Industries › Health care and social assistance
Industry · Form 5500 business code 623000
Nursing & Residential Care Facilities: 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, 1,409 retirement plans in nursing & residential care facilities with 100 or more participants filed Form 5500: 1,379 defined contribution and 30 defined benefit. They reported 1,895,256 participant records and $29.6B in net assets, counting every plan on the form.
The median defined contribution plan held $16,337 per participant, well below the national median of $53,031, and its employer put in $669 per active participant (national: $2,174). Among plans reporting Schedule C compensation the median was $71.90 per participant against $123 nationally.
Employers contributed $770M and participants $2.06B during the year, and the plans paid out $4.04B in benefits.
In 2009 the same group numbered 2,157 plans with $11.6B; by 2024 it was 1,409 plans (down 35%) and $29.6B (up 155%). 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 | $16,337 | $53,031 | $48,960 | $86,234 |
| Employer contributions per active participant | $669 | $2,174 | $5,090 | $10,244 |
| Schedule C compensation per participant | $71.90 | $123 | $227 | $344 |
| Schedule C compensation, share of net assets | 0.50% | 0.26% | 0.50% | 0.42% |
| Administrative expenses per participant | $67.77 | $116 | $391 | $527 |
Medians across plans with 100 or more participants (1,343 DC and 29 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 | $9,082 | $16,337 | $26,964 | 1,343 |
| Employer contributions per active participant | $279 | $669 | $1,212 | 1,232 |
| Schedule C compensation per participant | $30.84 | $71.90 | $140 | 1,254 |
| Administrative expenses per participant | $26.06 | $67.77 | $130 | 1,323 |
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 | 144 | 144,796 | $2.37B | $53.8M | $168M | $20,871 | $98.89 |
| 2024 | 1,409 | 1,895,256 | $29.6B | $770M | $2.06B | $16,337 | $71.90 |
| 2023 | 1,479 | 1,920,797 | $28.7B | $817M | $1.93B | $15,455 | $64.63 |
| 2022 | 1,956 | 2,032,383 | $26.6B | $777M | $1.99B | $12,138 | $60.62 |
| 2021 | 2,001 | 1,982,817 | $31.7B | $750M | $1.90B | $14,514 | $63.73 |
| 2020 | 2,027 | 2,088,633 | $29.4B | $757M | $1.81B | $13,089 | $51.17 |
| 2019 | 2,049 | 2,211,913 | $26.7B | $734M | $1.77B | $11,264 | $45.67 |
| 2018 | 2,029 | 2,076,367 | $22.1B | $711M | $1.63B | $9,808 | $43.05 |
| 2017 | 2,051 | 2,074,192 | $23.5B | $714M | $1.51B | $10,502 | $37.32 |
| 2016 | 2,010 | 2,086,631 | $20.3B | $632M | $1.40B | $9,404 | $32.08 |
| 2015 | 2,020 | 2,016,959 | $19.0B | $575M | $1.29B | $8,916 | $30.21 |
| 2014 | 2,071 | 1,929,213 | $18.6B | $534M | $1.19B | $8,957 | $27.60 |
| 2013 | 2,086 | 1,903,748 | $17.8B | $542M | $1.12B | $8,634 | $25.31 |
| 2012 | 2,090 | 1,881,629 | $15.5B | $537M | $1.07B | $7,603 | $25.79 |
| 2011 | 2,117 | 1,879,285 | $13.8B | $597M | $1.02B | $6,794 | $24.74 |
| 2010 | 2,130 | 1,827,043 | $13.4B | $553M | $951M | $6,682 | $23.09 |
| 2009 | 2,157 | 1,776,966 | $11.6B | $553M | $930M | $5,955 | $18.51 |
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 1,402 plans on this page's list, by number of plans. A plan usually names several providers.
Largest plans
The 40 largest by participants of 1,402 plans with a page on this site.
| Plan | Sponsor | State | Type | Participants | Net assets | Per participant | Employer / active | Sch. C / participant |
|---|---|---|---|---|---|---|---|---|
| Ensign Services, Inc. 401(k) Retirement Savings Plan | Ensign Services, Inc. | CA | DC | 44,562 | $374M | $8,388 | $80 | $18.85 |
| Brookdale Senior Living Inc. 401(k) Retirement Savings Plan | Brookdale Senior Living Inc. | TN | DC | 41,035 | $466M | $11,359 | $129 | $17.07 |
| Scionhealth 401(k) Plan | Knight Health Holdings LLC d/b/a Scionhealth | KY | DC | 34,137 | $1.32B | $38,551 | $331 | $28.10 |
| Life Care Centers of America, Inc. 401(k) Savings Plan | Life Care Centers of America, Inc. | TN | DC | 32,465 | $324M | $9,982 | $0 | $15.89 |
| Genesis Administrative Services 401(k) Plan #1 | Genesis Administrative Services LLC | PA | DC | 29,049 | $981M | $33,785 | $29 | $30.82 |
| Pruitthealth, Inc. Employees 401(k) Plan and Hero Fund | Pruitthealth, Inc. | GA | DC | 28,935 | $267M | $9,226 | $142 | $46.16 |
| The Communicare Employee's 401(k) Plan | Health Care Facilities Staffing, LLC | OH | DC | 27,570 | $117M | $4,226 | $125 | $8.04 |
| Sunrise Senior Living 401(k) Plan | Sunrise Senior Living, LLC | VA | DC | 25,515 | $360M | $14,113 | $580 | $67.68 |
| New England Health Care Employees Pension Plan | Board of Trustees-New England Health Care Employees Pension Fund | CT | DB | 21,117 | $1.01B | $47,624 | $5,090 | $227 |
| National Healthcare Corporation 401(k) Plan | National Health Corporation | TN | DC | 20,802 | $325M | $15,637 | $163 | $7.93 |
| Gentiva 401(k) Plan | Curo Health Services, LLC | GA | DC | 19,591 | $301M | $15,368 | $711 | $26.48 |
| Ciena Healthcare Management, Inc. 401(k) Plan | Ciena Healthcare Management, Inc. | MI | DC | 19,510 | $126M | $6,448 | $291 | $23.55 |
| Genesis Administrative Services 401(k) Plan #2 | Genesis Administrative Services LLC | PA | DC | 16,574 | $85.5M | $5,157 | $7 | $7.16 |
| Saber Healthcare 401(k) Profit Sharing Plan | Saber Healthcare Group, L.L.C | OH | DC | 16,211 | $71.2M | $4,391 | $1 | $4.11 |
| Trilogy Management Services, LLC Retirement Savings Plan | Trilogy Management Services, LLC | KY | DC | 14,995 | $194M | $12,921 | $389 | $38.53 |
| Mfa 401(k) Plan | Mfa Benefits LLC | NJ | DC | 14,985 | $101M | $6,710 | $80 | $26.20 |
| Ags Payroll Services LLC 401(k) Plan | Ags Payroll Services LLC | NY | DC | 14,896 | $65.1M | $4,370 | $19 | $7.09 |
| Nurses and Local 813 Ibt Retirement Plan | Board of Trustees of Nurses and Local 813 Ibt Retirement Plan | NY | DB | 13,994 | $613M | $43,787 | $4,553 | $320 |
| Erickson Community 401(k) Plan | Oak Crest Village, Inc. | MD | DC | 13,949 | $295M | $21,126 | $725 | $54.33 |
| Nhca and Affiliates Retirement and Savings Plan | Board of Trustees of the Nhca and Affiliates Ret and Savings Plan | NY | DC | 12,592 | $228M | $18,073 | $1,105 | $57.40 |
| Stakeholder Payroll Services, LLC. 401(k) Plan | Stakeholder Payroll Services, LLC | KY | DC | 11,586 | $120M | $10,382 | $14 | $34.51 |
| Bronx Center Healthcare Systems 401(k) Plan | Bronx Center for Rehabilitation & Healthcare | NY | DC | 11,576 | $77.1M | $6,664 | $86 | $55.94 |
| The Alerislife Retirement Plan | Alerislife, Inc. | MA | DC | 10,711 | $128M | $11,974 | $757 | $53.59 |
| American Senior Communities, L.L.C. Retirement Savings Plan | American Senior Communities, L.L.C. | IN | DC | 10,534 | $123M | $11,693 | $74 | $11.48 |
| Atria Senior Living, Inc. 401(k) Plan | Atria Senior Living, Inc. | KY | DC | 10,489 | $166M | $15,798 | $350 | $43.91 |
| Complete Care 401(k) Plan | Complete Care LLC | NJ | DC | 9,956 | $49.6M | $4,983 | $36 | $58.61 |
| Regency Integrated Health Services 401(k) Plan | Regency Integrated Health Services | TX | DC | 9,750 | $13.4M | $1,375 | — | $4.23 |
| Presbyterian Homes and Services Tax Deferred Annuity Plan | Presbyterian Homes and Services | MN | DC | 8,914 | $122M | $13,668 | $0 | $28.16 |
| First Source Employee Management Retirement Plan | First Source Employee Management | OH | DC | 8,642 | $78.6M | $9,100 | $168 | $22.98 |
| Healthcare 401(k) Plan | Autumn Lake Healthcare LLC | NJ | DC | 8,629 | $21.4M | $2,485 | $0 | $10.17 |
| Liberty Healthcare Services Retirement Plan | Liberty Healthcare Management, Inc. | NC | DC | 8,249 | $95.6M | $11,586 | $245 | $56.25 |
| Benchmark Senior Living 401(k) Plan | Benchmark Senior Living LLC | MA | DC | 8,075 | $94.9M | $11,748 | $394 | $52.46 |
| HCR Manorcare Retirement Savings 401(k) Plan | Promedica Employment Services, LLC | OH | DC | 8,071 | $633M | $78,416 | — | $107 |
| Legacy Healthcare 401(k) Retirement Plan | Legacy Healthcare Financial Services, LLC | IL | DC | 7,830 | $105M | $13,385 | $323 | $37.41 |
| Team Staffing, LLC 401(k) Retirement Plan | Team Staffing, LLC | LA | DC | 7,726 | $7.2M | $933 | $0 | $8.76 |
| DC 37 Local 389 Home Care Employees Pension Fund | DC 37 Local 389 Home Care Employees Pension Fund | NY | DB | 7,694 | $55.9M | $7,261 | $913 | $107 |
| Sun Mar Healthcare 401(k) Plan | Sun Mar Healthcare | CA | DC | 7,656 | $16.8M | $2,189 | $0 | $0.85 |
| Acts Retirement - Life Communities, Inc. Retirement Savings Plan - 401(k) | Acts Retirement - Life Communities, Inc. | PA | DC | 7,335 | $227M | $30,945 | $1,198 | $63.42 |
| 401(k) Plan | Newgen Operations Management LLC | CA | DC | 7,310 | $19.1M | $2,618 | $8 | $30.55 |
| Oakmont Management Group LLC 401(k) Plan | Oakmont Management Group LLC | CA | DC | 6,921 | $32.1M | $4,642 | $227 | $15.89 |
By plan size
By state
Questions and answers
How many retirement plans are there in nursing & residential care facilities?
1,409 plans with 100 or more participants filed Form 5500 for plan year 2024, out of 1,604 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 nursing & residential care facilities?
The median defined contribution plan reported $16,337 in net assets per participant (middle half of plans: $9,082 to $26,964); 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 nursing & residential care facilities?
The median defined contribution plan received $669 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 nursing & residential care facilities?
Among defined contribution plans that report any Schedule C compensation, the median was $71.90 per participant and 0.50% 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.