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Private Equity in AdaptHealth 401(k) Plans: What Employees Should Know

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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. Click here to learn more

'AdaptHealth employees should carefully weigh transparency, costs, and flexibility when evaluating new 401(k) options, as thoughtful planning today can make a meaningful difference in retirement outcomes.' — Michael Corgiat, a representative of The Retirement Group, a division of Wealth Enhancement.

'AdaptHealth employees navigating evolving 401(k) choices should focus on understanding fees, liquidity, and long-term impact to help align their retirement strategies with their personal goals.' — Brent Wolf, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

  1. The opportunities and risks of private equity’s entry into 401(k) retirement plans.

  2. The impact of fees, transparency, and liquidity on long-term retirement outcomes.

  3. Key considerations AdaptHealth employees should weigh before adding private equity to their portfolios.

For several years, private equity firms have been seeking access to corporate retirement plans, which could affect the investment choices available in 401(k) accounts. Traditionally, these alternative investments have been limited to wealthy and institutional investors, who provide private equity firms with funds they can use to buy equity stakes in unlisted private companies. Under the Employee Retirement Income Security Act (ERISA), however, private equity funds have been excluded from most workplace retirement plans due to their high fees, limited liquidity, and opaque reporting requirements. 1

New federal guidelines may be shifting this landscape. In an Executive Order issued in August 2025, the Trump administration supported access to alternative assets for 401(k) investors. 2  While these changes may broaden diversification opportunities, they also raise questions about appropriateness, costs, and transparency for AdaptHealth employees planning their retirement. 'It's a historic change in access, but it's also a time that calls for caution,' said Neva Bradley of Wealth Enhancement. Although private equity may offer diversification benefits, a higher risk profile and less transparent pricing require careful consideration.

Juggling Promise and Risk

Private equity funds have historically delivered strong long-term returns, 3  but more recent conditions have narrowed the edge over traditional stock indexes. 4  Rising interest rates and volatile markets have made performance less consistent, which is an important factor for AdaptHealth workers evaluating retirement strategies. While opportunities for gains remain, the trade-off in volatility cannot be ignored.

Fee structures complicate matters further. Compared to low-cost index funds, private equity investments involve multiple layers of expenses. According to Bradley, 'the fee structures and volatility can significantly reduce those gains over time.' AdaptHealth employees should note that these fees can be ten times higher than standard 401(k) options, 5  which can diminish long-term compounding.

Challenges of Transparency

One of the largest differences between mutual funds and private equity is reporting. Mutual funds tend to publish daily prices and transparent performance updates, while private equity reports are typically quarterly and valuations are often based on estimates. 1  This lack of standard benchmarks can make it difficult for even seasoned investors to evaluate performance consistently. For AdaptHealth participants, this means private equity may feel less straightforward than traditional investment choices.

The Cost Aspect

Private equity is also known for its high fees. Typical structures include a 1% to 2% annual management charge plus performance-based incentives, compared to about 0.25% for many mutual funds. 1  Over decades, these higher costs compound, especially for retirement accounts where long-term growth is important. As Bradley points out, 'those costs compound over decades,' underscoring the need to weigh fees against potential returns.

Important Things to Consider for Retirement Planning

For AdaptHealth employees who may encounter private equity options in their 401(k), here are some key considerations:

  • Liquidity:  Investments are often locked in for years with limited access.

  • Costs:  Carefully review and compare fee structures.

  • Timeline:  Private equity may lack the flexibility needed closer to retirement.

  • Diversification:  If included, it should represent only a small portion of the portfolio.

Bradley summarized, 'Private equity is not a panacea, but it can contribute to complex portfolios.' AdaptHealth participants should evaluate transparency, fees, and personal risk tolerance before making decisions.

One notable development is that target-date funds that include private equity and private credit holdings have been shown to potentially boost retirement income by 5% to 15% over 40 years, 6  provided top-tier managers are selected. For AdaptHealth employees, this underscores both the opportunity and the complexity of integrating private equity into a long-term plan.

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Sources:

1. Investopedia. ' Private Equity is Coming for Your 401(k): How to Protect Yourself ,' by Daniel Liberto. 17 Jan. 2025.

2. The White House, Presidential Actions. ' Democratizing Access to Alternative Assets for 401(k) Investors ,' Executive Orders. 7 Aug. 2025.

3. Institutional Investor. ' Why Private Equity Wins ,' by Dawson Partners. 24 Mar. 2025.

4. Morningstar. ' How Attractive Is Private Equity? ' by Jack Shannon. 11 June 2025.

5. Investopedia. ' Private Equity Explained With Examples and Ways To Invest ,' by James Chen. 2 Sep. 2025.

6. BlackRock Advisor Center. ' How private markets could improve retirement outcomes ,' by BlackRock Retirement Perspectives. 26 Jun. 2025.

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.
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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.

*Please see disclaimer for more information

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