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I have an agency that provides home care for my elderly mom in Hospice care. Visiting Angels send a lady to stay with my Mother while I am at work. I pay the company. My Mom is under hospice care. Can I show the cost on my tax return? It is well over $4,000.00

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You would need to contact a CPA or something who does tax returns on a regular basis. Are you declaring Mom as a "dependent" on your return?
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#1 You must file an itemized return.
#2 It must be filed under all of your medical expenses, including dental.
#3 Medical expenses must be over 10% of AGI.
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If she is not your dependent and files her own return: NO
If she IS your dependent, see what Llamalover wrote.
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My husband is under hospice care in our home, with 3 to 5 visits a week. It's all paid for by Medicare. We never see a bill. I don't know how that was set up and managed, but there's no way we could afford it.
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#4 She must be claimed as your dependent.
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Also, if trying to deduct as medical, then the contract with the agency should be as medical and not as companion/ADL level care. I had Visiting Angels for 9 months, but it was just to be a companion, help with cooking and housekeeping, no medical stuff - she was not allowed to give my mother any medication, or anything like that.
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