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Industry · Form 5500 business code 622000
Hospitals: 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.
1,813 retirement plans in hospitals with 100 or more participants filed Form 5500 for plan year 2024 (1,456 defined contribution, 357 defined benefit). All Form 5500 pension filers in the group reported 11,731,242 participant records and $775.2B in net assets.
The median defined contribution plan held $49,270 per participant, below the national median of $53,031, and its employer put in $1,829 per active participant (national: $2,174). Among plans reporting Schedule C compensation the median was $70.15 per participant against $123 nationally.
Employers contributed $20.5B and participants $33.0B during the year, and the plans paid out $66.2B in benefits.
In 2009 the same group numbered 2,949 plans with $187.6B; by 2024 it was 1,813 plans (down 39%) and $775.2B (up 313%). 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 | $49,270 | $53,031 | $65,228 | $86,234 |
| Employer contributions per active participant | $1,829 | $2,174 | $5,720 | $10,244 |
| Schedule C compensation per participant | $70.15 | $123 | $249 | $344 |
| Schedule C compensation, share of net assets | 0.14% | 0.26% | 0.38% | 0.42% |
| Administrative expenses per participant | $64.99 | $116 | $490 | $527 |
Medians across plans with 100 or more participants (1,452 DC and 357 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 | $30,476 | $49,270 | $71,640 | 1,452 |
| Employer contributions per active participant | $936 | $1,829 | $2,803 | 1,259 |
| Schedule C compensation per participant | $37.09 | $70.15 | $136 | 1,405 |
| Administrative expenses per participant | $34.25 | $64.99 | $121 | 1,414 |
Trend by plan year
| Plan year | Plans 100+ | Participants | Net assets | Employer contributions | Participant contributions | Median DC assets / participant | Median DC Sch. C / participant |
|---|---|---|---|---|---|---|---|
| 2025partial | 139 | 718,461 | $54.8B | $1.17B | $2.42B | $59,503 | $69.47 |
| 2024 | 1,813 | 11,731,242 | $775.2B | $20.5B | $33.0B | $49,270 | $70.15 |
| 2023 | 1,888 | 11,572,255 | $699.0B | $18.7B | $30.4B | $43,956 | $65.94 |
| 2022 | 2,066 | 11,072,038 | $592.7B | $16.9B | $28.2B | $37,502 | $66.95 |
| 2021 | 2,123 | 10,720,043 | $692.3B | $16.6B | $26.1B | $44,648 | $71.17 |
| 2020 | 2,189 | 10,880,687 | $643.2B | $17.5B | $23.6B | $40,704 | $62.87 |
| 2019 | 2,270 | 10,697,110 | $555.8B | $18.0B | $21.9B | $36,131 | $57.59 |
| 2018 | 2,335 | 10,434,481 | $459.6B | $17.3B | $19.7B | $30,053 | $54.05 |
| 2017 | 2,462 | 10,365,734 | $481.6B | $16.2B | $18.7B | $31,433 | $48.69 |
| 2016 | 2,555 | 10,181,793 | $417.9B | $16.9B | $17.0B | $27,889 | $42.38 |
| 2015 | 2,616 | 9,959,083 | $376.3B | $15.5B | $15.6B | $26,177 | $37.56 |
| 2014 | 2,700 | 9,668,779 | $368.0B | $14.0B | $14.2B | $26,663 | $34.56 |
| 2013 | 2,804 | 9,427,758 | $341.9B | $13.5B | $13.2B | $24,796 | $25.60 |
| 2012 | 2,877 | 9,287,522 | $288.0B | $14.1B | $12.0B | $20,781 | $25.14 |
| 2011 | 2,949 | 8,956,288 | $247.2B | $14.3B | $11.0B | $18,479 | $23.40 |
| 2010 | 2,942 | 8,641,822 | $232.4B | $12.4B | $10.0B | $18,092 | $21.16 |
| 2009 | 2,949 | 8,102,659 | $187.6B | $9.96B | $9.10B | $15,618 | $17.83 |
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 1,815 plans on this page's list, by number of plans. A plan usually names several providers.
Largest plans
The 40 largest by participants of 1,815 plans with a page on this site.
| Plan | Sponsor | State | Type | Participants | Net assets | Per participant | Employer / active | Sch. C / participant |
|---|---|---|---|---|---|---|---|---|
| HCA 401(k) Plan | HCA Inc. | TN | DC | 379,101 | $23.8B | $62,813 | $2,160 | — |
| 1199SEIU Health Care Employees Pension Fund | Board of Trustees of 1199SEIU Health Care Employees Pension Fund | NY | DB | 296,800 | $16.1B | $54,361 | $8,148 | $407 |
| Tenet Healthcare Corporation 401(k) Retirement Savings Plan | Tenet Healthcare Corporation | TX | DC | 146,003 | $8.69B | $59,541 | $1,175 | $33.58 |
| Consolidated 403(b) Program of Mass General Brigham and Member Organizations | Mass General Brigham Incorporated | MA | DC | 136,132 | $16.7B | $123,011 | $2,129 | $31.84 |
| Commonspirit Health 401(k) Retirement Savings Plan | Commonspirit Health | KY | DC | 127,392 | $8.83B | $69,285 | $3,767 | $28.05 |
| 401(k) Savings Plan | Providence Health & Services | WA | DC | 119,632 | $10.1B | $84,209 | $6,014 | $53.25 |
| Upmc 401(a) Retirement Savings Plan | Upmc | PA | DC | 112,002 | $4.90B | $43,775 | $1,983 | $45.25 |
| Advocate Aurora Health 401(k) Plan | Advocate Aurora Health, Inc. | WI | DC | 103,145 | $10.5B | $101,680 | $4,254 | $66.92 |
| Upmc Basic Retirement Plan | Upmc | PA | DB | 100,852 | $3.01B | $29,837 | $1,660 | $34.58 |
| Consolidated Cash Balance Program of Mass General Brigham and Member Organizations | Mass General Brigham Incorporated | MA | DB | 96,507 | $11.6B | $120,057 | $2,983 | $37.02 |
| Upmc 403(b) Retirement Savings Plan | Upmc | PA | DC | 93,730 | $4.73B | $50,450 | — | $50.24 |
| Chs/community Health Systems, Inc. Retirement Savings Plan | Chs/community Health Systems, Inc. | TN | DC | 88,285 | $4.78B | $54,123 | $1,054 | $58.11 |
| Cleveland Clinic Savings and Investment Plan | The Cleveland Clinic Foundation | OH | DC | 86,817 | $9.21B | $106,049 | $2,072 | $57.85 |
| Intermountain Health 401(k) Plan | Intermountain Health Care, Inc. | UT | DC | 86,655 | $6.83B | $78,839 | $3,123 | $112 |
| Universal Health Services, Inc. Retirement Savings Plan | Universal Health Services, Inc. | PA | DC | 80,921 | $3.67B | $45,336 | $1,223 | $28.96 |
| Sutter Health 403(b) Savings Plan | Sutter Health | CA | DC | 78,643 | $7.63B | $96,993 | $653 | $23.45 |
| The Mount Sinai Medical Center 403(b) Retirement Plan | The Mount Sinai Medical Center | NY | DC | 75,936 | $9.49B | $125,025 | $3,118 | $25.43 |
| Cleveland Clinic Investment Pension Plan | The Cleveland Clinic Foundation | OH | DC | 73,315 | $1.77B | $24,158 | $2,586 | — |
| Banner Health Employees 401(k) Plan | Banner Health | AZ | DC | 72,485 | $4.92B | $67,856 | $2,192 | $54.73 |
| The Retirement Savings Plan | The New York-Presbyterian Hospital | NY | DC | 72,256 | $4.83B | $66,844 | $363 | $27.87 |
| Lifepoint Health, Inc. Retirement Plan | Lifepoint Health, Inc. | TN | DC | 68,144 | $2.58B | $37,790 | $710 | $31.49 |
| Sutter Health Retirement Plan | Sutter Health | CA | DB | 66,154 | $5.87B | $88,739 | — | $275 |
| Northwell Health 403(b) Plan | Northwell Health, Inc. | NY | DC | 65,962 | $10.9B | $165,543 | $3,083 | $47.91 |
| Providence Health & Services 403(b) Value Plan | Providence Health & Services | WA | DC | 60,228 | $6.55B | $108,740 | $0 | $26.61 |
| Baylor Scott & White Health Retirement Savings Plan | Baylor Scott & White Holdings | TX | DC | 58,503 | $4.66B | $79,628 | $3,220 | $66.17 |
| The University of Pennsylvania Health System 403(b) Retirement Savings Plan | Trustees of the Univ. of Penn | PA | DC | 56,762 | $3.55B | $62,582 | — | $41.54 |
| HMH 401(k) Savings Plan | Hackensack Meridian Health | NJ | DC | 55,699 | $2.13B | $38,264 | $3,652 | $37.14 |
| Tax Deferred Savings Plan of Novant Health, Inc. | Novant Health, Inc. | NC | DC | 55,552 | $2.54B | $45,780 | $0 | $48.38 |
| Orlando Health Retirement Savings Plan 403(b) | Orlando Health, Inc. | FL | DC | 55,514 | $1.91B | $34,484 | $2,171 | $27.73 |
| Northwestern Memorial Employee 401(k) Pre-Tax Savings Plan | Northwestern Memorial Healthcare | IL | DC | 53,096 | $5.43B | $102,355 | $5,022 | $30.33 |
| Iu Health 401(k) Savings Plan | Indiana University Health Inc. | IN | DC | 51,880 | $4.48B | $86,372 | $3,052 | $56.16 |
| Sanford Retirement Savings Plan | Sanford | ND | DC | 51,686 | $4.36B | $84,299 | $2,743 | $80.83 |
| Wellstar Health System, Inc. Supplemental Retirement Savings Plan | Wellstar Health System, Inc. | GA | DC | 48,753 | $2.84B | $58,184 | $4,297 | $45.15 |
| Savings and Supplemental Retirement Plan of Novant Health, Inc. | Novant Health, Inc. | NC | DC | 48,270 | $1.68B | $34,843 | $3,751 | $6.90 |
| Beaumont Health 403(b) Retirement Savings Plan | William Beaumont Hospital | MI | DC | 48,125 | $2.97B | $61,632 | $2,299 | $59.49 |
| Nyu Langone Health 403(b) Plan | Nyu Langone Hospitals | NY | DC | 48,046 | $3.59B | $74,685 | $3,563 | $17.46 |
| Retirement Contribution and 403(b) Matching Plan of the University of Pennsylvania Health System | Trustees of the Univ. of Penn | PA | DC | 47,760 | $1.11B | $23,245 | $3,476 | $8.73 |
| Beth Israel Lahey 403(b) Retirement Savings Plan | Beth Israel Lahey Health | MA | DC | 47,712 | $3.51B | $73,523 | $1,745 | $45.42 |
| Intermountain Health 403(b) Plan | Intermountain Health Care, Inc. | UT | DC | 47,089 | $342M | $7,256 | — | $4.16 |
| Piedmont Healthcare, Inc. 401(k) Tomorrowplan | Piedmont Healthcare, Inc. | GA | DC | 47,001 | $2.86B | $60,871 | $2,997 | $37.38 |
By plan size
By state
Questions and answers
How many retirement plans are there in hospitals?
1,813 plans with 100 or more participants filed Form 5500 for plan year 2024, out of 1,925 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 hospitals?
The median defined contribution plan reported $49,270 in net assets per participant (middle half of plans: $30,476 to $71,640); 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 hospitals?
The median defined contribution plan received $1,829 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 hospitals?
Among defined contribution plans that report any Schedule C compensation, the median was $70.15 per participant and 0.14% 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.