Healthcare Provider Update: Healthcare Provider for DaVita DaVita is primarily a healthcare provider specializing in kidney care and dialysis services. It operates approximately 2,800 outpatient dialysis clinics in the United States and provides acute inpatient dialysis services in around 790 hospitals. Given its significant scale, DaVita serves over 200,000 patients annually, making it one of the largest providers in the country. Potential Healthcare Cost Increases in 2026 In 2026, healthcare costs are expected to see significant increases, primarily due to escalating insurance premiums linked to the Affordable Care Act (ACA). The loss of enhanced federal premium subsidies could lead to out-of-pocket costs rising by over 75% for many consumers who rely on ACA marketplace plans. Additionally, overall medical costs are projected to surge, driven by factors such as higher hospital and physician fees and a sweeping trend of premium hikes requested by major insurers across various states, many exceeding 60%. These changes present substantial financial challenges for consumers, especially those reliant on dialysis services from providers like DaVita, necessitating proactive financial planning and healthcare strategies for the upcoming year. Click here to learn more
'DaVita employees can benefit from understanding that strategies like a Section 351 exchange, charitable donations, and tax loss harvesting may work together to help manage appreciated stock efficiently while aligning with broader long-term financial goals.' – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.
'DaVita employees should recognize that thoughtful planning with tools such as Section 351 exchanges, gifting strategies, and tax loss harvesting can help them manage highly appreciated stock while supporting both personal and philanthropic objectives.' – Wesley Boudreaux, a representative of The Retirement Group, a division of Wealth Enhancement.
In this article we will discuss:
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How a Section 351 exchange can defer capital gains on highly appreciated stock.
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Alternative tax-efficient strategies such as charitable donations, tax loss harvesting, and gifting.
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The role of inheritance rules, step-up in basis, and combined approaches in long-term tax planning.
A Tax-Aware Q&A on How to Manage Highly Appreciated Stock
From the Section 351 exchange to other practical approaches, this Q&A addresses key considerations DaVita employees may encounter when dealing with highly appreciated shares.
Section 351 Exchange: The Fundamental Approach
Q: What is an exchange under Section 351?
A: Under certain circumstances, an investor may transfer property, such as highly appreciated shares, to a company in exchange for its stock under a provision of the Internal Revenue Code that allows the deferral of capital gains or losses.
Q: What is the primary advantage of exchanging my appreciated stock through a Section 351 exchange?
A: The main advantage is tax deferral. Gains transferred to corporations may be postponed under Section 351, though this applies only if specific diversification requirements are met, especially when transferring to investment companies like exchange-traded funds (ETFs).
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Q: What is meant by the “Control Test”?
A: The investor or group of investors who use their portfolio assets to fund the new entity must own at least 80% of the voting power and 80% of the total number of shares of all other classes of stock in the new company immediately after the exchange.
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Q: When seeding an ETF, how is the Control Test usually satisfied?
A: It is typically satisfied by either a single substantial investor making a significant asset contribution or multiple investors pooling assets to create a seeding pool for the ETF’s launch.
Q: What is the ultimate tax payment date for the deferred gain?
A: The deferred gain is recognized when the ETF shares acquired through the exchange are sold; distributions from taxable funds must also be reported in the meantime.
Other Tax-Efficient Techniques
Q: What is a straightforward method, aside from a Section 351 exchange, to sell highly appreciated shares without incurring large taxes?
A: Donating shares directly to a qualified charity is one option that some DaVita employees may benefit from.
Q: What tax advantages come with donating valuable stock to a charity?
A: Subject to holding period and adjusted gross income (AGI) limits, you can bypass capital gains taxes on the appreciation and may receive an income tax deduction for the stock’s full fair market value.
Q: What is a Donor-Advised Fund (DAF)?
A: A DAF allows you to donate appreciated stock, receive an immediate tax deduction, and then recommend grants to charities over time, while the assets in the DAF grow without tax impact.
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Q: Can I give a family member my appreciated stock as a gift?
A: Yes. In most cases, the cost basis from the donor carries over to the recipient.
Q: Why would I give a family member in a lower tax bracket appreciated stock?
A: If they sell the stock, the lower income could result in a reduced capital gains rate, potentially as low as 0% for long-term gains.
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Tax Loss Harvesting and Other Approaches
Q: What is harvesting tax losses?
A: Selling investments at a loss to offset gains from other sales is known as tax loss harvesting, a strategy sometimes considered by DaVita employees seeking opportunities to leverage bouts of market volatility.
Q: Can I deduct a certain amount of loss from my regular income?
A: Yes. If your capital losses exceed your gains, you can use up to $3,000 per year ($1,500 if married filing separately) to offset ordinary income, with remaining losses carried forward indefinitely.
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Q: What is a Qualified Opportunity Fund (QOF)?
A: A QOF provides investors with tax incentives for investing in tracts of land designated as 'opportunity zones'. Capital gains reinvested in a QOF within 180 days of being realized can be temporarily tax deferred, while QOF investments helpd for at least 10 years may confer a permanent capital gains exclusion.
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That said, 2025 legislation changes may prompt IRS updates to this rule.
Inheritance and Step-Up in Basis
Q: What is meant by a “step-up in basis”?
A: This adjusts an inherited asset’s cost basis to its fair market value at the time of the owner’s death, eliminating capital gains accumulated during their lifetime.
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Q: If I gift shares while living, will I receive a step-up in basis?
A: No. The original cost basis transfers to the recipient without adjustment.
Determining the Right Strategy
Q: What is the best course of action for me?
A: The most suitable approach will depend on factors such as your gain size, income level, charitable intentions, and liquidity needs.
Q: Do any of these strategies call for professional guidance?
A: Yes. Given the complexity of the tax code, working with a qualified financial advisor and tax professional is strongly recommended before implementing these strategies.
Q: Is it possible to combine these strategies?
A: Yes. For example, you might execute a Section 351 exchange on part of your portfolio for tax-deferred rebalancing while donating another portion to a DAF for an immediate deduction.
Q: Is there a loophole in the Section 351 exchange?
A: No. This is a legitimate tax code provision designed for corporate restructuring and adapted for use in the ETF market. It is intended for tax deferral, not permanent tax elimination.
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- Corporate Employees: 8 Factors When Choosing a Mutual Fund
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- 7 Things to Consider Before Leaving Your Company
- How Are Workers Impacted by Inflation & Rising Interest Rates?
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Sources:
1. Kitces. ' Using Section 351 Exchanges to Tax-Efficiently Reallocate Portfolios With Embedded Gains ,' by Ben Henry-Moreland and Brent Sullivan. 12 Mar. 2025.
2. Kiplinger. “ A Donor-Advised Fund Can Give Your Charitable Giving a Boost ,” by Samuel Gaeta. 9 May 2024.
3. Internal Revenue Service. “ Topic No. 409, Capital Gains and Losses .” IRS.gov , 8 July 2025.
4. Wealth Enhancement. ' 6 Essential Tax-Loss Harvesting Tips ,' by Jim Wiley. 6 April 2022.
5. Congressional Research Service. ' Tax Incentives for Opportunity Zones ,' by Donald Marples. 26 Apr. 2022.
6. Investopedia. “ Carryover Basis: What It Is, How It Works, Gift Taxes ,” by Julia Kagan. 16 Jan. 2023.
What steps should DaVita employees take to prepare for retirement within the context of the DaVita Retirement Savings Plan? How does the structure of this plan align with common retirement strategies, and what resources does DaVita provide to help employees understand their options when they are considering retirement?
DaVita employees preparing for retirement within the context of the DaVita Retirement Savings Plan should review their savings, evaluate their retirement goals, and ensure they are maximizing contributions. The plan aligns with common retirement strategies by offering diversified investment options and matching contributions, making it easier for employees to grow their retirement funds. DaVita provides resources, such as the Voya website and a dedicated retirement service center, to help employees understand their retirement options and plan effectively.
How does the DaVita Retirement Savings Plan accommodate employees who have previously held jobs with different retirement plans? What documentation is necessary for these employees to successfully roll over their funds to the DaVita Retirement Savings Plan, and how does DaVita ensure compliance with IRS regulations in these situations?
The DaVita Retirement Savings Plan accommodates employees who have held jobs with other retirement plans by allowing rollovers from qualified plans, including 401(k)s, 403(b)s, and IRAs. Employees need to obtain proof of plan qualification and taxability from their previous employer or financial institution. DaVita ensures compliance with IRS regulations by requiring proper documentation, including an IRS Letter of Determination or rollover distribution statement, as noted in the Rollover Contribution Form(DaVita_08_11_2016_Rollo…).
In what ways can DaVita employees maximize their contributions to the DaVita Retirement Savings Plan, particularly considering the IRS contribution limits for 2024? What strategies should employees consider when determining how much to contribute, and how can DaVita support employees in achieving their retirement savings goals?
DaVita employees can maximize their contributions to the Retirement Savings Plan by taking advantage of the IRS contribution limits for 2024. The limit for employee deferrals is expected to be around $23,000, with an additional catch-up contribution of $7,500 for those aged 50 and above. Strategies include contributing enough to receive the full employer match and adjusting contributions to meet future goals. DaVita provides support through educational resources and financial tools available on the Voya platform.
How does DaVita address the investment options available through its Retirement Savings Plan? Specifically, what guidance is provided to employees regarding the selection of investment funds, and how can employees access information about their investment choices within the DaVita Retirement Savings Plan?
DaVita offers a range of investment options in its Retirement Savings Plan, including target date funds, stock funds, and bond funds. The company provides guidance to employees through the Voya website and customer service center, where they can access detailed information about available investment funds. Employees can tailor their portfolios based on their retirement timeline and risk tolerance, and they are encouraged to review their investment choices regularly.
What are the tax implications of withdrawing funds from the DaVita Retirement Savings Plan, and how can employees prepare for this? How does DaVita provide clarity around the tax obligations faced by employees when they begin to access their retirement savings, particularly for those who are unfamiliar with tax rules relating to retirement distributions?
Withdrawing funds from the DaVita Retirement Savings Plan can have significant tax implications. Withdrawals before age 59½ may incur early withdrawal penalties, and all withdrawals are subject to income tax unless they are from a Roth account. DaVita educates employees on these tax rules through its Voya platform, providing clarity on how to manage taxes when accessing retirement savings. Employees are encouraged to consult tax professionals for specific guidance.
How does DaVita educate its employees about the importance of understanding their retirement plan features? What programs or resources are available for employees to learn about financial wellness and retirement readiness, and how frequently does DaVita conduct educational initiatives related to its Retirement Savings Plan?
DaVita educates its employees on retirement plan features through webinars, financial wellness programs, and resources available on the Voya website. These initiatives focus on retirement readiness, savings strategies, and understanding the investment options within the plan. DaVita regularly updates employees through newsletters, and webinars are conducted periodically to keep employees informed about the plan.
In the event of unexpected financial hardships, what options do DaVita employees have regarding loans or early withdrawals from the DaVita Retirement Savings Plan? What do employees need to know about the process and potential penalties associated with accessing their funds early?
In the case of financial hardships, DaVita employees can take loans or early withdrawals from their Retirement Savings Plan. However, early withdrawals may be subject to penalties and taxes, depending on the circumstances. DaVita's Voya service center provides guidance on the process, explaining the potential costs and consequences. Employees are encouraged to explore alternative solutions before opting for early withdrawals to avoid unnecessary penalties.
What role do employees' personal financial goals play when determining their participation in the DaVita Retirement Savings Plan? How can DaVita assist employees in aligning their savings plan with their individual financial objectives, and what external financial consulting resources might they recommend?
Employees' personal financial goals play a key role in determining their participation in the DaVita Retirement Savings Plan. DaVita helps employees align their retirement savings with their broader financial objectives by offering planning tools and resources on the Voya platform. Additionally, external financial advisors or consulting services may be recommended for those needing personalized financial advice.
How can DaVita employees contact the company for more information regarding the Retirement Savings Plan? What specific channels, such as phone numbers or online resources, are available, and what types of inquiries can employees expect to address when contacting DaVita about their retirement savings?
DaVita employees seeking more information about the Retirement Savings Plan can contact the plan’s service center through the Voya website or by calling the dedicated support line. Customer service representatives are available to assist with inquiries related to contributions, investment options, rollovers, and withdrawals. Online resources and account management tools are also accessible for employees who prefer digital support.
How does DaVita ensure that it stays current with regulatory changes that impact employee retirement savings, particularly with respect to IRS limits set for 2024? What processes does DaVita have in place to update employees about these changes, and how does the company maintain transparency regarding its compliance with retirement regulations?
DaVita ensures it stays up to date with regulatory changes, including IRS contribution limits and distribution rules, through regular collaboration with financial service providers and legal experts. The company updates employees via email, webinars, and its Voya platform when changes occur, maintaining transparency about compliance with retirement regulations and keeping employees informed of any adjustments to the plan.