Thanks for your response, I think you are likely right. I did deduct all other costs(home aides-which was expensive, assisted living fee-any ALF help beyond room and board-this was broken out in the bill, and any other medical costs-like insurance prescriptions dental hearing aid etc). Sounds like you really need a clear statement of need(“chronically I’ll”). Probably should have pushed for something like that at the time, had I known.
