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HEALTH CARE DEDUCTION. You can deduct on Schedule A (Form 1040) only the amount of your medical and dental expenses that is more than 7.5% of your AGI (Form 1040, line 38).
In this publication, the term "7.5% limit" is used to refer to 7.5% of your AGI. The phrase "subject to the 7.5% limit" is also used. This phrase means that you must subtract 7.5% (.075) of your AGI from your medical expenses to figure your medical expense deduction.
You can find the below information by going toand using the search box for Publication 502 (2009), Medical and Dental Expenses






Nursing Services
You can include in medical expenses wages and other amounts you pay for nursing services. Services need not be performed by a nurse as long as the services are of a kind generally performed by a nurse. This includes services connected with caring for the patient's condition, such as giving medication or changing dressings, as well as bathing and grooming the patient. These services can be provided in your home or another care facility.
Generally, only the amount spent for nursing services is a medical expense. If the attendant also provides personal and household services, these amounts must be divided between the time spent performing household and personal services and the time spent for nursing services. However, certain maintenance or personal care services provided for qualified long-term care can be included in medical expenses. See Qualified Long-Term Care Insurance Contracts, earlier. Additionally, certain expenses for household services or for the care of a qualifying individual incurred to allow you to work may qualify for the child and dependent care credit. See Publication 503, Child and Dependent Care Expenses.
You can also include in medical expenses part of the amount you pay for that attendant's meals. Divide the food expense among the household members to find the cost of the attendant's food. Then apportion that cost in the same manner as in the preceding paragraph. If you had to pay additional amounts for household upkeep because of the attendant, you can include the extra amounts with your medical expenses. This includes extra rent or utilities you pay because you moved to a larger apartment to provide space for the attendant.
Employment taxes, You can include as a medical expense social security tax, FUTA, Medicare tax, and state employment taxes you pay for a nurse, attendant, or other person who provides medical care. For information on employment tax responsibilities of household employers, Go to www.irs.gov

and use the search box see Publication 926, Household Employer's Tax Guide.



What Forms Must You File?
You must file certain forms to report your household employee's wages and the federal employment taxes for the employee if you pay any of the following wages to the employee.
*Social security and Medicare wages.
*FUTA wages.
*Wages from which you withhold federal income tax.
Form W-2. File a separate 2009 Form W-2, Wage and Tax Statement, for each household employee to whom you pay either of the following wages during the year.
Schedule H. Use Schedule H to report household employment taxes if you pay any of the following wages to the employee.
What Records Must You Keep?
All forms and instructions are available by going to irs.gov and using the search box for each form.
We would suggest that you may want to seek some face to face assistance about this matter.

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Q: How does claiming health care deduction decrease your tax liability?
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Above the Line Deductions?

It’s tax season once again. If filing your taxes is not yet on your mind, it soon will be. So let’s get this tax season underway by discussing something that can save you money in your dealings with the IRS, Above the Line Deductions. Above the Line Deductions, so called because they appear on the tax form above the line where your Adjusted Gross Income (or AGI) is calculated, are deductions that the IRS allows to be taken into account in the AGI calculation. Since your AGI is used to determine your overall tax liability, Above the Line Deductions can have a larger impact on your tax situation than any deduction that occurs below the line. A few examples of Above the Line Deductions include certain business expenses, contributions to traditional IRAs, alimony payments, interest on student loans, job-related moving expenses, contributions to health savings accounts, and several others. If you qualify to take an Above the Line Deduction it is in your benefit to do so. Not only will it impact your tax liability directly, it also might make you more easily qualify for a below the line deduction that you wouldn’t otherwise be able to take. For example, since the deduction for medical expenses, a below the line deduction, is subject to those expenses that are above 10% of your AGI. Since AGI is reduced by an Above the Line Deduction the result would be a lowered threshold for claiming medical expenses. Another benefit to Above the Line Deductions is that it’s not necessary to itemize deductions on Schedule A in order to claim them. So they’re available to anyone, no matter how allergic you happen to be to extra schedules. For more information on Above the Line Deductions, please see IRS publication and remember to always consult a tax expert for tax advice appropriate to your specific situation.

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