City and County of San Francisco / Public Health

Agency file

Public Health

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

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

In 2025, this agency had 10,209 employees with median total compensation of $150,926; the highest distinct record was $683,900.

Year: 2025
Total payroll: $1.6B
Employees: 10,209
Median total: $150,926
Highest record: $683,900

What the records show

Compensation analytics

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

Salary distribution

$6$399,283+

Hover a bar for its range; click to filter the list below.

How 2025 total compensation is spread across the 10,209 employees. Each bar is a pay range; taller bars mean more people earn in that range. The amber line marks the median ($150,926) — half earn less, half more. The far-right bar collects the highest earners.

Average pay composition

Base — $111,609 (69%)
Overtime — $6,646 (4%)
Other — $5,389 (3%)
Benefits — $37,744 (23%)

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

$24,930

$98,142

$150,926

$219,822

$290,493

The pay ladder for this department. Someone at the 90th percentile earns $290,493 — more than 90% of the department; the 10th percentile earns $24,930. The shaded band is the middle half of employees (25th–75th percentile).

Largest job titles

Registered Nurse

1,775 · $260,348

Special Nurse

1,719 · $40,370

Certified Nursing Assistant

620 · $138,280

Porter

348 · $127,175

Behavioral Health Clinician

266 · $169,623

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.

Year	Total payroll	Employees	Median pay
2024	$1.6B —	9,994 —	$148,897 —
2025	$1.6B ▲ 4.3%	10,209 ▲ 2.2%	$150,926 ▲ 1.4%

Record list

Employees

Page 11

Amir Karimabadi

Registered Nurse/Public Health

2025 total comp

$266,610

Sub-department: Nursing
Organization group: Community Health
Base pay: $167,994
Overtime: $30,631
Other pay: $10,973
Benefits: $57,012
Total compensation: $266,610
Employment type: Permanent Civil Service
Union / bargaining unit: SEIU, Local 1021, RN
Full-time equivalent (FTE): 0.91

Source-specific fields

Data As Of: Jun 14, 2026
Data Loaded At: Jun 15, 2026
Department Code: DPH
Health and Dental Benefits: $20,234
Job Code: 2320
Job Family Code: 2300
Organization Group Code: Community Health
Other Benefits: $13,280

Amir Karimabadi is a Registered Nurse at Public Health within Nursing. They work permanent civil service, 0.91 FTE. 2025 total compensation came to $266,610. Union affiliation: SEIU, Local 1021, RN.

Shannon Macfarlan

Registered Nurse/Public Health

2025 total comp

$266,537

Sub-department: Nursing
Organization group: Community Health
Base pay: $193,184
Overtime: $3,992
Other pay: $4,633
Benefits: $64,729
Total compensation: $266,537
Employment type: Permanent Civil Service
Union / bargaining unit: SEIU, Local 1021, RN
Full-time equivalent (FTE): 0.91

Source-specific fields

Data As Of: Jun 14, 2026
Data Loaded At: Jun 15, 2026
Department Code: DPH
Health and Dental Benefits: $22,557
Job Code: 2320
Job Family Code: 2300
Organization Group Code: Community Health
Other Benefits: $14,087

At Public Health, Shannon Macfarlan serves as a Registered Nurse within Nursing. They work permanent civil service, 0.91 FTE. Their 2025 pay totaled $266,537. Their bargaining unit is SEIU, Local 1021, RN.

Patrisha Kral

Registered Nurse/Public Health

2025 total comp

$266,432

Sub-department: Nursing
Organization group: Community Health
Base pay: $197,562
Overtime: $742
Other pay: $3,203
Benefits: $64,925
Total compensation: $266,432
Employment type: Permanent Civil Service
Union / bargaining unit: SEIU, Local 1021, RN
Full-time equivalent (FTE): 0.91

Source-specific fields

Data As Of: Jun 14, 2026
Data Loaded At: Jun 15, 2026
Department Code: DPH
Health and Dental Benefits: $22,846
Job Code: 2320
Job Family Code: 2300
Organization Group Code: Community Health
Other Benefits: $13,907

Patrisha Kral holds the role of Registered Nurse at Public Health within Nursing. Their status is permanent civil service, 0.91 FTE. In 2025, their total compensation was $266,432. They are represented by SEIU, Local 1021, RN.

Rumei Zhou

Registered Nurse/Public Health

2025 total comp

$266,396

Sub-department: Nursing
Organization group: Community Health
Base pay: $168,821
Overtime: $7,392
Other pay: $30,136
Benefits: $60,048
Total compensation: $266,396
Employment type: Permanent Civil Service
Union / bargaining unit: SEIU, Local 1021, RN
Full-time equivalent (FTE): 0.92

Source-specific fields

Data As Of: Jun 14, 2026
Data Loaded At: Jun 15, 2026
Department Code: DPH
Health and Dental Benefits: $22,454
Job Code: 2320
Job Family Code: 2300
Organization Group Code: Community Health
Other Benefits: $12,770

Rumei Zhou works as a Registered Nurse for Public Health within Nursing. Their status is permanent civil service, 0.92 FTE. Rumei earned $266,396 in 2025. Their bargaining unit is SEIU, Local 1021, RN.

Michelle Salas

Public Health Nurse/Public Health

2025 total comp

$266,369

Sub-department: Public Health
Organization group: Community Health
Base pay: $187,468
Overtime: $0
Other pay: $11,556
Benefits: $67,345
Total compensation: $266,369
Employment type: Permanent Civil Service
Union / bargaining unit: SEIU, Local 1021, RN
Full-time equivalent (FTE): 0.87

Source-specific fields

Data As Of: Jun 14, 2026
Data Loaded At: Jun 15, 2026
Department Code: DPH
Health and Dental Benefits: $25,150
Job Code: 2830
Job Family Code: 2800
Organization Group Code: Community Health
Other Benefits: $13,893

Michelle Salas works as a Public Health Nurse for Public Health within Public Health. Their status is permanent civil service, 0.87 FTE. Michelle earned $266,369 in 2025. They are represented by SEIU, Local 1021, RN.

Gracia Serrano

Registered Nurse/Public Health

2025 total comp

$266,196

Sub-department: Nursing
Organization group: Community Health
Base pay: $165,839
Overtime: $10,625
Other pay: $27,000
Benefits: $62,733
Total compensation: $266,196
Employment type: Permanent Civil Service
Union / bargaining unit: SEIU, Local 1021, RN
Full-time equivalent (FTE): 0.93

Source-specific fields

Data As Of: Jun 14, 2026
Data Loaded At: Jun 15, 2026
Department Code: DPH
Health and Dental Benefits: $22,384
Job Code: 2320
Job Family Code: 2300
Organization Group Code: Community Health
Other Benefits: $13,763

At Public Health, Gracia Serrano serves as a Registered Nurse within Nursing. They work permanent civil service, 0.93 FTE. Their 2025 pay totaled $266,196. Union affiliation: SEIU, Local 1021, RN.