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City and County of San Francisco / Health Service System

Agency file

Health Service System

Source file: City and County of San Francisco — Employee Compensation / ingested Jun 17, 2026

The Health Service System oversees public health and medical services — disease prevention, clinics and hospitals, and health licensing and regulation.

In 2025, this agency had 53 employees with median total compensation of $180,714; the highest distinct record was $359,838.

Year
2025
Total payroll
$9.5M
Employees
53
Median total
$180,714
Highest record
$359,838

What the records show

Compensation analytics

These summaries compare pay within the agency before listing individual records.

Salary distribution

How 2025 total compensation is spread across the 53 employees. Each bar is a pay range; taller bars mean more people earn in that range. The amber line marks the median ($180,714) — half earn less, half more. The far-right bar collects the highest earners.

Average pay composition

  • Base$130,605 (73%)
  • Overtime$1 (0%)
  • Other$1,708 (1%)
  • Benefits$47,461 (26%)

What an average paycheck here is made of — base salary versus overtime, other pay (bonuses, allowances), and benefits. A large overtime or other-pay share means take-home often exceeds base salary.

Pay percentiles

10th
25th
Median
75th
90th
$111,180
$135,075
$180,714
$215,705
$269,056

The pay ladder for this department. Someone at the 90th percentile earns $269,056 — more than 90% of the department; the 10th percentile earns $111,180. The shaded band is the middle half of employees (25th–75th percentile).

Largest job titles

Benefits Analyst
14 · $132,971
Manager III
4 · $270,336
Deputy Director III
3 · $299,271

The most common job titles in this department by headcount, with the median total compensation for each. Click a title to see everyone who holds it.

Trend

Year over year

How this department's total payroll, headcount, and median pay changed across the 2 published years.

YearTotal payrollEmployeesMedian pay
2024
$8.9M
48
$179,534
2025
$9.5M
6.9%
53
10.4%
$180,714
0.7%

Record list

Employees

Page 1

Douglas Cyr

Senior Employee Assistant Counselor/Health Service System

2025 total comp
$187,044
Sub-department
Med Therapy & Auxiliary
Organization group
General Administration & Finance
Base pay
$137,437
Overtime
$0
Other pay
$0
Benefits
$49,607
Total compensation
$187,044
Employment type
Permanent Civil Service
Union / bargaining unit
Prof & Tech Eng, Local 21
Full-time equivalent (FTE)
0.98

Source-specific fields

Data As Of
Jun 14, 2026
Data Loaded At
Jun 15, 2026
Department Code
HSS
Health and Dental Benefits
$19,212
Job Code
2595
Job Family Code
2500
Organization Group Code
General Administration & Finance
Other Benefits
$10,187

Douglas Cyr holds the role of Senior Employee Assistant Counselor at Health Service System within Medical Therapy & Auxiliary. Their status is permanent civil service, 0.98 FTE. In 2025, their total compensation was $187,044. They are represented by Prof & Tech Eng, Local 21.

Jesus Guzman

Communications Specialist/Health Service System

2025 total comp
$184,865
Sub-department
Management
Organization group
General Administration & Finance
Base pay
$129,966
Overtime
$0
Other pay
$0
Benefits
$54,900
Total compensation
$184,865
Employment type
Permanent Civil Service
Union / bargaining unit
Municipal Exec Assoc, Misc
Full-time equivalent (FTE)
1

Source-specific fields

Data As Of
Jun 14, 2026
Data Loaded At
Jun 15, 2026
Department Code
HSS
Health and Dental Benefits
$24,559
Job Code
9252
Job Family Code
0900
Organization Group Code
General Administration & Finance
Other Benefits
$11,229

Jesus Guzman is a Communications Specialist at Health Service System within Management. They work permanent civil service. 2025 total compensation came to $184,865. They are represented by Municipal Exec Assoc, Misc.

Raphaelle Hudson

Is Business Analyst-Senior/Health Service System

2025 total comp
$183,324
Sub-department
Information Systems
Organization group
General Administration & Finance
Base pay
$134,116
Overtime
$0
Other pay
$0
Benefits
$49,207
Total compensation
$183,324
Employment type
Permanent Civil Service
Union / bargaining unit
Prof & Tech Eng, Local 21
Full-time equivalent (FTE)
1

Source-specific fields

Data As Of
Jun 14, 2026
Data Loaded At
Jun 15, 2026
Department Code
HSS
Health and Dental Benefits
$19,506
Job Code
1053
Job Family Code
1000
Organization Group Code
General Administration & Finance
Other Benefits
$9,983

Raphaelle Hudson is a Is Business Analyst-Senior at Health Service System within Information Systems. They work permanent civil service. 2025 total compensation came to $183,324. They are represented by Prof & Tech Eng, Local 21.

Lily Liang

Senior Management Assistant/Health Service System

2025 total comp
$182,108
Sub-department
Budget, Admn & Stats Analysis
Organization group
General Administration & Finance
Base pay
$132,594
Overtime
$0
Other pay
$0
Benefits
$49,514
Total compensation
$182,108
Employment type
Permanent Exempt
Union / bargaining unit
SEIU, Local 1021, Misc
Full-time equivalent (FTE)
1

Source-specific fields

Data As Of
Jun 14, 2026
Data Loaded At
Jun 15, 2026
Department Code
HSS
Health and Dental Benefits
$19,953
Job Code
1844
Job Family Code
1800
Organization Group Code
General Administration & Finance
Other Benefits
$10,062

Lily Liang works as a Senior Management Assistant for Health Service System within Budget, Admn & Stats Analysis. Their status is permanent exempt. Lily earned $182,108 in 2025. Union affiliation: SEIU, Local 1021, Misc.

Holly Lopez

Senior Management Assistant/Health Service System

2025 total comp
$182,099
Sub-department
Budget, Admn & Stats Analysis
Organization group
General Administration & Finance
Base pay
$132,594
Overtime
$0
Other pay
$0
Benefits
$49,505
Total compensation
$182,099
Employment type
Permanent Exempt
Union / bargaining unit
SEIU, Local 1021, Misc
Full-time equivalent (FTE)
1

Source-specific fields

Data As Of
Jun 14, 2026
Data Loaded At
Jun 15, 2026
Department Code
HSS
Health and Dental Benefits
$19,953
Job Code
1844
Job Family Code
1800
Organization Group Code
General Administration & Finance
Other Benefits
$10,052

Holly Lopez is a Senior Management Assistant at Health Service System within Budget, Admn & Stats Analysis. They work permanent exempt. 2025 total compensation came to $182,099. Their bargaining unit is SEIU, Local 1021, Misc.

Yan Li

Senior Benefits Analyst/Health Service System

2025 total comp
$180,714
Sub-department
Budget, Admn & Stats Analysis
Organization group
General Administration & Finance
Base pay
$131,334
Overtime
$0
Other pay
$0
Benefits
$49,380
Total compensation
$180,714
Employment type
Permanent Civil Service
Union / bargaining unit
SEIU, Local 1021, Misc
Full-time equivalent (FTE)
1

Source-specific fields

Data As Of
Jun 14, 2026
Data Loaded At
Jun 15, 2026
Department Code
HSS
Health and Dental Benefits
$19,953
Job Code
1813
Job Family Code
1800
Organization Group Code
General Administration & Finance
Other Benefits
$10,113

At Health Service System, Yan Li serves as a Senior Benefits Analyst within Budget, Admn & Stats Analysis. They work permanent civil service. Their 2025 pay totaled $180,714. They are represented by SEIU, Local 1021, Misc.

Yock Chow

Senior Benefits Analyst/Health Service System

2025 total comp
$180,595
Sub-department
Budget, Admn & Stats Analysis
Organization group
General Administration & Finance
Base pay
$131,334
Overtime
$0
Other pay
$0
Benefits
$49,260
Total compensation
$180,595
Employment type
Permanent Civil Service
Union / bargaining unit
SEIU, Local 1021, Misc
Full-time equivalent (FTE)
1

Source-specific fields

Data As Of
Jun 14, 2026
Data Loaded At
Jun 15, 2026
Department Code
HSS
Health and Dental Benefits
$19,953
Job Code
1813
Job Family Code
1800
Organization Group Code
General Administration & Finance
Other Benefits
$9,993

Yock Chow is a Senior Benefits Analyst at Health Service System within Budget, Admn & Stats Analysis. They work permanent civil service. 2025 total compensation came to $180,595. Their bargaining unit is SEIU, Local 1021, Misc.