Tax Season
This year, the Internal Revenue Service (IRS) tax season officially began on January 26, 2026. For your 2025 taxes, it is not necessary to fill out specific tax forms indicating that, as a member of a health care sharing ministry, you are exempt from the Affordable Care Act (ACA) mandate to have insurance. Furthermore, you are not required to claim an exemption, provide documentation of your membership, make a shared responsibility payment, or obtain an Exemption Certificate Number for your federal tax return. Please check below to see if your state has its own insurance mandate requirements.
This year’s tax donation letters (documenting your qualifying charitable 2025 donations) will be sent out by postal mail on January 30, 2026. Important to note: Your Shares and fees are not charitable donations, so not every member of Samaritan Ministries will receive the tax donation letter referenced above. Only members that sent a 2025 qualifying charitable donation(s) to Samaritan—outside of the regular Shares and fees—will receive the tax donation letter.
Shares you are assigned to send to Samaritan Ministries (for administrative purposes) or to other members are only considered tax deductible if you are filing with the State of Missouri or the State of Indiana. If this applies to you, please visit Shares in your Samaritan Dashboard and select Shares History to view your 2025 Shares. For the 2025 tax year, we are not aware of any other states where this is the case.
Visit our Donate to Samaritan Ministries page to see ways in which you can make tax-deductible donations to the ministry.
Note: If you lived in a state(s) listed below last year, see the Tax Archive page for information related to filing taxes from previous tax years. You will need to obtain 2025 tax year forms, but since the procedure for claiming an exemption or deduction has not changed, the previous years’ information for your state(s) may help guide you and your tax professional for the 2025 tax season.
States with special tax considerations for the 2025 tax year:
California
Indiana
Massachusetts
Missouri
Montana
New Jersey
Rhode Island
Vermont
Washington, D.C.
This year’s tax donation letters (documenting your qualifying charitable 2025 donations) will be sent out by postal mail on January 30, 2026.
Note: Shares you are assigned to send to Samaritan Ministries or to other members of Samaritan Ministries are not considered a tax-deductible donation at the federal level or for most states. At the present time, Shares you send to other members are only considered a tax-deductible expense if you are filing with the State of Missouri or the State of Indiana; if this applies to you, please visit Shares in your Samaritan Dashboard and select Shares History to view your 2025 Shares.
No. As far as we are aware, the IRS does not consider Shares you send to other members as an itemized personal deduction on Schedule A.
In the past, we have seen that claiming medical bills for which Shares were received has caused members to have an issue with the IRS. We recommend conferring with your tax adviser before doing so.
No. While Samaritan Ministries is recognized by the IRS as an exempt charity, only donations given beyond the administrative fees and monthly Shares you are assigned to send other members are deductible as a charitable gift.
As far as we are aware, the IRS has never considered the receipt of Shares from other Samaritan Ministries members to help pay your medical bills as income.
There are many friends of health care sharing ministries in Congress who want clarification and changes in the tax laws that would be beneficial to our members. There is a good chance for such changes to occur with the help of our members contacting their representatives in Congress. We will notify our members when we need their help contacting their representatives.
If you received Shares into your PayPal account that were accidentally sent via Goods and Services rather than Friends and Family, you may receive a 1099-K detailing the amount of these transactions.
For tax year 2025 and beyond, the 1099-K reporting threshold for third-party payment platforms (such as PayPal) reverted to the original, higher limit: $20,000 in gross payment across a total of more than 200 transactions in a calendar year. The updated rule eliminated confusion caused by the American Rescue Plan Act, which had lowered the threshold to $600.
Note: Member Shares are gifts from one person to another. To our knowledge, the IRS has never considered the receipt of Shares as income.
The 1099-K is not the IRS making a declaration on the taxability of those dollars, but merely showing the funds sent to your PayPal account via Goods and Services. You can find more information here: irs.gov/businesses/understanding-your-form-1099-k.
What does my Form 1099-K report to me?
Form 1099-K includes the gross amount of all reportable payment transactions. You will receive a Form 1099-K from each payment settlement entity from which you received payments in settlement of reportable payment transactions. A “reportable payment transaction” is defined as a payment card transaction or a third-party network transaction.
• Payment card transaction means any transaction in which a payment card, or any account number or other identifying data associated with a payment card, is accepted as payment.
• Third-party network transaction means any transaction that is settled through a third-party payment network, but only after the total amount of such a transaction(s) exceeds the minimum reporting thresholds.
The gross amount of a reportable payment does not include any adjustments for credits, cash equivalents, discount amounts, fees, refunded amounts, or any other amounts. The dollar amount of each transaction is determined on the date of the transaction.
Note: The minimum reporting thresholds apply only to payments settled through a third-party network; there is no threshold for payment card transactions.
Please confer with your tax adviser about the proper way to navigate the situation if you receive a 1099-K because of Shares being sent incorrectly.
If you have general questions regarding health care sharing ministries and taxes,
please contact us at [email protected]. For more specific tax questions,
please consult your tax adviser.
The above is provided as an informational service only for our members and is not tax advice.
For tax advice, please contact your tax adviser.