SOC 11-9111

Medical and Health Services Managers Salary in Spokane Metro, 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 + WA
COL Index: 98.4 (-1.6% vs US)
Net Compensation Yield 72.7% Realized
$91,876 / net annual direct deposit
Gross Adjusted $126,460 $60.80/hr
Effective Tax Drag 21.35% Combined Jurisdictions
Marginal Top Bracket 22% Federal Statutory
Total Withheld -$26,996 $1,038.31/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 $60.80 / hour
0 hrs/wk (+$0/yr)
0 hrs (Standard) 10 hrs OT 20 hrs OT 25 hrs Max
6% (-$7,588/yr)
0% Tax Shield: ~$1,669/yr 15% (IRS limit: $24,500)
Itemized Statutory Withholdings Ledger
Federal Income Tax (IRS)
Progressive 10%–37%
-$17,322
Social Security (FICA OASDI)
Statutory 6.20% (Cap $184,500)
-$7,841
Medicare Hospital Insurance
Statutory 1.45%
-$1,834
Washington Individual Income Tax
State Marginal Bracket
-$0
Net Take-Home Annual Realized
$91,876 ($3,533.70 / check)
Category 2 of 6

Spokane-Spokane Valley, WA Medical and Health Services Managers Wage Distribution

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

Your Salary: $126,460
MIDDLE 50% (IQR RANGE) 10th $75.0k 25th $93.7k Median: $126,460 50th (Median) $126k 75th $160k 90th $193k You: $126,460
10th (Entry) $74,970 $36.04/hr
25th (Junior) $93,660 $45.03/hr
50th (Median) $126,460 $60.80/hr
75th (Senior) $159,740 $76.80/hr
90th (Lead/Master) $192,650 $92.62/hr
Career Progression & Licensing Milestones for Medical and Health Services Managers in Spokane-Spokane Valley, WA
1
Department SupervisorBachelor's degree (most common O*NET requirement); entry into the field
$74,941$36.03/hr · 0-2 Years
2
Assistant AdministratorDemonstrated results in role; works independently on core responsibilities; FACHE or equivalent
$96,688$46.48/hr · 2-5 Years
3
Medical & Health Services ManagerFull professional competence; leads projects or a small team
$126,501$60.82/hr · 5-9 Years
4
Senior Director of OperationsOwns budget, hiring and outcomes for a department or large program
$169,587$81.53/hr · 9-14 Years
5
Hospital Administrator / COOExecutive or principal scope; sets strategy across the organization or profession
$229,008$110.10/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 Spokane-Spokane Valley, WA under the HUD 30% housing cost guideline.

Rent-to-Take-Home Ratio (HUD 30% Standard)
15% of Net Income
✓ Passes 30% Housing Affordability Standard
HUD Fair Market Rent (1-Bedroom) $1,173/month Requires minimum annual gross of $46,920
HUD Fair Market Rent (2-Bedroom) $1,494/month Requires minimum annual gross of $59,760
Hourly Living Wage Benchmark (EPI model)
1 Adult Earner: $21.76/hr
Per adult, 2 working adults + 1 child: $21.48/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 Spokane-Spokane Valley, 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$126,460-$26,996$91,876$3,533.70
+5h Overtime/Wk45 hrs$150,171-$34,101$107,060$4,117.70
+10h Overtime/Wk50 hrs$173,883-$41,264$122,186$4,699.45
+15h Overtime/Wk55 hrs$197,594-$47,615$138,123$5,312.42
+20h Overtime/Wk60 hrs$221,305-$53,500$154,527$5,943.33
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 Spokane-Spokane Valley, WA: Compensation & Purchasing Power Briefing (2026)

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

Market Baseline
$126,460/yr
$60.80/hr · SOC 11-9111
Statutory Tax Drag
21.35% Effective
-$26,996 in Total Taxes
HUD 1BR Shelter Ratio
15% Net Pay
✓ Passes 30% HUD Rule
Monthly Discretionary
+$6,483/mo
Post-$1,173/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 Spokane-Spokane Valley, WA: Market Snapshot

Medical and Health Services Managers roles in Spokane-Spokane Valley, WA report a median annual wage of $126,460, 2.1% above the national median of $123,860. The 10th to 90th percentile band runs from $74,970 to $192,650, and HUD’s $1,173 monthly one-bedroom fair market rent equals 11.1% of that median gross pay. The single-adult living wage benchmark for the area is $21.76 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+35.4%
Vallejo, CA$170,730+35.0%
New York-Newark-Jersey City, NY-NJ$167,580+32.5%
Napa, CA$167,530+32.5%
San Francisco-Oakland-Fremont, CA$166,310+31.5%
Seattle-Tacoma-Bellevue, WA$160,100+26.6%
Sacramento-Roseville-Folsom, CA$159,350+26.0%
Portland-Vancouver-Hillsboro, OR-WA$151,260+19.6%
Medford, OR$151,250+19.6%
Urban Honolulu, HI$151,180+19.5%

Top-paying occupations benchmarked in Spokane-Spokane Valley, WA

OccupationMedian annual wageMedian hourly
Chief Executives$260,940$125.45/hr
Computer and Information Systems Managers$172,900$83.12/hr
Architectural and Engineering Managers$164,720$79.19/hr
Financial Manager$159,530$76.70/hr
Sales Managers$155,300$74.66/hr
Physician Assistant$147,570$70.95/hr
Human Resources Managers$147,050$70.70/hr
Purchasing Managers$146,310$70.34/hr
Marketing Managers$145,960$70.17/hr
Education Administrators, Kindergarten through Secondary$144,210$69.33/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 Spokane Metro, WA Overview

Medical & Health Services Managers median pay in Spokane-Spokane Valley, WA is $126,460 a year ($60.80/hr). See take-home pay after 2026 taxes, BLS wage. Official 2026 economic data for Medical and Health Services Managers in Spokane-Spokane Valley, 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 Spokane-Spokane Valley, WA?

The median annual wage is $126,460 ($60.80 per hour). The middle 80% of earners make between $74,970 and $192,650. Source: BLS OEWS (May 2025).

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

On the median wage of $126,460, a single filer with no pre-tax deductions takes home about $97,701 a year ($8,142 a month) after $28,759 in federal, FICA, state and local taxes, an effective rate of 22.74%, using 2026 tax rules.