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Industry · Form 5500 business code 621493
Freestanding Ambulatory Surgical & Emergency Centers: retirement plans
Plans whose sponsor entered this principal business activity code on Form 5500.
Form 5500 information is as filed by the plan administrator with the Department of Labor and may be amended. Figures reflect the plan year shown, not current balances. The business code is chosen by the filer from the list in the Form 5500 instructions.
For plan year 2024, 43 retirement plans in freestanding ambulatory surgical & emergency centers with 100 or more participants filed Form 5500: 43 defined contribution and 0 defined benefit. They reported 60,713 participant records and $4.76B in net assets, counting every plan on the form.
The median defined contribution plan held $49,395 per participant, below the national median of $53,031, and its employer put in $1,867 per active participant (national: $2,174). Among plans reporting Schedule C compensation the median was $144 per participant against $123 nationally.
Employers contributed $148M and participants $249M during the year, and the plans paid out $432M in benefits.
In 2009 the same group numbered 45 plans with $571M; by 2024 it was 43 plans (down 4%) and $4.76B (up 733%). From plan year 2023 the 100-participant line counts participants with account balances, which moved many plans to the short form.
Medians compared with all US plans
| Median plan, plan year 2024 | Industry: DC | US: DC | Industry: DB | US: DB |
|---|---|---|---|---|
| Net assets per participant | $49,395 | $53,031 | — | $86,234 |
| Employer contributions per active participant | $1,867 | $2,174 | — | $10,244 |
| Schedule C compensation per participant | $144 | $123 | — | $344 |
| Schedule C compensation, share of net assets | 0.37% | 0.26% | — | 0.42% |
| Administrative expenses per participant | $137 | $116 | — | $527 |
Medians across plans with 100 or more participants (40 DC and 0 DB plans with a Schedule H here). Fee medians cover plans reporting an amount. DC: defined contribution, such as 401(k) and 403(b). DB: defined benefit pension.
Distribution of DC plans
| Measure | 25th percentile | Median | 75th percentile | Plans |
|---|---|---|---|---|
| Net assets per participant | $22,063 | $49,395 | $75,460 | 40 |
| Employer contributions per active participant | $1,060 | $1,867 | $3,157 | 40 |
| Schedule C compensation per participant | $58.77 | $144 | $333 | 38 |
| Administrative expenses per participant | $55.81 | $137 | $260 | 40 |
Trend by plan year
| Plan year | Plans 100+ | Participants | Net assets | Employer contributions | Participant contributions | Median DC assets / participant | Median DC Sch. C / participant |
|---|---|---|---|---|---|---|---|
| 2024 | 43 | 60,713 | $4.76B | $148M | $249M | $49,395 | $144 |
| 2023 | 42 | 42,963 | $3.52B | $156M | $193M | $38,196 | $101 |
| 2022 | 45 | 39,514 | $2.76B | $133M | $154M | $31,356 | $113 |
| 2021 | 44 | 31,042 | $2.71B | $102M | $117M | $42,210 | $88.21 |
| 2020 | 40 | 25,980 | $2.21B | $88.8M | $99.5M | $39,875 | $83.39 |
| 2019 | 41 | 26,981 | $1.69B | $94.8M | $85.8M | $31,055 | $104 |
| 2018 | 40 | 46,238 | $1.79B | $101M | $136M | $28,195 | $96.99 |
| 2017 | 39 | 46,182 | $1.81B | $89.9M | $118M | $30,076 | $69.69 |
| 2016 | 37 | 45,267 | $1.39B | $72.5M | $104M | $24,366 | $47.50 |
| 2015 | 41 | 38,886 | $1.22B | $71.5M | $94.1M | $23,276 | $35.92 |
| 2014 | 46 | 38,050 | $1.22B | $64.1M | $80.3M | $24,696 | $41.86 |
| 2013 | 42 | 35,695 | $1.11B | $60.1M | $72.4M | $24,817 | $46.88 |
| 2012 | 45 | 34,797 | $940M | $55.7M | $66.9M | $22,589 | $41.14 |
| 2011 | 41 | 32,184 | $744M | $50.0M | $58.5M | $20,337 | $36.93 |
| 2010 | 43 | 32,023 | $724M | $47.6M | $58.1M | $18,591 | $34.34 |
| 2009 | 45 | 33,879 | $571M | $39.6M | $51.6M | $16,058 | $27.89 |
Plan year is the year in which the plan year began. The drop in large plans from 2023 follows a rule change: the 100-participant line now counts participants with account balances, so many plans moved to the short form.
Provider share
Service provider organisations named most often on the Schedule C of the 43 plans on this page's list, by number of plans. A plan usually names several providers.
Largest plans
The 40 largest by participants of 43 plans with a page on this site.
| Plan | Sponsor | State | Type | Participants | Net assets | Per participant | Employer / active | Sch. C / participant |
|---|---|---|---|---|---|---|---|---|
| Villagemd 401(k) Retirement Savings Plan | Village Practice Management Company, LLC | NY | DC | 21,931 | $1.45B | $66,098 | $0 | $56.52 |
| US Acute Care Solutions Profit SHARING/401(K) Plan and Trust | US Acute Care Solutions | OH | DC | 10,132 | $1.94B | $191,081 | $14,071 | $50.73 |
| Amsurg, LLC 401(k) Plan | Amsurg, LLC | TN | DC | 7,390 | $226M | $30,558 | $1,161 | $29.82 |
| Fast Pace Medical Clinic, PLLC 401(k) Plan | Fast Pace Medical Clinical, PLLC | TN | DC | 2,872 | $19.7M | $6,864 | $499 | $54.34 |
| Nuehealth 401(k) Retirement Plan | Nuehealth Equity Co., LLC | KS | DC | 1,855 | $91.6M | $49,399 | $2,220 | $82.35 |
| Southwoods Health 401(k) Plan | The Surgery Center at Southwoods, LLC | OH | DC | 1,458 | $59.1M | $40,562 | $2,204 | — |
| Nutex Health Holdco, LLC 401(k) Plan | Nutex Health Holdco, LLC | TX | DC | 1,288 | $9.3M | $7,257 | $613 | $82.90 |
| Atlas Healthcare Partners 401(k) Plan | Atlas Healthcare Partners, LLC | AZ | DC | 1,253 | $26.6M | $21,238 | $2,015 | $146 |
| Sihf Healthcare Savings and Investment Plan | Southern Illinois Healthcare Foundation, Inc. DBA Sihf Healthcare | IL | DC | 1,200 | $70.5M | $58,766 | $1,925 | $240 |
| Intuitive Health 401 (K) Plan | Intuitive Health, LLC | TX | DC | 855 | $14.8M | $17,279 | $1,086 | $108 |
| Emergency Physicians Professional Association Profit Sharing 401(k) Plan | Emergency Physicians Professional Association | MN | DC | 687 | $294M | $428,463 | $30,392 | $387 |
| Fmbcnc 401(k) Plan | Fmbcnc, LLC | NC | DC | 677 | $7.4M | $10,924 | $2,223 | $29.27 |
| Urgent Care for Kids 401(k) Plan | Urgent Care for Kids, LLC | TX | DC | 583 | $2.5M | $4,299 | $9 | $48.21 |
| St. Luke's Cataract and Laser Institute 401(k) Plan | St. Luke's Cataract and Laser Institute, P.A. | FL | DC | 558 | $26.0M | $46,648 | $1,129 | $148 |
| Physicianone Urgent Care 401(k) Plan | Happy Mountains, LLC | CT | DC | 522 | $13.7M | $26,203 | $1,495 | $103 |
| Dedicated Systems Support, Inc. 401(k) Plan | Dedicated Systems Support, Inc. | TX | DC | 493 | $11.0M | $22,338 | $796 | $10.00 |
| Surgical Centers 401(k) Retirement Plan | Surgical Management Professionals, LLC | SD | DC | 485 | $25.2M | $51,860 | $1,563 | $430 |
| Inova Surgery Centers 401(k) Plan | Franconia-Springfield Surgery | VA | DC | 469 | $26.6M | $56,729 | $2,335 | $151 |
| Magna Health Systems, LLC 401(k) Plan | Magna Health Systems, LLC | IL | DC | 456 | $5.7M | $12,577 | $348 | $50.52 |
| Ally Medical Retirement Plan | Ally Medical Management, LLC | TX | DC | 403 | $5.0M | $12,439 | $1,701 | $8.37 |
| Arkansas Valley Regional Medical Center 401(k) Plan and Trust | Arkansas Valley Regional Medical Center | CO | DC | 390 | $25.4M | $65,069 | $1,809 | $367 |
| Emergency Groups' Office 401(k) Plan | Ego, Inc. DBA Brault | CA | DC | 346 | $9.5M | $27,429 | $365 | $65.42 |
| Philadelphia Urgent Care Management, Inc. 401(k) Plan | Philadelphia Urgent Care Management, Inc. | PA | DC | 327 | $2.8M | $8,654 | $307 | $109 |
| Ami Expeditionary Healthcare 401(k) Plan | Ami Expeditionary Healthcare | VA | DC | 295 | $3.7M | $12,662 | $1,489 | $58.57 |
| Rochester Ambulatory Surgery Center 401(k) Plan | Rochester Ambulatory Surgery Center | NY | DC | 262 | $7.6M | $28,955 | $1,306 | $59.35 |
| Washington Emergency Care Physicians 401(k) Profit Sharing Plan | Washington Emergency Care Physicians, Inc., P.S. | WA | DC | 250 | $52.3M | $209,334 | $21,606 | $293 |
| Richmond Eye & Ear Healthcare Alliance, Inc. 401(k) Plan | Richmond Eye & Ear Healthcare Alliance, Inc. | VA | DC | 236 | $17.9M | $75,839 | $2,954 | $360 |
| Reid Outpatient Surgery and Endoscopy 401(k) Plan | Reid Outpatient Surgery and Endoscopy, LLC | IN | DC | 222 | $13.2M | $59,278 | $2,435 | $142 |
| Northwest Michigan Surgery Center 401(k) Plan and Trust | Northwest Michigan Surgery Center | MI | DC | 193 | $9.7M | $50,086 | $2,539 | $257 |
| Bend Surgery Center, LLC Profit Sharing Plan | Bend Surgery Center, LLC | OR | DC | 189 | $12.9M | $68,214 | $3,804 | $276 |
| Commonwealth Emergency Physicians 401 (K) Plan | Commonwealth Emergency | TX | DC | 175 | $61.7M | $352,580 | $18,520 | $479 |
| Baptist-Physicians' Surgery Center 401(k) & Profit Sharing P | Baptist-Physicians Surgery Cent | KY | DC | 174 | $8.6M | $49,390 | $958 | $278 |
| Lake Surgical Hospital 401(k) Retirement Plan | Lake Surgical Hospital Slidell | LA | DC | 170 | $12.8M | $75,333 | $1,360 | $615 |
| The West Oakland Health Council Retirement Savings Plan | The West Oakland Health Council | CA | DC | 160 | $6.6M | $41,302 | $2,312 | $417 |
| Northern Litho, LLC. 401(k) Profit Sharing Plan | Northern Litho, LLC. | FL | DC | 152 | $10.8M | $70,727 | $3,924 | $223 |
| Allied Physicians Surgery Center, LLC 401(k) Profit Sharing Plan | Allied Physicians Surgery Center, LLC | IN | DC | 145 | $12.7M | $87,928 | $5,763 | $432 |
| Qualified Emergency Specialists, Inc. 401(k) Profit Sharing Plan | Qualified Emergency Specialists, Inc. | TX | DC | 131 | $66.0M | $504,039 | $30,585 | $160 |
| Pema 401(k) Plan | Pediatric Emergency Medicine Associates, LLC. | GA | DC | 127 | $74.6M | $587,456 | $24,859 | $1,823 |
| Wasc Holding LLC Savings & Investment Plan | Wasc Holding LLC | NJ | DC | 127 | $35.7M | $281,140 | $1,873 | $369 |
| Upmc Hamot Surgery Center 401(k) Retirement Plan | Upmc Hamot Surgery Center, L.L.C. | PA | DC | 125 | — | — | — | — |
By plan size
By state
Questions and answers
How many retirement plans are there in freestanding ambulatory surgical & emergency centers?
43 plans with 100 or more participants filed Form 5500 for plan year 2024, out of 64 pension plans on the full form. Smaller plans file Form 5500-SF and are counted separately where shown.
What is the typical 401(k) balance in freestanding ambulatory surgical & emergency centers?
The median defined contribution plan reported $49,395 in net assets per participant (middle half of plans: $22,063 to $75,460); nationally it was $53,031. This is a plan-level average that includes former employees, not a typical person's balance.
What do employers contribute in freestanding ambulatory surgical & emergency centers?
The median defined contribution plan received $1,867 in employer contributions per active participant, against $2,174 nationally. Plans with no employer contribution are included at zero.
What are average 401(k) fees in freestanding ambulatory surgical & emergency centers?
Among defined contribution plans that report any Schedule C compensation, the median was $144 per participant and 0.37% of net assets (nationally $123 and 0.26%). Schedule C leaves out fund expense ratios and fees the employer pays, so it understates total cost.
Where does this come from?
Form 5500 annual reports in the EBSA research files, with filings received through 24 Aug 2026. Medians are computed by this site across plans with 100 or more participants.
Provenance
Source: U.S. Department of Labor, Employee Benefits Security Administration, Form 5500 research files, public domain, with filings received through 24 Aug 2026. Totals count every pension plan on the full form; medians and the plan list cover plans with 100 or more participants. See the methodology.