SOC 11-9111

Medical and Health Services Managers Salary in Lewiston, ID-WA

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 + ID
COL Index: 99.81 (-0.2% vs US)
Net Compensation Yield 68.8% Realized
$84,451 / net annual direct deposit
Gross Adjusted $122,780 $59.03/hr
Effective Tax Drag 25.22% Combined Jurisdictions
Marginal Top Bracket 22% Federal Statutory
Total Withheld -$30,962 $1,190.85/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 $59.03 / hour
0 hrs/wk (+$0/yr)
0 hrs (Standard) 10 hrs OT 20 hrs OT 25 hrs Max
6% (-$7,367/yr)
0% Tax Shield: ~$1,621/yr 15% (IRS limit: $24,500)
Itemized Statutory Withholdings Ledger
Federal Income Tax (IRS)
Progressive 10%–37%
-$16,561
Social Security (FICA OASDI)
Statutory 6.20% (Cap $184,500)
-$7,612
Medicare Hospital Insurance
Statutory 1.45%
-$1,780
Idaho Individual Income Tax
State Marginal Bracket
-$5,009
Net Take-Home Annual Realized
$84,451 ($3,248.12 / check)
Category 2 of 6

Lewiston, ID-WA Medical and Health Services Managers Wage Distribution

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

Your Salary: $122,780
MIDDLE 50% (IQR RANGE) 10th $77.4k 25th $96.1k Median: $122,780 50th (Median) $123k 75th $153k 90th $173k You: $122,780
10th (Entry) $77,370 $37.20/hr
25th (Junior) $96,070 $46.19/hr
50th (Median) $122,780 $59.03/hr
75th (Senior) $153,400 $73.75/hr
90th (Lead/Master) $172,970 $83.16/hr
Career Progression & Licensing Milestones for Medical and Health Services Managers in Lewiston, ID-WA
1
Department SupervisorBachelor's degree (most common O*NET requirement); entry into the field
$72,760$34.98/hr · 0-2 Years
2
Assistant AdministratorDemonstrated results in role; works independently on core responsibilities; FACHE or equivalent
$93,874$45.13/hr · 2-5 Years
3
Medical & Health Services ManagerFull professional competence; leads projects or a small team
$122,820$59.05/hr · 5-9 Years
4
Senior Director of OperationsOwns budget, hiring and outcomes for a department or large program
$164,652$79.16/hr · 9-14 Years
5
Hospital Administrator / COOExecutive or principal scope; sets strategy across the organization or profession
$222,344$106.90/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 Lewiston, ID-WA under the HUD 30% housing cost guideline.

Rent-to-Take-Home Ratio (HUD 30% Standard)
13% of Net Income
✓ Passes 30% Housing Affordability Standard
HUD Fair Market Rent (1-Bedroom) $943/month Requires minimum annual gross of $37,720
HUD Fair Market Rent (2-Bedroom) $1,234/month Requires minimum annual gross of $49,360
Hourly Living Wage Benchmark (EPI model)
1 Adult Earner: $22.07/hr
Per adult, 2 working adults + 1 child: $19.84/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 Lewiston, ID-WA.

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$122,780-$30,962$84,451$3,248.12
+5h Overtime/Wk45 hrs$145,801-$38,936$98,117$3,773.73
+10h Overtime/Wk50 hrs$168,823-$47,038$111,655$4,294.44
+15h Overtime/Wk55 hrs$191,844-$54,684$125,649$4,832.66
+20h Overtime/Wk60 hrs$214,865-$61,492$140,481$5,403.11
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 Lewiston, ID-WA: Compensation & Purchasing Power Briefing (2026)

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

Market Baseline
$122,780/yr
$59.03/hr · SOC 11-9111
Statutory Tax Drag
25.22% Effective
-$30,962 in Total Taxes
HUD 1BR Shelter Ratio
13% Net Pay
✓ Passes 30% HUD Rule
Monthly Discretionary
+$6,095/mo
Post-$943/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 Lewiston, ID-WA: Market Snapshot

Medical and Health Services Managers roles in Lewiston, ID-WA report a median annual wage of $122,780, 0.9% below the national median of $123,860. The 10th to 90th percentile band runs from $77,370 to $172,970, and HUD’s $943 monthly one-bedroom fair market rent equals 9.2% of that median gross pay. The single-adult living wage benchmark for the area is $22.07 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+39.4%
Vallejo, CA$170,730+39.1%
New York-Newark-Jersey City, NY-NJ$167,580+36.5%
Napa, CA$167,530+36.4%
San Francisco-Oakland-Fremont, CA$166,310+35.5%
Seattle-Tacoma-Bellevue, WA$160,100+30.4%
Sacramento-Roseville-Folsom, CA$159,350+29.8%
Portland-Vancouver-Hillsboro, OR-WA$151,260+23.2%
Medford, OR$151,250+23.2%
Urban Honolulu, HI$151,180+23.1%

Top-paying occupations benchmarked in Lewiston, ID-WA

OccupationMedian annual wageMedian hourly
Chief Executives$176,030$84.63/hr
Industrial Production Managers$157,500$75.72/hr
Computer and Information Systems Managers$139,990$67.30/hr
Sales Managers$131,630$63.28/hr
Electrical Power-Line Installer$126,860$60.99/hr
Nurse Practitioner$125,030$60.11/hr
Financial Manager$123,400$59.33/hr
Education Administrators, Kindergarten through Secondary$117,340$56.41/hr
Construction Managers$109,210$52.50/hr
Software Engineer$101,310$48.71/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 Lewiston, ID-WA Overview

Medical & Health Services Managers median pay in Lewiston, ID-WA is $122,780 a year ($59.03/hr). See take-home pay after 2026 taxes, BLS wage percentiles, HUD. Official 2026 economic data for Medical and Health Services Managers in Lewiston, ID-WA compiled from Bureau of Labor Statistics OEWS surveys, HUD Fair Market Rents, and statutory tax codes.

Quick answers
What is the median salary for a Medical and Health Services Managers in Lewiston, ID-WA?

The median annual wage is $122,780 ($59.03 per hour). The middle 80% of earners make between $77,370 and $172,970. Source: BLS OEWS (May 2025).

What is the take-home pay for a Medical and Health Services Managers in Lewiston, ID-WA after taxes?

On the median wage of $122,780, a single filer with no pre-tax deductions takes home about $89,787 a year ($7,482 a month) after $32,993 in federal, FICA, state and local taxes, an effective rate of 26.87%, using 2026 tax rules.