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New Update: Healthcare Costs Increasing by Over 60% in Some States. Will you be impacted?

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Real Estate Sales and Capital Gains Taxes For HCA Healthcare Employees

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Healthcare Provider Update: Healthcare Provider for HCA Healthcare HCA Healthcare is a large, nationwide health system in the United States, operating over 400 healthcare facilities, including hospitals, outpatient centers, and urgent care clinics. The organization is one of the leading healthcare providers in the U.S., delivering a comprehensive range of healthcare services to millions of patients each year. Potential Healthcare Cost Increases in 2026 In 2026, healthcare costs are expected to rise significantly, potentially affecting millions of Americans. The expiration of enhanced premium subsidies under the Affordable Care Act will likely result in average premium increases upward of 75% for many marketplace enrollees, with some states experiencing hikes exceeding 60%. This steep rise is compounded by continually escalating medical costs and major insurers implementing aggressive rate increases, placing additional financial strain on families and individuals who rely on these essential health services. As HCA Healthcare navigates these changes, it must adapt to the resulting impact on patient care and operational costs. Click here to learn more

In recent years, the real estate market has seen a significant rise in property values, leading to an increase in homeowners facing capital gains taxes from the sale of their homes.  CoreLogic reports that in 2023 , approximately 8% of U.S. home sales resulted in profits exceeding $500,000—a stark rise from nearly 3% in 2019.


This $500,000 profit margin is crucial as it ties into a significant tax exemption. Profits from the sale of a primary residence are exempt from capital gains taxes for married couples filing jointly up to a $500,000 ceiling, and $250,000 for single filers. It’s important to note that these exemption limits, set in 1997, have not been adjusted for inflation. The combination of this static threshold and climbing home prices means more homeowners are crossing these limits, triggering capital gains taxes.

Capital gains tax rates on profits that surpass these exemptions can vary from 0% to 20%, depending on the seller's income. In high-cost regions like Colorado, Massachusetts, New Jersey, New York, and Washington, the proportion of properties selling with profits over $500,000 has notably increased in 2023.

To qualify for the capital gains tax exemption, the Internal Revenue Service (IRS) mandates adherence to specific criteria. The 'ownership test' requires that the individual has owned the home for at least two out of the five years preceding the sale. Additionally, the 'residence test' stipulates that the property must have been the seller's principal residence for at least 24 months during that five-year period, which need not be consecutive.


HCA Healthcare employees can reduce their capital gains tax liability by accounting for significant home improvements, which increase the home's 'basis' or original purchase price. It’s crucial to differentiate between mere maintenance and actual enhancements; costs for upgrades like a new roof or an extension can be added to the property's basis, whereas minor repairs cannot.

When a home is sold, details such as the closing date and gross profits are reported to the IRS using Form 1099-S. Homeowners must maintain detailed records of all improvements, as these records are essential in the event of an IRS audit.

Given the current trends in the real estate market, understanding these tax implications and planning accordingly is crucial. This knowledge can significantly influence the financial outcome of a home sale, particularly in a steadily appreciating market.

As retirement approaches, it's vital for HCA Healthcare employees to strategize the timing of their home sales to optimize tax benefits.  A 2022 study by the National Association of Realtors  suggests that selling homes during years of reduced income can help retirees qualify for lower capital gains tax rates. This timing can lessen tax liabilities and fully leverage the exemptions, aiding in a smoother financial transition from an active working life into retirement.

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Discover effective strategies to minimize capital gains taxes when selling your high-value property. Learn how home improvements can increase your tax base and about the exemptions available for earnings up to $500,000 for couples and $250,000 for singles. Familiarize yourself with the IRS's ownership and residency requirements to efficiently manage your tax obligations and secure exemptions. Essential reading for homeowners contemplating a sale or residing in expensive areas.

Like pruning a mature tree, managing a home sale and its associated capital gains taxes requires careful planning. Proper timing and home improvement management can enhance financial outcomes just as strategic pruning fosters tree health and growth, ensuring the financial benefits of the sale are maximized for homeowners, especially those in the HCA Healthcare sector contemplating a post-career relocation.

What is the 401(k) plan offered by HCA Healthcare?

The 401(k) plan offered by HCA Healthcare is a retirement savings plan that allows employees to save a portion of their salary on a pre-tax or Roth after-tax basis.

Does HCA Healthcare match employee contributions to the 401(k) plan?

Yes, HCA Healthcare provides a matching contribution to employee 401(k) accounts, which helps to enhance retirement savings.

How can I enroll in the 401(k) plan at HCA Healthcare?

Employees can enroll in the HCA Healthcare 401(k) plan through the company's benefits portal during the enrollment period or when they first become eligible.

What types of investment options are available in the HCA Healthcare 401(k) plan?

HCA Healthcare's 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and company stock.

Is there a waiting period before I can participate in the HCA Healthcare 401(k) plan?

Yes, HCA Healthcare may have a waiting period for new employees before they can participate in the 401(k) plan, typically based on the employee's start date and eligibility criteria.

How much can I contribute to my 401(k) plan at HCA Healthcare?

Employees at HCA Healthcare can contribute up to the IRS limit for 401(k) contributions, which may change annually.

Can I take a loan against my 401(k) savings at HCA Healthcare?

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

What happens to my 401(k) if I leave HCA Healthcare?

If you leave HCA Healthcare, you can choose to roll over your 401(k) balance into another retirement account, cash it out, or leave it in the HCA Healthcare plan if you meet the eligibility requirements.

Can I change my contribution amount to the HCA Healthcare 401(k) plan?

Yes, employees can change their contribution amounts to the HCA Healthcare 401(k) plan at any time, subject to the plan's rules.

Does HCA Healthcare provide financial education regarding the 401(k) plan?

Yes, HCA Healthcare offers resources and financial education to help employees make informed decisions about their 401(k) savings and investments.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
HCA Healthcare is one of the largest for-profit healthcare providers in the U.S., operating hospitals and surgery centers. The company focuses on delivering high-quality healthcare services across its facilities.
HCA Healthcare offers RSUs and stock options to eligible employees. These incentives vest over time, aligning employee interests with company performance.
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For more information you can reach the plan administrator for HCA Healthcare at , ; or by calling them at .

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