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FAQs on RMDs: What Tenet Healthcare Employees Need to Know

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Healthcare Provider Update: Tenet Healthcare Overview Tenet Healthcare Corporation operates a network of healthcare services, primarily through its hospitals and outpatient facilities in the United States. It is recognized for offering a broad spectrum of services, including surgical, inpatient, and outpatient care. Potential Healthcare Cost Increases in 2026 Healthcare costs, particularly insurance premiums for Affordable Care Act (ACA) plans, are projected to rise significantly in 2026, potentially exceeding 60% in some states. This increase is driven by several factors, including rising medical costs and the anticipated loss of enhanced federal premium subsidies that have benefited many consumers. Without legislative action to extend these subsidies, a vast majority of ACA enrollees may face out-of-pocket premium hikes of over 75%, placing financial strain on individuals and families seeking adequate coverage in an increasingly challenging healthcare landscape. Click here to learn more

'RMDs may feel restrictive, but for Tenet Healthcare 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, Tenet Healthcare 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:

  1. Which retirement accounts are subject to RMDs and recent legislative changes.

  2. Strategies that Tenet Healthcare employees can use to manage the tax impact of RMDs.

  3. 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 Tenet Healthcare 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 Tenet Healthcare 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 Tenet Healthcare 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 Tenet Healthcare 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:

  • Pre-Retirement Diversification:  Spreading savings across Roth accounts, taxable brokerage accounts, and traditional retirement plans may lower future RMD obligations.

  • 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.

  • 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.

  • Still Working Past 73:  Employees still working at Tenet Healthcare after age 73 may be able to delay RMDs on their active employer plan.

  • 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 Tenet Healthcare 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, Tenet Healthcare 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, Tenet Healthcare 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 Tenet Healthcare?

The 401(k) plan at Tenet Healthcare is a retirement savings plan that allows employees to save a portion of their paycheck before taxes are taken out.

How can employees of Tenet Healthcare enroll in the 401(k) plan?

Employees can enroll in the Tenet Healthcare 401(k) plan through the company’s employee benefits portal during the enrollment period or upon eligibility.

Does Tenet Healthcare offer matching contributions to the 401(k) plan?

Yes, Tenet Healthcare offers a matching contribution to the 401(k) plan, which helps employees maximize their retirement savings.

What is the vesting schedule for Tenet Healthcare's 401(k) matching contributions?

The vesting schedule for Tenet Healthcare's matching contributions typically follows a graded schedule, meaning employees earn rights to the match over a period of time.

Can employees of Tenet Healthcare change their 401(k) contribution amounts?

Yes, employees can change their 401(k) contribution amounts at any time through the Tenet Healthcare employee benefits portal.

What investment options are available in the Tenet Healthcare 401(k) plan?

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

Is there a loan option available for Tenet Healthcare employees through the 401(k) plan?

Yes, Tenet Healthcare employees may have the option to take a loan against their 401(k) savings, subject to the plan’s terms and conditions.

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

If you leave Tenet Healthcare, you can choose to roll over your 401(k) savings into another retirement account, withdraw the funds, or leave the money in the Tenet Healthcare plan if eligible.

Are there any fees associated with the Tenet Healthcare 401(k) plan?

Yes, there may be fees associated with the Tenet Healthcare 401(k) plan, including administrative fees and investment management fees, which are disclosed in the plan documents.

How often can Tenet Healthcare employees access their 401(k) account statements?

Employees of Tenet Healthcare can access their 401(k) account statements quarterly through the benefits portal.

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