I would take these late reimbursements as a Contra sub account underneath
medical expenses. Maybe call it reportable late reimbursements or whatever
will mean something to you. I believe there is a checkbox that causes
particular accounts to show up on a tax report.

On Tue, May 12, 2026, 06:47 Adam H. Kerman <[email protected]> wrote:

> Here's a bookkeeping issue I ran into that affects a 2025 tax return. I
> confess that, even though the numbered schedules have been part of the
> Form
> 1040 layout since the 2019 tax year, because they keep changing from year
> to
> year, I am still not used to them.
>
> I made a reporting mistake but it doesn't affect taxes owed so I won't
> amend
> the return unless questioned by IRS.
>
> There were medical expenses taken as itemized deductions in 2024. They
> were
> reimbursed by insurance in 2025. At first, I took them as contra expenses
> against the insurance premiums, but that seemed wrong, so I took them as
> general contra medical expenses.
>
> After filing the tax return, I found discussion of "recoveries" in
> Publication 525. A recovery is a return of an amount taken as a deduction
> or
> credit in a prior year, and includes reimbursements of medical expenses.
> The
> recovery is includeable as income to the extent to which there had been a
> tax benefit in a prior tax year. For instance, if the standard deduction
> had
> been taken in 2024, then the recovery of the medical expense isn't
> included
> as income.
>
> Going forward, then, I shall not take these as contra expenses if received
> in a later tax year. I'll have two separate income accounts, includeable
> and
> excludeable, with tax-line mapping for includeable only. But I'm still
> taking a reimbursement received in the same tax year as the expense as a
> contra expense.
>
> The includeable recovery is reported as Other Income on Line 8z, Schedule
> 1.
>
> That the reimbursement gets treated differently for income tax purposes
> depending upon the tax year in which it is received complicates
> bookkeeping,
> but of course there is no choice.
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