Healthcare Provider Update: Healthcare Provider for DaVita DaVita is primarily a healthcare provider specializing in kidney care and dialysis services. It operates approximately 2,800 outpatient dialysis clinics in the United States and provides acute inpatient dialysis services in around 790 hospitals. Given its significant scale, DaVita serves over 200,000 patients annually, making it one of the largest providers in the country. Potential Healthcare Cost Increases in 2026 In 2026, healthcare costs are expected to see significant increases, primarily due to escalating insurance premiums linked to the Affordable Care Act (ACA). The loss of enhanced federal premium subsidies could lead to out-of-pocket costs rising by over 75% for many consumers who rely on ACA marketplace plans. Additionally, overall medical costs are projected to surge, driven by factors such as higher hospital and physician fees and a sweeping trend of premium hikes requested by major insurers across various states, many exceeding 60%. These changes present substantial financial challenges for consumers, especially those reliant on dialysis services from providers like DaVita, necessitating proactive financial planning and healthcare strategies for the upcoming year. Click here to learn more
'Thoughtful multigenerational planning can help DaVita employees navigate GSTT considerations more effectively, making it an essential part of preparing families for long-term financial transitions.' -- Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.
'Carefully structuring multigenerational wealth transfers can help DaVita employees stay aligned with GSTT rules and should be considered when discussing long-term family planning priorities.' -- Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.
In this article, we will discuss:
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Key concepts behind the generation-skipping transfer tax (GSTT).
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Common exemptions and exclusions that may lessen transfer tax exposure.
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Planning methods that can help families pass wealth across generations.
Important Takeaways on How to Transfer Wealth Across Generations
The generation-skipping transfer tax (GSTT) is relevant for any DaVita employees transferring wealth to grandchildren or other individuals that skip over your children's generation.
Both GSTT and gift or estate taxes may apply when transferring assets to heirs more than one generation below the transferor.
Exemptions may lower transfer tax liability if planning is structured thoughtfully.
Federal gift and estate taxes—applicable to transfers during life or at death—are familiar to many DaVita employees. However, when assets move to people more than one generation below the transferor, such as a gift from a grandparent to a grandchild, the federal generation-skipping transfer tax (GSTT) may also apply.
Generation-Skipping Transfer Tax: What Is It?
Transfers to “skip persons,” those more than one generation below the transferor or more than 37½ years younger, are subject to the GSTT. This federal tax applies in addition to any federal gift or estate tax due and equals the highest federal gift and estate tax rate in effect—a flat rate of 40%—which is relevant for DaVita employees engaging in multigenerational planning.
The GSTT was introduced in 1976 to address concerns that affluent families could shift assets in ways that bypassed estate taxes at each generational level. 1
Lifetime Exemptions and Gift Tax Exclusions
Transfers made during life or at death to anyone other than a spouse or qualified charity may be subject to federal gift or estate tax. Key exclusions include several that may benefit DaVita employees:
Annual gift tax exemption: In 2026, individuals may give up to $19,000 per recipient without incurring federal estate or gift tax. Couples may combine exclusions for a total of $38,000 per beneficiary. 2 For example, a married couple with two children could give $76,000 total ($38,000 to each child) annually without gift tax.
Qualified transfers: Payments made directly to educational institutions for tuition or to medical providers for medical expenses are not considered taxable gifts. There is no dollar limit on these transfers. 1
Lifetime unified exclusion: Individuals may transfer up to $13.99 million (or $27.98 million per married couple) during life or at death without federal gift or estate tax. 2 Lifetime gifts reduce the remaining exclusion available at death.
Transfers exceeding these exclusions are taxed at the top federal estate and gift tax rate of 40%.
Exclusions & Exemptions from GSTT
The GSTT has rules similar to traditional gift tax laws, which can influence planning for DaVita families:
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- Grandparents may give up to $19,000 directly to a grandchild in 2026 without triggering gift tax or GSTT.
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- Each individual has a $13.99 million lifetime GSTT exemption ($27.98 million per couple), though this exemption is not independent from estate or gift tax rules.
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Transfers above exemption thresholds are subject to a 40% GSTT.
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GSTT applies only at the federal level, although some states may impose their own estate or inheritance taxes.
When Does the GSTT Start to Apply?
The GSTT applies to three types of taxable events, all of which may arise in multigenerational planning for DaVita families:
Direct skips: Transfers made directly to a skip person or to a trust for their exclusive benefit. The transferor or their estate pays the tax.
Taxable distributions: Distributions from a trust to a skip person. The beneficiary pays the tax.
Taxable terminations: Occur when a trust interest ends and only skip persons remain as beneficiaries. The trustee pays the tax.
GSTT Exemption Allocations
Transfers—outright or to a trust—may qualify for GSTT exemption as long as the exemption is properly allocated. Once allocated, all future growth on those trust assets is generally free from GSTT, a strategy DaVita families may want to use.
For example, if a person contributed $10 million to an irrevocable trust for grandchildren in 2024 and allocated the GSTT exemption, and the trust later grew to $20 million, future distributions would not incur GSTT. 1
Methods for Lowering GSTT
1. 529 Plan Contributions
Contributions to 529 college savings plans are treated as completed gifts, even though account owners can change the beneficiary. Grandparents may “superfund” a 529 plan with five years of annual exclusions at once—up to $95,000 per beneficiary in 2025 or $190,000 per beneficiary for a married couple filing jointly 3 —which may interest DaVita retirees.
2. Dynasty Trusts
Dynasty trusts are irrevocable trusts designed to last across multiple generations. Some states allow long-term or perpetual trusts, while others limit trust duration under the “rule against perpetuities.” These trusts can combine GSTT planning with long-term asset preservation features and, when fully exempt from GSTT, future distributions or terminations can occur without additional GSTT 4 —an appealing option for extended family planning.
Concluding Remarks
Although GSTT planning can be complex, exemptions and structured transfers may help DaVita employees reduce or eliminate federal taxes on wealth passed to grandchildren or other skip persons.
The Retirement Group can assist you with wealth transfer planning and retirement income strategies. Call our team at (800) 900-5867 for guidance.
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Sources:
1. Fidelity Investments. “Understanding the Generation-Skipping Transfer Tax.” Fidelity , 3 Oct. 2025, www.fidelity.com/viewpoints/wealth-management/insights/generation-skipping-transfer-tax .
2. Internal Revenue Service. “ IRS releases tax inflation adjustments for tax year 2027 .” IRS.gov , 9 Oct. 2025.
3. Bendig, Erin. “How This 529 ‘Superfund’ Strategy Can Transform Your Estate Plan.” Kiplinger , 12 Sept. 2025, www.kiplinger.com/personal-finance/this-super-529-strategy-can-help-you-jumpstart-college-savings .
4. Investopedia. ' What Is a Dynasty Trust? ' by Will Kenton. 31 March 2025.
What steps should DaVita employees take to prepare for retirement within the context of the DaVita Retirement Savings Plan? How does the structure of this plan align with common retirement strategies, and what resources does DaVita provide to help employees understand their options when they are considering retirement?
DaVita employees preparing for retirement within the context of the DaVita Retirement Savings Plan should review their savings, evaluate their retirement goals, and ensure they are maximizing contributions. The plan aligns with common retirement strategies by offering diversified investment options and matching contributions, making it easier for employees to grow their retirement funds. DaVita provides resources, such as the Voya website and a dedicated retirement service center, to help employees understand their retirement options and plan effectively.
How does the DaVita Retirement Savings Plan accommodate employees who have previously held jobs with different retirement plans? What documentation is necessary for these employees to successfully roll over their funds to the DaVita Retirement Savings Plan, and how does DaVita ensure compliance with IRS regulations in these situations?
The DaVita Retirement Savings Plan accommodates employees who have held jobs with other retirement plans by allowing rollovers from qualified plans, including 401(k)s, 403(b)s, and IRAs. Employees need to obtain proof of plan qualification and taxability from their previous employer or financial institution. DaVita ensures compliance with IRS regulations by requiring proper documentation, including an IRS Letter of Determination or rollover distribution statement, as noted in the Rollover Contribution Form(DaVita_08_11_2016_Rollo…).
In what ways can DaVita employees maximize their contributions to the DaVita Retirement Savings Plan, particularly considering the IRS contribution limits for 2024? What strategies should employees consider when determining how much to contribute, and how can DaVita support employees in achieving their retirement savings goals?
DaVita employees can maximize their contributions to the Retirement Savings Plan by taking advantage of the IRS contribution limits for 2024. The limit for employee deferrals is expected to be around $23,000, with an additional catch-up contribution of $7,500 for those aged 50 and above. Strategies include contributing enough to receive the full employer match and adjusting contributions to meet future goals. DaVita provides support through educational resources and financial tools available on the Voya platform.
How does DaVita address the investment options available through its Retirement Savings Plan? Specifically, what guidance is provided to employees regarding the selection of investment funds, and how can employees access information about their investment choices within the DaVita Retirement Savings Plan?
DaVita offers a range of investment options in its Retirement Savings Plan, including target date funds, stock funds, and bond funds. The company provides guidance to employees through the Voya website and customer service center, where they can access detailed information about available investment funds. Employees can tailor their portfolios based on their retirement timeline and risk tolerance, and they are encouraged to review their investment choices regularly.
What are the tax implications of withdrawing funds from the DaVita Retirement Savings Plan, and how can employees prepare for this? How does DaVita provide clarity around the tax obligations faced by employees when they begin to access their retirement savings, particularly for those who are unfamiliar with tax rules relating to retirement distributions?
Withdrawing funds from the DaVita Retirement Savings Plan can have significant tax implications. Withdrawals before age 59½ may incur early withdrawal penalties, and all withdrawals are subject to income tax unless they are from a Roth account. DaVita educates employees on these tax rules through its Voya platform, providing clarity on how to manage taxes when accessing retirement savings. Employees are encouraged to consult tax professionals for specific guidance.
How does DaVita educate its employees about the importance of understanding their retirement plan features? What programs or resources are available for employees to learn about financial wellness and retirement readiness, and how frequently does DaVita conduct educational initiatives related to its Retirement Savings Plan?
DaVita educates its employees on retirement plan features through webinars, financial wellness programs, and resources available on the Voya website. These initiatives focus on retirement readiness, savings strategies, and understanding the investment options within the plan. DaVita regularly updates employees through newsletters, and webinars are conducted periodically to keep employees informed about the plan.
In the event of unexpected financial hardships, what options do DaVita employees have regarding loans or early withdrawals from the DaVita Retirement Savings Plan? What do employees need to know about the process and potential penalties associated with accessing their funds early?
In the case of financial hardships, DaVita employees can take loans or early withdrawals from their Retirement Savings Plan. However, early withdrawals may be subject to penalties and taxes, depending on the circumstances. DaVita's Voya service center provides guidance on the process, explaining the potential costs and consequences. Employees are encouraged to explore alternative solutions before opting for early withdrawals to avoid unnecessary penalties.
What role do employees' personal financial goals play when determining their participation in the DaVita Retirement Savings Plan? How can DaVita assist employees in aligning their savings plan with their individual financial objectives, and what external financial consulting resources might they recommend?
Employees' personal financial goals play a key role in determining their participation in the DaVita Retirement Savings Plan. DaVita helps employees align their retirement savings with their broader financial objectives by offering planning tools and resources on the Voya platform. Additionally, external financial advisors or consulting services may be recommended for those needing personalized financial advice.
How can DaVita employees contact the company for more information regarding the Retirement Savings Plan? What specific channels, such as phone numbers or online resources, are available, and what types of inquiries can employees expect to address when contacting DaVita about their retirement savings?
DaVita employees seeking more information about the Retirement Savings Plan can contact the plan’s service center through the Voya website or by calling the dedicated support line. Customer service representatives are available to assist with inquiries related to contributions, investment options, rollovers, and withdrawals. Online resources and account management tools are also accessible for employees who prefer digital support.
How does DaVita ensure that it stays current with regulatory changes that impact employee retirement savings, particularly with respect to IRS limits set for 2024? What processes does DaVita have in place to update employees about these changes, and how does the company maintain transparency regarding its compliance with retirement regulations?
DaVita ensures it stays up to date with regulatory changes, including IRS contribution limits and distribution rules, through regular collaboration with financial service providers and legal experts. The company updates employees via email, webinars, and its Voya platform when changes occur, maintaining transparency about compliance with retirement regulations and keeping employees informed of any adjustments to the plan.



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