Healthcare Provider Update: Healthcare Provider for Select Medical Holdings: Select Medical Holdings operates primarily through its network of specialized rehabilitation hospitals and outpatient rehabilitation clinics. Their healthcare services focus on providing rehabilitation services for critical illness, physical therapy, and long-term acute care hospitals, making them a significant player in the healthcare sector. Potential Healthcare Cost Increases in 2026: As we approach 2026, significant increases in healthcare costs are anticipated, primarily driven by expected record hikes in Affordable Care Act (ACA) premiums. With states facing premium increases exceeding 60%, many individuals may experience out-of-pocket premium hikes of up to 75%, drastically affecting affordability. Contributing factors include the potential expiration of federal premium subsidies and rising medical costs from hospitals and providers. This perfect storm of financial pressures underlines the urgent need for consumers to prepare for the impending increase in healthcare expenses. Click here to learn more
'RMDs may feel restrictive, but for Select Medical Holdings employees they also create structured opportunities to rebalance portfolios, manage taxable income, and strengthen long-term planning.' – Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.
'By treating RMDs as a planning tool rather than just a tax requirement, Select Medical Holdings employees can use them to create flexibility in withdrawals and align retirement income with broader financial goals.' – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.
In this article, we will discuss:
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Which retirement accounts are subject to RMDs and recent legislative changes.
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Strategies that Select Medical Holdings employees can use to manage the tax impact of RMDs.
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How market conditions and long-term planning interact with RMD requirements.
By Wealth Enhancement Group's Brent Wolf
RMDs, or required minimum distributions, are a critical consideration for retirement income planning. Because they are required, they are sometimes seen as burdensome, but they also offer opportunities for careful money management. For Select Medical Holdings employees, understanding how RMDs work and incorporating them into a broader strategy can help improve portfolio efficiency and mitigate long-term tax impacts.
Accounts Subject to RMDs
Traditional tax-deferred retirement accounts, which are funded with pre-tax contributions and grow tax-deferred, fall under RMD rules. These include SEP IRAs, 403(b) plans, 401(k) plans, 457 plans, and traditional IRAs. Once individuals reach a certain age, withdrawals are mandatory. Roth accounts stand out as exceptions. Roth IRAs remain permanently free of RMDs, while Roth 401(k) plans are also exempt under recent legislation. For Select Medical Holdings workers nearing retirement, this exemption may enhance the role that Roth accounts can play as long-term planning tools, since assets can continue growing without taxable withdrawals.
Changing Ages for RMDs
The age at which retirees must begin taking RMDs has shifted in recent years. For decades, it was 70½. It later increased to 72, and then to the current age of 73. Beginning in 2033, the starting age will move again to 75. For Select Medical Holdings retirees, these adjustments provide more flexibility and open a wider window to implement strategies such as Roth conversions, systematic withdrawals, or portfolio rebalancing before RMDs take effect.
Why RMDs Are Often Disliked
RMDs are unpopular among retirees who don't require the funds for their current living expenses because they trigger taxable income. This added income can push retirees into higher tax brackets, raising their overall tax burden. For Select Medical Holdings employees with substantial retirement savings, RMDs can also affect Medicare costs through higher income-related monthly adjustment amount (IRMAA) surcharges. In many cases, RMDs represent a significant annual tax consideration for households.
Techniques to Manage RMDs
Although RMDs for traditional accounts cannot be fully eliminated, several approaches can help reduce their taxable impact:
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Pre-Retirement Diversification: Spreading savings across Roth accounts, taxable brokerage accounts, and traditional retirement plans may lower future RMD obligations.
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The Early Retirement Window: For those who stop working before 73, the years between retirement and the first RMD are often lower-income years—ideal for Roth conversions or accelerated withdrawals at more favorable tax rates.
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Qualified Charitable Distributions (QCDs): Starting at 70½, IRA owners can direct RMD distributions directly to qualified charities, rather than taking them themselves, reducing taxable income while meeting RMD requirements and achieving charitable goals.
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Still Working Past 73: Employees still working at Select Medical Holdings after age 73 may be able to delay RMDs on their active employer plan.
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Legacy Planning: Roth conversions, even after RMDs start, can lower the taxable inheritance left to beneficiaries, aiding in estate planning.
Market Conditions and RMDs
A common question is whether market downturns affect RMD amounts. The answer is no—RMDs are based on account balances as of December 31 of the prior year. Short-term fluctuations do not alter the required withdrawal. While Congress has occasionally suspended RMDs during crises, such as in the pandemic, these suspensions remain rare.
Turning RMDs Into Opportunities
Although RMDs are mandatory, they can be reframed as tools for portfolio management. By selling from overweighted positions, retirees can meet their RMD while also rebalancing. For Select Medical Holdings retirees with large equity allocations, this may mean using withdrawals to trim stock-heavy portfolios in favor of diversification.
Additionally, funds withdrawn through RMDs need not sit idle. If not required for daily expenses, they can be reinvested into a Roth IRA (subject to eligibility) or taxable brokerage account. This reinvestment can help maintain long-term portfolio growth.
Conclusion
While RMDs are often viewed as mandatory tax obligations, Select Medical Holdings employees can approach them strategically. Diversifying account types before retirement, making use of early retirement years, using QCDs, and considering Roth conversions all provide ways to manage the impact. When integrated into a broader financial plan, RMDs can serve as both compliance and opportunity—helping retirees sustain portfolio health, mitigate taxes, and extend financial growth into the future.
Custodians typically calculate RMD amounts and provide reminders, but the responsibility to take the correct distribution rests with the account holder. By anticipating these requirements and using them to rebalance or reinvest, Select Medical Holdings retirees can approach RMDs as part of a proactive retirement strategy.
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Sources:
Internal Revenue Service. Publication 590-B: Distributions from Individual Retirement Arrangements (IRAs). U.S. Department of the Treasury, Mar. 19, 2025. pp. 6–7, 37. https://www.irs.gov/publications/p590b
Myers, Elizabeth A. Required Minimum Distribution (RMD) Rules for Original Owners of Retirement Accounts. Congressional Research Service, 29 Aug. 2024. p. 1. https://crsreports.congress.gov/product/pdf/IF/IF12750
Centers for Medicare & Medicaid Services. Medicare Costs 2025. CMS Product No. 11579, Dec. 2024. pp. 2–3. https://www.cms.gov/newsroom/fact-sheets/2025-medicare-parts-b-premiums-and-deductibles
Social Security Administration. Form SSA-44: Medicare Income-Related Monthly Adjustment Amount — Life-Changing Event. SSA, Dec. 2024. pp. 1, 5–7. https://www.ssa.gov/forms/ssa-44.pdf
Financial Industry Regulatory Authority. Thinking About Rolling Over Funds From Your Thrift Savings Plan? Consider This. FINRA, Nov. 2024. p. 2. https://www.finra.org/investors/military/retirement/roll-over-tsp
What is the 401(k) plan offered by Select Medical Holdings?
The 401(k) plan offered by Select Medical Holdings is a retirement savings plan that allows employees to save a portion of their paycheck before taxes are taken out.
Does Select Medical Holdings match employee contributions to the 401(k) plan?
Yes, Select Medical Holdings provides a matching contribution to employee 401(k) accounts, subject to certain limits and conditions.
What is the eligibility requirement to participate in Select Medical Holdings' 401(k) plan?
Employees of Select Medical Holdings are typically eligible to participate in the 401(k) plan after completing a specified period of service, as outlined in the plan documents.
How can employees of Select Medical Holdings enroll in the 401(k) plan?
Employees can enroll in the Select Medical Holdings 401(k) plan by completing the enrollment process through the designated online portal or by contacting the HR department for assistance.
What types of investment options are available in the Select Medical Holdings 401(k) plan?
The Select Medical Holdings 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles, allowing employees to choose based on their risk tolerance.
Can employees of Select Medical Holdings take loans against their 401(k) savings?
Yes, Select Medical Holdings allows employees to take loans against their 401(k) savings, subject to the terms and conditions of the plan.
What happens to the 401(k) plan if an employee leaves Select Medical Holdings?
If an employee leaves Select Medical Holdings, they have several options for their 401(k) savings, including rolling over the balance into an IRA or a new employer's plan.
Are there any fees associated with the Select Medical Holdings 401(k) plan?
Yes, there may be administrative fees and investment-related fees associated with the Select Medical Holdings 401(k) plan, which are disclosed in the plan documents.
How often can employees change their contribution rates to the Select Medical Holdings 401(k) plan?
Employees can typically change their contribution rates to the Select Medical Holdings 401(k) plan at any time, subject to the plan's guidelines.
Does Select Medical Holdings provide financial education regarding the 401(k) plan?
Yes, Select Medical Holdings offers resources and financial education to help employees make informed decisions about their 401(k) savings and investments.



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