2024 plan-year Industry rank #4 of 21 DOL Form 5500

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
Plans
16,498
401(k) Plans
12,663
76.8% of plans
Total Assets
$1.2T
Participants
14,518,037

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)

Frequently Asked Questions

How many retirement plans are in the Healthcare & Social Assistance industry?
Healthcare & Social Assistance sponsors 16,498 ERISA-covered retirement plans according to 2024 Form 5500 filings, including 12,663 401(k) plans (76.8% of plans in the industry). Total assets across all plans in the industry sum to $1.2T, covering 14,518,037 participants.
What's the average plan size in the Healthcare & Social Assistance industry?
The average Healthcare & Social Assistance retirement plan holds $74M in assets and covers 880 participants. This is an arithmetic mean across all 16,498 plans in the industry, actual plan sizes vary widely, with a small number of very large plans pulling the average up. See the table above for the largest plans by assets.
Where does this industry data come from?
Industry classification comes from each plan sponsor's Form 5500 filing with the U.S. Department of Labor's Employee Benefits Security Administration (EBSA). Sponsors self-classify into one of approximately 20 industry categories based on the primary economic activity of the sponsoring employer. The category labels follow the DOL plan-sponsor industry taxonomy.
What plan types are most common in the Healthcare & Social Assistance industry?
In Healthcare & Social Assistance, the most common plan type by total assets is 401(k) (12,663 plans, $626.3B in assets). Other common types include: Profit Sharing (2,354), Defined Benefit (Pension) (636), Other (472).

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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.