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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

Paula Darr

Nurse Manager/Health and Senior Services

2025 total comp
$90,988
Base pay
$0
Overtime
$0
Other pay
$90,988
Benefits
$0
Total compensation
$90,988

Paula Darr holds the role of Nurse Manager at Health and Senior Services. In 2025, their total compensation was $90,988.

Lori Buchanan

Special Assistant Professional/Health and Senior Services

2025 total comp
$90,975
Base pay
$0
Overtime
$0
Other pay
$90,975
Benefits
$0
Total compensation
$90,975

Lori Buchanan is a Special Assistant Professional at Health and Senior Services. 2025 total compensation came to $90,975.

Deborah Mebruer

Special Assistant Office & Clerical/Health and Senior Services

2025 total comp
$90,757
Base pay
$0
Overtime
$0
Other pay
$90,757
Benefits
$0
Total compensation
$90,757

Deborah Mebruer works as a Special Assistant Office & Clerical for Health and Senior Services. Deborah earned $90,757 in 2025.

Tara Mckinney

Special Assistant Professional/Health and Senior Services

2025 total comp
$90,661
Base pay
$0
Overtime
$0
Other pay
$90,661
Benefits
$0
Total compensation
$90,661

Tara Mckinney works as a Special Assistant Professional for Health and Senior Services. Tara earned $90,661 in 2025.

Dustin Johnson

Environmental Program Manager/Health and Senior Services

2025 total comp
$90,489
Base pay
$0
Overtime
$0
Other pay
$90,489
Benefits
$0
Total compensation
$90,489

Dustin Johnson works as a Environmental Program Manager for Health and Senior Services. Dustin earned $90,489 in 2025.

Daniel Bogle

Special Assistant Professional/Health and Senior Services

2025 total comp
$90,246
Base pay
$0
Overtime
$0
Other pay
$90,246
Benefits
$0
Total compensation
$90,246

At Health and Senior Services, Daniel Bogle serves as a Special Assistant Professional. Their 2025 pay totaled $90,246.

Pamela Sandbothe

Accountant Manager/Health and Senior Services

2025 total comp
$89,684
Base pay
$0
Overtime
$0
Other pay
$89,684
Benefits
$0
Total compensation
$89,684

Pamela Sandbothe works as a Accountant Manager for Health and Senior Services. Pamela earned $89,684 in 2025.

Shay Patterson

Regulatory Compliance Manager/Health and Senior Services

2025 total comp
$89,642
Base pay
$0
Overtime
$0
Other pay
$89,642
Benefits
$0
Total compensation
$89,642

Shay Patterson works as a Regulatory Compliance Manager for Health and Senior Services. Shay earned $89,642 in 2025.

Michael Fields

Regulatory Compliance Manager/Health and Senior Services

2025 total comp
$89,518
Base pay
$0
Overtime
$0
Other pay
$89,518
Benefits
$0
Total compensation
$89,518

Michael Fields is a Regulatory Compliance Manager at Health and Senior Services. 2025 total compensation came to $89,518.

Candice Talbot

Regulatory Compliance Manager/Health and Senior Services

2025 total comp
$89,325
Base pay
$0
Overtime
$0
Other pay
$89,325
Benefits
$0
Total compensation
$89,325

Candice Talbot works as a Regulatory Compliance Manager for Health and Senior Services. Candice earned $89,325 in 2025.

Rebecca Mickels

Research Data Analysis Spv/Mgr/Health and Senior Services

2025 total comp
$89,198
Base pay
$0
Overtime
$0
Other pay
$89,198
Benefits
$0
Total compensation
$89,198

Rebecca Mickels holds the role of Research Data Analysis Spv/Mgr at Health and Senior Services. In 2025, their total compensation was $89,198.

Rebekah Stone

Regulatory Compliance Manager/Health and Senior Services

2025 total comp
$89,120
Base pay
$0
Overtime
$0
Other pay
$89,120
Benefits
$0
Total compensation
$89,120

Rebekah Stone works as a Regulatory Compliance Manager for Health and Senior Services. Rebekah earned $89,120 in 2025.

Valerie Howard

Public Health Program Manager/Health and Senior Services

2025 total comp
$89,042
Base pay
$0
Overtime
$0
Other pay
$89,042
Benefits
$0
Total compensation
$89,042

Valerie Howard holds the role of Public Health Program Manager at Health and Senior Services. In 2025, their total compensation was $89,042.

Amy Rehard

Regulatory Compliance Manager/Health and Senior Services

2025 total comp
$88,896
Base pay
$0
Overtime
$0
Other pay
$88,896
Benefits
$0
Total compensation
$88,896

Amy Rehard holds the role of Regulatory Compliance Manager at Health and Senior Services. In 2025, their total compensation was $88,896.

Michele Mcelroy-Otis

Regulatory Compliance Manager/Health and Senior Services

2025 total comp
$88,896
Base pay
$0
Overtime
$0
Other pay
$88,896
Benefits
$0
Total compensation
$88,896

Michele Mcelroy-Otis is a Regulatory Compliance Manager at Health and Senior Services. 2025 total compensation came to $88,896.

Cynthia Rexroad

Regulatory Compliance Manager/Health and Senior Services

2025 total comp
$88,896
Base pay
$0
Overtime
$0
Other pay
$88,896
Benefits
$0
Total compensation
$88,896

Cynthia Rexroad is a Regulatory Compliance Manager at Health and Senior Services. 2025 total compensation came to $88,896.

Laura Morts

Nurse Manager/Health and Senior Services

2025 total comp
$88,896
Base pay
$0
Overtime
$0
Other pay
$88,896
Benefits
$0
Total compensation
$88,896

Laura Morts holds the role of Nurse Manager at Health and Senior Services. In 2025, their total compensation was $88,896.

Waunita Schwandtner

Regulatory Compliance Manager/Health and Senior Services

2025 total comp
$88,896
Base pay
$0
Overtime
$0
Other pay
$88,896
Benefits
$0
Total compensation
$88,896

Waunita Schwandtner holds the role of Regulatory Compliance Manager at Health and Senior Services. In 2025, their total compensation was $88,896.

Sheila Winchester

Regulatory Compliance Manager/Health and Senior Services

2025 total comp
$88,896
Base pay
$0
Overtime
$0
Other pay
$88,896
Benefits
$0
Total compensation
$88,896

Sheila Winchester holds the role of Regulatory Compliance Manager at Health and Senior Services. In 2025, their total compensation was $88,896.

Alison Dorge

Regulatory Compliance Manager/Health and Senior Services

2025 total comp
$88,753
Base pay
$0
Overtime
$0
Other pay
$88,753
Benefits
$0
Total compensation
$88,753

Alison Dorge is a Regulatory Compliance Manager at Health and Senior Services. 2025 total compensation came to $88,753.

Brenna Davidson

Special Assistant Professional/Health and Senior Services

2025 total comp
$88,630
Base pay
$0
Overtime
$0
Other pay
$88,630
Benefits
$0
Total compensation
$88,630

At Health and Senior Services, Brenna Davidson serves as a Special Assistant Professional. Their 2025 pay totaled $88,630.

Tracy Johnson

Human Resources Director/Health and Senior Services

2023 total comp
$88,601
Base pay
$0
Overtime
$0
Other pay
$88,601
Benefits
$0
Total compensation
$88,601

Tracy Johnson is a Human Resources Director at Health and Senior Services. 2023 total compensation came to $88,601.

Lori Allen

Registered Nurse Spec/Spv/Health and Senior Services

2025 total comp
$88,551
Base pay
$0
Overtime
$0
Other pay
$88,551
Benefits
$0
Total compensation
$88,551

At Health and Senior Services, Lori Allen serves as a Registered Nurse Spec/Spv. Their 2025 pay totaled $88,551.

Joseline Hernandez Arroyo

Senior Epidemiologist/Health and Senior Services

2025 total comp
$88,510
Base pay
$0
Overtime
$0
Other pay
$88,510
Benefits
$0
Total compensation
$88,510

Joseline Hernandez Arroyo is a Senior Epidemiologist at Health and Senior Services. 2025 total compensation came to $88,510.

Lisa Crandall

Public Health Program Manager/Health and Senior Services

2025 total comp
$88,501
Base pay
$0
Overtime
$0
Other pay
$88,501
Benefits
$0
Total compensation
$88,501

Lisa Crandall works as a Public Health Program Manager for Health and Senior Services. Lisa earned $88,501 in 2025.

Sandra Hentges

Public Health Program Manager/Health and Senior Services

2025 total comp
$88,501
Base pay
$0
Overtime
$0
Other pay
$88,501
Benefits
$0
Total compensation
$88,501

At Health and Senior Services, Sandra Hentges serves as a Public Health Program Manager. Their 2025 pay totaled $88,501.

Ammanda Ott

Registered Nurse Spec/Spv/Health and Senior Services

2025 total comp
$88,417
Base pay
$0
Overtime
$0
Other pay
$88,417
Benefits
$0
Total compensation
$88,417

Ammanda Ott holds the role of Registered Nurse Spec/Spv at Health and Senior Services. In 2025, their total compensation was $88,417.

Angela Theroff

Regulatory Compliance Manager/Health and Senior Services

2025 total comp
$88,117
Base pay
$0
Overtime
$0
Other pay
$88,117
Benefits
$0
Total compensation
$88,117

Angela Theroff holds the role of Regulatory Compliance Manager at Health and Senior Services. In 2025, their total compensation was $88,117.

Elmer Jackson

Regulatory Compliance Manager/Health and Senior Services

2025 total comp
$88,117
Base pay
$0
Overtime
$0
Other pay
$88,117
Benefits
$0
Total compensation
$88,117

Elmer Jackson is a Regulatory Compliance Manager at Health and Senior Services. 2025 total compensation came to $88,117.

Sarah Burch

Regulatory Auditor Supervisor/Health and Senior Services

2025 total comp
$87,990
Base pay
$0
Overtime
$0
Other pay
$87,990
Benefits
$0
Total compensation
$87,990

Sarah Burch works as a Regulatory Auditor Supervisor for Health and Senior Services. Sarah earned $87,990 in 2025.

Andrew Hunter

Public Health Program Manager/Health and Senior Services

2025 total comp
$87,615
Base pay
$0
Overtime
$0
Other pay
$87,615
Benefits
$0
Total compensation
$87,615

Andrew Hunter works as a Public Health Program Manager for Health and Senior Services. Andrew earned $87,615 in 2025.

Sarah Walker

Public Health Program Manager/Health and Senior Services

2025 total comp
$87,520
Base pay
$0
Overtime
$0
Other pay
$87,520
Benefits
$0
Total compensation
$87,520

Sarah Walker holds the role of Public Health Program Manager at Health and Senior Services. In 2025, their total compensation was $87,520.

Lana Hudanick

Nurse Manager/Health and Senior Services

2025 total comp
$87,338
Base pay
$0
Overtime
$0
Other pay
$87,338
Benefits
$0
Total compensation
$87,338

Lana Hudanick is a Nurse Manager at Health and Senior Services. 2025 total compensation came to $87,338.

Jami Kiesling

Public Health Program Manager/Health and Senior Services

2025 total comp
$87,288
Base pay
$0
Overtime
$0
Other pay
$87,288
Benefits
$0
Total compensation
$87,288

Jami Kiesling holds the role of Public Health Program Manager at Health and Senior Services. In 2025, their total compensation was $87,288.