SOC 11-9111

Medical and Health Services Managers Salary in San Francisco, CA

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: 180.45 (+80.4% vs US)
Net Compensation Yield 63.2% Realized
$105,043 / net annual direct deposit
Gross Adjusted $166,310 $79.96/hr
Effective Tax Drag 30.84% Combined Jurisdictions
Marginal Top Bracket 24% Federal Statutory
Total Withheld -$51,288 $1,972.61/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 $79.96 / hour
0 hrs/wk (+$0/yr)
0 hrs (Standard) 10 hrs OT 20 hrs OT 25 hrs Max
6% (-$9,979/yr)
0% Tax Shield: ~$2,395/yr 15% (IRS limit: $24,500)
Itemized Statutory Withholdings Ledger
Federal Income Tax (IRS)
Progressive 10%–37%
-$26,254
Social Security (FICA OASDI)
Statutory 6.20% (Cap $184,500)
-$10,311
Medicare Hospital Insurance
Statutory 1.45%
-$2,412
California Individual Income Tax
State Marginal Bracket
-$10,150
State Disability Insurance (SDI)
Statutory Payroll Assessment
-$2,162
Net Take-Home Annual Realized
$105,043 ($4,040.13 / check)
Category 2 of 6

San Francisco-Oakland-Fremont, CA Medical and Health Services Managers Wage Distribution

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

Your Salary: $166,310
MIDDLE 50% (IQR RANGE) 10th $67.3k 25th $104k Median: $166,310 50th (Median) $166k 75th $224k 90th $315k You: $166,310
10th (Entry) $67,320 $32.37/hr
25th (Junior) $104,010 $50.00/hr
50th (Median) $166,310 $79.96/hr
75th (Senior) $224,090 $107.74/hr
90th (Lead/Master) $315,430 $151.65/hr
Career Progression & Licensing Milestones for Medical and Health Services Managers in San Francisco-Oakland-Fremont, CA
1
Department SupervisorBachelor's degree (most common O*NET requirement); entry into the field
$98,556$47.38/hr · 0-2 Years
2
Assistant AdministratorDemonstrated results in role; works independently on core responsibilities; FACHE or equivalent
$127,156$61.13/hr · 2-5 Years
3
Medical & Health Services ManagerFull professional competence; leads projects or a small team
$166,364$79.98/hr · 5-9 Years
4
Senior Director of OperationsOwns budget, hiring and outcomes for a department or large program
$223,027$107.22/hr · 9-14 Years
5
Hospital Administrator / COOExecutive or principal scope; sets strategy across the organization or profession
$301,173$144.79/hr · 14+ Years
Scaled to the San Francisco-Oakland-Fremont, CA medianView National Medical and Health Services Managers Salary Data
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 San Francisco-Oakland-Fremont, CA under the HUD 30% housing cost guideline.

Rent-to-Take-Home Ratio (HUD 30% Standard)
34% of Net Income
⚠️ Cost-Burdened (Exceeds 30% Rule)
HUD Fair Market Rent (1-Bedroom) $3,003/month Requires minimum annual gross of $120,120
HUD Fair Market Rent (2-Bedroom) $3,697/month Requires minimum annual gross of $147,880
Hourly Living Wage Benchmark (EPI model)
1 Adult Earner: $39.91/hr
Per adult, 2 working adults + 1 child: $41.52/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 San Francisco-Oakland-Fremont, 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$166,310-$51,288$105,043$4,040.13
+5h Overtime/Wk45 hrs$197,493-$63,034$122,609$4,715.74
+10h Overtime/Wk50 hrs$228,676-$73,911$141,045$5,424.80
+15h Overtime/Wk55 hrs$259,859-$86,921$157,346$6,051.79
+20h Overtime/Wk60 hrs$291,043-$100,203$173,377$6,668.34
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 San Francisco-Oakland-Fremont, 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
$166,310/yr
$79.96/hr · SOC 11-9111
Statutory Tax Drag
30.84% Effective
-$51,288 in Total Taxes
HUD 1BR Shelter Ratio
34% Net Pay
⚠️ Exceeds 30% HUD Rule
Monthly Discretionary
+$5,751/mo
Post-$3,003/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 San Francisco-Oakland-Fremont, CA: Market Snapshot

Medical and Health Services Managers roles in San Francisco-Oakland-Fremont, CA report a median annual wage of $166,310, 34.3% above the national median of $123,860. The 10th to 90th percentile band runs from $67,320 to $315,430, and HUD’s $3,003 monthly one-bedroom fair market rent equals 21.7% of that median gross pay. The single-adult living wage benchmark for the area is $39.91 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+2.9%
Vallejo, CA$170,730+2.7%
New York-Newark-Jersey City, NY-NJ$167,580+0.8%
Napa, CA$167,530+0.7%
Seattle-Tacoma-Bellevue, WA$160,100-3.7%
Sacramento-Roseville-Folsom, CA$159,350-4.2%
Portland-Vancouver-Hillsboro, OR-WA$151,260-9.0%
Medford, OR$151,250-9.1%
Urban Honolulu, HI$151,180-9.1%
Kahului-Wailuku, HI$148,080-11.0%

Top-paying occupations benchmarked in San Francisco-Oakland-Fremont, CA

OccupationMedian annual wageMedian hourly
Chief Executives$288,690$138.79/hr
Computer and Information Systems Managers$232,890$111.97/hr
Natural Sciences Managers$225,230$108.28/hr
Architectural and Engineering Managers$221,580$106.53/hr
Marketing Managers$220,480$106.00/hr
Nurse Practitioner$219,080$105.33/hr
Financial Manager$216,150$103.92/hr
Human Resources Managers$209,340$100.64/hr
Public Relations Managers$192,720$92.65/hr
Compensation and Benefits Managers$188,850$90.79/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 San Francisco, CA Overview

Medical & Health Services Managers median pay in San Francisco-Oakland-Fremont, CA is $166,310 a year ($79.96/hr). See take-home pay after 2026 taxes, BLS wage. Official 2026 economic data for Medical and Health Services Managers in San Francisco-Oakland-Fremont, CA 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 San Francisco-Oakland-Fremont, CA?

The median annual wage is $166,310 ($79.96 per hour). The middle 80% of earners make between $67,320 and $315,430. Source: BLS OEWS (May 2025).

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

On the median wage of $166,310, a single filer with no pre-tax deductions takes home about $111,699 a year ($9,308 a month) after $54,611 in federal, FICA, state and local taxes, an effective rate of 32.84%, using 2026 tax rules.