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Your sister can consider hiring a bookkeeper to perform all those responsibilities.
If you have no personal knowledge about this how can you advise on it?
Every job is supposed to have taxes taken out. If your sister is privately paying a caregiver in cash (and many do) make sure she uses the envelope system and literallly pays them in cash. This way there's no paper trails and no trouble. This way also protects your sister if in the event her aide becomes a trouble-maker at some point.
Or, the 'healthcare assistant' can take out her own taxes like I did on private cases.
They will even be, if you type in "paying caregivers", very specific.
The other option is to speak with your CPA or research on their sites.
Remember, the internet is your friend, and to answer your questions, unless we have directly done what you are planning to do, we are for the most part clueless about the legal stuff. Unless, that is, we have done it ourselves.
Because laws vary so much state to state you will be researching your own state, as well.
Also check with any agency you hire as they will most certainly operate within the tax laws when paying their workers.
Just clicking this into the computer search I am met with tons of stuff. Care.com has apparently people you can hire to do tax forms. And there is this:
"When hiring a caregiver, you need to provide the following tax forms12345:
W-2: For nannies, senior caregivers, or other household employees.
Form I-9: For proper identification.
Form W-4: For state income tax withholding (if applicable).
Form 1099-MISC: For nonemployee compensation if payments exceed $600.
Form W-3: For transmittal of wage and tax statement".
Apparently if you pay UNDER some certain stated amount you don't have to give filing papers (and the caregiver is the one responsible to file their taxes) if you pay less than 600 over the year (or some such amount; my recollection is for years ago when I paid a man to check my brother's garden for a while when he went into care.
Good luck. It all gets terribly complicated, doesn't it?
One of Mom's caregivers was working a second caregiving job. We paid legal and had taxes taken out. The second caregiving job paid cash. The caregiver was regular depositing the cash in an account and this was flagged by the IRS.
IRS made an investigation. The employer had to pay back taxes, interest and a penaltay of $5000 for not withholding taxes.