Itemized Deductions and Qualified Business Income Deduction Flashcards
Jill divorced her husband James in 2018. Their son Harry lived with Jill for all of 2019 and qualified as her dependent. However, the divorce decree indicates James can take the exemption. Jill paid $1,200 in medical expenses for Harry, and James paid $2,000. Jill entered into a multiple support agreement with her 3 brothers to assist with their mother’s care and took the exemption. Jill provided one-fourth of her mother’s support and paid $1,500 in medical expenses, which was her quarter share. Without regard to adjusted gross income limitations, compute Jill’s medical expense deduction for 2019. A. $0 B. $1,200 C. $2,700 D. $1,500
$2,700
Answer (C) is correct.
To qualify for a deduction, an expense must be paid during the taxable year for the taxpayer, the taxpayer’s spouse, or a dependent and must not be compensated for by insurance or otherwise during the taxable year. The deduction is allowed for a person who was either a spouse or a dependent at the time the medical services were rendered or at the time the expenses were actually paid. To qualify as a dependent, the dependent person must have over half of his or her support for the year paid by the taxpayer; must fall within a family relationship with the taxpayer; and must be a citizen, national, or resident of the U.S., Canada, or Mexico during a portion of the tax year. However, the individual need not satisfy the gross income test or the joint return test, and a child of divorced parents is treated as a dependent of both parents. Under a multiple support agreement, Jill is considered to have given more than 50% of the support of her mother and is able to deduct all the medical expenses that she paid on behalf of her mother (Publication 502). A multiple support agreement occurs when two or more people provide 50% of the support of an individual, but nobody on their own provides 50% or more of the support of the individual. Jill can also deduct the medical expenses that she paid for her son, since a child of divorced parents is a dependent for both parents with regard to medical expense deductions. Thus, Jill’s total deductions for medical expenses, before any limitations, is $2,700 ($1,200 for her son + $1,500 for her mother). See Study Unit 1 for multiple support.
Generally, the taxpayer may deduct the cost of medical expenses on Schedule A for which of the following?
A. Doctor-prescribed birth control pills.
B. Marriage counseling.
C. Trips for general health improvement.
D. Controlled substances like marijuana that are in violation of federal law.
Doctor-prescribed birth control pills.
Answer (A) is correct.
Medical expenses include amounts paid for the diagnosis, cure, mitigation, treatment, or prevention of a disease or for the purpose of affecting any structure or function of the body; transportation and lodging costs incurred on trips primarily for and essential to medical care; qualified long-term care service; and medical insurance. Thus, a prescription of birth control pills qualifies as a medical expense (Publication 502).
Mr. E, a single, 35-year-old taxpayer, had an adjusted gross income of $10,000 for the current year. In addition, he paid the following expenses: Surgeon’s fee (outpatient) $600 Psychiatrist’s fee 700 Hospital bill as follows: Medical services 300 Meals in hospital 200 Hospital room charge 500 Transportation to/from doctor’s office and hospital 50 Contact lenses 200 Prescription drugs 80 Vitamins for general health 60 Weight-loss program 300 Chiropractor’s fee 400 Mr. E also paid $900 for medical insurance premiums and received reimbursement of $850 from the insurance company on claims for the above expenses. Compute Mr. E’s current-year medical deduction for Schedule A. A. $3,080 B. $2,690 C. $2,330 D. $3,180
$2,330 Answer (C) is correct. Section 213 allows a deduction for medical care expenses to the extent that they exceed 7.5% of adjusted gross income. Medicine and drugs are limited to prescription drugs and insulin. Vitamins and the weight-loss program are not deductible because they are for the purpose of improving the taxpayer’s general health and not for a specific ailment. The total amount of expenses paid during the year must be reduced by the amount of insurance reimbursements received (Publication 502). Surgeon’s fee $ 600 Psychiatrist’s fee 700 Hospital bills ($300 + $200 + $500) 1,000 Transportation 50 Contact lenses 200 Prescription drugs 80 Chiropractor’s fee 400 Medical insurance premium 900
$3,930
Less: Insurance reimbursement
(850)
$3,080 Less: 7.5% of AGI (750) Medical expense deduction $2,330
Of the following medical expenses paid by Bill during 2019, how much can he deduct (before limitations)?
$1,000 for his wife Mary’s hospitalization in 2018; they were married in 2019.
$1,000 for Mary’s daughter’s braces; she is Bill and Mary’s dependent in 2019.
$2,000 for Bill’s son’s 2018 medical treatment; he was Bill’s dependent in 2018 but does not qualify for 2019.
A. $0
B. $4,000
C. $1,000
D. $2,000
$4,000
Answer (B) is correct.
To qualify for a deduction, an expense must be paid during the taxable year for the taxpayer, the taxpayer’s spouse, or a dependent and must not be compensated for by insurance or otherwise during the taxable year. The deduction is allowed for a person who was either a spouse or a dependent at the time medical services were rendered or at the time the expenses were actually paid. Deductible medical expenses include amounts paid for the diagnosis, cure, mitigation, treatment, or prevention of disease, or for the purpose of affecting any structure or function of the body (Publication 502).
Mr. Green must use a wheelchair. Upon advice from his doctor, in 2019, he installed an elevator and widened the front entrance of his house, incurring $10,000 and $3,000 in respective costs. Mr. Green had purchased his house for $146,000. An appraisal showed the fair market value of Mr. Green’s house immediately after these modifications at $154,000. Also in 2019, Mr. Green decided to join a health club primarily to improve business contacts and for recreational purposes. He paid a $1,250 annual membership fee to make use of this facility.
Compute Mr. Green’s currently deductible medical expenses.
A. $13,000
B. $6,250
C. $5,000
D. $14,250
$5,000
Answer (C) is correct.
Expenditures for new building construction or for permanent improvements to existing structures primarily for medical care may be deductible in part as a medical expense. The excess of the cost of a permanent improvement over the increase in value of the property is a deductible medical expense (Publication 502). Mr. Green incurred $13,000 in costs to make improvements to his house. The increase in value of his home was $8,000 ($154,000 – $146,000). Thus, Mr. Green may deduct $5,000 ($13,000 – $8,000).
Which of the following statements are true about health insurance deductions?
A taxpayer is allowed a medical expense deduction for health insurance premiums.
The deduction is subject to the 7.5%-of-AGI floor.
Self-employed persons may deduct up to 75% of health insurance premiums paid from gross income.
A. I only.
B. I and II.
C. III only.
D. I, II, and III.
I and II.
Answer (B) is correct.
A taxpayer is allowed a medical expense deduction (subject to the 7.5%-of-AGI floor) for amounts paid for health insurance premiums. Self-employed persons may deduct 100% of health insurance premiums paid from gross income.
Which of the following qualify as deductible medical expenses?
Payments to physician
Payments for elective cosmetic face-lifting operation
Medical portion of your auto insurance premium (although not separately stated)
Payments for acupuncture service
Domestic help
A. 1, 2, and 4.
B. 1, 3, and 5.
C. 1 and 4.
D. 1 and 5.
1 and 4.
Answer (C) is correct.
Payments to a physician and payments for acupuncture service are both expenditures made for the diagnosis, cure, mitigation, treatment, or prevention of disease, or for the purpose of affecting any structure or function of the body. Accordingly, they fall within the definition of medical care under Sec. 213 and are deductible expenses. Expenditure 2 is not a deductible expense under Sec. 213, unless the procedure was necessary to “ameliorate a deformity arising from, or directly related to, a congenital abnormality, a personal injury resulting from an accident or trauma, or disfiguring disease.” Expenditures 3 and 5 are also not deductible medical expenses. Although insurance covering medical care is a deductible medical expense, if the insurance contract covers losses other than medical care and the charge for the medical insurance is not separately stated, no portion of the premium may be deducted as a medical expense. Domestic help does not fall within the definition of medical care under Sec. 213(d) and is not deductible (Publication 502).
To qualify for a medical expense deduction as your dependent, a person must be your dependent either at the time the medical services were provided or at the time you paid the expenses. A person generally qualifies as your dependent for purposes of the medical expense deduction if
A. The person was a foreign student staying briefly at your home.
B. The person is the unrelated caregiver for your elderly parents.
C. The person would qualify as a dependent except for the amount of gross income.
D. The person is your sibling’s unmarried adult child.
The person would qualify as a dependent except for the amount of gross income.
Answer (C) is correct.
For the purpose of a medical deduction, a person qualifies as a “dependent” if (s)he meets the requirements in Sec. 152 except for the following two criteria:
The amount of the individual’s gross income is not considered [Reg. Sec. 1.213-1(a)(3)].
A child with divorced parents is treated as a dependent by both parents [Sec. 213(d)(5)].
(Publication 502.)
Alan is a cash-basis taxpayer. During the year, he paid the following medical expenses for himself and his daughter, Johanna, whom he claims as a dependent on his tax return.
$310 for glasses for Johanna and $290 for glasses for himself
$650 for a dental root canal procedure for him
$900 for hospital emergency services of which $700 was paid by insurance in the same year
$1,250 for Johanna’s braces which he charged to his credit card in December and paid in January of the next year
$500 for prescriptions for allergies
$2,200 for cosmetic plastic surgery
The taxpayer’s medical expense deduction before limitations is
A. $3,200
B. $6,100
C. $4,150
D. $5,400
$3,200
Answer (A) is correct.
Medical expenses include amounts paid for the diagnosis, cure, mitigation, treatment, or prevention of disease or for the purpose of affecting any structure or function of the body; transportation and lodging costs incurred primarily for and essential to medical care; qualified long-term care service; and medical insurance. However, these costs are only deductible if they are not reimbursed. The deductible medical expenses include
$600 for eyeglasses for the taxpayer and his dependent,
$650 for a root canal,
$200 for emergency services that were not reimbursed,
$1,250 for the dependent’s braces, and
$500 for prescriptions for allergies.
Thus, the total medical expense deduction before limitations is $3,200 (Publication 502).
All of the following capital improvements may be itemized and deducted as medical expenses EXCEPT
A. Cost of modifying a car with special hand controls.
B. Cost of constructing wheelchair accessible ramps for your home.
C. An elevator costing $8,000 that adds $8,000 to the appraised value of your home.
D. Lowering or modifying kitchen cabinets and equipment.
An elevator costing $8,000 that adds $8,000 to the appraised value of your home.
Answer (C) is correct.
Capital expenditures for obtaining items such as eyeglasses, a seeing eye dog, wheelchair, crutches, or artificial limbs are included as deductible medical expenses. The costs of special beds, air conditioning, and dehumidifying equipment are also included as deductible medical expenses. Expenditures for new building construction or for permanent improvements to existing structures primarily for medical care may be deductible in part as a medical expense. The excess of the cost of a permanent improvement over the increase in value of the property is a deductible medical expense (Publication 502).
Insurance premiums for which of the following policies qualify as a medical expense?
A. Membership in an association that gives cooperative (free choice) medical service.
B. Both replacement of lost or damaged contact lenses and membership in an association that gives cooperative (free choice) medical service.
C. None of the answers are correct.
D. Replacement of lost or damaged contact lenses.
Both replacement of lost or damaged contact lenses and membership in an association that gives cooperative (free choice) medical service.
Answer (B) is correct.
A medical expense deduction is allowed for premiums paid for medical insurance, subject to a 7.5%-of-AGI limitation. This provision includes premiums made for contact lens insurance and membership in associations that give cooperative medical service (Publication 17).
James and his two brothers each provided one-third of their mother’s total support. Under a multiple support agreement, James is allowed to claim his mother as a dependent for the current year. Medical expenses paid by James for his mother amounted to $6,000, and his brothers reimbursed him two-thirds of these expenses. What is the amount James can consider as part of medical expenses in the preparation of his individual tax return? A. $0 B. $1,850 C. $6,000 D. $2,000
$2,000
Answer (D) is correct.
Section 213(a) allows a deduction for expenses paid for medical care of the taxpayer, his or her spouse, or a dependent. “Dependent” is defined in Sec. 152 to include the mother of the taxpayer. The medical expenses paid, however, must be reduced by the amount of reimbursement to calculate the deduction (Publication 502). Thus, James can consider $2,000 as part of the medical expenses ($6,000 paid – $4,000 reimbursement from the other brothers).
Which one of the following expenses does NOT qualify as a deductible medical expense?
A. Cost of long-term care for a person who is intellectually and developmentally disabled in a relative’s home.
B. Cost and care of guide dogs used by a blind person in his business.
C. Special school for a deaf child to learn lip reading.
D. Cost of elevator installed for individual who had heart bypass surgery (in excess of increase in value of individual’s home).
Cost of long-term care for a person who is intellectually and developmentally disabled in a relative’s home.
Answer (A) is correct.
Section 213 allows a deduction for expenses paid for medical care of the taxpayer, spouse, and dependents to the extent such expenses exceed 7.5% of adjusted gross income. The term medical care includes amounts paid for the diagnosis, cure, mitigation, treatment, or prevention of a disease or physical handicap, or for the purpose of affecting any structure or function of the body [Sec. 213(d)]. The cost of keeping a person who is intellectually and developmentally disabled in a relative’s home is an expenditure for the support of the person and does not fall within the definition of medical care. The cost of institutional care could be deductible as a medical expense (Publication 502).
During 2019, Mr. and Mrs. Duhon paid the following expenses for their son, Joel: Medical insurance premiums $1,500 Contact lenses 210 Household help recommended by a doctor 2,200 For 2019, Joel had gross income of $9,850. Because Joel had gross income of $9,850, the Duhons did not claim him as a dependent. How much of Joel’s medical expenses can Mr. and Mrs. Duhon include with their deductible medical expenses? A. $1,500 B. $3,910 C. $1,710 D. $0
$1,710
Answer (C) is correct.
An individual is entitled to an itemized deduction for expenses paid during the tax year for the medical care of the individual, the individual’s spouse, or a dependent to the extent that such expenses exceed 7.5% of adjusted gross income. For purposes of this deduction, “dependent” is defined in Publication 502. The household help does not qualify as a medical expense. Therefore, $1,710 qualifies as deductible medical expenses. Even though Joel is not a dependent, the parents may claim the amount of qualified medical expenses.
Josef had to have the following improvements made to his home because he was handicapped: Cost of ramps 1/2/19 $ 300 Increase in value of home due to ramps 0 Cost of decorative lattice work over ramp area 1/2/19 100 Increase in value of home due to lattice work 50 Cost of chair lift on stairs 1/2/19 2,500 Increase in value of home due to chair lift 1,500 Cost of repairing ramps 12/1/19 50 Cost of repairing chair lift 12/1/19 200 None of the expenses were covered by insurance. How much would qualify as a deductible medical expense in 2019 (before any limitations)? A. $3,050 B. $2,800 C. $1,550 D. $1,430
$1,550
Answer (C) is correct.
Home-related capital expenditures incurred by a physically handicapped individual are deductible. An example of such an expenditure is an elevator needed for someone with a heart condition. However, the amount of any increase in value of the existing property cannot be deducted. Once a capital expense qualifies as a medical expense, amounts paid for the operation and upkeep also qualify as medical expenses. This is true even if the original capital expenditure was not entirely deductible (because it may have increased the fair market value of the residence). Therefore, the cost of the ramps ($300), the cost of the chair lift not attributed to an increase in the value of the property ($2,500 – $1,500 = $1,000), the cost of repairing the ramps ($50), and the cost of repairing the chair lift ($200) are deductible. These expenses total $1,550. The cost of the decorative work is not deductible (Publication 502).
Mr. Cedar broke his hip and must now use a wheelchair. He modified his home to accommodate the wheelchair. He had his home appraised for refinancing just before the improvements to his home. The value of his home was $200,000. After he made the modifications and improvements listed below, the value was $202,000. Mr. Cedar incurred the following expenses during the year. Without consideration of adjusted gross income limitations, compute the amount Mr. Cedar may claim on his 2019 tax return as a medical expense:
$3,000 to construct a ramp in the entrance of his home to accommodate his wheelchair
$4,000 for installation of a lift to transport the wheelchair from the first to the second floor of his house
$1,000 for adding handrails around his tub
$200 to repair his chimney
A. $6,000
B. $8,200
C. $6,200
D. $8,000
$6,000
Answer (A) is correct.
Expenditures for new building construction or for permanent improvements to existing structures primarily for medical care may be deductible in part as a medical expense. The excess of the cost of a permanent improvement over the increase in value of the property is a deductible medical expense. Construction of handicapped entrance or exit ramps, installation of elevators, widening of doorways, or lowering of kitchen cabinets or equipment may each qualify. Mr. Cedar’s total expenses to make his house more handicapped-accessible is $8,000. However, this must be reduced by the increase in value of his home of $2,000 ($202,000 – $200,000). Thus, Mr. Cedar may deduct $6,000 for medical expenses (Publication 502).
Jim and Nancy Walton, both age 55, had adjusted gross income of $25,000 in 2019. During the year, they paid the following medical-related expenses: Over-the-counter medicines $400 Prescription drugs 300 Doctor fees 830 Health club membership (recommended by the family doctor for general health care) 800 Medical care insurance 280 How much may the Waltons use as medical expenses in calculating itemized deductions for 2019? A. $735 B. $1,410 C. $465 D. $0
$0 Answer (D) is correct. The cost of the health club membership is not included in the computation of the medical expense deduction since the cost is incurred for the purpose of improving the taxpayers’ general health, not for curing a specific ailment or disease. Only prescription drugs and insulin are deductible, so the over-the-counter medicines are not included. Medical care insurance $ 280 Doctor fees 830 Prescription drugs 300 Total expenses $1,410 Less: 7.5% of AGI (1,875) Allowable medical expense deduction $ 0
Which of the following will NOT usually be 100% deductible as a medical expense?
A. Modifying the hardware on doors.
B. Lowering the kitchen cabinets.
C. Building entrance and exit ramps.
D. Adding an elevator to your home to allow access to a second-floor bedroom.
Adding an elevator to your home to allow access to a second-floor bedroom.
Answer (D) is correct.
Home-related capital expenditures incurred by a physically handicapped individual are deductible. An example of such an expenditure is an elevator needed for someone with a heart condition. However, the amount of any increase in value of the existing property cannot be deducted. Since the addition of an elevator to a home would normally increase the value of the home, the entire cost would not be deductible as a medical expense (Publication 502).
Ruth and Mark Cline are married and will file a joint 2019 income tax return. Among their expenditures during 2019 were the following discretionary costs that they incurred for the sole purpose of improving their physical appearance and self-esteem:
Face lift for Ruth, performed by a licensed surgeon
$5,000
Hair transplant for Mark, performed by a licensed surgeon
3,600
Disregarding the adjusted gross income percentage threshold, what total amount of the aforementioned doctors’ bills may be claimed by the Clines in their 2019 return as qualifying medical expenses?
A. $0
B. $5,000
C. $3,600
D. $8,600
$0
Answer (A) is correct.
To be a medical deduction, expenses must be primarily to alleviate or prevent a physical or mental disability or illness. Cosmetic surgery is defined as any procedure that is “directed at improving the patient’s appearance and does not meaningfully promote the proper function of the body or prevent or treat illness or disease.” The cost of cosmetic surgery is not deductible unless it is necessary to ameliorate a deformity arising from, or directly related to, a congenital abnormality, a personal injury resulting from an accident or trauma, or disfiguring disease.
Scott is an 8-year-old with a rare lung problem. His doctor wants him to be examined by a specialist at the Mayo Clinic. Scott and his mother travel to Rochester, Minnesota. Scott is not sick enough to be admitted to the hospital, so he stays in a nearby hotel from which he can go to the hospital daily for the specialist to monitor his reaction to a new drug. Scott and his mother have separate rooms so that Scott can rest properly. They remain for 10 nights, and the rooms each cost $60 per night. How much of the hotel expense is allowable as a medical expense? A. $1,000 B. $1,200 C. $600 D. $500
$1,000
Answer (A) is correct.
The amounts paid for lodging will be considered paid-for medical care if the medical care is provided by a physician in a licensed hospital and if there is no significant element of personal pleasure, recreation, or vacation in the travel away from home. The amount for lodging is limited to $50 for each night for each individual (including a parent with his or her child). Therefore, Scott and his mother are limited to $100 per night for 10 nights, or $1,000 (Publication 17).
Chris flew to Chicago for surgery. He incurred the following costs in connection with the trip: Round-trip airfare $ 350 Lodging ($100/night × 2 nights) 200 Restaurant meals 80 Hospital and surgeon 5,000 What is Chris’s medical expense? A. $5,000 B. $5,450 C. $5,490 D. $5,630
$5,450
Answer (B) is correct.
Medical expenses include amounts paid for the diagnosis, cure, mitigation, treatment, or prevention of disease or for the purpose of affecting any structure or function of the body; transportation cost of a trip primarily for and essential to medical care; qualified long-term care service; and medical insurance. A medical expense deduction is allowed for lodging, but not meals, while away from home on a trip primarily for and essential to medical care. This lodging deduction is limited to amounts that are not lavish or extravagant and cannot exceed $50 per night for each individual. The deduction may also be claimed for a person who must accompany the individual seeking medical care (Publication 17).
Thus, Chris can deduct $350 for airfare, $100 for lodging, and $5,000 for the surgery.
Which one of the following expenditures qualifies as a deductible medical expense for tax purposes?
A. Vitamins for general health not prescribed by a physician.
B. Transportation to physician’s office for required medical care.
C. Health club dues.
D. Mandatory employment taxes for basic coverage under Medicare A. Taxpayer is covered by Social Security.
Transportation to physician’s office for required medical care.
Answer (B) is correct.
Section 213(d) defines medical care as including transportation for needed medical care (Publication 17).
During 2019, the Pack family incurred the following medical expenses: Doctor fees $2,400 Prescription medicine 900 Health club dues (advised by doctor for general health purposes) 4,000 Medical insurance premiums 3,200 The Packs’ AGI for 2019 was $60,000. They received insurance reimbursements of $1,000 for their 2019 expenses. What is the amount the Packs would be able to deduct as an itemized deduction on their tax return after any limitation? A. $1,000 B. $2,000 C. $5,500 D. $4,500
$1,000 Answer (A) is correct. The cost of the health club membership is not included in the computation of the medical expense deduction since the cost is incurred for the purpose of improving the taxpayers’ general health, not for curing a specific ailment or disease. Prescription drugs and insulin and medical insurance premiums are deductible (Publication 502). Medical care insurance $3,200 Doctor fees 2,400 Prescription drugs 900 Insurance reimbursement (1,000) Total expenses $5,500 Less: 7.5% of AGI (4,500) Allowable medical expense deduction $1,000
John has a heart ailment. On his doctor’s advice, he installed an elevator in his home so that he would not have to climb stairs. The cost of the elevator was $7,000. An appraisal shows that the elevator increased the value of his home by $5,000. John can claim a medical deduction of A. $5,000. B. $2,000. C. $7,000. D. None of the answers are correct.
$2,000.
Answer (B) is correct.
Home-related capital expenditures incurred by a physically handicapped individual are deductible. An example of such an expenditure is an elevator needed for someone with a heart condition. However, the amount of any increase in value of the existing property cannot be deducted. Once a capital expense qualifies as a medical expense, amounts paid for the operation and upkeep also qualify as medical expenses. This is true even if the original capital expenditure was not entirely deductible (because it may have increased the fair market value of the residence). Therefore, $2,000 of the cost of the elevator is deductible as a medical expense ($7,000 cost – $5,000 increase in value of home). The maintenance and repair expense of the elevator is deductible, even though a portion of the cost of the elevator was not deductible (Publication 502).