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227 health system / hospital employers in California have substantive broker records on their Form 5500 filings. Median disclosed broker cost in this group runs about $18 per participant per month. Open any company to see its broker of record, disclosed compensation, and benefit lines — or step back to all California employers.
| Company | Industry | Plan type | Participants | Latest filing | Broker comp |
|---|---|---|---|---|---|
| BY THE BAY HEALTH | Health System / Hospital | Fully insured | 540 | 2025 | Disclosed |
| PACIFICA HOSPITAL OF THE VALLEY | Health System / Hospital | Self-funded | 522 | 2024 | Disclosed |
| PAJARO VALLEY HEALTH CARE DISTRICT HOSPITAL | Health System / Hospital | Self-funded | 511 | 2022 | Disclosed |
| WATSONVILLE HOSPITAL CORPORATION | Health System / Hospital | Self-funded | 480 | 2022 | Disclosed |
| KINGS VIEW | Health System / Hospital | Self-funded | 474 | 2024 | Disclosed |
| ALHAMBRA HOSPITAL MEDICAL CENTER | Health System / Hospital | Self-funded | 465 | 2025 | Disclosed |
| SAN GORGONIO MEMORIAL HOSPITAL | Health System / Hospital | Self-funded | 454 | 2025 | Disclosed |
| PREMIER BH INC. | Health System / Hospital | Fully insured | 454 | 2022 | Disclosed |
| ONELEGACY | Health System / Hospital | Self-funded | 451 | 2025 | Disclosed |
| MCKINLEY CHILDREN'S CENTER | Health System / Hospital | Self-funded | 437 | 2024 | Disclosed |
| FAIRCHILD MEDICAL CENTER | Health System / Hospital | Self-funded | 431 | 2024 | Disclosed |
| ALECTO HEALTHCARE | Health System / Hospital | Self-funded | 428 | 2022 | Disclosed |
| ROYALE HEALTHCARE CENTER | Health System / Hospital | Fully insured | 409 | 2022 | Disclosed |
| BOARD OF TRUSTEES, CALIFORNIA EMPLOYERS HEALTHCARE | Health System / Hospital | Self-funded | 407 | 2024 | Disclosed |
| ROCKWELL HEALTHCARE, LLC | Health System / Hospital | Fully insured | 389 | 2024 | Disclosed |
| SEQUOIA LIVING | Health System / Hospital | Self-funded | 385 | 2025 | Disclosed |
| DAMERON HOSPITAL ASSOCIATION | Health System / Hospital | Self-funded | 374 | 2025 | Disclosed |
| EPISCOPAL COMMUNITIES AND SERVICES FOR SENIORS | Health System / Hospital | Self-funded | 373 | 2025 | Disclosed |
| ELDER CARE ALLIANCE | Health System / Hospital | Self-funded | 362 | 2024 | Disclosed |
| MOTION PICTURE AND TELEVISION FUND | Health System / Hospital | Self-funded | 362 | 2025 | Disclosed |
| KEDREN COMMUNITY HEALTH CENTER, INC. | Health System / Hospital | Self-funded | 356 | 2025 | Disclosed |
| FRESNO SURGERY CENTER, LP DBA FRESNO SURGICAL HOSPITAL | Health System / Hospital | Self-funded | 346 | 2023 | Disclosed |
| ANGEL VIEW, INC. | Health System / Hospital | Self-funded | 344 | 2025 | Disclosed |
| MAMMOTH HOSPITAL | Health System / Hospital | Self-funded | 329 | 2022 | Disclosed |
| MONTAGE HEALTH | Health System / Hospital | Self-funded | 328 | 2025 | Disclosed |
| THE CARDINAL AT NORTH HILLS | Health System / Hospital | Self-funded | 324 | 2022 | Disclosed |
| CASA PACIFICA THE VILLAGE/FREEDOM VILLAGE | Health System / Hospital | Fully insured | 320 | 2024 | Disclosed |
| COURTYARD POST ACUTE LLC | Health System / Hospital | Fully insured | 316 | 2021 | Disclosed |
| BH-SD OPCO, LLC (DELAWARE LLC) | Health System / Hospital | Self-funded | 315 | 2024 | Disclosed |
| MOUNTAIN SHADOWS SUPPORT GROUP, INC. | Health System / Hospital | Fully insured | 299 | 2024 | Disclosed |
| THE CARDINAL AT NORTH HILLS | Health System / Hospital | Self-funded | 293 | 2024 | Disclosed |
| GATEWAYS HOSPITAL AND MENTAL HEALTH CENTER | Health System / Hospital | Self-funded | 292 | 2025 | Disclosed |
| AMERICARE HEALTH & RETIREMENT, INC. | Health System / Hospital | Self-funded | 281 | 2024 | Disclosed |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL | Health System / Hospital | Self-funded | 279 | 2024 | Disclosed |
| ARARAT HOME OF LOS ANGELES | Health System / Hospital | Fully insured | 277 | 2024 | Disclosed |
| MAD RIVER COMMUNITY HOSPITAL | Health System / Hospital | Self-funded | 272 | 2023 | Disclosed |
| UNIFIED CARE SERVICES | Health System / Hospital | Fully insured | 272 | 2024 | Disclosed |
| SAN DIEGO COASTAL MEDICAL GROUP, INC. | Health System / Hospital | Self-funded | 265 | 2025 | Disclosed |
| STABILITY HEALTHCARE INC. | Health System / Hospital | Fully insured | 264 | 2024 | Disclosed |
| CALIFORNIA FRIENDS HOMES | Health System / Hospital | Fully insured | 263 | 2024 | Disclosed |
| MOUNTAIN VIEW CHILD CARE INC. | Health System / Hospital | Self-funded | 252 | 2024 | Disclosed |
| TOWN AND COUNTRY MANOR | Health System / Hospital | Fully insured | 249 | 2024 | Disclosed |
| EAST VALLEY COMMUNITY HEALTH CENTER, INC. | Health System / Hospital | Self-funded | 248 | 2024 | Disclosed |
| VALLEY VILLAGE | Health System / Hospital | Fully insured | 248 | 2024 | Disclosed |
| O'CONNOR WOODS HOUSING CORP | Health System / Hospital | Self-funded | 241 | 2025 | Disclosed |
| CALIFORNIA HOME FOR THE AGED | Health System / Hospital | Fully insured | 238 | 2024 | Disclosed |
| MONTECITO RETIREMENT ASSOCIATION | Health System / Hospital | Self-funded | 232 | 2024 | Disclosed |
| PREMIER SENIOR LIVING - DELAWARE, LLC | Health System / Hospital | Self-funded | 232 | 2025 | Disclosed |
| HEBREW HOME FOR THE AGED DISABLED DBA SAN FRANCISCO CAMPUS FOR JEWISH | Health System / Hospital | Self-funded | 224 | 2024 | Disclosed |
| REBEKAH CHILDREN'S SERVICES | Health System / Hospital | Self-funded | 224 | 2025 | Disclosed |
| ASIAN COMMUNITY CENTER OF SACRAMENTO VALLEY, INC. | Health System / Hospital | Fully insured | 224 | 2024 | Disclosed |
| BOYS REPUBLIC | Health System / Hospital | Self-funded | 223 | 2024 | Disclosed |
| CASA DE LAS CAMPANAS | Health System / Hospital | Self-funded | 212 | 2024 | Disclosed |
| CHANCELLOR HEALTH CARE, INC. | Health System / Hospital | Fully insured | 208 | 2024 | Disclosed |
| CONGREGATIONAL HOMES, INC. | Health System / Hospital | Self-funded | 208 | 2025 | Disclosed |
| ROCKPORT ADMINISTRATIVE SERVICES, LLC | Health System / Hospital | Fully insured | 207 | 2025 | Disclosed |
| TITAN SENQUEST MANAGEMENT, INC. | Health System / Hospital | Self-funded | 207 | 2021 | Disclosed |
| MERIDIAN MANAGEMENT SERVICES | Health System / Hospital | Self-funded | 205 | 2024 | Disclosed |
| INNOVATIONS HEALTH SYSTEMS, LLC | Health System / Hospital | Self-funded | 204 | 2025 | Disclosed |
| SUN VALLEY SPECIALTY HEALTHCARE | Health System / Hospital | Self-funded | 196 | 2024 | Disclosed |
| BRETHREN HILLCREST HOMES | Health System / Hospital | Fully insured | 191 | 2024 | Disclosed |
| PSYNERGY PROGRAMS, INC. | Health System / Hospital | Fully insured | 190 | 2025 | Disclosed |
| LA POSADA | Health System / Hospital | Self-funded | 189 | 2024 | Disclosed |
| EXECUTIVE RECOVERY GROUP INC | Health System / Hospital | Fully insured | 189 | 2024 | Disclosed |
| BAKER PLACES, INC. | Health System / Hospital | Self-funded | 188 | 2024 | Disclosed |
| WILLOW GLEN CARE CENTER | Health System / Hospital | Fully insured | 183 | 2025 | Disclosed |
| HUGHSON SAMARITAN VILLAGE | Health System / Hospital | Fully insured | 182 | 2025 | Disclosed |
| ARTESIA CHRISTIAN HOME | Health System / Hospital | Fully insured | 178 | 2025 | Disclosed |
| CALIFORNIA PSYCHIATRIC TRANSITIONS | Health System / Hospital | Fully insured | 177 | 2024 | Disclosed |
| SOLVANG LUTHERAN HOME, INC. | Health System / Hospital | Fully insured | 176 | 2024 | Disclosed |
| ORTHOPAEDIC INSTITUTE FOR CHILDREN | Health System / Hospital | Self-funded | 175 | 2025 | Disclosed |
| TRINITY HOSPITAL | Health System / Hospital | Fully insured | 173 | 2025 | Disclosed |
| NEW VISTA HEALTH SERVICES, LLC | Health System / Hospital | Fully insured | 167 | 2024 | Disclosed |
| VISTA PACIFICA ENTERPRISES, INC. | Health System / Hospital | Fully insured | 166 | 2024 | Disclosed |
| PILGRIM PLACE IN CLAREMONT, INC. | Health System / Hospital | Self-funded | 165 | 2025 | Disclosed |
| B.V. GENERAL | Health System / Hospital | Fully insured | 159 | 2022 | Disclosed |
| WOODLAND TERRACE | Health System / Hospital | Self-funded | 155 | 2024 | Disclosed |
| LIFE SERVICES ALTERNATIVES, INC. | Health System / Hospital | Self-funded | 154 | 2024 | Disclosed |
| ACTIVCARE LIVING INC | Health System / Hospital | Fully insured | 154 | 2025 | Disclosed |
| HOLLENBECK PALMS | Health System / Hospital | Fully insured | 146 | 2024 | Disclosed |
| ORCHARD HOSPITAL | Health System / Hospital | Self-funded | 145 | 2024 | Disclosed |
| STANISLAUS SURGICAL HOSPITAL, LLC | Health System / Hospital | Self-funded | 142 | 2023 | Disclosed |
| PIONEER HEALTHCARE SERVICES LLC | Health System / Hospital | Fully insured | 141 | 2024 | Disclosed |
| MARYVALE | Health System / Hospital | Self-funded | 138 | 2024 | Disclosed |
| D.H. PORTER ENTERPRISES LLC | Health System / Hospital | Self-funded | 137 | 2023 | Disclosed |
| L & A CARE CORPORATION DBA ROZE ROOM HOSPICE | Health System / Hospital | Fully insured | 137 | 2024 | Disclosed |
| NATIONAL THERAPEUTIC SERVICES, INC. | Health System / Hospital | Fully insured | 136 | 2025 | Disclosed |
| LINCOLN GLEN MANOR | Health System / Hospital | Self-funded | 132 | 2024 | Disclosed |
| PUCKETT RESIDENTIAL SERVICES WELFARE PLAN | Health System / Hospital | Self-funded | 131 | 2025 | Disclosed |
| ST. JUDE NEIGHBORHOOD HEALTH CENTERS | Health System / Hospital | Self-funded | 130 | 2025 | Disclosed |
| THE SAILS GROUP, INC. | Health System / Hospital | Fully insured | 129 | 2022 | Disclosed |
| PEPPERMINT RIDGE | Health System / Hospital | Self-funded | 127 | 2025 | Disclosed |
| SAGE ELDERCARE SOLUTIONS | Health System / Hospital | Self-funded | 126 | 2024 | Disclosed |
| KISCO SENIOR LIVING | Health System / Hospital | Self-funded | 124 | 2024 | Disclosed |
| BETHANY HOME | Health System / Hospital | Self-funded | 123 | 2024 | Disclosed |
| VILLA SCALABRINI | Health System / Hospital | Fully insured | 121 | 2024 | Disclosed |
| BEVERLY HOSPITAL | Health System / Hospital | Self-funded | 119 | 2024 | Disclosed |
| THE REUTLINGER COMMUNITY | Health System / Hospital | Self-funded | 117 | 2025 | Disclosed |
| SIERRA VIEW HOMES | Health System / Hospital | Self-funded | 116 | 2023 | Disclosed |
| BENSON HOUSE, INC. | Health System / Hospital | Fully insured | 115 | 2024 | Disclosed |
Sourced from Form 5500 filings as submitted to the U.S. Department of Labor. Dataset refreshed October 7, 2026. Plan years are labeled by the year they begin, so a July 2024 – June 2025 plan year is 2024. Filings may lag 12–18 months behind the current plan year.