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
'“Select Medical Holdings 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.
'“Select Medical Holdings 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 Select Medical Holdings 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 Select Medical Holdings 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 Select Medical Holdings 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 Select Medical Holdings 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 Select Medical Holdings 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 Select Medical Holdings 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 Select Medical Holdings 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. Select Medical Holdings 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 Select Medical Holdings—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 Select Medical Holdings households evaluating income timing.
Do You Need Assistance Navigating These New Tax Laws?
The Retirement Group can help Select Medical Holdings 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 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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