Skip to content

Senior Living Deductibility

August 28, 2014

Deciding to put a loved one in a long-term life care facility can be stressful, but things tend to get even more complicated when it comes time to prepare his or her tax returns or trying to figure out how you will afford the services he or she needs.


LGT would like to reassure you that you are not alone when determining what needs to be handled and how’s best to go about it. IRS Publication 502 discusses medical and dental expenses. Revenue Ruling 75-302 explains the deductibility of lump-sum payments, such as entrance fees, as they relate to medical and dental expenses, as well as the tax impact of reimbursements of such payments. However, these explanations are complex, so let’s talk about it in a way we can all understand it.

First and most important to understand is that only medical expenses can be deducted. The IRS defines these as “costs of diagnosis, cure, mitigation, treatment or prevention of disease, or for the purpose of affecting any structure or function of the body (Section 213 (d)(1)(A)).”  A resident of a senior living facility may deduct costs of living in the facility only to the extent that they relate to medical expenses (Scott R. Fouch, 2014). This includes the portion of lump-sum payments attributable to medical expenses.

If you are age 65 or older, these costs are deductible so long as they exceed 7.5 percent of your adjusted gross income (AGI). The floor is 10 percent of your AGI if you are under the age of 65.

For example for someone born before Jan. 2, 1949:

  • AGI = $40,000                       
  • Qualified medical expenses = $10,000                     
  • 7.5 percent of $40,000 = $3,000       
  • $10,000-$3,000 = $7,000 that can be deducted

IRS Publication 502: Medical and Dental Expenses can give you more insight on how your deductions and reimbursements may differ because you are claiming a parent as a dependent, filing as head of household, selling his or her home or are in need of using a reverse mortgage.

Then, there is the issue of how to calculate long-term-care insurance premiums into your deduction. Certain limitations have been set depending on the senior’s age. The IRS Revenue Procedure: 2013-35 provided the 2014 long-term-care insurance federal tax deductible limits below.

Lastly, many care facilities will require a lump-sum payment in order for the resident to be allowed entry and to receive lifetime care. It is important to know that the money invested into an entrance fee of a life-time care facility may be partially reimbursed upon termination (Scott R. Fouch, 2014). In this case, you must combine in your income the refunded portion of an entrance fee to the extent you have previously deducted as medical expenses.

If you are still experiencing trouble understanding the various difficulties of funding for your loved one’s long term care, please contact your trusted CPA at LGT or Landon M. McAfee at


IRS. (2013). Publication 502 . Retrieved from Internal Revenue Service:

IRS. (2014). Revenue Procedure 2013–35. Retrieved from Internal Revenue Service:

Rev. Rul. 75-302. (1975, July ). Retrieved from

Scott R. Fouch, C. P. (2014). Prepaid Medical Expenses and Continuing-Care Facilities . Today’s CPA , 36-39.

Section 213 (d)(1)(A). (n.d.). Retrieved from Internal Revenue Code of 1954:




From → Healthcare

Leave a Comment

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

<span>%d</span> bloggers like this: