Guideline uses HSAs to prevent retirement leakage

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Kevin Busque and Steven Wu, CEO and CFO of Guideline, on hitting $120M ARR

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healthcare is the second biggest reason people take money out of a retirement account.
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This points to a simple product truth, retirement leakage is often a healthcare financing problem, not just a savings problem. When workers raid a 401(k) for medical bills, they lock in taxes, possible penalties, and lost compounding, so adding HSAs lets Guideline put a separate pot of tax advantaged money next to retirement assets and reduce the need to tap long term savings for near term care costs.

  • Medical expenses are a standard IRS recognized hardship category for 401(k) distributions, and the IRS warns that hardship withdrawals permanently reduce retirement balances and can trigger income tax and sometimes an extra 10% tax. That makes healthcare one of the clearest pathways from a short term cash need to a worse retirement outcome.
  • Guideline has been building toward a broader savings stack for several years, first with IRA and SEP, then with HSA as the next adjacent account. The logic is operational as much as financial, one dashboard, one investment approach, and less money leaving the ecosystem when an employee changes jobs or faces a medical event.
  • The HSA market is fragmented and lower margin than 401(k), with specialists like Lively and large incumbents like Fidelity both offering accounts that can be spent on medical bills or invested for future care. That means Guideline is not entering a blank space, it is using its payroll and retirement distribution to bundle HSA into an existing employer workflow.

The next step is a fuller household balance sheet inside the retirement product. If Guideline can pair 401(k), IRA, cash savings, and HSA in one system, it moves from selling a single benefit to managing how workers fund the biggest life events without breaking long term savings momentum.