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Check with CPA for your individual circumstance -
If he needs assistance with at least 2 of 5 ADLs(Activities of Daily Living) per his Doctor - then you can deduct as medical expense subject to 7.5% of income deduction. You can go through agency, payroll the caregiver , or what we did - have caregiver sign agreement as "companion sitter" and 1099 them for amounts paid. They are responsible for their own payroll taxes under this arrangement.
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I would recommend that you check IRS Pub 554, Itemized Deductions for Medical and Dental Expenses; in partcular Nursing Services and Household Help. These two areas define the specifics that must be met for the deduction. Also, if the individual's services are retained through an agency, I would check with them as well.
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Probably need to see also what arrangments he has made with the cargiver.
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I would go with the answer Carol gave.
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You mention a caregiver as a deduction. The only place on the Tax Return that I see for this type of deduction is Schedule , Line 1 under medical deductions. This entire deduction: medical, dental, insurance premiums for medical care, and drugs and medicines is subject to the 7% floor. That is 7% above your AGI.... Not an easy deduction to take.
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MarySalma,
If it is through an agency you can. If it is personal hire no. Just like Nursing Home care, you cannot take it off. If it is an agency, with a tax number, you can take it off as medical expense with whatever % the IRS will allow. We have done this for years with Caregivers Systems and our new 'Pay as you go' senior living system. It is good to check out these things. If it is a personal hire, check with an accountant to see, but I don't think so.
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He may be able to, if a doctor has prescribed the care, however, he needs to check with a qualified CPA before he does so. I expect he can take a portion of it off, if it's medically prescribed, but not likely all of it. An expert is needed.
Good luck,
Carol
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