SOC 11-9111

Medical and Health Services Managers Salary in Waterloo, IA (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 + IA
COL Index: 90.14 (-9.9% vs US)
Net Compensation Yield 71.3% Realized
$73,648 / net annual direct deposit
Gross Adjusted $103,330 $49.68/hr
Effective Tax Drag 22.73% Combined Jurisdictions
Marginal Top Bracket 22% Federal Statutory
Total Withheld -$23,483 $903.17/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 $49.68 / hour
0 hrs/wk (+$0/yr)
0 hrs (Standard) 10 hrs OT 20 hrs OT 25 hrs Max
6% (-$6,200/yr)
0% Tax Shield: ~$1,364/yr 15% (IRS limit: $24,500)
Itemized Statutory Withholdings Ledger
Federal Income Tax (IRS)
Progressive 10%–37%
-$12,539
Social Security (FICA OASDI)
Statutory 6.20% (Cap $184,500)
-$6,406
Medicare Hospital Insurance
Statutory 1.45%
-$1,498
Iowa Individual Income Tax
State Marginal Bracket
-$3,039
Net Take-Home Annual Realized
$73,648 ($2,832.60 / check)
Category 2 of 6

Waterloo-Cedar Falls, IA Medical and Health Services Managers Wage Distribution

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

Your Salary: $103,330
MIDDLE 50% (IQR RANGE) 10th $75.7k 25th $81.7k Median: $103,330 50th (Median) $103k 75th $132k 90th $187k You: $103,330
10th (Entry) $75,670 $36.38/hr
25th (Junior) $81,730 $39.29/hr
50th (Median) $103,330 $49.68/hr
75th (Senior) $131,760 $63.35/hr
90th (Lead/Master) $187,330 $90.06/hr
Career Progression & Licensing Milestones for Medical and Health Services Managers in Waterloo-Cedar Falls, IA
1
Department SupervisorBachelor's degree (most common O*NET requirement); entry into the field
$61,234$29.44/hr · 0-2 Years
2
Assistant AdministratorDemonstrated results in role; works independently on core responsibilities; FACHE or equivalent
$79,003$37.98/hr · 2-5 Years
3
Medical & Health Services ManagerFull professional competence; leads projects or a small team
$103,363$49.69/hr · 5-9 Years
4
Senior Director of OperationsOwns budget, hiring and outcomes for a department or large program
$138,569$66.62/hr · 9-14 Years
5
Hospital Administrator / COOExecutive or principal scope; sets strategy across the organization or profession
$187,122$89.96/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 Waterloo-Cedar Falls, IA under the HUD 30% housing cost guideline.

Rent-to-Take-Home Ratio (HUD 30% Standard)
14% of Net Income
✓ Passes 30% Housing Affordability Standard
HUD Fair Market Rent (1-Bedroom) $838/month Requires minimum annual gross of $33,520
HUD Fair Market Rent (2-Bedroom) $1,096/month Requires minimum annual gross of $43,840
Hourly Living Wage Benchmark (EPI model)
1 Adult Earner: $19.94/hr
Per adult, 2 working adults + 1 child: $18.73/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 Waterloo-Cedar Falls, IA.

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$103,330-$23,483$73,648$2,832.60
+5h Overtime/Wk45 hrs$122,704-$29,663$85,679$3,295.34
+10h Overtime/Wk50 hrs$142,079-$36,079$97,475$3,749.03
+15h Overtime/Wk55 hrs$161,453-$42,624$109,142$4,197.76
+20h Overtime/Wk60 hrs$180,828-$49,169$120,809$4,646.48
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 Waterloo-Cedar Falls, IA: Compensation & Purchasing Power Briefing (2026)

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

Market Baseline
$103,330/yr
$49.68/hr · SOC 11-9111
Statutory Tax Drag
22.73% Effective
-$23,483 in Total Taxes
HUD 1BR Shelter Ratio
14% Net Pay
✓ Passes 30% HUD Rule
Monthly Discretionary
+$5,299/mo
Post-$838/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 Waterloo-Cedar Falls, IA: Market Snapshot

Medical and Health Services Managers roles in Waterloo-Cedar Falls, IA report a median annual wage of $103,330, 16.6% below the national median of $123,860. The 10th to 90th percentile band runs from $75,670 to $187,330, and HUD’s $838 monthly one-bedroom fair market rent equals 9.7% of that median gross pay. The single-adult living wage benchmark for the area is $19.94 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+65.7%
Vallejo, CA$170,730+65.2%
New York-Newark-Jersey City, NY-NJ$167,580+62.2%
Napa, CA$167,530+62.1%
San Francisco-Oakland-Fremont, CA$166,310+61.0%
Seattle-Tacoma-Bellevue, WA$160,100+54.9%
Sacramento-Roseville-Folsom, CA$159,350+54.2%
Portland-Vancouver-Hillsboro, OR-WA$151,260+46.4%
Medford, OR$151,250+46.4%
Urban Honolulu, HI$151,180+46.3%

Top-paying occupations benchmarked in Waterloo-Cedar Falls, IA

OccupationMedian annual wageMedian hourly
Chief Executives$199,010$95.68/hr
Architectural and Engineering Managers$140,340$67.47/hr
Physician Assistant$132,880$63.88/hr
Computer and Information Systems Managers$132,210$63.56/hr
Nurse Practitioner$126,330$60.74/hr
Human Resources Managers$125,970$60.56/hr
Financial Manager$125,690$60.43/hr
Sales Managers$125,050$60.12/hr
Marketing Managers$114,940$55.26/hr
Software Engineer$113,970$54.79/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 Waterloo, IA (2026) Overview

Medical & Health Services Managers median pay in Waterloo-Cedar Falls, IA is $103,330 a year ($49.68/hr). See take-home pay after 2026 taxes, BLS wage. Official 2026 economic data for Medical and Health Services Managers in Waterloo-Cedar Falls, IA 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 Waterloo-Cedar Falls, IA?

The median annual wage is $103,330 ($49.68 per hour). The middle 80% of earners make between $75,670 and $187,330. Source: BLS OEWS (May 2025).

What is the take-home pay for a Medical and Health Services Managers in Waterloo-Cedar Falls, IA after taxes?

On the median wage of $103,330, a single filer with no pre-tax deductions takes home about $78,248 a year ($6,521 a month) after $25,082 in federal, FICA, state and local taxes, an effective rate of 24.27%, using 2026 tax rules.