What does elder care actually cost a family caregiver?
AARP's 2024 Family Caregiving and Out-of-Pocket Costs report found that family caregivers spend an average of $7,200 a year out of pocket on parent care — about 26% of their own income for those providing intensive support. The biggest categories are household expenses for the parent (groceries, utilities, rent contribution), medical costs not covered by Medicare or insurance (copays, prescriptions, dental, hearing aids), and home modifications or medical equipment. On top of cash costs, about 60% of caregivers report reducing work hours or taking unpaid leave, which adds a lost-income cost the receipts never show. If you're providing intensive care, the all-in financial impact is often $15,000-$25,000 a year when reduced earnings are included. Tracking the cash piece in Cash Compass makes the visible number accurate, which matters for both your own planning and any sibling-cost-sharing conversations.
Can I deduct what I spend on a parent's care?
Some of it, with conditions. If you provide more than half of a parent's financial support and they meet the IRS income limits, you can claim them as a qualifying relative and deduct medical expenses you pay on their behalf — provided those medical expenses exceed 7.5% of your AGI when combined with your own. The Credit for Other Dependents is $500 per qualifying parent. Long-term care insurance premiums are partially deductible based on age. Out-of-pocket medical costs include in-home care, transportation to medical appointments, medical equipment, and many home modifications recommended by a physician. The proposed federal Caregiver Support Credit has not been enacted as of 2025. Most caregivers benefit from keeping clean records first and consulting a tax preparer second — Cash Compass's CSV export is built for exactly this kind of year-end handoff.
How do Medicaid spend-down rules affect what I should track?
Medicaid's long-term care coverage requires the recipient to have very limited assets and income, and the rules vary by state. Most states use a 60-month look-back period: any large transfers or gifts from the parent in the five years before applying for Medicaid can delay coverage by a calculated penalty period. This makes documentation important. If a parent is paying you back for groceries, utilities, or medications you bought, those transfers need a clear trail showing they were reimbursement for care expenses, not gifts. If you're managing the parent's checking account, every withdrawal needs a reason. Cash Compass lets you keep that record on your iPhone without putting bank credentials anywhere. For families approaching Medicaid eligibility, an elder-law attorney is usually worth the consultation cost — state rules are too varied for generic guidance to substitute.
How do siblings split caregiving costs fairly?
There is no formula that satisfies everyone, but a written agreement based on data is closer to fair than guesswork. Three approaches that work in practice: equal monthly contribution (simplest, ignores income differences), proportional to income (each sibling contributes the same percentage of their income), or proportional to non-cash contribution (the sibling doing daily care contributes less cash, the distant sibling contributes more). Start by logging actual costs in Cash Compass for two or three months — most families discover the number is bigger than anyone realized. Share the CSV. The conversation about how to split is much shorter when everyone is looking at the same numbers. Many families also create a separate 'parent care' joint account, with each sibling contributing monthly and the primary caregiver drawing from it for documented expenses.