funds for medical expenses

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  • JenMO
    Senior Member
    • Apr 2007
    • 974

    #1

    funds for medical expenses

    person receives funds from church to help with medical expenses. does this amount need to be subtracted from expenses? Isn't that a gift and gifts aren't taxable but.. how should this be handled?
  • John of PA
    Senior Member
    • Jul 2005
    • 1104

    #2
    It appears to me as a non reportalbe gift. It is not an official reimbursement for medical expense like one would get from an insuranc Co. or a Med Reimb plan, so I would say it's a gift.

    Comment

    • S T
      Senior Member
      • Jun 2005
      • 5053

      #3
      I agree with John PA, however, I believe I would take the "low end" and if truly the "Donee as in Church" was gracious enough to pay some medical bills, it is a gift, and not income to taxpayer - under $ 14,000 for year 2013, but I don't know in good conscious I as a taxpayer could represent my medical deductions on my tax return, without taking this into account. I believe I would net out my actual paid out expenses minus what was received as a gift.

      I do realize a gift could be used for many items, as in food, housing, etc, so I guess the taxpayer needs to look to the gift and what it is earmarked for.

      On another note, if the taxpayer needed assistance with medical bills, not necessarily sure that they would qualify for the Sched A medical deduction, or the overall Itemized Deduction to exceed Standard Deduction and there is a tax benefit - so could be a mute point

      Only the taxpayer knows, and then you as a preparer would ask for the facts and circumstances and apply accordingly.

      Just my thoughts,

      Sandy

      Comment

      • JenMO
        Senior Member
        • Apr 2007
        • 974

        #4
        TP had no insurance, and their church helps in these cases. TP was given money to help with medical expenses. Money was given directly to TP, church did not pay expenses directly. TP was able to pay rest of expense and it is enough to use Sch A. Still kinda gray.

        Comment

        • New York Enrolled Agent
          Senior Member
          • Nov 2006
          • 1531

          #5
          Originally posted by JenMO
          TP had no insurance, and their church helps in these cases. TP was given money to help with medical expenses. Money was given directly to TP, church did not pay expenses directly. TP was able to pay rest of expense and it is enough to use Sch A. Still kinda gray.
          Why do you think it is "gray"? The taxpayer paid medical expenses - they are deductible under §213.

          What difference is there if the money used for payment of medical expenses was from earnings or a gift from a family member or a gift from a church or from mega millions winnings and so on?

          Comment

          • JohnH
            Senior Member
            • Apr 2007
            • 5339

            #6
            I agree with NYEA. There's nothing gray about this at all. Who is to say they didn't take rent money to pay medical expenses and then the church financial support helped them with rent? Money loses its identity once it goes to the recipient, unless there is a requirement in the tax code to trace the funds. There is no such requirement in this situation.

            They received a benevolence gift, and whatever motivated the gift is beyond the scope of the tax system.
            They paid deductible medical expenses, and as long as they paid them they have a right to their tax deduction.
            "The only function of economic forecasting is to make astrology look respectful" - John Kenneth Galbraith

            Comment

            • ATSMAN
              Senior Member
              • Jul 2013
              • 2415

              #7
              Would the tax treatment be any different for the recipient if a family member gave them a gift of cash to pay bills, instead of the Church?

              The taxpayer could still deduct as medical expenses on Sch A subject to the threshold.

              I think the difference would be if a family member or Church directly pays the medical provider.
              Taxes after all are the dues that we pay for the privileges of membership in an organized society. - FDR

              Comment

              • John of PA
                Senior Member
                • Jul 2005
                • 1104

                #8
                Also keep in mind here that the tax law allows unlimited gifts (more than 14,000) for medical and education purposes.

                Comment

                • New York Enrolled Agent
                  Senior Member
                  • Nov 2006
                  • 1531

                  #9
                  Originally posted by John of PA
                  Also keep in mind here that the tax law allows unlimited gifts (more than 14,000) for medical and education purposes.
                  Be careful how you phrase that. Qualified transfers are not treated as gifts as per §2503(e). The regulations provide specific restrictions for the transfers to qualify.

                  Atsman writes: I think the difference would be if a family member or Church directly pays the medical provider.

                  The Tax Court has held that the donative intent of the transferor is the key. See Lang TCM 2010-286. The court used substance over form in making its determination in allowing the taxpayer a medical deduction.

                  Comment

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