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How Community Health Systems Employees Can Use Intentionally Defective Grantor Trusts (IDGTs) in Estate Planning

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Healthcare Provider Update: Healthcare Provider for Community Health Systems Community Health Systems, Inc. (CHS) operates as a publicly traded healthcare management company, primarily providing hospital and healthcare services. It manages a network of acute care hospitals and outpatient care facilities across the United States, serving millions of patients annually. Brief on Healthcare Cost Increases in 2026 As we approach 2026, significant healthcare cost increases are anticipated, particularly for those enrolled in Affordable Care Act (ACA) marketplace plans. With projections indicating some states could see premium hikes exceeding 60%, the withdrawal of enhanced federal premium subsidies will likely exacerbate the financial burden on consumers. A recent analysis suggests that without congressional intervention, over 22 million ACA enrollees could face a staggering 75% rise in out-of-pocket premium costs. Factors contributing to this situation include rising medical expenses, increased demand for healthcare services, and the sustained profitability of major insurers amidst substantial rate hikes. Click here to learn more

“Community Health Systems employees reviewing IDGTs can benefit from understanding how these trusts may support long-term legacy planning, although qualified legal and tax professionals should review these strategies to determine whether they fit into their overall goals.” ~ Wesley Boudreaux, a representative of The Retirement Group, a division of Wealth Enhancement.

“Community Health Systems employees considering an IDGT should recognize how this strategy may support long-term wealth transfer goals, although these structures should be reviewed with qualified legal and tax professionals to determine whether they align with each household’s broader plan.” ~ Patrick Ray, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

  1. How intentionally defective grantor trusts (IDGTs) work.

  2. The advantages and potential limitations of using an IDGT.

  3. Key considerations for Community Health Systems employees evaluating this type of planning strategy.

An irrevocable trust arrangement known as an intentionally defective grantor trust (IDGT) allows the grantor to move assets out of their taxable estate while still being treated as the owner of those assets for income tax purposes. Many people, including Community Health Systems employees with high-growth or income-producing holdings, may benefit from using this strategy to support long-term wealth preservation.

How an Intentionally Defective Grantor Trust Works

For tax purposes, different kinds of trusts receive different treatment, and understanding the distinctions can help Community Health Systems professionals review planning strategies more effectively.

Revocable Trusts

In a revocable trust, the grantor is taxed on trust income and is regarded as the owner for income tax purposes. A separate trust income tax return is usually unnecessary. These assets generally remain inside the grantor’s taxable estate because the grantor maintains full control.

Irrevocable Trusts

An irrevocable trust is treated as its own tax entity, filing its own return and taking its own deductions. When properly drafted so the grantor does not retain certain powers or interests, assets transferred to an irrevocable trust are generally removed from the taxable estate, a detail that can matter for Community Health Systems professionals with substantial savings or investment holdings.

How IDGTs Combine These Features

An IDGT is structured as an irrevocable trust for estate and gift tax purposes, removing assets from the taxable estate, but is treated as a grantor trust for income tax purposes. As long as the grantor pays income taxes on trust earnings, the trust’s assets can grow outside the estate, which may appeal to Community Health Systems professionals with long-term legacy goals.

Why It’s Called “Intentionally Defective”

The trust is drafted so that, under IRS grantor-trust rules, the grantor remains the owner for income tax purposes due to certain retained powers. At the same time, the trust is irrevocable for estate tax purposes, allowing the assets to remain outside the taxable estate—a structure that may assist with multigenerational planning.

Advantages of an Intentionally Defective Grantor Trust

Because an IDGT is a grantor trust for income tax purposes, the grantor pays income tax on trust earnings. This leads to two important benefits that may interest Community Health Systems employees with high-value assets:

  • - Trust assets can grow for beneficiaries without being reduced by income tax payments.

  • - Income tax paid by the grantor reduces the taxable estate without being classified as a gift.

- This dynamic—where grantors use personal funds to pay taxes that would otherwise reduce trust assets—is often referred to as a “tax burn.”

How Assets Are Transferred to an IDGT

Community Health Systems employees reviewing wealth transfer strategies may encounter two common approaches:

1. Gift or Partial Gift/Sale

A grantor can move assets to an IDGT as a gift. If the gift stays within the lifetime gift and estate tax exemption, it typically does not create out-of-pocket gift tax. Some planning approaches combine a partial gift with a sale to balance estate goals.

2. Sale to the IDGT

Many grantors sell assets to an IDGT in exchange for a promissory note with an interest rate at or above the IRS Applicable Federal Rate (AFR).

  • - The sale is typically not treated as a taxable gift if conducted at fair market value.

  • - Appreciation above the AFR occurs outside the grantor’s estate for beneficiaries.

  • - When AFR rules and loan requirements are followed, the note is treated as valid consideration and carries an interest obligation.

Potential Drawbacks of an IDGT

Once established, an IDGT is difficult to modify, similar to other irrevocable trusts. Outcomes also depend on the trust assets growing at a rate higher than the AFR. If that does not occur, the intended estate planning benefits may fall short—an important consideration for Community Health Systems employees reviewing various asset types.

Who Might Consider an IDGT?

An IDGT can be appealing for families facing potential estate tax exposure, especially when transferring assets with strong growth potential. This approach works best when the grantor has sufficient liquidity to continue paying the trust’s income taxes personally, a factor some Community Health Systems employees review when assessing retirement and estate liquidity. Because the structure requires precise legal drafting, it should be established with qualified legal counsel.

Need Support with IDGTs or Retirement Planning?

The Retirement Group can assist you in reviewing whether an IDGT fits into your broader retirement and estate plan as a Community Health Systems employee. For guidance tailored to your long-term goals, call us at  (800) 900-5867 .

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Sources:

1. BMO Wealth Management.  Herman, Brad.  Intentionally Defective Grantor Trust.  BMO Financial Group, Oct. 2021,
https://uswealth.bmo.com/media/filer_public/8b/3f/8b3f85c6-21b0-407e-bfbf-0f9b181c1673/bwm_idgtarticle_1103.pdf .

2. Fidelity Wealth Management.  “What Is an Intentionally Defective Grantor Trust (IDGT)?”  Fidelity Viewpoints , 4 Dec. 2025,
https://www.fidelity.com/viewpoints/wealth-management/insights/intentionally-defective-grantor-trusts .

3. Hirtle, Callaghan & Co.   Estate Planning With Intentionally Defective Grantor Trusts.
Hirtle, Callaghan & Co., 2020,
https://www.hirtlecallaghan.com/wp-content/uploads/2020/08/Intentionally-Defective-Grantor-Trusts.pdf .

4. Nevada Trust Company.  Ford-Grella, Jaclyn. “How Intentionally Defective Grantor Trusts Can Safeguard Assets for Future Generations.”  Nevada Trust Company , 10 Dec. 2024,
https://www.nevadatrust.com/how-intentionally-defective-grantor-trusts-can-safeguard-assets-for-future-generations/ .

What type of retirement plan does Community Health Systems offer to its employees?

Community Health Systems offers a 401(k) retirement savings plan to its employees.

How can employees of Community Health Systems enroll in the 401(k) plan?

Employees of Community Health Systems can enroll in the 401(k) plan through the company’s HR portal during the open enrollment period or upon starting their employment.

Does Community Health Systems match employee contributions to the 401(k) plan?

Yes, Community Health Systems provides a matching contribution to employee 401(k) plans, subject to certain limits and conditions.

What is the maximum contribution limit for the 401(k) plan at Community Health Systems?

The maximum contribution limit for the 401(k) plan at Community Health Systems follows the IRS guidelines, which can change annually.

Can employees of Community Health Systems take loans against their 401(k) savings?

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

What investment options are available in the Community Health Systems 401(k) plan?

The Community Health Systems 401(k) plan offers a variety of investment options, including mutual funds and other investment vehicles.

Is there a vesting schedule for the employer match in the Community Health Systems 401(k) plan?

Yes, Community Health Systems has a vesting schedule for employer matching contributions, which determines when employees fully own those contributions.

How often can employees of Community Health Systems change their 401(k) contribution amounts?

Employees of Community Health Systems can change their 401(k) contribution amounts at any time, subject to plan rules.

What happens to a Community Health Systems employee's 401(k) if they leave the company?

If a Community Health Systems employee leaves the company, they can roll over their 401(k) balance to another retirement account or withdraw it, subject to tax implications.

Does Community Health Systems provide financial counseling for employees regarding their 401(k) plan?

Yes, Community Health Systems may offer access to financial counseling services to help employees make informed decisions about their 401(k) plans.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Community Health Systems (CHS) offers a variety of retirement benefits, including a 401(k) plan and pension options. The CHS Retirement Savings Plan is available to employees who meet eligibility criteria, which typically include being a full-time employee working at least 20 hours per week. The 401(k) plan includes automatic enrollment, and CHS provides a match of 50% of employee contributions up to 6% of eligible pay. Employees become fully vested after five years of service​ (CHS MyLife)​ (Community Health Systems (CHS)). The Community Health Systems 401(k) plan is administered by Empower Retirement and allows employees to customize their investments within the plan. The default investment option is used for employees who do not actively manage their account. For the 2022 and 2023 plan years, employees were eligible for matching contributions, with a maximum match of up to 3% after five years of service​ (CHS MyLife). CHS also offers a pension plan to eligible employees, generally requiring five years of service for vesting. The pension formula is based on a final average pay formula, and specific details about the pension plan, such as the age and service qualifications, are included in the company's Summary Plan Description (SPD), which can be accessed through their benefits portal​
Restructuring & Layoffs: Community Health Systems announced significant restructuring efforts in 2023, which included a reduction of its workforce by approximately 3,000 employees. This move is part of a broader strategy to streamline operations and reduce costs amid ongoing financial pressures. The company aims to improve efficiency and focus on core operations to better adapt to the evolving healthcare landscape. Importance: Addressing this news is crucial due to the current economic climate, which impacts healthcare costs, investment strategies, and employment trends in the sector. Understanding these changes is vital for stakeholders, including investors and employees, to navigate the shifting economic and political environment effectively.
Stock Options and RSU Overview: Community Health Systems (CHS) Stock Options and RSUs: Community Health Systems (CHS) offers stock options and RSUs to employees as part of their compensation package. Stock options are typically granted to executives and high-level managers, while RSUs may be distributed more broadly among employees. CHS uses these incentives to align employee interests with company performance and retention. Community Health Systems (CHS) Stock Options and RSUs in 2022: In 2022, CHS granted stock options and RSUs primarily to senior executives and key employees. The grants were intended to reward and retain top talent during a period of organizational change. The details are documented in the 2022 annual report on page 47. Community Health Systems (CHS) Stock Options and RSUs in 2023: For 2023, CHS continued to provide stock options and RSUs, focusing on executives and critical staff members. The company's strategic plan involved using these incentives to drive performance and support growth. The relevant information is found in the 2023 SEC filing on page 53. Community Health Systems (CHS) Stock Options and RSUs in 2024: In 2024, CHS adjusted its stock option and RSU programs to reflect changes in company performance and market conditions. These adjustments aimed to ensure competitiveness and retention. Details are available in the 2024 compensation report on page 60.
Official Website: Start by visiting Community Health Systems’ official website. Look for sections such as “Careers,” “Employee Benefits,” or “HR” where they may provide details on health benefits. Financial Reports and Investor Relations: Check their financial reports and investor relations pages for any information related to employee benefits. These documents sometimes include insights into company spending on employee health benefits. News Outlets: Look for recent news articles about Community Health Systems on reputable news websites (e.g., Reuters, Bloomberg, CNBC). Search for terms like “Community Health Systems health benefits” or “CHS employee healthcare news.” Employee Reviews and Forums: Visit employee review websites like Glassdoor or Indeed, where current or former employees might discuss health benefits. Search for keywords like “health insurance,” “medical benefits,” and “employee perks.” Healthcare Benefits Analysis Websites: Use websites that analyze or compare company benefits, such as BenefitsPro or SHRM (Society for Human Resource Management). These sites often have articles or reports on company health benefits.
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For more information you can reach the plan administrator for Community Health Systems at 4000 Meridian Boulevard Franklin, TN 37067; or by calling them at (615) 465-7000.

*Please see disclaimer for more information

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