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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
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It is my understanding that the caregiver must be a medical professional such as a nurse or even CNA...However, that is based on no definite knowledge. Perhaps you might want to consider claiming the portion of the caregiver's time that is devoted to "nursing home" type care, such as bathing, feeding, etc., but not light housework.
My understanding is that "caregiver cost" is not deductible on your federal or state tax return. Please let me know if others feel that the cost is deductible.
Yes it is deductible but you have to report the wages paid--and pay the correct percentage of social security. And do a W9. Consult an accountant. Like hiring a nanny. I wrote my wife's care people off under medical expenses through the advice from my accountant.
Yes it is deductible as a medical expense. I believe the term is "companion - caregiver" or companion-sitter. You will have to handle the payroll (taxes and withholdings, etc.)in place of an agency if you are self paying the individual. Be sure to draw up a contract specifying their duties (sitting, housekeeping, etc.). They do not have to be a licensed health professional - but it may be to your advantage if you can find someone who is. A CNA (or someone in school to become one) might be a good choice.
Our account says it is as long as the caregiver performs some medical functions like taking blood pressure, giving meds etc. also if the care receiver would otherwise be in a facility due to not being able to care for themselves.
See IRS publication 502 for medical expenses deduction. You can deduct the portion of the time spent on medical services for activities of daily living vs. housekeeping. ADL services for bathing, dressing, toileting, eating, and continence. For example, Mom has CNAs at home for 13 hours a day. I figure 50% of the time is devoted to ADL care and the rest to housekeeping and monitoring. Mom is mobile (with a walker), so the % of ADL care would be higher if she was bedridden. Keep in mind that only the portion of total medical expenses above 7.5% of your Adjusted Gross Income (AGI) if you are 65 or older. Mom's CNA care alone for 2015 was oveer $80K, so she won't owe any income tax. For the state return, there is a maximum itemized deduction limit of $9500, so she still owes state income tax!
I got a prescription from the doctor stating that my dad needed assistance with daily activities; then hired an agency to find the individuals and pay them. My accountant tells me that it is a deductible expense because Medicare doesn't cover it even through the doctor prescribes it. However, these costs are limited to those over 7.5% (if you're over age 65) of your adjusted gross income as a total of all the medical expenses. Depending on the level of your income this may or may not be a useful deduction. Consult a tax specialist and go to the IRS internet site and get their publication on deducting medical expenses or Pub 17, chapter 21. As long as you can link the medical condition to required nursing or care services you're ok.
I don't think so - that's the extra "liability" you carry in case someone gets hurt on your property. But it will protect you in case the caregiver should get hurt - always good to have.
I am JimmyW. Earlier I posted saying that I did not think the cost was deductible. I checked with my CPA(very conservative). He says yes they are. Including the Social Security and Medicare that you pay for the caregiver. Also any bookkeeping required to file the P/R Tax Returns. "As long as it is in excess of 10% of your income. It may help to have your physician request the help. Mine will. I probably spend over 50 grand per year.
My tax accountant said that the caregiver is a medical expense and I have kept track of attends diapers, wipes, etc. The medical deduction is a % of our income which was raised last year. Means you have to have a certain amount to be able to write it off. Is expensive so hope for the best.
Desert192, liability coverage for injuries on someone's property may protect the homeowner and provide coverage for an invitee, but not an employee, which a caregiver is.
I raised this issue with my insurance carrier when we were considering hiring someone directly to do work on my father's house. I was advised that employees are NOT covered by homeowner's insurance and liability provisions. Further, that any homeowner hiring someone not affiliated with any agency providing coverage would be required to get a commercial workers' comp policy, at a high cost.
The comp policy is a commercial line; homeowners is a personal line coverage.
May I ask what kind of income - or assets - you all have that you're able to spend $50 to $80K/yr. on caregiving? nobody I know can do that, at least not the ones I'm working with
Yes, one does provide care to parents out of love; my lawyer drew up an agreement that my parent would pay me for certain care. It's pretty specific. I haven't used it yet to actually collect money because my dad has needed some outside care which is very costly and I'd rather see his money go to that. However, with such an agreement not only can you be paid to provide care but your parent can use the tax deduction.Of course, if you collect the pay you and your employer (your parent) will have to pay the employment taxes. It's frankly a trade-off to find the best care (you) and have a tax deduction if it makes financial sense. It took me a long time to find this out and I'm not convinced that the work it takes to make this function legally is worth it. It is an option and as with all things, depends on your situation.
How can Mom afford $80K in home health care? My Dad sold a rental property shortly before he died. The proceeds were put into a joint account, which Mom draws from to pay for CNAs. If Mom went to a NH, she'd be paying about the same amount daily ($270) as a private care patient as for 13 hrs of CNAs in her home. I live 400 miles away, and visit for 3-7 days almost every month. She then has the CNA for 3 hours in the am to get her up, showered, dressed, and served breakfast while I go out and jog and/or shop. Mom pays me for the hours I save her on my visits. It's not easy. I couldn't do it 24/7/365.
thanks, CatyRay, sounds like was a wonderful move on their part to have invested in rental property - seems to have been a boon to a lot; think my uncle had some, tend to forget but my grandparents had some at one time; my other uncle had his farm land - well, both of them did - that they leased out - though not sure they sold either - but my dad was never one to do that type thing - those were relatives on my mom's side - however, the one uncle on my dad's side, his wife had that type of caregiving but as far as I knew they never had rental property, so not sure how they did it - just know glad my dad was a vet and hub's aunt and uncle, glad he was as well, though they're caught in the cracks - so, again, thanks, and glad they made that move
If the caregiver lives in the same residence and is paid by a medicaid program through a homecare agency, the wages are excludable as a 'vendor' payment. IRS Bulletin 2014-7
Thank you all for your responses to my question. I contacted a tax consultant who said yes, caregiver expenses are tax deductible. I have not gotten into the details yet and know there are certain criteria to be met. I hired the caregiver through an agency who takes care of the caregiver's pay and whatever else that involves. I just pay the hourly rate. I work fulltime and my husband is retired and not able to care for himself, must be bathed, fed, & etc. The caregiver does this. Tax consultant said if caregiver performs these functions, can get tax deduction. Need agency's tax ID# and itemized statement of what you paid them. I asked the agency for this.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Grace + Peace,
Bob
They do not have to be a licensed health professional - but it may be to your advantage if you can find someone who is. A CNA (or someone in school to become one) might be a good choice.
I raised this issue with my insurance carrier when we were considering hiring someone directly to do work on my father's house. I was advised that employees are NOT covered by homeowner's insurance and liability provisions. Further, that any homeowner hiring someone not affiliated with any agency providing coverage would be required to get a commercial workers' comp policy, at a high cost.
The comp policy is a commercial line; homeowners is a personal line coverage.