Healthcare & Social Assistance Retirement Plans
16,498 ERISA-covered retirement plans in the Healthcare & Social Assistance industry, holding $1.2T for 14,518,037 participants per 2024 Form 5500 filings.
The industry in one line
Healthcare & Social Assistance sponsors 16,498 ERISA-covered retirement plans holding $1.2T for 14,518,037 participants, the 4th-largest industry by plan assets.
- $1.2T
- total plan assets
- 16,498
- employer plans
- $74M
- average plan size
- 76.8%
- of plans are 401(k)s
What the Healthcare & Social Assistance Industry Plan Filings Show
The Healthcare & Social Assistance industry sponsors 16,498 ERISA-covered retirement plans according to 2024 Form 5500 filings, ranking #4 of 21 industries on PlainRetire by total plan assets. Within the industry, 76.8% of plans are 401(k) defined-contribution arrangements (12,663 plans), with the remainder split across defined-benefit pension plans, profit-sharing arrangements, ESOPs, and money-purchase plans. The average plan in Healthcare & Social Assistance holds $74M in end-of-year assets and covers 880 participants.
Industry-level totals reflect aggregate sponsor disclosures on Form 5500 Schedule H and Schedule I and provide a useful frame for benchmarking individual employer plans. They are not a substitute for plan-specific Summary Plan Description review when evaluating any single plan. Industry classification is self-reported by sponsors based on the primary economic activity of the sponsoring employer. Plans whose sponsor industry has changed across years (mergers, restructurings) carry the most-recent classification on file.
Plan Type Breakdown (Healthcare & Social Assistance)
| Plan Type | Plans | Participants | Total Assets |
|---|---|---|---|
| 401(k) | 12,663 | 8,617,651 | $626.3B |
| Profit Sharing | 2,354 | 3,833,196 | $307.2B |
| Defined Benefit (Pension) | 636 | 1,082,603 | $185.1B |
| Other | 472 | 439,759 | $41.1B |
| IRA-Based | 32 | 316,600 | $34.0B |
| Money Purchase | 321 | 202,297 | $26.9B |
| ESOP | 20 | 25,931 | $2.6B |
Largest Healthcare & Social Assistance Plans by Assets
Top 30 Healthcare & Social Assistance retirement plans ranked by 2024 end-of-year total assets.
| # | Plan | Sponsor | State | Type | Participants | Assets |
|---|---|---|---|---|---|---|
| 1 | Kaiser Permanente Retirement Plan | Kaiser Foundation Health Plan, Inc. | CA | Defined Benefit (Pension) | 135,057 | $34.5B |
| 2 | Hca 401(k) Plan | Hca Inc. | TN | 401(k) | 307,086 | $23.8B |
| 3 | Kaiser Permanente 401(k) Retirement Plan | Kaiser Foundation Health Plan, Inc. | CA | 401(k) | 149,110 | $22.5B |
| 4 | 1199seiu Health Care Employees Pension Fund | Board of Trustees of 1199seiu Health Care Employees Pension Fund | NY | Defined Benefit (Pension) | 111,833 | $16.9B |
| 5 | Kaiser Permanente Tax Sheltered Annuity Plan | Kaiser Foundation Health Plan, Inc. | CA | 401(k) | 79,670 | $13.8B |
| 6 | Mayo 403(b) Plan | Mayo Clinic | MN | IRA-Based | 85,933 | $12.8B |
| 7 | Mayo Pension Plan | Mayo Clinic | MN | Defined Benefit (Pension) | 71,743 | $11.8B |
| 8 | Retirement Plan for Physicians and Salaried Employees of the Permanente Medical Group, Inc. | The Permanente Medical Group, Inc. | CA | Defined Benefit (Pension) | 18,983 | $11.4B |
| 9 | Northwell Health 403(b) Plan | Northwell Health, Inc. | NY | Other | 44,511 | $10.9B |
| 10 | Advocate Aurora Health 401(k) Plan | Advocate Aurora Health, Inc | WI | 401(k) | 80,015 | $10.5B |
| 11 | 401(k) Savings Plan | Providence Health & Services | WA | 401(k) | 86,668 | $10.1B |
| 12 | The Permanente Medical Group, Inc. Salary Deferral Plan | The Permanente Medical Group, Inc. | CA | 401(k) | 21,688 | $9.9B |
| 13 | The Mount Sinai Medical Center 403(b) Retirement Plan | The Mount Sinai Medical Center | NY | Profit Sharing | 46,826 | $9.5B |
| 14 | Cleveland Clinic Savings and Investment Plan | The Cleveland Clinic Foundation | OH | Profit Sharing | 65,407 | $9.2B |
| 15 | Commonspirit Health 401(k) Retirement Savings Plan | Commonspirit Health | KY | 401(k) | 90,345 | $8.8B |
| 16 | Tenet Healthcare Corporation 401(k) Retirement Savings Plan | Tenet Healthcare Corporation | TX | 401(k) | 107,575 | $8.7B |
| 17 | Kaiser Permanente Retirement Plan for Scpmg | Southern California Permanente Medical Group | CA | Defined Benefit (Pension) | 50,341 | $8.4B |
| 18 | The Permanente Contribution Plan of the Permanente Medical Group, Inc. | The Permanente Medical Group, Inc. | CA | Money Purchase | 18,550 | $7.9B |
| 19 | Scpmg Keogh Plan | Southern California Permanente Medical Group | CA | 401(k) | 10,749 | $7.9B |
| 20 | Sutter Health 403(b) Savings Plan | Sutter Health | CA | Profit Sharing | 54,954 | $7.6B |
| 21 | Stanford Health Care Retirement Savings Plan | Stanford Health Care | CA | Profit Sharing | 24,152 | $6.9B |
| 22 | Intermountain Health 401(k) Plan | Intermountain Health Care, Inc. | UT | 401(k) | 68,360 | $6.8B |
| 23 | Providence Health & Services 403(b) Value Plan | Providence Health & Services | WA | Profit Sharing | 52,776 | $6.5B |
| 24 | The 401(k) Plan for Permanente Medical Groups | Southern California Permanente Medical Group | CA | 401(k) | 18,392 | $6.5B |
| 25 | Memorial Sloan Kettering Cancer Center Retirement Savings Plan | Memorial Sloan Kettering Cancer Center | NY | Profit Sharing | 22,606 | $6.4B |
| 26 | Sutter Health Retirement Plan | Sutter Health | CA | Defined Benefit (Pension) | 37,201 | $6.2B |
| 27 | Kaiser Permanente Supplemental Savings and Retirement Plan | Kaiser Foundation Health Plan, Inc. | CA | Money Purchase | 37,013 | $5.7B |
| 28 | Kaiser Permanente Employees Pension Plan | The Permanente Medical Group, Inc. | CA | Defined Benefit (Pension) | 40,879 | $5.6B |
| 29 | The Quest Diagnostics Profit Sharing Plan | Quest Diagnostics Clinical Laboratories, Inc. | NJ | 401(k) | 47,668 | $5.6B |
| 30 | Northwestern Memorial Employee 401(k) Pre-Tax Savings Plan | Northwestern Memorial Healthcare | IL | Profit Sharing | 35,963 | $5.4B |
Peer Industries (Similar Asset Scale)
- Professional & Technical Services 20,409 plans · $1.3T
- Finance & Insurance 8,569 plans · $1.4T
- Information & Media 2,823 plans · $641.3B
- Construction 8,704 plans · $581.1B
- Transportation & Warehousing 3,295 plans · $552.1B
Frequently Asked Questions
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Explore PlainRetire
Source: U.S. Department of Labor EBSA Form 5500 public-disclosure dataset, 2024 plan year. Industry classification self-reported by sponsors.
Reference: IRS Publication 560, Retirement Plans for Small Business.
Why Industry Matters for Retirement Planning
The American retirement system has bifurcated along industry lines over the past forty years. Traditional pension-heavy industries, manufacturing, utilities, transportation, public education, retain a meaningful population of defined-benefit plans, often as legacy structures with closed enrollment for new hires. Industries that grew up after the 1981 Internal Revenue Code change that authorized 401(k) plans, technology, financial services, professional services, are nearly entirely defined-contribution. Some industries, notably construction and entertainment, run multi-employer pension funds that pool contributions across employers and unions; these funds appear in Form 5500 as separate filings with their own asset bases and funded-status histories.
PlainRetire's industry pages organize plans by their reported NAICS code (when present) or, when NAICS is missing, by an industry label derived from the plan sponsor name. The resulting view lets a participant or analyst see, for instance, the prevalence of ESOPs in employee-owned manufacturers, the asset concentration of financial-services 401(k) plans, or the participant counts of multi-employer health-and-welfare-plus-pension Taft–Hartley funds in transportation.
What Industry Aggregates Can and Cannot Tell You
Industry-level aggregates are useful for spotting patterns: which sectors have larger plans on average, where defined-benefit plans persist, which industries have higher employer contribution rates as a share of payroll. They are less useful for decisions about a specific employer's plan, because within-industry variation is often as large as between-industry variation. A small technology firm may run a plan that looks more like a manufacturing plan than a tech plan; a manufacturing conglomerate may run a plan that looks more like a financial services plan. When evaluating a specific plan, drill from the industry page into the plan detail page and inspect plan-specific characteristics, vesting schedule, employer match, investment menu, fees, rather than relying on the industry average.
Industry classifications can drift across years as DOL updates the NAICS taxonomy or as sponsor businesses change primary activity. PlainRetire uses the classification reported in the most recent accepted filing and preserves earlier classifications in the historical record on each plan detail page.