AdaptHealth Employees: Exploring Exchange Funds and Tax-Efficient Strategies for Deferred Gains
Healthcare Provider Update: Healthcare Provider for AdaptHealth
AdaptHealth primarily partners with various healthcare providers to deliver home healthcare solutions, including respiratory therapy and durable medical equipment. Specific partnerships may vary by location, but AdaptHealth collaborates with hospitals, rehabilitation centers, and other healthcare professionals to ensure comprehensive patient care.
Potential Healthcare Cost Increases in 2026
In 2026, healthcare costs are anticipated to rise significantly, fueled by a combination of factors including the potential expiration of enhanced premium subsidies from the Affordable Care Act (ACA), which could leave millions facing drastically increased out-of-pocket expenses. With insurers requesting average premium hikes of approximately 20% nationwide, and some states experiencing spikes exceeding 60%, more than 22 million consumers could see their monthly premiums swell by over 75%. The outcome of these rising costs could severely limit access to affordable healthcare for middle-income families, as they grapple with the cumulative impacts of increasing medical costs and reduced financial assistance.
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'AdaptHealth employees should view capital gains management as part of a broader retirement strategy as flexible, tax-efficient planning tailored to individual circumstances can help preserve wealth over the long term.' – Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.
'AdaptHealth employees may benefit from retirement planning strategies that incorporate adaptable approaches. Flexibility in planning can better align financial decisions with evolving personal and economic circumstances.' – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.
In this article we will discuss:
Personalized and adaptable tax-efficient planning for AdaptHealth employees.
Deferred gains and tax-free diversification strategies, including §721 Exchange Funds and §351 ETF conversions.
Additional methods such as charitable donations, remainder trusts, and collars for managing capital gains.
Patrick Ray, a Wealth Enhancement financial advisor, highlights the importance of personalized tax-efficient planning when determining the best way to mitigate capital gains taxes on a highly valued position. 'Retirement planning is not a one-size-fits-all approach,' he notes. 'It requires tailored strategies that address unique factors such as tax-efficient withdrawals.' For AdaptHealth employees, effective planning—which can include using tax-efficient tools like donor-advised funds or donating appreciated shares to charity selectively—means taking a customized approach based on your unique tax bracket, liquidity requirements, and long-term objectives, particularly when it comes to managing significant capital gains.
For his part, Wealth Enhancement advisor Tyson Mavar emphasizes the necessity of adaptable planning tools, pointing out that traditional guidance could be misaligned. 'Retirement planning is particularly complex for investors juggling estate considerations and significant capital gains,' he says. For AdaptHealth professionals, this viewpoint encourages investigating tactics that provide customization, timing flexibility, and tax efficiency based on your financial needs, such as charitable remainder trusts, tax-loss harvesting, or conversions into exchange traded funds (ETFs).
Tax-deferred diversification
: Allows you to receive shares in a diversified portfolio without paying capital gains tax immediately by contributing a concentrated stock position to a pooled exchange fund.
Deferred gain
: Your initial cost basis carries over pro rata, and taxes are postponed until you sell the shares of the diversified portfolio.
Accessibility
: Usually restricted to qualified or accredited buyers, frequently requiring sizeable minimum deposits (between $100,000 and $1 million or more).
Hold period
: Prior to redemption, funds typically impose a seven year lock-up.
Diversification structure
: To prevent being classified as an “investment company,” which would otherwise result in immediate taxation, exchange funds are frequently structured with about 20% in non-stock assets, such as real estate.
For AdaptHealth employees holding concentrated stock, this can provide a structured way to defer taxes while broadening exposure.
Restrictions
Limited liquidity—capital remains locked in for the time being.
High-net-worth investors are generally the only ones able to meet the fees and entry requirements.
You still retain diluted exposure to your original position following the exchange, known as residual exposure.
2. Tax-Free Seeding Into Tax-Efficient Vehicles via Section 351 ETF Conversions
Mechanism and Advantages
Tax-free transfer
: If IRS regulations are followed, you can trade shares of an ETF for a diversified portfolio (such as separately managed account holdings) without recognizing a gain.
Diversification guidelines
: The portfolio must satisfy §368(a)(2)(F)'s 25/50 diversification test, which states that no single holding may account for more than 25% of the portfolio’s value and that the top five holdings cannot exceed 50%.
Control requirement
: Immediately after the exchange, contributors must jointly own at least 80% of voting power and 80% of all share classes.
Continuous in-kind rebalancing
: The ETF structure allows for tax-efficient rebalancing through in-kind transactions, postponing future gains until ETF shares are sold.
For AdaptHealth investors, these mechanisms can be especially valuable if they are already well diversified and seeking long-term tax efficiency.
Restrictions
Eligibility
: Only well-diversified portfolios qualify; concentrated single-stock holders may not benefit unless already diversified.
Cost and complexity
: Requires operational, fund-structuring, and legal setup, often used by institutions or wealthy investors.
3. Collars and Charitable Giving Strategies
High-income investors often use strategies like charitable giving, donor-advised funds, charitable remainder trusts, and collars with borrowing to manage capital gains taxes.
Giving to charity
: Donating appreciated stock directly or through a donor-advised fund can result in a charitable deduction and reduce exposure to capital gains tax.
Charitable remainder trusts (CRTs)
: These generate income while deferring capital gains taxes, with the remainder eventually donated to charity.
Borrowing and collars
: Borrowing against stock provides liquidity without a taxable sale, while collars set boundaries on downside risk. These tactics must be properly structured to prevent constructive sale treatment under §1259.
What is the primary purpose of AdaptHealth's 401(k) plan?
The primary purpose of AdaptHealth's 401(k) plan is to help employees save for retirement by providing a tax-advantaged way to invest their earnings.
Who is eligible to participate in AdaptHealth's 401(k) plan?
All full-time employees of AdaptHealth who meet specific age and service requirements are eligible to participate in the 401(k) plan.
Does AdaptHealth offer a company match for contributions to the 401(k) plan?
Yes, AdaptHealth provides a company match for employee contributions to the 401(k) plan, enhancing the overall savings potential.
How can employees of AdaptHealth enroll in the 401(k) plan?
Employees can enroll in AdaptHealth's 401(k) plan by completing the enrollment process through the company's benefits portal or by contacting the HR department.
What types of investment options are available in AdaptHealth's 401(k) plan?
AdaptHealth'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.
Can employees of AdaptHealth change their contribution amounts to the 401(k) plan?
Yes, employees can adjust their contribution amounts to AdaptHealth's 401(k) plan at any time, subject to the plan's guidelines.
What is the vesting schedule for AdaptHealth's 401(k) company match?
AdaptHealth has a vesting schedule for the company match, meaning employees must work for a certain period before they fully own the matched funds.
Are there any fees associated with AdaptHealth's 401(k) plan?
Yes, there may be administrative fees and fund expense ratios associated with AdaptHealth's 401(k) plan, which are disclosed in the plan documents.
What happens to the 401(k) plan if an employee leaves AdaptHealth?
If an employee leaves AdaptHealth, they can choose to roll over their 401(k) balance to another retirement account, cash out, or leave the funds in the plan, subject to certain conditions.
Can employees take loans against their 401(k) balance at AdaptHealth?
Yes, AdaptHealth allows employees to take loans against their 401(k) balance, subject to the terms and conditions set forth in the plan.
With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
AdaptHealth has announced a restructuring plan to streamline operations and reduce costs due to declining revenue in its home medical equipment segment. The company will be laying off 15% of its workforce as part of this plan.
For more information you can reach the plan administrator for AdaptHealth at 220 West Germantown Pike, Suite 250 Plymouth Meeting, PA 19462; or by calling them at (844) 415-6016.