SOC 11-9111

Medical and Health Services Managers Salary in Fresno, CA (2026)

Data updated · Sources: BLS OEWS May 2025, HUD FY 2027 Fair Market Rents, EPI 2026 Family Budget, 2026 tax tables · Methodology

Tax Tables: 2026 Fed + CA
COL Index: 114.48 (+14.5% vs US)
Net Compensation Yield 65.2% Realized
$88,822 / net annual direct deposit
Gross Adjusted $136,130 $65.45/hr
Effective Tax Drag 28.75% Combined Jurisdictions
Marginal Top Bracket 24% Federal Statutory
Total Withheld -$39,140 $1,505.38/check
Category 1 of 6

Wage Benchmarking & After-Tax Paycheck Engine

Dynamic statutory tax calculations based on IRS Publication 15-T and state statutory schedules.

$
2,080 annual statutory base hours $65.45 / hour
0 hrs/wk (+$0/yr)
0 hrs (Standard) 10 hrs OT 20 hrs OT 25 hrs Max
6% (-$8,168/yr)
0% Tax Shield: ~$1,960/yr 15% (IRS limit: $24,500)
Itemized Statutory Withholdings Ledger
Federal Income Tax (IRS)
Progressive 10%–37%
-$19,445
Social Security (FICA OASDI)
Statutory 6.20% (Cap $184,500)
-$8,440
Medicare Hospital Insurance
Statutory 1.45%
-$1,974
California Individual Income Tax
State Marginal Bracket
-$7,511
State Disability Insurance (SDI)
Statutory Payroll Assessment
-$1,770
Net Take-Home Annual Realized
$88,822 ($3,416.24 / check)
Category 2 of 6

Fresno, CA Medical and Health Services Managers Wage Distribution

Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) Percentiles & Career Ladders

Your Salary: $136,130
MIDDLE 50% (IQR RANGE) 10th $72.7k 25th $95.1k Median: $136,130 50th (Median) $136k 75th $187k 90th $247k You: $136,130
10th (Entry) $72,730 $34.97/hr
25th (Junior) $95,060 $45.70/hr
50th (Median) $136,130 $65.45/hr
75th (Senior) $186,890 $89.85/hr
90th (Lead/Master) $246,820 $118.66/hr
Career Progression & Licensing Milestones for Medical and Health Services Managers in Fresno, CA
1
Department SupervisorBachelor's degree (most common O*NET requirement); entry into the field
$80,671$38.78/hr · 0-2 Years
2
Assistant AdministratorDemonstrated results in role; works independently on core responsibilities; FACHE or equivalent
$104,081$50.04/hr · 2-5 Years
3
Medical & Health Services ManagerFull professional competence; leads projects or a small team
$136,174$65.47/hr · 5-9 Years
4
Senior Director of OperationsOwns budget, hiring and outcomes for a department or large program
$182,554$87.77/hr · 9-14 Years
5
Hospital Administrator / COOExecutive or principal scope; sets strategy across the organization or profession
$246,520$118.52/hr · 14+ Years
Adjacent Career Pivots & National Pay Differences
Computer Systems Analysts-$18,010/yr
National median: $105,850
Skill overlap: 88%
Social and Community Service Managers-$43,470/yr
National median: $80,390
Skill overlap: 88%View Salary
Health Education Specialists-$59,790/yr
National median: $64,070
Skill overlap: 85%
Registered Nurses-$26,310/yr
National median: $97,550
Skill overlap: 81%View Salary
Category 3 of 6

HUD Fair Market Rent & EPI Living Wage Affordability Index

Evaluating housing affordability vs. net take-home pay in Fresno, CA under the HUD 30% housing cost guideline.

Rent-to-Take-Home Ratio (HUD 30% Standard)
18% of Net Income
✓ Passes 30% Housing Affordability Standard
HUD Fair Market Rent (1-Bedroom) $1,363/month Requires minimum annual gross of $54,520
HUD Fair Market Rent (2-Bedroom) $1,685/month Requires minimum annual gross of $67,400
Hourly Living Wage Benchmark (EPI model)
1 Adult Earner: $25.32/hr
Per adult, 2 working adults + 1 child: $22.03/hr
Category 4 of 6

Hourly Wage to Annual & Overtime Matrix

Translating base hourly pay and 1.5× overtime into net take-home pay based on 2,080 annual work hours in Fresno, CA.

Swipe horizontally to inspect full pay schedule
Schedule Total Hours/Wk Gross Annual Est. Taxes Net Take-Home Bi-Weekly Check
Standard (40 hrs)40 hrs$136,130-$39,140$88,822$3,416.24
+5h Overtime/Wk45 hrs$161,654-$49,414$102,541$3,943.89
+10h Overtime/Wk50 hrs$187,179-$59,522$116,426$4,477.93
+15h Overtime/Wk55 hrs$212,703-$68,328$131,613$5,062.04
+20h Overtime/Wk60 hrs$238,228-$77,734$146,200$5,623.08
Category 5 of 6

Interstate MSA Relocation & State Tax Migration Comparator

Calculate required compensation, cost-of-living differences, and annual state/local tax savings between two metropolitan areas.

Equivalent Salary in Austin, TX $83,505 Cost of Living Ratio: 69.6%
Annual State & Local Tax Delta +$8,331/yr Tax savings in Austin-Round Rock-San Marcos, TX
Annual Rent Difference (1BR) -$17,676/yr Based on HUD Fair Market Rents
Net Discretionary Cash Flow Impact

Combining state tax savings and annual rent variance when relocating from San Francisco-Oakland-Fremont, CA to Austin-Round Rock-San Marcos, TX.

+$26,007/year
Category 6 of 6 · Executive Economic Briefing
2026 Fiscal Intelligence

Medical and Health Services Managers in Fresno, CA: Compensation & Purchasing Power Briefing (2026)

Estimates compiled from BLS OEWS wages, IRS 2026 withholding rules, HUD Fair Market Rents, and California tax codes.

Market Baseline
$136,130/yr
$65.45/hr · SOC 11-9111
Statutory Tax Drag
28.75% Effective
-$39,140 in Total Taxes
HUD 1BR Shelter Ratio
18% Net Pay
✓ Passes 30% HUD Rule
Monthly Discretionary
+$6,039/mo
Post-$1,363/mo 1BR Rent

Key Economic & Compensation Takeaways

Statutory Withholding Architecture

Frequently Asked Questions

Verified Government Data Sources & Statutory Attribution

Wages sourced from US Bureau of Labor Statistics (BLS OEWS). Rents calibrated to HUD Fair Market Rents. Tax schedules calibrated to IRS IRC Title 26, IRS Pub 15-T, and state statutory revenue codes.

BLS OEWS May 2025 HUD FY2027 FMR IRS 15-T
Metro Pay Comparison SOC 11-9111
2026 Statutory Thresholds
  • Federal Standard Deduction (Single) $16,100
  • FICA OASDI Wage Base Cap $184,500
  • Pre-Tax 401(k) Elective Deferral $24,500
  • HSA Individual Annual Limit $4,400

Medical and Health Services Managers in Fresno, CA: Market Snapshot

Medical and Health Services Managers roles in Fresno, CA report a median annual wage of $136,130, 9.9% above the national median of $123,860. The 10th to 90th percentile band runs from $72,730 to $246,820, and HUD’s $1,363 monthly one-bedroom fair market rent equals 12.0% of that median gross pay. The single-adult living wage benchmark for the area is $25.32 per hour.

Highest-paying metropolitan areas for Medical and Health Services Managers

Metropolitan areaMedian annual wageVs this market
San Jose-Sunnyvale-Santa Clara, CA$171,210+25.8%
Vallejo, CA$170,730+25.4%
New York-Newark-Jersey City, NY-NJ$167,580+23.1%
Napa, CA$167,530+23.1%
San Francisco-Oakland-Fremont, CA$166,310+22.2%
Seattle-Tacoma-Bellevue, WA$160,100+17.6%
Sacramento-Roseville-Folsom, CA$159,350+17.1%
Portland-Vancouver-Hillsboro, OR-WA$151,260+11.1%
Medford, OR$151,250+11.1%
Urban Honolulu, HI$151,180+11.1%

Top-paying occupations benchmarked in Fresno, CA

OccupationMedian annual wageMedian hourly
Chief Executives$188,930$90.83/hr
Architectural and Engineering Managers$175,530$84.39/hr
Nurse Practitioner$166,570$80.08/hr
Natural Sciences Managers$157,470$75.71/hr
Physician Assistant$155,440$74.73/hr
Computer and Information Systems Managers$148,650$71.47/hr
Human Resources Managers$143,180$68.84/hr
Marketing Managers$139,990$67.30/hr
Financial Manager$137,650$66.18/hr
Education Administrators, Kindergarten through Secondary$134,720$64.77/hr

Wage data: U.S. Bureau of Labor Statistics OEWS May 2025, 392 metropolitan areas publishing this occupation; HUD FY2027 Fair Market Rents; EPI Family Budget Calculator. Taxes use 2026 federal and state rules. Data last updated .

Regional Labor Market & Career Mobility Network

Explore adjacent occupations and neighboring metropolitan wage benchmarks for peer compensation analysis.

Medical and Health Services Managers Salary in Fresno, CA (2026) Overview

Medical & Health Services Managers median pay in Fresno, CA is $136,130 a year ($65.45/hr). See take-home pay after 2026 taxes, BLS wage percentiles, HUD rents.

Quick answers
What is the median salary for a Medical and Health Services Managers in Fresno, CA?

The median annual wage is $136,130 ($65.45 per hour). The middle 80% of earners make between $72,730 and $246,820. Source: BLS OEWS (May 2025).

What is the take-home pay for a Medical and Health Services Managers in Fresno, CA after taxes?

On the median wage of $136,130, a single filer with no pre-tax deductions takes home about $94,270 a year ($7,856 a month) after $41,860 in federal, FICA, state and local taxes, an effective rate of 30.75%, using 2026 tax rules.