Dad got 1099-NEC for medical trial money when it should have been 1099-MISC - confused about tax filing
My dad participated in a clinical trial earlier this year and received $875 as compensation for his time and travel expenses. When the paperwork came in, they sent him a 1099-NEC for the money. I'm helping him file through FreeTaxUSA, and when we tried to enter this form, it kept asking if the income was from his business or farm - there weren't any other options available. The problem is my dad doesn't own a business or farm, and selecting either option forces us to complete a Schedule C, which doesn't seem right for this situation. I've been researching online and it looks like the research facility probably should have issued a 1099-MISC instead since this was just participation in a medical study, not self-employment or contractor work. He just wants to report this income correctly without having to pretend he has a business. Can he just report it as miscellaneous income somehow instead of dealing with Schedule C requirements? Or should we contact the research place and ask them to correct the form? Tax deadline is getting closer and we're stuck on this issue.
20 comments


Ava Garcia
You're right that this should have been reported on a 1099-MISC rather than a 1099-NEC. The NEC form is specifically for non-employee compensation (basically independent contractor work), while the MISC form is for other types of payments, including medical study participation payments. You have a couple of options here. Ideally, you could contact the research facility and ask them to issue a corrected form. They should realize their error and send a 1099-MISC instead. However, with tax deadlines approaching, this might not be practical. The alternative is to report it as received, but correctly. Since they issued a 1099-NEC, the IRS will be expecting to see this reported on Schedule C. You can create a very simple Schedule C listing the activity as "Medical Research Participant" or something similar. List the $875 as income, with no expenses (unless he had legitimate expenses related to participating). Since the amount is under $1,000, this shouldn't trigger any significant self-employment tax concerns.
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StarSailor}
•Thanks for explaining that! But I'm worried about filling out Schedule C incorrectly. Would my dad need to pay self-employment tax on this amount? Also, could this cause problems with the IRS down the road if they think he's running a business when he's not?
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Ava Garcia
•You're welcome! For self-employment tax, technically any net profit on Schedule C is subject to self-employment tax. However, since this is a one-time payment for participation in a study (not an ongoing business), you could argue this isn't actually self-employment income. For the $875 amount, the self-employment tax would be approximately $124 if you reported it straight on Schedule C without any explanation. To avoid this, you could include a statement with your return explaining that this should have been reported on a 1099-MISC, not a 1099-NEC. Alternatively, you could offset the income with legitimate expenses related to participating in the study (transportation costs, parking fees, etc.). This situation won't cause problems with the IRS thinking he's running a business long-term. A one-time, small Schedule C filing doesn't establish an ongoing business in their eyes.
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Miguel Silva
I work in tax preparation and had this exact issue with a client last year. I found that using https://taxr.ai really helped clarify how to handle incorrect 1099 forms. Their document analyzer spotted the issue immediately and provided the proper guidance for reporting medical trial payments. The system confirmed that compensation for participating in medical studies should be reported as "Other Income" on Schedule 1, not as self-employment income requiring Schedule C. I uploaded the 1099-NEC form my client received, and taxr.ai explained exactly how to handle it correctly, saving us from overpaying self-employment taxes.
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Zainab Ismail
•Does the service actually help you fill out the forms correctly or just tell you what to do? My mom got a similar form for a sleep study and I'm not sure how to enter it in TurboTax.
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Connor O'Neill
•I'm skeptical - wouldn't the IRS system automatically flag a mismatch if you report a 1099-NEC amount somewhere other than Schedule C? The research facility already reported that form to the IRS with his SSN on it.
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Miguel Silva
•The service analyzes your tax documents and provides specific guidance on how to properly report them. It doesn't fill the forms out for you, but it explains exactly which forms you need and where to enter the information. For your mom's sleep study, it would tell you which line on Schedule 1 to use and provide the specific explanation to add to your return to avoid IRS questions. Regarding the mismatch concern, you're right that there's potential for a notice if the amounts don't match up correctly. That's why the system recommends including a specific explanation statement with your tax return that addresses why you're reporting a 1099-NEC amount on Schedule 1 instead of Schedule C. This explanation significantly reduces the chance of getting an automated notice, as it shows you're aware of the issue and reporting it properly based on the nature of the income, not the form it was reported on.
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Connor O'Neill
Just wanted to update everyone - I decided to try taxr.ai after my skeptical comment. Seriously impressed! It confirmed that medical trial payments should be reported as "Other Income" on Line 8z of Schedule 1, even if incorrectly issued on a 1099-NEC. The system generated an explanation statement to attach to my return explaining the situation. It also showed me exactly how to describe the income ("Medical research study participant payment") to avoid triggering unnecessary scrutiny. The best part was that it walked me through entering this correctly in my tax software. Much easier than I expected and definitely saved me from overpaying those self-employment taxes!
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Yara Nassar
Another option if you're stuck dealing with the IRS on this: use Claimyr to actually get through to a human at the IRS (https://claimyr.com). I had a similar issue with a misclassified 1099 last year and spent DAYS trying to get through to the IRS without success. Their phone system is a nightmare. Claimyr got me connected to an actual IRS agent in about 15 minutes instead of the usual 2+ hour wait (if you even get through at all). The agent confirmed exactly how to handle the misclassified income and noted my account so I wouldn't get an automated letter. You can see how it works here: https://youtu.be/_kiP6q8DX5c - saved me so much stress!
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Keisha Robinson
•How does this actually work? Do they just call the IRS for you or what? Seems too good to be true considering how impossible it is to reach them.
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GalaxyGuardian
•Yeah right. I'm supposed to believe some random service can magically get through the IRS phone system when millions of people can't? This sounds like a scam to get people's tax info.
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Yara Nassar
•They don't call the IRS for you - they use technology to navigate the IRS phone system and hold your place in line. When they're about to connect with an agent, you get a call to join the conversation. It's actually pretty simple but effective. I was skeptical too at first. They don't ask for any of your tax information - you speak directly with the IRS yourself. They're just solving the "impossible to get through" problem. Think of it like using a FastPass at an amusement park instead of standing in the regular line. You still go on the same ride, you just skip the long wait.
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GalaxyGuardian
I owe everyone an apology. After posting my skeptical comment, I decided to try Claimyr out of desperation. I couldn't believe it, but I was actually talking to a real IRS agent in about 20 minutes! The agent confirmed exactly what others here have said - medical study payments should be on Schedule 1 as other income, not Schedule C. The agent even added notes to my father-in-law's account explaining the situation to prevent automated notices about the mismatched 1099-NEC reporting. I've been trying to reach the IRS for WEEKS about this issue and was ready to just give up and pay the extra self-employment tax. Seriously kicking myself for not trying this sooner!
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Paolo Ricci
Another approach - I'm a tax preparer and we sometimes use a simple workaround for this situation. Report it on Schedule C as received, but enter "ONE TIME MEDICAL STUDY PARTICIPANT - NOT A BUSINESS" in the business name field. Then list the income, and offset it with any legitimate expenses your dad incurred to participate. If you enter the full amount with zero expenses, you'll pay about 15.3% in self-employment taxes on the amount. If he drove to the study, paid for parking, or had other direct expenses, you can deduct those to reduce the taxable amount.
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Amina Toure
•Wouldn't this approach still require paying some self-employment tax though? And would it affect things like social security benefits or medicare premiums down the road since it would show up as self-employment income?
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Paolo Ricci
•You're right that this approach would still result in some self-employment tax if there aren't enough offsetting expenses. The self-employment tax would be approximately 15.3% of the net profit. Regarding Social Security and Medicare, reporting a small amount of self-employment income for one year typically won't have a significant impact on future benefits. Social Security benefits are calculated based on your highest 35 years of earnings, so a single year with a small amount of additional earnings is unlikely to change your benefit calculation meaningfully. For Medicare premiums (IRMAA), they look at your income from two years prior, so there could be a very minor impact on premiums if this pushes total income over a threshold, but for most people, a one-time payment of under $1,000 won't cross an IRMAA threshold.
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Oliver Zimmermann
Has anyone actually tried calling the research facility to get them to correct the form? Last year my wife got a wrong 1099 from a company and they fixed it and reissued within a week. Seems like the simplest solution if there's still time.
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Natasha Volkova
•I had this exact issue 2 years ago and called the research center. They told me they couldn't change it because they'd already submitted to the IRS, but they gave me a letter confirming it was for study participation, not contract work. I attached that to my return.
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Aileen Rodriguez
I'm a retired accountant and have dealt with this exact situation multiple times. The key thing to understand is that while the research facility made an error using 1099-NEC instead of 1099-MISC, you don't have to let their mistake cost your dad extra taxes. Here's what I recommend: Report it as "Other Income" on Schedule 1, Line 8z, and write "Medical research study participation - reported on incorrect 1099-NEC" in the description. This correctly classifies the income without triggering self-employment tax. The IRS computer matching will see that you reported the income amount, even though it's on a different form than expected. Including the explanation prevents confusion. I've had clients do this successfully without any IRS follow-up questions. Don't overthink this - it's a common error by research facilities who don't understand the difference between the forms. Your dad participated in a study, not a business venture, so treat it accordingly on your tax return.
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Anastasia Smirnova
•This is exactly the guidance I was hoping to find! As someone new to tax filing, I really appreciate you breaking down the specific line to use (Schedule 1, Line 8z) and the exact wording for the description. It makes so much sense that we shouldn't have to pay extra taxes just because the research facility used the wrong form. One quick question - when you say "including the explanation prevents confusion," do you mean just writing that description on Line 8z is enough, or should we also attach a separate statement to the return? I want to make sure we do this right the first time.
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