Healthcare Provider Update: Healthcare Provider for AdaptHealth AdaptHealth primarily partners with various healthcare providers to deliver home healthcare solutions, including respiratory therapy and durable medical equipment. Specific partnerships may vary by location, but AdaptHealth collaborates with hospitals, rehabilitation centers, and other healthcare professionals to ensure comprehensive patient care. Potential Healthcare Cost Increases in 2026 In 2026, healthcare costs are anticipated to rise significantly, fueled by a combination of factors including the potential expiration of enhanced premium subsidies from the Affordable Care Act (ACA), which could leave millions facing drastically increased out-of-pocket expenses. With insurers requesting average premium hikes of approximately 20% nationwide, and some states experiencing spikes exceeding 60%, more than 22 million consumers could see their monthly premiums swell by over 75%. The outcome of these rising costs could severely limit access to affordable healthcare for middle-income families, as they grapple with the cumulative impacts of increasing medical costs and reduced financial assistance. Click here to learn more
'“AdaptHealth employees may benefit from reviewing how the new tip deduction rules fit into their broader household planning, as thoughtful preparation can make a meaningful difference,” – Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.
'“AdaptHealth employees can use the new tip deduction rules as a reminder to review their overall income strategy and stay informed as guidance evolves,” – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.
In this article, we will discuss:
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How the new “No Tax on Tips” law works for eligible employees.
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Income limits, qualifying occupations, and deduction rules.
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How AdaptHealth households may evaluate these provisions for planning purposes.
Some Employees May Retain a Greater Share of Their Wages
Eligible employees may deduct up to $25,000 in qualified, voluntary tips from their federal taxable income under a new federal tax rule that took effect on July 4, 2025. 1 AdaptHealth workers in eligible service-related roles may want to stay informed about these changes.
- The deduction applies to tax years 2025 through 2028.
- Income earned as tips is not taxable up to $25,000, however the deduction phass out for joint filers with Modified Adjusted Gross Income (MAGI) above $300,000 and single filers above $150,000. 2
What Does “No Tax on Tips” Mean?
A new provision under the One Big Beautiful Bill Act called “No Tax on Tips” permits eligible employees to deduct as much as $25,000 in voluntary tips from federal taxable income, provided that IRS qualifications are met. Voluntary tips do not include mandatory service charges.
To qualify, an employee must work in a profession the IRS and Treasury Department define as “customarily and regularly receiving tips.” A preliminary list includes roughly 70 job types, including:
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- Food and beverage service
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- Events and entertainment
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- Guest services and hospitality
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- Home repair and maintenance services
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- Personal services
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- Personal well-being and appearance
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- Recreation and education
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- Delivery and transportation
Health care, sports, and performing arts positions are excluded because these roles are not considered to receive tips regularly.
Did No Tip Tax Pass?
Yes. This provision became law on July 4, 2025 as part of broader federal tax reform, which may interest AdaptHealth employees with members in eligible occupations.
How Does No Tip Tax Work?
Employees in qualifying roles may deduct up to $25,000 in voluntary tips from gross income. Key points:
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- The deduction phases out for single filers at $150,000 MAGI.
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- It begins phasing out for joint filers at $300,000 MAGI.
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- It applies whether the taxpayer uses the standard deduction or itemizes.
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- It is available from 2025 through 2028.
For example, a restaurant server in the 22% tax bracket who receives $20,000 in qualified voluntary tips may reduce their federal income tax by up to $4,400 if IRS requirements are met. This may be meaningful for households that include AdaptHealth employees.
When Does Tipping Become Tax-Free?
The deduction begins with the 2025 tax year, meaning eligible employees can claim it when filing their 2025 federal return in early 2026. This timing may matter for AdaptHealth employees managing household tax considerations.
Does This New Law Make Tips Entirely Tax-Free?
Qualified voluntary tips (up to $25,000) may be deducted from federal taxable income if the employee meets the occupation and MAGI rules. However, employees—including those in AdaptHealth households—may still owe:
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- State income taxes
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- Local income taxes
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- Social Security and Medicare taxes
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- Taxes on tips in excess of $25,000
Is the No Tax on Tips Rule Limited to Cash Tips?
No. Voluntary tips received by cash, credit card, or tip pool may qualify. Required service charges do not. This distinction is important for AdaptHealth households with individuals in service-based roles.
How to Make a Deduction Claim
Eligible employees can claim the deduction by referring to IRS instructions:
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1. Report all earnings, including tips, on Form 1040, line 1a.
2. Complete Schedule 1-A, for deductions such as qualified tips and overtime.
3. Report total additional deductions on Form 1040, line 13b.
Employees may deduct only the qualified voluntary tips actually received, up to the $25,000 limit. AdaptHealth employees should remember that eligible tips must still be properly reported for payroll tax purposes.
More Guidance Is Expected
The IRS and Treasury Department will release additional information. Because each household's situation differs, individuals—including those working at AdaptHealth—may want to speak with a qualified tax professional for personalized questions.
What Is No Tax on Overtime?
Another provision within the 2025 law allows eligible employees to deduct qualifying overtime pay from federal taxable income—up to $12,500 for single filers or $25,000 for joint filers. 1 The MAGI phase-out thresholds are the same as the tip deduction. This rule also covers 2025 through 2028, which may influence planning for AdaptHealth households evaluating income timing.
Do You Need Assistance Navigating These New Tax Laws?
The Retirement Group can help AdaptHealth employees understand how these deductions may influence their retirement planning approach. You can speak with a representative by calling (800) 900-5867 .
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Sources:
1. Internal Revenue Service. “One, Big, Beautiful Bill Provisions.” IRS , 2025, www.irs.gov/newsroom/one-big-beautiful-bill-provisions .
2. Fidelity Investments. “No Tax on Tips: A New Deduction Explained.” Fidelity Learn , 19 Nov. 2025, www.fidelity.com/learning-center/personal-finance/no-tax-on-tips .
3. Lautz, Andrew. “How Does ‘No Tax on Tips’ Work in the One Big Beautiful Bill?” Bipartisan Policy Center , 30 July 2025, bipartisanpolicy.org/explainer/how-does-no-tax-on-tips-work-in-the-one-big-beautiful-bill. Accessed 8 Dec. 2025.
4. “‘No Tax on Tips’ Explained.” TaxSlayer Support , TaxSlayer, 2025, support.taxslayer.com/hc/en-us/articles/40291875700749--No-Tax-on-Tips-Explained. Accessed 8 Dec. 2025.
5. Mahoney, Michael K., and Stephen Kenney. “New IRS Guidance Pinpoints How Individuals May Take Tax Breaks for Tips and Overtime.” Ogletree Deakins , 21 Nov. 2025, ogletree.com/insights-resources/blog-posts/new-irs-guidance-pinpoints-how-individuals-may-take-tax-breaks-for-tips-and-overtime. Accessed 8 Dec. 2025.
What is the primary purpose of AdaptHealth's 401(k) plan?
The primary purpose of AdaptHealth's 401(k) plan is to help employees save for retirement by providing a tax-advantaged way to invest their earnings.
Who is eligible to participate in AdaptHealth's 401(k) plan?
All full-time employees of AdaptHealth who meet specific age and service requirements are eligible to participate in the 401(k) plan.
Does AdaptHealth offer a company match for contributions to the 401(k) plan?
Yes, AdaptHealth provides a company match for employee contributions to the 401(k) plan, enhancing the overall savings potential.
How can employees of AdaptHealth enroll in the 401(k) plan?
Employees can enroll in AdaptHealth's 401(k) plan by completing the enrollment process through the company's benefits portal or by contacting the HR department.
What types of investment options are available in AdaptHealth's 401(k) plan?
AdaptHealth's 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to suit different risk tolerances.
Can employees of AdaptHealth change their contribution amounts to the 401(k) plan?
Yes, employees can adjust their contribution amounts to AdaptHealth's 401(k) plan at any time, subject to the plan's guidelines.
What is the vesting schedule for AdaptHealth's 401(k) company match?
AdaptHealth has a vesting schedule for the company match, meaning employees must work for a certain period before they fully own the matched funds.
Are there any fees associated with AdaptHealth's 401(k) plan?
Yes, there may be administrative fees and fund expense ratios associated with AdaptHealth's 401(k) plan, which are disclosed in the plan documents.
What happens to the 401(k) plan if an employee leaves AdaptHealth?
If an employee leaves AdaptHealth, they can choose to roll over their 401(k) balance to another retirement account, cash out, or leave the funds in the plan, subject to certain conditions.
Can employees take loans against their 401(k) balance at AdaptHealth?
Yes, AdaptHealth allows employees to take loans against their 401(k) balance, subject to the terms and conditions set forth in the plan.



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