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New Update: Healthcare Costs Increasing by Over 60% in Some States. Will you be impacted?

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Cardinal Health Employees: Exploring Exchange Funds and Tax-Efficient Strategies for Deferred Gains

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Healthcare Provider Update: Healthcare Provider for Cardinal Health Cardinal Health's operations primarily encompass the distribution of pharmaceuticals and medical products, but it does not operate as a traditional healthcare provider like a hospital or clinic. Instead, it partners with various healthcare providers, serving as a critical supply chain partner for hospitals, health systems, and pharmacies. Potential Healthcare Cost Increases in 2026 In 2026, healthcare costs are projected to rise significantly, impacting employees at Cardinal Health. Factors such as the expiration of enhanced federal subsidies and rising medical expenses are leading to substantial increases in insurance premiums, with some markets expecting hikes of over 60%. As a result, many employees may face higher out-of-pocket costs for their healthcare, necessitating careful planning and benefit review to mitigate this financial strain. Companies, including Cardinal Health, are likely to adjust their benefit structures to manage these cost pressures, leading to higher deductibles and coinsurance for workers. Click here to learn more

'Cardinal Health 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.

'Cardinal Health 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:

  1. Personalized and adaptable tax-efficient planning for Cardinal Health employees.

  2. Deferred gains and tax-free diversification strategies, including §721 Exchange Funds and §351 ETF conversions.

  3. 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 Cardinal Health 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 Cardinal Health 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).

1. Deferred Gains Partnership §721 Exchange Funds (Swap Funds)

Mechanism and Advantages

  • 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 Cardinal Health 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 Cardinal Health 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.

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Sources:

1. Kiplinger. ' 721 Exhange to Defer Taxes: Pros and Cons ,' by Daniel Goodwin. August 28, 2024.

2. Kitces. ' Using Section 351 Exchanges To Tax-Efficiently Reallocate Portfolios With Embedded Gains ,' by Ben Henry-Moreland and Brent Sullivan. March 12, 2025.

3. Vanguard. ' Charitable gifting basics: Getting the most from your giving ,' by Ashley Greene, Garrett Horbron. August 2025.

4. Investopedia. ' The Collar Options Strategy Explained in Simple Terms ,' by Akhilesh Ganti. May 17, 2025. 

What is the 401(k) plan offered by Cardinal Health?

The 401(k) plan at Cardinal Health is a retirement savings plan that allows employees to save a portion of their earnings on a tax-deferred basis.

How does Cardinal Health match employee contributions to the 401(k) plan?

Cardinal Health offers a matching contribution to the 401(k) plan, where the company matches a percentage of employee contributions up to a certain limit.

What are the eligibility requirements for Cardinal Health's 401(k) plan?

Employees of Cardinal Health are generally eligible to participate in the 401(k) plan after completing a specified period of service, typically 30 days.

Can employees of Cardinal Health change their contribution percentages to the 401(k) plan?

Yes, employees can change their contribution percentages to the Cardinal Health 401(k) plan at any time, subject to certain guidelines.

What investment options are available in Cardinal Health's 401(k) plan?

Cardinal Health's 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and company stock.

Is there a vesting schedule for Cardinal Health's 401(k) matching contributions?

Yes, Cardinal Health has a vesting schedule for matching contributions, which means employees must work for a certain number of years to fully own the matched funds.

How can employees access their 401(k) account information at Cardinal Health?

Employees can access their 401(k) account information through Cardinal Health's employee portal or by contacting the plan administrator.

What happens to my Cardinal Health 401(k) if I leave the company?

If you leave Cardinal Health, you can choose to leave your 401(k) funds in the plan, roll them over to another retirement account, or withdraw the funds, subject to tax implications.

Are there loan options available through Cardinal Health's 401(k) plan?

Yes, Cardinal Health allows employees to take loans against their 401(k) balance, subject to specific terms and conditions.

What is the maximum contribution limit for Cardinal Health's 401(k) plan?

The maximum contribution limit for Cardinal Health's 401(k) plan is in line with IRS guidelines, which may change annually.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Major distributor of pharmaceuticals
Cardinal Health offers RSUs and stock options to certain employees. These RSUs vest over time, aligning employee interests with company performance.
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