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Intuitive Surgical Employees: Handling Single-Stock Concentration with a Section 351 Strategy

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'Intuitive Surgical employees with concentrated stock positions should understand that strategies like a Section 351 exchange can offer flexibility in managing large unrealized gains while preserving long-term planning options.' – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.

'Intuitive Surgical employees facing concentrated stock exposure may find that a Section 351 exchange provides an effective way to mitigate risk and maintain control over the timing of potential tax liabilities.' – Wesley Boudreaux, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

  1. When a Section 351 exchange can help diversify concentrated stock positions without an immediate tax bill.

  2. The core eligibility rules (80% control test) and basis/step-up mechanics that drive tax deferral.

  3. Sample case studies (James & Sarah) illustrating the numbers and outcomes.

The Strategic Potential of Section 351: An Analysis of a Multi-Stock Case in Tax-Deferred Reorganization

A sizable amount of the wealth of many high-earning professionals at Intuitive Surgical may be invested in a small number of highly valued equities, including company shares accumulated through restricted stock units (RSUs), the employee stock purchase plan (ESPP), or equity awards earned due to long tenure. While rebalancing may seem out of reach due to the tax ramifications of selling these positions, investors can make tax-deferred contributions of appreciated assets to a new business entity through a Section 351 exchange. When an investor wants to manage several sizable, embedded gains at once, this tactic may be especially useful.

Think about James, a client with a $10 million portfolio. The value of one stock investment, which he purchased for $50,000, has increased to $1 million, or 10% of his total portfolio. At a long-term capital gains rate that can reach 23.8% for certain high-income taxpayers (20% maximum long-term capital gains rate plus the 3.8% Net Investment Income Tax), selling this position would result in a $950,000 capital gain and an estimated $226,100 tax bill. The amount available for reinvestment would be reduced by this tax.

Section 351(a) of the Internal Revenue Code provides: “If property is transferred to a corporation by one or more persons solely in exchange for stock in such corporation and immediately after the exchange such person or persons are in control (as defined in section 368(c)) of the corporation, no gain or loss shall be recognized.” Under Section 368(c), “control” generally means ownership of at least 80% of the voting power and 80% of each class of non-voting shares.

The transferor or transferors must own at least 80% of the new corporation’s stock right after the exchange to qualify for this treatment. This can be done for investors with sizable portfolios by joining a larger seeding group or acting as the principal seeder of a new entity.

In a Section 351 transaction, any built-in gains are preserved because the shareholder’s basis in the received stock typically carries over from the contributed property. If the shares are held until death, a step-up in basis under Section 1014 may eliminate the deferred gain.

Another client example involves Sarah, who has a $13 million portfolio. She owns two appreciated stocks:

  • Stock A: Originally $300,000, now worth $3 million.

  • Stock B: Initial cost basis $500,000, now worth $3 million.

At a long-term capital gains rate that can reach 23.8% for certain high-income taxpayers, the aggregate unrealized gain of $5.2 million would translate into an estimated tax of roughly $1,237,600 if sold today, which can constrain portfolio adjustments.

For employees of Intuitive Surgical holding concentrated positions, taking part in a Section 351 exchange can reduce concentration risk and defer recognition of these gains without an immediate tax bill. If assets receive a step-up in basis at death, the deferred gain may be fully eliminated under current law, and deferral can provide flexibility in managing future tax obligations.

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Sources:

1.  Internal Revenue Service.  Revenue Ruling 2003-51 . Internal Revenue Bulletin 2003-21, 2003. PDF.

2.  Friedel, David B., and Yaw O. Awuah. “ Sec. 351 Control Requirement: Opportunities and Pitfalls .”  The Tax Adviser , 1 July 2014. Web.

3.  Internal Revenue Service. “ Net Investment Income Tax (NIIT) .”  IRS.gov , last reviewed 1 July 2025. Web.

4.  Internal Revenue Service.  Publication 551: Basis of Assets . December 2024 revision, posted 18 February 2025. PDF.

5.  FINRA Investor Education Foundation (FINRA). “ Concentrate on Concentration Risk .”  FINRA.org , 15 June 2022. Web.

What type of retirement savings plan does Intuitive Surgical offer to its employees?

Intuitive Surgical offers a 401(k) retirement savings plan to help employees save for their future.

Is there a company match for contributions to the 401(k) plan at Intuitive Surgical?

Yes, Intuitive Surgical provides a company match for employee contributions to the 401(k) plan, subject to specific terms and conditions.

How can I enroll in the 401(k) plan at Intuitive Surgical?

Employees can enroll in the 401(k) plan at Intuitive Surgical by completing the enrollment process through the company’s benefits portal or contacting HR for assistance.

What is the eligibility requirement for participating in Intuitive Surgical's 401(k) plan?

To participate in Intuitive Surgical's 401(k) plan, employees typically need to meet certain eligibility requirements, such as being a full-time employee and completing a specified period of service.

Can I change my contribution amount to the 401(k) plan at Intuitive Surgical?

Yes, employees at Intuitive Surgical can change their contribution amounts to the 401(k) plan at any time, subject to the plan's guidelines.

What investment options are available in Intuitive Surgical's 401(k) plan?

Intuitive Surgical's 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to suit different risk tolerances.

When can I access my 401(k) funds after leaving Intuitive Surgical?

After leaving Intuitive Surgical, employees can access their 401(k) funds according to the plan's distribution rules, which may include options like rollovers or cash withdrawals.

Does Intuitive Surgical offer financial advice for 401(k) participants?

Yes, Intuitive Surgical may provide access to financial advisors or resources to help employees make informed decisions about their 401(k) investments.

Are there any fees associated with Intuitive Surgical's 401(k) plan?

Yes, there may be fees associated with Intuitive Surgical's 401(k) plan, which can include administrative fees and investment-related fees, as outlined in the plan documents.

How often can I review my 401(k) account at Intuitive Surgical?

Employees can review their 401(k) account at Intuitive Surgical as often as they like, typically through the online benefits portal.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Intuitive Surgical offers a comprehensive 401(k) plan known as the "Intuitive Surgical, Inc. 401(k) Plan." This is a defined contribution plan, meaning that employees can contribute a portion of their salary into the plan, and Intuitive Surgical may also contribute, particularly through profit-sharing based on the company’s earnings. The 401(k) plan allows participants to direct the investment of their accounts, with options including default investments for those who do not make specific selections. This plan was established to help employees save for retirement, and it provides flexibility in how funds can be managed and withdrawn, particularly in situations requiring a Qualified Domestic Relations Order (QDRO). The company also provides life and disability insurance at no cost to the employees and a stock purchase plan, allowing employees to buy Intuitive Surgical stock at a discounted rate. The 401(k) plan is administered by Intuitive Surgical itself, with the headquarters located in Sunnyvale, California. For years of service and age qualification for the 401(k) plan, the company follows standard practices where employees become eligible to participate upon meeting certain age and service requirements, though specific details on this aspect are typically found in the plan's summary documents.
In 2023 and 2024, Intuitive Surgical has experienced financial restructuring driven by the evolving economic environment. They have not announced large-scale layoffs, but there has been a steady focus on cost optimization​ (Intuitive Surgical)​ (Intuitive Surgical). The company has also revised long-term incentive plans and stock-based compensation, including phantom share awards for employees in China. These changes are tied to strategic performance metrics, which could impact the company’s workforce and benefits as it aligns with its financial goals​ (Intuitive Surgical).
Intuitive Surgical (ISRG) offers stock options and Restricted Stock Units (RSUs) through its 2010 Incentive Award Plan. Eligible employees, particularly in leadership and key roles, receive annual grants of stock options and RSUs. In 2022, RSUs with a target value of $1.5 million were granted to senior executives, aligning compensation with company performance. For 2023 and 2024, the company continues to offer RSUs and stock options to incentivize long-term retention, primarily to executives and employees in strategic roles.
Health Insurance and Healthcare Navigation: Intuitive provides comprehensive health, dental, and vision insurance, including telehealth services. Employees have access to Accolade, a healthcare navigator, which helps them manage medical inquiries and navigate the complexities of the healthcare system​ (Intuitive Surgical Careers)​ (Intuitive Surgical Careers). Mental Health and Emotional Support: Employees and their families can access mental health services through Lyra, which offers 12 free sessions per year. The platform is designed to streamline the process of finding the right therapist based on individual preferences​ (Intuitive Surgical Careers)​ (Intuitive Surgical Careers). Family Planning and Fertility Services: Intuitive offers fertility support through Progyny and Maven, providing in-vitro fertilization (IVF), surrogacy support, and postpartum care. These services include access to a network of fertility specialists and comprehensive pregnancy support​ (Intuitive Surgical Careers)​ (Intuitive Surgical Careers). Cancer and Chronic Disease Support: Employees benefit from specialized support services for cancer and chronic diseases like diabetes and obesity. They have access to second opinions and personalized treatment plans, along with concierge support for navigating complex care​ (Intuitive Surgical Careers)​ (Intuitive Surgical Careers). Other Notable Benefits: Intuitive provides gender-affirming care, virtual physical therapy, weight management programs, and services for caregivers. Employees also receive 8 weeks of paid parental leave, flexible time off, and coverage for surrogacy up to $20,000
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For more information you can reach the plan administrator for Intuitive Surgical at , ; or by calling them at .

https://investor.intuitivesurgical.com/news-releases/news-release-details/intuitive-announces-fourth-quarter-earnings-3 https://www.mddionline.com/robotics/intuitive-surgical-s-latest-acquisition-is-just-one-piece-of-a-much-bigger-puzzle https://wraltechwire.com/2023/08/03/robotic-surgery-manufacturer-closing-durham-operation-91-face-layoffs/ https://www.massdevice.com/johnson-johnson-cuts-nearly-350-surgical-robotics-jobs/ https://www.milliman.com/en/insight/interest-rates-pension-plans-implement-liability-driven-investment-strategy https://www.daypitney.com/insights/publications/2023/11/3-irs-publishes-2024-pension-plan-limitations/ https://valueyourpension.com/pbgc-vs-irc-vs-gatt-interest-rates-and-present-value-calculation-methods/ https://www.foxrothschild.com/publications/interest-rate-hikes-present-challenge-for-fully-funded-pension-plans https://www.milliman.com/en/ https://isrg.intuitive.com/node/19916/html https://careers.intuitive.com/en/employee-stories/benefits/five-intuitive-benefits-that-help-employees-thrive/ https://isrg.intuitive.com/investors-calculator https://www.fidelity.com/learning-center/personal-finance/retirement/company-stock https://creativeplanning.com/insights/financial-planning/how-to-use-the-net-unrealized-appreciation-nua-strategy-in-your-401k/ https://carlsoncap.com/articles/nua-net-unrealized-appreciation/ https://www.stordahlcap.com/insights/understanding-net-unrealized-appreciation-nua-and-its-tax-benefits https://qdro.com/retirement-qdro/INTUITIVE-SURGICAL-INCORPORATED-401K-PLAN/ https://simpleqdro.com/retirement-plans/INTUITIVE-SURGICAL-INCORPORATED-401K-PLAN/ https://investor.intuitivesurgical.com/sec-filings/sec-filing/10-k/0001035267-23-000019

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