Nonprofit organizations create pooled special needs or supplemental trusts for the benefit of multiple beneficiaries who create individual accounts within the pooled trust. These trusts can be low cost and more stable because they pool the assets of multiple beneficiaries. They can be appropriate for beneficiaries with few assets in their name. Like first-party SNTs, Medicaid must be reimbursed with remaining assets when the beneficiary dies, but the trust may be allowed to keep a portion of remaining assets to support others in the pool.