Medical Forum / Diseases and Disorders / Alzheimer's / May 2006
The accountant is back!
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A R Pickett - 29 May 2006 17:53 GMT After some traveling and some computer difficulties. Hope everyone is well, and that the Memorial Day weekend is a time for pleasant memories of your loved ones.
In response to a question posed several weeks ago.
I am now retired, but in my working life I was a tax accountant
Deducting medical expenses paid for another depends on several things - and far too complicated to explain well in a newsgroup.
But briefly
1 - the expenses must be for a medical purpose, to alleviate or care for the symptoms of a medical condition. Most nursing home costs qualify. SOME expenses in assisted living or "supported independent" situations qualify. The good facilities usually provide data annually on what portion of their fees are "medical expenses"
2 - the expenses must be incurred for someone who is your dependent. Family members by blood or adoption CAN be your dependent IF you provide more than one half of their support. So for example:
Nursing home monthly cost $3,000 Social security/pension benefits/other income 2000 shortfall pd by family 1,000
The nursing home resident is NOT a dependent.
However bump the costs up to $3500, and reduce the pension/SS to $1,300 and the shortfall is $2200, which is more than one half and you are supporting that person. Claim the personal exemption AND put the medical costs into the formulas used for itemized deductions.
I want to caution you that this is a VERY simplified discussion, and like all advice received via the Internet discussion groups, it may possibly be worth MUCH less than what you have paid for it. I advise anyone who thinks they may be incurring expenses which fall into the deductible area to consult a professional tax service. H & R Block, a CPA, an enrolled agent are all good possibilities. Ask around to insurance agents, banks, etc to get referrals to people in your community.
On a related topic - adjusting the assets/income of a person requiring nursing home care is dicey and should only be attempted with the advice of a good eldercare issues attorney. And yes, their services will be expensive. But the guidelines for qualifying for Medicaid are quite strict, and full of traps for those who don't understand the guidelines or are attempting to meet them without professional advice.
Hope this helps
A R Pickett aka Woodstock
"Sometimes the facts threaten the truth" Amos Oz, prize winning Israeli author
Read my book reviews at: http://www.booksnbytes.com/reviews/_idx_ws_all_byauth.html
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lesanne - 29 May 2006 18:39 GMT Thanks AR, I wondered where you were :). Actually I WAS a CPA before becoming a nurse, I wanted your opinion because I have not been working in that field for the past 15 years or so. When you didn't respond I went to the IRS publications and read up on it :). Mom is going to be able to deduct this on her own tax return. She has substantial retirement income (a nice monthly chunk that covers the nursing home costs). She is no one's dependent. She meets the qualifications listed in the publication covering this, medical need, skilled nursing facility etc. I got a copy of her care plan and admission orders to keep in case of audit. We are good to go. Thanks for taking the time to answer this. I would have had to research it before I filed her return anyway, I am certainly aware of how squirrelly these things can be.
 Signature Les
After some traveling and some computer difficulties. Hope everyone is well, and that the Memorial Day weekend is a time for pleasant memories of your loved ones.
In response to a question posed several weeks ago.
I am now retired, but in my working life I was a tax accountant
Deducting medical expenses paid for another depends on several things - and far too complicated to explain well in a newsgroup.
But briefly
1 - the expenses must be for a medical purpose, to alleviate or care for the symptoms of a medical condition. Most nursing home costs qualify. SOME expenses in assisted living or "supported independent" situations qualify. The good facilities usually provide data annually on what portion of their fees are "medical expenses"
2 - the expenses must be incurred for someone who is your dependent. Family members by blood or adoption CAN be your dependent IF you provide more than one half of their support. So for example:
Nursing home monthly cost $3,000 Social security/pension benefits/other income 2000 shortfall pd by family 1,000
The nursing home resident is NOT a dependent.
However bump the costs up to $3500, and reduce the pension/SS to $1,300 and the shortfall is $2200, which is more than one half and you are supporting that person. Claim the personal exemption AND put the medical costs into the formulas used for itemized deductions.
I want to caution you that this is a VERY simplified discussion, and like all advice received via the Internet discussion groups, it may possibly be worth MUCH less than what you have paid for it. I advise anyone who thinks they may be incurring expenses which fall into the deductible area to consult a professional tax service. H & R Block, a CPA, an enrolled agent are all good possibilities. Ask around to insurance agents, banks, etc to get referrals to people in your community.
On a related topic - adjusting the assets/income of a person requiring nursing home care is dicey and should only be attempted with the advice of a good eldercare issues attorney. And yes, their services will be expensive. But the guidelines for qualifying for Medicaid are quite strict, and full of traps for those who don't understand the guidelines or are attempting to meet them without professional advice.
Hope this helps
A R Pickett aka Woodstock
"Sometimes the facts threaten the truth" Amos Oz, prize winning Israeli author
Read my book reviews at: http://www.booksnbytes.com/reviews/_idx_ws_all_byauth.html
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A R Pickett - 29 May 2006 19:05 GMT Lesanne wrote - Thanks AR, I wondered where you were :).
You're welcome!
I'm glad to be back on line! And please, call me "Woodstock"
Your approach - to find out from IRS publications is the best approach. It's almost impossible to discuss every possible important fact in a newsgroup like this - and spending my working hours figuring things out and then explaining them is a big reason why I retired! ;-)
 Signature A R Pickett aka Woodstock
"Sometimes the facts threaten the truth" Amos Oz, prize winning Israeli author
Read my book reviews at: http://www.booksnbytes.com/reviews/_idx_ws_all_byauth.html
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Alan Meyer - 29 May 2006 20:01 GMT A wonderful author. Oz once said that his neighbors combed their hair before passing by his window for fear of appearing in his next book with uncombed hair.
> Read my book reviews at: > http://www.booksnbytes.com/reviews/_idx_ws_all_byauth.html Delightful reviews Woodstock - short and precise, but giving just what a reader needs to decide whether to read a book.
Thanks.
Alan
A R Pickett - 30 May 2006 03:01 GMT Alan wrote - > "A R Pickett" wrote
> A wonderful author. Oz once said that his neighbors combed their > hair before passing by his window for fear of appearing in his next [quoted text clipped - 7 lines] > > Thanks. Thank you, Alan - I'm glad you enjoyed them - I'm still not paid for writing reviews, but I keep hoping to find a market. It's a challenge to write a review to intrigue a potential reader, but not give too much of the plot away.
I upload reviews to that website about once a week, so check back and see what's new sometime!
I've read two books by Oz - I've seen the adjective "luminous" to describe writing more than once. The first and only time I thought that I could use that word appropriately was when I read A TALE OF LOVE AND DARKNESS. Just superb, and I couldn't resist choosing a sig line from his book.
 Signature A R Pickett aka Woodstock
"Sometimes the facts threaten the truth" Amos Oz, prize winning Israeli author
Remove lower case "e" to respond
COOKIE - 30 May 2006 21:02 GMT > Alan wrote - > "A R Pickett" wrote > [quoted text clipped - 36 lines] > > Remove lower case "e" to respond COOKIE - 30 May 2006 21:05 GMT > Alan wrote - > "A R Pickett" wrote > [quoted text clipped - 36 lines] > > Remove lower case "e" to respond hello i am currently studying health care and am researching effects of dementia on carers and sufferers, would like to hear from anyone who has been affected by dementia in any way. I would like to know your views on the support systems available at present. many thanks claire
Alan Meyer - 30 May 2006 23:09 GMT > ... > hello i am currently studying health care and am researching effects of > dementia on carers and sufferers, would like to hear from anyone who > has been affected by dementia in any way. I would like to know your > views on the support systems available at present. many thanks claire Claire,
You probably want to post this again as a new topic instead of a response to "The accountant is back".
If you do, please tell us more about your studies and perhaps ask some specific questions. What kinds of support systems are you researching? What specific questions do you have about them?
Alan
COOKIE - 31 May 2006 16:22 GMT > > ... > > hello i am currently studying health care and am researching effects of [quoted text clipped - 12 lines] > > Alan Hello alan this is the first time i have used a newsgroup and am not up to speed on the functions. i'm not sure how to start a new topic but i can tell you that i am studying health and social care before going on to university to hopefully qualify to become a community psychiatric nurse. i have worked in a care home for the past five years and am still humbled by people who care for their relatives with dementia at home for as long as they can and appear to cope fantastically.I am researching support systems for carers of relatives with dementia and am struggling to find anything. If anyone has any ideas i would be most greatful, thanks for your time claire
Tumbleweed - 31 May 2006 17:22 GMT >> > ... >> > hello i am currently studying health care and am researching effects of [quoted text clipped - 15 lines] > Hello alan this is the first time i have used a newsgroup and am not up > to speed on the functions. i'm not sure how to start a new topic click on 'start a new topic' !!!!!
 Signature Tumbleweed
email replies not necessary but to contact use; tumbleweednews at hotmail dot com
Alan Meyer - 31 May 2006 21:18 GMT > Hello alan this is the first time i have used a newsgroup and am not up > to speed on the functions. i'm not sure how to start a new topic but i [quoted text clipped - 7 lines] > greatful, thanks for your time > claire Hello Claire,
If you're using Google then, as Tumbleweed suggests, you'll find a "Start a new topic" link. In Outlook Express "New Post" does it. Other newsreaders have similar functions.
If you haven't done it yet, the best places to start are probably first to look in your local public library, then to check out some good websites. One place to start on the web might be the National Institute of Neurological Disorders and Stroke, part of the U.S. National Institutes of Health. On the page below they give a list of the most prominent organizations, including caregiver organizations, with their websites.
http://www.ninds.nih.gov/disorders/alzheimersdisease/alzheimersdisease.htm
I suggest that you have a look at those sources. I think you'll find all the information you can absorb. If you have specific questions after that, this is a good group to post them in.
Good luck with your research and your plans to become a nurse. My hat is off to all of the people who do that sort of work.
Regards,
Alan
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