01/20/2022
Tax Information for Healthcare Travelers
(nurses, PT, RT, etc)
At tax time there are a few things traveling healthcare workers need to remember for tax purposes. I will delineate some helpful information here.
Tax Home
The IRS defines your tax home as your regular place of income. This is not necessarily your home per the IRS. For this reason it is a good idea to try to keep at least a per diem position in the immediate area of your home/residence.
If you don’t have a regular or main place of business or work, use the following three factors to determine where your tax home is:
1. You perform part of your business in the area of your main home and use that home for lodging while doing business in the area.
2. You have living expenses at your main home that you duplicate because your business travel requires you to be away from that home.
3. You haven’t abandoned the area in which both your historical place of lodging and your claimed main home are located; you have a member or members of your family living at your main home; or you often use that home for lodging.
If you satisfy all three factors, your tax home is the home where you regularly live. If you satisfy only two factors, you may have a tax home depending on all the facts and circumstances. If you satisfy only one factor, you are an itinerant worker; your tax home is wherever you work, and you can’t deduct travel expenses.
4 Healthcare Travelers Tax Home Rules
1. Duplicate expenses at fair market value (and have proof!) It’s not enough to just travel away from your tax home. Healthcare travelers actually have to prove that they are duplicating expenses. Essentially, they are paying for their tax home and paying for housing at their new temporary residence. The most common circumstance is renting both places or owning a home and renting your second residence.
2. Travel far enough away from your tax home that you actually need a second home (50 miles is a myth). There is no rule on mileage. Go back to why you are getting a housing stipend? You’re getting it because you’re being reimbursed for duplicate expenses that you have on an assignment. The rule is that you have to be far enough away that it requires you to sleep there, and you spend money on lodging. 50 miles? Yes, some facilities or agencies may require you to be a certain distance because they are paying you a traveler rate (aka, the big bucks!), but this has nothing to do with the tax laws.
3. Don’t abandon your tax home. Keep strong ties to where your tax home is! Go home at least 30 days a year. “30 days is, by an extension of all sorts of IRS rulings, looked at as a baseline. You want to be home for about a month every year, and that doesn’t have to be at the same time. You can break it up. It’s actually more convincing to me if somebody comes home in between gigs or during gigs than just for Christmas…” Also, a few ways to prove you haven’t abandoned your home is by keeping your driver’s license, registration, insurance, and voter’s card there. Using your credit card while your home is smart too.
4. Keep moving, don’t stay in one area for more than a year. Let’s go back to the definition of a tax home. It’s our regular place of income. If we build regular income in a new area, eventually, that new place will become our tax home. (Eventually = at that 12-month mark!) Be a traveler and travel! Act exactly like you would if you were on a 13-week business trip. If you were just on a business trip, you would not be changing your driver’s license, you would not be moving all your things, and you would go back home when you can.
Stipend
A fixed amount of money, or lump sum, paid periodically in order to cover expenses.
Stipends are tax-free when they are used to cover duplicated expenses. They cover typical living expenses such as lodging and meals and incidentals. These stipends do not have to be reported as taxable income if you can prove this duplication of living expenses.
Note: If you rent out the entirety of your permanent residence while you are away on assignment, the IRS will consider it a business property and not a residence. Therefore, It will no longer satisfy the third requirement of a tax home (the only exception is if you rent it out for fewer than 15 days of the year) and not qualify for a non-taxable stipend.
You may rent out the home as long as you keep a portion of the home for personal use as a place for you to stay in between assignments. Another option to be able to claim your tax residence would be to rent it out as a short term vacation spot (for example, via Airbnb or VRBO) as long as it is not for the entire twelve months and show proof that you intermittently use it for lodging in between assignments.
The IRS states that this is still considered a residence, “If the taxpayer uses it for personal purposes during the tax year for more than 14 days or 10% of the total days rented to others at a fair rental price; [also] rental expenses cannot be more than the rent received.”
There are some ways to offset expenses at your permanent residence with income, while still being able to claim it as a tax home. If you choose to rent year-round, you may report certain expenses (maintenance, insurance, and interests) as deductions to reduce the total amount of rental income subjected to tax (IRS Pub 527).
Your listed bill rate typically takes all of this into account. A $65 per hour pay rate works out to closer to $20 per hour of taxable income, with the rest representing the non-taxable aspect. You may designate the rest of those wages to cover your working expenses. This designation (stipend) is often determined by your contract. The agency you are working with may handle this differently, and you should feel free to ask your Healthcare Recruiter to clarify how this works for you.
Keep all your documents together
A common mistake with healthcare travelers is that they don’t save their documents. If you’re wondering which documents to keep track of, here’s a handy list. (Note: these should be saved for six years in case of an IRS audit)
• Copies of all contracts
• Mileage log
• Receipts (except grocery/food receipts and gas receipts)
If you are audited you will need this information to prove to the IRS that you actually had a tax home and had duplicate expenses thus making your stipend non taxable income.
Also remember you must file a non resident tax return for each state you work in as well as your home state return. Some border states (Ohio, Kentucky, WV for example) have reciprocal agreements and if you have the home state withheld you may not have to file a nonresident return.