Healthcare Provider Update: Ensign Group Healthcare Provider The Ensign Group primarily operates skilled nursing facilities, assisted living facilities, and memory care services. They are known for providing a diverse range of healthcare services, including rehabilitation and care for patients with chronic conditions. Their operating model emphasizes patient-centered care, and they often partner with various healthcare providers to ensure comprehensive service delivery to their residents. Potential Healthcare Cost Increases in 2026 As the landscape of healthcare continues to evolve, significant premium hikes are anticipated in 2026, particularly for Affordable Care Act (ACA) marketplace plans. With some states forecasting increases exceeding 60%, the loss of enhanced federal premium subsidies could lead to average out-of-pocket costs spiking by over 75% for the majority of policyholders. This surge is attributed to rising medical costs and the record profits reported by major insurers, creating a perfect storm for healthcare consumers facing steep financial challenges ahead. As consumers prepare for 2026, proactive financial strategies will be essential to mitigate the impact of these escalating costs. Click here to learn more
“Many Ensign Group employees are surprised to learn that long-term success can create significant tax friction in retirement. Proactive modeling and coordinated planning can help Ensign Group employees manage embedded gains thoughtfully and avoid letting a single tax year dictate their financial flexibility.” – Wesley Boudreaux, a representative of The Retirement Group, a division of Wealth Enhancement.
“For Ensign Group employees nearing retirement, the real challenge often isn’t market performance but how and when taxes are triggered. Thoughtful coordination and forward-looking tax modeling can help Ensign Group employees access their savings with greater flexibility and fewer surprises.” – Patrick Ray, a representative of The Retirement Group, a division of Wealth Enhancement.
In this article, we will discuss:
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How long-term investment growth can create unexpected tax challenges for Ensign Group retirees.
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How a tax-aware long-short strategy can generate losses to help offset capital gains.
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When this strategy may be appropriate—and the risks and tradeoffs to consider.
Mary and Joe* did everything thoughtfully.
They refrained from making rash decisions during market turbulence, invested patiently, and saved consistently throughout their careers. Like many Ensign Group employees who have spent decades building wealth through disciplined investing and retirement plan contributions, their portfolio grew significantly by the time they retired in their late 60s.
There was only one issue. They had substantial unrealized capital gains on nearly everything they owned.
As we began outlining their retirement income plan—including withdrawals for living expenses and a long-planned home renovation—the numbers became sobering. Selling approximately $300,000 in appreciated investments could have triggered capital gains taxes close to $50,000, depending on federal and state tax brackets.
For reference, long-term capital gains are taxed at 0%, 15%, or 20% federally depending on taxable income, with an additional 3.8% Net Investment Income Tax (NIIT) potentially applying to higher-income households.
Mary summed it up perfectly: “On paper, we feel rich, but it costs money to touch the money.”
Many Ensign Group employees transitioning into retirement are surprised by how common this situation can be.
When a Successful Investment Becomes a Tax Challenge
Long-term investors frequently accumulate concentrated positions with significant embedded gains. For Ensign Group employees, this may include long-held company stock, taxable brokerage assets, or other investments that have appreciated steadily over time.
The longer assets are held—and the stronger they perform—the higher the eventual tax liability when they’re sold.
That creates a difficult trade-off in retirement:
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- Sell investments and trigger a substantial tax bill.
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- Or hold them longer than desired and delay using your own money.
Traditional tax-loss harvesting can be helpful earlier in an investment’s life. But after years of strong markets, many portfolios simply don’t have meaningful losses left to harvest.
That’s exactly where Mary and Joe found themselves.
Introducing a Tax-Aware Long-Short Layer
Instead of immediately selling appreciated assets, we implemented a tax-aware long-short strategy (TALS) inside their taxable account.
To be clear, this is not market timing or speculation. It is disciplined tax management.
Here’s how it worked: Their core long-term holdings remained intact. Then, using a modest amount of borrowing within the account, we added a long-short overlay that included:
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- Buying stocks expected to perform well
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- Shorting closely related stocks expected to underperform
Because these positions were highly correlated—often within the same industry—they tended to move together.
When markets rose:
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- Long positions gained
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- Short positions declined in value
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- Those short-side losses created tax-deductible losses
When markets fell:
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- Long positions declined
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- Short positions gained
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- Losses were again generated from one side of the structure
Despite market movement, Mary and Joe’s overall portfolio still grew modestly during the year. More importantly, it generated over $60,000 in usable tax losses, which they used to offset their capital gains.
IRS rules allow capital losses to offset capital gains dollar-for-dollar, with up to $3,000 of excess losses deductible against ordinary income annually. 1 Those losses allowed them to carefully sell appreciated holdings to fund retirement goals while significantly reducing their capital gains exposure.
Joe put it this way: “It didn’t feel like a loophole. It felt like we were finally using the tax code intentionally.”
For Ensign Group employees with sizable taxable accounts or concentrated holdings, thoughtful tax coordination can make a measurable difference.
The Advantages and Tradeoffs
It’s important to understand that this strategy does not eliminate taxes. It primarily changes the timing of when they are paid.
Over time, the long-short layer itself may build unrealized gains. If fully liquidated later, those gains may be taxable.
The value comes from:
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- Managing marginal tax brackets
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- Reducing the likelihood of a single-year tax spike
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- Preserving flexibility
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- Improving after-tax compounding
Mary and Joe weren’t trying to permanently sidestep taxes. They simply wanted to access their savings without losing $50,000 in one year.
Who This Strategy May Be Appropriate For
A tax-aware long-short strategy is generally suited for higher net worth investors facing substantial embedded gains and one or more of the following:
- Concentrated stock positions
- Large taxable brokerage balances
- Required asset sales to fund retirement
- Real estate or business sales
- Significant cryptocurrency gains
- Large one-time expenses
For certain Ensign Group employees nearing retirement, taxes—not market volatility—can become the primary planning obstacle. When that happens, more advanced planning approaches may be worth evaluating.
Risks to Consider Carefully
This is not a do-it-yourself solution.
The strategy involves leverage, financing costs, and precise execution. Improper implementation can create unintended consequences. Ongoing oversight is necessary.
For many retirees, simpler approaches—such as spreading sales across tax years, coordinating withdrawals during lower-income years, or incorporating charitable planning—may be more appropriate.
In Mary and Joe’s case, the additional complexity was justified by the numbers. But every situation must be evaluated independently.
Why This Matters for Retirement Planning
Taxes are often one of the largest retirement expenses, yet they’re frequently overlooked.
Mary and Joe didn’t pursue this strategy because they wanted something clever. They asked a better question: “Is there a more efficient way to use our money without letting taxes dictate our decisions?” That question reshaped their outcome.
For Ensign Group employees preparing for retirement, proactive tax modeling can be just as important as investment returns.
The Bottom Line
Selling appreciated investments doesn’t automatically require absorbing a large tax bill—but it does require careful modeling, disciplined execution, and coordinated planning.
A tax-aware long-short strategy can be one of several tools available to the right retiree to maintain flexibility and support after-tax wealth.
Because in retirement, what matters most isn’t just what you’ve earned—it’s what you’re able to keep and use comfortably.
How The Retirement Group Can Help
If you’re recently retired or approaching retirement and holding significant unrealized gains, your only choices are not “pay the tax” or “do nothing.” A detailed tax review may uncover strategies tailored to your specific situation.
At The Retirement Group, we work with Ensign Group employees to coordinate investment strategy with tax planning so taxes don’t dictate how retirement is funded. Call (800) 900-5867 to schedule a personalized conversation.
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Sources:
* Names changed for privacy.
1. Internal Revenue Service. Investment Income and Expenses (Including Capital Gains and Losses) . Publication 550, 14 Feb. 2025, www.irs.gov/pub/irs-pdf/p550.pdf .
2. McClelland, Robert, et al. Net Investment Income Tax: A Primer . Urban Institute, Jan. 2025, www.urban.org/sites/default/files/2025-01/Net%20Investment%20Income%20Tax.pdf .
3. Paradise, Thomas, Kevin Khang, and Joel M. Dickson. Tax-Loss Harvesting: Why a Personalized Approach Is Important . Vanguard Research, July 2024, corporate.vanguard.com/content/dam/corp/research/pdf/tax_loss_harvesting_why_a_personalized_approach_is_important.pdf.
What is the primary purpose of the 401(k) plan at Ensign Group?
The primary purpose of the 401(k) plan at Ensign Group is to help employees save for retirement by allowing them to contribute a portion of their salary on a tax-deferred basis.
Who is eligible to participate in Ensign Group's 401(k) plan?
All full-time employees of Ensign Group who meet the eligibility requirements, such as age and service time, are eligible to participate in the 401(k) plan.
How can employees enroll in the 401(k) plan at Ensign Group?
Employees can enroll in the 401(k) plan at Ensign Group by completing the online enrollment process through the designated benefits portal.
Does Ensign Group offer a company match for 401(k) contributions?
Yes, Ensign Group offers a company match for employee contributions to the 401(k) plan, which enhances the overall retirement savings.
What is the maximum contribution limit for the 401(k) plan at Ensign Group?
The maximum contribution limit for the 401(k) plan at Ensign Group is subject to IRS regulations, which are updated annually. Employees should refer to the latest guidelines for specific limits.
Can employees change their contribution percentage in Ensign Group's 401(k) plan?
Yes, employees can change their contribution percentage at any time during the year by accessing their account through the benefits portal.
What investment options are available in the Ensign Group 401(k) plan?
The Ensign Group 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to suit different risk tolerances.
How often can employees make changes to their investments in the Ensign Group 401(k) plan?
Employees can make changes to their investment allocations in the Ensign Group 401(k) plan on a regular basis, typically daily, depending on the plan's rules.
Is there a vesting schedule for the Ensign Group 401(k) company match?
Yes, Ensign Group has a vesting schedule for the company match, meaning employees must work for the company for a certain period before they fully own the matched contributions.
What happens to my 401(k) account if I leave Ensign Group?
If you leave Ensign Group, you have several options for your 401(k) account, including rolling it over to another retirement account or withdrawing the funds, subject to applicable taxes and penalties.



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