SOC 11-9111

Medical and Health Services Managers Salary in Winston-Salem, NC

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 + NC
COL Index: 102.58 (+2.6% vs US)
Net Compensation Yield 69.8% Realized
$82,676 / net annual direct deposit
Gross Adjusted $118,440 $56.94/hr
Effective Tax Drag 24.2% Combined Jurisdictions
Marginal Top Bracket 22% Federal Statutory
Total Withheld -$28,658 $1,102.21/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 $56.94 / hour
0 hrs/wk (+$0/yr)
0 hrs (Standard) 10 hrs OT 20 hrs OT 25 hrs Max
6% (-$7,106/yr)
0% Tax Shield: ~$1,563/yr 15% (IRS limit: $24,500)
Itemized Statutory Withholdings Ledger
Federal Income Tax (IRS)
Progressive 10%–37%
-$15,663
Social Security (FICA OASDI)
Statutory 6.20% (Cap $184,500)
-$7,343
Medicare Hospital Insurance
Statutory 1.45%
-$1,717
North Carolina Individual Income Tax
State Marginal Bracket
-$3,933
Net Take-Home Annual Realized
$82,676 ($3,179.85 / check)
Category 2 of 6

Winston-Salem, NC Medical and Health Services Managers Wage Distribution

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

Your Salary: $118,440
MIDDLE 50% (IQR RANGE) 10th $74.6k 25th $93.2k Median: $118,440 50th (Median) $118k 75th $167k 90th $219k You: $118,440
10th (Entry) $74,610 $35.87/hr
25th (Junior) $93,220 $44.82/hr
50th (Median) $118,440 $56.94/hr
75th (Senior) $166,990 $80.28/hr
90th (Lead/Master) $218,700 $105.14/hr
Career Progression & Licensing Milestones for Medical and Health Services Managers in Winston-Salem, NC
1
Department SupervisorBachelor's degree (most common O*NET requirement); entry into the field
$70,188$33.74/hr · 0-2 Years
2
Assistant AdministratorDemonstrated results in role; works independently on core responsibilities; FACHE or equivalent
$90,556$43.54/hr · 2-5 Years
3
Medical & Health Services ManagerFull professional competence; leads projects or a small team
$118,478$56.96/hr · 5-9 Years
4
Senior Director of OperationsOwns budget, hiring and outcomes for a department or large program
$158,832$76.36/hr · 9-14 Years
5
Hospital Administrator / COOExecutive or principal scope; sets strategy across the organization or profession
$214,485$103.12/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 Winston-Salem, NC 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) $1,224/month Requires minimum annual gross of $48,960
HUD Fair Market Rent (2-Bedroom) $1,332/month Requires minimum annual gross of $53,280
Hourly Living Wage Benchmark (EPI model)
1 Adult Earner: $22.69/hr
Per adult, 2 working adults + 1 child: $19.52/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 Winston-Salem, NC.

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$118,440-$28,658$82,676$3,179.85
+5h Overtime/Wk45 hrs$140,648-$35,990$96,219$3,700.72
+10h Overtime/Wk50 hrs$162,855-$43,532$109,552$4,213.53
+15h Overtime/Wk55 hrs$185,063-$51,039$122,920$4,727.69
+20h Overtime/Wk60 hrs$207,270-$57,269$137,565$5,290.95
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 Winston-Salem, NC: Compensation & Purchasing Power Briefing (2026)

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

Market Baseline
$118,440/yr
$56.94/hr · SOC 11-9111
Statutory Tax Drag
24.2% Effective
-$28,658 in Total Taxes
HUD 1BR Shelter Ratio
18% Net Pay
✓ Passes 30% HUD Rule
Monthly Discretionary
+$5,666/mo
Post-$1,224/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 Winston-Salem, NC: Market Snapshot

Medical and Health Services Managers roles in Winston-Salem, NC report a median annual wage of $118,440, 4.4% below the national median of $123,860. The 10th to 90th percentile band runs from $74,610 to $218,700, and HUD’s $1,224 monthly one-bedroom fair market rent equals 12.4% of that median gross pay. The single-adult living wage benchmark for the area is $22.69 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+44.6%
Vallejo, CA$170,730+44.1%
New York-Newark-Jersey City, NY-NJ$167,580+41.5%
Napa, CA$167,530+41.4%
San Francisco-Oakland-Fremont, CA$166,310+40.4%
Seattle-Tacoma-Bellevue, WA$160,100+35.2%
Sacramento-Roseville-Folsom, CA$159,350+34.5%
Portland-Vancouver-Hillsboro, OR-WA$151,260+27.7%
Medford, OR$151,250+27.7%
Urban Honolulu, HI$151,180+27.6%

Top-paying occupations benchmarked in Winston-Salem, NC

OccupationMedian annual wageMedian hourly
Chief Executives$273,710$131.59/hr
Computer and Information Systems Managers$160,900$77.36/hr
Marketing Managers$160,570$77.20/hr
Fundraising Managers$158,460$76.18/hr
Architectural and Engineering Managers$155,200$74.62/hr
Financial Manager$155,030$74.53/hr
Natural Sciences Managers$148,710$71.50/hr
Public Relations Managers$140,680$67.63/hr
Human Resources Managers$137,110$65.92/hr
Sales Managers$132,550$63.73/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 Winston-Salem, NC Overview

Medical & Health Services Managers median pay in Winston-Salem, NC is $118,440 a year ($56.94/hr). See take-home pay after 2026 taxes, BLS wage percentiles. Official 2026 economic data for Medical and Health Services Managers in Winston-Salem, NC 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 Winston-Salem, NC?

The median annual wage is $118,440 ($56.94 per hour). The middle 80% of earners make between $74,610 and $218,700. Source: BLS OEWS (May 2025).

What is the take-home pay for a Medical and Health Services Managers in Winston-Salem, NC after taxes?

On the median wage of $118,440, a single filer with no pre-tax deductions takes home about $87,936 a year ($7,328 a month) after $30,504 in federal, FICA, state and local taxes, an effective rate of 25.76%, using 2026 tax rules.