Healthcare Provider Update: Healthcare Provider for IQVIA Holdings IQVIA Holdings operates as a leading global provider of advanced analytics, technology solutions, and contract research services focused on the healthcare sector. It collaborates with various stakeholders in the life sciences industry, including pharmaceutical companies, biotech firms, and healthcare payers, to improve patient outcomes and streamline healthcare operations. Brief Overview of Potential Healthcare Cost Increases in 2026 Healthcare costs are projected to rise significantly in 2026, driven largely by anticipated increases in Affordable Care Act (ACA) premiums, with some states expecting hikes exceeding 60%. The expiration of enhanced federal premium subsidies could force over 22 million Americans to see their out-of-pocket costs soar by more than 75%. Coupled with rising medical expenses and aggressive rate increases from major insurers, consumers may find themselves increasingly burdened by healthcare costs, necessitating proactive planning and strategic decision-making regarding their health coverage. Click here to learn more
'IQVIA Holdings 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.
'IQVIA Holdings 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 IQVIA Holdings 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 IQVIA Holdings 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 IQVIA Holdings 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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- Medicare Open Enrollment for Corporate Employees: Cost Changes in 2024!
- Stages of Retirement for Corporate Employees
- 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 is the 401(k) plan offered by IQVIA Holdings?
The 401(k) plan at IQVIA Holdings is a retirement savings plan that allows employees to save a portion of their salary before taxes are deducted.
Does IQVIA Holdings match employee contributions to the 401(k) plan?
Yes, IQVIA Holdings offers a matching contribution to the 401(k) plan, which helps employees increase their retirement savings.
What is the eligibility requirement for IQVIA Holdings' 401(k) plan?
Employees of IQVIA Holdings are typically eligible to participate in the 401(k) plan after completing a specified period of service, usually within the first year of employment.
How can employees enroll in the 401(k) plan at IQVIA Holdings?
Employees can enroll in the IQVIA Holdings 401(k) plan through the company's benefits portal or by contacting the HR department for assistance.
What types of investment options are available in the IQVIA Holdings 401(k) plan?
The IQVIA Holdings 401(k) plan offers a variety of investment options, including mutual funds, stocks, and bonds, allowing employees to choose based on their risk tolerance.
Can employees take loans against their 401(k) savings at IQVIA Holdings?
Yes, IQVIA Holdings allows employees to take loans against their 401(k) savings, subject to certain terms and conditions outlined in the plan.
What happens to the 401(k) plan if an employee leaves IQVIA Holdings?
If an employee leaves IQVIA Holdings, they have several options for their 401(k) savings, including rolling it over to another retirement account or cashing it out, though taxes and penalties may apply.
Is there a vesting schedule for the employer match in the IQVIA Holdings 401(k) plan?
Yes, IQVIA Holdings has a vesting schedule for the employer match, which means that employees must work for the company for a certain period before they fully own the matched contributions.
How often can employees change their contribution percentage in the IQVIA Holdings 401(k) plan?
Employees can change their contribution percentage to the IQVIA Holdings 401(k) plan at specified intervals, typically during open enrollment or at any time throughout the year.
Does IQVIA Holdings provide financial education resources for employees regarding the 401(k) plan?
Yes, IQVIA Holdings offers financial education resources and workshops to help employees understand their 401(k) options and make informed investment decisions.