth Blau works as a Public Health Program Supervisor for Health and Senior Services. Elizabeth earned $80,406 in 2025.

Nathan Koffarnus

Public Health Program Manager/Health and Senior Services

2025 total comp
$80,398
Base pay
$0
Overtime
$0
Other pay
$80,398
Benefits
$0
Total compensation
$80,398

At Health and Senior Services, Nathan Koffarnus serves as a Public Health Program Manager. Their 2025 pay totaled $80,398.