Healthcare Provider Update: Healthcare Provider for LHC Group: LHC Group is primarily a provider of post-acute healthcare services, specializing in home health care, hospice, long-term acute care hospital services, and outpatient therapy. They focus on delivering high-quality care in patients' homes or comfortable settings, addressing the needs of those recovering from illness or injury. Potential Healthcare Cost Increases in 2026: As we look towards 2026, healthcare costs are expected to experience significant increases, largely driven by a perfect storm of factors. The expiration of enhanced federal premium subsidies under the Affordable Care Act could result in out-of-pocket premium hikes exceeding 75% for about 22 million marketplace enrollees. Coupled with projected medical inflation rates of 7.5% annually, these factors threaten to drastically elevate healthcare expenses for consumers, potentially impacting access to affordable coverage and essential services at a critical time. Click here to learn more
All investing involves risk, including the possible loss of principal, and there is no guarantee that any investment strategy will be successful. This discussion explains the tax treatment that may be available when employer stock is held in a qualified retirement plan. I t is important for our LHC Group Clients to understand that any shares of stock held in a retirement plan, including shares of LHC Group's stock, can lose some or all of their value over time.
If you participate in a 401(k), ESOP, or another qualified retirement plan that lets you invest in LHC Group's stock, you need to know about net unrealized appreciation — a simple tax deferral opportunity with an unfortunately complicated name.
When you receive a distribution from LHC Group's retirement plan, the distribution is generally taxable to you at ordinary income tax rates. A common way of avoiding immediate taxation is to make a tax-free rollover to a traditional IRA. However, when you ultimately receive distributions from the IRA, they'll also be taxed at ordinary income tax rates. (Special rules apply to Roth and other after-tax contributions that are generally tax-free when distributed.) But if your distribution includes LHC Group stock (or other LHC Group securities), you may have another option — you may be able to defer paying tax on the portion of your distribution that represents net unrealized appreciation (NUA). You won't be taxed on the NUA until you sell the stock. What's more, the NUA will be taxed at long-term capital gains rates — typically much lower than ordinary income tax rates. This strategy can often result in significant tax savings.
What Is Net Unrealized Appreciation?
A distribution of employer stock consists of two parts: (1) the cost basis (that is, the value of the stock when it was contributed to, or purchased by, your plan), and (2) any increase in value over the cost basis until the date the stock is distributed to you. This increase in value over basis, fixed at the time the stock is distributed in-kind to you, is the NUA. For example, assume you retire from LHC Group and receive a distribution of LHC Group stock worth $500,000 from your 401(k) plan, and that the cost basis in the stock is $50,000. The $450,000 gain is NUA.
How Does It Work?
At the time you receive a lump-sum distribution that includes LHC Group stock, you'll pay ordinary income tax only on the cost basis in the LHC Group securities.
You won't pay any tax on the NUA until you sell the securities. At that time the NUA is taxed at long-term capital gain rates, no matter how long you've held the securities outside of the plan (even if only for a single day). Any appreciation at the time of sale in excess of your NUA is taxed as either short-term or long-term capital gain, depending on how long you've held the stock outside the plan.
Using the example above, you would pay ordinary income tax on $50,000, the cost basis, when you receive your distribution. (You may also be subject to a 10% early distribution penalty if you're not age 55 or totally disabled.) Let's say you sell the stock after ten years, when it's worth $750,000. At that time, you'll pay long-term capital gains tax on your NUA ($450,000). You'll also pay long-term capital gains tax on the additional appreciation ($250,000) since you held the stock for more than one year. Note that since you've already paid tax on the $50,000 cost basis, you won't pay tax on that amount again when you sell the stock.
If your distribution includes cash in addition to the stock, you can either roll the cash over to an IRA or take it as a taxable distribution. And you don't have to use the NUA strategy for all of LHC Group's stock — you can roll a portion over to an IRA and apply NUA tax treatment to the rest.
What Is A Lump-Sum Distribution?
In general, you're allowed to use these favorable NUA tax rules only if you receive LHC Group securities as part of a lump-sum distribution. To qualify as a lump-sum distribution, both of the following conditions must be satisfied:
- It must be a distribution of your entire balance, within a single tax year, from all of LHC Groups qualified plans of the same type (that is, all pension plans, all profit-sharing plans, or all stock bonus plans)
- The distribution must be paid after you reach age 59½, as a result of your separation from service, or after your death
There is one exception: even if your distribution doesn't qualify as a lump-sum distribution, any securities distributed from the plan that were purchased with your after-tax (non-Roth) contributions will be eligible for NUA tax treatment.
NUA at a glance |
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You receive a lump-sum distribution from your 401(k) plan consisting of $500,000 of employer stock. The cost basis is $50,000. You sell the stock 10 years later for $750,000.* |
|
Tax Payable at Distribution — Stock Valued at $500,000 |
|
Cost basis — $50,000 |
Taxed as ordinary income rates; 10% early payment penalty tax if you're not 55 or disabled |
NUA — $450,000 |
Tax-deferred until the sale of stock |
Tax Payable At Sale — Stock Valued at $750,000 |
|
Cost basis — $50,000 |
Already taxed at distribution; not taxed again at sale |
NUA — $450,000 |
Taxed at long-term capital gains rates regardless of holding period |
Additional appreciation — $250,000 |
Taxed as long- or short-term capital gain, depending on holding period outside plan (long-term in this example) |
*Assumes stock is attributable to your pre-tax and employer contributions and not after-tax contributions |
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NUA Is For Beneficiaries, Too
If you die while you still hold LHC Group securities in your retirement plan, your plan beneficiary can also use the NUA tax strategy if he or she receives a lump-sum distribution from the plan. The taxation is generally the same as if you had received the distribution. (The stock doesn't receive a step-up in basis, even though your beneficiary receives it as a result of your death.) If you've already received a distribution of LHC Groups stock, elected NUA tax treatment, and die before you sell the stock, your heir will have to pay long-term capital gains tax on the NUA when he or she sells the stock. However, any appreciation as of the date of your death in excess of NUA will forever escape taxation because, in this case, the stock will receive a step-up in basis. Using our example, if you die when your employer stock is worth $750,000, your heir will receive a step-up in basis for the $250,000 appreciation in excess of NUA at the time of your death. If your heir later sells the stock for $900,000, he or she will pay long-term capital gains tax on the $450,000 of NUA, as well as capital gains tax on any appreciation since your death ($150,000). The $250,000 of appreciation in excess of NUA as of your date of death will be tax-free.
Some Additional Considerations
- If you want to take advantage of NUA treatment, make sure you don't roll the stock over to an IRA. That will be irrevocable, and you'll forever lose the NUA tax opportunity.
- You can elect not to use the NUA option. In this case, the NUA will be subject to ordinary income tax (and a potential 10% early distribution penalty) at the time you receive the distribution.
- Stock held in an IRA or employer plan is entitled to significant protection from your creditors. You'll lose that protection if you hold the stock in a taxable brokerage account.
- Holding a significant amount of employer stock may not be appropriate for everyone. In some cases, it may make sense to diversify your investments.*
- Be sure to consider the impact of any applicable state tax laws.
When Is It The Best Choice?
In general, the NUA strategy makes the most sense for individuals who have a large amount of NUA and a relatively small cost basis. However, whether its right for you depends on many variables, including your age, your estate planning goals, and anticipated tax rates. In some cases, rolling your distribution over to an IRA may be the better choice. And if you were born before 1936, other special tax rules might apply, making a taxable distribution your best option.
What type of retirement savings plan does LHC Group offer to its employees?
LHC Group offers a 401(k) retirement savings plan to its employees.
How can employees of LHC Group enroll in the 401(k) plan?
Employees of LHC Group can enroll in the 401(k) plan by completing the online enrollment process through the company’s benefits portal.
Does LHC Group match employee contributions to the 401(k) plan?
Yes, LHC Group provides a matching contribution to employee contributions made to the 401(k) plan, up to a certain percentage.
What is the maximum contribution limit for the 401(k) plan at LHC Group?
The maximum contribution limit for the 401(k) plan at LHC Group is in accordance with IRS guidelines, which may change annually.
Are there any fees associated with the 401(k) plan at LHC Group?
Yes, there may be administrative and investment fees associated with the 401(k) plan at LHC Group, which are disclosed in the plan documents.
Can employees of LHC Group take loans against their 401(k) savings?
Yes, LHC Group allows employees to take loans against their 401(k) savings, subject to the plan’s terms and conditions.
What investment options are available in the LHC Group 401(k) plan?
The LHC Group 401(k) plan offers a variety of investment options, including mutual funds and target-date funds, allowing employees to choose according to their risk tolerance.
Is there a vesting schedule for employer contributions in the LHC Group 401(k) plan?
Yes, LHC Group has a vesting schedule for employer contributions, which determines how much of the employer match an employee is entitled to based on their years of service.
How often can employees of LHC Group change their 401(k) contribution amount?
Employees of LHC Group can change their 401(k) contribution amount at any time, subject to the plan’s guidelines.
What happens to my 401(k) savings if I leave LHC Group?
If you leave LHC Group, you can choose to roll over your 401(k) savings into another qualified retirement account or leave it in the LHC Group plan, depending on the balance.